Ngokulimala kwesibindi sokuvuvukala-dystrophic, ukusebenza kwayo kuphelelwe amandla. Ngenxa yalokho, i-hepatitis engapheli iyatholakala. Ezigulini ezinesifo esinjalo, ukuphila kuhambisana nokulinganiselwa nokukhungatheka okungalindelekile.
Ukuhlukaniswa kwesifo sofuba esingapheli
Lesi sifo sinomphumela ophuthumayo. Kunezinhlobo eziyisi-3 ezihlukahlukene zesifo esinjalo:
- Ifomu lokukhanya alisebenzi kakhulu. Ukuvuvukala kugcinwa kuphela kumathisini wokungena. I-Aminotransferase iseduze nezinkomba ezijwayelekile noma ibadlula kancane.
- I-hepatitis esebenzayo ehlala njalo inesithombe esifanayo somtholampilo njengenqubo eqinile yokuvuvukala kanye ne-fibrosis yezicubu.
- Izinhlobo ze-lobular zokulimala kwesibindi zibonakala ngokutholakala kwezindawo ezine-foci ze-necrosis.
I-hepatitis engapheli, i-etiology engacacisiwe, ifaka i- biopsy . Le nqubo isisiza udokotela ukuba ahlolisise futhi ahlaziye uhlelo lokulashwa. Ngaphezu kwalokho, ngokusho kwemiphumela ye-biopsy, udokotela angakwazi ukubikezela lesi sifo. Amafomu angapheli atholakala yi-hepatitis B, C, G no-D. Isifo seqembu A noma E asidluli kulesi sigaba. Kodwa-ke, indlela yokuguqulwa kwalesi sifo kusuka kwesinye isimo kuya kwenye ingakafundiwe.
I-hepatitis engavamile yegciwane
Ngokuvamile, lesi sifo sitholakale sisebancane. Iqala ngokumelene nokwelashwa okungalungile kwesifo sofuba esivuthayo. Ubukhulu besifo singadlwengulwa amagciwane, eqenjini lakwa-hepatotropic. Isimo siphuthunyiswa yizodakamizwa nokuphuza utshwala. Ngokwezinga lomsebenzi, isifo sofuba esingapheli se- hepatitis C , B, D no-G singaba nezindiza ezinjalo:
- inkulumo encane;
- ukubonakaliswa obuthakathaka;
- ubunzima obulinganiselayo;
- umsebenzi wesilinganiso;
- izifo eziqhamukayo.
Izimbangela eziyinhloko zokudluliselwa kwesifo ziyi-saliva, igazi kanye nemfihlo yangasese yomuntu onegciwane. Ukutheleleka kungenzeka ngenxa yezidakamizwa zezokwelapha, izinwele zokugqoka izinwele, izinsimbi zokugcoba izinwele noma ukuhamba ngezinyawo zokusetshenziswa okusetshenziselwa ukuvuselelwa. Kulokho ukudluliselwa kwesifo kungenzeka ngegazi lokutheleleka. Izingane zivame ukutheleleka ngomzila we-perinatal: kusuka kumama ogulayo.
I-hepatitis enobuchopho engapheli
Nsuku zonke, kanye nezinto eziwusizo emzimbeni womuntu, izinhlayiya nazo zingena. Iningi lazo liyinhlekelele yamaseli wesibindi. Ngokuqoqwa kwalezi zinto eziyingozi, isifo sofuba esingapheli siphumelele. Lesi sifo sithukuthelwa amaqembu alandelayo "we-toxin":
- i-phenols, i-arsenic, i-aldehydes, i-pesticides nezinye izinhlayizi zezimboni;
- imithi;
- iziphuzo ezidakayo;
- izitshalo zemifino.
Ukuxilonga nokudla kwe-hepatitis enobuthi. Igama lesibili liyi-fecal-ngomlomo. Ukwelashwa kwenzeka lapho i-anilingus. Eqenjini engozini enkulu yilabo abalandeli bezinkinga zesimanje zobulili. Isizathu saleso sifo ukuthi izingcezu ezincane zezintambo ezinegciwane lesifo sofuba nesibindi sokuxhumana nomlomo sifinyelela kumuntu onempilo.
I-Cryptogenic Chronic Hepatitis
Kuyindlela yokuvuvukala ye-etiology engaziwa eyenzeka esibindi izinyanga ezingaphezu kwengu-6. Kuwo wonke ama-5-th, imbangela yokuthuthukiswa kwalesi sifo ngisho nangemva kokuhlolwa okuningiliziwe ayikwazi ukubonakala. I-hepatitis yama-Cryptogenic inesici esithile: lesi sifo sishintsha ngokushesha sibe yi-cirrhosis noma uhlobo oluyinhloko lomdlavuza. Kodwa-ke, lolu hlobo lokulimala kwesibindi akuyona isinqumo. Uma lesi sifo sibonakala futhi siphathwa kahle, singanqotshwa.
I-hepatitis engavamile yokuzimela
Ngalesi sifo sokuvuvukala, isibindi ngokwawo sibhujiswa yisistimu yomzimba ngokwayo. Ukubaluleka okubaluleke kakhulu kunikezwa ekufakwe esikhundleni sokufa. Noma iyiphi i-agent esithathelwanayo esenele emkhathini wangaphandle ingaba "i-hook crochet" ekuthuthukiseni ukugula. Kodwa-ke, kuphela ukuxilongwa okuningiliziwe kwe-hepatitis engapheli kungatholakala ngesikhathi. Lesi sifo siphuthuma ngokushesha sibe yi-cirrhosis futhi singabangela ukufa.
I-hepatitis enobudlova obungapheli
Lesi sifo siqala ngenxa yokusetshenziswa ngokweqile kotshwala obudakayo iminyaka emi-5-7 ngokulandelana. Kodwa-ke, izinga lokuthuthukiswa kwalesi sifo lithintwa yizici zokufa kanye nesimo sezempilo. Ukushisa kwesifo sofuba kwenzeka ngenxa yomonakalo onobuthi esibindi nesisifo esinobuthi - i-acetaldehyde. Ngenxa yalokho, esikhundleni samaseli aphilile, izicubu ezibomvu zivela, futhi lokhu kuphazamisa ukusebenza okujwayelekile kwesitho sangaphakathi.
Isifo sofuba esibangelwa izidakamizwa ezingapheli
Lesi sifo sokuvuvukala senziwa ngenxa yokudla okuvamile kwamaqembu athile wezidakamizwa. Isithombe se-clinic sifana nesifo sofuba esingapheli esingapheli. Yenza ukuthuthukiswa kwalesi sifo kulandela imithi:
- ama-anticonvulsants (phenytoin, carbamazepine, i-dantrolene);
- antithyroid (Carbimazole, Propylthiouracil);
- anti-inflammatory non-steroid (Diclofenac, Sulindac, Felden, Piroxicam, Propafenone);
- i-sulfonamides (i-Pyrimethamine, i-Cotrimoxazole);
- i-hormonal (i-thyrotropin, i-somatotropin).
I-hepatitis engapheliyo ye-cholestatic
Ngalesi sifo, kugcinwa i-intrahepatic ne-extrahepatic bile stasis. Lezi zimbangela ze-hepatitis ezingapheli futhi zivusa. Abantu abaningi asebekhulile bahlushwa lesi sifo. Ngemuva kokuthi igciwane lingene egazini, amathishu aphikisayo ayathinteka. Ngesikhathi lapho umzimba uqala ukulwa nokutheleleka, isitho sangaphakathi sishaya futhi sanda ngobukhulu. Lesi sifo siyaphathwa uma usilalela ngesikhathi. Iziguli ezidlulisela ekukhuleni.
Izimpawu Ze-Hepatitis Esingahleliwe
Ukugeleza kwalesi sifo kuxhomeke ekuziphatheni komuntu ngamunye. Izimpawu ze-hepatitis ezingapheli zihlobene ngokuqondile nezimbangela zalokho okwenzekayo. Nokho, isithombe esiphezulu sesifo sinjengoba:
- isitho sangaphakathi sanda ngobukhulu;
- ngenkathi isibindi sesibindi kukhona ubuhlungu obunzima bokuhluka;
- ukulahlekelwa kwesifiso;
- Ngemuva nangamahlathini kubonakala "izinkanyezi";
- isiguli sibhekene nokuhlukumeza, ukuhlukunyezwa nokuhlaselwa;
- eqoqwe kwezicubu ze-bile acids iqhuma i-bradycardia;
- ukulala;
- ukucasula nezinye izibonakaliso zokuwohloka kwesimo sengqondo;
- ukwehluleka ohlelweni lwe-endocrine;
- ukuphazamisa ukugoqa kwegazi, yingakho izivunguvungu zivela ngokushesha emzimbeni futhi isiguli sivame ukuphuma;
- ukucaciswa kocingo;
- ukumnyama komchamo.
Indlela yokuphulukisa isifo sofuba esingapheli?
Ngaphambi kokuqokwa kwemithi yokwelashwa isiguli kumele sithole ukuhlolwa okuningiliziwe. Enye yezinqubo ezivame kakhulu zelabhuthrikhi ezikuvumela ukuba uhlaziye ngokunembile ukulethwa kwesifo segazi segazi. Uma umuntu ene-hepatitis engapheli, lokhu kungabonakala emiphumeleni yocwaningo olunjalo. Egazini kukhona ukwanda kwe-bilirubin ne-gamma globulin. Ngaphezu kwalokho, uma usolwa ngokuthi u-hepatitis B ongapheli, isifo se-biopsy sibelwe futhi kusetshenziselwa ukuhlolwa kwamagciwane egciwane. Lapho ukugula kwe-etiology engaziwa, ukutadisha okuphelele kunqunywe.
Ukwelashwa kwesifo sofuba esingapheli kuhloswe ukukhipha izinto eziphuthumayo ukuthuthukiswa kwesimo somzimba. Ngaphezu kwalokho, ukwelapha kanje:
- ukuqeda izimbangela zesifo;
- ukuqeda igciwane;
- ukuhlanzwa kwegazi.
Ukuze kulungiswe umsebenzi wesimiso sokugaya, i-Lactobacterin ne-Bifidumbacterin imisiwe. Ngaphezu kwalokho, i-Mezim ingachaza isiguli kusuka emalungiselelo enzyme. Labo abahlukunyezwa, uDufalac unconywa. Ngesikhathi esifanayo, ama-hepatoprotectors anqunywe. Phakathi kwabo, okuvame kakhulu yi-Essentiale, i-Ursosan, i-Heptral nabanye. Lezi zidakamizwa zenzelwe ukusetshenziswa kwesikhathi eside: okungenani izinyanga ezimbili.
Uma isifo sofuba esingenasifo esibelethwe ngesifo segciwane sesandulela ngculazi siyaphathwa, ukwelashwa okhethekile kunqunywe. Kuhlanganisa inhlanganisela yeRibavirin ne-Interferon. Lokhu ukwelashwa kunqunywe kuphela kuleso simo, lapho imiphumela yocwaningo iqinisekisa ukusebenza kwamagciwane. Ngokufanayo, izithako zokudla kanye nemiphumela elandelayo ingasetshenziswa:
- choleretic (esekelwe ubisi thistle);
- i-antiviral (ekubunjweni kukhona iWort John's wort ne-licorice);
- i-antispasmodic (esekelwe kwiminti).
Ukuhlanza igazi, isiguli sigunyazwe i-dropper ngeHaemodesum. Lelixazululo lisiza ukususa i-toxins nezinye izinto ezinobuthi ezisuka emzimbeni ngezinso. Ngendlela yokwelashwa ekhethiwe kahle, kungenzeka ukufezekisa ukukhululwa okuzinzile, ngenxa yokuthi isikhathi eside isifo asizizwanga kanjani. Nokho, ngenxa yalokho, kubalulekile ukuthi isiguli silandele imiyalelo kadokotela nakanjani.
Ukudla nge-hepatitis engapheli
Ukuphumelela ekulwa nalesi sifo kuncike endleleni yokuphila yesiguli. Ukudla okunomsoco we-hepatitis engapheli kufanele kube mnene. Inombolo yesidlo esinqunyiwe 5. Inhloso yokudla okunjalo ukunciphisa inqubo yokuvuvukala. Imenyu yansuku zonke kufanele ihlanganise okulandelayo:
- imikhiqizo ecebile amaprotheni aphezulu (ushizi, inhlanzi, amafutha aphansi, inyama yenkomo, ubisi);
- amafutha kalula (uju, ujamu, ushukela);
- amafutha (mhlawumbe umnqumo noma amafutha ommbila).
Inani eliphakanyisiwe lokudla liyizikhathi ezingu-5-6 ngosuku. Ekudleni kumele kube khona ukudla okwanele kwamavithamini eqembu B, usawoti we-phosphorus, i-zinc, i-magnesium, i-potassium ne-cobalt. Noma kunjalo, kufanele iqedwe ngokuphelele:
- isinqumelo;
- inyama enamafutha;
- ukudla okusemathinini;
- imikhiqizo yokubhema;
- izinhlobo ezinamafutha ezinhlanzi;
- izinongo ezibukhali;
- Ama-Pickles;
- iziphuzo ezidakayo;
- izitsha ezibandayo njalonjalo.