Ukungasebenzi kahle kunomsebenzi wokukhubazeka wezinyathelo ezimbili noma ngaphezulu zesibindi kanyekanye. Lokhu kuvame ukubangelwa umonakalo ongapheli emathangeni esibindi. Ezokwelapha, ukuhlukanisa phakathi kokuhluleka kwesibindi esingapheli nesisindo, okuyinto ezimweni eziningi eziphela nge-coma ye-hepatic (esigabeni sokugcina).
Ukuhluleka kwesibindi esingapheli
Leli fomu lesifo lingenzeka ngesikhathi kuqhubeka nezinye izifo zesibindi ezingapheli. Lokhu kungafaka phakathi izicubu ezimbi kanye ne-cirrhosis. Njengomthetho, kubonakala sengathi izibonakaliso zesifo esiyisisekelo. Uma isiguli sihlolwe, yonke idatha yokuhlaziywa kwezinto eziphilayo, isibindi se-fox, i-EEG ne-biopsy ifakwa.
Ukuhluleka kwesibindi esingapheli - izimpawu
Izimpawu zokuhluleka kwesibindi esingapheli zihlanganisa:
- ukuwohloka kwe-gallbladder, ukugqokwa kwe-bile duct;
- ukuthuthukiswa kwe- cirrhosis yesibili ye-biliary;
- isifo sofuzo se-metabolism;
- nge-decompensation yefomu elingapheli lingase lenze i-coma ye-hepatic.
Ngezikhathi eside ezigulini ubuciko obukhulu obukhuluma ngokuphulwa kokushintshaniswa kwamavithamini kuyahlolwa. Izinkinga ze-endocrine kwabesifazane nazo zingenzeka, njengokujikeleza kokuya esikhathini, nasemadodeni, ukwehla kwesifiso sobulili. Ezimweni eziningi, izimpawu zibonakaliswa njengesifo esiyinhloko esibangele ukungasebenzi kahle. Isiguli kumele silandele ukudla okukhethekile, ngoba ukwamukelwa kwemikhiqizo ehlukene kungavusa ifomu elimangalisayo.
Izimpawu zokuhluleka kwesibindi
Zonke izibonakaliso zixhomeke ngqo kulesi sifo, ngakho-ke ungakwazi ukubona izimpawu ezijwayelekile kuphela:
- ukunciphisa ukudla;
- ukuphikisana nogwayi kulabo ababhema kakhulu;
- ubuthakathaka jikelele nokukhubazeka;
- ukuphazamiseka ngokomzwelo.
Esikhathini esizayo, izifo ze-neuropsychic, ukucindezeleka, ukunciphisa ukucabanga, ukungahleleki kwemizwelo nokuwohloka kokulala kungenzeka. Izimpawu ezinjalo zingase zibe khona ekuhlulekeni kwesibindi esingapheli, ngakho-ke ukuhlolwa okuqondile kungenziwa udokotela kuphela, emva kokuhlolwa okukhethekile. Kungase kube nokuthuthumela okuncane kwemiphetho, kodwa ngokuthelela isikhathi eside, iziguli zingasusa lesi simo. I-Coma ivele isesimweni esiyinkimbinkimbi sesifo ngezimpawu ezinde.
Izimbangela zokuhluleka kwesibindi esikhulu
Phakathi kwezizathu ezivame kakhulu kubonakala:
- izinhlobo ezimbi ze-hepatitis yegciwane;
- uketshezi ngemikhiqizo yezimboni;
- ukudlula izidakamizwa;
- ukumpontshelwa kwegazi langaphandle kwezinye izimo.
Izimpawu zokwehluleka okukhulu kwe-hepatic zikhula ngokushesha futhi zivele izinsuku ezimbalwa. Kodwa-ke, uma ngokuhamba kwesikhathi uphendule ukwelashwa okhethekile, inqubo ingabuyekezwa futhi esimweni esibi kunazo zonke kuyoba nehlobo olulula lesi sifo. Ngokuqondene nesifo esingapheli, khona-ke kungenzeka kube nezimpawu ngemva kwesikhathi eside,