Izi zimakhala zovuta koma vutoli limatchedwanso kuti Fulminant Hepatitis
Ngati inu kapena wokondedwa wanu muli ndi matenda a chiwindi , muyenera kudziwa kuti vuto lalikulu la chiwindi ndilosawoneka koma kovuta kwambiri.
Kodi Chiwindi Choopsa N'chiyani?
Kulephera kwa chiwindi ndi vuto lalikulu lachipatala lofulumira. Mkhalidwewu umatchedwanso kuti fulminant hepatic failure, hepatic necrosis, fulminant hepatic necrosis ndi hepatitis fulminant.
Zimapezeka pamene maselo a chiwindi avulala mwamsanga kuti limba silingathe kudzikonza lokha mwamsanga. Ziwalo za chiwindi zimamwalira kapena zimayambanso kusagwira ntchito. Chochitika chotero chikhoza kuchititsa chiwindi kuti asiye kugwira ntchito kwathunthu, zomwe zimabweretsa mavuto m'madera ena a thupi.
Chifukwa chiwindi ndi mbali yofunika kwambiri ya thupi, ikawonongeka, ziwalo zina zimakhudzidwa, nayonso. Ubongo ndi chimodzi mwa ziwalo zofunika kwambiri zomwe zimakhudza chiwindi, ndipo kuvulala kwa ubongo kumabweretsa vuto lotchedwa encephalopathy.
Kulephera kwa chiwindi kawirikawiri kumawoneka kuti ndi kovuta m'malo mopitirira nthawi pamene chiyambi cha matenda chimapezeka mkati mwa masabata 26.
Zizindikiro za Kulephera Kwambiri kwa Chiwindi
Dokotala asanathe kupeza matenda a chiwindi a fulminant, wodwalayo ayenera kuwonetsa zizindikiro za matenda a ubongo , matenda a ubongo. Zizindikiro zazikulu ndi izi:
- Kusokonezeka
- Sinthani khalidwe
- Sinthani kuchenjeza
- Kuvuta kugwira ntchito kudzera m'maganizo
Zizindikirozi zingayambitse chiwindi komanso ngakhale imfa ngati chiwindi chikulephera.
Zizindikilo zina za chiwindi chachikulu cha chiwindi ndi:
- Kutopa / malaise
- Lethargy
- Anorexia
- Nausea ndi / kapena kusanza
- Kupweteka kwapamwamba kwa quadrant
- Kuyabwa
- Jaundice
- Kutupa m'mimba
Kulephera kwa chiwindi chachikulu kumapezeka chifukwa cha zovuta zowononga chiwindi (monga bilirubin test test), matenda osokoneza bongo komanso nthawi yaitali ya prothrombin, yomwe nthawi imatenga kuti magazi a m'magazi aphimbe.
Zimayambitsa Zovuta za Chiwindi
Kuwopsa kwa chiwindi ndi chimodzi mwa mavuto aakulu kwambiri a kachilombo ka HIV. Ndipotu, dokotala aliyense ali ndi nkhawa imeneyi pamene akuchiza odwala omwe ali ndi matenda a shuga.
Kulephera kwa chiwindi chachikulu n'zosatheka. Zikachitika, zimapezeka mu chiwindi cha A chiwindi ndi matenda a hepatitis B. Ngakhale apo, osachepera 1 peresenti ya anthu omwe ali ndi kachilombo ka hepatitis B, ndipo ngakhale ang'onoang'ono peresenti ya anthu omwe ali ndi hepatitis A adzakhala ndi matenda a chiwindi.
Hepatitis E ingayambitsenso chiwindi chachikulu, ngakhale kuti matendawa sapezeka ku US
Chinthu chinanso choopsa cha chiwindi chachikulu cha chiwindi, makamaka ku US, ndi acetaminophen toxicity. Acetaminophen, yomwe imadziwika kuti Tylenol, ndi mankhwala ochepetsa kupweteka ngati aspirin ndipo angathe kugula popanda mankhwala. Zambiri mwa mankhwalawa zimayambitsa chiwindi ndipo zingayambitse chiwindi. Anthu omwe nthawi zambiri amamwa mowa kwambiri ndi kumwa acetaminophen kwambiri akhoza kukhala ndi chiopsezo chowonjezereka chifukwa cha kuchepa kwa chiwindi.
Pali zina zambiri zomwe zimayambitsa chiwindi chachikulu cha chiwindi, kuphatikizapo mankhwala osokoneza bongo (osadziwika) omwe amawoneka, matenda a chiwindi, matenda a Wilson ndi poizoni wa bowa.
Kuchiza ndi Kupatsirana
Anthu omwe ali ndi chiwindi choopsa kwambiri ayenera kuchipatala kuchipatala chomwe chimayambitsa chiwindi.
Cholinga chake ndi kusunga wodwalayo kwa nthawi yayitali kuti adzikonzekere wekha, kapena mpaka wodwalayo akhoza kukhala ndi chiwindi cha chiwindi. Mwamwayi, kutembenukira kwa chiwindi sikoyenera kwa anthu onse ndipo nthawi zina palibe ziwindi zomwe zimapezeka kuti zikasinthidwe.
Kulephera kwa chiwindi chachikulu choyambitsa matenda a chiwindi, kuteteza tizilombo toyambitsa matenda kungathandize kupeĊµa kufunika kwa kuika chiwindi.
Akuti pafupifupi 40 peresenti ya odwala omwe ali ndi chiwindi chachikulu chothetsa chiwindi adzapulumuka popanda kuika ngati atalandira chisamaliro choyenera.
Kwa odwala omwe amalandira chiwindi, chiwopsezo cha chaka chimodzi chiposa 80 peresenti.
Zotsatira:
Kulephera kwa chiwindi kwa anthu akuluakulu: Etiology, mawonetseredwe a chipatala, ndi matenda. Zaposachedwa. August 12, 2015.
Kulephera kwa chiwindi kwa anthu akuluakulu: Kulamulira ndi kulengeza. Zaposachedwa. January 5, 2016.
Fontana, RJ Chiwindi Chowopsa Chowopsa. Sleisenger & Fordtran's Mimba ndi Matenda a Chiwindi, 8e . Philadelphia, Elsevier, 2006. Masamba 1993-2002.
Dienstag, JL Wodwala Wodwala Chiwindi cha Hepatitis. Mfundo za Harrison za Internal Medicine, 17e . New York, McGraw-Hill, 2008. Masamba 1944-1945.