Zachidule za Chiwindi cha Chiwindi cha Chiwindi
Chimodzi mwa zinthu zovuta kwambiri zokhudza matenda a hepatitis-makamaka matenda a chiwindi cha chiwindi- ndizo zizindikiro zikhoza kuchoka ku chirichonse kuchokera ku matenda afupipafupi, odwala chimfine kupita ku chikhalidwe chowopsa pang'onopang'ono. Ndipotu, nthawi zambiri, sipadzakhalanso zizindikiro kapena zizindikiro za mtundu wina uliwonse, ndipo kachilombo ka HIV kamangodzichotsa mthupi popanda umboni (kapena kuzindikira) kuti matendawa achitika.
Komabe, mwa iwo omwe ali ndi zizindikilo za chiwindi cha matenda a chiwindi, pali zina zomwe zingatengedwe ngati "zachikale," makamaka kumayambiriro ndi kumapeto kwa matenda. Kuti timvetse bwino zifukwa izi, tifunikira kusiyanitsa pakati pa zomwe zimatchedwa matenda oopsa komanso matenda a nthawi yaitali .
Zizindikiro Zoopsa za Kutupa kwa Chiwindi
Pakati pa chiwindi cha matenda a chiwindi, matenda oopsa akhoza kutanthauzidwa kuti ndi omwe amadziletsa.
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Amayamba mwadzidzidzi chifukwa cha momwe thupi limayankhira ndi kachilombo ndipo adzathetsa yekha.
Zizindikiro za chiwindi chachikulu cha chiwindi, pamene zilipo, ziyamba kuonekera pambuyo pokhapokha panthawi yomwe imakhala ikuyambira- pamene kachilomboka yayamba kufotokoza molimba mtima ndi maselo a chiwindi (otchedwa hepatocytes). Powononga chitetezo cha mthupi, thupi lidzayankhidwa ndi kutupa kuti athetsere kachilomboka. Yankho limeneli, nthawi zambiri limakhala lolimba, lingasonyeze ndi zizindikiro zofanana ndi za chimfine, limodzi ndi zizindikiro zowononga matenda a m'mimba kapena matenda a chiwindi, kuphatikizapo:
- Kutopa kwathunthu kapena kutopa
- Kupweteka kwa minofu ( myalgia )
- Zowawa zofanana ( arthralgia )
- Mutu
- Fever
- Nausea
- Kuthamanga
- Kutaya njala
- Ululu kumtunda kumene kumakhala pamimba (mofatsa koma nthawi zonse)
- Ofiira, omwe amatulutsa mng'oma (omwe amawoneka ndi chiwindi cha B )
- Kusintha momwe zinthu zimamvekera kapena kununkhiza (osuta fodya nthawi zambiri amayamba kusokonekera mwadzidzidzi kwa ndudu)
M'masiku angapo a zizindikiro zoyambirira-nthawi yomwe imatchedwa ischemic stage - matenda opitirirawo amachititsa kumanga kampani yotchedwa bilirubin . Bilirubin ndi mtundu wa lalanje-wachikasu umene umapangidwa pamene chiwindi chimathyola maselo ofiira akale a magazi, omwe amatsekedwa kudzera mu bile wamagazi m'matope.
Pa matenda oopsa a chiwindi a chiwindi, bilirubin ikhoza kudziunjikira mwamsanga mu thupi, kuwonetsera ndi "zizindikiro" zotere za chiwindi monga:
- Jaundice (chikasu cha khungu ndi maso)
- Choluria (mdima wa mkodzo, chifukwa cha kuchuluka kwa bile mu mkodzo)
- Mitengo yamtengo wapatali kapena yadongo (chifukwa cha kuchepa kwa bile mu nyansi zozizira)
Kawirikawiri zizindikiro zimakhala zoopsa kwambiri (mwina, kupatulapo chiwindi cha D epatitis D chomwe chimawopsa kwambiri ku chiwindi), ngakhale kutopa kungapitirire kwa masabata, nthawi zina, ngakhale miyezi.
Kawirikawiri, zizindikiro zovuta zimatha pakatha masabata anayi kapena asanu ndi atatu.
Mu mitundu ina ya chiwindi cha chiwindi, chomwe chimatchedwa hepatitis A , zizindikiro sizingapite patsogolo pamtunda. Mu mitundu ina, komabe matenda oopsa adzawonekera momveka bwino, osasiyiratu ma ARV, kulikonse, kapena kupitirizabe ku zomwe timazitcha matenda aakulu.
Matenda a Chiwindi Ambiri
Matenda a chiwindi a matenda a chiwindi ndi omwe amachititsa kuti tizilombo toyambitsa matenda tiwone bwinobwino koma timapitiriza kufotokozera, nthawi zambiri "mwakachetechete" popanda munthu ngakhale kudziwa. Malingana ndi mtundu wa tizilombo, matenda aakulu akhoza kupitirira kwa zaka zambiri ngakhale zaka zambiri zisanachitike zizindikiro za matenda. Nthawi zambiri, matendawa sapita patsogolo.
Pamene hepatocytes akuvulala pa matenda aakulu, chitetezo cha mthupi chimayambitsa kutentha kwa thupi komwe kumayambitsa kupanga collagen ndi zina. Zinthu izi, zomwe zimatanthawuza kulimbikitsa zakunja za chiwindi, pang'onopang'ono zimayamba kumangirira mofulumira kuposa momwe thupi lingathe kuzigwetsera.
M'kupita kwa nthawi, njirayi imayambitsa kukula kwa minofu yambiri, yotchedwa fibrosis .
Fibrosis sichitikira pamtunda womwewo mwa anthu onse, ndipo, nthawi zina, ikhoza kukhazikika kapena kubwezeretsa nthawi. Fibrosis amawoneka mofulumira kwambiri mwa amuna kusiyana ndi amayi komanso anthu opitirira zaka 50 kapena omwe amamwa mowa kwambiri kapena olemera .
Ena, fibrosis amatha kupita ku matenda otchedwa cirrhosis, omwe amakhala ochepa kwambiri kuti athetse magazi, kotero kuti zisokoneze ntchito yachibadwa. Zizindikiro za cirrhosis zimasiyana, malingana ndi msinkhu wa kupita patsogolo. Pamene chiwindi chikagwirabe ntchito ndi kuwonongeka pang'ono, nthendayi idzawerengedwa ngati yodwala chiwindi. Ngati kuwonongeka kwakukulu komanso chiwindi chimaonedwa ngati chosagwira ntchito, adokotala adzalongosola izi ngati chibwibwi cholipidwa.
Kulipira matenda a cirrhosis kumawoneka kuti ali ndi zizindikiro zochepa, ngati ziripo, zizindikiro. Ngati alipo, nthawi zambiri amalepheretsa ndipo nthawi zambiri zimakhala zovuta kugawira matenda a chiwindi okha.
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Zizindikiro zowonjezereka zikuphatikizapo:
- Kupitiriza kusokonezeka kapena kutopa
- Kusokonezeka kumtunda kumene kumakhala pamimba
- Nausea
- Zowawa zofanana kapena zowawa
- Kutentha kosasangalatsa kapena kutentha (paresthesia)
- Chosavuta "nsonga-ndi-singano" kumverera (phokoso la m'mimba)
- Maso owuma akuyenda ndi pakamwa youma (sicca syndrome)
- Nkhumba zamatumbo, makamaka pa thunthu ndi nkhope
- Khungu lachitsulo (pruritus)
- Kufiira pamanja (manja a palma)
- Kulira kosavuta kapena magazi osadziwika (variceal magazi)
- Kumangirira kwa madzi m'ziuno ndi mapazi ( edema )
- Kusasamala bwino ndi kukumbukira
- Kutaya njala
- Kutaya thupi
- Mankhwala otsika (testicular atrophy)
- Kusokonezeka kwa Erectile kapena kutayika kwa libido
- Kusamvana kwauchidakwa.
Kusiyana kwa matenda a chiwindi, makamaka, kumakhala ndi zizindikiro zambiri monga chifukwa cha chiwindi chosalimba, kuwonjezereka pamene matendawa akupita. Zizindikiro zingakhale monga:
- Jaundice
- Zitsulo zokhazikika kapena zamagazi
- Kuwonjezeka kwa madzi m'ziwalo za m'mimba, kuchititsa kutupa ndi kusokonezeka (ascites)
- Chosiyana ndi "choyenera-choyenera" ku "dzira lovunda" fungo lopuma
- Kuvulaza kwambiri kapena kutuluka mwazi
- Kuchuluka kwa mkodzo kosachepera
- Kusintha kwa umunthu, chisokonezo, kapena kutonthoza
- Kuwonjezera kugona
- Kusokonezeka kwa minofu
- Kutsekedwa koyera kapena "mawanga a mkaka" pa misomali (leukonychia)
- Kuthamanga magazi
Matendawa amachititsa kuti matenda a chiwindi asathe. Kuwotcha chiwindi ndi njira yokhayo yothetsera chithandizo.
Hepatocellular carcinoma (HCC) ndi mtundu wa khansara ya chiwindi yomwe imayambira kokha pamodzi ndi matenda ozungulira chiwindi odwala matenda a hepatitis B kapena hepatitis C. Zizindikiro za HCC zimakhala zofanana ndi za chifuwa chachikulu ndipo zingaphatikizepo izi:
- Kupitiriza kutopa
- Jaundice
- Kukumana kwa madzi m'ziwalo za m'mimba (ascites)
- Kuvulaza kosawonongeka ndi kutuluka m'magazi
- Osadzimvera, kutayika kwakukulu
- Kutaya njala
- Kumva kukhuta mutangodya pang'ono
- Delirium, chisokonezo, kapena "kugwedeza" kayendedwe ka minofu
Mofanana ndi matenda a chiwindi, HCC imatchedwanso matenda a chiwindi.
> Chitsime:
> Chitukuko cha National Diabetes ndi Digestive and Kidney Diseases (NIDDK). "Hepatitis ya Viral: A kudzera E ndi Pambuyo." Bethesda, Maryland; August 20, 2016.