Matenda a hepatic (HE) (omwe amachitanso kuti matendawa amachititsa kuti matenda a chiwindi asagwire ntchito). AMAKHALA amapezeka mwa anthu omwe amapezeka ngati matenda a chiwindi kapena chiwindi cha chiwindi . Ikhoza kukhalanso ndi zotsatira za khansa ya chiwindi . Pamene nthenda ya chiwindi ikupitirira, poizoni zomwe chiwindi chamoyo chiyenera kuchotsa m'magazi mmalo mwake zimapita ku ubongo ndipo zimakhudza luso lake lochita bwino, kuganizira bwino, ndi kukumbukira zambiri.
Koma mwachimwemwe, vutoli limayambitsidwa.
Zizindikiro Zazikulu
Iye akhoza kuthandizira luso la kulingalira komanso zakuthupi. Ngati muli ndi matenda a chiwindi, mufunseni wachibale wanu kapena mnzanu kuti akuthandizeni kuyang'ana gulu la zizindikirozi ndi kuwawuza dokotala nthawi yomweyo kuti ayese kufufuza ndi mankhwala.
Zizindikiro zimachokera ku kusintha kosasintha kwa maganizo kusamvera. Zikuphatikizapo:
- Kusokonezeka
- Kutaya kwaiwala
- Kuvuta kumayang'ana kapena kusamala
- Kusokonezeka nthawi, malo kapena tsiku
- Kusintha kwa umunthu
- Kuchepetsera nthawi pang'ono, mwakuthupi ndi m'maganizo
- Zovuta kapena khalidwe losayenera
- Kulephera kuchita masamu a masamu
- Mpweya umene uli ndi fungo lokoma
- Kugwedeza ndi kugwedeza manja kapena miyendo
- Kuwombera pansi ndi kumatsika kwa mikono pamene mukuwongolera molunjika
- Kulankhula mawu osokoneza
- Kuchepetsa kusamala
Miyeso ya Hepatic Encephalopathy
Iye akhoza kuikidwa m'zigawo zosiyana-zomwe zimatchedwanso sukulu-yopitilira kuchokera kochepa kufika ku coma.
Chigawo cha West Haven Grading chimaswa masitepe a HE motere.
Kalasi 0: Minimal HE
Kuchepetsa HE kungapangitse kusintha kosasinthasintha, kochepa kuti mutha kuganiza bwino, kuthetsa mavuto, ndi kukumbukira zambiri. Zizindikiro zowonjezereka zingaphatikizepo zovuta zambiri kuchita ntchito kuntchito yanu kapena kuyendetsa galimoto chifukwa cha kuchepa kwa nthawi kapena kuchepetsa kugwirizana.
Minimal HE nthawi zina amatha kupezeka kupatula ngati dokotala akuwonekera chifukwa cha kuyesedwa kwa chidziwitso.
Kalasi 1: Wofatsa HE
Wofatsa angathe kuchititsa umunthu kapena kusintha maganizo kumachepa ndi kuchepa kwake kuganizira kwambiri ntchito. Nthawi zina, mavuto ndi kugona amakula panthawiyi.
Kalasi yachiwiri: Wodzichepetsa HE
Khalidwe lovuta kapena losayenera lingapangitse mwa HE. Kukumbukira kwanu kungakhale koyipira, monga momwe mungathere kukwaniritsa masamu. Kulemba kungakhale kovuta chifukwa manja anu angakhale osokonezeka kapena osokonezeka.
Kalasi 3: Wopambana HE
MUTU Wamphamvu akhoza kukhudza maphunziro. Mwachitsanzo, simungatsimikize kuti ndi tsiku liti kapena kuti muli pati. Makhalidwe anu akhoza kukhala osayenera komanso osakhala ndi nkhawa kwambiri. Mphamvu zamaganizo ndi zakuthupi zikupitirirabe mu HE.
Kalasi 4: Coma
Pachigawo chino, mudzataya mtima ndikukhala ophatikizana (osayamika).
Kodi Ndingadziwe Bwanji Ngati Ndili Naye?
Ngati muli ndi zizindikiro zina zomwe zafotokozedwa pamwambapa koma mulibe vuto ndi chiwindi, zizindikiro zanu zimayambitsidwa ndi chifukwa china choiwala. Kusintha kwa malingaliro amalingaliro kungayambitsidwe ndi zikhalidwe zambiri, zina zomwe zimasinthika (monga delirium ) ndi zina zomwe zikupita patsogolo (monga matenda a Alzheimer's ).
Ngati muli ndi chiwindi cha chiwindi monga chiwindi kapena chiwindi, ndizotheka kuti HE ndiye chifukwa cha zizindikiro zanu. Mwanjira iliyonse, muyenera kuonana ndi dokotala wanu nthawi yomweyo ngati muwona kuti kusintha kwa maganizo kumasintha chifukwa zimayambitsa zingapo za kukumbukira kukumbukira zili ndi zotsatira zabwino ngati agwidwa ndikuchiritsidwa msanga.
Kuzindikira ndi Zimayambitsa
Chifukwa amatha kupita kumalo osadziwika mpaka nthawi zina, zimakhala zovuta kupeza deta yolondola pa kuchuluka kwa HIV. Kafukufuku amasonyeza kuti pakati pa 30 ndi 70 peresenti ya anthu omwe ali ndi chiwindi cha chiwindi amayamba HE.
Iye amadziwika kuti ali ndi mavuto ena. Ngati zizindikiro zimachokera kwa HE, nthawi zambiri amayamba kusintha mwamsanga pakangotha maola 72 chithandizo chitayamba.
Choncho, kusintha kwachitika pambuyo poyambitsidwa mankhwala (kapena kusowa kwake) nthawi zina kumagwiritsidwa ntchito kutsimikizira kapena kutulutsa HE.
Zina mwa mayesero omwe angapangidwe kuti azindikire ngati alipo akuphatikizapo kuyesedwa kwathunthu kwa magazi, kuyesa kwa msinkhu wa ammonia, kuyesa kuyendera, chiwopsezo cha EEG , ndikuyesera zojambula, monga MRI kapena CT scan
Pamene AME amapezeka kwa anthu omwe ali ndi vuto la chiwindi, nthawi zambiri amachititsa kuti HE akule. Izi zimaphatikizapo matenda, mankhwala ena monga diuretics (mankhwala omwe amachititsa kuti mumveke kwambiri), kutaya thupi, kudzimbidwa, kumwa mowa kwambiri, opaleshoni yatsopano, ndi m'mimba (magazi).
Kuchiza ndi Kupatsirana
Chithandizo chimasiyanasiyana malinga ndi chifukwa chake chazindikiritsidwa cha HE. Kuchiza kungaphatikizepo maantibayotiki, kusiya mankhwala ena omwe angayambitse mavuto ena, kuchiza ndi mankhwala monga lactulose kapena polyethylene glycol, kuthana ndi vuto la kutaya magazi, kuchepetsa ammonia, ndi kuthana ndi mavuto a impso.
Chizindikiro cha anthu omwe ali ndi HE chimasiyanasiyana kwambiri. Anthu ena omwe ali ndi HIV amayankha bwino kwambiri mankhwala komanso ntchito yawo yachibadwa imabwerera. Ena amakhala ndi vuto lalikulu kapena lobwerezabwereza la HE ndipo amatha kupita kuchipatala kapena pangozi.
Pafupifupi anthu atatu mwa anthu atatu alionse amene AMAKHALA adzasintha ngati chifukwa chake cha HE chikuwonekera ndikuchiritsidwa kale. Komabe, ngati MUTU sakupatsidwa mankhwala oyambirira kapena sakuyankha, akhoza kupha.
Chifukwa cha kuchipatala koyambirira, kafukufuku wina akusonyeza kuti anthu omwe ali ndi matenda a chiwindi ayenera kuyang'anitsidwa kwa HE kupyolera mu kuyesayesa kwa chidziwitso kuti atha kugwidwa ndi kuchiritsidwa musanafike patsogolo.
> Zotsatira:
> American Liver Foundation. Kodi ndi magawo otani omwe amachititsa kuti anthu azivutika kwambiri?
> Cleveland Clinic Foundation. Hepatic Encephalopathy.
> Bungwe la National for Disturbances Rare. Hepatic Encephalopathy.
> Raphael KC, Matuja SS, Shen NT, Liwa AC, Jaka H. Hepatic Encephalopathy; kufalikira, zifukwa zowonongeka ndi zovuta za otsogolera mu malo osalongosoka. Journal of Mimba ndi Mimba Yopatsa . 2016; 6 (3).
> National Library of Medicine. Kutaya ubongo kumagwira ntchito - matenda a chiwindi.