Matenda Opatsirana ndi Chidakwa

Mitundu yambiri yamagulu ndi mankhwala owonjezera amathandizira kuwonongeka kwa chiwindi

Chiwindi ndi chiwalo chachikulu kwambiri m'thupi, ndipo chimakhala chofunikira kwambiri. Ndipotu ntchito yake ndi yofunika kwambiri moti popanda thupi, thupi lidzafa tsiku limodzi. Chiwindi chimagwira ntchito monga chomera chokonzera zakudya zomwe zimapezeka kuchokera ku chakudya komanso malo ochotsera mankhwala.

Chiwindi ndilo mzere woyamba wotetezera poizoni womwe umalowetsa thupi: umachotsa iwo m'magazi asanakhale ndi ziwalo zina ndi kuvulaza.

Izi sizikutanthauza kuti chiwindi chimatha kupanga poizoni popanda zotsatira zolakwika; Zina zimayambitsa chiwindi. Pazifukwa zochepa chabe, kugwiritsa ntchito mankhwala kwa nthawi yayitali kumayambitsa chiwindi cha chiwindi kapena kuwonongeka kwa chiwindi. Komabe, pali mankhwala ndi zakudya zowonjezereka zomwe mutengedwera nokha, kapena zosakaniza ndi mankhwala kapena zinthu zina, zingayambitse chiwindi.

Kuzindikira Kuwonongeka kwa Chiwindi Kuchokera ku Mankhwala

Kuvulala kwa chiwindi kuchokera ku ntchito kapena kumwa mankhwala mopitirira muyeso kapena mankhwala opatsirana kungakhale kovuta kuti mudziwe. Kawirikawiri chifukwa cha matenda opatsirana ndi chiwindi ndi ofunika kwambiri kwa madokotala, koma nthawi zina, zifukwa zina za matenda a chiwindi, monga matenda a chiwindi , khansa , matenda a shuga, kapena matenda opatsirana, zingafunikire kuwonetsedwa poyamba. Mankhwala kapena mankhwala omwe akugwiriridwa kuti ndi amene amayambitsa chiwindi cha chiwindi ayenera kuyimitsidwa kuti atsimikizidwe kuti ali ndi vutoli.

Zizindikiro

Zizindikiro zowononga chiwindi kapena kuvulala ndi mankhwala ziyenera kutengedwa mozama ndikufufuzidwa nthawi yomweyo.

Izi zikuphatikizapo:

• Kupweteka m'mimba ndi kutupa
• Kusokonezeka kapena chisokonezo
• Fever
• Jaundice (maso achikasu ndi khungu, mitsempha yamdima)
• Nsowa ndi kusanza
• Kutopa kwambiri kapena kugona

Mankhwala Odziwika Amadziwika Kuti Awononge Chiwonongeko cha Chiwindi

Mankhwala omwe agwiritsidwa ntchito pochititsa kuwonongeka kwa chiwindi ndi awa:

Acetaminophen : Izi zimapweteka kwambiri (maina enaake monga Tylenol ndi Excedrin) amapezeka m'milingo yosiyanasiyana ya mankhwala komanso mavitamini ndi mafuta opangira kupweteka kwa minofu.

Mfundo yakuti imapezeka muzinthu zosiyanasiyana zimapangitsa kuti pakhale ngozi yowonongeka mwangozi komanso kuwonongeka kwa chiwindi. Kugwiritsa ntchito kapena kugwiritsira ntchito mankhwala osokoneza bongo kapena mankhwala osokoneza bongo omwe ali ndi acetaminophen popanda chitsogozo cha dokotala sasangalatsidwa, chifukwa cha chiopsezo cha poizoni. Kumwa zakumwa zoledzeretsa nthawi zonse pamene mutenga acetaminophen kungachititsenso kuti chiwindi chiwonongeke.

Anticonvulsants: Mankhwala ochiritsira matenda a khunyu (kuphatikizapo phenytoin, valproate, carbamazepine) amathandizanso kuvulaza chiwindi. Komabe, chifukwa mankhwalawa amagwiritsidwa ntchito popewera kugwidwa, chiwopsezo cha chiwindi chimawoneka kuti chikupambana ndi ubwino woletsa zizindikiro za khunyu.

Maantibayotiki : Antibiotics amagwiritsidwa ntchito pochizira matenda, mwinamwake chifukwa chake amachititsa kuti chiwindi chiwonongeke. Nthawi zambiri chiwonongeko ndi chofewa, ndipo zinthu zoopsya zimaphatikizapo kukhala azimayi, okalamba, okhala ndi matenda ena ndi zina, komanso kuwonongeka kwa chiwindi kuchokera ku maantibayotiki ena.

Mankhwala a Antiituberculosis (Antibiotics): Mankhwala omwe amachiza chifuwa chachikulu (kuphatikizapo isoniazid ndi rifampin) amapezeka kuti ndi chifukwa cha kuvulala kwa chiwindi.

Anthu omwe amamwa mankhwalawa nthawi zambiri amayang'anitsitsa kuti asamangokhala ndi mavitamini a chiwindi .

Methyldopa: Mankhwalawa, omwe amagwiritsidwa ntchito pochiza magazi (amayamba kuthamanga kwa magazi) amadziwika kuti amachititsa kuvulala kwa chiwindi nthawi zina. Mankhwala othandiza kwambiri komanso otetezeka kwambiri atha kukhalapo, zomwe zachititsa kuchepetsa kugwiritsa ntchito mankhwalawa. Sitikulimbikitsidwa kuti tigwiritsidwe ntchito kwa odwala omwe kale amadziwika kuti ali ndi matenda a chiwindi.

Statins : Mankhwala awa, omwe amagwiritsidwa ntchito pochizira mafuta ambiri a cholesterol , amalembedwa kawirikawiri, ndipo akhala akudziwika kuti amachititsa kuti anthu ambiri azikhala ndi mavitamini a chiwindi.

Kawirikawiri, vuto limadzisintha lokha ngati mankhwalawa atayimitsidwa, ndipo kuwonongeka sikukhala kosatha.

Vitamini A: Ngakhale zowonjezerapo zimadziwika kuti zimayambitsa kuwonongeka kwa chiwindi, kuphatikizapo vitamini A (acitretin, etretinate, isotretinoin ). Pogwiritsidwa ntchito mobwerezabwereza kawiri katsiku ka tsiku lililonse, vitamini A ikhoza kuvulaza chiwindi. Mankhwalawa nthawi zina amagwiritsidwa ntchito pofuna kuchiza psoriasis kapena acne kwambiri.

Niacin : Mtundu uwu wa vitamini B umagwiritsidwa ntchito pochiza cholesterol. Zingayambitse kuchuluka kwa mavitamini a chiwindi kapena chiwindi cha chiwindi mu mlingo waukulu (nthawi zambiri mlingo woyenera tsiku lililonse) kwa anthu ena. Mankhwalawa amayamba kawirikawiri pa mlingo wochepa ndikuwonjezereka pa nthawi kuti chiwindi chiziyang'aniridwa.

Ndikofunika kuzindikira kuti mankhwala ena kapena mankhwala owonjezera omwe sakunenedwa pano angapangitse kuti apange mavitamini ambiri a chiwindi kapena asokoneze chiwindi.

Malangizo Oyenera Kuteteza Chiwindi Kuwonongeka Kwa Mankhwala

Nthawi zina, kuwonongeka kwa chiwindi kuchokera ku mankhwala ndi zowonjezereka zimapewa. Samalani kumvetsetsa mavuto omwe angakhalepo omwe mumalandira, ngakhale atapatsidwa dokotala.

Gwiritsani ntchito malangizo awa kuti muteteze kuwonongeka kwa chiwindi.

1. Ingotengani mankhwala ndi zowonjezereka (ngakhale izo zomwe ziri "zachirengedwe") pamene ziri zofunikira kwenikweni.
2. Musatenge zochuluka kuposa kuchuluka kwa kuchuluka kwa mankhwala alionse.
3. Onetsetsani kuti madokotala anu amadziwa mankhwala onse omwe mukuwatenga, makamaka omwe adayikidwa ndi madokotala ena, kapena mavitamini omwe mumatenga nokha.
4. Samalani kuwerenga malemba kuti mutenge mankhwala osapitirira limodzi, zonona, kapena mafuta odzola omwe ali ndi acetaminophen panthawi imodzi.
5. Uzani madokotala onse ngati muli nawo, kapena muli nawo, matenda a chiwindi kapena kuwonongeka. Anthu omwe ali ndi matenda odwala matendawa amayenera kutengedwa ndi a hepatologist (katswiri wa chiwindi).

_Zotsatira:

_{Amathieu R, Levesque E, Merle JC, et al. "Kuopsa koopsa kwa chiwindi ndi chiwindi: kugwiritsira ntchito matenda a etiology ndi chithandizo." Ann Fr Anesth Reanim. 2013 Jun; 32: 416-21. lembani: 10.1016 / j.annfar.2013.03.004. Epub 2013 May 14. 4 Jun 2015.}

_{American Liver Foundation. Kugwiritsa Ntchito Mankhwala Anu. LiverFoundation.org. 14 Jan 2015. 05 Jun 2015.}

_{Devarbhavi H. "Chotsitsimutso cha Kuopsa kwa Chiwindi Chowopsya." J Clin Exp Hepatol. 2012 Sep; 2: 247-259. Lofalitsidwa pa Intaneti 2012 Sep 21. Chii: 10.1016 / j.jceh.2012.05.002. 05 Jun 2015.}