Iziganeko zezifo ezahlukahlukeneyo ezingapheli zixhomekeka kwiimeko ezininzi, kodwa ukucacisa umlinganiselo wokuvavanya yinqanaba lokuphuhliswa kwesifo. Ephakamileyo, i-inferior amathuba okusinda iminyaka emi-5. Ngako oko, into yokuqala ukuba izigulane zinomdla xa i-cirrhosis ye-4 degree ifunyaniswa ukuba bangaphi abantu abahlala kunye nokuxilongwa, ngenxa yokuba le nqanaba yokuqhubela phambili kwezifo ibonakala ngokulahlekelwa ngokupheleleyo kwemisebenzi yomzimba.
Iimpawu ze-cirrhosis ye-4 degree
Eli nqanaba le-cirrhosis libizwa ngokuba yi-decompensation. Oku kuthetha ukuba isibindi asisebenzi ngokwenene, kuba ininzi yeeseli ze-parenchyma (i-hepatocytes) zithatyathwa yimizimba enobumba.
Izibonakaliso zalesi sifo:
- Iziphazamiso zomzimba zangaphakathi;
- ukulahleka ngokukhawuleza komzimba;
- ubuthathaka obunamandla;
- ukuhlanza;
- i-atrophy yemisipha yeendawo zangaphakathi kunye nommandla ophezulu;
- isifo esibuhlungu;
- ukulahleka kwesidlo;
- izinga lokushisa lomzimba;
- icterus yolusu.
Ukongeza kwimibonakaliso yeekliniki ezibonisiweyo, i-cirrhosis yesidanga sesine ihamba kunye nenani leengxaki ezinobungozi, phakathi kwazo:
- phezulu;
- ukuphuma kwangaphakathi;
- izilonda ze-hepatogenic;
- izicubu zomhlaza;
- sulelo;
- encephalopathy ;
- izifo zegazi ngegazi;
- ukudibanisa kwi-coma.
Isigaba sokuphuphuma kwemali siphumelela ngokukhawuleza, isiguli sisithi "siyancibilika", ngoko ke sidinga ukunakekelwa ngonyango.
Unyango lwe-cirrhosis we-4 degree
Indlela epheleleyo isetyenziselwa ukunyanga isigaba esichaziweyo sokunyuka kwengqondo. Umntu ufuna ukutshintsha ngokupheleleyo indlela yokuphila ngokutya ukutya okunempilo kunye nokugatya yonke imikhwa emibi. Ngelo xesha, amaqela amaninzi amayeza achazwe:
- i-hepatoprotectors (i-organic and synthetic);
- diuretics;
- i-steroidal anti-inflammatory drugs (hormonal);
- iivithamini kunye nama-amino acids;
- iiphospholipids ezibalulekileyo;
- untiviral (ukuthintela i-hepatitis).
Izigulane ezine-cirrhosis kwinqanaba lokunciphisa imali zicetyiswa ukuba zihambisane nokuphumla kombhede kunye nokutya okhethekileyo. Ukususela ekudleni kuya kufuneka kususwe:
- utywala;
- ukutya okusemgangathweni;
- ukukhethwa;
- iziqholo;
- inyama kunye nenhlanzi;
- iimveliso zokutshaya;
- utywala;
- ukutya okuthosiweyo;
- ubisi bonke;
- mihla.
Nciphisa ubuncinci:
- maqanda;
- iimveliso zobisi ezinotyiweyo;
- amajikijolo omuncu kunye neziqhamo (kuphela njengenxalenye yokutya okudliwayo kunye neziphuzo);
- ityuwa;
- itiye kunye nekhofi;
- i-glucose;
- iimveliso zepuphu.
Ukukhethwa kufuneka kunikwe:
- zokutya;
- "Intlanzi" inhlanzi kunye nenyama, kungcono intaka;
- umhluzi wemifuno;
- iziqhamo zokusela iziqhamo;
- i-decoctions yemifuno kunye nokunyuswa;
- Iipesele zendalo (jelly, marshmallow, pastille, jam nabanye).
Ukuthotyelwa rhoqo kunye nokutya rhoqo kunceda ukuphucula impilo yonke kunye nomgangatho wobomi.
Kubalulekile ukuba uqaphele ukuba indlela yokulondoloza ingasebenzi ngokukhawuleza, ekugqibeleni iphelile ukusebenza. Ngoko ke, ngexesha lokonyango kubalulekile ukuxoxa nodokotela ukuba kunokwenzeka ukuba utyando olwenzelwe ukufakelwa kwesibindi. Namhlanje le nkqubo yodwa
Bangaphi bahlala ne-cirrhosis yesibindi kwizigaba ezi-4?
Ngenxa yokuba isigaba sokudityaniswa kwemali sibonakaliswa ngokungabikho komsebenzi we-hepatic kunye nesifo sokubandezeleka kwesibindi, ukugxekwa kwe-cirrhosis kwibakala lesi-4 kuyadumaza. Iiparitha zeminyaka emi-5 yokusinda azidluli kwi-20%, ngaphezu kwesigamu sezigulane ziyafa nangaphambilana, kunyaka wokuqala kunyaka wokuxilongwa, ezinye - iminyaka emibili ukuya kwimithathu. Isizathu esibalulekileyo sokufa akusiyo i-cirrhosis ngokwayo, kodwa iingxaki zayo, ngokukodwa iingcambu ezibuhlungu, i-ascites kunye ne-hepatic encephalopathy ne-confluence in coma.