Ngenxa yokulimala kwesibindi sokuvuvukala, ukusebenza kwayo kuphazamisekile. Ngenxa yoko, i-hepatitis engapheli iyafumaneka. Kwizigulane ezinokugula okunjalo, ubomi buhamba kunye nokunciphisa izinto ezinzima.
Ukwahlula kwe-hepatitis engapheliyo
Esi sifo sinexesha elide. Kukho iintlobo ezi-3 zeengongoma zakhe zesifo:
- Ifom yokukhanya ayisebenzanga. Ukuvuvukala kugcinwa kuphela kwizicubu eziphathekayo. I-Aminotransferase isondele kwizibonakaliso eziqhelekileyo okanye zigqithise kakhulu.
- I-hepatitis esebenzayo isifo esifana nekliniki efana neenkqubo ezinokutsha kunye ne-fibrosis yezicubu.
- Iintlobo ze-Lobular zengozi yesibindi zibonakaliswa kubukho beendawo ezine-foci ze-necrosis.
I-hepatitis engapheliyo, i-etiology engachazwanga, ifaka i- biopsy . Le nkqubo inceda ugqirha ngokuchanekileyo ukuxilonga nokuphuhlisa isicwangciso sonyango. Ukongeza, ngokwemiqathango ye-biopsy, ugqirha unokukwazi ukuchaza kwangaphambili kwesi sifo. Iifom ezingapheliyo zifumaneka nge-hepatitis B, C, G no-D. Isifo seqela A okanye i-E alidluli kweli nqanaba. Nangona kunjalo, indlela yokuguqulwa kwezi zifo ukusuka kwelinye ifomu ukuya kwelinye ayizange ifundwe.
I-virus yesifo sengculaza esingapheliyo
Ngokuqhelekileyo, esi sifo sitholakale siselula. Ikhula ngokubhekiselele kwonyango olungalunganga lwe-hepatitis enzima. Ubunzima beli sifo lunokunyuka kwiintsholongwane, kwinqanaba le-hepatotropic. Le meko iqhutyiswa yiyobisi kunye nokusela utywala. Ngokwezinga lomsebenzi, i-viral hepatitis C , i-B, i-D ne-G ingaba neeklasi ezinjalo:
- ibinzana;
- ubonakaliso obuthathaka;
- u bunzima;
- msebenzi ophakathi;
- isifo esipheleleyo.
Izinto eziphambili zokudluliselwa kwesi sifo zinamathe, igazi kunye nemfihlo yobunini bomntu osulelekileyo. Usulelo lunokubangelwa ngenxa yezocwangco ezinokukhubazeka, zokunyusa iinwele, ukuguqula iinwele okanye ukusetyenziswa kwezixhobo zokuhamba. Ukudluliselwa kwesi sifo kunokubakho ukuxilongwa kwegazi eligulayo. Abantwana basoloko besuleleke ngeendlela zomntu ngamunye: ukusuka kumama ogulayo.
I-hepatitis enobuhlungu engapheliyo
Nsuku zonke, kunye nezinto ezincedo emzimbeni womntu, iifuthi nazo zingena. Uninzi lwabo luyingozi kwiiseli zesibindi. Ngokuqokelela kwezi zinto eziyingozi, i-hepatitis engapheliyo ikhula. Esi sifo sicaphukiswa ngamaqela alandelayo "eetyhefu":
- i-phenols, i-arsenic, i-aldehydes, i-pesticides kunye nezinye iibhokhwe zoshishino;
- mayeza;
- utywala;
- zemifuno.
Ukuxilonga kunye nokutya kwe-hepatitis enetyhefu. Igama laso lesibili li-fecal-oral. Usulelo luya kwenzeka xa i-anilingus. Kwiqela elijongene nobungozi obuninzi ngabaxhasi beengxaki zesondo zanamhlanje. Isizathu sesi sifo kukuba iinqununu ezincinci ezine-hepatitis ezinokuqhagamshelana nomlomo ziya kumntu onempilo.
I-Cryptogenic Hepatitis engapheliyo
Yinkqubo yokuvuvukala ye-etiology engaziwayo eyenzeka esibindi kwinyanga engaphezu kwe-6. Kwimeko nganye ye-5-th, imbangela yokuphuhliswa kwesi sifo nangona emva kokuba uviwo olunzulu lukwazi ukuchongwa. I-cryptogenic hepatitis inomnye obalaseleyo: esi sifo sitshintsha ngokukhawuleza sibe yi-cirrhosis okanye uhlobo oluphambili lomhlaza. Nangona kunjalo, olu hlobo lomonakalo wesibindi alukho isigwebo. Ukuba eso sifo sichazwa kwaye siphathwa ngokuchanekileyo, sinokutshatyalaliswa.
I-hepatitis engapheliyo
Ngesi sifo esivuthayo, isibindi ngokwawo sitshabalaliswa sisistim somzimba. Ubaluleke ngakumbi kubonelelwa kwizinto eziza kuba yifa. Naliphi na i-agesi echaphazelayo eyangenelela kwimimandla yangaphandle ingaba "isiqalo sokuqala" ekuphuhlisweni kwesifo. Nangona kunjalo, kuphela ukuxilongwa ngokucacileyo kwe-hepatitis engapheliyo kungafumaneka ngexesha. Esi sifo siphumela ngokukhawuleza kwi-cirrhosis kwaye sinokubangela ukufa.
I-hepatitis enobudlova obungapheliyo
Esi sifo siphumela ngenxa yokusetyenziswa ngokweqile kotywala kotywala iminyaka emi-5-7 ngokulandelana. Nangona kunjalo, izinga lokuphuhliswa kwesi sifo lichaphazelekayo kunye nemo yezempilo. Utywala lwe-hepatitis lwenzeka ngenxa yomonakalo onobungozi kwisibindi ngesisetyhe - i-acetaldehyde. Ngenxa yoko, endaweni yamaseli enempilo, kubonakala izicubu ezibomvu, kwaye oku kuphazamisa ukusebenza ngokuqhelekileyo kwimbutho yangaphakathi.
I-hepatitis eyenziwa iziyobisi ezingapheliyo
Esi sifo esivuthayo senziwa ngenxa yokudla rhoqo ngamaqela atywala. Umfanekiso weklinikhi ufana nokuhlala kungapheliyo kwesifo somzimba. Ukuququzelela ukuphuhliswa kwesifo emva kwamachiza:
- i-anticonbulsants (phenytoin, carbamazepine, dantrolene);
- i-antithyroid (i-Carbimazole, i-Propylthiouracil);
- ukuchasana non-steroid (Diclofenac, Sulindac, Felden, Piroxicam, Propafenone);
- i-sulfonamides (i-Pyrimethamine, iCotrimoxazole);
- i-hormonal (i-thyrotropin, i-somatotropin).
I-hepatitis ye-cholestatic Chronicle
Ngesi sifo, i-intrahepatic ne-extrahepatic bile stasis ibonwa. Ezi zimbangela ze-hepatitis engapheli kwaye ikhupha. Abaninzi abantu asebekhulile bafumana esi sifo. Emva kokuba intsholongwane ingene egazini, izicubu ezinobuthi zichaphazelekayo. Ngexesha apho umzimba uqala ukulwa nokusuleleka, isalathisi sangaphakathi sitshisa kwaye sanda ngobukhulu. Esi sifo sonyango xa usibeka ingqalelo ngexesha. Izigulane ezizithumele ukuba zihlakulele umzimba.
Iimpawu ze-Hepatitis engapheliyo
Ukuhamba kwesi sifo kuncike kwiimpawu zomntu ngamnye. Iimpawu ze-hepatitis ezingapheli zihambelana ngqo nezizathu zokuvela kwayo. Nangona kunjalo, umfanekiso oqhelekileyo wesifo unjengale ndlela:
- ilungu langaphakathi liyakhula ngobukhulu;
- xa isalathiso sesibindi sinesifo esibuhlungu;
- ukulahleka kwesidlo;
- Ngemuva kwaye emahlathini kubonakala "iinkwenkwezi";
- isigulane sixhatshazwa yimpembelelo, isisongela kunye nokuhlambalaza;
- eqokelelwe kwiiscupu ze-bile acids ikhupha i-bradycardia;
- kulala;
- ukucaphukisa kunye neminye imiqondiso yokuphazamiseka kwesimo sengqondo;
- ukuhluleka kwenkqubo ye-endocrine;
- ziphazamise ukuphazamiseka kwegazi, yingakho izibhamu zibonakala ngokukhawuleza emzimbeni kwaye isiguli sisoloko siphala;
- ukucaciswa kwamathambo;
- kumnyama komchamo.
Indlela yokuphilisa i-hepatitis engapheliyo?
Ngaphambi kokuba kuqeshwe unyango lweziyobisi isiguli kufuneka sifunde uviwo olunzulu. Enye yeendlela eziqhelekileyo zebhubhoratri ezikuvumela ukuba wenze uvavanyo oluchanekileyo kukunikezelwa kwegazi lokuhlolwa kwegazi. Xa umntu enesifo esibangela isifo sesifo sofuba, oku kubonakala kwimiphumo yesifundo esinjalo. Egazini kukho ukwanda kwe-bilirubin kunye ne-gamma globulin. Ukongezelela, xa unqatshelwe ukuba u-hepatitis B ongapheliyo, i-biopsy yesibindi iyabelwa kwaye uhlolisiso lwamanqaku kwintsholongwane lwenziwa. Xa kukho isifo se-etiology engaziwayo, uvavanyo olusisiseko luyalelwe.
Unyango lwe-hepatitis engapheli kuhloswe ukuba ungabandakanyi izinto ezinokukhawuleza ukuphuhliswa kwimeko yesifo. Ukongezelela, unyango lulandelayo:
- ukupheliswa kwezizathu zesifo;
- ku pheliswa kwe ntsho longwane;
- ukuhlanjululwa kwegazi.
Ukuqhelanisa umsebenzi we-digestive system, iLactobacterin kunye neBifidumbacterin imiselwe. Ukongeza, i-Mezim inokumisela isigulane kwisilungiselelo se-enzyme. Abo baxhatshazwayo, iDuppc iyacetyiswa. Ngelo xesha, i-hepatoprotectors imiselwe. Phakathi kwazo, eziqhelekileyo ziyi-Essentiale, i-Ursosan, i-Heptral kunye nabanye. Ezi zi yobisi zenzelwe ukusetyenziswa kwexesha elide: ubuncinane iinyanga ezimbini.
Ukuba i-hepatitis engapheliyo isifo sentsholongwane iphathwa, kukho unyango olukhethekileyo. Iquka ukudibanisa kweRibavirin kunye ne-Interferon. Olu unyango lunqunyelwe kuphela kwimeko, xa iziphumo zophando ziqinisekisa ukusetyenziswa kwegciwane. Ngokufanayo, izongezo zokutya kunye neziphumo ezilandelayo zingasetyenziswa:
- i-choleretic (esekelwe kubisi lwebisi);
- i-anti-virus (ekubunjweni kukho i-wort St. John kunye ne-licorice);
- i-antispasmodic (esekelwe kwintsimbi).
Ukuhlanjululwa kwegazi, isigulane sichazwe i-dropper neHaemodesum. Esi sisisombululo sinceda ukususa i-toxins nezinye izinto ezinobuthi ezivela emzimbeni ngokusebenzisa izintso. Ngonyango olukhethiweyo oluchanekileyo, kunokwenzeka ukuphumeza ukuxolelwa okuzinzile, ngenxa yexesha elide lesi sifo asenziyo. Nangona kunjalo, ngenxa yeso sizathu, kubalulekile ukuba isigulane silandele imiyalelo yesigqirha ngokungenakwenzeka.
Yidla i-hepatitis engapheliyo
Impumelelo ekulweni nesifo ixhomekeka kwisimo sengqondo somguli. Isondlo sokuba nesifo esibindileyo sesifo sofuba kufuneka sibe mnene. Inombolo yesondlo echanekileyo 5. Injongo yokutya okunjalo kukunciphisa inkqubo yokuvuvukala. Imenyu yemihla ngemihla kufuneka ifake oku kulandelayo:
- iimveliso ezizityebi kwiiproteni eziphezulu (i-cheese, intlanzi, i-fat-fat, i-cow, ubisi);
- amafutha afumaneka kalula (ubusi, i-jam, ishukela);
- amafutha (ngokukhethekileyo umnquma okanye ioli yegesi).
Inani eliphakanyisiweyo lokutya liphindwe ngama-5-6 ngamaxesha. Ekudleni kufuneka ukuba kubekho ukutya okuninzi kwiivithamini zeqela B, isaliti ye-phosphorus, i-zinc, i-magnesium, i-potassium kunye ne-cobalt. Nangona kunjalo, kufuneka kupheliswe ngokupheleleyo:
- isinqumelo;
- inyama enamafutha;
- ukutya okusemgangathweni;
- iimveliso zokutshaya;
- iintlobo zeentlanzi;
- iziqholo ezibukhali;
- Pickles;
- utywala;
- izitya ezibandayo njalo njalo.