Cirrhosis

Cirrhosis iri kuora kwechiropa uye kushomeka kwechiropa. Iyo ndiyo yekupedzisira nhanho yechirwere chisingaperi chechiropa.

Cirrhosis inowanzo kuve mhedzisiro yekuguma kwekusingaperi kwechiropa kukuvara kunokonzerwa neyakareba (isingagumi) chirwere chechiropa. Zvinowanzokonzera chirwere chisingaperi chechiropa muUnited States ndezvi:

• Hepatitis B kana chirwere chehepatitis C.
• Kunwa doro zvisina kufanira.
• Kuwedzera kwemafuta muchiropa izvo ZVISINGAKONZWE nekunwa doro rakawandisa (inonzi nonalcoholic fatty chiropa chirwere [NAFLD] uye nonalcoholic steatohepatitis [NASH]). Iyo inowirirana zvakanyanya nekufutisa, kuva neBP, chirwere cheshuga kana pre-diabetes, uye cholesterol yakawanda.

Zvishoma zvinowanzoitika zvikonzero zvecirrhosis zvinosanganisira:

• Masero ekudzivirira muviri paanokanganisa masero akajairika echiropa kune anovakuvadza uye achivarwisa
• Bile duct kusagadzikana
• Mimwe mishonga
• Zvirwere zvechiropa zvakapfuura mumhuri

Panogona kunge pasina zviratidzo, kana zviratidzo zvinogona kuuya zvishoma nezvishoma, zvichienderana nekuti chiropa chiri kushanda zvakadii. Kazhinji, inowanikwa nemukana kana x-ray yaitwa kune chimwe chikonzero.

Zviratidzo zvekutanga zvinosanganisira:

• Kuneta uye kurasikirwa kwesimba
• Chido chisina kunaka uye kuonda
• Nausea kana kurwadziwa kwepamuviri
• Diki, tsvuku dandemutande-seropa tsinga paganda

Sezvo chiropa chinoshanda chichiwedzera, zviratidzo zvinogona kusanganisira:

• Fluid buildup mumakumbo (edema) uye mudumbu (ascites)
• Yeruvara rweganda mune ganda, mucous membranes, kana maziso (jaundice)
• Kutsvuka pamaoko emaoko
• Mune varume, kushaya simba, kudzikira kwemachende, uye kuzvimba kwemazamu
• Kupwanya kuri nyore uye kubuda kweropa zvisina kujairika, kazhinji kazhinji kubva mutsinga dzekuzvimba munzira yekugaya
• Kuvhiringidzika kana matambudziko kufunga
• Pale kana chevhu-chitsvuku zvituru
• Kubuda ropa kubva kumusoro kana ezasi ura matumbo

Mutapi wako wezvehutano achaita bvunzo dzepanyama kutsvaga:

• Yakawedzera chiropa kana spleen
• Yakawandisa chipfuva chechifu
• Dumbu rakazvimba, semhedzisiro yemvura yakawanda
• Akatsvuka mapende
• Tsvuku tsvuku-senge mitsipa yeropa paganda
• Machende madiki
• Yakawedzera tsinga mumadziro edumbu
• Yero maziso kana ganda (jaundice)

Iwe unogona kunge uine bvunzo dzinotevera kuyera chiropa chinoshanda:

• Yakazara kuverenga ropa
• Prothrombin nguva
• Chiropa basa bvunzo
• Ropa albumin chikamu

Mimwe bvunzo yekutarisa kukuvara kwechiropa inosanganisira:

• Computed tomography (CT) yedumbu
• Magnetic resonance imaging (MRI) yedumbu
• Endoscopy yekutarisa mitsipa isina kujairika mudumbu kana mudumbu
• Ultrasound yemudumbu

Iwe ungangoda chiropa biopsy kuti usimbise kuongororwa.

UPENYU HUCHINJA

Zvimwe zvinhu zvaunogona kuita kuti ubatsire kutarisira chirwere chako chechiropa ndeichi:

• Imwa hapana doro.
• Idya kudya kunovaka muviri kwakaderera munyu, mafuta, uye zvakapusa makabhohaidhiretsi.
• Wana jekiseni rezvirwere zvakadai sefuruwenza, hepatitis A uye B, uye pneumococcal pneumonia.
• Taura nemupi wako nezve yese mishonga yaunotora, kusanganisira mahebhu uye zvinowedzera uye nepamusoro-e-counter mishonga.
• Rovedza muviri.
• Chengetedza matambudziko ako epasi metabolic, senge yakakwira BP, chirwere cheshuga, uye yakakwira cholesterol.

Mishonga PANYAYA YAKO DOCTOR

• Mapiritsi emvura (diuretics) kubvisa furuji inovaka
• Vitamin K kana zvigadzirwa zveropa kudzivirira kubuda kweropa kwakawanda
• Mishonga yekuvhiringidzika kwepfungwa
• Mishonga inorwisa mabhakitiriya yezvirwere

MIMWE MIRAPO

• Endoscopic mishonga yemitsipa yakawedzera mukati medu (varices)
• Kubviswa kwemvura kubva mudumbu (paracentesis)
• Kuiswa kweiyo transjugular intrahepatic portosystemic shunt (MAZANO) kugadzirisa kuyerera kweropa muchiropa

Kana cirrhosis ichifambira mberi kusvika kumagumo-danho rechiropa chirwere, chiropa chinotapukira chingangodiwa.

Iwe unogona kazhinji kudzikisira kushushikana kwechirwere nekubatana nechiropa chirwere chinotsigira boka rine nhengo dzinogovana zvakajairika zviitiko nematambudziko.

Cirrhosis inokonzerwa nekushaiwa kwechiropa. Muzviitiko zvakawanda, chiropa hachigone kupora kana kudzokera kune chaicho basa kana kukuvara kwanyanya. Cirrhosis inogona kutungamira kumatambudziko akakomba.

Zvinetso zvinogona kusanganisira:

• Dambudziko rekubuda ropa
• Kuvaka kwemvura mudumbu (ascites) uye hutachiona hwemvura (bacterial peritonitis)
• Mitsipa yakawedzerwa mukati medu, mudumbu, kana ura hunobuda ropa nyore (esophageal varices)
• Kuwedzera kumanikidzwa mumidziyo yeropa yechiropa (portal hypertension)
• Itsvo kutadza (hepatorenal syndrome)
• Kenza yechiropa (hepatocellular carcinoma)
• Kuvhiringidzika kwepfungwa, shanduko padanho rekuziva, kana coma (hepatic encephalopathy)

Fonera mupiki wako kana iwe ukaita zviratidzo zvecirrhosis.

Tora rubatsiro rwekukurumidzira kurapwa kana iwe uine:

• Dumbu kana kurwadziwa pachipfuva
• Kuzvimba kwepamuviri kana kukwirisa kuri kutsva kana kamwe kamwe kunova kwakaipisisa
• Fivha (tembiricha yakakura kupfuura 101 ° F kana 38.3 ° C)
• Manyoka
• Kuvhiringidzika kana shanduko mukusvinura, kana zvinowedzera
• Rectal kubuda ropa, kurutsa ropa, kana ropa mune weti
• Kufema kwekufema
• Kusvipa kanopfuura kamwe pazuva
• Ganda rinopenya kana maziso (jaundice) izvo zvitsva kana kuwedzera kukurumidza

Usanwe doro. Taura nemupi wako kana iwe uchinetseka nezve kunwa kwako. Tora matanho ekudzivirira kuwana hepatitis B kana C kana kuipfuudza kune vamwe vanhu.

Chiropa cirrhosis; Chisingaperi chiropa chirwere; End-danho chirwere chechiropa; Kukundikana kwechiropa - cirrhosis; Ascites - cirrhosis

• Cirrhosis - kubuda

• Digestive system nhengo
• Kugaya chirongwa
• Chiropa cirrhosis - CT scan

Garcia-Tsao G. Cirrhosis uye sequelae yayo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. ACG Clinical Guideline: chidhakwa chiropa chirwere. Ndiri J Gastroenterol. 2018; 113 (2): 175-194. PMID: 29336434 pubmed.ncbi.nlm.nih.gov/29336434/.

Wilson SR, Inosvava CE. Chiropa. Mu: Rumack CM, Levine D, eds. Kuongorora Ultrasound. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 4.