Nonalcoholic fatty chiropa chirwere

Nonalcoholic fatty chiropa chirwere (NAFLD) ndiko kuwanda kwemafuta muchiropa ayo ASI anokonzerwa nekunwa doro rakawandisa. Vanhu vanayo havana nhoroondo yekudhakwa. NAFLD yakabatana zvakanyanya nekurema.

Kune vanhu vazhinji, NAFLD inokonzeresa zviratidzo kana matambudziko. Chimwe chimiro chakakomba chechirwere chinonzi chisiri chidhakwa steatohepatitis (NASH). NASH inogona kukonzera chiropa kutadza. Inogona zvakare kukonzera cancer chiropa.

NAFLD ndiyo mhedzisiro yeanopfuura akajairwa madhiri emafuta muchiropa. Zvinhu zvinogona kukuisa panjodzi zvinosanganisira chero zvinotevera:

• Kufutisa kana kufutisa. Kunyanya kuwandisa kwaunenge uri, kukwira kwenjodzi.
• Prediabetes (insulin kudzivisa).
• Nyora 2 chirwere cheshuga.
• Cholesterol yakakwira.
• Yakakwirira triglycerides.
• Kuwedzera kweropa.

Zvimwe zvinhu zvine njodzi zvinogona kusanganisira:

• Kukurumidza kurasikirwa uremu uye kudya kwakashata
• Gastric bypass kuvhiyiwa
• Chirwere chemuviri
• Mimwe mishonga, senge calcium chiteshi blockers uye mimwe mishonga yekenza

NAFLD inowanikwawo mukati mevanhu vasina njodzi dzinozivikanwa.

Vanhu vane NAFLD kazhinji havana zviratidzo. Kana zviratidzo zvikaitika, zvakajairika zvinosanganisira:

• Kuneta
• Marwadzo mudumbu repamusoro kurudyi

Mune vanhu vane NASH vane kukuvara kwechiropa (cirrhosis), zviratidzo zvinogona kusanganisira:

• Kushaya simba
• Kupererwa nechido
• Nausea
• Ganda reyero nemeso (jaundice)
• Itching
• Fluid buildup uye kuzvimba mumakumbo nemudumbu
• Kuvhiringidzika kwepfungwa
• GI kubuda ropa

NAFLD inowanzo kuwanikwa panguva yekujairirwa kweropa iyo inoshandiswa kuona kuti chiropa chiri kushanda sei.

Iwe unogona kunge uine bvunzo dzinotevera kuyera chiropa chinoshanda:

• Yakazara kuverenga ropa
• Prothrombin nguva
• Ropa albumin chikamu

Mutapi wako wezvehutano anogona kuraira mimwe miedzo yekufungidzira, inosanganisira:

• Ultrasound kusimbisa kuongororwa kweNAFLD
• MRI uye CT scan

Chiropa chiropa chinodiwa kuti chisimbise kuongororwa kweNASH, iyo yakaoma fomu NAFLD.

Iko hakuna chaiyo kurapwa kwe NAFLD. Chinangwa ndechekugadzirisa njodzi dzako uye chero hutano mamiriro.

Wako mupi achakubatsira kuti unzwisise mamiriro ako uye nesarudzo dzakanaka dzinogona kukubatsira iwe kutarisira chiropa chako. Izvi zvinogona kusanganisira:

• Kuderedza uremu kana iwe uri kufuta.
• Kudya chikafu chine hutano chine munyu mushoma.
• Kwete kunwa doro.
• Kuramba uchishanda nesimba.
• Kugadzirisa mamiriro ehutano akadai seshuga uye kuwedzerwa kweropa.
• Kuwana jekiseni rezvirwere zvakadai sehepatitis A uye hepatitis B.
• Kuderedza cholesterol yako uye mazinga e triglyceride.
• Kutora mishonga sekurairwa. Taura nemupi wako nezve yese mishonga yaunotora, kusanganisira mahebhu uye zvinowedzera uye nepamusoro-e-counter mishonga.

Kuderedza uremu uye kugadzirisa chirwere cheshuga kunogona kunonoka kana dzimwe nguva kudzosera mafuta emuchiropa.

Vanhu vazhinji vane NAFLD havana matambudziko ehutano uye havaenderere mberi nekukudziridza NASH. Kurasikirwa nehuremu uye kuita sarudzo dzakanaka dzemararamiro kunogona kubatsira kudzivirira mamwe matambudziko akakomba.

Hazvina kujeka nei vamwe vanhu vachikudziridza NASH. NASH inogona kutungamira kune cirrhosis.

Vanhu vazhinji vane NAFLD havazive kuti vanayo. Ona mupiki wako kana iwe ukatanga kuva nezviratidzo zvisina kujairika senge kuneta kana kurwadziwa mudumbu.

Kubatsira kudzivirira NAFLD:

• Chengetedza huremu hune hutano.
• Idya kudya kunovaka muviri.
• Rovedza muviri nguva dzose.
• Deredza kunwa doro.
• Shandisa mishonga zvakanaka.

Chiropa chakakora; Steatosis; Nonalcoholic steatohepatitis; NASH

• Chiropa

Chalasani N, Younossi Z, Lavine JE, et al. Iko kuongororwa uye manejimendi yeasina-doro doro mafuta chiropa chirwere: kudzidzira kutungamira kubva kuAmerican Association yekudzidza kwechiropa chirwere. Hepatology. 2018; 67 (1): 328-357. PMID: 28714183 www.ncbi.nlm.nih.gov/pubmed/28714183.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Kudya, kudya, uye chikafu che NAFLD neNASH. www.niddk.nih.gov/health-information/liver-disease/nafld-nash/eating-diet-nutrition. Yakagadziridzwa Mbudzi 2016. Yakasvika muna Kubvumbi 22, 2019.

Torres DM, Harrison SA. Nonalcoholic fatty chiropa chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 87.