Yakagadziriswa Cirrhosis

Zvemukati

• Ndezvipi zviratidzo zvekuora kwechirwere?
• Chii chinokonzera decompensated cirrhosis?
• Ko decompensated cirrhosis inoonekwa sei?
• Inorapwa sei cirrhosis inorapwa?
• Inobata sei tarisiro yeupenyu?
• Chinokosha

Chii chinonzi decompensated cirrhosis?

Kuparara kwechirrhosis izwi rinoshandiswa navanachiremba kutsanangura kuoma kwechiropa chakakwirisa. Vanhu vane cirrhosis yakabhadharwa kazhinji havana chero zviratidzo nekuti chiropa chavo chiri kushanda zvakanaka. Sezvo chiropa chinoshanda chadzikira, chinogona kuve chakadzvanywa cirrhosis.

Vanhu vane decompensated cirrhosis vava kusvika kumagumo-nhanho chiropa kutadza uye vanowanzo sarudza chiropa chekuisa.

Verenga pamusoro kuti udzidze zvakawanda nezve decompensated cirrhosis, kusanganisira ayo zviratidzo uye mhedzisiro pane tarisiro yehupenyu.

Ndezvipi zviratidzo zvekuora kwechirwere?

Cirrhosis kazhinji haina kukonzera chero zviratidzo mumatanho ayo ekutanga. Asi sezvo ichienderera mberi kusvika pakuora cirrhosis, inogona kukonzera:

• jaundice
• kuneta
• kuonda
• kubuda ropa nyore uye kupwanya
• kubviswa mudumbu nekuda kwekuunganidzwa kwemvura (ascites)
• kuzvimba makumbo
• kuvhiringidzika, kutaura kwakashata, kana kukotsira (hepatic encephalopathy)
• kusvotwa uye kurasikirwa nechido
• tsinga dzedandemutande
• kutsvuka pazvanza zvemaoko
• kudzikira kwemachende uye kukura kwemazamu muvarume
• kusanzwisisika kunhuwa

Chii chinokonzera decompensated cirrhosis?

Yakagadziriswa cirrhosis inhanho yepamusoro yecirrhosis. Cirrhosis inoreva kuora kwechiropa. Cirrhosis yakadzikira inoitika kana ichi chipenga chikaita chakakomba zvekuti chiropa hachikwanise kushanda nemazvo.

Chero chinhu chinokuvadza chiropa chinogona kukonzeresa kukuvara, uko kunogona kupedzisira kwashanduka kuita decipensated cirrhosis. Zvinonyanya kukonzera cirrhosis ndezvi:

• -refu, inorema kunwa doro
• chisingaperi hepatitis B kana hepatitis C
• kuwanda kwemafuta muchiropa

Zvimwe zvinogona kukonzera cirrhosis zvinosanganisira:

• Kuvakwa kwesimbi
• cystic fibrosis
• mhangura
• zvisina kuumbwa bile ducts
• autoimmune hosha dzechiropa
• bile duct kukuvara
• chirwere chechiropa
• kutora mimwe mishonga, yakadai se methotrexate

Ko decompensated cirrhosis inoonekwa sei?

Kazhinji, vanachiremba vachakuongorora uine decompensated cirrhosis paunotanga kuva nechirwere checirrhosis, senge jaundice kana kusagadzikana kwepfungwa. Ivo vanowanzo simbisa kuongororwa nekuita kuongororwa kweropa kuti vaone kushanda kwechiropa.

Vanogona zvakare kutora sarum sampuli kuti vauye nemhando yekupedzisira-nhanho chirwere chechiropa (MELD) mamaki. Iyo MELD mamaki ndiyo inowanzo shandiswa yekuongorora chishandiso chepamberi chirwere chechiropa. Zvikamu zvinotangira kubva pa6 kusvika ku40.

Vanachiremba zvakare dzimwe nguva vanoita chiropa biopsy, icho chinosanganisira kutora shoma sampuro yechironda tishu uye nekuiongorora. Izvi zvichavabatsira kuti vanzwisise zvirinani kuti chiropa chako chakakuvara sei.

Ivo vanogona zvakare kushandisa akateedzana emifanidzo bvunzo kutarisa kukura uye chimiro chechiropa chako uye spleen, senge:

• MRI inoongorora
• ultrasounds
• CT inoongorora
• magnetic resonance elastography kana epashure elastography, iri imaging bvunzo dzinoona kuomarara kwechiropa

Inorapwa sei cirrhosis inorapwa?

Iko kune mashoma masarudzo ekurapa eakaora cirrhosis. Panguva ino yekupedzisira yechiropa chirwere, kazhinji hazviite kudzosera mamiriro acho. Asi izvi zvakare zvinoreva kuti vanhu vane decompensated cirrhosis vanowanzo kuve vakanaka kukwikwidza kwechiropa.

Kana iwe uine kana chimwe chete chiratidzo cheakaora cirrhosis uye MELD mamakisi gumi nemashanu kana kupfuura, chiropa chinotapira chinokurudzirwa zvakanyanya.

Chiropa chinoshandurwa chinoitwa pamwe nechidimbu kana chakazara chiropa kubva kune anopa. Chiropa tishu dzinogona kumutsirazve, saka mumwe munhu anogona kugamuchira chikamu chechiropa kubva kune mupenyu mupi. Zvese zviri zviviri chiropa chakasimwa uye chiropa chemupi chinomutsiridza mukati memwedzi mishoma.

Nepo kuisirwa chiropa iri yevimbiso sarudzo, ndiyo nzira hombe ine zvakawanda zvinhu zvekufunga nezvazvo. Muzviitiko zvakawanda, chiremba anoendesa murwere anotarisirwa kunzvimbo yekudyara, uko timu yevashandi vezvekurapa vanozotarisa kuti murwere angaita sei nekuisira.

Vachatarisa:

• chiropa chirwere nhanho
• nhoroondo yezvokurapa
• hutano hwepfungwa uye hwepamoyo
• rutsigiro system kumba
• kugona uye kuda kutevedzera zvirevo zvekuvhiya
• mukana wekupona pakuvhiyiwa

Kuongorora zvese izvi, vanachiremba vanoshandisa akasiyana bvunzo uye maitiro, akadai se:

• bvunzo dzepanyama
• kuwongororwa kweropa kwakawanda
• kuongororwa kwepfungwa uye kwemagariro
• kuongororwa kuongororwa kuti uongorore hutano hwemwoyo wako, mapapu, uye dzimwe nhengo
• imaging bvunzo
• kuongorora zvinodhaka uye doro
• HIV uye hepatitis bvunzo

Vanhu vane doro-kana zvinodhaka-zvine chekuita nechiropa chirwere chingangoda kuratidza kwavo kugona. Mune zvimwe zviitiko, izvi zvinogona kusanganisira kuratidza zvinyorwa kubva kunzvimbo yekurapa yekurapa.

Kunyangwe paine munhu anokodzera kuisirwa, chiremba anogona zvakare kukurudzira zvinotevera kuvandudza hupenyu hwehupenyu uye kudzivirira mamwe matambudziko.

• kutevera kudya kwakaderera-munyu
• kusashandisa zvinodhaka kana doro
• kutora diuretics
• kutora antiviral mishonga kubata chisingaperi hepatitis B kana C
• kudzikamisa kudya kwako kwemvura
• kutora mishonga inorwisa mabhakitiriya kurapa chero hutachiona hutachiona kana kudzivirira nyowani
• kutora mishonga kubatsira kubvisa ropa
• kutora mishonga yekuvandudza kuyerera kweropa kuchiropa
• kuitiswa maitiro ekubvisa imwe fluid kubva mudumbu

Inobata sei tarisiro yeupenyu?

Kuderedzwa kwechirrhosis kunogona kudzikisira tarisiro yehupenyu hwako. Kazhinji, iyo yakakwira yako MELD mamaki, iyo yakaderera mikana yako ndeyekuti urarame imwe mwedzi mitatu.

Semuenzaniso, kana iwe uine MELD mamaki e15 kana ezasi, iwe une 95 muzana mukana wekupona kweinenge mwedzi mitatu. Kana iwe uine MELD mamakisi makumi matatu, yako matatu-mwedzi yekupona mwero i65 muzana. Ichi chikonzero nei vanhu vane yakakwira MELD mamaki vanopihwa pekutanga pane yevanopa nhengo rondedzero.

Kuwana chiropa chinotamisa kunowedzera tarisiro yeupenyu. Nepo nyaya imwe neimwe yakasiyana, vanhu vazhinji vanodzokera kumabasa avo ekare mushure mekuisirwa chiropa. Iyo makore mashanu ekupona mwero ndeye 75 muzana.

Chinokosha

Kudonhedza cirrhosis inzira yepamusoro yecirrhosis inosanganisirwa nekutadza kwechiropa. Kunyangwe paine pasina akawanda marapirwo esarudzo yacho, kuisirwa chiropa kunogona kukanganisa hupenyu hwehupenyu.

Kana iwe wakamboonekwa uine decompensated cirrhosis, taura nachiremba wako nezve kukodzera kwako kuisirwa. Ivo vanogona zvakare kureva kwauri kune hepatologist, inova mhando yechiremba anonyanya kugadzirisa mamiriro echiropa.