Nonalcoholic Fatty Chiropa Chirwere

Zvemukati

• Zviratidzo
• Zvinokonzera
• Njodzi zvinhu
• Inoonekwa sei
• Inogona here isina doro doro mafuta chiropa chirwere chinokonzeresa?
• Kurapa nzira
• Ndeapi maonero evasina-doro doro mafuta chiropa chirwere?

Chii chinonzi nonalcoholic fatty chiropa chirwere?

Kunwa doro rakawandisa kunogona kukonzera kuwanda kwemafuta muchiropa chako. Inogona kutungamira mukushaiwa kwechiropa materu, anozivikanwa secirrhosis. Chiropa chinoshanda chinodzikira zvichienderana nekuti kuwanda kwakadii kunoitika. Mafuta ane mafuta anogona zvakare kuvaka mukati mechiropa chako kana ukanwa zvishoma kana kusanwa doro. Izvi zvinozivikanwa seasina doro doro mafuta chiropa chirwere (NAFLD). Inogona zvakare kukonzera cirrhosis.

Mararamiro ehupenyu anogona kazhinji kubatsira NAFLD kubva pakuwedzera. Asi, kune vamwe vanhu, mamiriro acho anogona kutungamira kumatambudziko ehupenyu anotyisidzira chiropa.

NAFLD uye chinodhakwa chiropa chirwere (ALD) inowira pasi pemurera izwi remafuta echiropa chirwere. Mamiriro acho anotsanangurwa se hepatic steatosis apo 5 kusvika 10 muzana yehuremu hweropa hwakakora.

Zviratidzo

Muzviitiko zvakawanda zve NAFLD, hapana zviratidzo zvinoonekwa. Kana zviratidzo zviripo, zvinowanzo sanganisira:

• kurwadziwa kumusoro kwekurudyi kwedumbu
• kuneta
• chakawedzera chiropa kana chirwatata (chinowanzoonekwa nachiremba panguva yekuongorora)
• ascites, kana kuzvimba mudumbu
• jaundice, kana kuita yero kweganda nemeso

Kana NAFLD ichifambira mberi ichiita cirrhosis, zviratidzo zvinogona kusanganisira:

• kuvhiringidzika kwepfungwa
• kubuda ropa mukati
• kuchengetwa kwemvura
• kurasikirwa kwehutano chiropa chinoshanda

Zvinokonzera

Izvo chaizvo zvikonzero zve NAFLD hazvina kunyatsonzwisiswa. Ikoko kunoratidzika kuve nekubatana pakati pechirwere uye insulin kudzivisa.

Insulin ihormone. Kana tsandanyama dzako nema munyama zvichida glucose (shuga) yesimba, insulin inobatsira kuvhura maseru kutora glucose kubva muropa rako. Insulin inobatsirawo chiropa kuchengeta glucose yakawandisa.

Kana muviri wako ukaita insulin kuramba, zvinoreva kuti maseru ako haapindure kune insulin nenzira yavanofanira kuita. Nekuda kweizvozvo, mafuta akawandisa anogumira muchiropa. Izvi zvinogona kutungamira mukuzvimba uye kuwora kwechiropa.

Njodzi zvinhu

NAFLD inokanganisa inofungidzirwa makumi maviri muzana yevagari. Insulin kudzvinyirira inoratidzika kunge ndiyo yakanyanya njodzi njodzi, asi iwe unogona kuve NAFLD usina insulin kudzvinyirira.

Vanhu vanogona kukudziridza insulin kushorwa vanosanganisira vanhu vakafutisa kana vanotungamira mararamiro ehupenyu.

Zvimwe zvinokonzera njodzi zve NAFLD zvinosanganisira:

• chirwere cheshuga
• cholesterol yakawanda
• yakakwira triglyceride mazinga
• kushandiswa kwekorticosteroids
• kushandiswa kwemimwe mishonga yekenza, kusanganisira Tamoxifen yekenza yemazamu
• nhumbu

Maitiro asina kunaka ekudya kana kurasikirwa nekukurumidza kurasikirwa kunogona kukwidziridza njodzi yako yeNAFLD.

Inoonekwa sei

NAFLD kazhinji haina zviratidzo. Nekudaro, kuongororwa kazhinji kunotanga mushure mekuongororwa kweropa kunowana yakakwira-kupfuura-yakajairwa mazinga eema enzymes echiropa. Kuongororwa kweropa kwakajairwa kunogona kuratidza izvi.

Yakakwira mazinga echiropa enzymes anogona zvakare kuratidza zvimwe zvirwere zvechiropa. Chiremba wako anozoda kutonga kunze mamwe mamiriro usati waongorora NAFLD.

Iyo ultrasound yechiropa inogona kubatsira kuburitsa yakawandisa mafuta muchiropa. Imwe mhando yeiyo ultrasound, inonzi inopfuura elastography, inoyera kuomarara kwechiropa chako. Kukura kwakakura kunoratidza kukura kukuru.

Kana bvunzo idzi dzisingazivikanwe, chiremba wako anogona kukurudzira chiropa biopsy. Mune bvunzo iyi, chiremba anobvisa kamuenzaniso kadiki kechiropa chine tsono yakaiswa mudumbu mako. Muenzaniso unodzidziswa murabhabu yezviratidzo zvekuzvimba uye vanga.

Kana iwe uine zviratidzo zvakaita sekurudyi-padumbu kurwadziwa kwepamuviri, jaundice, kana kuzvimba, ona chiremba.

Inogona here isina doro doro mafuta chiropa chirwere chinokonzeresa?

Ngozi huru ye NAFLD ndeye cirrhosis, iyo inogona kudzikisira chiropa chako kugona kuita basa rayo. Chiropa chako chine mabasa anoverengeka akakosha, anosanganisira:

• kuburitsa bile, iyo inobatsira kuputsa mafuta uye kubvisa tsvina kubva mumuviri
• Kugadzirisa mishonga uye chepfu
• kuenzanisa huwandu hwemvura mumuviri kuburikidza nekugadzirwa kweprotein
• kugadzira hemoglobin nekuchengetedza iron
• inoshandura ammonia muropa rako kuti ive isingakuvadzi urea yekubuda
• kuchengetedza uye kuburitsa glucose (shuga) sezvinodiwa simba
• kuburitsa cholesterol, iyo inodikanwa kune hutano hwemagetsi
• kubvisa hutachiona kubva muropa
• kuburitsa immune zvinhu kurwisa hutachiona
• kudzora kugwamba kweropa

Cirrhosis dzimwe nguva inofambira mberi kune kenza yechiropa kana kutadza kwechiropa. Mune zvimwe zviitiko, kukundikana kwechiropa kunogona kurapwa nemishonga, asi kazhinji chiropa chinoiswa chinodiwa.

Mhosva nyoro dze NAFLD dzinogona kutungamira kumatambudziko akakomba echiropa kana zvimwe zvinetso. Kune zviitiko zvakapfava, kuongororwa kwekutanga uye shanduko yemararamiro akakosha mukuchengetedza hutano hweropa.

Kurapa nzira

Iko hakuna chaiyo mishonga kana maitiro ekurapa NAFLD. Pane kudaro, chiremba wako achakurudzira akati wandei akakosha maitiro ehupenyu. Izvi zvinosanganisira:

• kurasikirwa nehuremu kana iwe uri kufutisa kana kufutisa
• kudya chikafu chemichero, miriwo, uye zviyo zvakazara
• kurovedza kanenge maminitsi makumi matatu pazuva
• kudzora yako cholesterol uye ropa glucose mazinga
• kudzivisa doro

Izvo zvakakoshawo kuteedzera pane zvakagadzwa nachiremba uye kumhan'ara chero zviratidzo zvitsva.

Ndeapi maonero evasina-doro doro mafuta chiropa chirwere?

Kana iwe uchikwanisa kuita iyo inorumbidzwa yemararamiro shanduko kutanga, iwe unogona kukwanisa kuchengetedza hutano hwakanaka hweropa kwenguva yakareba. Iwe unogona kutokwanisa kugadzirisa kukuvara kwechiropa mumatanho ekutanga echirwere.

Kunyangwe kana iwe usinganzwe chero zviratidzo kubva NAFLD, izvo hazvireve kuti chiropa chekushaiwa hachisati chave kuitika. Kuti uderedze njodzi yako, tevedzera mararamiro ane hutano uye uve neropa rekuita basa, kusanganisira kuongororwa enzyme yechiropa.