Ngokuvamile, ngokusebenzisa utshwala, siyaziphendulela ngokuphuza kancane futhi ngobuncane. Kodwa-ke, ngisho no-20 g we-ethanol ngosuku kungabangela ukuvuthwa kotshwala kwabesifazane. Lesi sibonakaliso - sibonisa inani lophuzo utshwala ngonyaka, lihlukaniswe nenani lezinsuku. Ngamanye amazwi, ngisho nemibuthano enobudlova enobudlelwane nabangane kanye ngesonto ingasusa isifo, ukuphuza utshwala nsuku zonke akudingekile.
Izibonakaliso eziyinhloko zesibindi se-alcohol esiswini
U-cirrhosis udoti uhlotshaniswa nokusebenzisa isikhathi eside utshwala, i-ethanol ibhubhisa amangqamuzana wesibindi, futhi alahlekelwe amandla okuphumula ngokushesha. Ngenxa yalokho, kukhona ukwanda kwesibalo, izicubu ezinamafutha, okuyinto ekugcineni ithatha indawo ye-lobe enempilo, epholile. Le nqubo ingacatshangwa isikhathi eside - kuthatha iminyaka emihlanu ukuya kwemihlanu yokusetshenziswa kotshwala ukuqala i-cirrhosis. Ngokuvamile ebambini naye kukhona ukushisa kwesibindi sokuphuza utshwala - ukuvuvukala ezindaweni ezithile zesibindi noma isitho sonke.
Izimpawu azibonakali ngokushesha. Ngaphambi kokuba kube nezibonakaliso zangaphandle zesibindi se-forhosis, ukushisa kwesibindi nesibindi sokukhula kwezicubu kuyothinta ukuhlolwa kwe-laboratory:
- ukuhlolwa kwegazi jikelele kuzodalula ukwehla kwama-erythrocytes nama-platelet, i-leukocytosis;
- ukwanda kwe-gamma globulins egazini;
- i-De Ritis coefficient isetshenziselwa - isilinganiso se-aspartate aminotransferase ku-alanine aminotransferase;
- Umfutho wegazi we-systolic wehla;
- ipeni ekhulisiwe;
- ikhula ascites - fluid iqoqa emgodini wesisu;
- kukhona ukunwetshwa kwemithanjeni yesisu, emathunjini emathumbu namathumbu.
Izimpawu zangaphandle zesibindi sokuphuza ngokweqile kwesibindi ziyahlukahluka ngokuphawulekayo kwe-cirrhosis ne-hepatitis:
- amehlo e-yellowing sclera, isikhumba;
- ukubonakala kwama-capillari ehlanjululwe esifundeni sezindebe namahlombe;
- I-erythrem (obomvu) yesikhumba sezintendeni nezinyawo, kaningi-ebusweni;
- ukuxoshwa kwezigqoko ezisezingeni eliphansi esifundeni sezindlebe;
- ukuthuthumela nokungaqhubeki izintende zezandla;
- i-syndrome ye "izibuko zokubuka" kanye "nezintambo zomdanso" zamalungu;
- i-cachexia;
- i-asthenic syndrome.
Ukwelashwa kwesibindi se-alcoholic, isibindi
Uma kutholakala ukuthi i-cirrhosis enobudakamizwa yesibindi, ingakanani okuyohlala ngayo iyoxhomeke kuphela ekutheni unqabe ukuphuza utshwala nempilo ejwayelekile yesiguli. Abantu abavela emazingeni aphansi ezenhlalakahle bangaba nezinyanga ezingu-16-20, izakhamuzi ezicebile kakhulu - izinyanga ezingu-20-60, uma nje beyeka ukusebenzisa utshwala.
Uma lesi sifo sitholakala esiteji sokuqala, ungafinyelela ukuxolelwa isikhathi eside, uqede ngokuphelele inqubo ye-cirrhosis. Kodwa lokhu kudinga umzamo omkhulu.
Ukwelashwa kwesibindi sokudakwa kwesibindi kuhlinzeka ukwenqaba ngokuphelele ukuphuza utshwala. Ngaphandle kwalokhu, zonke izinyathelo zokwelashwa ezalandela azisho lutho. Esikhathini esizayo, umsebenzi wokuqala uzoba ukunciphisa i- bilirubin , ngoba i-cirrhosis yotshwala ngokuqondile ixhomeke kule nkhomba. Okuphansi kwezinga le-bilirubin, ngokushesha isibindi sikwazi ukuvuselela. Ngenxa yalezi zinhloso, ukudla okukhethekile kuyakulungeleka, okuphakamisa ukwanda kwenani lamaphrotheni ekudleni. Futhi, kufanele ushiye amafutha esitokisi nokudla okusheshayo, ushintshe ekudleni okunempilo. Ukuze
Imikhakha enjalo yemithi ikhethwa ngokwengeziwe:
- amalungiselelo e-adenformonine;
- amalungiselelo ursodeoxycholic;
- izakhiwo ze-multivitamin;
- i-glucocorticoids;
- i-inhibitors ye-enzyme yokuguqula i-angiothersin;
- ama-inhibitors we-tissue proteases.