Isifo sikashukela asisona isifo, kodwa indlela yokuphila. Ngaphandle kokungabaza, le nkulumo iyangqubuzana impela, kepha umuntu akanakuphika - cishe zonke izinqubo ze-metabolic zihlelwe kabusha, okuholela ekushintsheni kwe-dystrophic ethinta cishe sonke isitho, kufaka phakathi isibindi.
Ngokubuka iqiniso lokuthi ukwanda kwesifo sikashukela sohlobo 2 kukhula ngokuqinile, ukucwaninga kwezimpawu zokulimala kwezitho okuqondayo kulesi sifo kuya ngokuya kubaluleke kakhulu.
Isibindi sithinteka kanjani kushukela?
Ukuba "yimboni yokuphambanisa" eyinhloko yomzimba womuntu, kufanele kuthathe "ukushaya okukhulu", ngoba ku-hepatocytes lapho kusetshenziswa zonke izinto eziyingozi, ubukhulu bokubumbeka bokukhula kwayo bukhuphuka kakhulu ngokuqala kwesifo sikashukela mellitus.
Ngokwemvelo, konke lokhu kuholela ekunciphiseni kwangaphambi kokuncipha kwamandla okuqina omzimba kanye nokuthuthuka kokuqala ngokomzimba, bese kuthi ukuphazamiseka kokuziphatha (kwesakhiwo).
Mayelana nezinguquko ezihlelekile kumaseli wesibindi, konke lokhu kubukeka kanjena:
- ngenxa ye-carbohydrate engasebenzi kahle kanye ne-lipid metabolism, lezi zinto, kanye nama-metabolites awo, ngamanani amaningi aphakeme kakhulu kunokujwayelekile, faka amaseli wesibindi ukuze alahlwe. Ngokuhamba kwesikhathi, umzimba uzobhekana nomthwalo osanda kunyuka, kodwa ngokubheka iqiniso lokuthi ngeke lishintshe ngokuhamba kwesikhathi (ngokunokwenzeka, lizokwanda), futhi amathuba okuncishiswa awanamkhawulo, kungenzeka ukubikezela ukuthuthukiswa kwe-hepatosis enamafutha ngezinga eliphakeme lokunokwenzeka. Lesi yisimo lapho amafutha angatholi zithelo aqongelela ezintweni zezakhi zesitho. Lokhu kwephula umthetho kuzokwethula ukusikeka kokusabela kwe-pathological, ngaleyo ndlela kwakha isiyingi esibi esibi, lapho ukuxhumana okukodwa kwe-pathogeneis kukhulisa owesibili, okuphambene nalokho;
- isigaba esilandelayo ukuthuthuka kwenqubo ye-pathological, equkethe ekubhujisweni okuphelele kwamaseli wesibindi (i-necrosis enkulu). Lokhu kwenzeka ngoba iqiniso lokuthi ama-metabolites amaningi angatholakalanga aqongelela emangqamuzaneni ukuthi kulimale ama-organelles kwenzeka ngokubhujiswa kwawo okulandelayo. Isibindi, ngaphandle kwawo wonke amandla ayo okuvuselela, uyeka ukufeza (hhayi okwamanje) imisebenzi yayo. Kwakha umbuthano wesibili ononya - ukwephulwa kwe-carbohydrate metabolism kungabangelwa ukwehluleka kwesibindi, futhi izinga elikhulayo le-glucose libangela ukukhula kwe-dyslipidemia, okude kakhulu nokuba nomphumela omuhle kakhulu esimweni "sokuhlanzeka" esikhulu somzimba kusuka kubuthi;
- Umphumela wakho konke lokhu ukuthuthukiswa kwe-cirrhosis - ukulimala kwesibindi. Lokhu kwenzeka lapho i-hepatocytes efile ithathelwa indawo izicubu ezihlangene. Ngamanye amagama, izinqubo zokuphinda zenziwe kabusha azinakwenzeka ku-lobe ethintekile yesibindi, ukungakwaneleki kokuqina kwalesi sitho kuyaqhubeka ukuthuthuka, okungangena kalula ekuthuseni okubi kakhulu, okudala ukudakwa.
I-complication evame kakhulu yohlobo lwesifo sikashukela i-nephropathy. Ngalesi gama kusho ukuthi akusona isifo esisodwa, kodwa esiyinkimbinkimbi.
Ingxenye yesithathu yeziguli ezinesifo sikashukela inezifo zesifo senhliziyo. Isizathu sokuxhunyaniswa okusondelene kwesifo sikashukela nenhliziyo siyatholakala lapha.
Shintsha Ukutholwa
Ukuxilongwa kokwephulwa komthetho okwenziwa kwenziwa ezivivinyweni ezilandelayo:
- Ukuhlolwa kwezikhalazo kanye nenhloso yenhloso. Konke kuqala ngalokhu, noma kunjalo, cishe akunakwenzeka ukuthola izinkinga zesibindi ngale ndlela ekuqaleni kwesigaba. Isikhalazo esijwayelekile ukunambitheka kokufutheka emlonyeni. Ngaphezu kwalokho, isiguli sizophawula ubuthakathaka obujwayelekile, isiyezi, ukuntuleka kokudla nokunganaki. Isici esibonakalayo sizophinda sibe yi-ictericity (yellowness) ye-sclera kanye nesisindo se-ganda. I-Percussion inquma ukwanda kosayizi wesibindi. Ukushintshwa kombala womchamo nezindunduma akuhlanganisiwe;
- ukwenza izindlela zokucwaninga elebhu. Ukuhlolwa kwegazi kwe-biochemical nokuzimisela kokuqina kwesibindi kuyakhonjiswa. Inhloso yocwaningo ukuhlola isimo sokusebenza kwesibindi - ngamanye amagama, kutholakala ukuthi isitho sigcina imisebenzi yaso ingakanani. Okokuqala, kuzodingeka ukuthi unake izinkomba ezifana nezinga le-bilirubin eliqondile nelisonke, ukuhlolwa kwe-thymol, ukuqoqwa kwamaprotheni amaningi kanye ne-albhamuin, ALT ne-AST. Ukwehla kokuxineka kwabo kukhombisa ngokusobala indlela yesibindi;
- enza izindlela zokucwaninga zamathuluzi - i-ultrasound, CT, MRI, biopsy. Izindlela ezintathu zokuqala ukubuka ngeso. Okusho ukuthi, udokotela ohlonza ngokuningiliziwe isimo sesitho esithombeni - ukwakheka kwendawo okugxilwe kuyo, ukubonakala kwayo kuyabonakala, kepha isimo esingokomlando nesemvelaphi yakhe azikwazi ukunqunywa ngale ndlela. Ngokuxilongwa okuhlukile kwe-hepatosis ye-metabolic kanye nomdlavuza wesibindi, kuboniswa isampula ye-biopsy. Le ndlela iqukethe iqiniso lokuthi ngokusebenzisa inaliti ekhethekile, isampula yezicubu eziguqulwe ngokwengqondo iyathathwa ukuthola ubungako bokuhluka kweseli nemvelaphi. Into ekhona ukuthi ukuvame ukuphazamiseka komzimba kube yimbangela yokucashuka ukuvela kwamaseli womdlavuza. Futhi amaqhinga okuphatha iziguli ezinomdlavuza we-cirrhosis nomdlavuza wesibindi ahluka ngendlela ebaluleke kakhulu.
Ubuhlungu besibindi kushukela: ukwelashwa
Ukuvela kobuhlungu kulesi simo kukhombisa ngokusobala ukunganakwa kwenqubo ye-pathological, lapho ushintsho ku-histology luholela ekulimaleni kwe-organic kwizinzwa.
Kulesi simo, okuwuphawu kuphela okuzoba ukwelashwa okusebenzayo, ngoba, ngeshwa, ukuhanjiswa kwesibindi kuphela okuzoqeda imbangela yokwephula okwenzekile.
Zonke izidakamizwa ze-hepatoprotectors nezidakamizwa ezinomsebenzi obizwa ngokuthi yi-metabolic function, kuleli cala, azikwazi ukumisa ukubonakaliswa kobuhlungu - njengomthetho, iBaralgin noma iBaralgetas isetshenziselwa ukuqeda ukubonakaliswa kwe-hepatic colic (i-ampoule eyodwa ilawulwa nge-intramuscularly).
Ukwanda ngosayizi wesibindi (obizwa nge-hepatomegaly)
Ngenxa yokwephula umlando wesibindi, ama-hepatocytes athathelwa indawo ngamaseli e-tiscial exhunyiwe, futhi le nqubo ayihlali igcina ubuqotho besitho.
Ngokwemvelo, zonke lezi zinguquko ziba yisizathu sokuthi isibindi sikhula ngosayizi.
Kepha emazingeni okugcina e-cirrhosis, kunalokho, incipha kakhulu futhi inciphe, okungachazwa ngokubhujiswa kwezicubu nokubola kwesitho.
Amafutha hepatosis
Inqubo ye-metabolic metabolic eyenzeka ngenxa yokuqongelela kwama-lipids angakhanjwanga kumaseli wesibindi.
Amafutha hepatosis
Ukuphazamiseka kwe-metabolic kungekudala kuholela ekutholakaleni kokulimala kwe-organic hepatocytes, okuba imbangela yokuhluleka kwesibindi okungapheli (konke ukubonakaliswa komtholampilo okungaphawulwa ezigulini ezinesibindi esingafezekisi imisebenzi ezabelwe sona).
I-Cirrhosis
I-Cirrhosis yisimo esilandela amafutha e-hepatosis. Indlela okwenzeka ngayo ingabonakala kanjena:
- ukuphazamiseka kwe-metabolic kwenzeka okuholela ekuwohlokeni kwezicubu zesibindi;
- kunokufa okukhulu kwe-hepatocytes (necrosis);
- esikhundleni samaseli afile, kuvela izicubu ezithintekayo, ezivele zigcwalise isikhala samahhala, kepha zingathathi umsebenzi wamaseli we-necrotic. Ukwephulwa kwesakhiwo se-lobar sesibindi kwenzeka, umakhi wezakhiwo walesi sitho wanyamalala, okuholela ekwehlulekeni kwesibindi okukhulu.
Izidakamizwa zokubuyisela umsebenzi wesibindi
Ukwelashwa kuvame ukwenziwa ezinhlangothini ezimbili - isiguli simiselwe amalungiselelo emithi ukusekela umsebenzi wesibindi (i-artichoke, i-Karsil, iDarsil, ubisi lwe-Thistle) kanye ne-hepatoprotectors, umphumela wokuvikela amaseli wesibindi emiphumeleni engathandeki yezici zobungozi (izibonelo ze-hepatoprotectors yi-Essentiale Forte N, Hepabene, I-Glutargin).
Amaphilisi weCarsil
Uma iziguli zithatha izidakamizwa eqenjini lokuqala ngomlomo (amafomu wethebhulethi ashiwo), lapho-ke i-hepatoprotectors imvamisa ilawulwa ngabazali, ngaphakathi, noma emzimbeni.
Ukuhlanza isibindi ngekhambi labantu
Futhi, inqubo ephumelela ngokufanele yokulwa nokuqina kwesibindi.
Ukusetshenziswa kweqoqo elinezakhi ezilandelayo kunconyiwe:
- utshani be-coltsfoot, 100 g;
- izimbali ze-chamomile, 200 g;
- isihlahla sesiphunzi sivulekile, 300 g;
- imbiza yarrow, 100 g;
- utshani obumbayo, 100 g;
- izithelo ze-artichoke, 200 g;
- Utshani obuphakeme, 50 g.
Zonke izinto ezingenhla zeqoqo zizodinga ukuxutshwa kahle, bese ufaka amalitha ama-2 amanzi abilayo. Faka indawo epholile emnyama bese uyayiyeka ithele usuku. Uzodinga ukusebenzisa ingilazi eyi-1 kathathu ngosuku, ngenyanga. Kunconywa ukuthatha ngaphambi kokudla, ngoba ukumnika kunomsebenzi we-choleretic.
Enye iresiphi eye yasakazeka ekusebenzeni:
- amaqabunga e-burdock, ama-200 g;
- izithelo ze-artichoke, 200 g;
- izitshalo ezimpande zeJerusalema artichoke, 100 g.
Ukuqanjwa kuzodinga ukugcwaliswa ngamanzi (1.5 amalitha amanzi abilayo) bese upheka ihora eli-1. Ngaphezu kwalokho, ukwakheka okuphumayo kuzodinga ukuhlungwa ngesixhobo esihle bese kuvunyelwe ukuhambisa amahora amaningi. Sebenzisa 1 ingilazi izikhathi ezinhlanu ngosuku, Yiqiniso - amasonto amabili.
Ukudla
Ithebula Enconyiwe i-D-5, ngaphandle kokudla okunezipayisi, okubhemayo, okunamafutha kanye okuthosiwe. Ukugcizelela kusezinhlangeni nasekudleni okucetshiswe ku-fiber fiber yezitshalo, inyama engenamafutha.
Amavidiyo ahlobene
Ngabe isifo sikashukela nesibindi kuhlobene kanjani? Izimpendulo kuvidiyo:
Akunakwenzeka ukwelapha isifo sikashukela, noma kunjalo, ukudlulisela i-pathology esigabeni sokuxolelwa okuqhubekayo komtholampilo kuyinto enengqondo. Lokhu kuzomisa ukuqhubeka kokubhujiswa kwesibindi, okucasulwe ukuphazamiseka kwe-metabolic. Ukwelashwa nge-heepatoprotective kunomthelela enqubweni yokuzalwa kabusha kwesitho.