Cirrhosis ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Cirrhosis ni uburwayi aho imisemburo y'umwijima igira ubuzima bwiza ihindurwa n'umusemburo w'igikomere mu gihe runaka. Uku kumera kw'igikomere bituma umwijima wawe ugira imbogamizi mu gukora imirimo yawo y'ingenzi, nko gutunganya uburozi mu maraso no gufasha mu gusya ibiryo.

Tekereza ku mwijima wawe nk'umushushanya ukora cyane utunganya amaraso yawe amasaha 24 ku munsi. Iyo cirrhosis ibayeho, umusemburo w'igikomere ubuza amaraso kugenda neza mu mwijima. Ibi bishyira umuvuduko ku mubiri wawe wose kandi bishobora gutera ingaruka zikomeye niba bitavuwe neza.

Cirrhosis ni iki?

Cirrhosis ibaho iyo umwijima wawe ugerageza kwivuza ubwe ukomoka ku gukomeretsa cyangwa kubabara kenshi. Buri gihe umwijima wawe ukomeretse, ukora umusemburo w'igikomere nk'igice cyo gukira. Mu mezi cyangwa imyaka, uyu musemburo w'igikomere wiyongera kandi utangira kurenza utubuto tw'umwijima tugira ubuzima bwiza.

Umujinya wawe ni mwiza cyane mu kwiyubaka ubwe iyo ugira ubuzima bwiza. Ariko, iyo umusemburo w'igikomere ubaye mwinshi cyane, umwijima uba udafite ubushobozi bwo gukora neza. Igikomere kinahindura ishusho n'uburyo bw'umwijima, bikaba bigoye kandi bidasanzwe.

Ubu burwayi burakura buhoro buhoro, akenshi mu myaka myinshi. Mu ntangiriro, ushobora kutamenya ibimenyetso na gato. Niyo mpamvu cirrhosis rimwe na rimwe yitwa indwara 'y'ibanga' kugeza igeze ku cyiciro gikomeye.

Ibimenyetso bya Cirrhosis ni ibihe?

Cirrhosis yo mu ntangiriro akenshi ntabwo itera ibimenyetso bigaragara, niyo mpamvu abantu benshi batazi ko bayifite. Umujinya wawe ni ukomeye cyane kandi ushobora gukora neza nubwo hari igikomere.

Uko uburwayi bugenda bukura, ushobora gutangira kubona bimwe muri ibi bimenyetso bisanzwe:

• Kumva unaniwe cyangwa ufite intege nke, nubwo umaze kuruhuka
• Kubura ubushake bwo kurya cyangwa kumva wuzuye vuba ugiye kurya
• Isesemi cyangwa kubabara mu nda
• Gutakaza ibiro bitazwi
• Ibara ry'umuhondo ku ruhu cyangwa ku mboni z'amaso (jaundice)
• Inkari z'ijisho ryijimye
• Inkari zera cyangwa zifite ibara ry'ibumba
• Kubyimbagira mu maguru, mu birenge, cyangwa mu nda
• Kugira ibikomere byoroshye cyangwa kuva amaraso
• Gucika intege cyangwa kugira imbogamizi mu kwibuka

Bamwe mu bantu bagira n'imitsi y'amaraso isa n'imiheha ku ruhu rwabo, cyane cyane ku mubiri wo hejuru. Ibi bimenyetso bishobora gutandukana cyane ukurikije umuntu. Niba ufite bimwe muri ibi bimenyetso, birakwiye kubivugana n'abaganga bawe.

Intandaro za Cirrhosis ni izihe?

Cirrhosis iterwa n'ikintu cyangiza umwijima wawe kenshi mu gihe runaka. Intandaro isanzwe ni ukunywa inzoga igihe kirekire, ariko hari n'izindi ndwara nyinshi zishobora gutera igikomere ku mwijima.

Dore intandaro nyamukuru ukwiye kumenya:

• Ukubira inzoga igihe kirekire - Iyi ni yo ntandaro ikomeye mu bihugu byinshi
• Dukoko rya Hepatitis B cyangwa C - Iyi ndwara iterwa na virusi ishobora gutera kubabara kw'umwijima igihe kirekire
• Indwara y'umwijima uterwa n'amavuta atari ay'inzoga (NAFLD) - Akenshi ifitanye isano na diyabete, umubyibuho ukabije, cyangwa syndrome ya metabolic
• Hepatitis iterwa na système immunitaire - Iyo système immunitaire yawe igaba umwijima wawe
• Cholangite ya biliaire primaire - Indwara igira ingaruka ku mitsi y'inzira ya bile mu mwijima wawe
• Imiti imwe - Imiti imwe ishobora gutera ikibazo ku mwijima iyo ikoreshejwe igihe kirekire
• Indwara ziterwa na gène nka hemochromatosis cyangwa indwara ya Wilson

Intandaro zidafite akamaro cyane harimo gucika intege k'umutima, izindi ndwara, no kwandura ibintu byangiza. Rimwe na rimwe, abaganga ntibashobora kumenya intandaro, ibi bikaba byitwa cryptogenic cirrhosis.

Ni ngombwa kumva ko cirrhosis isanzwe itera mu myaka myinshi y'ibintu byangiza. Icyabaye rimwe gusa ntabwo itera cirrhosis.

Ni ryari ukwiye kujya kwa muganga kubera Cirrhosis?

Ukwiye kuvugana n'abaganga bawe niba ufite ibimenyetso biramba bishobora kugaragaza ibibazo by'umwijima. Ntugatege amatsiko kugira ngo ibimenyetso bibanze, kuko kuvumbura hakiri kare no kuvura bishobora gutanga impinduka ikomeye.

Shaka ubufasha bw'abaganga vuba niba ubona umuhondo ku ruhu cyangwa amaso, ububabare buhoraho mu nda, cyangwa kubyimbagira bitazwi mu maguru cyangwa mu nda. Ibi bimenyetso bigaragaza ko umwijima wawe ushobora kuba utameze neza.

Ukwiye kandi kujya kwa muganga niba ufite ibyago byo kurwara umwijima, nko kunywa inzoga nyinshi, hepatitis iterwa na virusi, cyangwa amateka y'ibibazo by'umwijima mu muryango. Kwisuzumisha buri gihe bishobora gufasha kuvumbura ibibazo by'umwijima mbere y'uko bigera kuri cirrhosis.

Niba umaze kuvurwa indwara y'umwijima, kurikiza inama z'abaganga bawe ku bijyanye no kugenzura no kuvura. Ibi bishobora gufasha gukumira cyangwa kugabanya iterambere rya cirrhosis.

Ibyago byo kurwara Cirrhosis ni ibihe?

Kumenya ibyago byawe bishobora kugufasha gufata ingamba zo kurinda ubuzima bw'umwijima wawe. Hari ibyago bimwe ushobora kugenzura, ibindi ukaba utabigenzura.

Ibyago bikomeye ushobora kugenzura birimo:

• Kunywisha inzoga nyinshi - Nubwo kunywa inzoga nke mu myaka myinshi bishobora kongera ibyago
• Umubyibuho ukabije - Cyane cyane iyo uhujwe na diyabete cyangwa syndrome ya metabolic
• Imibonano mpuzabitsina idakingiye cyangwa gusangira inshinge - Ibi byongera ibyago bya hepatitis B na C
• Imiti imwe - Gukoresha imiti imwe igihe kirekire bishobora kwangiza umwijima
• Kwandura ibintu byangiza - Harimo imiti imwe ikoreshwa mu nganda n'ibintu byo gusukura

Ibyago udashobora guhindura birimo imyaka yawe, igitsina, na gène. Abagabo bafite ibyago byinshi byo kurwara cirrhosis, kandi ibyago byiyongera uko umuntu akura.

Kugira diyabete, umuvuduko ukabije w'amaraso, cyangwa cholesterol nyinshi bishobora kongera ibyago byawe, cyane cyane kuri indwara y'umwijima uterwa n'amavuta atari ay'inzoga. Inkuru nziza ni uko gucunga izi ndwara bishobora gufasha kurinda umwijima wawe.

Ingaruka zishoboka za Cirrhosis ni izihe?

Cirrhosis ishobora gutera ingaruka zikomeye kuko umwijima wawe ugira uruhare rukomeye mu mikorere y'umubiri wawe. Izi ngaruka zisanzwe ziba mu cyiciro gikomeye cy'uburwayi.

Dore ingaruka nyamukuru zishobora kubaho:

• Hypertension ya portal - Umuvuduko ukabije w'amaraso mu mitsi y'amaraso y'umwijima
• Varices - Imitsi y'amaraso yagutse mu munwa cyangwa mu gifu ishobora kuva amaraso
• Ascites - Amazi yiyongereye mu nda
• Encephalopathy ya hepatic - Gucika intege no guhinduka mu bwenge kubera uburozi bwinshi
• Ibyago byo kwandura byiyongereye - Système immunitaire yawe ishobora kudakora neza
• Cancer y'umwijima - Abantu bafite cirrhosis bafite ibyago byinshi byo kurwara kanseri y'umwijima
• Ibibazo by'impyiko - Indwara ikomeye y'umwijima ishobora kugira ingaruka ku mikorere y'impyiko
• Indwara y'amagufwa - Umubiri wawe ushobora kudafata calcium na vitamine D neza

Nubwo izi ngaruka zisa n'iziteye ubwoba, nyinshi zishobora gucungwa neza hakoreshejwe ubuvuzi bukwiye. Ikipe yawe y'abaganga izakukurikirana hafi kugira ngo ibone ibimenyetso by'ingaruka kandi ibivure vuba ibyabaye.

Kuvumbura hakiri kare no kuvura cirrhosis bishobora gufasha gukumira cyangwa gutinza ingaruka nyinshi. Niyo mpamvu gukurikirana n'abaganga buri gihe ari ingenzi.

Cirrhosis ishobora gukumirwa gute?

Uburyo bwiza bwo gukumira cirrhosis ni ukurinda umwijima wawe kwangirika mbere ya byose. Kubera ko intandaro nyinshi za cirrhosis zishobora gukumirwa, ufite ububasha bukomeye ku buzima bw'umwijima wawe.

Dore ingamba zikomeye zo gukumira:

• Kugabanya kunywa inzoga - Niba unywa, bikozwe mu rugero cyangwa utekereze ku bihagarika burundu
• Kwikingiza hepatitis A na B - Aya kingirabikorwa akora cyane
• Gukora imibonano mpuzabitsina idakingiye no kwirinda gusangira inshinge - Ibi bigabanya ibyago bya hepatitis B na C
• Kugira ibiro byiza - Ibi bifasha gukumira indwara y'umwijima uterwa n'amavuta
• Guca diyabete na cholesterol nyinshi - Kumenya neza izi ndwara
• Gukoresha imiti neza - Kurikiza amabwiriza yo gukoresha imiti no kwirinda imiti idakenewe
• Kwima ibintu byangiza - Koresha ibikoresho byo kwirinda igihe bibaye ngombwa

Niba umaze kurwara umwijima, gukorana n'abaganga bawe bishobora gufasha gukumira iterambere rya cirrhosis. Ibi bishobora kuba harimo gufata imiti, guhindura imibereho, cyangwa gukurikiranwa buri gihe.

Nubwo impinduka nke mu myitwarire yawe ya buri munsi ishobora gutanga impinduka ikomeye ku buzima bw'umwijima wawe mu gihe runaka. Umujinya wawe ufite ubushobozi bwo gukira iyo uhawe amahirwe.

Cirrhosis imenyekanwa ite?

Kumenya cirrhosis bisaba intambwe nyinshi, bitangirira ku muganga wawe akubaza ibimenyetso byawe n'amateka yawe y'ubuzima. Azashaka kumenya ibyago byose ushobora kuba ufite, nko kunywa inzoga cyangwa ibibazo by'umwijima mbere.

Muganga wawe azakora isuzuma ry'umubiri, akareba ibimenyetso nko kubyimbagira kw'umwijima, amazi mu nda, cyangwa umuhondo ku ruhu. Ashobora kandi kureba imitsi y'amaraso isa n'imiheha ku ruhu rwawe cyangwa impinduka mu misumari yawe.

Ibisuzumwa by'amaraso ni bwo buryo bukurikira. Ibi bishobora kugaragaza uko umwijima wawe ukora neza kandi bikareba ibimenyetso byo kubabara cyangwa kwangirika. Ibizamini bisanzwe birimo ibizamini by'imikorere y'umwijima, ibizamini byuzuye by'amaraso, n'ibizamini bya virusi za hepatitis.

Isuzuma ry'amashusho nka ultrasound, CT scan, cyangwa MRI bishobora kugaragaza ubunini n'uburyo bw'umwijima wawe. Ibi bizamini bishobora kugaragaza igikomere, impinduka mu mikorere y'amaraso, cyangwa ingaruka nko kubyimbagira kw'amazi.

Rimwe na rimwe, muganga wawe ashobora kugusaba biopsy y'umwijima. Ibi bisobanura gufata igice gito cy'imisemburo y'umwijima kugira ngo isuzumwe muri microscope. Ariko, ibizamini bishya bidakoresha igikomere birakoreshwa cyane aho gukoresha biopsy.

Ubuvuzi bwa Cirrhosis ni buhe?

Ubuvuzi bwa cirrhosis bugamije kugabanya kwangirika kw'umwijima no gucunga ingaruka. Nubwo igikomere ubwayo kidashobora gukira, kuvura hakiri kare bishobora gufasha kubungabunga imikorere y'umwijima wawe usigaye.

Intambwe ya mbere ni uguhangana n'intandaro y'uburwayi bwawe bwa cirrhosis. Niba inzoga ari yo ntandaro, guhagarika kunywa inzoga ni ingenzi. Kuri hepatitis iterwa na virusi, imiti yo kurwanya virusi ishobora gufasha kugabanya kubabara kw'umwijima no gukumira kwangirika kurushaho.

Muganga wawe ashobora kugutera imiti yo gucunga ingaruka zimwe na zimwe. Urugero, diuretics ishobora gufasha kugabanya kubyimbagira kw'amazi, mu gihe beta-blockers ishobora gukoreshwa kugira ngo igabanye umuvuduko w'amaraso mu mitsi y'amaraso y'umwijima.

Guhindura imirire akenshi bigira uruhare mu buvuzi. Ushobora kuba ukeneye kugabanya umunyu kugira ngo ugabanye kubyimbagira kw'amazi, kurya proteine ​​ikwiye kugira ngo ubungabunge imitsi yawe, no gufata vitamine niba umwijima wawe udashobora gutunganya intungamubiri neza.

Mu bihe bikomeye, kubaga umwijima bishobora kugenzurwa. Iyi ni opératio nini, ariko ishobora gukiza ubuzima bw'abantu bafite indwara ikomeye y'umwijima. Ikipe yawe y'abaganga izagenzura neza niba uri umukandida wo kubagwa.

Gukurikirana buri gihe ni ingenzi uko ubuvuzi bwawe bwose bumeze. Muganga wawe azashaka kukubona kenshi kugira ngo arebe imikorere y'umwijima wawe kandi arebe ingaruka.

Uko wakwitaho mu rugo mugihe ufite Cirrhosis

Gucaga Cirrhosis mu rugo bisobanura guhindura imibereho ifasha ubuzima bw'umwijima wawe n'imibereho yawe muri rusange. Izi mpinduka zishobora gufasha kugabanya iterambere ry'uburwayi no kunoza imibereho yawe.

Icya mbere kandi cy'ingenzi, kwirinda inzoga rwose niba ari yo yateye cirrhosis yawe. Nubwo ingano nke zishobora gutera kwangirika kurushaho kw'umwijima. Niba ukeneye ubufasha bwo guhagarika kunywa inzoga, ntutinye kubwira umuganga wawe ku bijyanye na gahunda zo gufasha.

Witondere imirire yawe urya ibiryo bisanzwe, bifite proteine ​​ikwiye. Gabanya umunyu kugira ngo ugabanye kubyimbagira kw'amazi. Muganga wawe cyangwa umuhanga mu mirire ashobora kugufasha gukora gahunda y'ibiryo ihuye n'ibyo ukeneye.

Fata imiti yose yatanzwe nk'uko byategetswe, kandi wirinda imiti yo mu maduka atari ay'abaganga keretse iyo yemewe na muganga wawe. Imiti imwe isanzwe, harimo acetaminophen, ishobora kwangiza umwijima wawe mu bihe byinshi.

Kora isuzuma ry'ibimenyetso by'ingaruka nko kubyimbagira kw'inda, gucika intege, cyangwa kuva amaraso bidasanzwe. Kora urutonde rw'ibimenyetso byawe kandi uzane mu buvuzi bwawe.

Komeza ukingirwa indwara, cyane cyane hepatitis A na B, kandi ufate urukingo rwa grippe buri mwaka. Système immunitaire yawe ishobora kudakora neza ufite cirrhosis, bituma kwandura bikomeye.

Uko wakwitegura ku bw'isura yawe kwa muganga

Kwitoza ku bw'isura yawe kwa muganga bishobora kugufasha kubona byinshi mu ruzinduko rwawe kandi bikabuza kwibagirwa amakuru y'ingenzi. Gutegura neza bifasha muganga wawe gutanga ubuvuzi bwiza.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n'uko byahindutse mu gihe runaka. Jya ugaragaza ibintu nko kunanirwa, guhindura ubushake bwo kurya, cyangwa ububabare ubona.

Kora urutonde rwuzuye rw'imiti yose ufata, harimo imiti yatanzwe n'abaganga, imiti yo mu maduka atari ay'abaganga, vitamine, n'ibindi byongerwamo. Zana icupa nyirizina niba bishoboka, kuko ibi bifasha kwirinda kwibeshya ku bijyanye n'umwanya.

Tegura urutonde rw'ibibazo ushaka kubabaza muganga wawe. Ntukabe umunyamahane kubera kubabaza ibibazo byinshi - birakwiye kubabaza kuruta kuguma uhangayitse cyangwa udasobanukiwe.

Zana umuntu wo mu muryango cyangwa inshuti niba bishoboka, cyane cyane niba umaze kugira ibibazo byo gucika intege cyangwa ibibazo byo kwibuka. Bashobora kugufasha kwibuka ibyo muganga avuze kandi bagatanga ubufasha.

Tegura amakuru y'ubwishingizi bwawe n'andi makuru y'ubuzima bwawe. Niba umaze gukora ibizamini cyangwa ubuvuzi bw'ubundi buryo, zana kopi y'ibyavuye cyangwa menya neza ko muganga wawe abibona.

Icy'ingenzi cyo kumenya kuri Cirrhosis

Cirrhosis ni indwara ikomeye, ariko hakoreshejwe ubuvuzi bukwiye no guhindura imibereho, abantu benshi barashobora kuyicunga neza kandi bagumana imibereho myiza. Ikintu cy'ingenzi ni kuvumbura hakiri kare no kuvura buri gihe.

Wibuke ko cirrhosis itera buhoro buhoro mu gihe runaka, bisobanura ko ufite amahirwe yo kugabanya iterambere ryayo. Gukorana n'abaganga bawe, gukurikiza amabwiriza yo kuvura, no gufata ingamba zo kwita ku buzima bishobora gutanga impinduka ikomeye.

Nubwo igikomere mu mwijima wawe kidashobora gukira, kurinda imisemburo y'umwijima usigaye igira ubuzima bwiza bishoboka. Impinduka nziza ukoze - yaba guhagarika kunywa inzoga, kurya neza, cyangwa gufata imiti nk'uko byategetswe - bifasha kubungabunga imikorere y'umwijima wawe.

Ntucikwe n'icyizere niba umaze kuvurwa cirrhosis. Ubuvuzi bukomeza gutera imbere, kandi abantu benshi bafite iyi ndwara babaho imibereho yuzuye kandi ifite icyerekezo. Fata icyo ushobora kugenzura kandi wizeye ikipe yawe y'abaganga kugira ngo ikugezeho kandi igufashe.

Ibibazo Bisanzwe Bibazwa kuri Cirrhosis

Cirrhosis ishobora gukira?

Nubwo igikomere cya cirrhosis kidashobora gukira, iyi ndwara ishobora gucungwa neza kugira ngo ikumirwe kwangirika kurushaho. Mu bihe bimwe, kuvura intandaro bishobora gufasha umwijima wawe gukira no gukora neza. Kuri cirrhosis ikomeye, kubaga umwijima bishobora gukiza.

Umuntu ashobora kubaho igihe kingana iki afite cirrhosis?

Igihe cyo kubaho ufite cirrhosis gitandukana cyane bitewe n'icyiciro cy'uburwayi, intandaro, n'uko ugaragara neza mu buvuzi. Abantu benshi bafite cirrhosis yo mu ntangiriro babaho igihe kirekire bafite ubuvuzi bukwiye. Muganga wawe ashobora kuguha amakuru arambuye ashingiye ku mimerere yawe.

Cirrhosis itewe n'inzoga buri gihe?

Oya, nubwo inzoga ari yo ntandaro isanzwe ya cirrhosis, hari izindi ntandaro nyinshi harimo hepatitis iterwa na virusi, indwara y'umwijima uterwa n'amavuta, indwara ziterwa na système immunitaire, n'indwara ziterwa na gène. Mu by'ukuri, intandaro zidafite aho zihuriye n'inzoga za cirrhosis zikomeje kwiyongera.

Urashobora kunywa inzoga niba ufite cirrhosis?

Abaganga benshi bagira inama yo kwirinda inzoga rwose niba ufite cirrhosis, uko byaba bimeze kose. Nubwo ingano nke z'inzoga zishobora gutera kwangirika kurushaho kw'umwijima no kubihaza uburwayi bwawe. Niba uhanganye no kunywa inzoga, saba umuganga wawe ku bijyanye n'ubufasha.

Ni ibihe biryo ukwiye kwirinda ufite cirrhosis?

Muri rusange, ukwiye kugabanya umunyu kugira ngo ugabanye kubyimbagira kw'amazi, kwirinda ibiryo bidafashwe neza kugira ngo wirinde kwandura, kandi ube maso ku biryo bikungahaye kuri fer kugeza ufite fer nyinshi. Muganga wawe cyangwa umuhanga mu mirire ashobora kuguha amabwiriza yihariye yo kurya ashingiye ku byo ukeneye n'ingaruka.