Zithini izithombe zezimpumputhe ze-cirrhosis?

I-Cirrhosis yisimo esinzima esithinta isibindi. Kwenzeka lapho inyama yebindi enempilo ithathelwa indawo kancane kancane yinyama ebuhlungu, okwenza kube nzima ukuba isibindi sisebenze kahle. Le simo ngokuvamile kwenzeka ngenxa yezifo zebhindi isikhathi eside, njenge-hepatitis, nezingqinamba ezivela ekuphuzweni kotshwala. Ezinye izizathu zingafaka isifo se-nonalcoholic fatty liver disease kanye ne-autoimmune disorders.

Izimpawu ze-cirrhosis zingase zihluke kakhulu. Abantu abaningi bangase bangaziboni izimpawu ekuqaleni. Njengoba isifo siqhubeka sibe sibi, izimpawu ezivamile zihlanganisa ukuzizwa ukhathele kakhulu, ukubomvu kwesikhumba namehlo (okubizwa ngokuthi yi-jaundice), nokuvuvukala esiswini. Lezi zimpawu zibonisa ukuthi isibindi siyalwela ukuhlunga izinto eziyingozi, ukwenza amaprotheni abalulekile, nokulawula ukugeleza kwegazi.

Esinye isibonakaliso esibalulekile kodwa esivame ukungazinaki se-cirrhosis yizinguquko zesikhumba. Abantu abane-cirrhosis bangase bathuthukise ukukhishwa okuhlukene nezingqinamba zesikhumba ngenxa yezinkinga zebhindi. Ngokwesibonelo, ukukhishwa okuhlotshaniswa ne-cirrhosis kungabangela ukukhahlela okukhulu, ngokuvamile ngoba ama-bile salts aqongelela egazini. Ezinye izingozi zesikhumba, njenge-spider veins nezinhlangothi ezibomvu, zingabonisa futhi inkinga yebhindi. Ukubaqaphela lezi zimpawu zesikhumba kubalulekile ekuxilongweni nasekwelapheni kwasekuqaleni.

Iyini i-Cirrhosis Rash?

I-Cirrhosis rash ibhekisela ezingozini noma ekuhlukaniseni kwesikhumba okwenzeka kubantu abane-cirrhosis, isifo esingapheli se-liver esiphawulwa ukubopha okukhulu kwenyama yebindi. Lezi zikhumba zivame ukuhlotshaniswa nokusebenza okungalungile kwesibindi nezingqinamba zesimiso.

Izimbangela ze-Cirrhosis Rash

1. Ukubopha kwama-Bile Salt: Ukukhishwa kwama-bile okungalungile kuholela ekuqongeleleni kwama-bile salts ngaphansi kwesikhumba, kubangela ukukhahlela nokukhishwa.

2. Ukuhlanzwa okuncishisiwe: Ukungakwazi kwesibindi ukuhlunga izinto eziyingozi kungabangela ukuvuvukala kwesikhumba nokushintsha kombala.

3. Ukugoba kwegazi okungalungile: Ukunciphisa ukukhiqizwa kwe-clotting factor kungabangela ukulunywa kalula namabala afana nokukhishwa (petechiae).

Izinhlobo ze-Cirrhosis Rashes

1. I-Pruritus (Isikumba esikhahlelayo): Ukukhahlela okukhulu ngenxa yokuqongelela kwama-bile salt kuyinto evamile.

2. I-Spider Angiomas: imithambo yegazi emincane efana nezinambuzane ebonakala esikhumbeni, ngokuvamile esifubeni noma ebusweni.

3. I-Jaundice-Associated Rash: Ukubomvu kwesikhumba ngamabala akhishwa ngenxa yokuqongelela kwe-bilirubin.

Izinhlobo ze-Cirrhosis Rash

I-Cirrhosis ingabangela ukubonakala okuhlukahlukene kwesikhumba ngenxa yokusebenza okungalungile kwesibindi nezingqinamba zesimiso. Ngezansi zizinhlobo ezivamile zokukhishwa nokuhlukahluka kwesikhumba okuhlotshaniswa ne-cirrhosis:

• I-Pruritus (isikhumba esikhahlelayo):
  Ibangelwa ukuqongelela kwama-bile salt ngaphansi kwesikhumba, okuholela ekukhahleleni okukhulu. Ngokuvamile kuyabanjwa kodwa kungase kube sibi kakhulu ezandleni, ezinyaweni, noma emuva.

• I-Spider Angiomas:
  Imithambo yegazi emincane, efana nezinambuzane ibonakala ngaphansi nje komphetho wesikhumba. Lezi zibonakala ngokuvamile esifubeni, entanyeni, nasebusweni futhi ziwumphumela wokungalungi kwehomoni okuhlotshaniswa nesifo se-liver.

• I-Jaundice-Associated Rash:
  Isikumba namehlo abomvu ngenxa yokuqongelela kwe-bilirubin, ngokuvamile kuhambisana namabala akhishwa, avuvukayo.

• I-Petechiae ne-Purpura:
  Amabala amancane abomvu noma aluhlaza abangelwa ukopha ngaphansi kwesikhumba ngenxa yokunciphisa izinto zokugoba nama-platelet angalungile.

• I-Palmar Erythema:
  Ukubomvu kwezinhlangothi kuvame ukuhlotshaniswa nokuhlukahluka kwehomoni nokusebenza okungalungile kwesibindi.

• I-Xanthomas:
  Ukuqongelela kwamafutha ngaphansi kwesikhumba, ngokuvamile kubonakala njengeziqongo eziluhlaza, kubangelwa ukuguqulwa kokuguqulwa kwamafutha kubantu abane-cirrhosis.

Ukuxilonga i-Cirrhosis Ngokuya Ngokuphawula Kwesikhumba

Isifinyeto

Izimpawu zesikhumba yizibonakaliso ezibalulekile ze-cirrhosis nokuqhubeka kwayo. Izimpawu ezivamile zihlanganisa i-pruritus (ukukhahlela okukhulu okuvela ekuqongeleleni kwama-bile salt), i-spider angiomas (imithambo yegazi efana nezinambuzane evela ekuhlukaniseni kwehomoni), i-jaundice (ukubomvu kwesikhumba namehlo ngenxa yokuqongelela kwe-bilirubin), ne-petechiae noma i-purpura (amabala amancane abomvu noma aluhlaza abangelwa ukopha ngaphansi kwesikhumba). Ezinye izimpawu ezibalulekile zihlanganisa i-palmar erythema (izinhlangothi ezibomvu ezihlotshaniswa nokuhlukahluka kwehomoni) ne-xanthomas (ukuqongelela kwamafutha aluhlaza okubangelwa ukuguqulwa kokuguqulwa kwamafutha).

Lezi zibonakaliso zesikhumba, kanye nokulingwa kwezokwelapha nokulingwa kwelebhu, zingasiza ekuxilongeni i-cirrhosis nokulandelela ubukhulu bayo. Ukubona kwasekuqaleni kubalulekile ekuphatheni okuphumelelayo.

Imibuzo Evamile

1. Yini ebangela i-cirrhosis rash?
   Ukuqongelela kwama-bile salt, ukuhlukahluka kwehomoni, nokusebenza okuncishisiwe kwesibindi yizimbangela ezivamile.

2. Ingabe ukukhahlela kuyisibonakaliso se-cirrhosis?
   Yebo, ukukhahlela okukhulu (i-pruritus) kuvame ukwenzeka ngenxa yokuqongelela kwama-bile salt ngaphansi kwesikhumba.

3. Yini eboniswa yi-spider angiomas?
   I-Spider angiomas isikisela ukungalungi kwehomoni okuhlotshaniswa nokusebenza okungalungile kwesibindi.

4. Ingabe izimpawu zesikhumba zingaba yisibonakaliso sokuqala se-cirrhosis?
   Yebo, izimpawu ezifana ne-jaundice, izinhlangothi ezibomvu, noma ukukhahlela zingase zivele ekuqaleni kwesifo se-liver.

5. Kufanele ngibone udokotela nge-cirrhosis rash?
   Yebo, xhumana nodokotela nganoma yikuphi ukuhlukahluka kwesikhumba, ikakhulukazi uma kuhambisana nezinye izimpawu ezihlotshaniswa ne-liver.