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Zithini izithombe zesikhumba esinomkhuhlane wesibindi esinamanoni?

Ngu Soumili Pandey
Ibuyekezwe yi Dr. Surya Vardhan
Ishicilelwe ku 2/8/2025

I-sifuba se-liver kwenzeka lapho amafutha amaningi eqoqa e-liver. Lesi simo sithinta abantu abaningi futhi sivame ukuxhumene nokuba ngumuntu onesisindo esingaphezulu, ukuba nesifo sikashukela, noma ukuphuza utshwala kakhulu. Nakuba abantu abaningi ababonisi noma yiziphi izimpawu, abanye bangabhekana nezinkinga ezingathi sína ezingabangela izimo ze-liver ezimbi kakhulu. Enye indawo evame ukungathathwa njengoba kubalulekile ukuthi i-sifuba se-liver singabonakala kanjani njengezinkinga zesikhumba, njengezifo.

Izifo zesikhumba ezihlobene nesifo se-liver zingaba yizimpawu ezibalulekile zezinkinga zempilo eziyimfihlo. Ukuhlangana phakathi kwe-liver nesikhumba kuyiqiniso; lapho i-liver ingasebenzi kahle, kungabangela izimpawu zesikhumba ezahlukene. Isibonelo, abantu abanezinkinga ze-liver bangase babone izifo ezingavamile esikhumbeni sabo, ngezinye izikhathi kubizwa ngokuthi “isifo se-liver.” Lezi zifo zingase zibukeke njengezinda ezipinki noma ezimnyama futhi zingaba ngobuningi obuhlukene.

Ukubona ukuthi izifo ze-liver zibukeka kanjani kubalulekile ekuzibambeni ngokushesha nangokuthola usizo. Izithombe zezifo ze-liver zingasiza abantu ekuqondeni kangcono lezi zimpawu. Kubalulekile kunoma ubani obona lezi zinguquko ukukhuluma nodokotela. Ukunakekela impilo ye-liver kungasiza ukuvimbela izinkinga futhi kungenza nesikhumba sibukeke kangcono, okuholela ekuthuthukiseni impilo yonke.

Ukuqonda I-Sifuba Se-Liver

I-sifuba se-liver kwenzeka lapho amafutha eqoqa e-liver, elimaza umsebenzi wayo ngokuhamba kwesikhathi. Ivamise ukuxhumene nezici zesitayela sokuphila nezimo ze-metabolic.

Izinhlobo Ze-Sifuba Se-Liver

  1. I-Sifuba Se-Liver Esingelona I-Alcoholic (NAFLD):
    Ukuqoqwa kwamafutha, okungaxhunyaniswanga nokusetshenziswa kotshwala, kuvame ukuxhumene nobude, isifo sikashukela, kanye ne-cholesterol ephezulu.

  2. I-Sifuba Se-Liver Esingelona I-Alcoholic (AFLD):
    Ukuqoqwa kwamafutha kubangelwa ukusetshenziswa kotshwala okukhulu, okulimaza amangqamuzana e-liver.

Izimbangela Nezici Zengozi

  • Izici Zesitayela Sokuphila: Ukudla okungalungile, ukungaphathi umzimba, nobude.

  • Izimo Ze-Metabolic: Isifo sikashukela, ukucindezeleka kwegazi, kanye nokumelana ne-insulin.

  • I-Genetics: Umlando womndeni wesifo se-liver wandisa ukutholakala.

Izimpawu Ze-Sifuba Se-Liver

  • Ngokuvamile ayinazimpawu ezinyathelweni zokuqala.

  • Ukukhathala, ubuthakathaka, noma ukungakhululeki ngasephezulu kwesisu.

  • Izinyathelo eziphambili zingabangela i-jaundice noma ukukhula kwe-liver.

Ukuxilongwa Nokuphathwa

  • Kuxilongwa ngokuhlolwa kwegazi, izithombe, noma i-biopsy.

  • Ukuphathwa kuhlanganisa ukulahlekelwa isisindo, ukuphatha umzimba, ukudla okunempilo, nokuphatha izimo ezingaphansi.

Ukubaluleka Kokubona Ngokushesha

I-sifuba se-liver ibuyisela ezinyathelweni zokuqala kodwa ingathuthuka ibe yi-cirrhosis noma i-liver failure uma ingaphathwa, okugcizelela ukubaluleka kokushintsha isitayela sokuphila kanye nokuhlola njalo.

Izinhlobo Ezivamile Zezifo Ezihlobene Nesifo Se-Liver

Uhlobo Lwesifo

Inkulumo

Imbangela

Izimpawu Ezihlobene

I-Pruritus

Ukukhahlela okukhulu, ngokuvamile kuhlanganisiwe, kubi kakhulu ebusuku.

Ukuqoqwa kwamafutha e-bile ngenxa yokungasebenzi kahle kwe-bile.

Isikhumba esomile, esicasukile; asikho isifo esibonakalayo.

I-Spider Angiomas

Izitsha zegazi ezincane, ezifana nezinambuzane ezibonakala phansi kwesikhumba, ngokuvamile esifubeni.

Ukungahlangani kahle kwama-hormone okubangelwa ukungasebenzi kahle kwe-liver.

Ngokuvamile kuhambisana nobomvu.

I-Jaundice Rash

Ukubomvu kwesikhumba ngezifo ezingezinhle noma ukucazuka.

Ukuqoqwa kwe-bilirubin okuvela emsebenzini omubi we-liver.

Amehlo nomzimba obomvu, umchamo omnyama, izinsalela ezimhlophe.

I-Petechiae ne-Purpura

Amachaphaza amancane abomvu noma aluhlaza okwesibhakabhaka ngenxa yokopha phansi kwesikhumba.

Ukunciphisa izinto ezihlanganisa igazi kanye nokuntuleka kwamapulethi.

Kungase kwenzeke ngokubeletha kalula.

I-Palmar Erythema

Ukubomvu kwamaplama, okufudumele.

Amazinga ama-hormone ashintshile ahlangene nesifo se-liver esiqhubekayo.

Ngokuvamile kuhlangene futhi akubuhlungu.

I-Xanthomas

Amafutha aphuzi, amafutha phansi kwesikhumba, ngokuvamile eduze kwamehlo noma ezinhlangothini.

Ukungahlangani kahle kwamafutha ngenxa yokungasebenzi kahle kwe-liver.

Kungase kuzwakale kuqinile futhi akubuhlungu.

Ukubona Izifo Ze-Liver: Izithombe Nencazelo

Izifo ezihlobene ne-liver zivame ukunikeza izinkomba ezibonakalayo mayelana nokusebenza okungalungile kwe-liver. Ukuqaphela lezi zinguquko zesikhumba kungasiza ekuxilongweni nasekuphathweni kwasekuqaleni.

1. I-Pruritus (Ukukhahlela Kwesikhumba)

  • Inkulumo: Ukukhahlela okukhulu okuhlanganisiwe noma okukhethekile, ngokuvamile ngaphandle kwesifo esibonakalayo.

  • Imbangela: Ukuqoqwa kwamafutha e-bile esikhumbeni ngenxa yokungasebenzi kahle kwe-bile.

  • Ukubonakala: Lokhu kungabangela ukubomvu noma ukukhahlela okuvamile.

2. I-Spider Angiomas

  • Inkulumo: Izitsha zegazi ezincane, ezifana nezinambuzane ezibonakala phansi kwesikhumba, ikakhulukazi esifubeni, entanyeni, noma ebusweni.

  • Imbangela: Ukungahlangani kahle kwama-hormone okubangelwa ukungasebenzi kahle kwe-liver.

  • Ukubonakala: Indawo ebomvu ephakathi nayo izitsha zegazi ezisakazekayo.

3. I-Petechiae ne-Purpura

  • Inkulumo: Amachaphaza amancane abomvu noma aluhlaza okwesibhakabhaka okuvela ekopha phansi kwesikhumba.

  • Imbangela: Ukunciphisa ikhono lokuhlanganisa igazi ngenxa yamanani aphansi emapulethi noma ukukhiqizwa kwezinto ezihlanganisa igazi.

  • Ukubonakala: Amachaphaza abukhali, angapheliyo angapheli ngokucindezela.

4. I-Palmar Erythema

  • Inkulumo: Ukubomvu kwamaplama, okufudumele futhi akubuhlungu.

  • Imbangela: Amazinga ama-hormone ashintshile ahlangene nesifo se-liver esiqhubekayo.

  • Ukubonakala: Ukubomvu okuhlangene kwamaplama womabili.

5. I-Xanthomas

  • Inkulumo: Amafutha aphuzi, amafutha phansi kwesikhumba, ngokuvamile eduze kwamehlo noma ezinhlangothini.

  • Imbangela: Ukuphazamiseka kokuguqulwa kwamafutha esifubeni se-liver.

  • Ukubonakala: Ama-bumps aqinile, angabuhlungu, aphuzi.

Isifinyeto

Izifo ezihlobene ne-liver zivame ukuba yizinkomba zokusebenza okungalungile kwe-liver. I-Pruritus ibonakala njengokukhahlela okukhulu ngenxa yokuqoqwa kwamafutha e-bile, kuyilapho i-spider angiomas ibonakala njengezitsha zegazi ezincane, ezifana nezinambuzane ezibangelwa ukungahlangani kahle kwama-hormone. I-Petechiae ne-purpura yizinda ezincane ezipinki noma ezihlaza okwesibhakabhaka ezivela ekunciphiseni ikhono lokuhlanganisa igazi, futhi i-palmar erythema ibonisa ukubomvu okuhlangene kwamaplama ngenxa yenguquko yama-hormone. I-Xanthomas, amafutha aphuzi aqoqayo eduze kwamehlo noma ezinhlangothini, axhunyaniswe nokuphazamiseka kokuguqulwa kwamafutha.

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