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.
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
I-Sifuba Se-Liver Esingelona I-Alcoholic (NAFLD):
Ukuqoqwa kwamafutha, okungaxhunyaniswanga nokusetshenziswa kotshwala, kuvame ukuxhumene nobude, isifo sikashukela, kanye ne-cholesterol ephezulu.
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.
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. |
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.
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.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.