Umphukane we-liver uyisifo esinzima esingabonakala ngezindlela ezahlukene, enye yazo ukuba khona kwamabala abomvu oluswini. La mabala abomvu angabonisa izinkinga ze-liver, ngakho kubalulekile ukunaka noma yikuphi ukushintsha kwesikhumba sakho. Uma i-liver ingasebenzi kahle ngenxa yomdlavuza noma ezinye izinkinga ze-liver, ingathinta impilo yesikhumba.
Ekuqaleni, la mabala abomvu angaba mancane futhi angaba ngamasayizi namachasha ahlukene. Angaba yisibonakaliso sesifo se-liver futhi angenzeka ngenxa yokwanda kokucindezeleka kwezithombo zegazi noma ezinye izinkinga ezihlobene. Kubalulekile ukukhumbula ukuthi ngenkathi la mabala angaxhunyaniswa nomdlavuza we-liver, angabangelwa namazinga amaningi ezimo zesikhumba.
Ukubona lawo maqondana ngokushesha kubaluleke kakhulu. Uma uqaphela noma yikuphi ukushintsha okungavamile oluswini lwakho, kuyinto enhle ukubona udokotela ukuze ahlole. Ukufumana izinkinga ngokushesha kungenza umehluko omkhulu ekwelapheni. Ukuqonda ukuthi izimpawu zesikhumba zihlangene kanjani nempilo ye-liver kungakusiza uthathe izinyathelo zokunakekela impilo yakho yonke. Ukwenza lokhu kungasiza ekutholakaleni kwesifo ngokushesha, okungathuthukisa izinketho zakho zokwelapha nemiphumela.
Umdlavuza we-liver ungabonisa izimpawu ezahlukene, kufaka phakathi amabala abomvu oluswini. La mabala, avame ukuxhunyaniswa nokusebenza okungalungile kwe-liver, aziwa ngokomtholampilo ngokuthi yi-petechiae noma i-spider angiomas. Nanka amaphuzu ayisisekelo:
I-liver idlala indima ebalulekile ekuhlanzweni komzimba nasekukhiqizeni amaprotheni adingekayo ekuhlanganiseni igazi. Uma i-liver ilimale ngenxa yomdlavuza, ikhono layo lokulawula ukugeleza kwegazi nokuhlanganisa igazi liyancipha, okuholela emabaleni abomvu abonakalayo.
I-spider angiomas yizigxobo ezincane, ezifana newebhu zezithombo zegazi ezingabonakala ngenxa yezinga eliphezulu le-estrogen elixhunyaniswe nokulimala kwe-liver. Yisibonakaliso esivamile sesifo se-liver esithuthukile noma umdlavuza we-liver.
Njengoba umdlavuza we-liver uqhubeka, izinto zokuhlanganisa igazi zinganciphisa, okuholela ekubulaleni okulula noma i-petechiae—amachapha amabomvu amancane abangelwa ukopha ngaphansi kwesikhumba.
Amabala abomvu angahamba nezinye izimpawu zokusebenza okungalungile kwe-liver, njengokumtholampilo, ukukhula kwesisu, nokuqeda amandla. Lezi zimpawu zihlangene zibonisa ukuhileleka okukhulu kwe-liver.
Amabala abomvu oluswini angaba nezimbangela ezahlukene, okwenza kube kubalulekile ukuhlukanisa lawo axhunyaniswe nomdlavuza we-liver kwezinye izimo. Nanka amaphuzu ayisisekelo okumele uwacabangele:
Amabala abomvu axhunyaniswe nomdlavuza we-liver, njenge-spider angiomas noma i-petechiae, avame ukuba nezici ezihlukile. I-spider angiomas ifana nechapha elibomvu elikhulu elinazithombo zegazi ezisakazekayo, kuyilapho i-petechiae ingamachapha amancane, abomvu abalaliswe phansi abangelwa ukopha ngaphansi kwesikhumba.
Ukuphepha: Ngokuvamile kuhambisana nokuthamba, ukukhula, noma izakhiwo zesikhumba.
Ukutheleleka: Izimo ezifana ne-chickenpox noma i-measles zivame ukubonakala ngamabala aphakamile noma aphezulu, hhayi amabala abomvu alaliswe phansi.
I-Eczema noma i-Psoriasis: Lezi zibangela amabala abomvu, ane-scale, noma athambile kunokuba amabala amancane.
Amabala abomvu axhunyaniswe nomdlavuza we-liver avame ukubonakala kanye nezimpawu zesimiso njengokumtholampilo, ukukhula kwesisu, nokuqeda amandla. Ezinye izimo zesikhumba zingase zingabi nalezi zimpawu zesimiso.
Amabala abomvu ahlala njalo noma angachaziwe, ikakhulukazi ngezimpawu zokusebenza okungalungile kwe-liver, adinga ukunakekelwa kwezokwelapha ngokushesha ukuze kuvinjwe izinkinga ezihlobene ne-liver noma ezinye izimo ezinkulu.
Amabala abomvu oluswini abangelwa umdlavuza we-liver yisibonakaliso sokusebenza okungalungile kwe-liver. Ukuxilongwa okulungile nokwelashwa kubalulekile ekulawuleni lesi simo.
Umbhalo Wezokwelapha Nokuhlolwa Komzimba: Ukuhlolwa okuphelele kwezimpawu, kufaka phakathi amabala abomvu, ukumtholampilo, ukuqeda amandla, nezinye izimpawu ezihlobene ne-liver.
Izivivinyo Zegazi: Izivivinyo zokusebenza kwe-liver ukuhlola amazinga e-enzyme, i-bilirubin, nezinto zokuhlanganisa igazi ezingabonisa ukulimala kwe-liver.
Izifundo Zokuthola Izithombe: I-ultrasound, i-CT scans, noma i-MRI zingasiza ekuboneni iziphunga nokuhlola ukulimala kwe-liver.
I-Biopsy: I-biopsy ye-liver ingase yenziwe ukuqinisekisa ukuxilongwa komdlavuza.
Ukubhekana Nomdlavuza We-Liver: Ukwelashwa kuncike esigabeni somdlavuza futhi kungafaka phakathi ukuhlinzwa, i-chemotherapy, i-radiation, i-targeted therapy, noma i-immunotherapy.
Ukulawula Izimpawu: Ukulawula amabala abomvu kuhilela ukuthuthukisa ukusebenza kwe-liver, njengokulawula ukuthambeka kokopha ngemithi noma izongezo zokusekela ukuhlanganisa igazi.
Ukushintsha Kwendlela Yokuphila: Ukudla okunempilo, ukugwema utshwala, nokulandelela njalo kwezokwelapha kusiza ekulawuleni impilo ye-liver.
Ukulandelela njalo ngabahlinzeki bezempilo kubalulekile ekuqondeni ukuqhubeka kwesifo se-liver nokulinganisa ukusebenza kahle kokwelapha.
Amabala abomvu oluswini ahlobene nomdlavuza we-liver abangelwa ukusebenza okungalungile kwe-liver. Ukuxilongwa kuhilela ukuxubana komlando wezokwelapha, ukuhlolwa komzimba, izivivinyo zegazi, izithombe (i-ultrasound, i-CT, noma i-MRI), futhi mhlawumbe i-biopsy ukuqinisekisa ukuba khona komdlavuza.
Ukuphatha kugxile ekubhekaneni nomdlavuza ngokuhlinzwa, i-chemotherapy, i-radiation, i-targeted therapy, noma i-immunotherapy, kuyilapho futhi kulawula izimpawu ezifana namabala abomvu ngokuthuthukisa ukusebenza kwe-liver nokulawula ukopha. Ukushintsha kwendlela yokuphila, njengokudla okunempilo nokugwema utshwala, kubalulekile ekusekeleni impilo ye-liver. Ukulandelela njalo kuqinisekisa ukulawula okuphumelelayo nemiphumela engcono.
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.