Ukuhluleka Kwe-Liver Okuqhubekayo Yini? Izimpawu, Izimbangela, Nokwelashwa

Ukuhluleka kwe-liver okuqhubekayo kwenzeka lapho i-liver yakho iyeka ukusebenza kahle ngokuzumayo ezinsukwini noma emaviki ambalwa, kunokuba kancane kancane ngezinyanga noma iminyaka. Lokhu kuyisimangalo esibucayi sezempilo esidinga ukunakekelwa kwesibhedlela ngokushesha ngoba i-liver yakho yenza imisebenzi ebalulekile ezingamakhulu umzimba wakho oyidingayo ukuze uphile.

Ngokungafani nesifo se-liver esiqhubekayo esithuthuka kancane, ukuhluleka kwe-liver okuqhubekayo kwenzeka ngokushesha futhi kungaba yingozi yokuphila. Izindaba ezinhle ukuthi ngokwelashwa kwesikhathi esifanele kwezokwelapha, abantu abaningi bangaphila ngokuphelele, futhi i-liver yakho inamandla okuziphilisa ngokumangalisayo uma inikezwa ukwesekwa okufanele.

Ziyini izimpawu zokuhluleka kwe-liver okuqhubekayo?

Izimpawu zokuhluleka kwe-liver okuqhubekayo zingathuthuka ngokushesha futhi zingabonakala zicindezela ekuqaleni. Umzimba wakho uzokunikeza izibonakaliso ezicacile zokuthi kukhona okuthile okubi okwenzekayo, futhi ukuqaphela lezi zibonakaliso ngokushesha kungenza umehluko omkhulu ekuphileni kwakho.

Izimpawu ezivamile ongazibona zihlanganisa:

• Ukufiphaza kwesikhumba sakho nezinye zeziso zakho (jaundice)
• Ukuphefumula okukhulu nokugabha okungaphuli
• Ubuhlungu noma ukuhlunguluza ngakwesokudla phezulu kwesisu
• Ukukhathala okungavamile nobuthakathaka obukhulu ngokushesha
• Ukulahlekelwa ukudla nokubukeka ungaphili kahle
• Umshini omnyama wesisu obukhangeka njengotshwala noma i-cola
• Umshini olukhanyayo noma olukhanyayo olukhanyayo

Njengoba isimo siqhubeka, ungase uhlangabezane nezimpawu ezinkulu. Lokhu kuhlanganisa ukudideka noma ukukhuluphala kokucinga ngokucacile, okwenzeka ngoba izinto eziyingozi ezihlanzwa yi-liver yakho ziqala ukuqoqwa egazini lakho. Ungase futhi uqaphele ukukhuluphala esiswini noma ezinyaweni njengoba amanzi eqala ukuqoqwa.

Ezimweni ezinkulu, abanye abantu bathuthukisa izinkinga zokopha ngoba i-liver yenza amaprotheni adingekayo ekwenzeni igazi. Lokhu kungabonakala njengokuphefumula kalula, ukopha ekhathini, noma ukopha emazinyweni. Lezi zimpawu zidinga ukunakekelwa kwesikhathi esifanele kwezokwelapha futhi akufanele zidedelwe.

Yini ebangela ukuhluleka kwe-liver okuqhubekayo?

Ukuhluleka kwe-liver okuqhubekayo kungenzeka ngezizathu eziningi ezahlukene, nokuqonda imbangela kusiza odokotela ukuba banikeze ukwelashwa okuphumelelayo. Imbangela evamile ukuthatha i-acetaminophen eningi (etholakala ku-Tylenol nakwezinye izidakamizwa eziningi), okungadala ukungasebenzi kahle kwe-liver yakho ukuyisebenzisa ngokuphepha.

Ukutheleleka kwe-viral kuwumqembu omkhulu wezizathu. I-Hepatitis A, B, ne-E ngezinye izikhathi zingabangela ukuhluleka kwe-liver okuqhubekayo, ikakhulukazi kubantu abangazange bavetwe. Ngokungavamile, ama-virus afana ne-Epstein-Barr virus noma i-cytomegalovirus angathinta futhi umsebenzi we-liver. Lezi zifo ngokuvamile zibangela izimpawu ezihamba kancane, kodwa ngezinye izikhathi zingabangela ukonakala kwe-liver ngokushesha.

Ezinye izimbangela eziningi zingabangela ukuhluleka kwe-liver okuqhubekayo:

• Imithi yokwelapha njenge-antibiotics ethile, imithi yokuthambisa, noma imithi ye-tuberculosis
• Izithasiselo zezimila, ikakhulukazi eziqukethe i-kava, i-comfrey, noma i-skullcap
• Ukuphuza izinambuzane ezivela ekudleni izinambuzane zasendle njenge-Amanita phalloides
• Isimo sokuzimela komzimba lapho i-immune system yakho ihlasela i-liver yakho
• I-Wilson's disease, isimo esingavamile se-genetic esibangela ukuqoqwa kwethusi
• Izinkinga ze-liver ezihlobene nokukhulelwa, nakuba lokhu kungavamile

Ngezinye izikhathi odokotela abakwazi ukubona imbangela ethile, okuthiwa ukuhluleka kwe-liver okuqhubekayo okungachazeki. Lokhu kungase kubonakale kuyadumaza, kodwa ukwelashwa kugxila ekusekeleni i-liver yakho ngenkathi iphila, kungakhathaliseki imbangela eyingqayizivele. Iqembu lakho lezokwelapha lizosebenza ukuqeda izimbangela ezilawuleka futhi linikeze ukunakekelwa okuhle kakhulu okusekelayo okungenzeka.

Nini okumele ubona udokotela ngokuhluleka kwe-liver okuqhubekayo?

Kufanele ufuna ukunakekelwa kwesikhathi esifanele kwezokwelapha uma uthuthukisa ukufiphaza kwesikhumba sakho noma amehlo, ikakhulukazi uma kuhlanganiswa nezinye izimpawu njengokuphefumula okukhulu, ubuhlungu besisu, noma ukudideka. Lezi zibonakaliso zikhomba ukuthi i-liver yakho ayisebenzi kahle futhi idinga ukuhlolwa okusheshayo.

Shaya u-911 noma uye ekamelweni ephuthumayo ngokushesha uma uhlangabezana nokudideka, ukukhuluphala kokucinga ngokucacile, noma noma yikuphi ukuguquka esimweni sakho sengqondo. Lezi zimpawu zingabonisa ukuthi izinto eziyingozi ziyaqoqwa egazini lakho ngoba i-liver yakho ayikwazi ukuzihlanza ngokuphumelelayo. Isikhathi sibalulekile kulezi zimo.

Kufanele futhi ufuna ukunakekelwa okuphaphandabayo uma unebuhlungu besisu obukhulu, ukugabha okuqhubekayo okukuvimbela ekuqondeni amanzi, noma izibonakaliso zokopha njengokuphefumula okungavamile noma igazi esiswini sakho noma emathunjini. Ungalindi ukubona uma izimpawu ziphulukana zodwa, njengoba ukuhluleka kwe-liver okuqhubekayo kungaba kubi ngokushesha ngaphandle kokwelashwa.

Ziyini izici ezingozi zokuhluleka kwe-liver okuqhubekayo?

Izici eziningi zingandisa amathuba akho okuthuthukisa ukuhluleka kwe-liver okuqhubekayo, nakuba kubalulekile ukukhumbula ukuthi ukuba nezici ezingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile leli simo. Ukuqonda lezi zici kungakusiza ukwenza izinqumo ezinolwazi mayelana nempilo yakho futhi uxoxe ngezinkathazo nodokotela wakho.

Izingozi ezihlobene nemithi ziyizici ezilawuleka kakhulu. Ukuthatha i-acetaminophen eningi kunconywayo, ngisho nangengozi, kukhuphula kakhulu ingozi yakho. Lokhu kungenzeka uma uthatha imithi eminingi ehlanganisa i-acetaminophen ngaphandle kokukwazi, noma uma uthatha ama-doses engeziwe ngesikhathi sesifo ngaphandle kokuhlola ilebula ngokucophelela.

Ezinye izici ezingozi zihlanganisa:

• Ukuba ne-hepatitis B eqhubekayo ngaphandle kokulawulwa nokwelashwa okufanele
• Ukuthatha imithi ethile yokwelapha engathinta umsebenzi we-liver
• Ukusebenzisa izithasiselo zezimila noma izindlela ezihlukile zokwelapha ngaphandle kokulawulwa kwezokwelapha
• Ukuba nezimo zokuzimela komzimba ezingathinta i-liver yakho
• Ukudalulwa ezintweni ezithile eziyingozi noma amakhemikhali endaweni yakho
• Ukuba nezimo ze-genetic njenge-Wilson's disease (nakuba lokhu kungavamile)
• Ukukhulelwa, okungabangela izinkinga ze-liver ezikhethekile ngokukhulelwa (nakuba lokhu kungavamile)

Ubudala bungase futhi bube nomthelela, ngabantwana abancinyane kakhulu nabantu abadala ngezinye izikhathi abathinteka kakhulu ekonakaleni kwe-liver ekuhlobene nemithi. Noma kunjalo, ukuhluleka kwe-liver okuqhubekayo kungathinta abantu banoma yiliphi iminyaka, ngakho kubalulekile kubantu bonke ukuba baqaphele izimpawu nezici ezingozi.

Ziyini izinhlanganisela ezingase zenzeke zokuhluleka kwe-liver okuqhubekayo?

Ukuhluleka kwe-liver okuqhubekayo kungabangela izinhlanganisela eziningi ezinkulu ngoba i-liver yakho yenza imisebenzi eminingi ebalulekile. Ukuqonda lezi zinto ezingase zenzeke kungakusiza uqonde ukuthi kungani ukwelashwa kwesikhathi esifanele kwezokwelapha kubaluleke kangaka, nakuba kukhumbule ukuthi ngokunakekelwa okufanele, izinhlanganisela eziningi zingavikeleka noma ziphathwe kahle.

Izinhlanganisela ezihlobene nobuchopho ziyizinto ezinkulu kakhulu ezibangel' ukukhathazeka. Uma i-liver yakho ingakwazi ukuhlanza izinto eziyingozi egazini lakho, lezi zinto zingathinta umsebenzi wobuchopho bakho, zibangele ukudideka, ukudideka, noma ngisho nokoma. Leli simo, okuthiwa i-hepatic encephalopathy, yingakho odokotela belandelela iziguli ezinokuhluleka kwe-liver okuqhubekayo eduze kakhulu esibhedlela.

Ezinye izinhlanganisela ezingase zithuthuke zihlanganisa:

• Izinkinga zokopha ngoba i-liver yakho yenza amaprotheni adingekayo ekwenzeni igazi
• Ukuqoqwa kwamanzi esiswini (ascites) noma ukukhuluphala kobuchopho
• Ukuhluleka kwesibindi, okungenzeka lapho umsebenzi we-liver uthinteka kakhulu
• Ukutheleleka, njengoba i-immune system yakho ingase ingasebenzi kahle
• Amazinga e-shuga egazini aphansi adinga ukulandelelwa ngokucophelela
• Ukuphefumula okunzima uma amanzi eqoqwa eduze kwamaphaphu akho

Nakuba lo luhlu lungase lubonakale luyacindezela, kubalulekile ukwazi ukuthi amaqembu ezokwelapha alungele kahle ukulandelela nokuphatha lezi zinhlobo zezinkinga. Iyunithi yokunakekelwa okuphakathi inezinto ezikhethekile kanye nobuchwepheshe bokuthuthukisa yonke imisebenzi yomzimba wakho ngenkathi i-liver yakho iphila noma ngenkathi ulinde ezinye izindlela zokwelapha njengokutshalwa kwe-liver.

Ukuhluleka kwe-liver okuqhubekayo kunohlulwa kanjani?

Ukuhluleka kwe-liver okuqhubekayo kuhlanganisa ukuhlolwa okuningi okusisiza odokotela baqonde ukuthi i-liver yakho isebenza kahle kangakanani nokuthi yini engase ibe yimbangela yale nkinga. Iqembu lakho lezokwelapha lizoqala ngokuhlolwa komzimba kanye nomlando wezokwelapha oqondile ukuqonda izimpawu zakho nanoma yimiphi imithi yakamuva noma ukudalulwa.

Ukuhlolwa kwegazi kuyizinto ezibaluleke kakhulu zokuxilonga. Lokhu kuyilinganisa ama-enzymes e-liver, aqothuka egazini lakho lapho amaseli e-liver elimazekile, futhi ahlola ukuthi i-liver yakho isebenza kahle kangakanani ekwenzeni amaprotheni adingekayo ekwenzeni igazi. Udokotela wakho uzohlola futhi amazinga akho e-bilirubin, abangela ukufiphaza kwesikhumba sakho namehlo uma eqoqwa.

Ukuhlolwa okuqhubekayo udokotela wakho angakwenza kuhlanganisa:

• Ukuhlolwa ukuhlola i-hepatitis ye-viral nezinye izifo
• Ukuhlolwa kwe-toxicology ukubheka ukudlula ngaphezulu kwemithi noma ukuphuza
• Ama-markers e-autoimmune ukuhlola uma i-immune system yakho ihlasela i-liver yakho
• Ukuhlolwa kwe-genetic ngezimo ezihlukaniswe yi-genetic njenge-Wilson's disease
• Ukuhlolwa kwezithombe njengoba i-ultrasound noma i-CT scans ukubuka usakhiwo lwe-liver yakho
• Ngezinye izikhathi i-liver biopsy, nakuba lokhu kungavamile ezimweni eziqhubekayo

Odokotela bakho bazolandelela futhi isimo sengqondo sakho ngokucophelela, njengoba ukuguquka kokucinga noma ukudideka kungabonisa ukuthi umsebenzi we-liver wakho uthinteka kakhulu kangakanani. Wonke la ma-test asebenza ndawonye ukunika iqembu lakho lezokwelapha isithombe esiphelele sesimo sakho futhi iqonde izinqumo zokwelapha.

Ukuphathwa kokuhluleka kwe-liver okuqhubekayo kuyini?

Ukuphathwa kokuhluleka kwe-liver okuqhubekayo kugxila ekusekeleni umzimba wakho ngenkathi i-liver yakho iphila futhi ukwelapha noma yiziphi izimbangela ezingqayizivele. Abantu abaningi badinga ukungena esibhedlela, ngokuvamile kuyunithi yokunakekelwa okuphakathi, lapho amaqembu ezokwelapha angalandelela isimo sakho eduze futhi aphendule ngokushesha kunoma yikuphi ukuguquka.

Uma ukudlula ngaphezulu kwe-acetaminophen kubangele ukuhluleka kwe-liver yakho, odokotela bazokunika imithi ebizwa nge-N-acetylcysteine, engasiza ekuvikeleni i-liver yakho ekubeni lilimazeke nakakhulu. Lokhu ukwelashwa kusebenza kangcono uma kuqalwa ngokushesha, okuyisizathu esinye sokuthi kungani ukufuna ukunakekelwa kwesikhathi esifanele kwezokwelapha kubalulekile kangaka.

Ukusekelwa kwenza umgogodla wokwelashwa futhi kuhlanganisa:

• Ukulandelela nokusekela ukuphefumula kwakho uma kudingeka
• Ukulawula ibhalansi lamanzi ukuvimbela ukukhuluphala okubi
• Ukulawula amazinga e-shuga egazini, angaweka phansi kakhulu
• Ukuvimbela nokuphatha ukutheleleka nge-antibiotics uma kudingeka
• Ukulawula ukukhuluphala kobuchopho nokudideka ngemithi
• Ukusekela umsebenzi wesibindi uma uthinteka
• Ukwenza izinto zokwenza igazi uma ukopha kuba yinkinga

Ezimweni ezinkulu lapho i-liver ingase ikwazi ukuphulukana ngokwayo, ukutshalwa kwe-liver kungase kudingeke. Lokhu kuzwakala kuyacindezela, kodwa amaqembu okutshalwa alwazi kahle izimo eziphuthumayo futhi anganyakazela ngokushesha uma kudingeka. Abantu abaningi abamukela ukutshalwa kwe-liver ekuphuthumeni bayaqhubeka bephila impilo evamile, enempilo.

Iqembu lakho lezokwelapha lizoqeda futhi noma yimiphi imithi engase ibe nomthelela ekubeni i-liver ilimazeke futhi ligweme ukukunika imithi i-liver yakho eyayizoyisebenzisa ngokuvamile. Umgomo ukunika i-liver yakho ithuba elihle kakhulu lokuphulukana ngenkathi ugcina umzimba wakho usebenza ngokuphepha.

Ungazinakekela kanjani ngesikhathi sokuphulukana nokuhluleka kwe-liver okuqhubekayo?

Ukuphulukana nokuhluleka kwe-liver okuqhubekayo kuyinqubo ehamba kancane edinga isineke nokunakekelwa okucophelela kwezidingo zomzimba wakho. I-liver yakho inamandla okuziphilisa ngokumangalisayo, kodwa ungasekela le nqubo ngokulandela izincomo zeqembu lakho lezokwelapha eduze futhi wenze ukuguqulwa kwesitayela sempilo okukhuthaza ukuphulukana.

Ukuqeda utshwala ngokuphelele kubalulekile ngesikhathi sokuphulukana kwakho futhi kungase kudingeke kube okuphakade kuye ngokuthi yini ebangel' ukuhluleka kwe-liver yakho. U-Alcohol ubeka ukucindezeleka okwengeziwe kwi-liver yakho lapho izama ukuphulukana. Ngokufanayo, kuzodingeka uqaphele kakhulu ngemithi, kuhlanganise nemithi yokuthengwa ngaphandle kokubonisana nodokotela, uthathe kuphela lokho udokotela wakho akugunyazile.

Ukusekela ukuphulukana kwakho kuhlanganisa izinyathelo ezibalulekile eziningi:

• Ukudla ukudla okulinganiselayo okuneprotheni eyanele ukusiza i-liver yakho ukuba yakhe kabusha
• Ukuhlala unamanzi kodwa ulandela noma yikuphi ukulinganiselwa kwamanzi udokotela wakho akunikeza khona
• Ukuphumula ngokwanele, njengoba umzimba wakho usebenzisa amandla ukuphulukisa i-liver yakho
• Ukuthatha yonke imithi ebhaliwe ngokuqondile njengoba kuqondiswe
• Ukuya kuyo yonke imiqondiso yokulandelela ukulandelela
• Ukubuka noma yikuphi ukubuyela kwezimpawu nokubika ngokushesha

Isikhathi sokuphulukana sihluka kakhulu kuye ngokuthi yini ebangel' ukuhluleka kwe-liver yakho nokuthi kwakubi kangakanani. Abanye abantu bayaphulile phakathi kwamasonto, ngenkathi abanye bengase bathathe izinyanga ukuze babuyele emsebenzini ovamile. Udokotela wakho uzolandelela intuthuko yakho ngokuhlolwa kwegazi okuvamile futhi alungise uhlelo lwakho lokwelapha njengoba kudingeka.

Kuyinto evamile ukuzizwa ukhungathekile noma ukhathazekile ngesikhathi sokuphulukana. Cabanga ukujoyina amaqembu wokusekela noma ukukhuluma nomxhumanisi oqonda isifo se-liver. Abantu abaningi bayithola ilungele ukuxhumana nabanye abaye bahlangabezana namava afanayo.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungasiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphelele okungenzeka. Uma uhlangabezana nezimpawu ezingase zikhombe izinkinga ze-liver, ukuqoqa ulwazi olufanele ngaphambi kokusiza udokotela wakho ukwenza ukuxilonga okuqondile nohlelo lokwelapha.

Ngaphambi kwe-aphoyintimenti yakho, yenza uhlu oluqondile lwazo zonke imithi oyithathe muva nje, kuhlanganise nemithi yokwelapha, imithi yokuthengwa ngaphandle kokubonisana nodokotela, amavithamini, nezithasiselo zezimila. Faka ama-doses nokuthi uthathe isikhathi esingakanani ngalinye. Lolu lwazi lubalulekile ngoba izinkinga eziningi ze-liver zihilela imithi.

Letha ulwazi olubalulekile mayelana:

• Zonke izimpawu zakho, lapho zaqala khona, nokuthi ziguquke kanjani
• Noma yikuphi ukuhamba okwenziwe muva nje, ikakhulukazi ezindaweni lapho i-hepatitis ivamile khona
• Uma udle izinambuzane zasendle noma udalulwe amakhemikhali
• Umbhalo wakho wokusebenzisa utshwala
• Noma yimuphi umlando womndeni wesifo se-liver noma izimo ze-genetic
• Izifo noma ukutheleleka okwenzekile muva nje
• Ukuhlolwa kwegazi okwenziwe muva nje noma ukuhlolwa kwezokwelapha okuhlobene ne-liver yakho

Uma lokhu kuyisimo esiphuthumayo, gxila ekuyiseni esibhedlela ngokushesha kunokuqoqa ulwazi oluphelele. Odokotela bekamelo ephuthumayo bayeqeqeshwe ukusebenza ngolwazi olunqanyuliwe futhi bangabuza imininingwane uma usesisimo esiqinile. Into ebaluleke kakhulu ukufuna ukunakekelwa kwezokwelapha ngokushesha uma unezimpawu ezinkulu.

Iyini into ebaluleke kakhulu mayelana nokuhluleka kwe-liver okuqhubekayo?

Ukuhluleka kwe-liver okuqhubekayo kuyisimangalo esibucayi sezempilo, kodwa ngokuqaphela nokwelashwa kwesikhathi esifanele, abantu abaningi bangaphila ngokuphelele. I-liver yakho inamandla okuziphilisa ngokumangalisayo uma inikezwa ukusekelwa okufanele nokukhathalelwa kwezokwelapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi isikhathi sibalulekile. Uma uthuthukisa ukufiphaza kwesikhumba sakho noma amehlo, ukuphefumula okukhulu nokugabha, ukudideka, noma ubuhlungu besisu obukhulu, funa ukunakekelwa kwesikhathi esifanele kwezokwelapha ngokushesha. Ukwelashwa kwesikhathi esifanele kungenza umehluko phakathi kokubuyela ngokuphelele nezinhlanganisela ezinkulu.

Ukuvimbela futhi kunamandla. Qaphela ngokulinganiselwa kwe-acetaminophen, gwema ukuhlanganisa utshwala nemithi, futhi uhlale utshela odokotela bakho mayelana nazo zonke izithasiselo nemithi oyithathayo. Izimo eziningi zokuhluleka kwe-liver okuqhubekayo zingavikeleka ngokulawulwa okufanele kwemithi nokuqaphela izici ezingozi.

Uma uhlangabezane nokuhluleka kwe-liver okuqhubekayo, yazi ukuthi ukuphulukana kunokwenzeka ngesineke nokulandelwa kwezokwelapha okufanele. Iqembu lakho lezokwelapha lizokuqondisa ngenqubo yokuphulukana futhi likusize ukwenza ukuguqulwa kwesitayela sempilo okusekela impilo ye-liver yakho iminyaka ezayo.

Imibuzo evamile ebuzwayo mayelana nokuhluleka kwe-liver okuqhubekayo

Ungaphila ngokuphelele yini ekuhlulekeni kwe-liver okuqhubekayo?

Yebo, abantu abaningi bangaphila ngokuphelele ekuhlulekeni kwe-liver okuqhubekayo, ikakhulukazi uma kubanjwe futhi kuphathwe ngokushesha. I-liver yakho inamandla okuziphilisa ngokumangalisayo futhi ngokuvamile ingaziphilisa ngokusekelwa okufanele kwezokwelapha. Isikhathi sokuphulukana sihluka kuye ngokuthi yini ebangelayo nokuthi kwakubi kangakanani, kodwa iziguli eziningi zibuyela emsebenzini we-liver ovamile phakathi kwamasonto kuya ezinyangeni. Abanye abantu bangase badinge ukutshalwa kwe-liver, kodwa ngisho nabamukelayo ukutshalwa bangaphila impilo ephelele, enempilo.

Kuthatha isikhathi esingakanani ukuthuthukisa ukuhluleka kwe-liver okuqhubekayo?

Ukuhluleka kwe-liver okuqhubekayo kuthuthuka ngokushesha, ngokuvamile phakathi kwamasonto kuya emaviki kunokuba izinyanga noma iminyaka ebonwa ngesifo se-liver esiqhubekayo. Ezimweni zokudlula ngaphezulu kwe-acetaminophen, izimpawu zingase zivele phakathi kwamahora angu-24-72. Ngokuhlanganiswa ne-hepatitis ye-viral, ukuqhubeka kungase kuthathe amasonto ambalwa. Ukwenzeka ngokushesha yilokho okwenza leli simo libe yisimangalo sezempilo esidinga ukunakekelwa nokuphathwa kwesikhathi esifanele.

Uyini umehluko phakathi kokuhluleka kwe-liver okuqhubekayo nesifo se-liver esiqhubekayo?

Umehluko omkhulu uwukuthi isikhathi nokuqhubeka. Ukuhluleka kwe-liver okuqhubekayo kwenzeka ngokuzumayo kubantu abane-liver enempilo ngaphambili, kuthuthuka ezinsukwini noma emaviki ambalwa. Isifo se-liver esiqhubekayo sithuthuka kancane ngezinyanga noma iminyaka, silimaze i-liver kancane kancane. Ukuhluleka kwe-liver okuqhubekayo kunengozi yokuphila ngokushesha kodwa ngokuvamile kunamandla okuphulukana kangcono, ngenkathi isifo se-liver esiqhubekayo siqhubeka futhi singase ekugcineni siholele e-cirrhosis.

Ungavimbela yini ukuhluleka kwe-liver okuqhubekayo?

Izimo eziningi zokuhluleka kwe-liver okuqhubekayo zingavikeleka ngokulawulwa okufanele kwemithi nokukhetha kwesitayela sempilo. Hlala ulandela imiyalo yokulinganiselwa kwe-acetaminophen nezinye izidakamizwa, gwema ukuhlanganisa utshwala nemithi, futhi uqaphele ngezithasiselo zezimila. Ukuvakasha ngokumelene ne-hepatitis A ne-B kunikeza isivikelo esibalulekile. Uma une-hepatitis B eqhubekayo, ukulandelelwa okuvamile kwezokwelapha kungasiza ukuvimbela izinhlanganisela ezibucayi.

Ukuhluleka kwe-liver okuqhubekayo kuhlala kubulala yini ngaphandle kokwelashwa?

Ukuhluleka kwe-liver okuqhubekayo kuyingozi yokuphila ngempela ngaphandle kokwelashwa okufanele kwezokwelapha, kodwa akuhlali kubulala. Izinga lokuphila lihluka kuye ngokuthi yini ebangelayo, ukuthi ukwelashwa kuqala ngokushesha kangakanani, nokuthi isimo sibuhlungu kangakanani. Ngokunakekelwa okuphakathi okwanamuhla kanye nethuba lokutshalwa kwe-liver, abantu abaningi baphila ngisho nezimpawu ezinkulu. Noma kunjalo, lokhu kugcizelela ukuthi kungani ukunakekelwa kwesikhathi esifanele kwezokwelapha kubalulekile kangaka lapho izimpawu zithuthuka.