Ziyini Izivivinyo Zomsebenzi Wesibindi? Inhloso, Amazinga/Inqubo & Umphumela

Izivivinyo zomsebenzi wesibindi ziyiqembu lezivivinyo zegazi ezihlola ukuthi isibindi sakho sisebenza kahle kangakanani. Lezi zivivinyo zilinganisa ama-enzyme athile, amaprotheni, nezinto ezikhiqizwa noma eziqhutshwa yisibindi sakho, zinikeze udokotela wakho umbono ocacile wempilo yesibindi sakho.

Cabanga ngalezi zivivinyo njengomkhadi wokubika impilo welinye lamalungu omzimba akho asebenza kanzima kakhulu. Isibindi sakho senza imisebenzi engaphezu kuka-500 ehlukene nsuku zonke, kusukela ekuhlungeni ubuthi kuya ekukhiqizeni amaprotheni asiza igazi lakho ukuba ligqame. Uma kukhona okungahambi kahle, lezi zivivinyo zingabona izinguquko ngisho nangaphambi kokuba uzizwe ugula.

Ziyini Izivivinyo Zomsebenzi Wesibindi?

Izivivinyo zomsebenzi wesibindi empeleni ziyiqembu lezivivinyo eziningana ezihlukene zegazi ezenziwa ndawonye. Isivivinyo ngasinye sibheka isici esihlukile somsebenzi wesibindi sakho, njengokuhlola izingxenye ezihlukene zemoto ngesikhathi sokulungiswa.

Izivivinyo eziyinhloko kuleli qembu zihlanganisa i-ALT (alanine aminotransferase), i-AST (aspartate aminotransferase), i-ALP (alkaline phosphatase), i-bilirubin, i-albumin, kanye neprotheni ephelele. Lezi akuzona nje izinombolo ezingahleliwe embikweni welabhu. Ngayinye itshela udokotela wakho okuthile okuqondile mayelana nokuthi amaseli esibindi sakho asebenza kanjani, ukuthi alimele yini, noma ngabe isibindi sakho sikhiqiza inani elifanele lezinto ezibalulekile.

Isibindi sakho siqinile ngendlela emangalisayo futhi sivame ukukwazi ukubuyisela uma ingxenye yaso ingasebenzi kahle. Yingakho lezi zivivinyo zibaluleke kangaka. Zingathola izinkinga kusenesikhathi, ngezinye izikhathi ngisho nangaphambi kokuthi uqaphele noma yiziphi izimpawu.

Kungani Kwenziwa Izivivinyo Zomsebenzi Wesibindi?

Udokotela wakho angase ayale izivivinyo zomsebenzi wesibindi ngezizathu eziningana, futhi iningi lazo liyizinyathelo zokuzivikela kunokuthi zikhathaze. Lezi zivivinyo zisiza ekuhloleni izifo zesibindi, ukuqapha izimo ezikhona, noma ukuhlola ukuthi imithi iyasithinta yini isibindi sakho.

Uma uhlangabezana nezimpawu ezinjengokukhathala, isicanucanu, ubuhlungu besisu, noma ukuphuzi kwesikhumba sakho noma amehlo, lezi zivivinyo zingasiza ukuthola imbangela. Udokotela wakho angase futhi azi-ode uma usebenzisa imithi engathinta isibindi, njengama-antibiotics athile, imithi ye-cholesterol, noma izidambisi zokucasuka ezisetshenziswa njalo.

Ngezinye izikhathi lezi zivivinyo ziyingxenye yokuhlolwa kwempilo okujwayelekile, ikakhulukazi uma unezici eziyingozi ezinjengesifo sikashukela, ukukhuluphala ngokweqile, noma umlando womndeni wesifo sesibindi. Zisetshenziselwa futhi ukuqapha abantu abanezimo zesibindi ezaziwayo njenge-hepatitis noma isifo sesibindi esinamafutha.

Izivivinyo zingasiza futhi udokotela wakho ukuthi aqonde ukuthi izimpawu ezinjengokulahlekelwa isisindo okungachazeki, ukuvuvukala emilenzeni yakho noma esiswini, noma izinguquko ekudleni kwakho zingahlobana yini nokusebenza kwesibindi. Ungakhathazeki uma udokotela wakho e-oda lezi zivivinyo. Ngokuvamile, bamane nje benza kahle ekukunakekeleni kwabo.

Yini inqubo yezivivinyo zokusebenza kwesibindi?

Inqubo yezivivinyo zokusebenza kwesibindi iqondile futhi ifana nanoma yikuphi ukudonswa kwegazi okujwayelekile. Uzohlala esihlalweni esinethezekile ngenkathi uchwepheshe wezempilo edonsa igazi emthanjeni engalweni yakho, ngokuvamile ngaphakathi kwendololwane yakho.

Ukudonswa kwegazi kwangempela kuthatha imizuzu embalwa nje. Uchwepheshe uzohlanza indawo ngesibulali-magciwane, afake inaliti encane emthanjeni wakho, bese eqoqa igazi emashubhu amabili noma ngaphezulu. Ungase uzwe ukucinana okuncane lapho inaliti ingena, kodwa abantu abaningi bakuthola kulula ukukubekezelela.

Ngemuva kokuthi igazi selidonsiwe, uzothola ibhandishi elincane ngaphezulu kwendawo yokubhoboza. Ungaqala kabusha imisebenzi yakho ejwayelekile ngokushesha. Amasampula egazi athunyelwa elabhorethri lapho imishini ekhethekile ilinganisa amazinga ezinto ezihlukahlukene ezihlobene nesibindi.

Imiphumela ngokuvamile ibuya ngosuku olulodwa noma ezimbili, kuye ngendawo yakho yezempilo. Udokotela wakho uzobuyekeza imiphumela futhi axhumane nawe ukuze axoxe ngalokho okushiwo yimpilo yakho.

Ungalungiselela kanjani izivivinyo zakho zokusebenza kwesibindi?

Iningi lokuhlolwa komsebenzi wesibindi alidingi ukulungiswa okukhethekile, kodwa udokotela wakho uzokunikeza imiyalelo ethile ngokusekelwe ekutheni yiziphi izivivinyo ezenziwayo. Ezinye izivivinyo zisebenza kangcono uma uzila ukudla, kanti ezinye azidingi ukulungiswa nhlobo.

Uma ukuzila ukudla kudingeka, ngokuvamile uzodinga ukugwema ukudla neziphuzo (ngaphandle kwamanzi) amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa. Lokhu ngokuvamile kusho ukungadli ngemuva kwesidlo sakusihlwa ngobusuku obandulela ukuhlolwa kwegazi ekuseni. Usengakwazi ukuphuza amanzi, futhi kufanele uqhubeke nokuthatha imithi yakho ejwayelekile ngaphandle uma udokotela wakho ekutshela ngokuqondile ngenye indlela.

Yazisa udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi etholakala ngaphandle kwemvume kadokotela, izithasiselo, kanye nemithi yezitshalo. Ezinye izinto zingathinta imiphumela yokuhlolwa komsebenzi wesibindi, ngakho udokotela wakho angase akucele ukuthi uyeke okwesikhashana imithi ethile ngaphambi kokuhlolwa.

Zama ukugwema utshwala okungenani amahora angu-24 ngaphambi kokuhlolwa, njengoba kungathinta okwesikhashana amanye ama-enzyme esibindi. Uma uzizwa ukhathazekile ngokuhlolwa kwegazi, lokho kujwayelekile ngokuphelele. Cabanga ngokuletha umngani noma ilungu lomndeni ukuze likusekele, futhi unganqikazi ukwazisa uchwepheshe uma uzizwa unovalo.

Ungawafunda kanjani ukuhlolwa komsebenzi wesibindi sakho?

Ukufunda ukuhlolwa komsebenzi wesibindi kuhilela ukuqonda ukuthi ngasinye isici sikala ini nokuthi izinombolo zisho ukuthini empilweni yakho. Imiphumela yakho izokhombisa amanani angempela kanye nobubanzi obujwayelekile bokubhekisela, okwenza kube lula ukubona ukuthi ngabe kukhona yini okungaphandle kwebanga elivamile.

I-ALT ne-AST ama-enzyme avuzayo egazini lakho lapho amangqamuzana esibindi elimele. Amazinga ajwayelekile e-ALT ngokuvamile angama-7-56 amayunithi ngelitha, kanti amazinga ajwayelekile e-AST ngokuvamile angama-10-40 amayunithi ngelitha. Amazinga aphezulu angase abonise ukulimala kwamangqamuzana esibindi, kodwa awasho ngokuzenzakalelayo ukuthi unesifo esibucayi sesibindi.

I-Alkaline phosphatase (ALP) iyi-enzyme etholakala esibindini sakho, emathanjeni, nakwezinye izicubu. Amazinga avamile ngokuvamile angama-44-147 amayunithi ngelitha. I-ALP ephakeme ingase isikisela izinkinga ngokuqhubeka kwe-bile noma ukuvuvukala kwesibindi, kodwa ingase futhi iphakame ngenxa yezimo zamathambo noma ngisho nokukhula okuvamile ezinganeni nakubantu abasha.

I-Bilirubin iyinto ephuzi edalwa lapho amaseli abomvu egazi amadala ewohloka. Amazinga avamile e-bilirubin aphelele avame ukuba yi-0.1-1.2 milligrams ngedesilitha. I-bilirubin ephezulu ingabangela ukuphuzi kwesikhumba namehlo (i-jaundice) futhi ingase ikhombise izinkinga ngomsebenzi wesibindi noma ukuqhubeka kwe-bile.

I-Albumin iyiphrotheni eyenziwa yisibindi sakho esisiza ukugcina ibhalansi yamanzi emzimbeni wakho. Amazinga avamile ngokuvamile angama-3.5-5.0 amagremu ngedesilitha. I-albumin ephansi ingase isikisela ukuthi isibindi sakho asikhiqizi amaprotheni anele, okungenzeka ngesifo sesibindi esingamahlalakhona noma ukungondleki.

Ungawashintsha kanjani amazinga akho e-Liver Function Test?

Ukwenza ngcono imiphumela yokuhlolwa komsebenzi wesibindi okungavamile kuncike kulokho okubangela inkinga ekuqaleni. Izindaba ezinhle ukuthi isibindi sakho sinamandla amangalisayo okuphulukisa ngokwaso uma sinikezwa ukwesekwa okufanele nezimo.

Uma amazinga akho aphakeme ngenxa yokusetshenziswa kotshwala, ukunciphisa noma ukuqeda utshwala kungaholela ekuthuthukisweni okukhulu phakathi kwamasonto kuya ezinyangeni. Isibindi sakho siqala ukuzilungisa cishe ngokushesha lapho uyeka ukuphuza, futhi abantu abaningi babona ukuthi ukuhlolwa komsebenzi wesibindi sabo kubuyela kokujwayelekile ngokuqhubeka nokuqina.

Ngezinguquko zesibindi ezihlobene nemithi, udokotela wakho angase alungise imiyalelo yakho noma akuqhubekisele kwezinye izindlela ezithambile esibindini sakho. Ungalokothi uyeke ukuthatha imithi enconywe ngaphandle kokukhuluma nodokotela wakho kuqala, ngoba lokhu kungaba yingozi kwezinye izici zempilo yakho.

Ushintsho lwendlela yokuphila lungenza umehluko omkhulu empilweni yesibindi. Ukugcina isisindo esinempilo ngokudla okulinganiselayo nokuzivocavoca njalo kusiza ukunciphisa amafutha esibindini. Ngisho nokuncipha kwesisindo okuncane okungu-5-10% kungathuthukisa kakhulu ukusebenza kwesibindi kubantu abanezifo zesibindi ezinamafutha.

Ukudla ukudla okusebenzela isibindi okunothe ngezithelo, imifino, okusanhlamvu okuphelele, namaprotheni angenamafutha ngenkathi kukhawulelwa ukudla okucutshungulwayo, ushukela, namafutha angcolile kusekela ukulungiswa kwesibindi. Abanye abantu bathola ukuthi ukunciphisa ukudla kwabo isiraphu yommbila enama-fructose amaningi nokukhawulela inyama ebomvu kusiza ukusebenza kwesibindi sabo ukuthi kuthuthuke.

Ukuphatha izimo ezingaphansi njengobhubhane lukashukela, umfutho wegazi ophezulu, ne-cholesterol ephezulu nakho kusekela impilo yesibindi. Lezi zimo zingaba nomthelela ezinkingeni zesibindi, ngakho ukuzigcina zilawulwa kahle kusiza nesibindi sakho ukuthi sisebenze kangcono.

Liyini izinga elingcono kakhulu lokuhlolwa komsebenzi wesibindi?

Amazinga angcono kakhulu okuhlolwa komsebenzi wesibindi yilawa awehla ngaphakathi kwebanga elijwayelekile lokubhekisela, kodwa kubalulekile ukuqonda ukuthi

Khumbula ukuthi ukuhlolwa okungajwayelekile okukodwa akusho ngempela ukuthi unesifo sesibindi. Udokotela wakho ubheka iphethini yemiphumela, indlela eguquka ngayo ngokuhamba kwesikhathi, nokuthi ihlobene kanjani nezimpawu zakho nomlando wakho wezokwelapha. Ukuthambekela kwemiphumela yakho kuvame ukubaluleka kakhulu kunanoma iyiphi inombolo eyodwa.

Ziyini izici eziyingozi zokuhlolwa komsebenzi wesibindi okungajwayelekile?

Izici eziningana zingakhuphula ingozi yakho yokuthuthukisa ukuhlolwa komsebenzi wesibindi okungajwayelekile, futhi ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvikela impilo yesibindi sakho. Eziningi zalezi zici eziyingozi zilawulwa nguwe, okuyizindaba ezikhuthazayo.

Izici eziyingozi ezivame kakhulu zihlanganisa ukusetshenziswa ngokweqile kotshwala, ukukhuluphala, isifo sikashukela, kanye nemithi ethile. Ukuphuza njalo ngokweqile kunzima kakhulu esibindini sakho, njengoba kufanele sisebenze ngokweqile ukuze sicubungule utshwala, okuholela ekuvuvukeni kanye nomonakalo ekugcineni ngokuhamba kwesikhathi.

Nazi izici eziyingozi eziyinhloko ezingathinta ukuhlolwa komsebenzi wesibindi sakho:

• Ukusetshenziswa ngokweqile kotshwala (okuphuza ngaphezu kweziphuzo eziyi-14 ngesonto emadodeni, eziyi-7 kwabesifazane)
• Ukukhuluphala, ikakhulukazi isisindo esiningi emzimbeni ophakathi
• Uhlobo 2 lwesifo sikashukela nokumelana ne-insulin
• I-cholesterol ephezulu kanye namazinga e-triglyceride
• Imithi ethile ehlanganisa i-acetaminophen (uma ithathwa ngemithamo ephezulu), ezinye izibulala-magciwane, kanye nemithi yokwehlisa i-cholesterol
• Izifo ze-hepatitis ezithathelwanayo (i-hepatitis B, C, noma A)
• Izimo ze-autoimmune ezithinta isibindi
• Umlando womndeni wesifo sesibindi
• Ukuvezwa ezinobuthi noma amakhemikhali emsebenzini
• Ubudala (umsebenzi wesibindi ungawohloka ngokuhamba kweminyaka)

Izici eziyingozi ezingavamile kodwa ezibalulekile zihlanganisa izimo zofuzo njengesifo sikaWilson noma ukuntula kwe-alpha-1 antitrypsin, okungabangela izinkinga zesibindi kusukela ekuzalweni. Abanye abantu futhi basengozini enkulu yokulimala kwesibindi okubangelwa imithi ngenxa yezinguquko zofuzo endleleni abacubungula ngayo imithi ethile.

Izindaba ezikhuthazayo ukuthi eziningi zalezi zinto eziyingozi zingalawulwa ngokushintsha indlela yokuphila nokunakekelwa kwezempilo. Ukusebenza nodokotela wakho ukubhekana nezinto eziyingozi ezingashintshwa kungathuthukisa kakhulu impilo yesibindi sakho nemiphumela yokuhlolwa.

Ingabe kungcono ukuba nemiphumela ephezulu noma ephansi yokuhlolwa komsebenzi wesibindi?

Ngokuvamile, imiphumela yokuhlolwa komsebenzi wesibindi ewa ngaphakathi kwebanga elijwayelekile ingcono, kodwa impendulo ayilona nje elithi "phezulu" noma "phansi" kuwo wonke amaphuzu. Ukuhlolwa ngakunye kukala into ehlukile, futhi okungcono kakhulu kuyahluka ngokuya ngokuthi yikuphi ukuhlolwa okuthile esikuxoxayo.

Ezimweni ze-enzyme yesibindi njenge-ALT ne-AST, amazinga aphansi ngaphakathi kwebanga elijwayelekile ngokuvamile angcono. Lawa ma-enzyme akhululwa lapho amaseli esibindi elimele, ngakho amazinga aphansi asikisela ukulimala okuncane kwamaseli esibindi. Kodwa-ke, amazinga aphansi kakhulu awaqinisekile ukuthi angcono, njengoba lawa ma-enzyme enezinto ezijwayelekile emangqamuzaneni esibindi anempilo.

Kumaprotheni afana ne-albumin, amazinga aphezulu ngaphakathi kwebanga elijwayelekile ngokuvamile angcono, njengoba lokhu kubonisa ukuthi isibindi sakho sikhiqiza amanani afanele ala maprotheni abalulekile. I-Albumin ephansi ingase isikisela ukuthi isibindi sakho asisebenzi kahle noma ukuthi unezinye izinkinga zezempilo ezithinta amazinga amaprotheni.

Amazinga e-Bilirubin angcono uma esephakathi kwengxenye engezansi yebanga elijwayelekile. I-Bilirubin ephezulu ingabonisa izinkinga ngomsebenzi wesibindi noma ukugeleza kwe-bile, kuyilapho amazinga aphansi kakhulu akuvamile ukukhathaza futhi angase avele abonise ukuhluka komuntu ngamunye.

Iphuzu elibalulekile ukuthi udokotela wakho uhumusha le miphumela njengesithombe esiphelele, hhayi izinombolo ngazinye zodwa. Okubaluleke kakhulu ukuthi ngabe imiphumela yakho ifanele isimo sakho sempilo ngasinye nokuthi ngabe izinzile ngokuhamba kwesikhathi.

Yiziphi izinkinga ezingenzeka zemiphumela ephansi yokuhlolwa komsebenzi wesibindi?

Imiphumela emibi yokuhlolwa komsebenzi wesibindi ngokuvamile ayikhathazi njengemiphumela ephezulu, kodwa ngezinye izikhathi ingabonisa izinkinga zempilo ezingaphansi ezidinga ukunakwa. Izinkinga zincike ekutheni yiliphi ngqo ukuhlolwa okuphansi nokuthi kuphansi kangakanani.

Amazinga aphansi e-albumin angaholela ekugcinweni kwamanzi nokuvuvukala, ikakhulukazi emilenzeni yakho, emaqakaleni, nasesiswini. Lokhu kwenzeka ngoba i-albumin isiza ukugcina uketshezi emithanjeni yakho yegazi, futhi lapho amazinga ephansi, uketshezi lungachitheka ezicutshini eziqhelile. Ungase uqaphele ukuthi izicathulo zakho zizizwa ziqinile noma izingubo zakho zihambelana ngendlela ehlukile okhalweni lwakho.

I-albumin ephansi kakhulu ingase futhi ithinte ikhono lomzimba wakho lokulwa nezifo futhi inganciphisa ukuphulukiswa kwamanxeba. Abanye abantu abanamazinga aphansi e-albumin bazizwa bekhathele kakhulu kunokujwayelekile noma baqaphele ukuthi ukusikeka nokuklwebheka kuthatha isikhathi eside ukuphola kunokujwayelekile.

Amazinga aphansi e-protein ephelele angaba nemiphumela efanayo ne-albumin ephansi, njengoba i-albumin yakha ingxenye enkulu ye-protein yakho ephelele. Lokhu kungaholela ebuthakathakeni bemisipha, ukukhathala, nobunzima bokululama ekuguleni noma ekulimaleni.

Ezimweni ezingavamile, amazinga aphansi kakhulu e-enzyme yesibindi (i-ALT noma i-AST) angase asikisela ukulimala okukhulu kwesibindi lapho amaseli esibindi amaningi abhujiswe khona kangangokuthi awanele amaseli anempilo asele ukuze akhulule amanani ajwayelekile e-enzyme. Lokhu akuvamile kodwa kungenzeka ekuhlulekeni kwesibindi okukhulu okungazelelwe.

Izindaba ezinhle ukuthi izimo eziningi zemiphumela emibi yokuhlolwa komsebenzi wesibindi zingalungiswa ngokunakekelwa okufanele kwezokwelapha kanye nezinguquko zokuphila. Udokotela wakho uzosebenza nawe ukukhomba imbangela futhi athuthukise uhlelo lokwelapha olufanele.

Ziyini izinkinga ezingaba khona zemiphumela ephezulu yokuhlolwa komsebenzi wesibindi?

Imiphumela ephezulu yokuhlolwa komsebenzi wesibindi ingabonisa amazinga ahlukahlukene okucindezeleka kwesibindi noma ukulimala, futhi izinkinga ezingaba khona zincike kulokho okubangela ukukhuphuka nokuthi kubi kangakanani. Abantu abaningi abanemiphumela ephakeme kancane ababi nazinkinga ngokushesha, kodwa kubalulekile ukubhekana nembangela engaphansi.

Uma ama-enzyme esibindi afana ne-ALT ne-AST ephakeme kakhulu, ngokuvamile kusho ukuthi amaseli esibindi ayalimala futhi akhipha okuqukethwe kwawo egazini lakho. Uma lokhu kuqhubeka ngokuhamba kwesikhathi, kungaholela ekulimaleni kwesibindi, okwaziwa ngokuthi i-fibrosis. Ezimweni ezinzima, lokhu kungaholela ku-cirrhosis, lapho izicubu zesibindi ezinempilo zithathelwa indawo yizicubu ezilimele.

Amazinga aphezulu e-bilirubin angabangela i-jaundice, lapho isikhumba sakho nokumhlophe kwamehlo akho kuthatha umbala ophuzi. Lokhu kungabangela nomchamo omnyama nezihlalo ezinombala okhanyayo. Nakuba i-jaundice ngokwayo ingeyona ingozi, ikhombisa ukuthi isibindi sakho asiyicubunguli kahle i-bilirubin, okudinga ukunakekelwa kwezokwelapha.

Nazi izinkinga ezingase zivele ekuvivinyweni komsebenzi wesibindi okuqhubekayo:

• Ukuthuthuka kwe-fibrosis yesibindi nokulimala
• I-Cirrhosis (ukulimala okuthuthukile okuphazamisa ukusebenza kwesibindi)
• I-Portal hypertension (ukwanda kwengcindezi yegazi emithanjeni yegazi yesibindi)
• Ukuqoqwa koketshezi esiswini (i-ascites)
• Ukuvuvukala emilenzeni nasezinyaweni
• Ukwanda kwengozi yokopha ngenxa yokuncipha kokukhiqizwa kwamaprotheni okuqeda igazi
• Ukudideka noma izinguquko zengqondo ngenxa yokwakheka kwobuthi
• Ukwanda kwengozi yomdlavuza wesibindi (ezimweni zesifo sesibindi esingamahlalakhona)
• Izinkinga zezinso ezimweni ezinzima

Ukuqhubeka kusuka ekuhlolweni kwesibindi okuphakeme kuya ezinkingeni ezinzima kuvame ukuthatha izinyanga kuya eminyakeni, okunika wena nodokotela wakho isikhathi sokubhekana nezimbangela eziyisisekelo. Abantu abaningi abanokuhlolwa komsebenzi wesibindi okuphakeme abalokothi babe nezinkinga ezinzima, ikakhulukazi uma imbangela itholakele futhi yelashwa ngokushesha.

Ukwelashwa ngokushesha kuyisihluthulelo sokuvimbela izinkinga. Lokhu kungabandakanya izinguquko zokuphila, ukulungiswa kwemithi, ukwelashwa kwezimo eziyisisekelo, noma ukwelashwa okuthile kwezifo zesibindi. Udokotela wakho uzoqapha umsebenzi wesibindi sakho njalo ukuze aqinisekise ukuthi ukwelashwa kuyasebenza nokuthi izinkinga azivele.

Kufanele ngibone nini udokotela ukuze ngihlolwe i-Liver Function Tests?

Kufanele ubone udokotela ukuze uhlolwe i-liver function tests uma unezimpawu ezingase zibonise izinkinga zesibindi, noma uma unezinto eziyingozi eziqinisekisa ukuhlolwa. Ungalindi izimpawu zibe zimbi, njengoba ukutholwa kwasekuqaleni nokwelashwa kungavimbela izinkinga ezinzima.

Xhumana nodokotela wakho ngokushesha uma uqaphela ukuphuzi kwesikhumba sakho noma amehlo, ngoba lokhu kungabonisa amazinga e-bilirubin aphakeme adinga ukunakwa ngokushesha. Kufanele futhi ufune ukwelashwa uma uhlangabezana nokukhathala okuqhubekayo, isicanucanu, ukulahlekelwa isifiso sokudla, noma ubuhlungu besisu, ikakhulukazi uma lezi zimpawu ziba zimbi ngokuhamba kwesikhathi.

Ezinye izimpawu eziqinisekisa ukuhlolwa komsebenzi wesibindi zihlanganisa umchamo omnyama, izihlalo ezinombala okhanyayo, ukuncipha kwesisindo okungachazeki, noma ukuvuvukala emilenzeni yakho, amaqakala, noma isisu. Uma uhlangabezana nokulimala kalula noma ukuphuma kwegazi, lokhu kungabonisa ukuthi isibindi sakho asikhiqizi amaprotheni anele okugcwalisa.

Kufanele futhi uxoxe ngemivivinyo yokusebenza kwesibindi nodokotela wakho uma uthatha imithi njalo, ikakhulukazi lezo ezaziwa ukuthi zithinta isibindi, njenge-acetaminophen, ama-antibiotics athile, noma imithi ye-cholesterol. Ukuqapha njalo kungabamba izinkinga ekuqaleni, ngaphambi kokuba zibe zimbi.

Uma unomlando womndeni wesifo sesibindi, isifo sikashukela, ukukhuluphala ngokweqile, noma uma usebenzisa utshwala njalo, ukuhlolwa komsebenzi wesibindi ngezikhathi ezithile kungasiza ekutholeni izinkinga ezigabeni zazo zokuqala. Izimo eziningi zesibindi zitholakala kalula kakhulu lapho zitholwa ekuqaleni, ngakho-ke ukuhlolwa okusebenzayo kuvame ukufaneleka.

Imibuzo evame ukubuzwa mayelana ne-Liver Function Tests

Q.1 Ingabe i-Liver Function Tests ilungele ukuthola isifo sesibindi?

Yebo, izivivinyo zomsebenzi wesibindi ziyithuluzi elihle lokuhlola ukuthola isifo sesibindi, nakuba zisebenza kahle uma zihlanganiswe nolunye ulwazi lomtholampilo. Lezi zivivinyo zingathola izinkinga zesibindi ngisho nangaphambi kokuthi ube nezimpawu, okuzenza zibaluleke ekutholeni nasekwelashweni kwasekuqaleni.

Noma kunjalo, izivivinyo zomsebenzi wesibindi azizona amathuluzi okuphenya aphelele ngokwawo. Zingatshela udokotela wakho ukuthi kukhona okungahamba kahle ngesibindi sakho, kodwa izivivinyo ezengeziwe zivame ukudingeka ukuze kutholwe imbangela eqondile nobukhulu banoma yiziphi izinkinga zesibindi. Zicabange njengesixwayiso sokuqala kunokuba kube ukuxilongwa okuqinisekile.

Q.2 Ingabe amazinga aphezulu e-enzyme yesibindi abangela umonakalo wesibindi?

Amazinga aphezulu e-enzyme yesibindi awabangeli umonakalo wesibindi. Kunalokho, ziyisibonakaliso sokuthi umonakalo wesibindi kungenzeka usuvele wenzeka. Lezi zinto ezikhiqizwa ngumzimba ngokuvamile ziqukethwe ngaphakathi kwamaseli esibindi, futhi lapho amaseli elimele noma ecindezelekile, lezi zinto ezikhiqizwa ngumzimba zivuleka zingene egazini lakho, okubangela amazinga aphakeme ezivivinyweni zegazi.

Isimo esingaphansi esibangela ukulimala kwamaseli esibindi yikho okudingeka ukuthi ukubhekane nakho. Lokhu kungase kube ukusetshenziswa ngokweqile kotshwala, imithi ethile, izifo ezithathelwanayo, isifo sesibindi esinamafutha, noma ezinye izimo. Ukwelapha imbangela kungasiza ekumeni ukulimala okuqhubekayo futhi kuvumele isibindi sakho ukuthi silulame.

Q.3 Ingabe izivivinyo zomsebenzi wesibindi zingaba nephutha?

Izivivinyo zomsebenzi wesibindi ngokuvamile ziqondeka kahle, kodwa njengazo zonke izivivinyo zezokwelapha, ngezinye izikhathi zingahle zinikeze imiphumela ekhohlisayo. Ama-positives amanga angase avele ngenxa yezinto zesikhashana ezinjengokuzivivinya okunamandla kwakamuva, imithi ethile, noma ngisho nesikhathi sosuku igazi elidonswe ngaso.

Uma imiphumela yakho ingajwayelekile, udokotela wakho ngokuvamile uzoziphinda izivivinyo noma a-ode ezinye izivivinyo ukuze aqinisekise okutholakele. Imiphumela eyodwa engajwayelekile ivame ukukhathaza kancane kunemiphumela engajwayelekile ngokuqhubekayo ngokuhamba kwesikhathi. Udokotela wakho uhumusha imiphumela yakho ngokuya ngezimpawu zakho, umlando wezokwelapha, nokuhlolwa komzimba.

Q.4 Ngingakanani kufanele ngithole izivivinyo zomsebenzi wesibindi?

Ukuvama kwezivivinyo zomsebenzi wesibindi kuncike ezingozini zakho ngazinye kanye nesimo sempilo. Kubantu abadala abanempilo ngaphandle kwezici eziyingozi, lezi zivivinyo zivame ukwenziwa njengengxenye yezivivinyo zonyaka ezijwayelekile noma lapho izimpawu zikhomba izinkinga zesibindi.

Uma unezici eziyingozi njengesifo sikashukela, ukukhuluphala ngokweqile, noma usebenzisa imithi engathinta isibindi, udokotela wakho angase ancome ukuhlolwa njalo ngemva kwezinyanga eziyi-6-12. Abantu abanezifo zesibindi ezaziwayo noma labo abelashwa ngezimo zesibindi bangase badinge ukuhlolwa njalo ngemva kwezinyanga ezi-3-6 ukuze baqaphe ukuqhubeka kwabo nokusebenza kahle kokwelashwa.

Q.5 Ngingawathuthukisa yini imiphumela yokuhlolwa komsebenzi wesibindi ngokwemvelo?

Yebo, abantu abaningi bangawathuthukisa imiphumela yokuhlolwa komsebenzi wesibindi ngezindlela zemvelo, ikakhulukazi uma imiphumela engavamile ibangelwa izici zokuphila. Isibindi sinamakhono okuphulukisa amangalisayo uma sinikezwa ukwesekwa okufanele nezimo.

Ukugcina isisindo esinempilo, ukudla ukudla okunomsoco okugcwele izithelo nemifino, ukuzivocavoca njalo, ukunciphisa ukusetshenziswa kotshwala, nokugwema imithi engadingekile konke kungasiza ekuthuthukiseni umsebenzi wesibindi. Abantu abaningi babona ukuthuthuka okukhulu ekuhlolweni komsebenzi wesibindi phakathi kwamasonto kuya ezinyangeni ngemva kokwenza lezi zinguquko. Kodwa-ke, njalo sebenzisana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze ubhekane nanoma yiziphi izimo zezokwelapha ezingase zithinte isibindi sakho.