Kufambira mberi Kwechiropa Kukuvadza Ndiyo 12 Kutungamira Chikonzero Chekufa muUnited States
Chirwere chepirhosis ndeyekuvhara zvakanyanya (fibrosis) yechiropa ichikonzerwa nekukuvara kwenguva refu. Izvi zvinokonzerwa nekuramba kuripo uye kupfuurira kuputika, kazhinji pane kugadzirisa zvirwere zvisingaperi zvehutachiona hwehutachiona hwehutachiona kana hwechirwere chisingaperi.
Chiropa chinokwanisa kuzvigadzirisa chairo asi sezvo ichiita zvishoma nezvishoma chikafu chechivara, hachikwanisi kuita zvakanaka.
Nokufamba kwenguva, sezvo kuwanda kwekucheka kunowedzera uye kupararira kunopinda kuchiropa kunoderera, basa rinokosha rechiropa rinopesana. Mune zvimwe zviitiko, izvi zvinogona kutungamirira kuchiropa kusakundikana uye kunyange rufu.
Vanopfuura mamiriyoni evanhu vanofa gore roga roga rekushongedzeka, kusanganisira 30 000-plus muU.S. Ndiyo nhasi nyika yegumi nembiri inotungamirira chikonzero chekufa, inokanganisa kaviri varume vakawanda sezvinoita vakadzi.
Zvinokonzera Cirrhosis
Zvinonyanya kukonzera kukanganisa kwechirwere ndiko kunwa doro, hepatitis B , hepatitis C uye isiri-doro mafuta ane chiropa chirwere .
- Hepatitis C inotungamirira muhuwandu hwehutachiona hunoshandiswa muU.S., pamwe nekuve chiratidzo chinotungamirira chiropa chinoputika.
- Chirwere chinokonzerwa neropa chinokonzerwa nedoro chinotevera mushure uye chinowanzobatanidzwa kunwa doro kudarika kwemakore akawanda (pamwero wepamusoro, pamusoro pezvinwiwa zviviri pazuva kwevakadzi nepamusoro pevatatu kune varume gumi kana kupfuura mamwe makore).
- Kunyange zvazvo hepatitis B ishoma kudarika muU.S. ,, iyo inopinda pasi pe1% yevanhu, mazana anogona kuwedzera kusvika 5% kana kupfuura kune dzimwe nyika dzichiri kusimukira.
- Kwete-doro mafuta ane chirwere chechiropa chinowanzobatanidzwa nekurema, uyewo nechirwere cheshuga, kuwedzera kweropa, uye cholesterol yakakwirira. Vanhu vane chirwere chemagetsi, chinoratidzwa nechiuno chikuru chechiuno, high triglycerides, cholesterol isina kunaka, kukwirira kweropa, uye yakakwirira kudarika ropa rinokonzerwa nehutachiona hweropa, inonyanya kutaridzika ku-cirrhosis.
Zvimwe zvinokonzera zvishoma zvinokonzerwa nekrrhosis zvinopfigirwa bile ducts pachiropa uye gallbladder, autoimmune hepatitis, uye zvirwere zvakaberekwa zvakadai saWilson's disease kana hemochromatosis .
Zviratidzo zveSyrhosis
Kufambira mberi kwechiropa kukuvadza kubva pakutanga-staged fibrosis kusvika kuhupirhosis kunotora makore, uye kunyange makumi emakore, kuratidza zviratidzo. Mumakore ekutanga, pane kazhinji kazhinji, kana pane, zviratidzo.
Kana zviratidzo zvikaonekwa, dzimwe nguva dzinongororwa zvisina kunaka, dzisingateereri, kana dzinofanirwa kune zvimwe zvinokonzera. Sezvo chirwere chacho chiri kufambira mberi, zvakadaro, zviratidzo zvinoreva zviratidzo zvinogona kuva pachena uye zvinosanganisira:
- kuneta
- kushaya simba
- itching
- kurasikirwa nechido
- kuonda
- nausea
- nyore kupwanya
- jaundice (kuchena kweganda uye / kana maziso)
- spider angioma (spider veining paganda, kazhinji akapoteredza mhino nematama)
- edema (kuputika kwetsoka, makumbo, nemakumbo nekuda kwekuvakwa kwemvura)
- mimba ichibhururuka kubva ku ascites (chivako chemvura iri mudumbu)
Zvakawanda zvezviratidzo izvi zvinokonzerwa nehutachiona hwehutachiona , umo ruvara rwechigunwe runovhara ruzivo rwechiropa rwechiropa.
Kuongororwa kweSyrhosis
Chiropa chepopi ndiyo nzira yakarurama kupfuura dzose yekuongorora chirwere chendrhosis uye kunyatsoongorora chirwere chechiropa chechiropa.
Chiverengero chekuongorora ropa uye zvigadzirwa zvekufungidzira (kusanganisira ultrasound, CT scan,, MRI) zvinogona kushandiswa kuongorora zvirwere zvishoma.
Cirrhosis inogona kunge yakarongedzerwa seyo inobhadharwa kana inorambidzwa . Kubhadhara chirwere chetrhosis chinongova chiropa chinokanganisa icho chiri chichiri chebasa, asi chirwere chepirhosis chinoratidzira chinoratidza kuti chiropa hachisi kushanda. Kana zvinetso zvisingagoni kudzora kana chiropa chinorega kushanda, chiropa chekushanda chinowanzoonekwa.
Vanenge 5 muzana yevanhu vane cirrhosis vachakura hepatocellular carcinoma (HCC) , iyo inowanzosangana nekenza yeropa.
Kurapa Cirrhosis
Kurapa kwechirrhosis kunowanzoenderana nechikonzero nekuoma kwechirwere chacho.
Kana chirwere chikava chiratidzo, nzira dzakasiyana-siyana dzinofanira kutorwa kuderedza kufambira mberi kwekupera kwechiropa, kusanganisira:
- Kudzivisa doro uye zvisiri pamutemo (kutsvaka kurapwa zvinodhaka, kana zvichidiwa).
- Kuwedzera muviri uye kuvepa utano hwakanaka, huri pasi-mafuta kudya.
- Kudzivisa mbishi yakasviba, ine bhakitiriya inogona kukonzera utachiona hwakakomba kune vanhu vane chirwere chakakomba cheropa.
- Vaccines for hepatitis A uye hepatitis B , uyewo kuongorora hepatitis C.
- Antiviral treatment for hepatitis B uye hepatitis C.
- Kurapa zvimwe zvinokonzera zvinokonzerwa ne-cirrhosis (semuenzaniso, ursodiol yeB bile duct blockages).
Sources:
National Institute of Diabetes and Digestive and Kidney Diseases. "Cirrhosis." Bethesda, Maryland; yakasvika musi waJanuary 1, 2015.
Nzvimbo dzeDaase Control and Prevention (CDC). "Rufu: Final Data ye 2010." Mushumo weZvenyika Inokosha Vaya. May 8, 2013; 61 (4): 1-118.