Chithandizo cha Chiwindi cha Cirrhosis
Chithandizo cha matenda a chiwindi chimafuna kupewa zovuta, kuchepetsa njira ya matendawa, ndikuwongolera zizindikiro ndi zizindikiro. Izi zingatanthauze kusintha kwa moyo monga kusiya kumwa mowa, kuchita masewera olimbitsa thupi pafupipafupi, ndi kusintha zakudya. Pofuna kuthana ndi zotsatira zoyipa monga ascites, mitsempha, ndi matenda, madokotala angapereke beta-blockers, okodzetsa, ndi maantibayotiki. Mankhwala monga paracentesis kapena transjugular intrahepatic portosystemic shunt (TIPS) angagwiritsidwe ntchito nthawi zina kuti athetse zizindikiro. M'mikhalidwe yovuta kwambiri yomwe chiwindi chapangitsa kuti chiwindi chilephereke, kupatsirana kwachiwindi ndikotheka. Kuwunika pafupipafupi ndikofunikira kuti muwone momwe chiwindi chimagwirira ntchito, kuthana ndi zovuta, komanso kukulitsa zotsatira za chithandizo.
Za Chithandizo cha Chiwindi cha Cirrhosis
Zizindikiro: Kufooka, kutupa, kutopa, khungu kukhala lachikasu, kusamva bwino kwa m'mimba, kuvulala kapena kutuluka magazi mosavuta ndi zizindikiro za matenda a chiwindi. Kupititsa patsogolo umoyo wa moyo ndi kuchepetsa zizindikiro izi ndizo zolinga zazikulu za chithandizo.
Zimayambitsa: Matenda osiyanasiyana, kuphatikizapo autoimmune hepatitis, non-alcoholic fatty liver disease (NAFLD), matenda a hepatitis B (kuphatikizapo hepatitis B ndi C), ndi matenda a majini, angayambitse matenda a chiwindi. Kuti athetse vutoli, ndikofunikira kudziwa chomwe chimayambitsa vutoli ndikuthana nacho.
Zithandizo: Njira zina zochiritsira zimaphatikizapo zinthu monga kuyamba kudya zakudya zopatsa thanzi, kusiya kumwa mowa, komanso kuchita masewera olimbitsa thupi nthawi zonse. Kuti muchepetse zizindikiro ndi zovuta pazovuta kwambiri, kupatsirana kwachiwindi kungafunike kuti m'malo mwachiwindi chowonongeka ndi chiwindi chopereka chathanzi. Kuchitapo kanthu panthawi yake komanso kutsatira mosamalitsa malangizo omwe aperekedwa kungapangitse zotsatira zabwino ndikuletsa kukula kwa matendawa.
Njira ya Chithandizo cha Chiwindi Cirrhosis
Kuzindikira ndi Kuwunika: Kuti atsimikizire kuti ali ndi matenda a cirrhosis ndikudziwira kuopsa kwake, wodwalayo amakhala ndi mbiri yakale yachipatala, kuyezetsa thupi, ndi kuyesa kuti adziwe matenda, kuphatikizapo kuyezetsa magazi, njira zowonetsera (CT scan, ultrasound), ndi biopsy ya chiwindi.
Kusintha kwa Moyo Wathu: Pofuna kuthetsa zizindikiro ndi kusiya kuwonongeka kwina kwa chiwindi, odwala akulimbikitsidwa kuti asinthe moyo wawo, monga kusiya kumwa mowa, kudya zakudya zopatsa thanzi zopanda mafuta ndi mchere, kuchepetsa kulemera kwawo, komanso kuchita masewera olimbitsa thupi pafupipafupi.
Kasamalidwe ka Mankhwala: Odwala atha kupatsidwa mankhwala a beta-blocker kuti achepetse kuthamanga kwa magazi pa portal vein, okodzetsa kuti achepetse kuchulukana kwamadzimadzi, mankhwala oletsa tizilombo toyambitsa matenda ochizira matenda a chiwindi, ndi mankhwala a steroid kapena anti-suppress kuti athe kuchiza matenda a chiwindi a autoimmune, kutengera chomwe chimayambitsa komanso zovuta.
Chithandizo cha Mavuto: Mankhwala, kusintha zakudya, ndi chithandizo monga opaleshoni, banding, kapena sclerosis mankhwala amagwiritsidwa ntchito kuthetsa mavuto monga matenda, hepatic encephalopathy, ascites, ndi vaceal hemorrhage.
Kutsata pafupipafupi: Odwala amakonza maulendo otsatizana ndi dokotala wawo kuti akambirane zotsatira za chithandizo, kuti awone momwe chiwindi chawo chikuyendera, ndi kufufuza zatsopano kapena zizindikiro zomwe matendawo akupita patsogolo.
Kuunika kwa Transplantation: Kuika chiwindi kungakhale njira yabwino kwa anthu omwe chiwindi chawo chikulephera komanso omwe ali ndi magawo ovuta kwambiri a cirrhosis. Wodwala amayikidwa pamndandanda wodikirira womuika ngati watsirizidwa pambuyo powunikiranso momveka bwino kuti ali oyenerera kumuika.
Chithandizo cha nthawi yayitali: Pofuna kuthana ndi matenda awo komanso kupititsa patsogolo moyo wawo, odwala matenda a cirrhosis amafunikira chisamaliro chokhazikika. Chisamalirochi chimaphatikizapo kutsatira ndondomeko ya chithandizo, kukayezetsa pafupipafupi, ndi kulandira chithandizo kuchokera kwa abwenzi ndi achibale komanso madokotala.
