Izifo zesibindi, ikakhulukazi i-cirrhosis ne-hepatitis, zingathinta ezinye izitho. Umonakalo we-CNS obangelwa ukusebenza okungavamile kwesibindi kubizwa ngokuthi i-coma ye-hepatic. Lesi sifo esibucayi, okubandakanya ngokushesha ukufuna usizo lwezokwelapha, ngaphandle kwalokho ukufa kungenakugwemeka.
Izimpawu eziyinhloko ze-coma e-hepatic
Ngokuya ngesibangela sesifo, odokotela bahlukanisa izinhlobo eziningana ze-coma. I-coma e-hepatic engapheli ivela ngenxa yesifo esinobuthi nge-hepatotropic poisons eyatholwa ngenxa ye- cirrhosis noma i-hepatitis. I-coma evelele ivame ukubangelwa ukusetshenziswa kwesifungi esinobuthi, ukusebenzisa isikhathi eside imishanguzo ethile, noma ukufaka ushevu nge-toxins engena emzimbeni ngaphandle bese ibetha isibindi.
Ukuhlanganiswa kwesimo esingapheli nesingenakuqhathaniswa nesifo kubizwa ngokuthi i-coma e-hepatic ehlanganisiwe. Izigaba zabantu ezilandelayo zithinteka kakhulu kulesi sifo:
- abesifazane abakhulelwe;
- utshwala;
- abantu abadla kakhulu;
- izingane ezincane.
Ngokuqondile imbangela ye-coma ye-hepatic ukunqotshwa kwamangqamuzana ezinyosi ezinama-toxins akhiqizwa isibindi, okubangelwa i- edema ye-cerebral nokulahlekelwa kokuqonda. Nazi izibonakaliso eziyinhloko ze-coma e-hepatic:
- ukucasuka okukhulu;
- ukuguquka kwemizwelo ebukhali;
- ukunganakwa;
- ukulala ebusuku nokulala ngenxa yosuku;
- ikhanda;
- ukuthuthumela kwezandla;
- ukuphumuza kwezintambo;
- ukulahlekelwa nethuba lokukhuluma ngokucacile;
- ukuphuziza kwesikhumba;
- isicasuli;
- ubuhlungu esiswini.
Lezi zimpawu zifanekisela isimo se-precoma, nokufinyelela okufika ngesikhathi kudokotela umuntu angasindiswa. Khona-ke kufika isigaba sokuqala se-coma, lapho ukuphefumula kuba nzima futhi ukulahleka okuncane kokuqaphela kwenzeka. Ngalesi sigaba se-coma e-hepatic, i-prognosis enhle yi-30% kuphela. Ngemuva kokufika kwe-coma ephelele, ukwelashwa ngeke kusize ukubuyisela umuntu ekuphileni okuvamile futhi kuzokwenza isikhathi eside kuphela ukusebenza kwezitho zangaphakathi zangaphakathi isikhathi esingenamkhawulo.
Izici zokwelapha i-coma ye-hepatic
Uma uzithola noma othile oseduze nezimpawu ze-precoma, kufanele ushayele i-ambulensi ngokushesha. Ukunakekelwa okuphuthumayo kwe-coma e-hepatic kungenxa yokuthi isiguli sidinga ukuqinisekisa ukuphumula okuphelele futhi simbeke eceleni kwakhe. Yilokho ongakwenza ukuze unciphise isimo sakhe, bonke abanye bazolimaza kuphela.
Ukwelashwa kufanele kwenziwe ngodokotela abaqeqeshiwe ekamelweni lokunakekelwa okujulile noma insizakalo yokunakekelwa okukhulu. Okokuqala, kubalulekile ukuhlanza amathumbu avela ku-microflora, nomzimba wonke - kusuka ebubilini. Ngenxa yalokhu, abashayeli bangakwazi ukukhululwa kanye nemithi elwa namagciwane. Futhi, umsebenzi odokotela ukunciphisa ukudliwa kwamaprotheni futhi ususe emzimbeni osevele usutholakale. Nge-edema yobuchopho, wonke amabutho aphonswa ekuqedeni le nkinga, ngoba yonke iminithi yokulibaziseka ukuthi kungenzeka ukuthi umuntu abuyele ekuqapheleni iwa kakhulu.
Uma lesi sifo sithuthuka futhi sidedela ukuxwala, ukuthuthukiswa kokuhluleka kwenkunzi kungenzeka. Kulokhu, inqubo ye-hemodialysis yenziwa.
Emagumbini amakhulu e-ammonia ku
Isisekelo sokwelashwa yisimiso sokuxoshwa komzimba nokubuya kwemisebenzi yengqondo.
Ukuze uvimbele ukuthuthukiswa kwe-coma ye-hepatic, kufanele ulandele le mithetho:
- Ngokuhamba kwesikhathi ukuphatha zonke izifo zesibindi.
- Ungasebenzisi kabi utshwala.
- Ungahlanganisi izidakamizwa utshwala.
- Ungadli amakhowe asendle, noma ngabe ukubonakala kwawo akufaki ukusola.