Isifo sesibindi sokuvuvukala esingaziwa, esinesimo esingapheli, sibizwa ngokuthi i-autoimmune hepatitis. Ngeshwa, lesi sifo asiyona into engavamile, futhi sithinta kakhulu abesifazane besencane. Ingozi enkulu ukuthi lesi sifo sibangela ukulimala kanzima kwesibindi, i-cirrhosis nokuntuleka.
Izimpawu Ze-Hepatitis Ezingavamile Zokuzibulala
Esimweni esijwayelekile sempilo nomzimba, lesi sifo ekuqaleni singenzeka ngaphandle kwemibonakaliso yemitholampilo, ngokuvamile isifo sofuba sitholakala esiteji soshintsho olunzulu ku-parenchyma ne-cirrhosis.
Noma kunjalo, ukugula ngokuvamile kuvame ukuzizwa futhi ngokuzumayo, nge-symptomatology eveziwe.
Izimpawu ze-hepatitis yokuzimela ngokuzenzakalelayo:
- ukufiphaza komchamo kumbala weti omnyama noma ubhiya obumnyama;
- i-icterus yesikhumba, i-sclera;
- ubuthakathaka, ukulala, ukuphelelwa amandla njalo;
- ukungabi nesifiso sokudla;
- ubuhlungu ku-hypochondrium elungile , ubunzima;
- ukunganaki esifundeni se-epigastric engenhla;
- umkhuhlane;
- isikhumba sesikhumba.
Ngaphezu kwalokho, ukubonakaliswa kwe-extrahepatic nokuphazamiseka ekusebenzeni kwamanye amasistimu omzimba kungenzeka:
- i-hirsutism ;
- i-amenorrhea;
- i-ulcerative colitis;
- i-vitiligo;
- i-arthralgia;
- i-hemolytic anemia;
- iridocyclitis;
- i-myocarditis;
- pleurisy.
Ukuxilongwa kwe-autoimmune hepatitis
Kunzima ukucacisa kahle lolu hlobo lwesifo, ngoba zonke izimpawu zifana nezinye izinhlobo ze-hepatitis eziyingozi yegciwane.
Ngokwesitatimende sokuxilongwa okuqondile, i-laboratory ekhethekile, i-biochemical kanye ne-ultrasound ukuhlolwa, i-biopsy, iqhutshwa ngempela.
Ngokuvumelana nemigomo eyamukelwa emphakathini wezokwelapha emhlabeni wonke, isifo sofuba esisodwa se-autoimmune sibonakala ngezinkomba ezinjalo:
- egazini azikho izimpawu zokutheleleka kwegciwane lesifo sofuba esiphezulu se-hepatitis A, B, C;
- umsebenzi okwandisiwe we-ALT ne-ASAT;
- ama-antibody titres angaphezu kwe-1:80;
- izinga le-y-globulins lingaphezu kuka-1.5 izikhathi noma ngaphezulu;
- ku-anamnesis ayikho utshwala, ukuxhomeka kwezisulu.
Kule-autoimmune i-hepatitis type 1 itholakala ngenxa yokutholakala kwama-antibodies egazini le-SMA noma le-ANA, izinhlobo ezingu-2 - anti-LKM-I, izinhlobo ezintathu - i-SLA.
Ngenxa ye-ultrasound, kungenzeka ukuveza izinga lokunciphisa i-parenchyma ne-tissue tissues, nokwandisa. I-biopsy yenzelwa ukuhlaziywa kwe-morphological kwesampula, ukutholakala komsebenzi wesifo nokuqhubeka kwayo.
Ukunakekelwa kwesifo sofuba esithathelana ngokuzenzakalelayo
Ngokuyinhloko, ukwelashwa kusekelwe ekusebenziseni ama-hormone e-corticosteroid, okwenza ngesikhathi esifanayo ukunciphisa ukusabela kwesimiso sokuzivikela komzimba nokuvimba inqubo yokuvuvukala.
Ngokuvamile, inkambo ende ye-Prednisone (prednisone) inikezwa nge-infusions e-intravenous. Ngemuva kwezinyanga ezimbalwa zokwelashwa, umthamo wesidakamizwa wehlisiwe, futhi ukwelashwa kunomuntu osekelayo. Ngaphezu kwalokho, lolu hlelo luyengeza enye imithi - Delagil. Isikhathi senkambo singaba izinyanga ezingu-6-8, emva kwalokho kubalulekile ukuqapha njalo i-hepatologist kanye nokwelapha okuvimbela.
Kulezo zimo lapho ukwelashwa kwe-hormone kungenzi umphumela oyifunayo nesifo sofuba sibonakala ngokuphindaphindiwe okuphindaphindiwe, kunengqondo ukwenza umsebenzi wokufakelwa kwesibindi.
Yidla ngokushisa kwesifo sofuba
Njengazo zonke izinhlobonhlobo zezifo ezichazwe, ukudla okunomsoco kunconywa ngokwemithetho nemigomo yetafula inombolo ye-5 ye-Pevzner.
Akubandakanyi noma yikuphi imikhiqizo ye-choleretic, ukudla okunamafutha okuthosiwe, amafishi amasha, amaswidi, ikakhulukazi ushokoledi kanye ne-cocoa.
Ukuphuza utshwala akuvunyelwe ngokuphelele.
Izitshalo, i-pasta, i-pastry ebhakiwe, isinkwa se-1 no-2 senza ufulawa (izolo), imifino, izithelo namajikijolo (amnandi kuphela) avunyelwe.