Umdlavuza wesibindi yisifo esibucayi esiholela isiguli ukuba sife ngesikhathi esifushane. Kuvela amafomu amahle ku-lobes e-hepatic futhi ngokuvamile ithinta ama-bucts. Ukusheshe kutholakale lesi sifo kubaluleke kakhulu ekwelapheni umdlavuza wesibindi. Mayelana nalokhu, ulwazi olukhethekile luzuza ulwazi lwezimpawu ezisemqoka nempawu zesifo somdlavuza wesibindi.
Umdlavuza wesibindi - izimpawu zesifo
Ukuqaphela izibonakaliso zokuqala zesifo somdlavuza wesibindi ngesikhathi sokuqala kungenzeka, uma ukunakwa kubhekisela empilweni yomuntu siqu, ukuqonda futhi ngokufanele ukuhumusha izimpawu umzimba wethu owenzayo. Phakathi kwesibonakaliso sokuqala somdlavuza wesibindi kufanele kuqashelwe kuqala:
- ukukhathala okusheshayo;
- ukunciphisa ukusebenza kahle;
- ubuthakathaka jikelele.
Ngesikhathi esifanayo, izinguquko zomzimba esiqenjini sezinyathelo zokuqala zomdlavuza azikho, kanye nesibindi sesibindi sifana nokujwayelekile. Kungenxa yalezi zizathu ukuthi kunzima ukuthola ukutholakala kwe-pathology, futhi isifo esibindile sesibindi ngokuvamile sitholakale ngengozi lapho kuhlolwa isiguli esinokunye okusolakala ukuthi ezinye izifo. Abachwepheshe batusa kakhulu ukuthi ukuhlolwa kokuvimbela kwenziwe okungenani kanye ngonyaka. Lo mkhandlu uthinteka kakhulu kubantu abasengozini:
- iziguli ezine-hepatitis kanye ne- cirrhosis ;
- iziguli ezinokuphuza utshwala nezidakamizwa;
- abantu abanesifo sikashukela.
Ngaphezu kwalokho, ukuhlolwa kokuvimbela minyaka yonke kuyadingeka kubasebenzi abathintekayo ekukhiqizeni okunobungozi.
Esikhathini esizayo, uma kungekho ukwelashwa okwanele, ukukhula kwesifo sofuba kwenzeka, izimpawu zesifo somdlavuza wesibindi ziba ngaphezulu. Kulesi simo, kunezibonakaliso ezifana nalezi:
- uzizwa ukhathazekile esiswini;
- ubuhlungu obunzima obuhlala njalo engxenyeni efanele yangaphambili ebunzini, enikeza esifundeni se-lumbar;
- ukuhlukumeza (ukucwenga, ukuhlanza, isifo sohudo, flatulence);
- ukulahlekelwa kwesifiso;
- ukulahlekelwa kwesisindo esibukhali;
- umkhuhlane wezinga eliphansi;
- ukwanda kwesitho esigulayo;
- i-edema;
- i-jaundice;
- ukuphuma kwegazi.
Njengoba lesi sifo siphuthuka, izimpondo zangaphakathi-kwesisu kanye nezinkinga ze-endocrine zenzeka. Ama-telangiectasies asondeza ngendlela yenethiwekhi ye-vascular and asterisks kungenzeka. Esigabeni sokugcina, ama-metastase asakazwa kuwo wonke umzimba ngokugeleza kwegazi. Lokhu kubonisa ukuthi isiguli sizobhujiswa.
Izindlela zokuthola umdlavuza wesibindi
Kunezindlela eziningana ezakhelwe ukuthola izicubu ezimbi esibindi:
- Udokotela onolwazi angakwazi ukucacisa lesi sifo ngisho nokuhlolwa okubukwayo ngokusekelwe kwesisu nesisu (izincazelo zezizwa ezenziwe yisiguli ngokwakhe).
- Uma ubona izimpawu nezimpawu zesifo somdlavuza wesibindi, udinga ukuhlolwa kwegazi. Isignali ye-alamu yinani elandisiwe le-bilirubin ne-urobilin.
- Ukutadisha isibindi ngosizo lwe-ultrasound kungabonisa izici ezinjengomdlavuza njengokwanda kwesayizi nobukhulu besitho,
ukutholakala kwe-heterogeneity kwezicubu. - Ngenxa ye-tomography ehlanganisiwe ne-agent ehlukile, izinga lokulimala egazini eligulayo nemithambo yegazi elisendaweni eseduze yesibindi inqunywa.
- Ukwakheka okungokwemvelo kungatholakala ngesikhathi sokudonswa kwe-imagination magnetic resonance.
- Indlela yokwelapha enembile kunazo zonke, ngokusho kochwepheshe, ihlala i-biopsy - isampuli kanye nokucwaninga kwesampula sesisindo ngokusola kokushintsha okubi emathangeni asebindi.