Pa Marichi 18, 2024 ndi tsiku la 24 la "National Love for Liver Day", ndipo mutu wakulengeza chaka chino ndi "kupewa koyambirira komanso kuyezetsa msanga, komanso kupewa matenda a chiwindi".
Malinga ndi ziwerengero za World Health Organisation (WHO), anthu opitilira miliyoni imodzi amafa chifukwa cha matenda a chiwindi padziko lonse lapansi chaka chilichonse.Pafupifupi mmodzi mwa khumi mwa achibale athu ndi mabwenzi ali ndi kachilombo koyambitsa matenda a hepatitis B kapena C, ndipo chiwindi chamafuta chimakhala chocheperapo.
Tsiku la Chikondi cha Chiwindi lidakhazikitsidwa kuti lisonkhane mitundu yonse yamagulu amagulu, kusonkhanitsa unyinji, kulengeza mofala chidziwitso cha sayansi chopewera matenda a chiwindi ndi chiwindi, ndikuteteza thanzi la anthu pomwe chiwopsezo cha chiwindi chimachitika. matenda monga hepatitis B, hepatitis C ndi uchidakwa akuwonjezeka chaka ndi chaka ku China.
Tiyeni tichitepo kanthu, tidziwitse chidziwitso cha kupewa ndi kuchiza matenda a chiwindi fibrosis, tiyang'ane mwachangu, sinthani chithandizo, ndikutsata pafupipafupi kuti muchepetse kudwala kwa chiwindi.
01 Dziwani chiwindi.
Malo a chiwindi: Chiwindi ndi chiwindi.Ili kumtunda kumanja kwa mimba ndipo imakhala ndi ntchito yofunikira yosunga moyo.Ndilonso chiwalo chachikulu kwambiri chamkati mwathupi la munthu.
Ntchito zazikulu za chiwindi ndi: kutulutsa bile, kusunga glycogen, ndikuwongolera kagayidwe kazakudya zama protein, mafuta ndi chakudya.Ilinso ndi detoxification, hematopoiesis ndi coagulation zotsatira.
02 Matenda a chiwindi ofala.
1 chiwindi cha mowa
Kumwa kumapweteka chiwindi, ndipo kuwonongeka kwa chiwindi chifukwa cha kumwa kumatchedwa matenda a chiwindi cha mowa, zomwe zingayambitsenso kuwonjezeka kwa transaminase, ndipo kumwa kwa nthawi yaitali kungayambitsenso matenda a cirrhosis.
2 Chiwindi chamafuta
Nthawi zambiri, timanena za chiwindi chamafuta osakhala ndi mowa, chomwe ndi chonenepa kwambiri.Matenda a chiwindi omwe amayamba chifukwa cha kuchuluka kwa mafuta m'chiwindi nthawi zambiri amatsagana ndi kukana kwa insulini, ndipo odwala amakhala onenepa kwambiri ndipo amakwera katatu.M'zaka zaposachedwa, ndi kusintha kwa moyo, chiwerengero cha chiwindi chamafuta chikuwonjezeka tsiku ndi tsiku.Anthu ambiri apeza kuti transaminase ikukwera pakuyezetsa thupi, ndipo nthawi zambiri samayisamalira.Ambiri omwe si akatswiri angaganize kuti chiwindi chamafuta sichinthu.Ndipotu, chiwindi chamafuta ndi chovulaza kwambiri ndipo chingayambitse matenda a cirrhosis.
3 Chiwindi choyambitsa mankhwala
Ndimakhulupirira kuti pali mankhwala ambiri okhulupirira malodza omwe ali ndi zomwe zimatchedwa "conditioning" m'moyo, ndipo ndimakonda kwambiri aphrodisiac, mapiritsi a zakudya, mankhwala okongoletsera, mankhwala azitsamba achi China, ndi zina zotero. Monga aliyense akudziwa, "mankhwala osokoneza bongo ndi poizoni. m'njira zitatu", ndipo zotsatira za "conditioning" ndikuti mankhwala ndi metabolites awo m'thupi amakhala ndi zotsatirapo pa thupi la munthu ndipo amavulaza chiwindi.
Chifukwa chake, simuyenera kumwa mankhwala mwachisawawa popanda kudziwa pharmacology ndi mankhwala, ndipo muyenera kutsatira malangizo a dokotala.
03 kuvulaza chiwindi.
1 Kumwa mowa mwauchidakwa
Chiwindi ndi chiwalo chokha chomwe chimatha kusokoneza mowa.Kumwa mowa kwa nthawi yayitali kumatha kuyambitsa chiwindi chamafuta ambiri.Ngati sitimwa mowa pang'onopang'ono, chiwindi chidzawonongeka ndi chitetezo cha mthupi, zomwe zimapangitsa kuti maselo ambiri a chiwindi azifa ndikuyambitsa matenda a chiwindi.Ngati ipitilira kukula kwambiri, imayambitsa matenda a cirrhosis komanso khansa ya chiwindi.
2 Khalani mochedwa kwa nthawi yayitali
Pambuyo pa 23 koloko madzulo, ndi nthawi yoti chiwindi chichotse poizoni ndi kudzikonza chokha.Panthawiyi, sindinagone, zomwe zingakhudze kuchotseratu poizoni ndi kukonza chiwindi usiku.Kugona mochedwa ndi kugwira ntchito mopitirira muyeso kwa nthawi yaitali kungayambitse kuchepa kwa kukana ndi kuwonongeka kwa chiwindi.
3Take mankhwala kwa nthawi yaitali
Mankhwala ambiri amayenera kupangidwa ndi chiwindi, ndipo kumwa mankhwala mosasamala kumawonjezera kulemetsa kwa chiwindi ndikupangitsa kuti chiwindi chiwonongeke mosavuta.
Kuonjezera apo, kudya kwambiri, kusuta fodya, kudya mafuta oipa (mkwiyo, kukhumudwa, ndi zina zotero), komanso kusakodza nthawi yam'mawa kudzawononganso thanzi la chiwindi.
04 Zizindikiro za chiwindi choyipa.
Thupi lonse likuyamba kutopa;Kutaya njala ndi nseru;Kutentha pang'ono kosalekeza, kapena kudana ndi kuzizira;Kutchera khutu sikuli kophweka kuikapo;Kuchepa kwadzidzidzi kwa kumwa mowa;Kukhala ndi nkhope yosalala ndi kutaya kuwala;Khungu ndi chikasu kapena kuyabwa;Mkodzo umasanduka mtundu wa mowa;Chiwindi kanjedza, kangaude nevus;Chizungulire;Yellow thupi lonse, makamaka sclera.
05 Momwe mungakonde ndi kuteteza chiwindi.
1. Zakudya zopatsa thanzi: Zakudya zopatsa thanzi ziyenera kukhala zouma komanso zopatsa thanzi.
2. Kuchita masewera olimbitsa thupi nthawi zonse ndi kupuma.
3. Osamwa mankhwala mwachisawawa: Kugwiritsa ntchito mankhwala kuyenera kuchitika motsogozedwa ndi dokotala.Osamwa mankhwala mwachisawawa ndipo gwiritsani ntchito mankhwala osamalira odwala mosamala.
4. Katemera woteteza matenda a chiwindi: Katemera ndi njira yabwino kwambiri yopewera matenda a chiwindi a virus.
5. Kupenda thupi nthawi zonse: Ndibwino kuti akuluakulu athanzi ayesedwe kamodzi pachaka (chiwindi, hepatitis B, lipid lipid, chiwindi B-ultrasound, etc.).Anthu omwe ali ndi matenda a chiwindi osatha amalangizidwa kuti aziyezetsa miyezi isanu ndi umodzi iliyonse-kuwunika kwa chiwindi cha ultrasound ndi kuyezetsa magazi a alpha-fetoprotein a khansa ya chiwindi.
Hepatitis njira
Macro & Micro-Test imapereka zinthu zotsatirazi:
Gawo.1 kudziwa kuchuluka kwaHBV DNA
Ikhoza kuwunika kuchuluka kwa ma virus amtundu wa anthu omwe ali ndi kachilombo ka HBV ndipo ndi gawo lofunikira pakusankha kwamankhwala oletsa ma virus komanso kuweruza kwa machiritso.M'kati mwa mankhwala oletsa tizilombo toyambitsa matenda, kupeza yankho lokhazikika la virological kumatha kuwongolera kwambiri kupita patsogolo kwa chiwindi ndikuchepetsa chiopsezo cha HCC.
Gawo.2HBV genotyping
Osiyana genotypes a HBV ndi osiyana miliri, HIV zosiyanasiyana, mawonetseredwe matenda ndi kuyankha mankhwala, amene amakhudza mlingo seroconversion wa HBeAg, kuopsa kwa zotupa chiwindi, zochitika za khansa ya chiwindi, etc., komanso zimakhudza matenda matenda a HBV matenda. ndi achire zotsatira za antiviral mankhwala.
Ubwino: 1 chubu la mayankho amatha kuzindikira mitundu B, C ndi D, ndipo malire ocheperako ndi 100IU/mL.
Ubwino: zomwe zili mu HBV DNA mu seramu zitha kuzindikirika mochulukira, ndipo malire ocheperako ndi 5IU/mL.
Gawo.3 kuchuluka kwaMtengo wa HBV RNA
Kuzindikira kwa HBV RNA mu seramu kumatha kuwunika bwino kuchuluka kwa cccDNA mu hepatocytes, komwe kuli kofunikira kwambiri pakuzindikiritsa kothandiza kwa matenda a HBV, kuzindikira kwamphamvu kwa chithandizo cha NAs kwa odwala CHB komanso kulosera za kusiya mankhwala.
Ubwino: zomwe zili mu HBV RNA mu seramu zitha kuzindikirika mochulukira, ndipo malire ocheperako ndi 100Copies/mL.
Gawo.4 HCV RNA quantification
Kuzindikira kwa HCV RNA ndiye chizindikiro chodalirika kwambiri cha infectivity and replication virus, komanso ndi chizindikiro chofunikira cha matenda a hepatitis C komanso chithandizo chamankhwala.
Ubwino: zomwe zili mu HCV RNA mu seramu kapena plasma zitha kuzindikirika mochulukira, ndipo malire ocheperako ndi 25IU/mL.
Gawo.5HCV genotyping
Chifukwa cha mawonekedwe a HCV-RNA virus polymerase, majini ake amasinthidwa mosavuta, ndipo genotyping yake imagwirizana kwambiri ndi kuchuluka kwa kuwonongeka kwa chiwindi ndi chithandizo chamankhwala.
Ubwino: 1 chubu ya yankho yankho imatha kuzindikira mitundu 1b, 2a, 3a, 3b ndi 6a polemba, ndipo malire ocheperako ndi 200IU/mL.
Nthawi yotumiza: Mar-18-2024