Lefu la sebete la joala

Lefu la joala la joala le senya sebete le tšebetso ea lona ka lebaka la tšebeliso e mpe ea joala.

Lefu la joala la joala le hlaha kamora lilemo tse ngata tsa ho noa haholo. Ha nako e ntse e ea, ho hlaha le ho thatafala ha pelo ho ka etsahala. Cirrhosis ke karolo ea hoqetela ea lefu la sebete la joala.

Lefu la sebete la joala ha le hlahe ho bohle ba noang haholo. Monyetla oa ho tšoaroa ke lefu la sebete o phahama ha o ntse o noa joala le joala bo bongata boo o bo noang. Ha ua tlameha ho tahoa hore lefu le etsahale.

Lefu lena le tloaelehile bathong ba pakeng tsa lilemo tse 40 le 50. Ho ka etsahala hore banna ba be le bothata bona. Leha ho le joalo, basali ba ka ba le lefu lena kamora ho pepesehela joala hanyane ho feta banna. Batho ba bang ba ka ba le kotsi eo ba e futsitseng bakeng sa lefu lena.

Ho kanna ha ba le matšoao, kapa matšoao a ka hlaha butle. Sena se latela hore na sebete se sebetsa hantle hakae. Matšoao a tloaetse ho mpefala kamora nako ea ho noa haholo.

Matšoao a pele a kenyelletsa:

• Ho felloa ke matla
• Takatso e mpe ea lijo le ho theola boima ba 'mele
• Ho nyekeloa
• Bohloko ba Belly
• Metsotsoana e menyane e kang ea sekho e khubelu letlalong

Ha ts'ebetso ea sebete e ntse e mpefala, matšoao a ka kenyelletsa:

• Mokelikeli oa metsi oa maoto (edema) le ka mpeng (ascites)
• 'Mala o mosehla letlalong, lera la mahlo, kapa mahlo (jaundice)
• Bokhubelu liatleng tsa matsoho
• Ho banna, ho hloka matla, ho honyela hoa makoala le ho ruruha ha matsoele
• Ho loma habonolo le ho tsoa mali ho sa tloaelehang
• Pherekano kapa mathata a ho nahana
• Litulo tse pente kapa tse 'mala oa letsopa

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele ho batla:

• Sebete se atolositsoeng kapa spleen
• Lisele tsa matsoele tse feteletseng
• Ho ruruha mpa, ka lebaka la mokelikeli o mongata haholo
• Lifate tse khubelu
• Metsing ea mali e kang sekho se khubelu letlalong
• Mabele a manyane
• Metsoana e atolositsoeng leboteng la mpa
• Mahlo a mosehla kapa letlalo (jaundice)

Liteko tseo u ka bang le tsona li kenyelletsa:

• Palo e felletseng ea mali (CBC)
• Liteko tsa ts'ebetso ea sebete
• Lithuto tsa coagulation
• Biopsy ea sebete

Liteko tsa ho thibela mafu a mang li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• Liteko tsa mali bakeng sa lisosa tse ling tsa lefu la sebete
• Ultrasound ea mpa
• Ultrasound e hlalosang

BOPHELO BOPHELO

Lintho tse ling tseo u ka li etsang ho thusa ho hlokomela lefu la sebete ke:

• Khaotsa ho noa joala.
• Ja lijo tse matlafatsang tse letsoai le fokolang.
• Fumana ente bakeng sa mafu a kang feberu, lefu la sebete la mofuta oa A le hepatitis B, le pneumonia ea pneumococcal.
• Bua le mofani oa hau ka meriana eohle eo u e sebelisang, ho kenyelletsa litlama le li-supplement le meriana e rekisoang.

MELAO E TSOANG NGAKA EA HAO

• "Lipilisi tsa metsi" (diuretics) ho felisa mokelikeli o mongata
• Vithamine K kapa lihlahisoa tsa mali ho thibela ho tsoa mali a mangata
• Meriana ea pherekano ea kelello
• Lithibela-mafu bakeng sa tšoaetso

LITLHARE TSELA

• Litlhare tsa Endoscopic bakeng sa methapo e atolositsoeng ka mpeng (li-esophageal varices)
• Tlosa mokelikeli mpeng (paracentesis)
• Ho beoa ha transjugular intrahepatic portosystemic shunt (LITLHAHISO) ho lokisa phallo ea mali sebeteng

Ha lefu la ho thatafala ha sebete le ntse le tsoela pele ho ea qetellong ea lefu la sebete, ho ka hlokahala ho kenyelletsa sebete. Ho fetisetsa sebete bakeng sa lefu la sebete la joala ho nkoa feela ho batho ba qobileng joala ka botlalo likhoeli tse 6.

Batho ba bangata ba rua molemo ka ho ikopanya le lihlopha tsa tšehetso bakeng sa tahi kapa lefu la sebete.

Lefu la sebete la joala lea phekoleha haeba le ka tšoaroa pele le baka tšenyo e mpe. Leha ho le joalo, ho noa joala ho feta tekano ho ka khutsufatsa nako ea bophelo ba hau.

Cirrhosis e mpefatsa boemo mme e ka baka mathata a tebileng. Ha ho na le tšenyo e mpe, sebete ha se khone ho fola kapa ho khutlela tšebetsong e tloaelehileng.

Mathata a ka kenyelletsa:

• Mathata a ho tsoa mali (coagulopathy)
• Ho aha mokelikeli ka mpeng (ascites) le tšoaetso ea mokelikeli (bacterial peritonitis)
• Metsing e atolositsoeng ka mpeng, ka mpeng kapa mala a tsoang mali habonolo (esophageal varices)
• Khatello e eketsehileng methapong ea mali ea sebete (portal hypertension)
• Ho hloleha ha liphio (hepatorenal syndrome)
• Kankere ea sebete (hepatocellular carcinoma)
• Pherekano ea kelello, phetoho boemong ba tsebo, kapa coma (hepatic encephalopathy)

Ikopanye le mofani oa hau haeba u:

• Hlaolela matšoao a lefu la sebete la joala
• Hlaolela matšoao kamora nako e telele ea ho noa haholo
• U tšoenyehile hore ho noa ho ka senya bophelo ba hau

Fumana thuso ea bongaka ea tšohanyetso hang-hang haeba u na le:

• Bohloko ba mpeng kapa sefubeng
• Ho ruruha ha mpa kapa ascites ho hocha kapa ka tšohanyetso ho mpefala
• Feberu (mocheso o fetang 101 ° F, kapa 38.3 ° C)
• Letšollo
• Pherekano e ncha kapa phetoho ea tlhokomeliso, kapa e mpefala
• Ho tsoa mali ka mpeng, ho hlatsa mali, kapa mali ka morong
• Phefumoloho e khutšoanyane
• Ho hlatsa hangata ho feta hanngoe ka letsatsi
• Letlalo le mosehla kapa mahlo (jaundice) a macha kapa a mpefala kapele

Bua ka bolokolohi le mofani oa hau ka tšebeliso ea hau ea joala. Mofani oa thepa a ka u eletsa hore na joala bo bolokehile hakae ho uena.

Lefu la sebete ka lebaka la joala; Ho thatafala ha sebete kapa lefu la sebete - joala; Ho thatafala ha pelo ha Laennec

• Cirrhosis - ho tsoa

• Tsamaiso ea ho sila lijo
• Sebopeho sa sebete
• Mafura a sebete - CT scan

Koloi ea RL, McClain CJ. Lefu la sebete la joala. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 86.

Chalasani NP. Joato le joala bo bobe ba steatohepatitis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 143.

Haines EJ, Oyama LC. Mathata a sebete le pampitšana ea biliary. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 80.

Hübscher SG. Lefu la sebete le bakoang ke joala. Ka: Saxena R, ed. E sebetsang ea Hepatic Pathology: Mokhoa oa ho Itlhahloba. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2018: khaolo ea 24.