Ngomhla we-18 kuMatshi, ngo-2024 ngumhla wama-24 "Uthando lweSizwe loSuku lweSibindi", kwaye umxholo walo nyaka wokupapasha uthi "ukuthintela kwangethuba kunye nokuhlolwa kwangoko, kwaye uhlale kude ne-cirrhosis yesibindi".
Ngokwezibalo zeWorld Health Organisation (WHO), bangaphezulu kwesigidi abantu abafayo ngenxa yezifo zesibindi ehlabathini lonke nyaka ngamnye.Malunga nesinye kwizihlobo zethu ezili-10 zosulelwe yintsholongwane yehepatitis B okanye C engapheliyo, kwaye isibindi esinamafutha sidla ngokuba siselula.
Usuku lweSizwe loLuthando lweSibindi lwamiselwa ukuze luqokelele zonke iintlobo zemikhosi yentlalo, ukuhlanganisa abantu abaninzi, ukuvakalisa ngokubanzi ulwazi lwesayensi oludumileyo lokuthintela isifo sesibindi kunye nezifo zesibindi, kunye nokukhusela impilo yabantu phantsi kweemeko zesibindi. izifo ezifana hepatitis B, hepatitis C kunye hepatitis utywala buyanda unyaka nonyaka eTshayina.
Masisebenze kunye, sikhulise ulwazi lothintelo kunye nonyango lwe-fibrosis yesibindi, siqhube uvavanyo olusebenzayo, simise unyango, kwaye silandele rhoqo ukunciphisa ukwenzeka kwe-cirrhosis yesibindi.
01 Yazi isibindi.
Indawo yesibindi: Isibindi sisibindi.Ifumaneka kwicala eliphezulu lasekunene lesisu kwaye inomsebenzi obalulekileyo wokugcina ubomi.Ikwalelona lungu langaphakathi likhulu emzimbeni womntu.
Imisebenzi ephambili yesibindi yile: ukufihla i-bile, ukugcina i-glycogen, kunye nokulawula i-metabolism yeprotheni, amafutha kunye ne-carbohydrate.Kwakhona ine-detoxification, i-hematopoiesis kunye nemiphumo ye-coagulation.
02 Izifo zesibindi eziqhelekileyo.
1 ihepatitis enxilisayo
Ukusela kuyasenzakalisa isibindi, kwaye ukwenzakala kwesibindi okubangelwa kukusela kubizwa ngokuba sisifo sesibindi esinxilisayo, nto leyo enokukhokelela ekwandeni kwe-transaminase, kwaye ukusela ixesha elide kunokubangela i-cirrhosis.
2 Isibindi esinamafutha
Ngokuqhelekileyo, sibhekisela kwisibindi esinamafutha angekho utywala, atyebe kakhulu.Izilonda zezicubu zesibindi ezibangelwa kukuqokelelwa kwamafutha esibindini zihamba kunye nokuxhatshazwa kwe-insulin, kwaye izigulane zityebileyo kunye nokuphakama okuthathu.Kwiminyaka yakutshanje, ngokuphuculwa kweemeko zokuphila, inani lesibindi esinamafutha liyanda imihla ngemihla.Abantu abaninzi baye bafumanisa ukuba i-transaminase iyenyuka ekuhlolweni komzimba, kwaye bahlala bengayihoyi.Uninzi lwabantu abangezongcali baya kucinga ukuba isibindi esinamafutha asinto.Enyanisweni, isibindi esinamafutha siyingozi kakhulu kwaye sinokukhokelela kwi-cirrhosis.
3 I-hepatitis eyenziwe ngamachiza
Ndiyakholelwa ukuba zininzi iimveliso zokhathalelo lwempilo ezineenkolelo ezibizwa ngokuba yi "conditioning" isiphumo ebomini, kwaye ndinomdla kwi-aphrodisiac, iipilisi zokutya, iziyobisi zobuhle, amayeza esintu aseTshayina, njl. Njengoko wonke umntu esazi, "iziyobisi ziyityhefu. ngeendlela ezintathu", kwaye umphumo we "conditioning" kukuba iziyobisi kunye ne-metabolites yazo emzimbeni zinemiphumo emibi emzimbeni womntu kwaye zilimaza isibindi.
Ke ngoko, akufuneki uthathe iyeza ngokungalindelekanga ngaphandle kokwazi i-pharmacology kunye neempawu zonyango, kwaye kufuneka ulandele ingcebiso kagqirha.
03 isenzo sokwenzakala kwesibindi.
1 Ukusela kakhulu
Isibindi kuphela kwelungu elinokusebenzisa utywala.Ukusela utywala ixesha elide kunokubangela lula isibindi esinamafutha otywala.Ukuba asiseli utywala ngokumodareyitha, isibindi siya konakaliswa yinkqubo yomzimba yokuzikhusela, nto leyo ekhokelela kwinani elikhulu leeseli zesibindi ezifayo kwaye zibangele i-hepatitis engapheliyo.Ukuba iyaqhubeka ikhula ngokunzulu, iya kubangela i-cirrhosis kunye nomhlaza wesibindi.
2 Hlala kude kube sebusuku ixesha elide
Emva kwentsimbi ye-23 ngokuhlwa, lixesha lokuba isibindi sikhuphe ityhefu kwaye sizilungise.Ngeli xesha, andizange ndilale, okuya kuchaphazela ukuchithwa okuqhelekileyo kunye nokulungiswa kwesibindi ebusuku.Ukuhlala emva kwexesha kunye nokusebenza kakhulu ixesha elide kunokukhokelela ekunciphiseni ukuxhathisa kunye nokulimala kwesibindi.
3Tthatha iyeza ixesha elide
Uninzi lwamachiza kufuneka lutshintshwe sisibindi, kwaye ukuthatha iziyobisi ngokungakhethi kuya kwandisa umthwalo esibindini kwaye kulula ukukhokelela kumonakalo wesibindi owenziwe ngamachiza.
Ukongezelela, ukutya ngokugqithiseleyo, ukutshaya, ukutya iimvakalelo ezimbi ezinamafutha (umsindo, ukuxinezeleka, njl.), kunye nokungachami ngexesha kusasa kuya kulimaza impilo yesibindi.
04 Iimpawu zesibindi esibi.
Umzimba wonke uya udinwa ngakumbi;Ukulahlekelwa ngumdla kunye nesicaphucaphu;Umkhuhlane omncinci oqhubekayo, okanye ukungafuni ukubanda;Ingqalelo akulula ukuyinikela ingqalelo;Ukuncipha ngokukhawuleza kokusetyenziswa kotywala;Yiba nobuso obunzima kwaye ulahlekelwe bubuhle;Ulusu lutyheli okanye lurhawuzelelwa;Umchamo ujika ube ngumbala webhiya;Intende yesibindi, i-spider nevus;Isiyezi;Utyheli kuwo wonke umzimba, ngakumbi i-sclera.
05 Indlela yokusithanda nokukhusela isibindi.
1. Ukutya okunempilo: Ukutya okunesondlo kufuneka kube rhabaxa kwaye kube kuhle.
2. Ukuzilolonga rhoqo kunye nokuphumla.
3. Musa ukuthatha iyeza ngokungakhethiyo: Ukusetyenziswa kweziyobisi kufuneka kuqhutywe phantsi kwesikhokelo sikagqirha.Musa ukuthatha iziyobisi ngokungakhethi kwaye usebenzise iimveliso zokhathalelo lwempilo ngononophelo.
4. Ugonyo lokuthintela isifo sesibindi: Ugonyo yeyona ndlela isebenzayo yokuthintela i-viral hepatitis.
5. Ukuhlolwa komzimba rhoqo: Kunconywa ukuba abantu abadala abanempilo bahlolwe ngokomzimba kanye ngonyaka (umsebenzi wesibindi, i-hepatitis B, i-lipid lipid, isibindi se-B-ultrasound, njl.).Abantu abanesifo sesibindi esinganyangekiyo bayacetyiswa ukuba baxilongwe rhoqo emva kweenyanga ezintandathu kwi-ultrasound yesibindi kunye ne-serum alpha-fetoprotein yokuhlola umhlaza wesibindi.
Isisombululo seHepatitis
IMacro kunye neMicro-Test ibonelela ngezi mveliso zilandelayo:
Icandelo.1 ukufunyaniswa kobungakanani beI-HBV DNA
Iyakwazi ukuvavanya inqanaba lokuphindaphinda kwentsholongwane yabantu abosulelwe yi-HBV kwaye isalathiso esibalulekileyo sokukhethwa kwezibonakaliso zonyango lwe-antiviral kunye nesigwebo sesiphumo sonyango.Kwinkqubo yonyango lwe-antiviral, ukufumana impendulo eqhubekayo ye-virological inokulawula ngokuphawulekayo inkqubela ye-cirrhosis yesibindi kunye nokunciphisa umngcipheko we-HCC.
Icandelo.2HBV genotyping
Iintlobo ezahlukeneyo ze-genotypes ze-HBV zihluke kwi-epidemiology, ukuhluka kwentsholongwane, ukubonakaliswa kwesifo kunye nokuphendula unyango, okuchaphazela izinga le-seroconversion ye-HBeAg, ubunzima bezilonda zesibindi, iziganeko zomhlaza wesibindi, njl. kunye nefuthe lonyango lwamachiza alwa neentsholongwane.
Izinto eziluncedo: I-tube ye-1 yesisombululo sokuphendula ingakwazi ukubona iintlobo ze-B, i-C kunye ne-D, kunye nomda omncinci wokufumanisa i-100IU / mL.
Izinto eziluncedo: umxholo we-HBV DNA kwi-serum unokubonwa ngokobungakanani, kwaye umlinganiselo omncinci wokufumanisa ngu-5IU / mL.
Icandelo.3 ubungakanani beI-HBV RNA
Ukufunyanwa kwe-HBV RNA kwi-serum kunokubeka iliso ngcono inqanaba le-cccDNA kwi-hepatocytes, ebaluleke kakhulu ekuxilongweni okuncedisayo kosulelo lwe-HBV, ukufunyaniswa kokusebenza konyango lwe-NAs kwizigulane ze-CHB kunye nokuqikelelwa kokurhoxiswa kweziyobisi.
Izinto eziluncedo: umxholo we-HBV RNA kwi-serum unokubonwa ngokobungakanani, kwaye umyinge omncinci wokufumanisa yi-100Copies / mL.
Icandelo.4 HCV RNA quantification
Ubhaqa lwe-HCV RNA sesona salathisi sithembekileyo sokusuleleka kunye nentsholongwane ephindaphindayo, kwaye ikwaluphawu olubalulekileyo lobume bosulelo lwe-hepatitis C kunye nesiphumo sonyango.
Izinto eziluncedo: umxholo we-HCV RNA kwi-serum okanye kwi-plasma unokubonwa ngokobungakanani, kwaye umlinganiselo omncinci wokufumanisa ngu-25IU / mL.
Icandelo.5HCV genotyping
Ngenxa yeempawu ze-HCV-RNA virus polymerase, iijini zayo ziguqulwa ngokulula, kwaye i-genotyping yayo inxulumene ngokusondeleyo nenqanaba lomonakalo wesibindi kunye nesiphumo sonyango.
Izinto eziluncedo: I-tube ye-1 yesisombululo sokuphendula inokubona iindidi ze-1b, i-2a, i-3a, i-3b kunye ne-6a ngokuchwetheza, kunye nomda omncinci wokufumanisa i-200IU / mL.
Ixesha lokuposa: Mar-18-2024