Ingabe utshwala buyandisa ingozi yomdlavuza wesibindi? Kulo mbuzo, sithole izimpendulo eziqinisekisayo kwabanye ochwepheshe noprofesa e-Medical Academic Medical Center yaseNyuvesi yaseNingizimu California. Ukuphuza ngokweqile kungabangela umdlavuza wesibindi, okuyiqiniso eliye latholakala. Uma kutholakala kusenesikhathi, iziguli zinezinketho eziningi zokwelapha, ngakho ukuhlonza kuwukhiye.
Ngakho-ke, yiziphi izimbangela zomdlavuza wesibindi? Ezimweni eziningi, umdlavuza wesibindi ubangelwa i-cirrhosis, ebangelwa ukuvuvukala kanye nezibazi zamangqamuzana esibindi. Kunezimbangela ezintathu eziyinhloko ze-cirrhosis: amagciwane e-hepatitis B kanye ne-hepatitis C; I-non-alcohol steatohepatitis (NASH). I-NASH ibangelwa isibindi esinamafutha, futhi izici zayo eziyingozi zihlanganisa ukukhuluphala, ukuhlinzwa kwe-gastric bypass, i-cholesterol ephezulu kanye nesifo sikashukela sohlobo 2. Ezinye iziguli ze-NASH ziba nomdlavuza wesibindi ngokuqondile ngaphandle kwe-cirrhosis. Ukukhuluphala ngokweqile nezidakwa nazo zibhekana nezingozi eziphindwe kabili. Isizathu sesithathu isifo sesibindi esidakayo.
Abantu abaningi abaphuza utshwala ngezikhathi ezithile ngeke bathole isifo sokusha kwesibindi sotshwala. Indlela enokwethenjelwa yokuzivikela esifweni sesibindi esidakayo ukugwema ukuphuza ngokuphelele. Abantu abaphuza kakhulu utshwala basengozini enkulu yokuba nomdlavuza wesibindi. Ngakho-ke, abantu abaphuza kakhulu kufanele bahlolelwe umdlavuza wesibindi. Inqubo yokuhlola ilula futhi ayihlaseli, futhi udokotela uzokwenza ukuhlolwa kwe-ultrasound kwesibindi ukuze abone ama-cysts, ukuvimbela noma izifo esibindini futhi ahlole umdlavuza. Uma kutholakala okungavamile ku-ultrasound, udokotela uzonquma ukuthi udinga yini ukuhlolwa okwengeziwe, okufana ne-CT scan, i-MRI, noma ukuhlolwa kwe-alpha-fetal protein, okungakwazi ukubona isimila.