Musi wa18 Kurume, 2024 izuva rechi24 rekuti "Rudo Rwenyika kuChiropa", uye dingindira regore rino nderekuti "kudzivirira nekukurumidza uye kuongororwa nekukurumidza, uye kudzivirira chirwere chechiropa".
Zvichienderana nehuwandu hweWorld Health Organization (WHO), vanhu vanodarika miriyoni vanofa nekuda kwezvirwere zvechiropa pasi rose gore rega rega. Munhu mumwe chete pavanhu gumi vehama neshamwari dzedu ane hutachiona hwehepatitis B kana C husingaperi, uye chiropa chine mafuta chinowanzova chidiki.
Zuva reNyika reRudo rweChiropa rakaitirwa kuunganidza marudzi ese emasangano evanhu, kuunganidza vanhu vazhinji, kuzivisa vanhu vakawanda nezveruzivo rwesainzi rwekudzivirira chirwere chehepatitis nezvirwere zvechiropa, uye kuchengetedza hutano hwevanhu pasi pemamiriro ezvinhu ekuti kuwanda kwezvirwere zvechiropa zvakaita sehepatitis B, hepatitis C nechirwere chehepatitis chinokonzerwa nedoro kuri kuwedzera gore negore muChina.
Ngatibatanei pamwe chete, tizivise ruzivo rwekudzivirira nekurapa fibrosis yechiropa, tiite ongororo inoshanda, tiite kurapa kwakarongeka, uye titevere nguva nenguva kuderedza kuitika kwechirwere chechiropa chinonzi cirrhosis.
01 Ziva chiropa.
Nzvimbo yechiropa: Chiropa ndicho chiropa. Chiri kumusoro kurudyi kwedumbu uye chine basa rakakosha rekuchengetedza hupenyu. Ndiwo nhengo huru yemukati memuviri wemunhu.
Mabasa makuru echiropa ndeaya: kuburitsa bile, kuchengetedza glycogen, uye kudzora kushandiswa kwemapuroteni, mafuta nemakabhohaidhiretsi. Inewo detoxification, hematopoiesis uye coagulation effects.
02 Zvirwere zvechiropa zvakajairika.
1 chiropa chinobata doro
Kunwa doro kunokanganisa chiropa, uye kukuvara kwechiropa kunokonzerwa nekunwa doro kunonzi chirwere chechiropa chinonzi alcohol liver disease, izvo zvinogonawo kukonzera kuwedzera kwe transaminase, uye kunwa doro kwenguva refu kunogonawo kukonzera cirrhosis.
2 Chiropa chine mafuta
Kazhinji, tinotaura nezvechiropa chine mafuta asi chisina doro, icho chine mafuta akawandisa. Maronda echiropa anokonzerwa nekuunganidzwa kwemafuta muchiropa anowanzoenderana nekusakwanisa insulin, uye varwere vakafuta zvakanyanya uye vane mafuta akawanda. Mumakore achangopfuura, nekuvandudzika kwemararamiro, huwandu hwechiropa chine mafuta huri kuwedzera zuva nezuva. Vanhu vazhinji vakaona kuti transaminase iri kuwedzera mukuongororwa kwemuviri, uye kazhinji havazviteereri. Vazhinji vasiri nyanzvi vachafunga kuti chiropa chine mafuta hachisi chinhu. Kutaura zvazviri, chiropa chine mafuta chinokuvadza zvikuru uye chinogonawo kukonzera cirrhosis.
3 Chiropa chinokonzerwa nemishonga
Ndinotenda kuti kune mishonga yakawanda yekurapa ine mashura ine simba rekuti "kudzora muviri", uye ndinoda mishonga inoderedza kushushikana, mapiritsi ekudya, mishonga yekunaka, mishonga yemishonga yekuChina, nezvimwewo. Sekuziva kunoita munhu wese, "mishonga ine chepfu munzira nhatu", uye mhedzisiro ye "kudzora muviri" ndeyekuti mishonga nemetabolites dzayo mumuviri zvine mhedzisiro yakaipa pamuviri wemunhu uye zvinokuvadza chiropa.
Saka, haufanirwe kutora mushonga usina ruzivo rwezvemishonga uye hunhu hwemishonga, uye unofanira kutevedzera zano rachiremba.
03 chiito chekukuvadza chiropa.
1 Kunwa doro zvakanyanya
Chiropa ndicho chega chinokwanisa kushandura doro. Kunwa doro kwenguva yakareba kunogona kukonzera mafuta akawanda muchiropa. Kana tikasanwa doro zvine mwero, chiropa chichakuvadzwa nemasoja emuviri, zvichikonzera kufa kwemasero echiropa akawanda uye zvichikonzera hepatitis isingaperi. Kana chikaramba chichikura zvakanyanya, chichakonzera cirrhosis uye kunyange kenza yechiropa.
2 Kurara kwenguva refu
Mushure menguva dza23 dzemanheru, inguva yekuti chiropa chigadzirise chega. Panguva ino, handisati ndarara, izvo zvinokanganisa kubviswa kwechepfu mumuviri uye kugadziriswa kwechiropa husiku. Kurara kusvika kunonoka uye kushanda zvakanyanya kwenguva yakareba zvinogona kukonzera kudzikira kwesimba remuviri uye kukuvara kwechiropa.
3Ttora mushonga kwenguva yakareba
Mishonga mizhinji inofanira kugadziriswa nechiropa, uye kutora mishonga pasina kusarura kunowedzera mutoro pachiropa uye zviri nyore kutungamira mukukuvadzwa kwechiropa kunokonzerwa nemishonga.
Pamusoro pezvo, kudya zvakanyanya, kusvuta, kudya manzwiro asina kunaka (hasha, kuora mwoyo, nezvimwewo), uye kusaita weti nenguva mangwanani zvichakanganisawo hutano hwechiropa.
04 Zviratidzo zvechiropa chisina kunaka.
Muviri wese uri kuramba uchineta; Kushaya chido chekudya uye kuda kurutsa; Fivha diki inoramba iripo, kana kusada dzihwa; Kunyatsoteerera hakusi nyore; Kudzikira kwedoro kamwe kamwe; Kuve nechiso chisina kujeka uye kurasikirwa nekupenya; Ganda rava yeyero kana kuti rinokwenya; Weti inoshanduka kuita ruvara rwedoro; Chiropa, ganda remusana; Dzungu; Kutsvuka kweyero mumuviri wese, kunyanya sclera.
05 Maitiro ekuda nekuchengetedza chiropa.
1. Kudya kwakanaka: Kudya kwakaringana kunofanira kunge kwakaoma uye kwakanaka.
2. Kurovedza muviri nguva dzose uye kuzorora.
3. Usatore mushonga zvisina tsarukano: Kushandiswa kwemishonga kunofanirwa kuitwa uchitungamirirwa nachiremba. Usatore mishonga zvisina tsarukano uye shandisa zvigadzirwa zvehutano nekungwarira.
4. Kubaiwa nhomba kudzivirira chirwere chechiropa: Kubaiwa nhomba ndiyo nzira inoshanda zvikuru yekudzivirira chirwere chehepatitis chinokonzerwa nehutachiona.
5. Kuongororwa muviri nguva dzose: Zvinokurudzirwa kuti vanhu vakuru vane hutano hwakanaka vaongororwe muviri kamwe chete pagore (kushanda kwechiropa, hepatitis B, mafuta eropa, liver B-ultrasound, nezvimwewo). Vanhu vane chirwere chechiropa chisingaperi vanokurudzirwa kuongororwa mwedzi mitanhatu yega yega - kuongororwa kwechiropa neultrasound uye kuongororwa kweropa nealpha-fetoprotein kuti vaone kenza yechiropa.
Mhinduro yeHepatitis
Macro & Micro-Test inopa zvigadzirwa zvinotevera:
Chikamu 1. Kuonekwa kwehuwandu hweDNA yeHBV
Inogona kuongorora huwandu hwehutachiona hwevanhu vane HBV uye chiratidzo chakakosha pakusarudza zviratidzo zvekurapa mavhairasi uye kuongorora simba rekurapa. Mukurapa mavhairasi, kuwana mhinduro inoenderera mberi yehutachiona kunogona kudzora zvakanyanya kufambira mberi kwechirwere chechiropa uye kuderedza njodzi yeHCC.
Chikamu 2Kuongororwa kweHBV genotype
Mhando dzakasiyana dzeHBV dzakasiyana mu epidemiology, kusiyana kwehutachiona, kuratidzwa kwezvirwere uye mhinduro yekurapa, izvo zvinokanganisa huwandu hweHBeAg seroconversion, kuoma kwekukuvara kwechiropa, kuwanda kwekenza yechiropa, nezvimwewo, uye zvinokanganisawo fungidziro yechirwere cheHBV uye mhedzisiro yekurapa kwemishonga inorwisa mavhairasi.
Zvakanakira: Chubhu imwe chete yemhinduro yemhinduro inogona kuona mhando dzeB, C neD, uye muganho wepasi wekuona i100IU/mL.
Zvakanakira: huwandu hweHBV DNA muropa hunogona kuonekwa nehuwandu, uye muganho wepasi wekuona i5IU/mL.
Chikamu 3. Kuyera kwehuwandu hweHBV RNA
Kuwanikwa kweHBV RNA muropa kunogona kunyatsoongorora huwandu hwe cccDNA mu hepatocytes, izvo zvakakosha zvikuru pakuongorora hutachiona hweHBV, kuona kushanda kwekurapa kweNAs kune varwere veCHB uye kufanotaura nezvekurega kushandisa mushonga.
Zvakanakira: huwandu hweHBV RNA muropa hunogona kuonekwa nehuwandu, uye muganho wekuona masero madiki i100Copies/mL.
Chikamu 4 Kuyera HCV RNA
Kuonekwa kweHCV RNA ndicho chiratidzo chakavimbika chehutachiona hwehutachiona uye kuberekana kwahwo, uye zvakare chiratidzo chakakosha chemamiriro ehutachiona hwehepatitis C uye mhedzisiro yekurapa.
Zvakanakira: huwandu hweHCV RNA muropa kana plasma hunogona kuonekwa nehuwandu, uye muganho wekuona uri pasi pe25IU/mL.
Chikamu.5Kuongororwa kweHCV genotype
Nekuda kwehunhu hweHCV-RNA virus polymerase, majini ayo anochinja-chinja zviri nyore, uye genotyping yayo ine chekuita zvakanyanya nehuwandu hwekukuvara kwechiropa uye mhedzisiro yekurapa.
Zvakanakira: Chubhu imwe chete yemhinduro yemhinduro inogona kuona mhando 1b, 2a, 3a, 3b uye 6a nekunyora, uye muganho wekuona mudiki i200IU/mL.
Nguva yekutumira: Kurume-18-2024