Ku ya 18 Werurwe 2024 ni ku nshuro ya 24 "Urukundo rw’igihugu ku munsi w’umwijima", kandi insanganyamatsiko yo kumenyekanisha uyu mwaka ni "kwirinda hakiri kare no kwisuzumisha hakiri kare, kandi wirinde umwijima cirrhose".
Nk’uko imibare y’umuryango w’ubuzima ku isi (OMS) ibigaragaza, buri mwaka ku isi hose hapfa abantu barenga miliyoni.Hafi ya buri 10 muri bene wacu n'inshuti banduye virusi ya hepatite B cyangwa C idakira, kandi umwijima w'amavuta ukunda kuba muto.
Umunsi w’igihugu w’urukundo ku mwijima washyizweho hagamijwe gukusanya imbaraga z’imibereho itandukanye, gukangurira rubanda, kumenyekanisha cyane ubumenyi bwa siyansi buzwi bwo gukumira indwara z’umwijima n’indwara z’umwijima, no kurengera ubuzima bw’abantu mu gihe indwara z’umwijima indwara nka hepatite B, hepatite C na hepatite ya alcool yiyongera uko umwaka utashye mu Bushinwa.
Reka dukorere hamwe, dukwirakwize ubumenyi bwo kwirinda no kuvura fiboside yumwijima, dukore ubushakashatsi bugaragara, dusuzume ubuvuzi, kandi dukurikirane buri gihe kugirango tugabanye indwara ya cirrhose.
01 Menya umwijima.
Aho umwijima uherereye: Umwijima ni umwijima.Iherereye iburyo bwo hejuru yinda kandi ifite umurimo wingenzi wo gukomeza ubuzima.Nin urugingo runini rwimbere mumubiri wumuntu.
Imikorere nyamukuru yumwijima ni: gusohora bile, kubika glycogene, no kugenzura metabolism ya proteyine, ibinure na karubone.Ifite kandi disoxification, hematopoiesis n'ingaruka za coagulation.
Indwara zumwijima.
Indwara ya hepatite 1
Kunywa bibabaza umwijima, kandi igikomere cyumwijima giterwa no kunywa cyitwa indwara yumwijima yinzoga, nacyo gishobora gutuma transaminase yiyongera, kandi kunywa igihe kirekire nabyo bishobora gutera cirrhose.
Umwijima w'amavuta
Mubisanzwe, tuvuga umwijima utarimo inzoga umwijima, urimo ibinure cyane.Ibibyimba byumwijima biterwa no kwegeranya ibinure mu mwijima muri rusange biherekejwe no kurwanya insuline, kandi abarwayi bafite ibiro byinshi hamwe n’uburebure butatu.Mu myaka yashize, hamwe niterambere ryimibereho, umubare wumwijima wamavuta uragenda wiyongera umunsi kumunsi.Abantu benshi basanze transaminase yiyongera mugupima umubiri, kandi akenshi ntibabyitaho.Benshi mubadafite ubuhanga bazatekereza ko umwijima wamavuta ntacyo aricyo.Mubyukuri, umwijima wamavuta wangiza cyane kandi ushobora no gutera cirrhose.
3 Indwara ya hepatite iterwa n'ibiyobyabwenge
Nizera ko hari ibicuruzwa byinshi byita ku buzima byita ku miziririzo bifite icyo bita "conditioning" mu buzima, kandi nshishikajwe cyane na aphrodisiac, ibinini by’imirire, imiti y’ubwiza, imiti y’ibimera yo mu Bushinwa, n'ibindi. Nkuko buri wese abizi, "ibiyobyabwenge ni uburozi muburyo butatu ", kandi ibisubizo bya" conditioning "nuko ibiyobyabwenge na metabolite zabo mumubiri bigira ingaruka mbi kumubiri wumuntu bikababaza umwijima.
Kubwibyo, ntugomba gufata imiti utabishaka utazi imiti nubuvuzi, kandi ugomba gukurikiza inama za muganga.
03 igikorwa cyo gukomeretsa umwijima.
1 Kunywa inzoga nyinshi
Umwijima ningingo yonyine ishobora guhinduranya inzoga.Kunywa inzoga igihe kirekire birashobora gutera umwijima ibinure byinzoga.Niba tutanyweye inzoga mu rugero, umwijima uzaba wangijwe na sisitemu y’umubiri, bigatuma umubare munini w’ingirabuzimafatizo zipfa kandi zitera hepatite idakira.Nibikomeza gutera imbere cyane, bizatera cirrhose ndetse na kanseri yumwijima.
Guma utinze igihe kirekire
Nyuma ya saa 23 z'umugoroba, igihe kirageze ngo umwijima wanduye kandi usane.Muri iki gihe, ntabwo nasinziriye, bizagira ingaruka ku kwangiza no gusana umwijima nijoro.Kuryama utinze no gukora cyane igihe kirekire birashobora gutuma byoroshye kugabanuka no kwangirika kwumwijima.
3Take imiti igihe kirekire
Imiti myinshi igomba guhindurwa numwijima, kandi gufata ibiyobyabwenge utarobanuye bizongera umutwaro wumwijima kandi byoroshye kwangiza umwijima uterwa nibiyobyabwenge.
Byongeye kandi, kurya cyane, kunywa itabi, kurya amarangamutima mabi (uburakari, kwiheba, nibindi), no kudatera inkari mugihe cya mugitondo nabyo byangiza ubuzima bwumwijima.
04 Ibimenyetso byumwijima mubi.
Umubiri wose uragenda urushaho kunanirwa;Kubura ubushake bwo kurya no kugira isesemi;Guhorana umuriro muke, cyangwa kwanga ubukonje;Kwitonda ntabwo byoroshye kwibanda;Kugabanuka gutunguranye kunywa inzoga;Kugira isura ituje kandi utakaza urumuri;Uruhu ni umuhondo cyangwa kurwara;Inkari zihinduka ibara rya byeri;Imikindo y'umwijima, igitagangurirwa nevus;Kuzunguruka;Umuhondo umubiri wose, cyane cyane sclera.
05 Uburyo bwo gukunda no kurinda umwijima.
1. Indyo nziza: Indyo yuzuye igomba kuba yuzuye kandi nziza.
2. Imyitozo isanzwe no kuruhuka.
3. Ntugafate imiti utarobanuye: Gukoresha ibiyobyabwenge bigomba gukorwa bayobowe na muganga.Ntugafate ibiyobyabwenge utarobanuye kandi ukoreshe ibicuruzwa byubuzima witonze.
4. Urukingo rwo kwirinda indwara zumwijima: Inkingo nuburyo bwiza cyane bwo kwirinda hepatite ya virusi.
5. Kwipimisha buri gihe kumubiri: Birasabwa ko abantu bakuze bazima kwisuzumisha rimwe mumwaka (imikorere yumwijima, hepatite B, lipide yamaraso, umwijima B-ultrasound, nibindi).Abantu barwaye umwijima udakira barasabwa kwisuzumisha buri mezi atandatu-ultrasound yumwijima na serumu alpha-fetoprotein gusuzuma kanseri yumwijima.
Umuti wa Hepatite
Macro & Micro-Ikizamini gitanga ibicuruzwa bikurikira:
Igice.1 Kugaragaza ingano yaADN ya HBV
Irashobora gusuzuma urwego rwokwigana virusi yabantu banduye HBV kandi ni indangagaciro yingenzi muguhitamo ibimenyetso byerekana imiti igabanya ubukana no gusuzuma ingaruka zikiza.Muburyo bwo kuvura virusi, kubona virusi ihoraho irashobora kugenzura cyane iterambere rya cirrhose yumwijima no kugabanya ibyago bya HCC.
Igice.2HBV genotyping
Ubwoko butandukanye bwa HBV buratandukanye muri epidemiologiya, guhindagurika kwa virusi, kugaragara kwindwara no kuvura, bigira ingaruka ku gipimo cya serokonversion ya HBeAg, ubukana bw’imitsi y’umwijima, kwandura kanseri y’umwijima, n'ibindi, kandi bikagira ingaruka no ku buvuzi bw’indwara ya HBV. n'ingaruka zo kuvura imiti igabanya ubukana.
Ibyiza: umuyoboro 1 wibisubizo birashobora kumenya ubwoko B, C na D, kandi ntarengwa ntarengwa ni 100IU / mL.
Ibyiza: ibikubiye muri ADN ya HBV muri serumu birashobora kumenyekana kubwinshi, kandi ntarengwa ntarengwa ni 5IU / mL.
Igice.3 ingano yaHBV RNA
Kumenya HBV RNA muri serumu birashobora gukurikirana neza urwego rwa cccDNA muri hepatocytes, ibyo bikaba bifite akamaro kanini mugupima ubufasha bwindwara ya HBV, kumenya neza imikorere ya NAs ivura abarwayi ba CHB no guhanura ibiyobyabwenge.
Ibyiza: ibikubiye muri HBV RNA muri serumu birashobora kumenyekana kubwinshi, kandi ntarengwa ntarengwa ni 100Copies / mL.
Igice.4 Umubare wa HCV RNA
Kumenya HCV RNA nicyo kimenyetso cyizewe cyanduye na virusi, kandi ni nacyo kimenyetso cyerekana ubwandu bwa hepatite C n'ingaruka zo kuvura.
Ibyiza: ibikubiye muri HCV RNA muri serumu cyangwa plasma birashobora kumenyekana kubwinshi, kandi ntarengwa ntarengwa ni 25IU / mL.
Igice.5HCV genotyping
Kubera ibiranga virusi ya HCV-RNA polymerase, ingirabuzimafatizo zayo zirahinduka byoroshye, kandi genotyping yayo ifitanye isano rya bugufi n’urwego rwangirika rw’umwijima n'ingaruka zo kuvura.
Ibyiza: umuyoboro 1 wibisubizo birashobora kumenya ubwoko bwa 1b, 2a, 3a, 3b na 6a wanditse, kandi ntarengwa yo kumenya ni 200IU / mL.
Igihe cyo kohereza: Werurwe-18-2024