
Umdlavuza wesibindi, nakuba uvame ukuba mkhulu, awuhlali ubonisa izimpawu ezisobala ngokushesha. Ukutholwa kusenesikhathi kubalulekile ukuze kube nemiphumela engcono yokwelashwa. Lo mhlahlandlela uhlola okuvamile futhi okungajwayelekile kakhulu izimpawu zomdlavuza wesibindi ezishibhile, ikusiza ukuthi uqonde ukuthi yini okufanele uyibukele nokuthi ungayifuna nini usizo lwezokwelapha oluchwepheshile. Ukuxilongwa kusenesikhathi kungathinta kakhulu izinketho zokwelapha kanye ne-prognosis, ukuthuthukisa amathuba okuba nomphumela omuhle.
Enye yezinto ezivame kakhulu, kodwa evame ukunganakwa, izimpawu zomdlavuza wesibindi ezishibhile ukukhathala okuphikelelayo nokuba buthakathaka. Lokhu akuwona ukukhathala okuvamile ngemva kosuku olude; kuwumuzwa ogcwele wokukhathala ongathuthuki lapho uphumule. Uma uba nokukhathala okungachazeki okuthatha amasonto noma izinyanga, kubalulekile ukubonana nodokotela.
Njengoba isibindi sitholakala esiswini esingenhla kwesokudla, ubuhlungu noma ukungakhululeki kule ndawo kungaba uphawu lwezinkinga eziyisisekelo, kuhlanganise nomdlavuza wesibindi. Lobu buhlungu bungasukela ebuhlungwini obufiphele kuye emizweni ebukhali, ehlabayo. Ukushintsha kwesifiso sokudla noma ukuzizwa usuthi ngokushesha ngemva kokudla kungase kuhambisane nalokhu kuphatheka kabi. Kubalulekile ukuqaphela ukuthi ubuhlungu besisu bungaba nezimbangela eziningi, ngakho-ke kubalulekile ukubonana nodokotela ukuze uxilongwe.
Ukuncipha kwesisindo esingaqondakali, ngisho nalapho ugcina ukudla okuhambisanayo, kungaba ifulegi elibomvu. Ngokufanayo, ukwehla okuphawulekayo kwesifiso sokudla, ikakhulukazi uma kuhambisana nezinye izimpawu, kudinga ukunakekelwa kwezokwelapha. Lezi izimpawu zomdlavuza wesibindi ezishibhile zivame ukukhomba isimo esibucayi kakhulu.
I-jaundice iwuphawu lwakudala lwezinkinga zesibindi futhi ingaba uphawu olufika sekwephuzile lomdlavuza wesibindi. Ukuphuzi kubangelwa ukunqwabelana kwe-bilirubin egazini. Ezinye izimpawu ezihambisana ne-jaundice zingase zihlanganisa umchamo omnyama kanye nendle ephaphathekile.
Isicanucanu esiqhubekayo nokuhlanza, ikakhulukazi uma kunamandla noma kuhambisana nokunye izimpawu zomdlavuza wesibindi ezishibhile, kufanele kusheshe kuboniswane nodokotela. Lokhu kungaba yinkomba yesifo sesibindi esithuthukisiwe futhi kufanele kubhekwane nayo ngokushesha.
Ukunqwabelana koketshezi emilenzeni nasemaqakaleni (i-edema) kuwuphawu olubi oluvame ukwenzeka ngenxa yokungasebenzi kahle kwesibindi. Kwenzeka ngoba ikhono lesibindi lokuhlunga igazi lisengozini. Lolu wuphawu olubucayi oludinga ukunakwa ngokushesha.
Ama-ascites, noma ukunqwabelana koketshezi esiswini, kubangela ukuvuvukala okukhulu kwesisu nokungakhululeki. Kuyinkinga enkulu yesifo sesibindi futhi idinga ukuhlolwa ngokushesha kwezokwelapha. Kungase kungakhululeki futhi ngokuvamile kudinga ukungenelela kwezokwelapha ukuze kulawuleke.
Isifo sesibindi singathinta ukujiya kwegazi, okuholela ekulimazeni noma ukopha kalula. Lokhu kungenxa yokuthi isibindi sidlala indima ebalulekile ekukhiqizeni amaprotheni adingekayo ukuze igazi lijiye. Uma ubona ukopha kakhulu noma imihuzuko kalula, funa usizo lwezokwelapha ngokushesha.
Ukutholwa kusenesikhathi komdlavuza wesibindi kuthuthukisa kakhulu imiphumela yokwelashwa. Ngenkathi eziningi ze izimpawu zomdlavuza wesibindi ezishibhile okuchazwe ngenhla akuwona wodwa umdlavuza wesibindi, ukuba khona kwawo, ikakhulukazi uma izikhathi eziningi zenzeka ngesikhathi esisodwa, kudinga ukuhlolwa ngokushesha kwezokwelapha. Ukuhlola okuphelele, okuhlanganisa ukuhlolwa kwegazi, ukuskena kwezithombe (njenge-ultrasound, i-CT scan, noma i-MRI), kanye okungenzeka ukuthi i-biopsy, kubalulekile ukuze kuhlonzwe kahle futhi kuhlelwe kahle ukwelashwa. Khumbula, ukuxilongwa kusenesikhathi kuyisihluthulelo sokuphatha ngempumelelo.
Ukuze uthole ulwazi olwengeziwe nokwesekwa, ungase ucabange ukubonisana nochwepheshe e- I-Shandong Baofa Cancer Research Institute. Banikeza ukunakekelwa okuphelele komdlavuza kanye nocwaningo, badlala indima ebalulekile ekuthuthukiseni umkhakha we-oncology.
Umshwana wokuzihlangula: Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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