Izimpawu ezisemqoka zesibindi sesibindi. Ukwelashwa kwe-cirrhosis yesibindi

Isifo sokusha - isifo esiyingozi ezithuthukayo. Embusweni okunempilo umzimba uba nombala iba nsundu ngokubomvu. Phakathi ukugula iba phuzi. Ngo isibindi sibe sesomile shintsho kwenzeka. Ngenxa yalokho, amangqamuzana okunempilo ethintekile kanye esikhundleni isibanda izicubu. Ngenxa yalokho - umsebenzi ngobugebengu walo mzimba, eba yokwehluleka kwesibindi kanye nomfutho wegazi ophezulu portal.

izinhlobo isifo sokusha

Ukwahlukanisa lwenzeka etiology ngokoma kwesibindi (kubangela isifo) kanye morphology (izici zangaphandle). Kuye ngobukhulu ISIZINDA kuba:

• CKD (ubukhulu 3 mm);
• SKD (phezu 3 mm);
• elixutshwe (nge diameters ezahlukene ISIZINDA).

Kuye omsakazo kanye morphology isifo sokusha uhlukaniswe:

• utshwala;
• biliary (at yokujama tsi of Bile esibindini);
• ihlawulelwa;
• Postnecrotic;
• decompensated;
• portal;
• pigmentosa.

izimpawu ezivamile isibindi sibe sesomile

Izimpawu isifo sokusha incike nesigaba lesi sifo. Esikhathini sokuqala (Class A) yezinkinga okwamanje. Lesi yisikhathi ephelele ukuze kuqedwe imbangela? Lesi sifo. Phakathi nale nkathi, ungakwazi ukugcina isibindi futhi uqhubeke ukuphila okuvamile, ngoba emzimbeni has kwavela amathuba amahle kakhulu ukuvuselelwa.

Ngo isifo sokusha eziphambili yezinkinga uqale (amakilasi B no-C). Esiswini yandisa, zikhona izinguquko ekuziphatheni ukwazi. Qala ukopha izinsini ekhaleni. Izimpawu ngokoma kwesibindi kubantu besifazane - webele ukukhulisa (gineskomastiya) futhi engasayi esikhathini.

Ivela ukukhathala, ukwehla kwesisindo somzimba, lingekho enhle, ukozela emini, ukuqwasha. Ukungakuthandi ukudla. Esikhathini esiswini umuzwa ukuvuvukala. Thuthukisa i-jaundice. Indle kanye nomchamo ijwayelekile umbala ushintsho. Umlenze evuvukele futhi baqala ubuhlungu besisu.

Esiswini zanqwabelana ketshezi. Kukhona izifo ezibangelwa amagciwane. Emlilweni ikhanda njalo. Izimpawu isifo sokusha ezingabantu: ingxenye noma ngokuphelele ubalekela libido futhi kwandisa umdlavuza webele. Izinwele iqala ukuna le ikhwapha futhi endaweni pubic.

Ngo isibindi sibe sesomile inyuka noma, Ngakolunye uhlangothi, incipha. Kunoma samuntu, kuba luthe ukuqina. Ukwandiswa usayizi ubende. Kukhona izimpawu jaundice kanye nomfutho wegazi ophezulu portal. Ngokuvamile kukhona ubuhlungu buthuntu futhi ngiyaqaqanjelwa endaweni isibindi. It buyaqina emva umsebenzi ngokomzimba noma ehlukumeza Ukudla.

Vela isikhumba silume, isicanucanu, nokuhlanza. sezinyawo iphazamiseke (uhudo noma ukuqunjelwa). izimpawu kwangaphandle - kukhona semithambo "inkanyezi", reddening wamasundu. Ulimi iba njengegazi.

Ukwelashwa ngokoma kwesibindi

Isifo sokusha akwelapheki ngokuphelele, kodwa kungaba ijubane nasezigabeni zokuqala zokukhula kwalesi sifo. Nge amacala enenqubekela phambili futhi eziphambili yemizamo wezokwelapha ahloselwe ukususwa izimpawu kabi izinkinga.

Ngesisekelo ekwelapheni isifo sokusha zihlanganisa izinyathelo zokwelapha:

• ukudla;
• isisu;
• ukwelashwa elwa namagciwane;
• hormone glucocorticoid;
• izidakamizwa ukuthi kunciphise umfutho wegazi kule ndawo portal ( "Nitrosorbide" "Inderal");
• gepatoprotektory ekuvikeleni amaseli isibindi ( "Ademethionine" "Silymarin");
• plasmapheresis;
• exacerbations acute isifo sokusha kudingeka esibhedlela.

Aphatha yokuhlinzwa eyenziwa punctures endaweni besisu ukususa uketshezi zanqwabelana. dlula Made imisebenzi (dala izindlela ezintsha ukuze igazi ligeleze). Noma ukukhiqiza ukufakelwa isibindi.

Ukwelashwa isifo sokusha iminyundu

Isifo sokusha Ukwelashwa nge iminyundu Kunconywa, kodwa isetshenziswa kuphela ngaphansi kweso lwezokwelapha. Njengoba isidingo njalo ukuqapha isimo umthamo wegazi lesiguli kanye nezimpawu isifo sokusha. I ngaphambili ukwelashwa uqala, kangcono uyoba yini umphumela.

Ukuze inqubo olulodwa liyadingeka kusuka iminyundu 4 kuya kwezingu-8. Ngokuyinhloko, zihlukaniswe nezinamathiselo eziningana. Ngokushesha baqala Leech abancela khulula, basuke isuswe. Lezi zinqubo abazenzi kabili ngesonto. Khona-ke omunye session zonke izinsuku ezingu-7. Zonke eyabelwe 12 ukwelashwa.

izifundo okuphindaphindayo aphethwe ngezikhawu izinyanga 2-3. Inkambo Imininingwane yokwelashwa lide kakhulu. Ngakho-ke, ekudleni isiguli kufanele lifake ukudla nge high okuqukethwe yensimbi (ngaphandle inyama).

isifo sokusha portal

isifo sokusha Portal - ifomu evamile lesi sifo. Izizathu kungaba isifo sokusha kwesibindi, iziyaluyalu kwegazi, utshwala ukugaya ompofu. Athintekayo bacishe bayifunda yonke isibindi. Ngokuvamile lesi sifo amadoda singangena ngemva kweminyaka engu-40.

Izimpawu zokuqala isifo sokusha - ubuthakathaka kanye nesicanucanu. Emkhakheni esiswini zikhona emizweni ezingezinhle. Ingabe siqale ukuqunjelwa noma isifo sohudo. Uma isifo sokusha kwabangelwa le umlutha wotshwala, encishisiwe ubulili drive. Ezinye ophuzi nolwelwesi lwamafinyila kanye isikhumba.

Kakhulu isici uphawu - ukubukeka emzimbeni elingaphezulu nesisu spider emithanjeni, umbala obomvu we iminwe nezintende zezandla. Kanyekanye uketshezi besisu iqala buthelela. Ngokuvamile athuthukile kolwelwesi.

Izimpawu isibindi sibe sesomile kusaqalwa - kuyinto kobukhulu kanye nobuhlungu ilungelo quadrant engenhla, ukungakuthandi ukudla, isicanucanu eziphikelelayo. Kukhona ukuqwasha, ukukhathala, kanye nokwephula kwesitulo. Kancane kancane, isibindi kuyinto ohlangene, inyuka ngosayizi. izinyawo avuvukele imifantu futhi ifilimu ezimhlophe zingase zivele ulimi.

Kunezigaba ezintathu ngokoma kwesibindi. Izimpawu ekuqaleni - kumele kwenyuke. Ekuziphatheni okuphambene yesibili, incipha. Futhi ngosuku lwesithathu kuba encane kakhulu futhi obukhulu uma uyithinta.

Ukwelashwa isifo sokusha portal

Ekwelapheni portal isifo sokusha nesineke kudinga embhedeni ukuphumula. Noma yimuphi umsebenzi ngokomzimba kufanele indiva. Ukwelashwa isifo sokusha kuhloswe ngokuyinhloko at izimbangela zezifo. Futhi ukuvimbela izinkinga ezingase ziphakame.

Ekwelapheni isifo sokusha portal kufanele kube ngokuphelele uyeke utshwala. Lena kungenye yezimbangela ezinkulu zezifo. Kuyadingeka ukuba lizahlambulula kwesibindi.

Uma isifo sokusha portal okubangelwa ngenxa kwesibindi, ukwelashwa kufanele okuhloswe ngokuyinhloko at ekulweni naso. izidakamizwa ngempela isikhishiwe, ukunikeza yezinkinga esibindini.

Kuyadingeka ukuba bagcine ukudla okuqinile. Akhishiwe kusukela ekudleni okubabayo, okunamafutha kanye nokudla okuthosiwe. Inani isinongo kumele kuyehla kube sezingeni eliphansi. It kungavunyelwe ukusebenzisa okusemathinini, imikhiqizo ngibhema futhi ayi. Kusukela Ukudla kuyadingeka ukuba ngakususi ushokoledi, garlic, utamatisi juice yabo, amakhowe. kusawoti efiselekayo ukunciphisa.

Kunconywe ukudla ezihlukahlukene yemifino isobho ngaphandle zazharki. Noma yimuphi wokudla, imidumba nokusanhlamvu. Dairy ukudla ephansi fat, abilisiwe inkukhu, turkey kanye unogwaja. Udinga udle apula nama-crackers.

Ukudla kufanele kube izikhathi 5-6 ngosuku. Kodwa izingxenyana ezincane. Ngesikhathi esifanayo ngesikhathi Ukudla kufanele uphuze itiye herbal, amacala isibindi. Lapho izidakamizwa ekwelapheni aqokwa isitshalo gepatoprotektory. Zivikela nezicubu isibindi buyisela umsebenzi walo.

Ngaphezu kwalokho, isisu babelwa, kanye yokuhlanza edema ehola uvela umzimba anqwabelene uketshezi ngokweqile. Kanye nezidakamizwa, ekupholiseni izimpawu ngokoma kwesibindi.

Uma lokhu kungasizi, ukuhlinzwa isetshenziswa. Futhi ukhiqiza ukufakelwa isibindi. Ukuze ekwelapheni isifo sokusha portal manje izindlela usebenzisa ama-stem cell.

isifo sokusha Postnecrotic

isifo sokusha Postnecrotic kubuye ifomu lalivamile lesi sifo. Ngokuvamile avele ngemva kwesifo sokusha kwesibindi sohlobo ezibangelwa amagciwane kanye nokusebenzisa kabi uphuzo oludakayo. Okungenani - emva ushevu ubuthi kwezidakamizwa ezithile, izifo sibi ezithathelwanayo. Lapho isifo sokusha postnecrotic iqala esifayo izicubu isibindi. Kukhona izibazi yangaphakathi, ukuma okuphazamisayo nomzimba.

Izimpawu ze-isifo sokusha kwesibindi ngendlela efanele usaqala avele kakhulu. Kungazelelwe iqala ukulimaza esiswini, uphethwe isifo sohudo kanye nokuhlanza. nolwelwesi lwamafinyila kanye isikhumba phuzi. Isibindi luyanda ngosayizi. Lapho umuzwa ubuhlungu. Ukucanuzela kwenhliziyo, ukungakuthandi ukudla isisindo.

Lapho exacerbation iqala ukulunywa, anda kakhulu lokushisa. Indle kuba umchamo eliphaphathekile futhi amnyama. Kubonakala ascites, ukuntuleka kwegazi emzimbeni, ukuhluleka kwenhliziyo. Baqasheke is sanciphisa kangcono. Lokhu kungolunye uhlobo kuyingozi kakhulu ngokoma kwesibindi, njengoba kubanga umdlavuza wesibindi. umphumela Lethal kungenzeka nganoma isiphi nesigaba lesi sifo.

Ukwelashwa isifo sokusha postnecrotic

Ukwelashwa kuhloswe postnecrotic isifo sokusha yezinkinga ezisuka kusukela nomfutho wegazi ophezulu portal. ascites Okokuqala. Ukudla kunciphise ngoba aqukethe amaprotheni amaningi. Gwema imithi avuse ikhoma hepatic. Uma kukhona isidingo - labetibambile yokwelapha imithi elwa nawo.

Uma yezinkinga kungukuthi waphawula, kwanele ukuba kokuhlolwa ngezikhathi ezithile kanye nokuqapha iziguli. Uma isifo sokusha eba ezifweni ziphathwa kahle (uma amenable yokwelapha).

isifo sokusha Alcoholic

Enye kunohlobo oluvamile zesifo - isifo sokusha oludakayo. Izimpawu ze-ke lingase liphinyiselwe, futhi ngezinye izikhathi neze isikhathi eside. Bona zibukeka kuncike ngezinga elithile ukulimala kwesibindi. Kukhona izigaba ezintathu:

• Isinxephezelo. Isifo sokusha cishe lapho kodwa isibindi lakhulisiwe. Ngezinye izikhathi kungase kubonakale sengathi isicanucanu okuncane. Kukhona ubuthakathaka jikelele emzimbeni futhi babekhathele kakhulu.
• Subindemnification. Ukuwohloka iphango ngokucijile encishisiwe umzimba isisindo, isicanucanu nokuhlanza.
• Decompensation. Ukuwohloka Okugcwele yomzimba, ukuqala isibindi futhi kubangele jaundice. Kukhona konke ukuxakeka ngokoma kwesibindi kanye nomfutho wegazi ophezulu portal. Ngaphakathi komgodi ongaphakathi kwamathumbu aqoqana uketshezi (ascites). He is kunzima ukuyelapha. It has an ukopha anda. Kungase kube neziqubu delirium. Ngokuvamile kukhona isifo ezengeziwe amagciwane. Kuzo zonke iziguli, kukhona hepatomegaly, okungaba yingxenye eyodwa kwezine - splenomegaly.

Lapho ethuthuka isifo sokusha oludakayo, izimpawu egqamile futhi izimpawu futhi ngaphandle. Kukhona izitsha ekhaleni isandiso. nezindlala Parotid ukwandisa ngobukhulu kakhulu. izici zobuso babe Puffy.

Ngenxa umthelela Ethanol iqala i umonakalo isitho yangaphakathi. Kwangathi avele neuritis, pancreatitis, mastopathy, encephalopathy kanye nezinye izifo. Kukhona yoma kwemisipha, ikakhulukazi kwebhande ehlombe.

Ukwelashwa isifo sokusha oludakayo

Izimpawu isibindi sibe sesomile ezingabantu atholakala kakhulu ukudlula abantu besifazane. Njengoba utshwala zisebenzisa ngaphezulu "nengxenye enamandla". Ngo isifo sokusha oludakayo, ngokuyinhloko babambe izingxoxo, phakathi kwesikhathi lapho isiguli kushintshwe ukuqeda ubuhlobo ezimbi.

Ngabe sengabelwa uhlobo olukhethekile lokudla. Ukubhujiswa amaseli isibindi, esevele sithathelwe indawo izicubu lunemicu ayikwazi ukutholwa. Ngakho-ke, ukwelashwa kuhloswe labo namanje usebenza ngezindlela ezingafani. Uma kudingeka sisebenzise impatho namagciwane.

Uma kukhona zokulutheka sebewasebenzisa sedatives nokululama amanzi-electrolyte ibhalansi. Lapho kuvela izinkinga of utshwala isifo sokusha hepatic encephalopathy esimisiwe Yiqiniso glyukokortisteroidy izinsuku ezingu-30. Futhi ursodeoxycholic acid, okuyinto kuvimbela yokufa kwamangqamuzana engokwemvelo nokuba nomphumela eqeda ukuvuvukala.

Njengoba Antioxidants esetshenziswa Bile acid, futhi vitamin E. Basuke edingekayo ukuze ukusetshenziswa Ethanol lapho ngokweqile aqoqana kwesibindi sokuqina kwesibindi oludakayo.

isifo sokusha Biliary

isifo sokusha Biliary lingaphansi ezivamile kuka ukuma ngenhla echazwe. Lesi isimo lapho i- umsebenzi walo futhi isakhiwo. Umphumela we ukuqedwa outflow enyongo, futhi ushintsho kule nokwakheka Amapayipi yayo.

In izifo amafomu ezifana isifo sokusha biliary, izimpawu kanye izimbangela Namanje ayiqondakali ngokuphelele. Kukholakala ukuthi ungase uqale ngenxa yofuzo. Futhi ayephuli amasosha omzimba noma izifo ezithile. isifo sokusha Biliary sehlukaniswe zamabanga aphansi naphezulu.

isifo sokusha Primary biliary

Nge ifomu ezifana eyinhloko isifo sokusha biliary, izimpawu kanye izimpawu ikhule kancane kancane. Man ngokuvamile isikhathi eside abaphefumulelwe babengayazi ngalesi sifo. Futhi isimo sakhe isikhathi eside ngisho siya siba sibi kakhulu. Kunezigaba ezimbili.

Ngesikhathi ekuseni isiqalo ukulunywa. Ngaphezu kwalokho, lesi sici livela eside ngaphambi jaundice. Lokhu uphawu ngaphambi kwakhe ngemva kwezinyanga eziyisithupha kuya eminyakeni 1.5. Kodwa ngezinye izikhathi ukulunywa futhi jaundice zenzeka kanyekanye. Kubonakala ukukhathala, ubuthakathaka ezinzima, ukucindezeleka, ukozela.

Ngezinye isigaba ngasekupheleni lesi sifo njengoba isifo sokusha eyinhloko, izimpawu zibonakala ngokucacile. ascites kwenzeka. Futhi yilesi isibonakaliso wokuqala yokwehluleka kwesibindi. Vela semithambo "inkanyezi", encephalopathy. Ezinye - xanthomas futhi xanthelasma (zingcwecwe ezizungeze amehlo). Ikota iziguli manifest isikhumba hyperpigmentation.

Ukwelashwa nokuvikelwa eyinhloko isifo sokusha biliary

Ukwelashwa isifo sokusha biliary kusekelwe ukunciphisa ukuziyisa phambili izimpawu futhi yabonakala inekhono lokunqanda ukuqhubeka kwesifo. ukwelashwa Ikhishwa uvele yezinkinga nokuvinjelwa nesenzakalo yabo.

Okokuqala isiguli kumele alahle konke silungise imikhuba emibi futhi imithi ukuthatha ezibhubhisa isibindi. Isidingo Ukudla okuqinile kanye nokuzivocavoca zivinjelwe. Phakathi ekwelapheni isifo sokusha iphathwa kanyekanye zonke izifo ezihlobene ezithathelwanayo ezingamahlalakhona.

Uma kwenziwa kokungenela wezinsimbi (izinqubo zamazinyo, njll), khona-ke imithi elwa namagciwane ukuze ingangenwa amagciwane. isifo sokusha Primary biliary, izimpawu zazo-signal inguquko e esiteji dekompensatsionnuyu kudinga embhedeni ukuphumula futhi nesiguli ukwelashwa. Contraindicated Physiotherapy izifundo agcizelele ukuvivinywa balneotherapy.

Ngesikhathi inkokhelo kumelwe silinganiswe Ukudla kanye nenombolo Ukudla 5. Lapho encephalopathy iphutha udinge ukunciphisa izinga amaprotheni. Uma kwakuba khona ascites - ukuwakhipha kusuka ekudleni usawoti. Akufaki ngokomzimba umsebenzi umthwalo futhi ashisa ongaphakeme. It Kunconywa eziningi ukuhamba kanye umzimba wezemidlalo.

Ingxenye izidakamizwa ayifakiwe: ezinye izinhlobo antibiotic, aminoglycosides kanye ejenti nonsteroidal kokuba isinyathelo antiinflammatory. isicelo:

• immunosuppressives;
• glucocorticoids (ngemithamo sakugcina);
• ursodeoxycholic acid;
• D-penicillamine;
• antihistamine.

Uma isiguli sekuqalile esigabeni sokugcina, okuyinto eza ngokoma kwesibindi, izimpawu kanye nezimpawu zibonisa ngokucacile isidingo kokungenela kuhlinzwa. Ngokwesibonelo, waba ukwanda okukhulu kwezincwadi yokwehluleka kwesibindi. Kulokhu, isiguli kungaba basindiswe kuphela e isibindi ukufakelwa. Abantu abaningi emuva kokuhlinzwa ezinjalo, angaphila cishe iminyaka engu-10. Ukushiyeka emva ukufakelwa laligujwa kuphela 15% eziguli.

Secondary isifo sokusha biliary

Secondary isifo sokusha biliary eba esinqunyiwe noma ephelele ukuvimbela izindlela outputting Bile. Abesifazane uhlushwa kabili kaningi njengokuthanda amadoda. Ngokuvamile kukhona ifomu lesibili emva kokuhlinzwa ukususa gallbladder, a pancreatitis ezingamahlalakhona eside noma isimila.

Ngo isifo esinjengo yesibili isifo sokusha biliary, izimpawu ngokuyinhloko elihlobene ne imbangela isimiso. Bese ivele kuyafana owaqalwa.

Ukwelashwa nokuvikelwa yesibili isifo sokusha biliary

Ekwelapheni yesibili isifo sokusha biliary ekuqaleni eseyiqedile imbangela yalesi sifo. Ukusebenzisa izinqubo kuhlinzwa (kumba, isizinda amatshe, ukunwetshwa Amapayipi, njll). Ngemva kokuhlinzwa, kungenzeka ukunweba ukuphila isiguli.

Uma ukuhlinzwa akunakwenzeka ke yokwelapha siyafana elisetshenziswa eyinhloko isifo sokusha biliary. Ukwelashwa kulesi simo incike ngezinga elithile isimiso, nezimbangela zayo futhi amakhambi kunokwenzeka.

isifo sokusha ihlawulelwa

Ngo isifo sokusha ihlawulelwa, abantu kungenzeka bazi ngalesi sifo, njengoba kungekho zimpawu ethile. Isibindi isebenza ngokujwayelekile. Isiguli akazange uhlupho. Futhi uphethwe zingabekwa kuphela luhlolo okuhleliwe. Noma ngokuzumayo - ngesikhathi ukusebenza.

Okuwukuphela izimpawu ngokoma kwesibindi, okuyinto engase yenzeke isifo sokusha ihlawulelwa - enomkhuhlane, ububomvu we neyamasundu ngopha emakhaleni. Kodwa ngale ndlela abantu sifo uphile iminyaka ngeminyaka. Ngaphezu kwalokho, ngaphandle nanoma yiziphi izinkinga.

Ukwelashwa isifo sokusha ihlawulelwa

Ukwelashwa ihlawulelwa isifo sokusha incike nesigaba lesi sifo. Uma kuwukuthi "ukulala" state and akusho uthuthuka, unikezwe indaba nje kuphela Vitamin nezinye izakhamzimba mineral nokudla inombolo esiqinile 5. Kuyadingeka ngokuphelele ukuyeka ugwayi kanye notshwala. Musa thatha izidakamizwa hepatotoxic.

Uma isifo sokusha ihlawulelwa iqhubeka, inombolo inikezwe Ukudla 5a kuze kube exacerbation luyaphela. amavithamini abalulekile, i-folic acid futhi cocarboxylase. Ukusetshenziswa ubisi somkhaya kusiza ukususa ubuthi emzimbeni. Ngaphezu kwalokho, ine anti-inflammatory futhi isenzo hepatoprotective aqede kwemisipha izinhlungu zibe.

Decompensated isifo sokusha: Izimpawu kanye Ukwelashwa

Iziguli isifo sokusha decompensated kwesibindi isesimeni nakakhulu kunangesikhathi inzuzo. Inqubo-cystic. Kukhona zonke izimpawu isifo sokusha. The enhle kakhulu - Ukuwohloka isimo jikelele, jaundice kanye ascites.

Ekwelapheni decompensated isifo sokusha Ukugcizelelwa nokuqedwa ukubonakaliswa wendawo (ascites, njll) kanye pathologies ekhona. Ngo-acute nokugula esetshenziswa ukugeleza nezinsiza asekelayo kokusebenza kwesibindi. Kodwa lokhu isiguli kumele uthuthwa nezikhungo zezokwelapha ezikhethekile lapho amadivayisi ezifakiwe.

Iziguli isifo sokusha decompensated phambi asebenzayo yokwelapha ukusha kwesibindi kohlobo B isetshenziswa "lamivudine". It kakhulu ngcono ngezimo zesiguli futhi zibe nethonya elihle kwesibindi. Lapho izimpawu zokuqala decompensation kukho engcono kungaba ukufakelwa isibindi.

Pigment isifo sokusha: Izimpawu kanye Ukwelashwa

Pigment isifo sokusha wabonakaliswa ngaphandle amabala esikhumbeni futhi ukuthi unoshukela e umchamo. Enye igama isifo - zethusi sikashukela. Ngokuvamile, wadla ifa inombolo engaphelele enzyme. Ngenxa yalokho, ngo-izitho eziningi (kuhlanganise kwesibindi) kuthiwa imali lipofuscin futhi hemosiderin.

Khona-ke izinqubo ukuvuvukala uqale nezinguquko sclerotic capillary ezincane. Lokhu kuholela ukusonteka zemizimba. Isibindi uyanda futhi uya ngokuya uba ayazika. Kodwa umsebenzi wakhe ayiphazamiseki. Ngezikhathi zikhona izimpawu zesifo sikashukela: ukoma, isifiso yanda. I umchamo livela ushukela nokukhuphula amazinga ayo egazini.

Onalesi sifo ka enqabayo sombala isifo sokusha. Ukufa kwenzeka kusukela yokwehluleka kwesibindi, ikhoma sikashukela noma ukopha. Ekwelapheni aqokwe nomkhuba wokuchitha igazi, inkambo imijovo. Isifo sikashukela kanye nezinkinga ukunqampunwa yokwelapha lingaze.