ʻO nā maʻi o ka hānaiʻana o kaʻikeʻole iʻikeʻia, a heʻano kūlohelohe paha, i kapaʻia he maʻi hepatitis. ʻO ka mea pōʻino,ʻaʻole maʻamau kēia maʻi, a no ka nui o nā wāhine i ka wā'ōpiopio. ʻO ka pilikia nui,ʻo kēia maʻi ka mea e hōʻeha i nā hānai nui, a me ka maʻiʻole.
Nā Hiʻona o ke Kēpē Hikiʻole i ka Hepatitis
Ma keʻano maʻamau o ke olakino a me ke kino, hiki mua ke maʻi ma waho o nā hōʻailona kino, i kaʻike pinepineʻana i ka maʻi hepa i ka wā o nā hoʻololi koʻikoʻi o ka parenchyma hepatic a me ka cirrhosis.
Akā hoʻi,ʻo ka maʻi e hoʻonā pinepine iā ia iho a me ka loli, me ka'ōlelo a symptomatology.
Nā hōʻailona o ka maʻi heemitis:
- ka pouli o ka mimi i kaʻeleʻele o ka hueʻeleʻele a iʻole ka piaʻona;
- ka lāʻau o kaʻili, sclera;
- ka nāwaliwali, ka hiamoe, ka manaʻo mau loa o ka luhi;
- nele i kaʻona;
- ka eha ma ka pono hypochondrium , paʻakikī;
- nā pilikia ma ke kaʻina o ka epigastric;
- wela;
- pau kaʻili.
Eia hou, ua hiki ke hōʻike mai i nā hōʻike a me nā hoʻopilikia i ka hanaʻana o nā pūnaha kino'ē aʻe:
- hirsutism ;
- Amenorrhea;
- ulcerative colitis;
- vitiligo;
- arthralgia;
- anemia hemolytic;
- iridocyclitis;
- myocarditis;
- pīhoihoi.
ʻO ka hōʻoiaʻana o ka maʻi hepatitis autoimmune
He paʻakikī ke hoʻomaopopo pono i kēiaʻano maʻi, no ka mea, ua like nāʻano likeʻole me nāʻano likeʻole o ka maʻi hepatitis.
No kaʻikeʻana i ka hōʻike kūpono o ka hōʻailona, kahi hoʻolālā kūikawā kūikawā, me nā'ōpala biochimique a me nā ultrasound, biopsy.
Wahi a nā paepae i'āponoʻia ma kaʻike lapaʻau o ka honua,ʻo ka maʻi hepatitis autoimmune e hōʻikeʻia ana e kēlā mau hōʻailona:
- i loko o ke koko,ʻaʻole he hōʻailona o nā maʻi o ka maʻi hepaitis A, B, C;
- piʻi nui o ALT a me ASAT;
- uaʻoi aku ka nui o nā papa antibody i ka 1,80;
- ʻO ka lōʻihi o ke y-globulinsʻoi aku i ka 1.5 mau manawa aʻoi paha;
- ʻaʻole i ka waiʻona waiwai, ka waiwai narcotic.
I kēia maʻiʻano hepatitis type 1 ka mea iʻikeʻia ma muli o ka hikiʻana o nā'epi i loko o ke koko SMA a iʻole ANA, nāʻano 2 - anti-LKM-I, 3 mauʻano - SLA.
Mahalo i ke kāpili, hiki ke hōʻike i ke kaʻina o ka hoʻopiʻiʻana i ka parenchyma a me nā hanue, a hoʻonui ia. Hanaʻia ka biopsy no ka hōʻiliʻili 'ana o ka hōʻailona, kaʻike o ka maʻi a me ka holomua.
ʻO nā maʻi o ka maʻi hepatitis
ʻO ka meaʻoi loa, ke kumu o ka hopena e pili ana i ka hoʻohanaʻana i nā hormones corticosteroid, a me ka hoʻoikaikaʻana i ka pane o ka pūnaewele immune a me ka ho'ōkiʻana i ka papa hana inflammatory.
ʻO ka mea maʻamau, ua hāʻawiʻia kahi lōʻihi o Prednisone (prednisone) i loko o keʻano o infusions kino. Ma hope o kekahi mau mahina o ka hoʻomaʻamaʻaʻana, ua ho'ēmiʻia ka hopena o ka lāʻau lapaʻau, a ua loaʻa i ka therapy ka mea kākoʻo. Eia hou, hoʻonui ka polokalamu i kekahi lāʻau hou - Delagil. Hiki i ka lōʻihi o ka papa ke hiki i 6-8 mau mahina, a ma hope iho e pono pono ke nānā mau i ka hepatologist a me ke ākea.
I kēlā mau wahi kahi iʻole ai ka hana hormone i ka hopena e makemakeʻia ana aʻikeʻia ka maʻi hepatitis e nā loli hou, he mea kūpono ia e hana i kahi hana no ka huki o nā ake.
ʻO kaʻaiʻana i ka maʻi hepatitis
E like me nāʻano'ē aʻe o ka maʻi i hōʻikeʻia, ua'ōleloʻia ka meaʻai kula e like me nā rula a me nā moʻomeheu o ka helu helu 5 no Pevzner.
Hoʻokaʻawale ia i nā hua puaʻaleʻa, nā mea momona a me nā mea i hoʻomoʻaʻia, nā pakuʻokiʻa hou, nā leʻaleʻa,ʻo kahi koaleka a me ka koko.
'Apeʻa loaʻia ka inu waiʻona.
Kupaʻia, ka pīni, ka meaʻai i kāluaʻia, ka palaoa o ka 1 a me ka 2 fusela palaoa (i nehinei), nā huaʻona, nā hua a me nā hua (heʻono wale nō).