Hepatic ischemia

ʻO ka Hepatic ischemia kahi ʻano i lawa ʻole ke ake a me ka oxygen i ke akepaʻa. ʻO kēia ke kumu o ka hōʻeha i nā hunaola ate.

ʻO ke kahe o ke koko haʻahaʻa mai nā ʻano a pau ke hiki i ka ischemia hepatic. Pēlā nā ʻano i loko:

• Nā ritme naʻau maʻamau
• Make wai
• Hewa puʻuwai
• ʻO ka maʻi, ʻoi aku hoʻi i ka sepsis
• Kahe nui ke koko

Hiki i nā kumu ʻē aʻe ke:

• Hoʻopili ke koko i ke aʻa nui i ke akepaʻa (hepatic artery) ma hope o ke kuʻi ʻana o ke ake
• ʻO ka pehu ʻana o nā kīʻaha koko, e alakaʻi ana i ke kahe o ke koko (vasculitis)
• Burns
• Kuʻi wela
• Loaʻa i kahi pilikia cell cellle

Ua loli paha ke kanaka i ke kūlana noʻonoʻo ma muli o ka hoʻoliʻiliʻi o ke kahe o ke koko i ka lolo. Hiki i nā ʻōuli ʻē aʻe ke:

• Loaʻa ka ʻai ʻole
• Ka manaʻo o ka hōʻoluʻolu maʻamau
• ʻO Jaundice

ʻO ka hōʻino ʻana i nā hunaola ate ka mea pinepine ʻole i nā hōʻailona a hiki i ka hopena o ka hana ate.

Hoʻopili ke koko i ke aʻa nui o ke akepaʻa i ʻeha o ka ʻōpū.

E hana ʻia kēia mau hoʻāʻo:

• Nā ho'āʻo koko e nānā i ka hana ate (AST a me ALT). Hiki ke kiʻekiʻe loa kēia mau heluhelu ʻana me ka ischemia.
• ʻO Doppler ultrasound o nā kīʻaha koko o ke ake.

Pili ka mālama ʻana i ke kumu. Pono e mālama koke ʻia ke koko kiʻekiʻe a me nā kahe o ke koko.

Ola hou ka poʻe inā hiki ke mālama ʻia i ka maʻi e hiki ai ke mālama ʻia ka ischemia hepatic. ʻO ka make ʻana mai ke kūpaʻa ʻole o ke ake ma muli o ka ischemia hepatic he kākaʻikahi loa.

Kūleʻa ka ʻole o ke ake, akā he pilikia make.

E kāhea koke aku i kāu lawelawe mālama ola inā loaʻa ʻoe i ka nāwaliwali hoʻomau ʻole a i ʻole nā ​​hōʻailona o ka haʻalulu a i ʻole ka make wai.

ʻO ka mālama wikiwiki ʻana i nā kumu o ke kaomi haʻahaʻa e pale i ka ischemia hepatic.

Hepatitis Ischemic; Hū ke ake

• Hāʻawi koko ka ate

ʻO Anstee QM, Jones DEJ. Hepatology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 22.

Korenblat KM, Berk PD. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 138.

ʻO Nery FG, Valla DC. Nā maʻi vascular o ke ake. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 85.