Hepatitis D (Delta agena)

ʻO Hepatitis D kahi maʻi viral i hoʻokumu ʻia e ka maʻi hepatitis D (i kapa ʻia ʻo Delta agena). Kuhi ia i nā ʻōuli wale nō i ka poʻe i loaʻa pū kekahi i ka maʻi hepitis B.

Loaʻa ka maʻi Hepatitis D (HDV) i ka poʻe i hāpai i ka maʻi hepitis B. Hiki i ka HDV ke hōʻeha i ka maʻi akepaʻa i ka poʻe i loaʻa i ka hepatitis hou (wā lōʻihi) a lōʻihi paha (mau) lōʻihi. Hiki iā ia ke kumu i nā ʻōuli i ka poʻe i hāpai i ka maʻi hepitis B akā ʻaʻole i loaʻa nā ʻōuli.

Hoʻopili ʻo Hepatitis D ma kahi o 15 miliona mau kānaka ma ka honua holoʻokoʻa. Aia ia i loko o kahi poʻe liʻiliʻi e hāpai i ka maʻi hepitis B.

ʻO nā kumu pilikia me:

• Ka hana ʻino ʻana i ka maʻi (IV) a i ʻole nā ​​lāʻau hoʻōki
• Ke maʻi nei i ka wā hāpai (hiki i ka makuahine ke hele i ka maʻi i ka pēpē)
• Lawe i ka maʻi maʻi hepatitis B
• ʻO nā kāne e moekolohe ana me nā kāne ʻē aʻe
• Ke loaʻa nei i nā koko he nui

Hiki i ka Hepatitis D ke hana i nā ʻōuli o ka maʻi hepitis B i ʻoi aku ka hewa.

Pākuʻi ʻia paha nā ʻōuli:

• Abdominal eha
• Mimi kala ʻeleʻele
• Ka luhi
• ʻO Jaundice
• ʻEha hui
• Loaʻa ka ʻai ʻole
• Nusea
• ʻO ka luaʻi

Pono ʻoe i kēia mau hoʻāʻo:

• Pākuʻi anti-hepatitis D
• ʻO ka biopsy ate
• Nā ʻenekema akepau (hoʻāʻo koko)

ʻAʻole kōkua ka hapa nui o nā lāʻau e mālama ai i ka maʻi hepitis B no ka mālama ʻana i ka maʻi hepitis D.

Hiki paha iā ʻoe ke loaʻa i kahi lāʻau i kapa ʻia ʻo alpha interferon a hiki i 12 mau mahina inā loaʻa ʻoe i kahi maʻi HDV lōʻihi. Hiki ke hoʻokō ʻia kahi transplant akepaʻa no ka hopena hope loa o ka maʻi hepatitis B.

ʻO ka poʻe me ka maʻi HDV maʻi ʻoi aku ka maikaʻi ma mua o 2 a 3 mau pule. Hoʻi nā pae enzyme ate i ka maʻamau ma waena o 16 mau pule.

Ma kahi o 1 i ka 10 o nā mea i loaʻa i ka maʻi e hoʻomohala i ka wā lōʻihi (mau) ka ake ʻana (ate).

Komo pū nā pilikia:

• He hepatitis hana mau
• Hoka kō ake akea

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe nā ʻōuli o ka hepatitis B.

Nā ʻanuʻu e pale ai i ke ʻano me:

• Kuhi a mālama i ka maʻi hepitis B i ka wā hiki ke kōkua i ka pale ʻana i ka maʻi hepitis D.
• Hōʻalo i ka hōʻino kino (IV) i ka lāʻau hoʻomāinoino. Inā ʻoe e hoʻohana i nā lāʻau IV, e hōʻalo i ka hoʻokaʻawale ʻana i nā nila.
• E loaʻa i nā lāʻau āpau i ka maʻi hepatitis B.

ʻO nā mākua i pilikia nui i ka maʻi hepatitis B a me nā keiki āpau e loaʻa i kēia lāʻau āpau. Inā ʻaʻole loaʻa iā Hepatitis B, ʻaʻole hiki iā ʻoe ke loaʻa Hepatitis D.

Agena Delta

• ʻO ka maʻi maʻi Hepatitis B

Alves VAF. ʻO ka hepatitis viral ākea. I: Saxena R, ed. ʻO ke ʻano Hepatic Pathology: kahi ala diagnostic. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 13.

Landaverde C, Perrillo R. Hepatitis D. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 81.

ʻO Thio CL, ʻo Hawkins C. ʻO ka maʻi hepitis B a me ka maʻi hepitis hepatitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 148.