ʻO ka ʻeha ate i hoʻokomo ʻia e ka lāʻau

ʻO ka ʻeha o ka ate i hoʻokomo ʻia i ka lāʻau i hōʻeha ʻia i ke ake e hiki ke hana ʻia ke lawe ʻoe i kekahi mau lāʻau.
ʻO nā ʻano ʻeha ʻeha ʻē aʻe e pili pū ana:
- Hepatema Viral
- ʻO ka hepatitis ʻalekohola
- ʻO ka hepatitis autoimmune
- ʻO ka hoʻouka hao
- Akepaʻa momona
Kōkua ke akepaʻa i ke kino e wāwahi i kekahi mau lāʻau. Hoʻopili kēia i kekahi mau lāʻau āu e kūʻai ai i ka counter a i ʻole kuhikuhi ʻia e kāu mea mālama ola. Eia nō naʻe, lohi ka hana i kekahi mau kānaka. Hiki i kēia ke hana iā ʻoe i ka hōʻino ʻia o ke ake.
Hiki i kekahi mau lāʻau ke hana i ka maʻi hepatitis me nā lāʻau liʻiliʻi, ʻoiai inā he maʻamau ka ʻōnaehana breakdown o ke ake. Hiki i nā lāʻau nui o nā lāʻau he nui ke hōʻino i ke ake maʻamau.
Hiki i nā ʻano lāʻau like ʻole ke kumu i ka hepatitis i hoʻokomo ʻia i ka lāʻau.
ʻO nā painkillers a me nā reducers fiva i loaʻa i ka acetaminophen kahi kumu maʻamau o ka hōʻeha o ke ake, ke lawe ʻia i nā ʻoihana i ʻoi aku ma mua o nā mea i ʻōlelo ʻia. ʻO ka poʻe inu waiʻona i ka mea ʻoi aku ka nui o ka pilikia i kēia pilikia.
ʻO nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs), e like me ibuprofen, diclofenac, a me naproxen, hiki ke hoʻokumu ʻia i ka hepatitis i hoʻokomo ʻia i ka lāʻau.
ʻO nā lāʻau ʻē aʻe i hiki ke alakaʻi i ka hōʻeha o ke ake.
- Amiodarone
- ʻO nā steroid Anabolic
- Pila pale hānau
- ʻO Chlorpromazine
- ʻErythromycin
- Halothane (kahi ʻano anesthesia)
- Methyldopa
- Isoniazid
- Methotrexate
- Statins
- Nā lāʻau Sulfa
- Nā Kūlana Tetracyclines
- Amoxicillin-clavulanate
- ʻO kekahi mau lāʻau anti-seizure
Pākuʻi ʻia paha nā ʻōuli
- Abdominal eha
- Mimi ʻeleʻele
- Pohā
- Ka luhi
- Fiva
- ʻEha poʻo
- ʻO Jaundice
- Loaʻa ka ʻai ʻole
- ʻO Nusea a me ka luaʻi
- Rash
- Nā noho keʻokeʻo a i ʻole nā pā kele
E loaʻa iā ʻoe nā hoʻokolohua koko e nānā i ka hana o ke ake. Eʻoi aku ke kiʻekiʻe o nā enzymes ate inā loaʻa iā ʻoe ke ʻano.
E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino e nānā ai no ka hoʻonui ʻia o ka ake a me ka palapū o ka ʻōpū ma ka ʻaoʻao ʻākau i luna o ka ʻōpū. ʻO ka hū a i ʻole ke kuni paha kekahi o nā hopena lāʻau e hoʻopili i ke ake.
ʻO ka lāʻau lapaʻau hoʻokahi wale nō no ka hapanui o nā hihia o ka hōʻino o ke akepaʻa ma muli o ka lawe ʻana i kahi lāʻau e hōʻoki i ka lāʻau i hoʻokumu i ka pilikia.
Eia nō naʻe, inā ʻoe i lawe i nā koina kiʻekiʻe o ka acetaminophen, pono ʻoe e mālama ʻia no ka hōʻeha o ke ake ma ke keʻena pilikia a i ʻole kahi lawelawe lapaʻau koʻikoʻi e like me ka hiki.
Inā koʻikoʻi nā hōʻailona, pono ʻoe e hoʻomaha a pale i ka hoʻoikaika kino, ʻalekohola, acetaminophen, a me nā mea ʻē aʻe e hōʻino i ke ake. Pono paha ʻoe e kiʻi i nā wai ma o kahi aa inā maikaʻi ʻole ka nausea a me ka luaʻi.
ʻO ka hōʻeha o ka ate i hoʻokomo ʻia i ka lāʻau i loko o nā lā a i ʻole mau pule ma hope o kou hōʻoki ʻana i ka lawe ʻana i ka lāʻau i hoʻokumu ʻia.
Kākaʻikahi, hiki i ka hōʻeha ʻia o ka ate i loko o ka lāʻau i alakaʻi ʻia i ka holo ʻana o ke ake.
Kāhea i kāu mea hāʻawi inā:
- Hoʻokumu ʻoe i nā ʻōuli o ka ʻeha o ke ake ma hope o kou hoʻomaka ʻana i ka lāʻau hou.
- Ua ʻike ʻia ʻoe me ka hōʻeha o ka ate i hoʻokomo ʻia i ka lāʻau lapaʻau a maikaʻi ʻole kāu mau ʻōuli ma hope o kou hoʻōki ʻana i ka lawe ʻana i ka lāʻau.
- Hoʻokumu ʻoe i kekahi hōʻailona hou.
Mai hoʻohana i nā mea ʻoi aʻe ma mua o ka lāʻau i koi ʻia o nā lāʻau i loaʻa ʻole i ka lāʻau i loaʻa ka acetaminophen (Tylenol).
Mai lawe i kēia mau lāʻau inā inu nui ʻoe a maʻa mau paha; e kamaʻilio i kāu mea hoʻolako e pili ana i nā kaomi palekana
E haʻi mau i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai, e like me nā lāʻau i kūʻai ʻia a me nā hoʻomākaukau lāʻau a i ʻole nā hoʻomākaukau. He mea nui loa kēia inā loaʻa ʻoe i ka maʻi ake.
E kamaʻilio i kāu mea hoʻolako e pili ana i nā lāʻau ʻē aʻe pono ʻoe e hōʻalo. Hiki i kāu mea hoʻolako ke haʻi iā ʻoe i nā lāʻau i palekana nou.
He hepatitis ʻona; ʻO ka hepatitis i hoʻokomo ʻia i ka lāʻau
ʻŌnaehana Digestive
Hepatomegaly
Chalasani NP, Hayashi PH, Bonkovsky HL, et al. Kahi Alakaʻi Haʻawina ACG: ke kuhi a me ka hoʻokele o ka hōʻino ʻia o ka ate i loko o ka lāʻau idiosyncratic. ʻO Am J Gastroenterol. 2014; 109 (7): 950-966. PMID: 24935270 www.ncbi.nlm.nih.gov/pubmed/24935270.
Chitturi S, Teoh NC, Farrell GC. ʻO ka maʻi hepatic Hepatic a me ka maʻi ate i hoʻokumu ʻia e nā lāʻau. 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 88.
ʻO Devarbhavi H, Bonkovsky HL, Russo M, Chalasani N. ʻO ka hōʻeha ʻia o ka ate i hoʻopili ʻia e ka lāʻau. I: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, eds. ʻO Zakim lāua ʻo Boyer's Hepatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 56.
Kālena ND. ʻO ke ake a me ka gallbladder. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins a me Cotran Pathologic Basis o ka maʻi. 9th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 18.