ʻO ka hepatitis autoimmune
ʻO ka hepatitis autoimmune ka mumū o ke ake. Hana ʻia ke kuhi hewa ʻana o nā hunaola i nā hunaola maʻamau o ke akepaʻa no nā mea komo hewa a hōʻeha iā lākou.
ʻO kēia ʻano hepatitis kahi maʻi autoimmune. ʻAʻole hiki i ka ʻōnaehana pale o ke kino ke haʻi i ka ʻokoʻa ma waena o nā kino o ke kino olakino a me nā mea ʻino, ma waho o nā mea.ʻO ka hopena he pane pale pale e luku i nā kino o ke kino maʻamau.
ʻO ka mumū o ke akepaʻa, a ʻo ka hepatitis paha, e loaʻa pū me nā maʻi autoimmune ʻē aʻe. Pākuʻi ʻia kēia mau mea:
- Maʻi maʻi kupapaʻu
- Maʻi maʻi ʻōpū
- Rheumatoid arthritis
- Scleroderma
- ʻO Sjögren maʻi
- ʻO ka lupus erythematosus ʻōnaehana
- ʻO ka thyroiditis
- ʻAno diabetes he 1
- Ulcerative colitis
Hiki i ka hepatitis autoimmune ke hana i nā lālā o ka ʻohana o ka poʻe me nā maʻi autoimmune. Aia paha he kumu kumu.
ʻO kēia maʻi ka mea maʻamau i nā kaikamahine ʻōpio a me nā wahine.
Pākuʻi ʻia paha nā ʻōuli:
- Ka luhi
- General discomfort, uneasiness, a maʻi maʻi paha (malaise)
- Kāwili
- Loaʻa ka ʻai ʻole
- Nausea a i ʻole ka luaʻi
- ʻEha hui
- Nā noho Pale a i ʻole nā pālolo kele
- Mimi ʻeleʻele
- Kuhi ʻōpū
ʻO ke alo ʻole o ka menstruation (amenorrhea) a he hōʻailona paha.
ʻO nā hoʻāʻo ʻana no ka hepatitis autoimmune pū me nā hoʻokolohua koko aʻe:
- Nā hoʻāʻo hana ate
- Anati-ake hakuʻala microsome type 1 antibody (anti LKM-1)
- ʻO ka anti-nukle antibody (ANA)
- Anati-ʻoluʻolu nāʻiʻo antibody (SMA)
- ʻO Serum IgG
- ʻO ka biopsy ake e nānā no ka maʻi hepa lōʻihi
Pono ʻoe i ka prednisone a i ʻole nā lāʻau corticosteroid ʻē aʻe e kōkua i ka hōʻemi ʻana i ka lī. ʻO Azathioprine a me 6-merc laptopurine nā lāʻau i hoʻohana ʻia e mālama i nā maʻi autoimmune ʻē aʻe. Ua hōʻike ʻia lākou e kōkua i ka poʻe me ka hepatitis autoimmune, pū kekahi.
Pono paha kekahi poʻe i kahi neʻe ʻana o ke ake.
Hoʻololi ka hopena. Hiki i nā lāʻau Corticosteroid ke hoʻolohi i ka holomua o ka maʻi. Eia nō naʻe, hiki i ka hepatitis autoimmune ke hele i mua i ka cirrhosis. Pono kēia i ke kuʻi o ke ake.
Komo pū nā pilikia:
- Cirrhosis
- Nā hopena ʻaoʻao mai nā steroid a me nā lāʻau ʻē aʻe
- ʻO ka maʻi maʻi hepococularular
- Hoka kōpaʻa
Kāhea i kāu mea mālama ola inā ʻike ʻoe i nā ʻōuli o ka maʻi autoimmune hepatitis.
ʻAʻole hiki ke pale ʻia ka hepatitis autoimmune i ka nui o nā hihia. ʻO ka ʻike ʻana i nā kumu pilikia e kōkua iā ʻoe e ʻike a mālama koke i ka maʻi.
He maʻi hepatitis Lupoid
- ʻŌnaehana Digestive
- Nā ʻōnaehana ʻōnaehana Digestive
ʻO Czaja AJ. ʻO ka hepatitis autoimmune. 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 90.
ʻO Pawlotsky J-M. ʻO ka maʻi maʻi maʻi maʻi a me ka maʻi hepitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 149.