Cirrhosis

Hoʻopili ka Cirrhosis i ke ake a me ka hana ate maikaʻi ʻole. ʻO ia ke kahua hope loa o ka maʻi maʻi ake.

ʻO ka Cirrhosis ka hopena pinepine o ka hōʻino ʻia o ke ake mau ma muli o ka maʻi maʻi lōʻihi (mau). ʻO nā kumu maʻamau o ka maʻi maʻi akepa maʻAmelika Hui Pū ʻIa ʻo:

• Hepatitis B a maʻi hepatitis C paha.
• ʻIno ʻino.
• Kūkulu ka momona o ke akepaʻa ma muli o ka inu nui ʻana i ka waiʻona (i kapa ʻia ʻo nonalcoholic fatty ate maʻi [NAFLD] a me nonalcoholic steatohepatitis [NASH]). Pili loa ia i ka momona o ke kaupaona, loaʻa ke kiʻekiʻe o ke koko, ka maʻi ʻaʻai a i ʻole ka maʻi kō ma mua o ka maʻi kō.

ʻO nā kumu maʻamau o ka cirrhosis me:

• Ke kuhi hewa nā hunaola i nā hunaola maʻamau o ke akepaʻa no nā mea komo hewa a hōʻeha iā lākou
• Nā maʻi maʻi o ka bile
• ʻO kekahi mau lāʻau
• Ua hala nā maʻi ate i nā ʻohana

ʻAʻole paha he hōʻailona, ​​a hele lohi paha nā ʻōuli, kaukaʻi ʻia i ke ʻano o ka hana a ke ake. ʻO ka pinepine, ʻike ʻia ia e kahi manawa ke hana ʻia kahi x-ray no kekahi kumu ʻē aʻe.

ʻO nā ʻōuli mua e:

• Ka luhi a me ka lilo o ka ikehu
• ʻO ka makemake maikaʻi ʻole a me ka pohō kaumaha
• ʻO ka ʻeha a me ka ʻeha o ka ʻōpū
• ʻO nā kīʻaha koko liʻiliʻi, ʻulaʻula e like me ka ʻili

Ke holo a mānoanoa nei ke akepaʻa, komo pū paha nā ʻōuli:

• Fluid buildup i nā wāwae (edema) a i loko o ka ʻōpū (ascites)
• ʻO kaʻeleʻele melemele i ka ʻili, nā membrane mucous, a i ʻole nā ​​maka (jaundice)
• ʻO ka ʻulaʻula ma nā poho lima
• I nā kāne, impotence, shrinking of the testicle, a me ka puhū ʻana
• ʻO ka palu maʻalahi a me ke kahe ʻole o ke kahe, pinepine pinepine mai nā veins pehu i ka tract digestive
• Huikau a pilikia paha i ka noʻonoʻo ʻana
• Nā noho Pale a i ʻole nā ​​pālolo kele
• Kahe ʻana o ka maʻi mai luna a i ʻole lalo o nā ʻōpū

E hana kāu mea mālama ola i kahi hoʻokolohua kino e nānā no:

• ʻO ke ake a ākea paha
• ʻOi aku ka nui o ka umauma
• Pehu ka ʻōpū, ma muli o ka nui o ka wai
• Nā poho lima
• ʻO nā kolo koko e like me ka ʻā spider ma ka ʻili
• Hōʻike liʻiliʻi
• ʻO nā veins ākea i ka paia o ka ʻōpū
• Nā maka melemele a i ʻole ʻili (jaundice)

Loaʻa paha iā ʻoe kēia mau hoʻāʻo e ana i ka hana ate:

• Helu piha koko
• Prothrombin manawa
• Nā hoʻāʻo hana ate
• Papa albumin pae

Nā hoʻokolohua ʻē aʻe e nānā no ka hōʻino o ke ake a me

• Computers tomography (CT) o ka ʻōpū
• ʻO ke kiʻi ʻana o ka resonance ʻume mākenēki (MRI) o ka ʻōpū
• Endoscopy e nānā no nā veins maʻamau i ka esophagus a i ʻole ka ʻōpū
• Ultrasound o ka ʻōpū

Pono ʻoe i kahi biopsy ate e hōʻoia i ke kuhi.

NA OLELO OLA

ʻO kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka mālama ʻana i kou maʻi ate.

• Mai inu i ka waiʻona.
• ʻAi i kahi papaʻai olakino haʻahaʻa i ka paʻakai, momona, a me nā haʻuki kūpona maʻalahi.
• E loaʻa i nā lāʻau āpau no nā maʻi e like me ka maʻi palū, hepatitis A a me B, a me ka pneumococcal pneumonia.
• E kamaʻilio me kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai, e like me nā mea kanu a me nā mea hoʻopiha a me nā lāʻau i kūʻai ʻia ma mua o ka counter.
• Hoʻoikaika kino.
• Kaohi i kāu mau pilikia metabolic ma lalo, e like me ke koko kiʻekiʻe, diabetes, a me nā kiʻekiʻe o ke kō.

NA LAAU LAPAAU MAI KOU KAUKA KAUKA

• Pila wai (diuretics) e hoʻopau i ka hana ʻana o ka wai
• ʻO ka Vitamin K a i ʻole nā ​​huahana koko e pale aku ai i ke kahe ʻana o ke kahe
• Nā lāʻau no ka huikau noʻonoʻo
• Nā Antibiotics no nā maʻi

NA LAAU HOU

• Nā hoʻoponopono Endoscopic no nā veins ākea i ka esophagus (varices)
• Ka hemo ʻana o ka wai mai ka ʻōpū (paracentesis)
• Ke kau ʻana o kahi transjugular intrahepatic portosystemic shunt (TIPS) e hoʻomaikaʻi i ke kahe o ke koko i ke ake.

Ke holo a cirrhosis e hoʻopau i ka maʻi ate, pono paha kahi transplant ate.

Hiki iā ʻoe ke hoʻomaʻamaʻa pinepine i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi maʻi ate nāna nā lālā e kaʻana like i nā ʻike a me nā pilikia.

Hoʻokumu ʻia ʻo Cirrhosis e ka scarring o ke ake. I ka hapanui o nā hihia, ʻaʻole hiki i ke akepaʻa ke hoʻōla a hoʻi i ka hana maʻamau ke nui ka ʻino. Hiki i ka Cirrhosis ke alakaʻi i nā pilikia koʻikoʻi.

Komo pū nā pilikia:

• Nā maʻi hōʻeha
• Buildup o ka loli i loko o ka ʻōpū (ascites) a me ka maʻi o ka loli (bacterial peritonitis)
• Nā veins i hoʻonui ʻia i ka esophagus, ʻōpū, a i ʻole nā ​​ʻōpū i hiki ke kahe maʻalahi (varises esophageal)
• Hoʻonui i ke kaomi i loko o nā kīʻaha koko o ke ake (hypertension portal)
• ʻO ke kōpaʻa maikaʻi ʻole (hepatorenal syndrome)
• Ka maʻi 'aʻai ate (hepatocellular carcinoma)
• Huikau ka noʻonoʻo, hoʻololi i ka pae o ka ʻike, a i ʻole koma (hepatic encephalopathy)

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o ka cirrhosis.

E kiʻi koke i ke kōkua olakino pilikia inā loaʻa iā ʻoe:

• ʻEha o ka ʻōpū a i ʻole ka umauma
• Pahu ʻōpū a i ʻole ascites i mea hou a i ʻole lilo i ʻino a ʻino paha
• Ke kuni (ke ana wela ma mua o 101 ° F a i 38.3 ° C)
• Pohā
• Huikau a i ʻole ka loli o ka makaʻala, a i ʻole e piʻi ka maikaʻi
• ʻO ke kahe ʻana o ka pololei, ka luaʻi i ke koko, a i ʻole ke koko i ka mimi
• Pokole o ka hanu
• ʻO ka luaʻi ʻana ma mua o hoʻokahi manawa i ka lā
• ʻO ka ʻili melemele a i ʻole nā ​​maka (jaundice) he mea hou a lilo ʻino koke paha

MAI inu rama. E kamaʻilio i kāu mea hāʻawi inā hopohopo ʻoe i kāu inu ʻana. E hana i nā hana e pale ai i ka loaʻa ʻana o ka maʻi hepitis B a i ʻole C a i ʻole hāʻawi ʻia i kekahi poʻe ʻē aʻe.

Kaʻu cirrhosis; Maʻi maʻi ʻōiwi; Hopena maʻi ate Hoka kōpaʻa - cirrhosis; Ascites - cirrhosis

• Cirrhosis - hoʻokuʻu

• Nā ʻōnaehana ʻōnaehana Digestive
• ʻŌnaehana Digestive
• Kaʻu cirrhosis - CT scan

Garcia-Tsao G. Cirrhosis a me kona hopena. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. Kuhi Alakaʻi ACG: maʻi maʻi ʻalekohola. ʻO Am J Gastroenterol. 2018; 113 (2): 175-194. PMID: 29336434 pubmed.ncbi.nlm.nih.gov/29336434/.

ʻO Wilson SR, Withers CE. Ke akepaʻa. I: Rumack CM, Levine D, eds. ʻIkioma ultrasound. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 4.