Hepatitis A.

ʻO ka Hepatitis A ka wela (ka huhū a me ka pehu ʻana) o ke ake mai ka maʻi hepatitis A.

ʻO ka maʻi hepatita A loaʻa i ka hapanui o ka pahu a me ke koko o kahi mea maʻi. Aia ka maʻi ma kahi o 15 a 45 mau lā ma mua o ka loaʻa ʻana o nā ʻōuli a i ka pule mua o ka maʻi.

Hiki iā ʻoe ke hopu i ka maʻi hepa inā:

• ʻAi ʻoe a inu paha i ka meaʻai a i ʻole ka wai i hoʻohaumia ʻia e nā pahu (feces) i loaʻa ka maʻi hepatitis A. ʻO nā hua a me nā hua ʻai ʻole i hoʻomoʻa ʻole ʻia a hua ʻole ʻia, nā ʻāpala, nā hau a me nā wai nā kumu maʻamau o ka maʻi.
• Ua launa ʻoe me ka stool a i ʻole ke koko o ke kanaka i loaʻa i ka maʻi i kēia manawa.
• ʻO kekahi kanaka me ka maʻi hepitis A e hele i ka maʻi i kekahi mea a meaʻai paha ma muli o ka holoi lima maikaʻi ʻole ma hope o ka hoʻohana ʻana i ka lua.
• Lawe ʻoe i nā hana moekolohe e pili ana i ka hoʻopili ʻana me oral-anal.

ʻAʻole nā ​​kānaka āpau i nā ʻōuli me ka maʻi hepatitis A. No laila, ʻoi aku ka nui o ka poʻe i loaʻa i ka maʻi ma mua o ka ʻike a hōʻike ʻia paha.

ʻO nā kumu pilikia me:

• Huakaʻi nā ʻāina ʻē, ʻo ia hoʻi ma ʻAsia, Hema a me ʻAmelika Waena, ʻApelika a me ka Hikina Waena
• Hoʻohana lāʻau IV
• Ke noho nei i kahi hale home kahu
• Ke hana nei i kahi ʻoihana olakino, meaʻai, a ʻoihana ʻino paha
• ʻO ka ʻai ʻana i nā pūpū maka e like me ka ʻōhi a me ka pāpaʻi

ʻO nā maʻi maʻi hepatitis maʻamau ʻē aʻe e pili ana i ka maʻi hepatitis B a me ka maʻi hepatitis C. ʻO Hepatitis A ka mea ʻoi aku ka nui a koʻikoʻi o kēia mau maʻi.

Hōʻike pinepine ʻia nā ʻōuli ma ke ʻano he 2 a 6 mau pule ma hope o ka hōʻike ʻia ʻana i ka maʻi hepatitis A. ʻAno pinepine lākou, akā mau paha a hala i mau mahina, keu hoʻi i nā mākua.

ʻO nā hōʻailona me:

• Mimi ʻeleʻele
• Ka luhi
• Kāwili
• Loaʻa ka ʻai ʻole
• Kaha wela
• ʻO Nusea a me ka luaʻi
• Nā noho Pale a i ʻole nā ​​pālolo kele
• ʻIli melemele (jaundice)

E hana ka mea mālama ola i kahi hoʻokolohua kino, e hōʻike ai i ka hoʻonui ʻia a me ka palupalu o kou ake.

Hōʻike paha nā hōʻike koko:

• Hāpai ʻia nā mea pale IgM a me IgG i ka hepatitis A (maikaʻi mau ka IgM ma mua o IgG)
• Pākuʻi IgM i hōʻike ʻia i ka wā o ka maʻi kō
• ʻO nā ʻelima ate kiʻekiʻe (nā hoʻāʻo o ka hana ate), ʻoi aku i nā pae o ka enzyme transaminase

ʻAʻohe mālama kūikawā no ka maʻi hepa A.

• Pono ʻoe e hoʻomaha a noho pono i ka hydrated ke ʻoi aku ka maikaʻi o nā ʻōuli.
• Pono nā kānaka me ka hepatitis koʻikoʻi e hōʻalo i ka wai ʻona a me nā lāʻau lapaʻau e ʻawaʻawa i ke ake, me ka acetaminophen (Tylenol) i ka manawa o ka maʻi maʻi a no kekahi mau mahina ma hope o ka hoʻōla ʻana.
• Hiki i nā meaʻai momona ke kumu i ka luaʻi a hōʻalo maikaʻi ʻia i ka wā koʻikoʻi o ka maʻi.

ʻAʻole noho ka maʻi ma ke kino ma hope o ka hala ʻana o ka maʻi.

ʻO ka hapanui o ka poʻe me ka maʻi hepitis A e ola hou i loko o 3 mau mahina. Ma kahi kokoke i nā poʻe āpau e ʻoi aku ka maikaʻi ma waena o 6 mau mahina. ʻAʻohe pōʻino mau loa ke ola hou ʻoe. Eia kekahi, ʻaʻole hiki iā ʻoe ke loaʻa hou i ka maʻi. Loaʻa ka makaʻu haʻahaʻa no ka make. ʻOi aku ka kiʻekiʻe ma waena o nā mākua a me nā kānaka me ka maʻi maʻi ate.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi hepatita.

Hiki i nā ʻōlelo aʻoaʻo aʻe ke kōkua i ka hōʻemi ʻana i kou makaʻi o ka hoʻolaha ʻana a i ʻole ka hopu ʻana i ka maʻi.

• Holoi mau i kou mau lima ma hope o ka hoʻohana ʻana i ka lumi hoʻomaha, a ke pili ʻoe me ke koko o ke kanaka i loaʻa i ka maʻi, a me nā wai ʻē aʻe o ke kino.
• E hōʻalo i ka meaʻai a me ka wai haumia.

E pāhola koke aku paha ka maʻi ma o nā keʻena mālama mālama lā a me nā wahi ʻē aʻe kahi e launa nui ai ka poʻe. Holoi ka holoi lima ʻana ma mua a ma hope o ka loli ʻana o kēlā me kēia diaper, ma mua o ka lawelawe ʻana i ka meaʻai, a ma hope o ka hoʻohana ʻana i ka lua ke kōkua i ka pale ʻana i kēlā ʻano ʻino.

E nīnau i kāu mea nāna e hoʻolako e pili ana i ka loaʻa ʻana o ka pale ākea globulin a i ʻole ka lāʻau hoʻomaʻemaʻe hepatitis A inā ʻike ʻia ʻoe i ka maʻi a ʻaʻole i loaʻa iā ʻoe ka maʻi hepitis A a i ʻole ka lāʻau hepatitis A

ʻO nā kumu maʻamau no ka loaʻa ʻana o hoʻokahi a i ʻole ʻelua o kēia mau ʻano hana me:

• Loaʻa iā ʻoe he hepatitis B a i ʻole C a i ʻole kekahi ʻano o ka maʻi akepaʻa mau.
• Noho ʻoe me kahi mea maʻi hepitis A.
• ʻAkahi nō ʻoe i moe kolohe me kekahi i loaʻa i ka maʻi hepitis A.
• Ua kaʻana like ʻoe i nā lāʻau kū ʻole i ke kānāwai, a i ʻole injected a i ʻole noninjected, me kekahi i loaʻa i ka maʻi hepitis A.
• Ua pili pili pilikino ʻoe ma waena o kekahi manawa me kekahi e loaʻa i ka maʻi hepitis A.
• Ua ʻai ʻoe i loko o ka hale ʻaina kahi i ʻike ʻia ai nā meaʻai a meaʻai paha nā mea ʻai i maʻi a maʻi paha me ka maʻi hepatita.
• Ke hoʻolālā nei ʻoe e huakaʻi i nā wahi e maʻa mau ai ka hepatitis A.

Loaʻa nā pūpū pale i ka maʻi hepatitis A. Hoʻomaka ka lāʻau āpau e pale i 4 mau pule ma hope o kou loaʻa ʻana o ka lāʻau mua. Pono ʻoe e kiʻi i kahi pana booster 6 a 12 mau mahina ma hope no ka pale lōʻihi.

Pono nā huakaʻi e hana i kēia mau hana e pale ai i ka loaʻa ʻana o ka maʻi.

• Hōʻalo i nā huahana waiū.
• Hōʻalo i ka ʻai a iʻa ʻole a moa ʻole paha.
• E makaʻala i nā hua i kālai ʻia i holoi ʻia i ka wai haumia. Pono nā huakaʻi e ʻili i nā huaʻai a me nā mea kanu a lākou iho.
• Mai kūʻai i ka meaʻai mai nā mea kūʻai aku i ke alanui.
• E loaʻa i nā lāʻau āpau e kūʻē iā hepatitis A (a me ka maʻi hepitis B paha) inā e hele ana i nā ʻāina kahi e kū ai ka maʻi.
• E hoʻohana i ka wai ʻōmole wale nō no ka palaki ʻana i nā niho a me ka inu ʻana. (E hoʻomanaʻo he hiki i nā pahu hau ke hāpai i ka maʻi.)
• Inā loaʻa ʻole ka wai hue, ʻo ka wai paila ke ala maikaʻi loa e hoʻopau ai i ka maʻi hepa A. E lawe i ka wai i kahi paila piha no 1 mau minuke e palekana i ka inu ʻana.
• Pono ka wela i nā meaʻai wela i ka pā a ʻai koke ʻia.

Hepatema Viral; ʻO ka hepatitis maʻi

• ʻŌnaehana Digestive
• Hepatitis A.

ʻO Freedman MS, Hunter P, Ault K, Kroger A. Kōmike Aʻoaʻo e pili ana i nā hana hoʻopulapula i koi ʻia i ka papa manawa no ka pale ʻana i nā mākua nona nā makahiki 19 a ʻoi paha - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69 (5): 133-135. PMID: 32027627 www.ncbi.nlm.nih.gov/pubmed/32027627.

ʻO Pawlotsky J-M. ʻO ka hepatitis viral ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 139.

Robinson CL, Bernstein H, Poehling K, Romero JR, Szilagyi P. Kōmike Aʻoaʻo e pili ana i nā hana Immunization e paipai i ka papa hana pale no nā keiki a me nā ʻōpio nona ka makahiki 18 a ʻoi paha - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69 (5): 130-132. PMID: 32027628 www.ncbi.nlm.nih.gov/pubmed/32027628.

Sjogren MH, Bassett JT. Hepatitis A. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 78.