Mea Kākau: Gregory Harris
Lā O Ka Hana: 9 Apelila 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
Anonim
Hepatitis B and hepatitis D virus- causes, symptoms, diagnosis, treatment, pathology
Wikiō: Hepatitis B and hepatitis D virus- causes, symptoms, diagnosis, treatment, pathology

ʻO ka Hepatitis B ka huhū a me ka ʻōhū ʻana (ka mumū) o ke akepaʻa ma muli o ka maʻi me ka maʻi hepatitis B (HBV).

ʻO nā ʻano ʻē aʻe o ka hepatitis viral e laʻa me ka hepatitis A, ka maʻi hepatitis C, a me ka maʻi hepatitis D.

Hiki iā ʻoe ke hopu i ka maʻi hepatitis B ma o ka pili ʻana i ke koko a i ʻole nā ​​wai o ke kino (semen, nā wai liʻiliʻi, a me ka lawaiʻa) o kahi mea i loaʻa i ka maʻi.

Hōʻike ʻia paha ka hōʻike:

  • Ma hope o kahi needlestick a i ʻole sharps ʻeha
  • Inā pili ke koko a i ʻole ke kinowai kino ʻē aʻe i kou ʻili, nā maka a waha paha, a i ʻole nā ​​ʻeha a ʻoki ʻoki paha

ʻO ka poʻe e makaʻu paha i ka maʻi hepatitis B ka poʻe:

  • Loaʻa i ka moekolohe ʻole me ka hoa pā maʻi
  • Loaʻa i ke koko (ʻaʻole maʻa mau i ka United States)
  • E launa me ke koko ma ka hana (e like me nā limahana olakino)
  • Ua noho ma ka lōʻihi lōʻihi lōʻihi dialysis
  • E kiʻi i kahi peʻa a i ʻole akupuna paha me nā nila kolohe ʻole
  • Kaʻana i nā nila i ka hoʻohana lāʻau ʻana
  • E kaʻana like i nā mea pilikino (e like me ka palaki niho, ka pahi kaua, a me nā kui kui) me kahi kanaka i loaʻa i ka maʻi virus
  • Ua hānau ʻia i ka maʻi maʻi hepatitis-B

Hoʻomaʻamaʻa ʻia ke koko āpau no ka hoʻoliʻiliʻi koko, no laila liʻiliʻi ka loaʻa ʻana o ka maʻi ma kēia ala.


Ma hope o kou lilo mua ʻana i maʻi me ka HBV:

  • ʻAʻohe ou ʻōuli.
  • ʻIke paha ʻoe i ka maʻi no kekahi mau lā a i ʻole mau pule.
  • E hele a maʻi nui loa paha ʻoe (i kapa ʻia ʻo fulminant hepatitis).

ʻAʻole hiki ke hōʻike ʻia nā ʻōuli o ka maʻi hepitis B a hiki i 6 mau mahina ma hope o ka manawa o ka maʻi. ʻO nā ʻōuli mua e:

  • Nānā ʻai
  • Ka luhi
  • Kaha wela
  • ʻO ka ʻeha a me ka ʻeha pū
  • ʻO Nusea a me ka luaʻi
  • ʻIli melemele a me ka mimi ʻeleʻele

E hele aku nā ʻōuli i loko o kekahi mau pule i kekahi mau mahina inā hiki i kou kino ke hakakā i ka maʻi. ʻAʻole hoʻopau kekahi poʻe i ka HBV. Kapa ʻia kēia he hepatitis B. mau loa.

ʻAʻole hiki i nā poʻe me ka maʻi hepita mau ke loaʻa nā hōʻailona a ʻike ʻole paha lākou ua maʻi lākou. I ka hala ʻana o ka manawa, hoʻomohala paha lākou i nā ʻōuli o ke ake a me nā cirrhosis o ke ake.

Hiki iā ʻoe ke hoʻolaha i ka HBV i nā poʻe ʻē aʻe, inā ʻaʻohe ou ʻōuli.

Hana ʻia kahi moʻo o nā hoʻokolohua koko i kapa ʻia ʻo ka hepitis viral hepatitis no ka manaʻo he hepatitis. Hiki iā ia ke kōkua e ʻike:


  • Pākuʻi hou
  • ʻO ka maʻi kahiko e hana mau nei
  • ʻO ka maʻi kahiko ʻole e hana hou ʻole

Hana ʻia nā mea e hōʻike aʻe nei e nānā no ka hōʻino o ke ake inā loaʻa iā ʻoe ka maʻi he hepatitis B mau.

  • Pae Albumin
  • Nā hoʻāʻo hana ate
  • Prothrombin manawa

E loaʻa iā ʻoe kahi hōʻoia e ana i ka pae o ka HBV i kou koko (viral viral). Hōʻike kēia i kāu mea mālama ola i ka hana o kāu lapaʻau.

ʻO nā kānaka iʻoi aku ka kiʻekiʻe o ka makaʻi no ka maʻi hepitis e hōʻike ʻia me kahi hōʻike koko. Pono paha kēia i ka wā ʻaʻohe o lākou ʻōuli. Nā kumu e alakaʻi i ka hoʻonui ʻana i ka makaʻu pū me:

  • ʻO nā kumu pilikia i hōʻike ʻia ma luna i ka Nā Kumu ʻāpana.
  • ʻO ka poʻe mai nā ʻāina kahi he nui ka nui o ka poʻe i loaʻa i ka maʻi hepatitis B. ʻO kēia mau ʻāina a i ʻole nā ​​wahi e pili ana iā Iapana, kekahi mau ʻāina Mediterranean, ʻāpana o ʻAsia a me ka Hikina Waena, West Africa a me South Sudan.

ʻO ka hepatitis koʻikoʻi, ke ʻole ka koʻikoʻi, pono ʻole i kahi lāʻau. Nānā ʻia ka ake a me nā hana o ke kino e hoʻohana ana i nā hoʻokolohua koko. Pono ʻoe e hoʻomaha i ka moena nui, inu i nā wai he nui, a ʻai i nā meaʻai olakino.


Hiki ke mālama ʻia kekahi poʻe me ka hepatitis maʻi mau me nā lāʻau antiviral. Hiki i kēia mau lāʻau ke hōʻemi a hemo i ka hepatitis B mai ke koko. ʻO kekahi o nā lāʻau he injection i kapa ʻia interferon. Kōkua pū lākou i ka hoʻēmi i ka makaʻu no ka cirrhosis a me ka maʻi ʻaʻai ate.

ʻAʻole maopopo mau ka poʻe me ka maʻi hepitis B mau e loaʻa ai ka lāʻau lapaʻau a i ka wā e hoʻomaka ai. E loaʻa paha kēia mau lāʻau iā ʻoe inā:

  • Ke hele a hewa nei kāu hana ate.
  • Hoʻolālā ʻoe i nā ʻōuli o ka hōʻino ate lōʻihi.
  • Loaʻa iā ʻoe nā kiʻekiʻe kiʻekiʻe o ka HBV i kou koko.
  • Hāpai ʻoe.

No kēia mau lāʻau e pono pono ai, pono ʻoe e lawe iā lākou e like me ke kuhikuhi a kāu mea hāʻawi. E nīnau i nā hopena ʻē aʻe hiki iā ʻoe ke manaʻo a me nā mea e hana ai inā loaʻa iā ʻoe. ʻAʻole maikaʻi nā poʻe āpau e pono e lawe i kēia mau lāʻau.

Inā hoʻomohala ʻoe i ke kūpaʻa o ke ake, e noʻonoʻo ʻia ʻoe no kahi hoʻoliʻiliʻi ate. ʻO ke kanu ʻana o ke akepaʻa ka mea hoʻōla wale i kekahi mau hanana o ke kō ʻole o ke ake.

Nā ʻanuʻu ʻē aʻe hiki iā ʻoe ke lawe:

  • Hōʻalo i ka ʻalekohola.
  • E hōʻoia me kāu mea hāʻawi ma mua o ka lawe ʻana i nā lāʻau i kūʻai ʻia a kūʻai ʻia paha. Hoʻopili kēia i nā lāʻau e like me acetaminophen, aspirin, a i ʻole ibuprofen.

ʻO ka hōʻino ʻia o ke ake nui, a i ʻole cirrhosis, hiki ke kumu ʻia e ka maʻi hepatitis B.

Pōmaikaʻi kekahi poʻe mai ka hele ʻana i kahi hui kākoʻo maʻi maʻi ate.

Hele pinepine ka maʻi maʻi ma hope o 2 a 3 mau pule. Hoʻi pinepine ke akepaʻa i ka maʻamau ma waena o 4 a 6 mau mahina i ka hapanui o ka poʻe.

ʻAneʻane nā keiki hānau hou a ma kahi o hoʻokahi hapalua o nā keiki i loaʻa i ka maʻi hepitis B e hoʻomōhala i ke kūlana maʻi. ʻO kekahi mau mākua i loaʻa i ka maʻi maʻi i loaʻa i ka maʻi hepatitis B. mau.

Aia kahi helu kiʻekiʻe loa o ka maʻi ʻaʻai ate i ka poʻe i loaʻa i ka maʻi hepatitis B. mau.

Kāhea i kāu mea hāʻawi inā:

  • Hoʻolālā ʻoe i nā ʻōuli o ka maʻi hepatitis B.
  • ʻAʻole hele aku nā hōʻailona Hepatitis B i 2 a 3 mau pule, a i ʻole e hoʻomohala nā ʻōuli hou.
  • ʻO ʻoe i loko o kahi hui kūlana kiʻekiʻe no ka maʻi hepatitis B a ʻaʻole i loaʻa iā ʻoe ka lāʻau hoʻomaʻi HBV.

ʻO nā keiki a me ka poʻe i ka makaʻu nui no ka maʻi hepatitis B pono e loaʻa i ka lāʻau hoʻomaʻi hepatitis B.

  • Pono e loaʻa i nā pēpē kahi lāʻau mua o ka lāʻau hoʻomaʻi hepatitis B i ka wā hānau. Loaʻa iā lākou i nā pana 3 āpau i ke kaʻina e ka makahiki 6 a 18 mau mahina.
  • ʻO nā kamaliʻi ma mua o 19 mau makahiki i loaʻa ʻole ka lāʻau āpau e loaʻa i nā ʻāpana "catch-up".
  • Pono nā limahana olakino a me nā mea e noho pū ana me kekahi e loaʻa ana i ka maʻi hepitis B e loaʻa ka lāʻau lapaʻau.
  • ʻO nā pēpē i hānau ʻia i nā makuahine i loaʻa i ka maʻi hepitis B a i loaʻa paha i ka maʻi i ka wā i hala e pono e loaʻa i kahi lāʻau lapaʻau hepatitis B kūikawā ma waena o 12 mau lā o ka hānau ʻana.

Hiki ke kōkua ʻia ka lāʻau vaccine hepatitis B a i ʻole he hepatitis B immune globulin (HBIG) i ka pale ʻana i ka maʻi inā loaʻa iā ʻoe ma loko o 24 mau hola o ka launa ʻana me ka maʻi.

ʻO nā ana e pale i ka pili ʻana me ke koko a me nā wai o ke kino e hiki ke pale i ka hoʻolaha ʻana o ka maʻi hepitis B mai kēlā me kēia kanaka.

  • ʻO ka maʻi maʻi Hepatitis B
  • ʻŌnaehana Digestive
  • Hepatitis maʻi
  • Hepatitis B

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

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. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 140.

Robinson CL, Bernstein H, Poehling K, Romero JR, Szilagyi P. Kōmike Aʻoaʻo e pili ana i nā hana Immunization e paipai i nā papa hana palekana 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. pubmed.ncbi.nlm.nih.gov/32027628/.

Tang LSY, Covert E, Wilson E, Kottilil S. maʻi hepatitis B maʻi: he loiloi. JAMA. 2018; 319 (17): 1802-1813 PMID: 29715359 pubmed.ncbi.nlm.nih.gov/29715359/.

Terrault NA, Bzowej NH, Chang KM, Hwang JP, Jonas MM, Murad MH; ʻAmelika Hui Pū ʻIa no ka hoʻopaʻa ʻana i nā maʻi ate. Nā alakaʻi AASLD no ka mālama ʻana i ka maʻi he hepatitis B. Hepatology. 2016; 63 (1): 261-283. PMID: 26566064 pubmed.ncbi.nlm.nih.gov/26566064/.

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