Hepatitis B
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
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