Maʻi maʻi ʻalekohola

ʻO ka maʻi ʻalekole ʻalekiko ka mea hōʻino i ke ake a me kāna hana ma muli o ka hōʻino ʻana i ka waiʻona.

Kū ka maʻi maʻi ʻalekope ma hope o nā makahiki o ka inu nui ʻana. Ma hope o ka manawa, hiki i ka scarring a me cirrhosis ke kū. ʻO Cirrhosis ka hopena hope loa o ka maʻi ʻalekohola.

ʻAʻole loaʻa ka maʻi ʻalekohola ʻona i nā mea inu ʻona āpau. Piʻi ka manawa o ka loaʻa ʻana i ka maʻi akepaa ke lōʻihi kou inu ʻana a ʻoi aku ka nui o ka waiʻona āu e ʻai ai. ʻAʻole pono ʻoe e ʻona a kū ka maʻi.

ʻO ka maʻi maʻamau i nā poʻe ma waena o 40 a 50 mau makahiki. Loaʻa paha kēia pilikia i nā kāne. Eia nō naʻe, hiki i nā wahine ke hoʻomohala i ka maʻi ma hope o ka hōʻike liʻiliʻi ʻana i ka waiʻona ma mua o nā kāne. Hiki paha i kekahi poʻe ke loaʻa ka pilikia no ka maʻi.

ʻAʻohe paha hōʻailona, ​​a hele lohi paha nā ʻōuli. Aia kēia i ka hana a ke akepaʻa. ʻOi aku ka maikaʻi o nā ʻōuli ma hope o ke kau inu nui.

ʻO nā ʻōuli mua e:

• Lilo o ka ikehu
• ʻO ka makemake maikaʻi ʻole a me ka pohō kaumaha
• Nusea
• ʻEha 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 o 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 koko ʻole
• Huikau a pilikia paha i ka noʻonoʻo ʻana
• Nā noho Pale a i ʻole nā ​​pālolo kele

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 iā ʻoe nā hoʻāʻo:

• Helu piha koko (CBC)
• Nā hoʻāʻo hana ate
• Nā aʻo hoʻoulu ʻana
• ʻO ka biopsy ate

ʻO nā hoʻāʻo e kāpae i nā maʻi ʻē aʻe:

• Scanner CT ʻōpū
• Nā ho'āʻo koko no nā kumu ʻē aʻe o ka maʻi ate
• Ultrasound o ka ʻōpū
• Ultrasound elastography

NA OLELO OLA

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

• E hōʻoki i ka inu lama ʻana.
• ʻAi i kahi papaʻai olakino haʻahaʻa i ka paʻakai.
• E loaʻa i nā lāʻau āpau no nā maʻi e like me ka maʻi palū, hepatitis A a me ka maʻi hepitis B, a me ka pulumococcal 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.

NA LAAU LAPAAU MAI KOU KAUKA KAUKA

• "Pila wai" (diuretics) e hoʻopau i ke kūkulu 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 (varises esophageal)
• 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. ʻO ka lawe ʻana i ke akepaʻa no ka maʻi akepaʻa ʻaloholo e noʻonoʻo wale ʻia i ka poʻe i hōʻalo loa i ka waiʻona no 6 mau mahina.

Pōmaikaʻi ka poʻe he nui i ke komo ʻana i nā pūʻulu kākoʻo no ka ʻalekohola a i ʻole nā ​​maʻi ate.

He mea hiki ke mālama ʻia ka maʻi ʻalekohola inā hopu ʻia ia ma mua o ke kumu o ka pōʻino nui. Eia nō naʻe, hiki i ka inu nui ʻana ke hoʻopōkole i kou ola.

Hoʻonui hou ka Cirrhosis i ke ʻano a hiki ke alakaʻi i nā pilikia koʻikoʻi. Inā loaʻa ka pohō nui, ʻaʻole hiki i ke akepaʻa ke hoʻōla a hoʻi i ka hana maʻamau.

Komo pū nā pilikia:

• Nā maʻi hōʻeha (coagulopathy)
• 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 ʻoe:

• Hoʻomohala i nā ʻōuli o ka maʻi ʻalekohō
• E hoʻomohala i nā ʻōuli ma hope o ka lōʻihi o ka inu nui ʻana
• Hopohopo ʻoe e hōʻeha paha ka inu ʻana i kou olakino

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
• ʻO ke kuni (ke ana wela ma mua o 101 ° F, a i ʻole 38.3 ° C)
• Pohā
• Huikau hou a i ʻole ka loli o ka makaʻala, a i ʻole e ʻoi aku 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

E kamaʻilio ākea i kāu mea nāna e hāʻawi e pili ana i kāu inu ʻona. Hiki i ka mea hoʻolako ke aʻoaʻo iā ʻoe e pili ana i ka nui o ka palekana o ka ʻona iā ʻoe.

Maʻi maʻi ma muli o ka waiʻona; Cirrhosis a i ʻole hepatitis - ʻalekohola; ʻO ka cirrhosis a Laennec

• Cirrhosis - hoʻokuʻu

• ʻŌnaehana Digestive
• Anatomia akepau
• ʻO ke ake momona - CT scan

ʻO Carithers RL, McClain CJ. Maʻi maʻi ʻalekohola. 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 86.

ʻO Chalasani NP. ʻO ka steatohepatitis ʻalekohola a me nā mea ʻona ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 143.

Haines EJ, Oyama LC. Nā maʻi o ke ake a me ka tract biliary. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 80.

ʻO Hübscher SG. ʻO ka maʻi akepaʻa i hoʻopili ʻia e ka waiʻona. I: Saxena R, ed. ʻO ke ʻano Hepatic Pathology: kahi ala diagnostic. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 24.