Cirrhosis - hoʻokuʻu

Hoʻopili ka Cirrhosis i ke ake a me ka hana ate maikaʻi ʻole. ʻO ia ke kahua hope loa o ka maʻi maʻi ake. Ma ka haukapila ʻoe e mālama ai i kēia ʻano.

Loaʻa iā ʻoe ka cirrhosis o ke ake. Hana ʻia nā ʻili scar a ʻoi aku ka liʻiliʻi o ka paʻakikī o kou ake. ʻO ka hapa nui o ka manawa, ʻaʻole hiki ke hoʻopau i kēia pohō. Eia nō naʻe, hiki ke mālama ʻia nā pilikia e kū nei.

ʻOiai ʻoe ma ka haukapila, ua loaʻa paha iā ʻoe:

• Nā hōʻike Lab, nā kukuna x, a me nā hōʻike kiʻi ʻē aʻe
• Kahi laʻana o ke akepaʻa i lawe ʻia (biopsy)
• Hoʻomaʻo me nā lāʻau
• Hoʻopau ʻia ka wai (ascites) mai kou ʻōpū
• ʻO nā kāʻei kāpili liʻiliʻi i nakinaki ʻia a puni nā kīʻaha koko i kāu esophagus (ka paipu e lawe i ka meaʻai mai kou waha a hiki i kou ʻōpū)
• Ke kau ʻana o kahi paipu a i ʻole shunt (TIPS a i ʻole TIPSS) i mea e pale aku ai i ka nui o ka wai i loko o kou ʻōpū
• Nā Antibiotics e mālama a pale i ka maʻi i ka wai i kou ʻōpū

E kamaʻilio pū kāu mea mālama ola me ʻoe e pili ana i ka mea e kali ai ma ka home. E pili kēia i kāu mau hōʻailona a me ke kumu o kāu cirrhosis.

Nā lāʻau lapaʻau āu e pono ai e komo pū:

• Lactulose, neomycin, a i ʻole rifaximin no ka huikau i hoʻokumu ʻia e nā pilikia o ke ake
• ʻO nā lāʻau e kōkua ai i ka pale ʻana i ke kahe ʻana o ke kō o ka moni ʻana a i ʻole ka esophagus
• Nā pila wai, no ka wai keu i kou kino
• Nā Antibiotics, no ka maʻi i kou ʻōpū

MAI inu wai ʻalekohola. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e hōʻoki i ka inu ʻana.

Palena i ka paʻakai i kāu papaʻai.

• E nīnau i kāu mea hāʻawi i nā meaʻai āu e ʻalo ai. Hiki i kāu mea hāʻawi a mea meaʻai meaʻai paha ke hāʻawi iā ʻoe i ka papa paʻakai haʻahaʻa.
• E aʻo e heluhelu i nā lepili ma nā kini a me nā meaʻai pūʻolo e hōʻalo i ka paʻakai.
• Mai hoʻohui i ka paʻakai i kāu mau meaʻai a hoʻohana paha i ke kuke ʻana. E hoʻohana i nā mea kanu a mea ʻala paha e hoʻohui i ka ʻono i kāu mau meaʻai.

E noi i kāu mea hāʻawi ma mua o ka lawe ʻana i nā lāʻau ʻē aʻe, nā wikamina, nā mea kanu, a i ʻole nā ​​mea hoʻopihapiha āu e kūʻai ai ma ka hale kūʻai. Hoʻopili kēia i ka acetaminophen (Tylenol), nā lāʻau anuanu, aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), a me nā mea ʻē aʻe.

E nīnau inā pono ʻoe i nā kīkī a i ʻole nā ​​lāʻau ākea no ka maʻi hepatitis A, hepatitis B, nā maʻi ʻaʻa, a me ka maʻi flu.

Pono ʻoe e ʻike i kāu mea hoʻolako no nā kipa ukali maʻamau. E ʻike pono ʻoe e hele i kēia mau kipa i hiki ke nānā ʻia kāu ʻano.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe no ka mālama ʻana i kou ake ake:

• ʻAi i kahi papaʻai olakino.
• E mālama i kou kaupaona i kahi pae olakino.
• E hoʻāʻo e hōʻalo i ka paʻa ʻana i ka constipated.
• E lawa ka hoʻoikaika kino a hoʻomaha.
• E hoʻāʻo e hōʻemi i kou koʻikoʻi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Fever ma luna o 100.5 ° F (38 ° C), a i ʻole ke kuni e hele ʻole
• ʻEha ʻōpū
• ʻO ke koko i loko o kāu pahu a ʻeleʻele paha, noho aliʻi
• ʻO ke koko i kou luaʻi
• ʻOi aku ka maʻalahi a palu a hoʻokahe paha
• Kūkulu kahi wai i kou ʻōpū
• Nā wāwae pehu a me nā kuʻekuʻe wāwae
• Nā pilikia hanu
• Huikau a pilikia paha e makaʻala ana
• ʻO kaʻeleʻele melemele i kouʻili a me nā keʻokeʻo o kou mau maka (jaundice)

Hoka kō ʻole - hoʻokuʻu; ʻO cirrhosis ate - hoʻokuʻu

Garcia-Tsao G. Cirrhosis a me kona hopena. Goldman L, Schafer AI, hoʻoponopono. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 153.

Kamath PS, Shah VH. Overview o cirrhosis. 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 74.

• Maʻi maʻi ʻalekohola
• Hoʻohana maʻi ʻalekohola
• ʻO nā varises esophageal kahe
• Cirrhosis
• ʻO ka cirrhosis biliary mua
• Transjugular intrahepatic portosystemic shunt (TIPS)

• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai paʻakai haʻahaʻa

• Cirrhosis