Hepatitis

ʻO ka Hepatitis ka pehu a me ka mumū o ke ake.

Hiki ke kumu ʻia ka Hepatitis e:

• ʻO nā hunaola ʻino i ke kino e hoʻouka nei i ke ake
• Nā maʻi mai nā maʻi ʻino (e like me ka hepatitis A, hepatitis B, a i ʻole hepatitis C), bacteria, a i ʻole nā ​​parasites
• Poino ka ate mai ka wai ʻona a i ʻole lāʻau make
• Nā lāʻau, e like me ka overdose o acetaminophen
• Akepaʻa momona

Hiki ke kumu ʻia ka maʻi akepaʻa e nā maʻi hoʻoilina e like me cystic fibrosis a i ʻole hemochromatosis, kahi ʻano e pili ana i ka nui o ka hao i kou kino.

ʻO nā kumu ʻē aʻe e laʻa me ka maʻi ʻo Wilson, kahi maʻi e mālama ai ke kino i ke keleawe he nui.

Hoʻomaka paha ka Hepatitis a hoʻomaikaʻi wikiwiki. E lilo paha ia i kūlana manawa lōʻihi. I kekahi mau hihia, hiki i ka hepatitis ke alakaʻi i ka hōʻino o ke ake, ka maikaʻi ʻole o ke ake, cirrhosis, a i ʻole ke kanesa maʻi ate.

Nui a hewahewa nā kumu i hiki ke hoʻopili i ke ʻano o ke ʻano. Hoʻopili paha kēia i ke kumu o ka hōʻino o ke ake a me nā maʻi āu i loaʻa ai. Hepatitis A, no ka laʻana, ʻo ka manawa pōkole pinepine ia a ʻaʻole ia e alakaʻi i nā pilikia o ke ake mau.

ʻO nā ʻōuli o ka maʻi hepa ke:

• ʻEha a ʻōpū paha i loko o ka ʻōpū
• Mimi ʻeleʻele a me nā noho polū a me nā kala ʻeleʻele
• Ka luhi
• Hewa papa haʻahaʻa
• Kāwili
• Jaundice (melemele o ka ʻili a me nā maka)
• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi
• Kaumaha emi

ʻAʻole paha ʻoe i loaʻa nā ʻōuli i ka wā i pā mua ʻia me ka hepatitis B a i ʻole C. Hiki iā ʻoe ke hoʻomohala i ke akepaʻa o ke ake ma hope. Inā loaʻa iā ʻoe kekahi mea pilikia no kēlā me kēia ʻano hepatitis, pono e hoʻāʻo pinepine ʻia ʻoe.

E loaʻa iā ʻoe kahi hoʻokolohua kino e nānā no:

• Hānai ākea a palupalu hoʻi
• Loli i loko o ka ʻōpū (ascites)
• Melemele o ka ʻili

Loaʻa paha iā ʻoe nā hoʻokolohua lab e hōʻoia a nānā i kāu kūlana, e like me:

• Ultrasound o ka ʻōpū
• Nā māka koko Autoimmune
• Nā hōʻoia koko e hōʻoia i ka Hepatitis A, B, a i ʻole C
• Nā hoʻāʻo hana ate
• ʻO ke biopsy ate e nānā i ka hōʻino o ke ake (pono paha i kekahi mau hihia)
• Paracentesis (inā he wai i loko o kou ʻōpū)

E kamaʻilio kāu mea mālama ola iā ʻoe e pili ana i nā koho lapaʻau. E loli nā mālama ʻana, kaukaʻi ʻia i ke kumu o kou maʻi ate. Pono paha ʻoe e ʻai i ka papa calorie kiʻekiʻe inā e lilo ana kou kaumaha.

Aia nā pūʻulu kākoʻo no ka poʻe me nā ʻano hepa a pau. Hiki i kēia mau pūʻulu ke kōkua iā ʻoe e aʻo e pili ana i nā lāʻau lapaʻau hou loa a pehea e kū ai i ka loaʻa ʻana o ka maʻi.

ʻO ka nānā ʻana no ka maʻi hepitis e kaukaʻi ʻia i ka mea e hōʻino ana i ke ake.

Komo pū nā pilikia:

• ʻO ka hōʻino mau o ke ake, i kapa ʻia he cirrhosis
• Hoka kōpaʻa
• Kanesa maʻi ʻaʻai

E ʻimi koke ke mālama inā ʻoe:

• Loaʻa nā hōʻailona mai ka nui o ka acetaminophen a i ʻole nā ​​lāʻau ʻē aʻe. Pono paha ʻoe e kaʻi i kou ʻōpū
• Kipi koko
• Loaʻa i nā noho koko a palau paha
• Piʻoloke a kolohe paha

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka hepatitis a i ʻole manaʻo ʻoe ua ʻike ʻia ʻoe i ka maʻi hepa, A, B a me C.
• ʻAʻole hiki iā ʻoe ke mālama i ka meaʻai ma muli o ka luaʻi nui. Pono ʻoe e loaʻa i ka meaʻai ma o kahi aa (intravenously).
• Ua maʻi ʻoe a ua huakaʻi i ʻAsia, ʻApelika, ʻAmelika Hema, a i ʻole ʻAmelika Waena.

E kamaʻilio me kāu mea hāʻawi e pili ana i ka loaʻa ʻana o kahi lāʻau āpau e pale aku ai i ka maʻi hepatitis A a me ka maʻi hepatitis B.

Nā ʻanuʻu no ka pale ʻana i ka hoʻolaha ʻana o ka maʻi hepatitis B a me C mai kekahi kanaka a i kekahi ʻē aʻe e komo pū me:

• Hōʻalo i ka kaʻana like ʻana i nā mea pilikino, e like me ka pahi a i ʻole nā ​​palaki niho.
• Mai hoʻokaʻawale i nā nila kui kolohe a i ʻole nā ​​pono lāʻau ʻē aʻe (e like me nā straws no nā lāʻau snorting).
• Holo ke koko maʻemaʻe me ka huikau o kahi ʻāpana ʻāpuka hale i 9 mau wai.
• MAI kiʻi i nā peʻa a i ʻole i nā ʻōkuʻu o ke kino me nā mea kani i hoʻomaʻemaʻe ʻole ʻia.

I mea e hōʻemi ai i kou makaʻi o ka hoʻolaha ʻana a i ʻole ka hopu ʻana i ka hepatitis A:

• 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.

• ʻO ka maʻi maʻi Hepatitis B
• Hepatitis C
• Anatomia akepau

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Nā ʻōkuhi no ka nānā ʻana i ka maʻi hepatitis viral a me ka hoʻokele hihia. www.cdc.gov/hepatitis/statistics/surveillanceguidelines.htm. Hoʻohou ʻia Mei 31, 2015. Loaʻa iā Malaki 31, 2020.

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.

ʻO Takyar V, Ghany MG. Hepatitis A, B, D, a me E. In: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 226-233.

ʻO J-A H ʻōpio, ʻo Ustun C. Nā maʻi i loaʻa i nā transplantant hematopoietic stem cell. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 307.