Paukū virus Hepatitis

ʻO ka panakō virus hepatitis kahi mahele o nā hoʻokolohua koko i hoʻohana ʻia e ʻike ai i ka maʻi o ka maʻi he hepatitis A, hepatitis B, a i ʻole hepatitis C. Hiki iā ia ke pale i nā hāpana koko ma mua o hoʻokahi ʻano o ka maʻi hepatitis i ka manawa like.

Hiki i nā hoʻāʻo Antibody a me antigen ke ʻike i kēlā me kēia nā virus hepatitis like ʻole.

Kaha: Hepatitis D wale ke kumu o ka maʻi i ka poʻe i loaʻa pū kekahi me ka maʻi hepa.

Kuhi pinepine ʻia ke koko mai kahi aa mai loko o ka kuʻe lima a i ʻole ka hope o ka lima. Hoʻomaʻemaʻe ʻia ka pūnaewele me nā lāʻau make-germ (antiseptic). Hoʻopili ka mea mālama ola i kahi kāʻei elastis a puni ka lima luna e hoʻopili i ka kaomi i ka wahi a pehu ke aʻa me ke koko.

A laila, hoʻokomo mālie ka mea hāʻawi i kahi nila i ke aa. Hōʻiliʻili ke koko i loko o kahi paipu airtight i hoʻopili ʻia i ka nila. Wehe ʻia ke kāʻei elastik mai kou lima aku.Ke hōʻiliʻili ʻia ke koko, hemo ka nila. Uhi ʻia ka pūnaewele puncture e hoʻōki i ke kahe ʻana o ke kahe.

I nā pēpē a i ʻole nā ​​keiki ʻōpio, hiki ke hoʻohana ʻia kahi mea ʻoi i kapa ʻia he lancet e hou i ka ʻili a hoʻokahe ke koko. Hōʻiliʻili ke koko i loko o kahi pahu aniani liʻiliʻi, a i ʻole i kahi pāheʻe a i ʻole ka papa hoʻāʻo. Hiki ke hoʻokau ʻia kahi kapa ma luna o ka wahi inā he kahe kekahi.

Hoʻouna ʻia ka laʻana o ke koko i kahi lab e nānā ʻia. Hoʻohana ʻia nā hoʻokolohua koko (serology) e nānā no nā lāʻau ʻino i kēlā me kēia maʻi hepitis.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

Manaʻo kekahi poʻe i ka ʻeha kaulike ke hoʻokomo ʻia ka nila kuʻi e huki i ke koko. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. A ma hope, ʻike paha ʻoe i kahi kūpikipiki.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona he hepatitis. Hoʻohana ʻia ia:

• Kuhi ka maʻi hepatitis i kēia manawa a i ʻole ma mua
• E hoʻoholo pehea ka maʻi o ke kanaka me ka maʻi hepa
• Nānā i kahi kanaka e mālama ʻia no ka maʻi hepatita

Hana ʻia ka hōʻike no nā kūlana ʻē aʻe, e like me:

• ʻO ka hepatitis hoʻomau mau
• Hepatitis D (delta agena)
• Nā maʻi Nephrotic
• Cryoglobulinemia
• ʻO Porphyria cutanea tarda
• ʻO Erythema multiforme a me nodosum

ʻO kahi hopena maʻamau ʻaʻole loaʻa i nā ʻepekema hepatitis i ka laʻana koko. Kapa ʻia kēia he hopena maikaʻi ʻole.

Hiki ke loli iki nā pae waiwai maʻamau i ka lab e hana ana i ka hōʻike. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Aia kekahi mau hoʻāʻo ʻokoʻa no ka hepitis A a me ka hepitis B. Hoʻohālikelike ʻia kahi hoʻāʻo maikaʻi ʻole he maikaʻi ʻole.

ʻO ke ʻano o kahi hōʻoia maikaʻi:

• He maʻi hepatitis kāu i kēia manawa. He maʻi hou paha kēia (he hepatitis huehue), a i ʻole he maʻi ia i loaʻa iā ʻoe no ka manawa lōʻihi (hepatitis maʻi mau).
• Ua loaʻa ʻoe i ka maʻi hepitis i ka wā ma mua, akā ʻaʻohe ou maʻi hou a ʻaʻole hiki ke hoʻolaha aku iā haʻi.

Nā hopena hōʻoia Hepatitis A:

• IgM anti-hepatitis A virus (HAV) antibodies, ua loaʻa ʻoe i kahi maʻi hou me ka maʻi hepatitis A.
• Huina (IgM a me IgG) nā mea ʻūpepa i ka hepatitis A, loaʻa iā ʻoe kahi maʻi ma mua a ma mua paha, a i ʻole ka pale ʻana i ka maʻi hepatitis A

Nā hopena hoʻāʻo Hepatitis B:

• Hepatitis B ʻili antigen (HBsAg): loaʻa iā ʻoe i ka maʻi hepatitis B ʻeleu, a i ʻole he wā hou a mau paha (lōʻihi)
• ʻO Antibody i ka hepatitis B kumu antigen (Anti-HBc), loaʻa iā ʻoe kahi maʻi hepatitis B i hala a hala paha
• Antibody iā HBsAg (Anti-HBs): he maʻi hepatitis B kāu i hala aku nei a i ʻole ua loaʻa iā ʻoe ka lāʻau hoʻomaʻi hepatitis B a ʻaʻole paha ʻoe e maʻi.
• Hepatitis B type e antigen (HBeAg): loaʻa iā ʻoe kahi maʻi hepitis B mau loa a ʻoi aku paha ka palahalaha ʻana o ka maʻi i nā poʻe ʻē aʻe ma o ka pili kolohe ʻana a i ʻole ke kaʻana like ʻana i nā nila.

Hiki ke ʻike pinepine ʻia nā Antibodies i ka hepatitis C 4 a 10 mau pule ma hope o kou loaʻa ʻana i ka maʻi. Hiki ke hana ʻia i nā ʻano hoʻokolohua ʻē aʻe e hoʻoholo ai i ka mālama ʻana a me ka nānā ʻana i ka maʻi hepatitis C.

ʻO nā pōpilikia e pili ana i ke kahe ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hepatitis He hōʻike antibody; ʻO ka hoʻāʻo hepatitis B antibody; Hepatitis C hōʻike hōʻoia antibody; Hepatitis D hoʻāʻo antibody

• Hōʻaʻo koko
• ʻO ka maʻi maʻi Hepatitis B
• Erythema multiforme, liona puni - lima

ʻO Pawlotsky J-M. ʻO ka hepatitis viral ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 148.

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. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 149.

ʻO Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Ka loiloi i ka hana ate. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 21.

Wedemeyer H. Hepatitis C. I: Feldman M, Friedman LS, Brandt LJ, hua. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 80.