Maʻi maʻi ʻaʻona momona ʻole

ʻO ka maʻi akepaʻa momona momona ʻole (NAFLD) ke kūkulu ʻia o ka momona i loko o ke akepaʻa ma muli o ka inu nui ʻana i ka waiʻona. ʻAʻohe o ka poʻe i loaʻa iā ia ka moʻolelo o ka inu nui ʻana. Pili loa ʻo NAFLD i ka keu kaupaona.

No nā poʻe he nui, ʻaʻole i hoʻokumu ʻo NAFLD i nā ʻōuli a me nā pilikia. ʻO kahi ʻano koʻikoʻi o ka maʻi i kapa ʻia ʻo steatohepatitis non-alkohol (NASH). Hiki i ka NASH ke hōʻeha i ke ake. Hiki iā ia ke kumu i ka maʻi ʻaʻai ate.

ʻO ka NAFLD ka hopena o ka ʻoi aku ma mua o nā waihona maʻamau o ka momona i ke ake. ʻO nā mea e hoʻokau iā ʻoe i ka makaʻu e hoʻopili i kekahi o kēia mau mea:

• Kaumaha a momona paha. ʻO ka nui o kou kaumaha, ʻoi aku ka kiʻekiʻe o ka makaʻu.
• Prediabetes (ke kūpaʻa o ka insulin).
• ʻAno diabetes he 2.
• Kolesterol kiʻekiʻe.
• Nā triglycerides kiʻekiʻe.
• Piʻi koko kiʻekiʻe.

Hiki i nā mea ʻē aʻe ke komo pū me:

• ʻO ka pohō wikiwiki a me ka papaʻai maikaʻi ʻole
• ʻOki kino Gastric
• Maʻi maʻi ʻōpū
• ʻO kekahi mau lāʻau, e like me nā kahaki ʻaʻa calcium a me kekahi mau lāʻau ʻino

Kū pū kekahi ʻo NAFLD i ka poʻe ʻike ʻole i nā kumu pilikia.

ʻO ka poʻe me ka NAFLD ʻaʻohe o lākou hōʻailona. Ke kū nā hōʻailona, ​​ʻo ka mea maʻamau e hoʻopili ʻia:

• Ka luhi
• ʻEha ma ka ʻōpū ʻākau luna

I ka poʻe me ka NASH i loaʻa ka hōʻeha o ke ake (cirrhosis), e hoʻopili ʻia nā ʻōuli:

• Nawaliwali
• Loaʻa ka ʻai ʻole
• Nusea
• ʻIli melemele a me nā maka (jaundice)
• Kāwili
• ʻO ka paʻa ʻana o ka wai a me ka pehu ʻana o ka wāwae a me ka ʻōpū
• Huikau o ka noʻonoʻo
• Ke kahe ʻana o GI

ʻIke pinepine ʻia ʻo NAFLD i nā hoʻokolohua koko maʻamau e hoʻohana ʻia e ʻike i ke ʻano o ka hana a ke ake.

Loaʻa paha iā ʻoe kēia mau hoʻāʻo e ana i ka hana ate:

• Helu piha koko
• Prothrombin manawa
• Papa albumin pae

E kauoha paha kāu mea mālama ola i kekahi mau hoʻokolohua kiʻi, me:

• ʻO Ultrasound e hōʻoia i kahi kuhi o NAFLD
• MRI a me CT scan

Pono kahi biopsy ate e hōʻoia i kahi kuhi o NASH, ke ʻano ʻoi loa o ka NAFLD.

ʻAʻohe mālama kūikawā no NAFLD. ʻO ka pahuhopu ka mālama ʻana i kāu mau pilikia a me nā ʻano olakino.

E kōkua kāu mea hāʻawi iā ʻoe e hoʻomaopopo i kou ʻano a me nā koho olakino i hiki ke kōkua iā ʻoe e mālama i kou ake. Pākuʻi ʻia kēia mau mea:

• ʻO ka lilo ʻana o ke kaupaona inā ʻoi nui ʻoe.
• ʻO ka ʻai ʻana i ka papaʻai olakino haʻahaʻa ka paʻakai.
• ʻAʻole inu lama.
• Noho paʻa kino.
• ʻO ka mālama ʻana i nā kūlana olakino e like me ka maʻi kō a me ke koko kiʻekiʻe.
• Ke kiʻi ʻana i nā lāʻau no nā maʻi e like me ka hepatitis A a me ka maʻi hepatitis B.
• Ke hoʻohaʻahaʻa nei i kāu pae kolesterol a me nā pae triglyceride.
• Lawe i nā lāʻau e like me ke kuhikuhi. 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.

ʻO ka lilo ʻana o ke kaupaona a me ka mālama ʻana i ka maʻi maʻisā hiki ke hoʻolohi a i kekahi manawa hoʻohuli i ka waiho ʻana o ka momona i ke ake.

Nui nā poʻe me ka NAFLD ʻaʻohe pilikia olakino a hele ʻole e hoʻomohala iā NASH. ʻO ka lilo ʻana o ke kaupaona a me ke koho ʻana i nā ʻano nohona olakino hiki ke pale aku i nā pilikia koʻikoʻi.

ʻAʻole maopopo i ke kumu e hoʻomohala ai kekahi poʻe iā NASH. Hiki i ka NASH ke alakaʻi i ka cirrhosis.

ʻAʻole maopopo ka hapa nui o ka poʻe me NAFLD iā lākou. E ʻike i kāu mea hāʻawi inā hoʻomaka ʻoe i kahi mau hōʻailona maʻamau e like me ka luhi a i ʻole ka ʻeha o ka ʻōpū.

I mea e pale aku ai iā NAFLD:

• Mālama i kahi kaupaona olakino.
• ʻAi i kahi papaʻai olakino.
• Hoʻomaʻamaʻa pinepine.
• Palena i ka inu waiʻona.
• E hoʻohana pono i nā lāʻau.

Ake momona; Steatosis; Steatohepatitis nononalcoholic; NASH

• Akepaʻa

Chalasani N, Younossi Z, Lavine JE, et al. ʻO ke kuhi a me ka mālama ʻana i nā maʻi akepaʻa momona ʻoʻoleʻa: hana alakaʻi mai ka ʻAmelika Hui Pū ʻIa no ke aʻo ʻana i nā maʻi ate. Hepatology. 2018; 67 (1): 328-357. PMID: 28714183 www.ncbi.nlm.nih.gov/pubmed/28714183.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. ʻO ka ʻai ʻana, ka papaʻai, a me ka meaʻai no NAFLD a me NASH. www.niddk.nih.gov/health-information/liver-disease/nafld-nash/eating-diet-nutrition. Hoʻohou Nowemapa 2016. Loaʻa iā ʻApelila 22, 2019.

ʻO Torres DM, Harrison SA. Maʻi maʻi ʻaʻona momona ʻole. I: Feldman M, Friedman LS, Brandt LJ, eds. 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 87.