Cirrhosis

Anter

• Pehea e ulu ai ka cirrhosis
• ʻO nā kumu maʻamau o ka cirrhosis
• Nā ʻōuli o ka cirrhosis
• Pehea e ʻike ʻia ai ka maʻi cirrhosis?
• Nā pilikia mai ka cirrhosis
• Lapaʻau no ka cirrhosis
• Kāohi ʻana i ka cirrhosis

Hōʻike Overview

ʻO Cirrhosis ka scarring koʻikoʻi o ke ake a me ka hana ate maikaʻi ʻole i ʻike ʻia ma nā pae hope o ka maʻi maʻi ake. Hoʻokumu pinepine ʻia ka scarring e ka hōʻike lōʻihi i nā toxins e like me ka waiʻona a me nā maʻi viral. Aia ke akepaʻa ma ka ʻaoʻao ʻākau ma luna o ka ʻōpū ma lalo o nā iwi ʻaoʻao. He nui nā hana a ke kino e pono ai. Pākuʻi ʻia kēia mau mea:

• ke hana nei i ka bile, i mea e kōkua ai i kou kino e komo i nā momona momona, ka kolesterol, a me nā huaora A, D, E, a me K
• ka mālama ʻana i ke kō a me nā wikamina no ka hoʻohana hope ʻana o ke kino
• ka hoʻomaʻemaʻe ʻana i ke koko ma ka hemo ʻana i nā mea ʻino e like me ka waiʻona a me nā bacteria mai kāu ʻōnaehana
• e hana ana i nā protein pūpū koko

Wahi a ka National Institutes of Health (NIH), ʻo ka cirrhosis ke kumu nui o ka make he 12 ma muli o ka maʻi i United States. ʻOi aku ka hopena o nā kāne ma mua o ka wahine.

Pehea e ulu ai ka cirrhosis

ʻO ke akepaʻa kahi ʻoʻoleʻa a hiki ke hana hou i nā hunaola i hōʻino ʻia. Hoʻoulu ka Cirrhosis ke loaʻa nā mea e hōʻino ai i ke ake (e like me ka wai ʻona a me nā maʻi viral maʻa mau) i kahi manawa lōʻihi. Ke hiki kēia, ʻeha a ʻeha ke akepaʻa. ʻAʻole hiki i kahi ake kuni ke hana pono, a ʻo ka hopena e hopena kēia i ka cirrhosis.

Hana ke Cirrhosis i ke ake o ke ake a paʻakikī. He mea paʻakikī kēia no ke kahe momona o ke koko e kahe i loko o ke ake mai ke kīpoki puka. Lawe ka puka koko i ke koko mai nā ʻōnaehana digestive i ke ake. Piʻi ke kaomi i ka aa koko ke hiki ʻole ke kō i ke ake. ʻO ka hopena kahi kūlana koʻikoʻi i kapa ʻia he hypertension portal, kahi e ulu ai ke aa koko kiʻekiʻe. ʻO ka hopena maikaʻi ʻole o ka hypertension portal ʻo kēia ʻōnaehana kiʻekiʻe kiʻekiʻe ke kumu o kahi kākoʻo, e alakaʻi ai i nā varises esophageal (e like me nā veins varicose), a laila hiki ke haki a kahe.

ʻO nā kumu maʻamau o ka cirrhosis

ʻO nā kumu maʻamau o ka cirrhosis maʻAmelika Hui Pū ʻIa ʻo ka maʻi maʻi hepatitis C lōʻihi loa a me ka hōʻino ʻana i ka wai ʻona mau. ʻO ka nui ke kumu o ka cirrhosis, ʻoiai ʻaʻole ia e laha e like me ka waiʻona a i ʻole hepatitis C. Hiki i ka obesity ke kumu pilikino iā ia iho, a i ʻole ka hui pū ʻana me ka wai ʻona a me ka hepatitis C.

Wahi a ka NIH, hiki i ka cirrhosis ke ulu i nā wahine e inu ana ma mua o ʻelua mau mea inu ʻona i kēlā me kēia lā (me ka pia a me ka waina) no nā makahiki he nui. No nā kāne, ʻo ka inu ʻana ma mua o ʻekolu mau mea inu i hoʻokahi lā no nā makahiki he hiki ke hoʻokau iā lākou no ka cirrhosis. Eia nō naʻe, ʻokoʻa ka nui no kēlā me kēia kanaka, a ʻaʻole ia he manaʻo ʻo kēlā me kēia mea inu nui ma mua o kekahi mau mea inu e hoʻomohala i ka cirrhosis. Hoʻokumu ʻia ka Cirrhosis e ka waiʻona i ka hopena o ka inu mau ʻana ma mua o kēia mau nui i loko o 10 a 12 mau makahiki paha.

Hiki ke hoʻopaʻa ʻia ka Hepatitis C ma o ka moekolohe a i ʻole ke hōʻike ʻana i ke koko a i ʻole nā ​​huahana koko. Hiki ke pale ʻia i ke koko maʻi ma o nā nila kolohe o kekahi kumuwaiwai, e like me ke kāhiko ʻana, ka ʻoki ʻana, ka hoʻomāinoino ʻana i nā lāʻau i loko, a me ka hoʻokaʻawale ʻana o ka nila. ʻAʻole hiki ke lawe ʻia ka Hepatitis C e ke koko i ka United States ma muli o nā kūlana koʻikoʻi o ka nānā ʻana i ka panakō koko.

ʻO nā kumu ʻē aʻe o cirrhosis me:

• Hepatitis B: Hiki i ka Hepatitis B ke hana i ka hoʻāhu ate a me nā ʻino i hiki ke alakaʻi i ka cirrhosis.
• Hepatitis D: Hiki i kēia ʻano hepatitis ke hana i ka cirrhosis. ʻIke pinepine ʻia i ka poʻe i loaʻa i ka maʻi hepitis B.
• Hoʻopilikia ʻia e ka maʻi autoimmune: Loaʻa paha i kahi hepatitis Autoimmune kahi kumu kumu. Wahi a ka American Liver Foundation, ma kahi o 70 pākēneka o ka poʻe me ka hepatitis autoimmune he wahine.
• ʻO ka hōʻino i nā aʻa o ka bile, kahi e hana ai e hoʻokahe i ka bile: ʻO kahi laʻana o ia ʻano he cirrhosis biliary mua.
• Nā maʻi e hoʻopili i ka hiki i ke kino ke lawelawe i ka hao a me ke keleawe: ʻElua laʻana he hemochromatosis a me ka maʻi o Wilson.
• Nā lāʻau: ʻO nā lāʻau e laʻa me ka lāʻau a me nā lāʻau e like me ka acetaminophen, kekahi mau lāʻau ʻalopika, a me kekahi mau antidepressants, hiki ke alakaʻi i ka cirrhosis.

Nā ʻōuli o ka cirrhosis

Hana ʻia nā ʻōuli o ka cirrhosis no ka hiki ʻole i ke akepaʻa ke hoʻomaʻemaʻe i ke koko, wāwahi i nā mea make, hana i nā protein pūwili, a kōkua me ka lawe ʻia ʻana o nā momona a me nā huaora momona momona. Pinepine ʻaʻohe mau hōʻailona a hiki i ka holomua ʻana o ka maʻi. ʻO kekahi o nā hōʻailona me:

• hoʻēmi ʻai
• kahe ka ihu
• jaundice (melemele discoloration)
• nā aʻa poʻohiwi liʻiliʻi ma lalo o ka ʻili
• Kaumaha emi
• anorexia
• ʻili ʻili
• nāwaliwali

ʻO nā hōʻailona koʻikoʻi ʻoi aku:

• huikau a paʻakikī e noʻonoʻo pono
• ʻōpū ʻōpū (ascites)
• pehu o nā wāwae (edema)
• maʻiʻole
• gynecomastia (ke hoʻomaka nā kāne e hoʻomohala i ka pale umauma)

Pehea e ʻike ʻia ai ka maʻi cirrhosis?

Hoʻomaka kahi kuhi o ka cirrhosis me kahi mōʻaukala kikoʻī a me ka hoʻokolohua kino. E lawe kāu kauka i kahi mōʻaukala holoʻokoʻa. Hōʻike ka mōʻaukala i ka hōʻino waiona i ka wā lōʻihi, i ʻike ʻia i ka maʻi hepatitis C, ka mōʻaukala o nā maʻi autoimmune, a i ʻole nā ​​kumu pilikia ʻē aʻe. Hiki i ka hoʻokolohua kino ke hōʻike i nā hōʻailona e like me:

• ʻili mae
• melemele nā ​​maka (jaundice)
• nā poho lima ʻulaʻula
• haʻalulu lima
• he ake ākea a palapū paha
• nā hōʻike liʻiliʻi
• ʻoi aku ka nui o ka umauma (i nā kāne)
• hoʻēmi i ka makaʻala

Hiki i nā hoʻāʻo ke hōʻike i ka hōʻino ʻana o ke ake. ʻO kekahi o nā hoʻokolohua i hoʻohana ʻia no ka loiloi ʻana i ka cirrhosis:

• helu piha koko (e hōʻike anemia)
• hoʻokolohua koko coagulation (e ʻike i ka wikiwiki o ke kahe ʻana o ke koko)
• albumin (e hoʻāʻo no kahi protein i hana ʻia i ke ake)
• nā hoʻāʻo hana ate
• alpha fetoprotein (kahi kānana maʻi ʻaʻai ate)

ʻO nā hoʻokolohua hou aʻe i hiki ke loiloi i ke akepaʻa nā:

• endoscopy luna (e ʻike ai inā aia nā varises esophageal)
• ultrasound scan o ke ake
• MRI o ka ʻōpū
• CT scan o ka ʻōpū
• ate biopsy (ka hōʻoiaʻiʻo hōʻoia no cirrhosis)

Nā pilikia mai ka cirrhosis

Inā hiki ʻole i kou koko ke hele ma waena o ke akepaʻa, hana ia i kahi kākoʻo ma o nā veins ʻē aʻe e like me kēlā i ka esophagus. Kapa ʻia kēia waihona he varises esophageal. ʻAʻole kūkulu ʻia kēia mau uaua e lawelawe i nā kaomi kiʻekiʻe, a hoʻomaka e ʻōhū mai ke kahe o ke koko keu.

ʻO nā pilikia ʻē aʻe mai cirrhosis me:

• ʻulupā (ma muli o ka helu haʻahaʻa platelet a me / a i ʻole nā ​​ʻōpala ʻilihune)
• kahe (ma muli o ka hoʻemi ʻana o nā protein i ke kāpili ʻana)
• ʻike i nā lāʻau lapaʻau (hana ke akepaʻa i nā lāʻau i ke kino)
• hakuʻala ʻole
• maʻi ʻaʻai ate
• ke kūpaʻa ʻana o ka insulin a me ka maʻi diabetes ʻelua
• hepatic encephalopathy (huikau ma muli o nā hopena o ke koko toxins ma ka lolo)
• hiki i nā gallstones (keakea me ke kahe o ka bile ke hoʻonā i ka bile a hana i nā pōhaku)
• varises esophageal
• hoʻonui spleen (splenomegaly)
• edema a me nā ascites

Lapaʻau no ka cirrhosis

Hoʻololi ka mālama ʻana i ka cirrhosis ma muli o ke kumu o ia a me ka lōʻihi o ka holo ʻana o ka maʻi. ʻO kekahi mau lapaʻau e kuhikuhi ʻia paha e kāu kauka:

• beta blockers a i ʻole nitrates (no ka hypertension portal)
• haʻalele i ka inu ʻana (inā i hoʻokumu ʻia ka cirrhosis e ka waiʻona)
• nā kaʻina hana hoʻopili
• intravenous antibiotics (e mālama i ka peritonitis i hiki ke hana me nā ascites)
• hemodialysis (e hoʻomaʻemaʻe i ke koko o ka poʻe i loaʻa ʻole ka puʻupaʻa)
• lactulose a me kahi papaʻai protein haʻahaʻa (e mālama i ka encephalopathy)

ʻO ke kanu ʻana i ke akepaʻa he koho o ke koho hope loa, ke holo pono ʻole nā ​​mālama ʻē aʻe.

Pono nā mea maʻi āpau e hōʻoki i ka inu lama ʻana. ʻAʻole pono e lawe i nā lāʻau, ʻoiai nā mea kūʻai aku me ka nīnau ʻole aku i kāu kauka.

Kāohi ʻana i ka cirrhosis

ʻO ka hoʻomaʻamaʻa ʻana i ka moekolohe palekana me nā condom hiki ke hoʻemi i ka makaʻu o ka loaʻa ʻana i ka maʻi hepitis B a i ʻole C. Paipai ʻo ʻAmelika Hui Pū ʻIa i nā pēpē āpau a me nā mākua pilikia (e like me nā lawelawe mālama ola a me nā limahana hoʻopakele) e kūpale ʻia i ka maʻi hepatitis B.

Lilo i nondrinker, ʻai ʻana i ka papaʻai kaulike, a me ka loaʻa ʻana o ka hoʻoikaika kino kūpono hiki ke pale a hoʻolōʻihi paha i ka cirrhosis. Ua hōʻike ʻo World Health Organization 20 a 30 mau pākēneka wale nō o ka poʻe i loaʻa i ka maʻi hepitis B e ulu ana i ka cirrhosis a i ʻole ke kanesa maʻi ate. Ua hōʻike ʻo National Institute of Health e hōʻike ana he 5 a 20 mau pākēneka o ka poʻe i loaʻa i ka maʻi hepitis C e ulu ana i ka cirrhosis ma kahi o 20 a 30 mau makahiki paha.

E heluhelu i kēia ʻatikala ma ka Paniolo.