Cirrhosis a me Hepatitis C: ko lāua pilina, Prognosis, a me nā mea hou aʻe

Anter

• Cirrhosis
• Hiki ke ʻike ʻole ʻia ka Hepatitis C
• Nā ʻōuli o ka cirrhosis ma muli o ka maʻi hepatitis C
• Ke holomua nei i ka cirrhosis
• Nā pilikia o Cirrhosis
• Nā mālama HCV a me cirrhosis
• Nānā Cirrhosis

Hiki i ka Hepatitis C ke alakaʻi i ka cirrhosis

Loaʻa kekahi ma ʻAmelika Hui Pū ʻIa i ka maʻi maʻi hepatitis C maʻi mau (HCV). Eia naʻe ka hapa nui o ka poʻe i maʻi ʻia me ka HCV ʻaʻole maopopo iā lākou.

I nā makahiki i hala aku, hiki i ka maʻi HCV ke hōʻino nui i ke ake. No kēlā me kēia 75 a 85 mau kānaka i loaʻa i ka maʻi HCV mau, ma waena e hoʻomohala i ka cirrhosis. ʻO ka maʻi HCV ke kumu nui o ka cirrhosis a me ka maʻi ʻaʻai ate.

Cirrhosis

ʻO ke akepaʻa kahi mea nāna e hoʻopau i ke koko a hana i nā meaola kūpono. Nui nā mea i hiki ke hōʻino i ke ake. ʻO kekahi o kēia mau mea:

• hōʻino ʻino mau
• parasites
• maʻi hepa

I ka hala ʻana o ka manawa, hoʻā ka mumū i ke akepaʻa i ka scarring a me ka pōʻino mau loa (i kapa ʻia ʻo cirrhosis). I ke kiko o ka cirrhosis, ʻaʻole hiki i ke ake ke hoʻōla iā ia iho. Hiki i ke Cirrhosis ke alakaʻi iā:

• maʻi maʻi ate
• maʻi ʻaʻai ate
• hoka ʻole o ke ake

ʻElua pae o ka cirrhosis:

• ʻO cirrhosis uku ʻo ia hoʻi ke hana nei ke kino me ka hoʻoliʻiliʻi i ka hana ate a me ka scarring.
• Hoʻopau i ka cirrhosis ʻo ia hoʻi ke wāwahi nei nā hana ate. Hiki ke loaʻa nā ʻōuli koʻikoʻi, e like me ka holo pono ʻole o ka hakuʻala, hemorrhage variceal, a me ka encephalopathy hepatic

Hiki ke ʻike ʻole ʻia ka Hepatitis C

Aia paha he mau hōʻailona ma hope o ka maʻi HCV mua. ʻAʻole maopopo ka poʻe he nui me ka hepatitis C iā lākou ka maʻi hoʻoweliweli.

Huʻi ʻo HCV i ke akepaʻa. Hoʻonui ka poʻe he nui i kahi maʻi maʻi ma hope o ka maʻi mua me ka HCV. Hoʻoikaika ka maʻi HCV maʻi i ka mumū a me ka hōʻino o ke ake. I kekahi manawa ʻaʻole kuhi ʻia ke ʻano no 20 a 30 mau makahiki paha.

Nā ʻōuli o ka cirrhosis ma muli o ka maʻi hepatitis C

ʻAʻohe ou mau ʻōuli o ka cirrhosis a hiki i ka nui o ka hōʻino o kou ake. Ke ʻike ʻoe i nā ʻōuli, pili pū paha kēia:

• luhi
• nausea
• nalo ʻai ʻole
• Kaumaha emi
• kahe kahe ʻana a palapū wale paha
• ʻili ʻili
• melemele discoloration i nā maka a me ka ʻili (jaundice)
• pehu i nā wāwae
• loli i loko o ka ʻōpū (ascites)
• nā hoʻokolohua koko ʻokoʻa, e like me ka bilirubin, albumin, a me nā palena coagulation
• hoʻonui ʻia nā uaua i loko o ka esophagus a me luna o ka ʻōpū i hiki ke kahe (variceal hemorrhage)
• hoʻohaʻahaʻa manaʻo noʻonoʻo ma muli o ke kūkulu ʻana o nā mea make (hepatic encephalopathy)
• maʻiʻaʻai o ka abdomen lining a me ascites (koʻohune peritonitis)
• hui pū nā puʻuwai a me ke akepaʻa ʻole (hepatorenal syndrome)

E hōʻike kahi biopsy ate i ka scarring, hiki ke hōʻoia i ke kū ʻana o ka cirrhosis i ka poʻe me ka HCV.

Lawa paha nā hoʻokolohua lab a me kahi hoʻokolohua kino no kāu kauka e hōʻoia ai i nā maʻi o ke ake me ka ʻole o kahi biopsy.

Ke holomua nei i ka cirrhosis

Ma lalo o ka hapahā o ka poʻe me HCV e hoʻomohala i ka cirrhosis. Akā, hiki i kekahi mau mea ke hoʻonui i kou makaʻi o ka cirrhosis, me:

• inu ʻona
• maʻi me ka HCV a me kekahi mea hoʻomaʻi (e like me HIV a i ʻole hepatitis B)
• kiʻekiʻe o ka hao i ke koko

ʻO kēlā me kēia mea me ka maʻi HCV maʻi mau e hōʻalo i ka ʻalekohola Hiki i ka Cirrhosis ke hoʻolalelale i ka poʻe i ʻoi aku ma mua o 45 i ka hoʻonui ʻana o ka fibrosis a me ka scarring. ʻO ka hana ʻino ʻana i ka maʻi HCV i ka poʻe ʻōpio hiki ke kōkua i ka pale ʻana i ka holomua i ka cirrhosis.

Nā pilikia o Cirrhosis

He mea nui e noho olakino inā loaʻa ʻoe i ka cirrhosis. E mālama pono i nā pale āpau i kēia lā, me:

• hepatitis B
• hepatitis A
• maʻi palū
• pulumonia

Hiki i ka Cirrhosis ke hoʻololi i ke kahe o ke koko ma waena o kou kino. Hiki i ka scarring ke pale i ke kahe o ke koko ma o ke ake.

Hele paha ke koko ma waena o nā kīʻaha nui i loko o ka ʻōpū a me ka esophagus. Hiki i kēia mau kīʻaha koko ke hoʻonui a wāwahi, a hiki i ke kahe ʻana i ka ʻōpū. E nānā pono no ke kahe ʻana o ke kahe.

ʻO ka maʻi ʻaʻai pūpū kekahi pilikia i hiki i ka cirrhosis. Hiki i kāu kauka ke hoʻohana i ka ultrasound a me kekahi mau hōʻoia koko i kēlā me kēia mau mahina e hoʻāʻo no ka maʻi ʻaʻai. ʻO nā pilikia ʻē aʻe o cirrhosis nā:

• gingivitis (gum maʻi)
• diabetes
• nā hoʻololi i ka hana ʻana o nā lāʻau i kou kino

Nā mālama HCV a me cirrhosis

ʻO nā antivirals kūpono, hana pololei a me nā lāʻau HCV ʻē aʻe hiki ke mālama i ka cirrhosis pae mua. Hiki i kēia mau lāʻau lapaʻau ke hoʻolohi i ka holomua o nā maʻi ate a me ka holo pono ʻole o ke ake.

Ke hele a kiʻekiʻe ka cirrhosis, lilo i mea paʻakikī ka lāʻau ma muli o nā pilikia e like me:

• kauā
• anemia
• encephalopathy

Hiki i kēia mau pilikia ke palekana iā ia e hoʻohana i kekahi mau lāʻau. ʻO ke kanu ʻana i ke akepaʻa wale nō ke koho lapaʻau.

ʻO ke kanu ʻana i ke akepaʻa ka mea e ola ai ka cirrhosis holomua. ʻO ka hapanui o ka poʻe i loaʻa kahi hoʻoliʻiliʻi ate no ka maʻi hepatitis C e ola ana ma kahi o ʻelima mau makahiki ma hope o ke kanu ʻana. Akā, hoʻi pinepine ka maʻi HCV. ʻO ia ke kumu maʻamau o ka hoʻoliʻiliʻi ate ma United States.

Nānā Cirrhosis

Hiki i nā poʻe me ka cirrhosis ke ola i mau makahiki, keu hoʻi inā ʻike mua ʻia a mālama maikaʻi ʻia.

Ma kahi o 5 a 20 pākēneka o ka poʻe me ka hepatitis C mau e hoʻomohala i ka cirrhosis. Me ka noʻonoʻo, lawe ʻia ma kahi o 20 a 30 mau makahiki paha ka cirrhosis e ulu ai i kēlā heluna kanaka.

ʻO ka hoʻohana ʻana i nā antivirals pololei e kōkua i ka lohi a pale paha i ka holomua i cirrhosis. Inā haʻalele ʻole ʻia, hiki i ka cirrhosis ke alakaʻi i ka maikaʻi ʻole o ke ake.

E mālama i ke olakino ate, hoʻāʻo i kēia:

• mālama i ke olakino laulā
• pale i ka ʻalekohola
• kiʻi mālama ola kino maʻamau
• mālama i ka maʻi maʻi HCV ma lalo

Makemake pū ʻoe e hana pū me kahi gastroenterologist a i ʻole hepatologist e ʻike i ka lapaʻau maikaʻi loa a nānā i nā pilikia.