ʻO ka cirrhosis biliary mua: he aha ia, nā ʻōuli a pehea e mālama ai

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau

ʻO ka cirrhosis biliary mua kahi maʻi maʻi ma kahi o nā aʻa aʻa i loko o ke ake e luku liʻiliʻi ʻia, e pale ana i ka puka o ka bile, kahi mea i hana ʻia e ke akepaʻa a mālama ʻia i ka gallbladder a kōkua i ka digestion o nā momona momona. No laila, hiki i ka bile i hōʻiliʻili ʻia i loko o ke akepaʻa ke hana i ka hoʻowalewale ʻana, ka luku ʻia ʻana, ka scarring a me ka hopena o ka hopena o ke ake.

ʻAʻohe lāʻau lapaʻau no ka cirrhosis biliary mua, eia nō naʻe, no ka mea ʻo ka maʻi ka mea e hōʻino ai i ke ake nui, aia kekahi mau ʻano lāʻau i hōʻike ʻia e ka gastroenterologist a i ʻole he hepatologist e hoʻolohi i ka ulu ʻana o ka maʻi a hōʻoluʻolu i nā ʻōuli e like me ka ʻeha o ka ʻōpū. luhi nui loa i ka pehu ʻana a i ʻole nā ​​kuʻekuʻe wāwae, no ka laʻana.

Ke hoʻolōʻihi ʻia ke kahakaha ʻana o ka bile, hiki i ka manawa ke ʻoi aku ka nui o ka hōʻino a me ka wikiwiki o ke ake, e hōʻike ana i ka cirrhosis biliary lua, i pili pinepine ʻia me ka loaʻa ʻana o nā pōhaku gall bladder a i ʻole nā ​​tumors.

Nā hōʻailona nui

I ka hapanui o nā hihia, ʻike ʻia ka cirrhosis biliary ma mua o ka ʻike ʻia ʻana o kekahi hōʻailona, ​​keu hoʻi ma o nā hoʻokolohua koko e hana ʻia no kekahi kumu ʻē aʻe a i ʻole he maʻa mau. Eia nō naʻe, hiki i nā ʻōuli mua ke hoʻopili i ka luhi mau, ka ʻili ʻili a me nā maka maloʻo a waha paha.

Ke hele nei ka maʻi i kahi pae holomua loa, hiki i nā ʻōuli ke:

• ʻEha ma ka ʻaoʻao ʻākau ma luna o ka ʻōpū;
• ʻEha hui;
• ʻEha ʻeha;
• Nā wāwae wāwae pehu a me nā kuʻekuʻe wāwae;
• Pehu ʻōpū loa;
• Ka hōʻuluʻulu ʻana o ka wai i loko o ka ʻōpū, i kapa ʻia ʻo ascites;
• Waiho momona ma ka ʻili a puni nā maka, nā lihilihi a i ʻole i nā poho lima, nā kapuahi, nā kuʻe lima a i ʻole nā ​​kuli;
• ʻIli melemele a me nā maka;
• ʻO nā iwi palupalu hou aʻe, e hoʻonui ana i ka makaʻu o nā haki;
• Kolesterol kiʻekiʻe;
• ʻO ka pehu me nā noho momona loa;
• Hypothyroidism;
• ʻO ka hōʻemi kaumaha no ke kumu kūpono ʻole.

Hiki ke hōʻailona ʻia kēia mau ʻōuli o nā pilikia ʻiʻo ʻē aʻe a, no laila, pono e nīnau aku i ka hepatologist a i ʻole gastroenterologist e kuhikuhi pono a kāpae i nā maʻi ʻē aʻe me nā ʻōuli like.

Pehea e hōʻoia ai i ke kuhi

ʻO ka hōʻailona o ka cirrhosis biliary mua e hana ʻia e kahi hepatologist a i ʻole gastroenterologist e pili ana i ka mōʻaukala, nā ʻōuli i hōʻike ʻia e ke kanaka a me nā hoʻokolohua e komo pū ana.

• Nā hoʻokolohua koko e nānā i nā pae kolesterol, nā ʻenema ate a me nā mea ʻino e ʻike i ka maʻi autoimmune;
• Ultrasound;
• Mākēneki resonance kiʻi;
• Hoʻopau.

Hoʻohui ʻia, kauoha paha ke kauka i kahi biopsy ate e hōʻoia i ke kuhi a i ʻole e hoʻoholo i ke kahua o ka cirrhosis biliary mua. E ʻike pehea e hana ʻia ai ka biopsy ate.

Nā kumu kūpono

ʻAʻole ʻike ʻia ke kumu o ka cirrhosis biliary mua, akā pili pinepine ʻia me ka poʻe me nā maʻi autoimmune a, no laila, he mea hiki i ke kino ponoʻī ke hoʻomaka i kahi hana hoʻomeamea nāna e luku i nā hunaola o nā aʻa o ka bile. Hiki i kēia mumū ke hele i nā hunaola ʻē aʻe o ke akepaʻa a alakaʻi i ke ʻano o ka hōʻino a me ka scarring e hoʻopili i ka hana pololei o ka meaola.

ʻO nā kumu ʻē aʻe i hiki ke kōkua i ka hoʻokumu ʻana i ka cirrhosis biliary mua he mau maʻi ia e nā koʻohune e like me ʻO Escherichia coli, Mycobacterium gordonae a i ʻole Novophingobium nā mea ʻona, fungi a i ʻole nā ​​ilo e like me ʻO Opisthorchis.

Hoʻohui ʻia, ʻo ka poʻe puhipaka a i ʻole he lālā ʻohana me ka cirrhosis biliary mua i ka nui o ka makaʻu o ka maʻi.

Pehea e hana ai i ka lāʻau

ʻAʻohe lāʻau lapaʻau no ka biliary cirrhosis, eia nō naʻe, hiki ke hoʻohana ʻia kekahi mau lāʻau e lohi ai i ka ulu ʻana o ka maʻi a hōʻoluʻolu hoʻi i nā ʻōuli, ʻo ia pū kekahi:

• Ursodeoxycholic acid (Ursodiol a i ʻole Ursacol): ʻo ia kekahi o nā lāʻau mua i hoʻohana ʻia i kēia mau hihia, no ka mea, kōkua ia i ka bile e hele ma waena o nā kahawai a haʻalele i ke ake, e hōʻemi ana i ka mumū a me ka pale ʻana i ka hōʻino o ke ake;
• Obeticolic acid (Ocaliva): kōkua kēia lāʻau i ka hana o ke ake, ka hōʻemi ʻana i nā ʻōuli a me ka holomua o ka maʻi a hiki ke hoʻohana ʻia a i ʻole me ka waikawa ursodeoxycholic;
• Fenofibrate (Lipanon a i ʻole Lipidil): kōkua kēia lāʻau i ka hoʻohaʻahaʻa ʻana i ke koko a me nā triglycerides a, ke hoʻohana pū ʻia me ka waikawa ursodeoxycholic, kōkua i ka hōʻemi ʻana i ka mumū o ka ate a hoʻēmi i nā ʻōuli e like me ka ʻili laulā maʻamau.

I nā hihia ʻoi loa, kahi a ka hoʻohana ʻana i nā lāʻau i manaʻo ʻole e hoʻolohi i ka ulu ʻana o ka maʻi a i ʻole ke ikaika loa nā ʻōuli, hiki i ka hepatologist ke ʻōlelo aku i kahi neʻe ʻana o ke ake, i mea e hoʻolōʻihi ai i ke ola o kēlā kanaka.

ʻO ka maʻamau, kūleʻa nā hihia transplantation a nalowale loa ka maʻi, hoʻihoʻi i ke ola o ke kanaka, akā pono paha ma ka papa inoa kali no kahi ake ake. E ʻike pehea e hana ai i ka hoʻoliʻiliʻi ate.

Hoʻohui, he mea maʻamau ia no ka poʻe me ka cirrhosis biliary e paʻakikī i ka lawe ʻana i nā momona a me nā huaora. I kēia ala, hiki i ke kauka ke aʻoaʻo i ka ukali ʻana me kahi nutrististist e hoʻomaka e hoʻohui i nā huaora, ʻo ia hoʻi nā huaora A, D a me K a hana i ka papaʻai kaulike me ka hoʻohaʻahaʻa ʻana i ka paʻakai.