Hoʻopiʻi Cirrhosis

Anter

• He aha nā hōʻailona o ka cirrhosis decompensated?
• He aha ke kumu o ka cirrhosis decompensated?
• Pehea e ʻike ʻia ai ka cirrhosis decompensated?
• Pehea e mālama ʻia ai ka cirrhosis decompensated?
• Pehea e pili ai i ke ola?
• Ke laina lalo

He aha ka cirrhosis decompensated?

ʻO ka cirrhosis decompensated kahi manawa a nā kauka e hoʻohana ai e wehewehe i nā pilikia o ka maʻi ate mua. ʻO ka poʻe me ka cirrhosis compensated pinepine ʻole i kekahi mau hōʻailona no ka mea ke holo pono nei ko lākou ate. Ke emi nei ka hana ate, hiki iā ia ke lilo i cirrhosis decompensated.

ʻO nā kānaka me ka cirrhosis decompensated e hoʻokokoke ana i ka hopena o ka hopena pae hope loa a he moho maʻamau no ka hoʻoliʻiliʻi ate.

E heluhelu e aʻo hou aʻe e pili ana i ka decirensated cirrhosis, me nā ʻōuli a me nā hopena i ke ola o ke ola.

He aha nā hōʻailona o ka cirrhosis decompensated?

ʻAʻole hana ka Cirrhosis i kekahi mau ʻōuli i kona pae mua. Akā i ka neʻe ʻana i ka cirrhosis decompensated, hiki iā ia ke kumu:

• ʻōmaʻomaʻo ʻōiwi
• luhi
• Kaumaha emi
• maʻalahi ke kahe ʻana a me ka palapū
• ʻōpū o ka ʻōpū ma muli o ka hoʻoulu wai (ascites)
• nā wāwae pehu
• huikau, walaʻau ʻōlelo, a hiamoe (hepatic encephalopathy)
• nausea a me ka nalo o ka makemake ʻole
• ʻūpā kolo
• ʻulaʻula ma nā poho lima
• ke hoʻohaʻahaʻa nei i nā testicle a me ka ulu ʻana o ka umauma i nā kāne
• ʻākeʻakeʻa ʻole

He aha ke kumu o ka cirrhosis decompensated?

ʻO ka cirrhosis decompensated kahi pae kiʻekiʻe o ka cirrhosis. ʻO Cirrhosis pili i ka scarring o ke ake. Hana ʻia ka cirrhosis decompensated ke lilo kēia scarring i mea koʻikoʻi i hiki ʻole i ke ake ke hana pono.

ʻO nā mea āpau e hōʻino ai i ke akepaʻa hiki ke hopena i ka scarring, a laila e lilo i cirrhosis decompensated. ʻO nā kumu maʻamau o ka cirrhosis:

• wā lōʻihi, inu rama ʻona nui
• he hepatitis B mau a he hepatitis C paha
• kūkulu momona o ke ake

ʻO nā kumu ʻē aʻe o ka cirrhosis e komo pū ana:

• kūkulu hao
• cystic fibrosis
• kūkulu keleawe
• ʻūlū bile i hana maikaʻi ʻole ʻia
• nā maʻi autoimmune o ke ake
• nā hōʻeha dile
• maʻi ʻaʻai
• ke lawe nei i kekahi mau lāʻau, e like me methotrexate

Pehea e ʻike ʻia ai ka cirrhosis decompensated?

ʻO ka mea maʻamau, e hōʻoia nā kauka iā ʻoe me ka cirrhosis decompensated ke hoʻomaka ʻoe e loaʻa nā hōʻailona cirrhosis, e like me ka jaundice a i ʻole ka huikau noʻonoʻo. E hōʻoia maʻamau lākou i ka hōʻoia ma ka hana ʻana i nā hoʻokolohua koko e hoʻoholo ai i ka hana ate.

Lawe pū paha lākou i kahi laʻana serum e kiʻi i kahi hiʻohiʻona no ka helu maʻi maʻi pae hope (MELD). ʻO ka mākia MELD ka mea hana diagnostic i hoʻohana mau ʻia no ka maʻi ʻoi loa. Loaʻa nā helu i 6 a 40.

Hana kekahi kauka i kekahi manawa i ka biopsy o ke ake, e pili ana i ka lawe ʻana i kahi laʻana o nā ʻiʻo akepaa a me ke kālailai ʻana iā ia. E kōkua kēia iā lākou e hoʻomaopopo pono i ka hōʻino ʻana o kou ake.

Hiki iā lākou ke hoʻohana i kahi moʻo o nā hoʻokolohua kiʻi e nānā i ka nui a me ke ʻano o kou ake a me nā mānoanoa, e like me:

• Nānā MRI
• kani ultrasound
• Nānā CT
• ʻume mākenēki resonance elastography a me ka transient elastography, i nā kiʻi imaging e ʻike i ka paʻakikī o ke ake.

Pehea e mālama ʻia ai ka cirrhosis decompensated?

Aia nā koho lapaʻau palena ʻia no ka cirrhosis decompensated. I kēia pae hope o ka maʻi ate, ʻaʻole hiki ke hoʻololi i ke ʻano. Akā ʻo ia hoʻi ka manaʻo o nā kānaka me ka cirrhosis decompensated i mau moho maikaʻi no ka hoʻoliʻiliʻi ate.

Inā loaʻa iā ʻoe ma kahi o hoʻokahi hōʻailona o ka cirrhosis decompensated a me kahi helu MELD o 15 a ʻoi paha, koi nui ʻia kahi transplant ate.

Hana ʻia nā transplants o ke akepaʻa me kahi ʻāpana a i ʻole ke ake holoʻokoʻa mai kahi mea hāʻawi. Hiki i nāʻiʻo o ke ake ke hoʻoulu hou, no laila hiki i kekahi ke loaʻa i kahi ʻāpana o ke ake mai ka mea hāʻawi ola. E ola hou ana ke akepaʻa a me ke ake o ka mea hāʻawi i loko o kekahi mau mahina.

ʻOiai ke koho ʻana o ke akepaʻa he koho hoʻohiki, he hana nui me nā ʻano he nui e noʻonoʻo ai. I ka hapanui o nā hihia, e kuhikuhi ke kauka i kahi mea maʻi e hiki mai ana i kahi kikowaena transplant, kahi e loiloi ai kahi hui o nā kauka lapaʻau i ka maikaʻi e hana ai ka mea maʻi me kahi transplant.

E nānā lākou i:

• pae maʻi ate
• moʻolelo mōʻaukala
• olakino noʻonoʻo a me ka naʻau
• ʻōnaehana kākoʻo ma ka home
• hiki a me ka makemake e hāhai i nā ʻōkuhi postsurgery
• likelihood o ke ola i ke ʻoki kino

No ka loiloi i kēia mau mea āpau, hoʻohana nā kauka i nā ʻano hoʻokolohua a me nā kaʻina hana, e like me:

• nā hoʻāʻo kino
• nā hoʻāʻo koko he nui
• nā loiloi psychological a me ka pilikanaka
• nā hoʻokolohua diagnostics e loiloi i ke olakino o kou puʻuwai, nā māmā, a me nā mea ʻē aʻe
• nā hoʻāʻo kiʻi
• ka nānā ʻana i ka lāʻau a me ka ʻalekohola
• Nā hōʻoia HIV a me ka hepatitis

ʻO ka poʻe me ka wai ʻona- a i ʻole nā ​​lāʻau e pili ana i ka lāʻau e pono ai e hōʻike i ko lākou kūoʻo. I kekahi mau hihia, pili paha kēia i ka hōʻike ʻana i nā palapala mai kahi keʻena lapaʻau hōʻino.

Nānā ʻole inā kūpono kekahi no kahi transplant, e ʻōlelo paha ke kauka i kēia mau mea e hoʻomaikaʻi i ka maikaʻi o ke ola a pale i nā pilikia ʻē aʻe:

• e ukali nei i ka papa paʻakai haʻahaʻa
• hoʻohana ʻole i nā lāʻau leʻaleʻa a i ʻole ka waiʻona
• lawe diuretics
• lawe i nā lāʻau antiviral e hoʻokele i ka maʻi hepatitis B a i ʻole C
• ka palena ʻana i kāu lawe wai
• lawe i nā antibiotic e mālama i nā maʻi āpau a pale i nā mea hou
• lawe i nā lāʻau e kōkua i ke koko koko
• lawe i nā lāʻau e hoʻomaikaʻi i ke kahe o ke koko i ke ake
• ke hana nei i kahi kaʻina hana e hemo ai i nā wai keu mai ka ʻōpū

Pehea e pili ai i ke ola?

Hiki i ka cirrhosis decompensated ke hōʻemi i kou kali i ke ola. ʻO ka maʻamau, ʻo ke kiʻekiʻe o kāu helu MELD, ʻo ka haʻahaʻa o kou manawa ke ola hou i ʻekolu mau mahina.

ʻO kahi laʻana, inā loaʻa iā ʻoe kahi helu MELD o 15 a i lalo paha, he 95 pākēneka kou manawa e ola ai ma kahi o ʻekolu mau mahina hou aʻe. Inā loaʻa iā ʻoe kahi helu MELD o 30, ʻo kāu pākēneka ola ʻekolu mau mahina he 65 pākēneka. ʻO kēia ke kumu e hāʻawi ʻia ai ka makana o ka poʻe me ka helu ʻoi kiʻekiʻe MELD ma ka papa inoa o nā mea hāʻawi organ.

ʻO ka loaʻa ʻana o kahi transplant ake e hoʻonui loa ai i ke ola. ʻOiai ʻokoʻa kēlā me kēia hihia, nui ka poʻe e hoʻi i kā lākou hana maʻamau ma hope o ke kuʻi ʻana o ke ake. ʻO ka helu ola ʻelima mau makahiki ma kahi o 75 pākēneka.

Ke laina lalo

ʻO ka cirrhosis decompensated kahi ʻano holomua o ka cirrhosis e pili ana me ka maikaʻi ʻole o ke ake. ʻOiai ʻaʻole nui nā koho lapaʻau no ia, hiki i kahi transplant ke akepaʻa ke hopena nui i ke ola o ke ola.

Inā ua loiloi ʻia ʻoe me ka cirrhosis decompensated, e kamaʻilio me kāu kauka e pili ana i kou pono no kahi transplant. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi hepatologist, kahi ʻano o ke kauka i loea i ka mālama ʻana i nā kūlana o ke ake.