He aha ka hepatic encephalopathy, ʻano a me ka lāʻau
Anter
ʻO ka Hepatic encephalopathy kahi maʻi i hōʻike ʻia e ka lolo hana ʻole ma muli o nā pilikia o ke ake e like me ka maikaʻi ʻole o ke ake, ka tumo a i ʻole ka cirrhosis.
ʻO kekahi o nā hana a ke akepaʻa ka kānana ʻana i ke koko e hele mai ana mai ka digestion no ka mea he kuleana ia no ka metabolizing mea i manaʻo ʻia he ʻawahia i kekahi o nā ʻokana. Ke hiki ʻole i ke akepaʻa ke kānana pono i kēia koko, hiki aku kekahi mau mea ʻona e like me ka amonia i ka lolo a me ka ʻōnaehana waena e hoʻoiho ana i ka encephalopathy hepatic.
ʻO ka hoʻonohonoho ʻana o ka hepatic encephalopathy:
- ʻAno A hepatic encephalopathy: me ka holo pono ʻole o ke ake;
- ʻAno B hepatic encephalopathy: me ka encephalopathy e pili ana i ka bypass port-systemic;
- ʻAno C hepatic encephalopathy: ke pili ʻia me ka cirrhosis a me ka hypertension portal.
Hiki i ka Hepatic encephalopathy ke hōʻike iā ia iho sporadically, hoʻomau a minimally paha. ʻO ia:
- Sporadic hepatic encephalopathy: kūpikipiki, hikiwawe a hoʻi hou;
- ʻO ka encephalopathy hepatic mau: akahai, ʻino, kūpaʻa-kaukaʻi;
- ʻO ka encephalopathy hepatic liʻiliʻi: nā hōʻike ma mua o ke kikowaena e koi ana i nā ʻano kūikawā o ke kuhi. Ua kapa ʻia ʻo ia ka encephalopathy latent a me ka encephalopathy sub-clinical.
Nā ʻōuli o ka hepatic encephalopathy
ʻO nā ʻōuli o ka hepatic encephalopathy hiki ke:
- Hoʻolohi i ka manaʻo;
- Somnolence;
- Nā haʻalulu;
- Uncoordination kaʻa;
- Nā pilikia pili i ke ʻano;
- ʻIli melemele a me nā maka;
- ʻŌpū pehu;
- Hanu ʻino;
- Poina pinepine;
- Huikau noʻonoʻo;
- Worsens i ke kākau ʻana.
Hiki ke ʻike iki ʻia kēia mau ʻōuli a hōʻike koke ʻia, i ka poʻe me ka hōʻino hepatic.
No ke kuhi o ka hepatic encephalopathy, pono e hana i nā hoʻokolohua koko, ka tomography i helu ʻia, ke kiʻi ʻana o ka resonance a me ka electroencephalogram.
Nā kumu nui
ʻO nā kumu o ka hepatic encephalopathy pili i ka hana ate. ʻO kekahi mau hanana i hiki ke hoʻonāukiuki i ka encephalopathy hepatic:
- ʻOi aku ka nui o ka protein protein;
- Loaʻa kūpono ʻole o ka diuretics;
- Hoʻololi i nā electrolytes o ke kahe o ke kahe e like me ka hanana o ka bulimia a i ʻole ka make wai ʻana;
- Kahe mai ka esophagus, ʻōpū a ʻōpū paha;
- Ka inu nui ʻana i nā mea inu ʻona;
- ʻO ka maʻi kīwī.
ʻO ka hoʻohana pono ʻole ʻana i nā lāʻau i hiki ke kumu i kēia maʻi, keu hoʻi i ka poʻe me nā pilikia o ke ake.
Hoʻomaʻo no ka encephalopathy hepatic
ʻO ka lapaʻau no ka encephalopathy hepatic e ʻike i ke kumu a laila hoʻopau iā ia. Pono paha e hōʻemi i kāu lawe ʻana i ka protein a pono e lawe pololei ʻia ka lāʻau. ʻO kekahi mau lāʻau e hiki ke hoʻohana ʻia: Lactulose, neomycin, rifaximin. E ʻike i nā kikoʻī hou aʻe a pehea ka meaʻai kūpono no kēia maʻi.