ʻO ka hepatitis autoimmune: he aha ia, nā hōʻailona nui, ʻike a me nā lāʻau

Anter

• Nā hōʻailona nui
• ʻO ka hepatitis autoimmune i ka hāpai ʻana
• Pehea e hōʻoia ai
• Pehea e hana ai i ka lāʻau

ʻO ka hepatitis Autoimmune kahi maʻi e kumu i ka mumū mau o ke akepaʻa ma muli o ka loli o ka ʻōnaehana paleʻea, e hoʻomaka ana e ʻike i kāna mau huna ponoʻī ma ke ʻano haole a hoʻouka iā lākou, e hoʻemi ana i ka hana o ke ake a me nā hiʻohiʻona e like me ʻeha o ka ʻōpū, ʻili melemele a me ka nausea ikaika.

Kū pinepine ka hepatitis autoimmune ma mua o ka makahiki 30 a ʻoi aku ka maʻamau o nā wahine. ʻO ke kumu maoli o ka hoʻomaka ʻana o kēia maʻi, ka mea pili paha i nā loli, ʻaʻole i ʻike ʻia, akā pono e hoʻomanaʻo ʻia ʻaʻole ia he maʻi lele a, no laila, ʻaʻole hiki ke hoʻoili ʻia mai kekahi kanaka i kekahi.

Eia hou, hiki ke hoʻokaʻawale ʻia ka hepatitis autoimmune i ʻekolu mau subtypes:

• ʻO ka maʻi hepatitis autoimmune ʻano 1: ʻo ka mea maʻamau ma waena o 16 a 30 mau makahiki, ke ʻano o ka loaʻa ʻana o nā mea ʻāpana FAN a me AML i ka hoʻāʻo ʻana o ke koko, a pili pū paha me ke ʻano o nā maʻi autoimmune ʻē aʻe, e like me ka thyroiditis, ka maʻi celiac, ka synovitis a me ka ulcerative colitis;
• ʻO ka maʻi hepatitis autoimmune ʻano 2: ʻike pinepine ʻia ia i nā keiki mai 2 a 14 mau makahiki, ke ʻano anti-LKM1, a hiki ke ʻike ʻia me ka maʻi diabetes 1, vitiligo a me autoimmune thyroiditis;

• ʻO ka maʻi hepatitis autoimmune ʻano 3: like me ka type 1 autoimmune hepatitis, me ka maikaʻi anti-SLA / LP antibody, akā ʻoi aku paha ka paʻakikī ma mua o ka ʻano 1.

  
  

ʻOiai ʻaʻohe lāʻau lapaʻau, hiki i ka hepatitis autoimmune ke kāohi maikaʻi loa ʻia me ka lāʻau lapaʻau, i hana ʻia me nā lāʻau e kāohi ai i ka pale ʻana, e like me Prednisone a me Azathioprine, me ka hoʻohui i ka papaʻai kaulike, waiwai i nā hua, nā mea kanu a me nā palaʻai, i hōʻalo ʻia. - ka ʻai ʻana o ka wai ʻona, momona, ʻoi aku o nā preservatives a me nā pesticides. Hōʻike wale ʻia ke kaha a me ka lawe ʻana o ke ake i nā hihia koʻikoʻi loa.

Nā hōʻailona nui

ʻO nā ʻōuli o ka hepatitis autoimmune ka nonspecific maʻamau a hiki ke loli ke kiʻi olakino mai kahi mea hoʻomanawanui asymptomat a hiki i ka hanana ʻana o ke ake. No laila, nā hōʻailona nui a me nā ʻōuli e hōʻike i ka maʻi hematitis autoimmune:

• Luhi nui loa;
• Ka nele o ka makemake;
• ʻEha ʻeha;
• ʻEha mau i ka ʻōpū mau;
• Nusea a me ka luaʻi;
• ʻO ka ʻili melemele a me nā maka, i kapa ʻia hoʻi he jaundice;
• Kino ʻino hano ʻino;
• ʻEha hui;
• ʻŌpū ʻōhū.

ʻO ka maʻamau maʻa mau ka hoʻomaka ʻana o ka maʻi, e holo lohi i mua mai nā pule a i nā mahina a hiki i ke alakaʻi ʻana i fibrosis o ke ake a me ka nalo ʻana o ka hana, inā ʻaʻole ʻike ʻia ka maʻi a mālama ʻia. Eia nō naʻe, i kekahi mau hihia, hiki i ka maʻi ke hōʻino wikiwiki, i kapa ʻia ʻo fulminant hepatitis, ka mea koʻikoʻi a hiki i ka make. E ʻike he aha ia a he aha nā mea weliweli o ka hepatitis fulminant.

Eia hou, i kahi mahele liʻiliʻi o nā hihia, ʻaʻole hiki i ka maʻi ke hana i nā ʻōuli, ʻike ʻia i nā hoʻokolohua maʻamau, e hōʻike nei i ka hoʻonui ʻana o nā enzymes ate. He mea nui e hana wawe ʻia ke kuhi a hiki i ke kauka ke hoʻokumu koke ʻia e ke kauka, hiki ke pale i nā pilikia, e like me cirrhosis, ascites a me hepatic encephalopathy.

ʻO ka hepatitis autoimmune i ka hāpai ʻana

ʻO nā ʻōuli o ka hepatitis autoimmune i ka hāpai hāpai ʻana, ua like ia me ka maʻi ma waho o kēia wā a he mea nui e hele pū ka wahine me ka mea hānau wahine e nānā ai ʻaʻohe pilikia no lāua a me ka pēpē, he kakaikahi ka maʻi. ʻike mau i kahi wā mua.

I nā wahine hāpai i loaʻa ka maʻi ʻoi loa a loaʻa i ka cirrhosis ma ke ʻano he pilikia, lilo i mea nui ka nānā ʻana, ʻoiai ʻoi aku ka nui o ka makaʻu o ka hānau mua, kaupaona hānau haʻahaʻa a me ka pono no ka ʻāpana cesarean. No laila, he mea nui no ka mea hānau hānau e hōʻike i ka lāʻau maikaʻi loa, i hana mau ʻia me ka corticosteroid, e like me Prednisone.

Pehea e hōʻoia ai

Hoʻomaopopo ʻia ke kuhi o ka hepatitis autoimmune e ke ana ʻana i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka a me ka hopena o nā hoʻokolohua hoʻokolohua e pono ai ke noi ʻia e ke kauka. ʻO kekahi o nā hoʻokolohua e hōʻoia i ka hōʻoia o ka maʻi hepitis autoimmune kahi biopsy o ke ake, kahi i ʻohiʻohi ʻia ai kahi ʻāpana o kēia mea a hoʻouna ʻia i ke keʻena hoʻokolohua e nānā i nā loli i nā kiko e hōʻike ana i ka hepatitis autoimmune.

Hoʻohui ʻia, kauoha paha ke kauka i ke ana ʻana o nā akepona akepau, e like me TGO, TGP a me nā alkaline phosphatase, i hoʻohui ʻia me ke ana ʻana i nā immunoglobulins, nā antibodies a me nā serology no nā maʻi hepatitis A, B a me C.

Lawe pū ʻia nā ʻano nohona o ke kanaka i ka manawa o ke kuhi, e like me ka inu ʻana i ka waiʻona a me ka hoʻohana ʻana i nā lāʻau i ʻona i ke ake, e hiki ai ke kāpae i nā kumu ʻē aʻe o nā pilikia o ke ake.

Pehea e hana ai i ka lāʻau

Hōʻike ʻia ka lapaʻau ʻana no ka hepatitis autoimmune e ka hepatologist a i ʻole gastroenterologist, a ua hoʻomaka ʻia me ka hoʻohana ʻana i nā lāʻau corticosteroid, e like me Prednisone, a i ʻole nā ​​pale pale pale, e like me Azathioprine, kahi e hoʻēmi ai i ka mumū o ke ake akea ma o ka mālama ʻana i nā makahiki. hana ma ka home. I kekahi mau hihia, keu hoʻi i nā ʻōpio ʻōpio, ʻo ka hoʻohana ʻana o ka Prednisone me Azathioprine e ʻōlelo ʻia e hōʻemi i nā hopena ʻaoʻao.

Hoʻohui ʻia

I nā hihia ʻoi loa, kahi hiki ʻole ke kāohi i ka hoʻowahāwahā me ka hoʻohana ʻana i nā lāʻau, hiki ke hoʻohana ʻia ke ʻoki no ka hoʻoliʻiliʻi ate, a ʻo ia hoʻi ka hoʻololi ʻana i ke akepaʻa maʻi me kahi olakino. Eia nō naʻe, pili ka hepatitis autoimmune i ka ʻōnaehana pale a ʻaʻole i ke ake, ma hope o ke transplant hiki ke ulu hou ka maʻi.