Pehea ke ʻano o nā ʻōuli o Hepatitis C
Anter
- He aha nā hōʻailona?
- ʻO Jaundice
- Spider angiomas
- Ascites
- ʻO Edema
- Pāpī maʻalahi a me ke kahe ʻana o ke koko
- Palapala lichen
- ʻO Porphyria cutanea tarda (PCT)
- Nā kui o Terry
- Raynaud's syndrome
- Nā ʻanuʻu aʻe
He aha ka maʻi hepa C?
ʻO ke kuʻikahi ʻana i ka maʻi hepitis C (HCV) hiki ke alakaʻi i ka hoʻomohala ʻana i ka maʻi hepa C, ʻo ia kahi maʻi maʻi lele e hoʻā ʻia ai kou ake. Hepatitis C hiki ke hōʻeha (wā pōkole), mau mai kekahi mau pule a i ʻeono mahina. Hiki iā ia ke hoʻomau (ola-lōʻihi).
Hiki i ka maʻi hepatitis C ke alakaʻi i ka scarring o ke ake (cirrhosis), ka hōʻino ʻana o ke ake, a me ka maʻi ʻaʻai ate.
Hoʻolahalaha ka Hepatitis C ma o ka pili pololei ʻana me ke koko maʻi. Hiki i kēia ke hana ma:
- kaʻana like ʻana i nā nila kuʻi, e like me nā mea i hoʻohana ʻia no nā lāʻau a i ʻole nā peʻa
- kui kiki kui kuʻikuʻu ʻole i kahi hoʻonohonoho mālama ola
- kaʻana like ʻana i nā pahi a i ʻole nā palu niho, ʻo ka mea maʻamau ʻole
- ka launa pū ʻana me ka mea he hepatitis C ka mea liʻiliʻi
Hiki i nā wahine hāpai me ka maʻi hepatitis C ke hoʻouna i ka maʻi i kā lākou pēpē.
E hoʻomaʻemaʻe ʻoe i ke kahe o ke koko me ka huikau o hoʻokahi ʻāpana keʻokeʻo i 10 mau wai. Ua ʻike ʻia kēia hana ma ke ʻano he “hoʻomalu ākea ākea.”
Pono nā mālama ākea āpau no ka mea hiki ʻole iā ʻoe ke ʻike ʻaʻole maʻi ʻia ke koko me nā mea ʻino e like me ka maʻi hepatitis C, ka maʻi hepitis B, a me ka HIV. Hiki i ka Hepatitis C ke hala i ʻekolu mau pule ma ke ana wela o ka lumi.
He aha nā hōʻailona?
Ma kahi kokoke ʻehā miliona mau kānaka i ʻAmelika Hui Pū ʻIa i loaʻa i ka maʻi hepa C. A a hiki i ka 80 pākēneka ʻaʻole hōʻike i nā ʻōuli i nā wā mua.
Eia nō naʻe, hiki i ka maʻi hepitis C ke lilo i maʻi maʻamau ma kahi o 75 a 85 pakeneka o ka poʻe i loaʻa i ka maʻi virus, e like me ka.
ʻO kekahi mau ʻōuli o ka maʻi hepatitis C koʻikoʻi:
- fiva
- luhi
- nele i ka makemake ʻole
- nausea a me ka luaʻi
- ʻeha ka ʻōpū
Hoʻokumu ka maʻi hepatitis C i ka cirrhosis a hōʻike i nā ʻōuli like o ka hepatitis C huehue, me nā mea aʻe:
- ʻōpū ʻōpū
- pehu o nā wēlau
- pokole o ka hanu
- ʻōmaʻomaʻo ʻōiwi
- paopao maʻalahi a hoʻokahe koko paha
- ʻeha pū
- spider angioma
- gynecomastia - ʻōhū o ka umauma
- loli, ʻili, a me nā kui kui loli
ʻO Jaundice
ʻO Jaundice ke lilo ka ʻili a me nā keʻokeʻo o nā maka (sclera) i melemele. Hana kēia ke nui ka bilirubin (pigment melemele) i loko o ke koko. ʻO Bilirubin kahi huahana o nā hunaola ʻulaʻula i wāwahi ʻia.
Maʻa mau ka bilirubin i lalo i ke akepaʻa a hoʻokuʻu ʻia mai ke kino i ka pahu. Akā inā ua hōʻino ʻia ke akepaʻa, ʻaʻole hiki ke hana pono i ka bilirubin. E kūkulu ia ma ke kahe o ke koko. ʻO kēia ka hopena i ka ʻili a me nā maka ke nānā melemele.
ʻOiai ʻo ka jaundice kahi hōʻailona o ka hepatitis C a me ka cirrhosis, e mālama kāu kauka i kēlā mau ʻano. ʻO nā hihia koʻikoʻi o ka jaundice ke koi aku i ke kahe o ke koko.
Spider angiomas
Punawelewele angioma, a ʻike ʻia ʻo spider nevus a i ʻole nevus araneus, he moku kolo e like me ke kolo e ʻike ʻia ma lalo o ka ʻili. Kū lākou i kahi kiko ʻulaʻula me nā laina e hoʻolōʻihi i waho.
Pili ka Spider angioma me ka hoʻonui ʻia o nā estrogen. Hiki ke ʻike ʻia lākou ma nā kānaka olakino, keu hoʻi nā keiki, a me nā kānaka me ka maʻi hepitis C.
No ka poʻe me ka maʻi hepitis C, i ka wā e lilo ai ke akepaʻa, e hoʻonui ka nui o ka estrogen.
ʻO Spider angioma ka hapanui e ʻike ʻia ma:
- ka maka, kokoke i nā papalina
- nā lima
- nā forearms
- nā pepeiao
- ka paia umauma luna
Punawelewele angioma mālama i kā lākou iho a i ʻole ke ʻano hoʻomaikaʻi. A hiki iā lākou ke mālama ʻia me ka laser therapy inā ʻaʻole lākou e hele.
Ascites
ʻO Ascites ka nui o ka hoʻonui ʻia o ka wai i loko o ka ʻōpū e lilo ai ka ʻōpū i kahi ʻano pehu, like me ka baluna. ʻO Ascites kahi hōʻailona e ʻike ʻia i nā pae holomua o ka maʻi ate.
Ke hele a makaʻu kou akepaʻa, hoʻemi ia i ka hana a hana i ke kaomi e kūkulu i loko o nā uaua. Kapa ʻia kēia kaomi nui loa he piʻi kiʻekiʻe portal. Hoʻokumu ia i ka wai i loko o ka ʻōpū a puni.
ʻO ka hapa nui o ka poʻe me ka ascites e ʻike i kahi loaʻa kaumaha kaumaha, a ʻoi aku ka ʻōpū o ko lākou ʻōpū ma mua o ka maʻamau. Hoʻokumu pū paha ʻo Ascites i:
- hoʻoluhi
- paʻakikī i ka hanu ʻana
- kūkulu wai i ka umauma i nā māmā
- he kuni
ʻO kekahi mau kaupaʻi koke e koi ai kāu kauka e hōʻemi ana i kāu lawe paʻakai a me ka lawe ʻana i diuretics, a i ʻole nā pila wai, e like me ka furosemide a i ʻole Aldactone. Lawe pū ʻia kēia mau ʻanuʻu.
Inā he ascites kāu, pono ʻoe e nānā i kou kaupaona i kēlā me kēia lā a kāhea i kāu kauka inā loaʻa iā ʻoe ma mua o 10 paona, a i ʻole ʻelua mau paona i kēlā me kēia lā no ʻekolu lā i ka lālani. Inā ua hoʻoholo kāu kauka he ascites ʻoe, e ʻōlelo paha lākou i kahi transplant ake.
ʻO Edema
E like me nā ascites, ʻo ka edema ka kūkulu ʻana o ka wai i nā aʻa o ke kino. Hana ʻia kēia ke kulu nā capillaries, a i ʻole nā kīʻaha koko liʻiliʻi, i loko o kou kino i ka wai, a kūkulu aʻe i nā mea a puni.
Hāʻawi ʻo Edema i ka wahi i hoʻopilikia ʻia i kahi hiʻohiʻona pehu a puffy paha. ʻO ka poʻe i loaʻa i ka hepatitis C mau e ʻike i ka edema ma nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae.
Loaʻa i ka ʻili i ʻōʻili a lililile paha, a i ʻili ʻia a i ʻole ʻili i ʻili ʻia, he mau hōʻailona ʻē aʻe o ka edema. Hiki iā ʻoe ke nānā no ka pohihihi ʻana ma ke kaomi ʻana i ka ʻili no mau kekona a ʻike inā he niho mau. ʻOiai e hele aku ana ka edema maʻalahi iā ia iho, hiki i kāu kauka ke kauoha aku iā furosemide a i ʻole nā pila wai ʻē aʻe e kōkua i ka hoʻoheheʻe ʻana i ka wai nui.
Pāpī maʻalahi a me ke kahe ʻana o ke koko
I nā pae kiʻekiʻe o ka hepatitis C, ʻike paha ʻoe i ka palapū maʻalahi a me ka kahe nui ʻana o ke kahe no ka kumu ʻole. Manaʻo ʻia ʻo ka palapū maʻamau ka hopena o ke ake e hoʻolohi i ka hana ʻana o nā platelet, a i ʻole nā protein e pono ai e hoʻopili i ke koko.
I nā hihia ʻoi aku ka koʻikoʻi, hiki ke kahe nui o ka ihu a i ʻole nā gum, a i ʻole ke koko i ka mimi.
Palapala lichen
ʻO Lichen planus kahi maʻi ʻili e hiki ai i nā puʻupuʻu liʻiliʻi a i ʻole nā pimples i nā wahi e hui pū ai kou mauʻiʻo i ʻelua mau iwi. Manaʻo ʻia ka hana hou ʻana o ka maʻi hepatitis C i loko o nā ʻili o ka ʻili i kumu no ka lichen planus. Hōʻike pinepine ʻia nā puʻupuʻu ma nā wahi aʻe:
- lima
- kino kino
- genital
- nā kui
- ʻili poʻo
ʻIke paha ka ʻili a ʻili hoʻi. A ʻike paha ʻoe i ka nalo ʻana o ka lauoho, nā ʻili o ka ʻili, a me ka ʻeha. E kamaʻilio me kāu kauka e pili ana i kahi lāʻau inā hōʻike ʻoe i kekahi o kēia mau hōʻailona ma muli o ka hepatitis C.
ʻO Porphyria cutanea tarda (PCT)
ʻO PCT kahi maʻi maʻi ʻili i kumu i nā ʻōuli aʻe:
- ʻiliʻiliʻili
- poho lauoho
- māhuahua lauoho maka
- ʻili mānoanoa
Hoʻokumu pinepine nā palapū i nā wahi i hōʻike mau ʻia i ka lā, e like me ka maka a me nā lima. Kahi kūkulu o ka hao i ke ake, a me ka overproduction o uroporphyrinogen, kahi protein, i loko o ke koko a me ka mimi ke kumu o ka PCT.
Hoʻopili ka mālama ʻana no ka PCT i ka palena o ka hao a me ka ʻalekohola, ka pale ʻana i ka lā, a me ka hoʻohaʻahaʻa ʻana i ka estrogen.
Nā kui o Terry
ʻO nā kui o Terry kahi hōʻailona kahi e lilo ai ke kala ʻalani ʻāpana o nā pā kui i kahi keʻokeʻo-kālā kala, a he band transverse ʻulaʻula ʻulaʻula, a i ʻole ka laina hoʻokaʻawale, kokoke i nā wēlau o nā manamana.
Ua hōʻike ʻia ka American Family Physician i ka makahiki 2004 e 80 pākēneka o nā mea maʻi me ka cirrhosis e hoʻomohala i nā kui o Terry.
Raynaud's syndrome
Hoʻokumu ka maʻi o Raynaud i nā kīʻaha koko i kou kino e constrict a ololi paha. Hiki paha i kekahi poʻe me ka maʻi hepitis C ke ʻānō a anuanu i ko lākou mau manamana lima a me nā manamana wāwae ke hoʻololi ke ana wela a i ʻole ke koʻikoʻi.
I ko lākou hoʻomehana ʻana a i ʻole de-stress, manaʻo paha lākou i kahi ʻeha a ʻeha hoʻi ka ʻeha. E keʻokeʻo a ʻulaʻula paha kou ʻili, kaukaʻi ʻia i kou kahe o ke koko.
No ka mālama ʻana i ka maʻi o Raynaud, pono ʻoe e nānā pono i kou ʻaʻahu mahana ʻana ke anuanu ke anuanu. ʻOiai ʻaʻohe mea e ola ai kēia ʻano, hiki iā ʻoe ke hoʻokele i nā ʻōuli a mālama i ke kumu kumu e like me ka hepatitis C.
I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i ka lāʻau e hāpai i ke kahe o ke koko.
Nā ʻanuʻu aʻe
ʻAʻole hōʻike iki ka maʻi hepatitis C i nā ʻōuli i nā wā mua, akā hiki ke mālama ʻia a hoʻōla ʻia inā ʻike ʻia i ka wanaʻao. ʻO nā hōʻailona ʻike ʻia he hōʻailona paha ua holomua ke ʻano.
Inā ʻoe a i ʻole kekahi mea āu e ʻike nei e hōʻike nei i nā ʻōuli o ka hepatitis C, e kāhea i ke kauka. Ma hope o kāu lapaʻau ʻana, e hoʻāʻo kāu kauka i kou koko ma hope o ʻekolu mau mahina e ʻike inā ua hala ka maʻi.