ʻO ka maʻi maʻi momona momona ʻole

Anter

• Nā ʻōuli
• Nā Kumu
• Nā kumu weliweli
• Pehea e hōʻoia ʻia ai
• Hiki i nā maʻi maʻi akepaʻa ʻona ʻole ke kumu i nā pilikia?
• Nā koho lapaʻau
• He aha ke kuanaʻike no ka maʻi hānai momona ʻona ʻole?

He aha ka maʻi akepaʻa momona momona ʻole?

ʻO ka inu ʻana i ka waiʻona nui hiki ke hoʻokumu i ka momona i kou ake. Hiki iā ia ke alakaʻi i ka scarring o ke akepaʻa o ke ake, i ʻike ʻia ʻo cirrhosis. Hoʻoemi ka hana ate ma muli o ka nui o ka scarring. Hiki i nā mea momona ke kūkulu i loko o kou ake inā ʻoe e inu liʻiliʻi a ʻaole paha i ka waiʻona. ʻIke ʻia kēia ma ke ʻano he ake momona momona ʻona ʻole (NAFLD). Hiki iā ia ke kumu i ka cirrhosis.

Hiki i nā loli nohona ke kōkua pinepine iā NAFLD mai ka ʻino ʻana. Akā, no kekahi poʻe, hiki i ke ʻano ke alakaʻi i nā pilikia o ke ake hoʻoweliweli ola.

Hāʻule ka NAFLD a me nā maʻi maʻi ʻalekohola (ALD) ma lalo o ka manawa o ka malu o ka maʻi momona. Hoʻomaopopo ʻia ke ʻano he steatosis hepatic ke 5 a 10 mau pākēneka o ke kaupaona o ke kaona ka momona.

Nā ʻōuli

I nā manawa he nui o ka NAFLD, ʻaʻohe hōʻailona e ʻike ʻia. Ke loaʻa nā ʻōuli, hoʻohui mau lākou:

• ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• luhi
• hoʻonui ʻia ke ake a i ʻole ka ʻāpala (ʻike mau ʻia e ke kauka i ka wā o kahi hoʻokolohua)
• ascites, a ʻōhū paha i loko o ka ʻōpū
• jaundice, a melemele paha o ka ʻili a me nā maka

Inā holo ka NAFLD i cirrhosis, hiki i nā ʻōuli ke komo pū:

• huikau noʻonoʻo
• hoʻokahe kūloko
• paʻa wai
• nalo o ke olakino hana ate

Nā Kumu

ʻAʻole maopopo maikaʻi nā kumu kikoʻī o ka NAFLD. Aia kekahi pilina ma waena o ka maʻi a me ke kūpaʻa ʻana o ka insulin.

ʻO ka insulin ka hormone. Ke pono i kou mauʻiʻo a me nā mākala i ka glucose (kō) no ka ikehu, kōkua ka insulin i ka wehe ʻana i nā hunaola e lawe i ka glucose mai kou koko. Kōkua pū ka insulin i ke ake e mālama i ka nui o ke kō.

Ke hoʻomohala i kou kino i ke kūpaʻa ʻana o ka insulin, ʻo ia ka pane ʻole o kāu mau pūnaewele i ka insulin e like me kā lākou e pono ai. ʻO ka hopena, ʻo ka nui o nā momona i pau i ke ake. Hiki i kēia ke alakaʻi i ka mumū a me ka scarring ate.

Nā kumu weliweli

Hoʻopili ka NAFLD i kahi 20 pākēneka o ka heluna kānaka. ʻO ke kūpaʻa insulin ka mea e makaʻu loa ai ka ikaika, ʻoiai hiki iā ʻoe ke loaʻa iā NAFLD me ka ʻole o ka pale ʻana o ka insulin.

Hoʻolālā ka poʻe i ka hoʻoikaika ʻana o ka insulin me ka poʻe i kaupaona a alakaʻi i kahi noho nohona.

ʻO nā kumu pilikia ʻē aʻe no ka NAFLD me:

• diabetes
• kiʻekiʻe pae kolesterol
• pae kiʻekiʻe triglyceride
• hoʻohana o nā corticosteroids
• hoʻohana i kekahi mau lāʻau no ka maʻi ʻaʻai, me Tamoxifen no ka maʻi ʻaʻai umauma
• hāpai keiki

ʻO nā ʻano ʻai maikaʻi ʻole a me ka pohō kaumaha kaumaha paha e hāpai i kāu makaʻu o NAFLD.

Pehea e hōʻoia ʻia ai

ʻAʻohe o nā ʻōuli NAFLD. No laila, hoʻomaka pinepine ka hōʻailona ma hope o ka hōʻoia ʻana o ke koko i loaʻa nā pae ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau o nā enzymes o ke ake. Hiki i kahi hoʻokolohua koko maʻamau ke hōʻike i kēia hopena.

Hiki i nā pae kiʻekiʻe o nā enzymes ke ake ke kuhikuhi i nā maʻi ate. Pono kāu kauka e kāpae i nā kūlana ʻē aʻe ma mua o ka hōʻoia ʻana iā NAFLD.

Hiki i kahi ultrasound o ke ake ke kōkua e hōʻike i ka momona o ke ake. ʻO kekahi ʻano o ke ultrasound, i kapa ʻia transient elastography, ana i ka ʻoʻoleʻa o kou ake. Hōʻike ka ʻoʻoleʻa ʻoi aku ka nui o ka scarring.

Inā kūlike ʻole kēia mau hoʻokolohua, hiki i kāu kauka ke koi aku i kahi biopsy ate. I kēia ho'āʻo, wehe ke kauka i kahi laʻana o nā ʻiʻo akepaʻa me kahi nila i hoʻokomo ʻia i loko o kou ʻōpū. Hoʻopaʻa ʻia ka laʻana i loko o kahi lab no nā hōʻailona o ka mumū a me ka scarring.

Inā loaʻa iā ʻoe nā ʻōuli e like me ka ʻeha o ka ʻaoʻao ʻākau, jaundice, a i ʻole ka pehu, e ʻike i ke kauka.

Hiki i nā maʻi maʻi akepaʻa ʻona ʻole ke kumu i nā pilikia?

ʻO ka makaʻu nui o ka NAFLD ka cirrhosis, hiki ke kaupalena i ka hiki i kou ake ke hana i kāna hana. He nui nā hana nui a kou ake, e like me:

• e hana ana i ka bile, kahi e kōkua ai e wāwahi i nā momona a wehe i nā ʻōpala mai ke kino
• metabolizing lāʻau a me nā toxins
• ke kaulike ʻana i nā pae wai i ke kino ma o ka hana protein
• me ka hana ʻana i ka hemoglobin a me ka mālama ʻana i ka hao
• ke hoʻololi nei i ka amonia i kou koko i ka urea harmless no ka excretion
• mālama a hoʻokuʻu ʻana i ka glucose (kō) e pono ai ka ikehu
• ka hana ʻana i ka kolamu, pono ia no ke olakino pūnaewele
• ka hoʻoneʻe ʻana i nā koʻohune mai ke koko
• e hana ana i nā mea pale e hakakā ai i nā maʻi
• ka hoʻoponopono ʻana i ke kō ʻana o ke koko

Hiki i kekahi manawa ke holomua i ka maʻi ʻaʻai a i ʻole ke kō ʻole o ke ake. I kekahi mau hihia, hiki ke mālama ʻia me ka ʻole o ke akepaʻa me nā lāʻau, akā ʻo ka maʻamau he transplant ke akepaʻa e pono ai.

ʻAʻole hiki i nā hihia akahai o ka NAFLD ke alakaʻi i nā pilikia o ke ake nui a i ʻole nā ​​pilikia ʻē aʻe. No nā hihia maʻalahi, pono ka ʻike mua a me nā loli nohona e mālama i ke olakino ate.

Nā koho lapaʻau

ʻAʻohe lāʻau lapaʻau a i ʻole ke kaʻina hana e mālama ai iā NAFLD. Ma kahi o ka manawa, e paipai ana kāu kauka i nā loli olakino koʻikoʻi. Pākuʻi ʻia kēia mau mea:

• ke kaupaona ʻana inā he nui ʻoe a momona paha
• e ʻai ana i ka papaʻai o ka hapa nui o nā huaʻai, nā mea kanu, a me nā mea kanu
• e hoʻolālā ana ma kahi o 30 mau minuke i kēlā me kēia lā
• ke kaohi ʻana i kāu kiʻekiʻe kolesterol a me nā kō glucose
• pale ʻana i ka ʻalekohola

He mea nui nō hoʻi e ukali i nā koho a ke kauka a hōʻike i nā hōʻailona hou.

He aha ke kuanaʻike no ka maʻi hānai momona ʻona ʻole?

Inā hiki iā ʻoe ke hoʻololi i ke ʻano nohona i koi ʻia, hiki iā ʻoe ke mālama i ke olakino ate maikaʻi no ka manawa lōʻihi. Hiki paha iā ʻoe ke hoʻololi i nā hōʻino o ke ake i nā wā mua loa o ka maʻi.

ʻOiai inā ʻaʻole ʻoe e ʻike i kekahi mau hōʻailona mai ka NAFLD, ʻaʻole ia he manaʻo ʻaʻole kū ʻia ka scarring ate. I mea e hōʻemi ai i kou makaʻā, e hāhai i kahi nohona olakino a hana ʻia nā hana koko maʻamau, e like me nā hoʻokolohua ʻana o ka enzyme ate.