Hepatorenal maʻi: he aha ia, kumu a me ka lāʻau

Anter

• Nā ʻano o Hepatorrenal Syndrome
• Nā kumu kūpono
• He aha nā hōʻailona
• Pehea e hana ai i ka lāʻau

ʻO ka Hepatorenal Syndrome kahi pilikia nui e hōʻike pinepine iā ia iho i ka poʻe me nā maʻi ake nui, e like me cirrhosis a i ʻole ʻole ke akepaʻa, kahi i hōʻike ʻia e ka hoʻohaʻahaʻa o nā hana puʻupaʻa, kahi e kū ai ka vasoconstriction ikaika, e hopena ana i ka hōʻemi o ka glomerular kānana a no laila i ka hōʻeha hōʻeha koʻikoʻi. Ma ka ʻaoʻao ʻē aʻe, hana ʻia kahi vasodilation keu-keu, e alakaʻi ana i ke ʻano ʻōnaehana.

ʻO ka maʻi Hepatorenal kahi maʻi make loa, ke ʻole e hana ʻia kahi transplant ake, ʻo ia ka mālama ʻana i ke koho no kēia maʻi pilikino.

Nā ʻano o Hepatorrenal Syndrome

Hiki ke hana i ʻelua ʻano o ka maʻi hepatorrenal. ʻAno 1, e pili pū ana me ka holo pono ʻole ʻana o ka hakuʻala a me ka hana nui ʻana o ka creatinine, a me ka ʻano 2, e pili pū ana me ka maikaʻi ʻole o ke kōpaʻa, i hele pū ʻia me nā ʻōuli lahilahi.

Nā kumu kūpono

ʻO ka maʻamau, kumu ʻia ka maʻi hepatorrenal e ka cirrhosis o ke ake, hiki ke piʻi aʻe ka makaʻi inā inu ʻia nā mea inu ʻona, loaʻa nā maʻi puʻupaʻa, inā he kolo koko kō ʻole ke kanaka, a i ʻole inā hoʻohana ʻo ia i nā diuretics.

Ma waho aʻe o ka cirrhosis, nā maʻi ʻē aʻe e pili ana i ka maikaʻi ʻole a me ke kūpaʻa o ke ake me ka hypertension portal, e like me ka hepatitis ʻona a me ka hōʻeha ʻana o ke akekea hiki ke hāʻawi i ka maʻi hepatorrenal. E aʻo pehea e ʻike ai i ka cirrhosis ate a pehea e ʻike ʻia ai ka maʻi.

ʻO kēia mau maʻi akepaʻa ke alakaʻi i kahi vasoconstriction ikaika i nā puʻupaʻa, kahi hopena i kahi hōʻemi o ka helu o ka kānana glomerular a me ka hopena o ka hōʻeha koʻikoʻi.

He aha nā hōʻailona

ʻO nā ʻōuli maʻamau e hiki ke hopena ʻia e ka maʻi hepatorrenal ka jaundice, hoʻemi i ka puka mimi, pouli ka mimi, ka ʻōpū o ka ʻōpū, huikau, delirium, nausea a me ka luaʻi, dementia a me ka loaʻa kaumaha.

Pehea e hana ai i ka lāʻau

ʻO ke kanu ʻana i ke akepaʻa ka mālama ʻana i nā koho no ka maʻi hepatorrenal, e ʻae ai i nā puʻupaʻa e ola. Eia nō naʻe, pono paha ka dialysis e hoʻokūpaʻa i ka mea maʻi. E ʻike pehea e hana ai ka hemodialysis a he aha nā pilikia o kēia lapaʻau.

Hiki i ke kauka ke kuhikuhi i nā vasoconstrictors, kahi mea e hoʻoemi ai i ka hana endogenous o nā vasoconstrictors, e hoʻonui ana i ke kahe o ke kahe o ke kō. Hoʻohui ʻia, hoʻohana ʻia lākou e hoʻoponopono i ke kahe o ke koko, kahi haʻahaʻa ma hope o ka dialysis. Hoʻohana nui ʻia nā vasopressin analogues, e like me terlipressin, no ka laʻana, a me nā alpha-adrenergics, e like me adrenaline a me midodrine.