ʻO ka cirrhosis ate: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono
• 1. ʻO ka maʻi hepatitis B a me C
• 2. Kaʻai ʻana i nā mea inu ʻona
• 3. Nā maʻi o ka metabolism
• 4. Ke ake momona
• 5. Hoʻohana o nā lāʻau
• 6. cholestasis maʻi
• Pehea e hana ai i ka lāʻau

ʻO ka ate cirrhosis kahi mumū mau o ke akepaʻa i hōʻike ʻia e ke hoʻokumu ʻia ʻana o nā nodule a me nā mea fibrotic, e ālai ana i ka hana o ke ake.

ʻO ka maʻa mau ka cirrhosis i manaʻo ʻia he pae holomua o nā pilikia ʻē aʻe, e like me ka hepatitis a i ʻole steatosis, ʻoiai he mea pono e loaʻa pinepine nā hōʻeha no ka hiʻona o cirrhosis. Ma waho aʻe o kēia mau pilikia, hiki i ka cirrhosis ke ulu ma muli o ka nui o ka inu waiʻona, hoʻolōʻihi ʻia i kekahi mau lāʻau a hiki i kekahi o nā maʻi viral.

ʻAʻohe lāʻau o ka ate cirrhosis a, no laila, hana maʻamau ʻia ka lapaʻau me nā loli o ka papaʻai, a me ka hoʻohana ʻana i nā lāʻau e kāohi ai i kekahi o nā ʻōuli. I nā hihia ʻoi loa, pono ka ʻoki ʻana no ka lawe ʻana i ke ake.

Nā hōʻailona nui

I ka wā ma mua, ʻaʻole kumu ka cirrhosis i nā ʻōuli, akā, ke piʻi aʻe nā liona o ke ake, nā ʻōuli e like me:

• Ka nāwaliwali a luhi nui hoʻi;
• Malaise lehulehu;
• Lohi pinepine;
• Ka nele o ka makemake;
• ʻO nā kiko ʻulaʻula ma ka ʻili, me nā ʻāpana spider liʻiliʻi;
• Kaumaha emi.

I nā kūlana holomua o ka cirrhosis, he mea maʻamau ka ʻike ʻana i nā hōʻailona e like me ka ʻili melemele a me nā maka, ʻōpū pehu, ʻōmole ʻeleʻele loa, nā noho keʻokeʻo a me ka aniani a puni ke kino.

Ke kuhikuhi nei i kekahi hōʻailona e hōʻike ana i ka pilikia o ke ake, he mea nui e nīnau aku i ka hepatologist a i ʻole ka mea hana maʻamau, no ka mea, ʻo ka wikiwiki o ka loaʻa ʻana o ka hōʻailona, ​​ʻoi aku ka maʻalahi o ka lāʻau.

Pehea e hōʻoia ai i ke kuhi

Hoʻomaka ka hōʻailona o ka cirrhosis ate me ka loiloi o nā ʻōuli i hōʻike ʻia, a me ka nohona a me ka mōʻaukala olakino o kēlā kanaka. Eia kekahi, ʻo nā hoʻokolohua hoʻokolohua e loiloi i ka ate, ka hana a me ka hiki ʻana i ka ʻōpala ke kauoha ʻia, a me nā hoʻokolohua serological e ʻike i nā maʻi viral.

ʻO nā hoʻokolohua keʻena hoʻokolohua nui a ke kauka i kauoha ai ke ana ʻana i nā ʻenema ate akepau ʻo TGO a me TGP, i hoʻokiʻekiʻe ʻia ke loaʻa nā liona i ke akepaʻa. Eia hou, noi pinepine ke kauka i ka mahele o gamma-GT, ʻo ia hoʻi kahi enzyme i hana ʻia i ke akepaʻa a i hoʻonui ʻia paha ka nui o ka noʻonoʻo inā loaʻa nā pilikia o ke ake. E ʻike i nā hoʻāʻo nui e loiloi i ke ake.

Hiki i ke kauka ke noi i ka hana o nā hoʻokolohua kiʻi e like me ka tomography compute a i ʻole ke kiʻi magnetic resonance i mea e loiloi ai i ka ʻāpana o ka ate a me ka ʻōpū, hiki ke ʻike i nā wahi ʻeha a hōʻike i ka pono no ka biopsy, no ka laʻana. ʻAʻole i hana ʻia ka biopsy ate no ke kumu o ke kuhi, akā no ka hoʻoholo ʻana i ke koʻikoʻi, ka nui a me nā kumu o ka cirrhosis.

Nā kumu kūpono

Hiki i nā kumu o ka cirrhosis ate ke ʻano like ʻole, akā naʻe, ʻo ka mea maʻamau ʻo:

1. ʻO ka maʻi hepatitis B a me C

ʻO Hepatitis B a me C nā maʻi i hoʻokumu nui ʻia e nā maʻi ʻino a lawe ʻia ma o ka pili moekolohe ʻana a i ʻole kaʻana like ʻana i nā mea i hoʻohaumia ʻia, e like me nā nila kuʻi ʻia, nā syringes, nā manicure a me nā pono no ka peʻa. Hoʻopili kēia mau ʻano hepatitis i nā hunaola ate a inā ʻaʻole i mālama ʻia hiki ke hoʻoulu i ka mumū mau loa, e hiki ai i ka cirrhosis. E aʻo hou aʻe e pili ana i kēia ʻano hepatitis a pehea e pale aku ai iā ia.

2. Kaʻai ʻana i nā mea inu ʻona

ʻO ka hoʻohana nui ʻana i nā mea inu ʻona hiki ke loaʻa i nā hopena koke ma ke kino, e like me ka paʻakikī e mālama i ke kaulike a me ka nalo ʻana o ke kūlike. Eia naʻe, inā hana ʻia ka ʻai i nā lā he nui i ka pule a ma kahi nui ma luna o 60 g o ka waiʻona i kēlā lā i kēia lā, i nā kāne, a i ʻole 20 g, i nā wahine, hiki ke hana i ka cirrhosis ate.

3. Nā maʻi o ka metabolism

Hiki i kekahi mau maʻi metabolic ke alakaʻi i ka cirrhosis ate, e like me ka maʻi o Wilson. Kākaʻikahi kēia maʻi, ʻaʻohe aʻaola a ʻaʻohe ona ola a hōʻike ʻia e ka hiki ʻole o ke kino ke metabolize i ke keleawe, me ka hōʻiliʻili ʻia i loko o nā mea like ʻole, ʻo ka lolo a me ke akepaʻa, ka mea e hoʻopōʻino loa i kēia mau lālā. E aʻo hou aʻe e pili ana i nā ʻōuli o ka maʻi o Wilson.

4. Ke ake momona

ʻO ke ake momona, ʻike ʻepekema ʻia me ke ake momona, kahi ʻano e hōʻiliʻili ai ka momona i ke akepaʻa ma muli o nā ʻano ʻai maikaʻi ʻole. ʻAʻole kumu pinepine kēia maʻi i nā ʻōuli a, ka hapa nui o ka manawa, ʻike ʻia ia ma ke kaulele ʻole. Eia naʻe, inā ʻaʻole mālama ʻia, hiki i ke ake momona ke hana i ka mumū mau o ke ake, e hoʻonui ana i ka makaʻu o ka cirrhosis. E ʻike i nā mea e hōʻuluʻulu ai i ka momona i ke ake.

5. Hoʻohana o nā lāʻau

ʻO kekahi mau lāʻau lapaʻau inā hoʻohana ʻia i nā mea ʻoi aku ka nui a hiki i ke kūpikipiki o ka ate, no ka mea ke nui lākou i ke kino, ʻaʻole hiki i ke akepaʻa ke hoʻopili koke i kēia mau mea. ʻO kekahi mau laʻana o nā lāʻau i hiki ke alakaʻi i ka cirrhosis ate he isoniazid, nitrofurantoin, amiodarone, methotrexate, chlorpromazine a me sodium diclofenac.

6. cholestasis maʻi

ʻO kahi cholestasis maʻi he kūlana ia e hiki ʻole ai i ka bile ke hāpai ʻia mai ke ake a i kahi ʻāpana o ka ʻōpū, ma muli paha o ka ālai ʻia ʻana o nā aʻa o ka bile ma muli o ke kū ʻana o nā tumors, nā pōhaku gallbladder a i ʻole no ka hemahema i ka hana ʻana o ka bile. Hiki i nā cholestasis maʻi ke alakaʻi i ka cirrhosis o ka ate a ʻoi aku ka maʻamau o ka poʻe i loaʻa i ka colcer ulcerative, kahi maʻi maʻi ʻōpala.

Pehea e hana ai i ka lāʻau

Hoʻololi ka lāʻau no ka cirrhosis e like me ke kumu, a hiki ke hana ʻia me ke kau ʻia ʻana o ka lāʻau a i ʻole ka ʻalekohola. Eia hou, he mea nui e mālama i kahi papaʻai kūpono e hoʻopili ana i ka hoʻoliʻiliʻi o nā wikamina, ʻoiai ma muli o ka hōʻino ʻia o ke ake, e paʻakikī paha ke kanaka i ka ʻeli pono ʻana i nā momona. E ʻike pehea ke ʻano o ka ʻai cirrhosis.

Kaukaʻi ʻia i nā ʻōuli i hōʻike ʻia, hiki i ka hepatologist ke kuhikuhi i ka hoʻohana ʻana i kekahi mau lāʻau, e like me diuretics, antihypertensives a i ʻole nā ​​kalima no ka ʻili huehue, i mea e hoʻomaikaʻi ai i ke ola o ke kanaka me ka cirrhosis.

I nā hihia ʻoi loa, kahi e nui ai nā liona o ke ake, ʻo ke ʻano o ka lapaʻau ʻana he transplantation ate paha, i hana ʻia e ka lawe ʻana i ke akepaʻa me ka cirrhosis a me ke kau ʻana i ke akepaʻa olakino mai ka mea hāʻawi kūpono. E ʻike i nā kikoʻī e pili ana i nā ala nui o ka mālama ʻana i ka cirrhosis.