He aha ke kumu o Transaminitis?
Anter
- ʻO nā kumu maʻamau o transaminitis
- Maʻi maʻi ʻaʻai momona
- Hepatema Viral
- Nā lāʻau, hoʻopiha, a me nā mea kanu
- ʻO nā kumu maʻamau o transaminitis
- Maʻi maʻi HELLP
- Nā maʻi genetic
- Hepatite nonviral
- Nā maʻi viral
- Ke laina lalo
He aha ka transaminitis?
Hōʻoki kou ake i nā mea momona a kānana i nā toxins mai kou kino, hana ia me ke kōkua o nā enzymes. ʻO Transaminitis, i kapa ʻia i kekahi manawa he hypertransaminasemia, pili i ka loaʻa ʻana o nā pae kiʻekiʻe o kekahi mau enzyme ate i kapa ʻia transaminases. Ke nui a nui nā enzyme i kou ake, hoʻomaka lākou e neʻe i kāu kahawai koko. ʻO Alanine transaminase (ALT) a me aspaminate transaminase (AST) nā transaminase maʻamau ʻelua i pili i ka transaminitis.
ʻO ka hapa nui o ka poʻe me transaminitis ʻaʻole lākou i ʻike a hiki i ka wā e hana ai lākou i kahi hōʻike o ka hana ate. ʻAʻole hiki i Transaminitis ponoʻī ke hana i kekahi mau hōʻailona, akā hōʻike pinepine ia aia kekahi mea ʻē aʻe e hana nei, no laila hoʻohana nā kauka iā ia ma ke ʻano he diagnostic tool. Loaʻa i kekahi poʻe he mau manawa kiʻekiʻe o nā ʻenemi ate me ka ʻole o kekahi kumu kumu. Eia naʻe, no ka mea hiki i ka transaminitis ma o ka hōʻailona o nā kūlana koʻikoʻi, e like me ka maʻi ate a i ʻole he hepatitis, he mea nui e kāpae i nā kumu kūpono.
ʻO nā kumu maʻamau o transaminitis
Maʻi maʻi ʻaʻai momona
Aia i loko o kou akepa kekahi mau momona, akā ʻo ka nui loa o ia mea e hiki ai i ka maʻi maʻi ake momona. Hoʻohui pinepine ʻia me ka inu ʻana i ka nui o ka waiʻona, akā ʻo ka maʻi ʻalekiko momona ʻole ke lilo i mea maʻamau. ʻAʻohe mea e maopopo leʻa i ke kumu o ka maʻi akepau momona nonalcoholic, akā ʻo nā kumu pilikia maʻamau ka:
- momona
- kolesterol kiʻekiʻe
ʻAʻole maʻa mau ka maʻi maʻi akepaʻa i nā ʻōuli, a ʻaʻole ʻike ka hapa nui o ka poʻe aia lākou iā lākou a hiki i ka wā e loaʻa ai iā lākou kahi hōʻoia koko. Eia nō naʻe, ua luhi kekahi poʻe, ʻeha o ka ʻōpū māmā, a i ʻole he ake ākea i hiki i kāu kauka ke manaʻo i ka wā o kahi hoʻokolohua kino. ʻO ka mālama ʻana i nā maʻi akepaʻa momona e pili pinepine i nā loli o ka nohona, e like me ka hōʻalo ʻana i ka wai ʻona, ka mālama ʻana i ke kaupaona olakino, a me ka ʻai ʻana i ka papaʻai kaulike.
Hepatema Viral
Hepatitis pili i ka mumū o ke ake. Nui a hewahewa nā ʻano hepitis, akā ʻo ka mea maʻamau ka maʻi hepatitis viral. ʻO nā ʻano maʻamau o ka maʻi hepatitis viral e kumu i ka transaminitis ʻo ka maʻi hepitis B a me ka hepitis C.
Ua like nā Hepatitis B a me C i nā ʻōuli like, i hoʻopili ʻia:
- ʻili-melemele ʻili a me nā maka, i kapa ʻia he jaundice
- mimi ʻeleʻele
- nausea a me ka luaʻi
- luhi
- ʻeha o ka ʻōpū a hōʻoluʻolu ʻole paha
- ʻeha puʻupuʻu a me nā ʻeha
- fiva
- nalo ʻai ʻole
E kamaʻilio me kāu kauka inā loaʻa iā ʻoe nā hōʻailona o ka maʻi hepatitis viral. Inā haʻalele ʻole ʻia, hiki iā ia ke hōʻeha i ka ate mau loa, keu hoʻi inā he hepatitis C. kou.
Nā lāʻau, hoʻopiha, a me nā mea kanu
Ma waho aʻe o ke kōkua ʻana i kou kino e hana i ka meaʻai, haki pū kou ake i nā mea āpau āu e lawe ai ma ka waha, e like me nā lāʻau, nā mea hoʻopihapiha, a me nā mea kanu. I kekahi manawa hiki i kēia mau mea ke kumu i ka transaminitis, keu hoʻi ke lawe ʻia lākou i nā koina kiʻekiʻe.
Nā lāʻau i hiki ke kumu i ka transaminitis:
- nā lāʻau lapaʻau ʻeha loa, e like me ka acetaminophen (Tylenol) a i ʻole ibuprofen (Advil, Motrin)
- statins, e like me atorvastatin (Lipitor) a me lovastatin (Mevacor, Altocor)
- nā lāʻau cardiovascular, e like me amiodarone (Cordarone) a me hydralazine (Apresoline)
- cyclic antidepressants, e like me desipramine (Norpramin) a me Imipramine (Tofranil)
Pākuʻi i kumu transaminitis nā:
- wikamina A
ʻO nā mea kanu maʻamau i kumu ʻia ka transaminitis:
- kahunapule
- kava
- senna
- ulupoo
- ephedra
Inā lawe ʻoe i kekahi o kēia mau mea, e haʻi i kāu kauka e pili ana i nā ʻōuli ʻē aʻe āu. Hiki paha iā ʻoe ke hoʻāʻo i kou koko i nā manawa āpau e ʻike pono ʻaʻole lākou e hoʻopili i kou ake. Inā lākou, pono ʻoe e hoʻohaʻahaʻa i ka nui āu e lawe ai.
ʻO nā kumu maʻamau o transaminitis
Maʻi maʻi HELLP
ʻO ka maʻi HELLP kahi maʻi koʻikoʻi e hoʻopili i ka 5-8 pakeneka o nā hāpai keiki. Kuhikuhi ia i kahi hui o nā ʻōuli e pili pū me:
- Hemolisis
- EL: nā enzymes ate kiʻekiʻe
- LP: helu pālāki haʻahaʻa
Hoʻohui pinepine ʻia me preeclampsia, ka mea e hoʻokumu i ke koko kiʻekiʻe i nā wahine hāpai. Hiki i ka HELLP maʻi ke hōʻeha i ke ake, nā pilikia kahe o ke kahe, a ʻo ka make ke mālama ʻole ʻia ia.
ʻO nā hōʻailona hou aʻe o ka maʻi HELLP:
- luhi
- ʻeha ka ʻōpū
- nausea a me ka luaʻi
- abdominal eha
- ʻeha poʻohiwi
- ʻeha ke hanu hohonu
- kahe ana ke koko
- pehu
- nā hoʻololi i ka hihiʻo
Inā hāpai ʻoe a hoʻomaka e ʻike i kekahi o kēia mau ʻōuli, e hoʻokaʻaʻike koke aku i kāu kauka.
Nā maʻi genetic
Hiki i kekahi mau maʻi hoʻoilina ke kumu i ka transaminitis. ʻO lākou nā kūlana maʻamau e hoʻopili i nā hana metabolic o kou kino.
Nā maʻi genetic i hiki ke kumu i ka transaminitis:
- hemochromatosis
- maʻi celiac
- Maʻi ʻo Wilson
- Ka nele alpha-antitrypsin
Hepatite nonviral
ʻO ka hepatitis autoimmune a me ka hepatitis ʻalekoke ʻelua mau ʻano maʻamau o ka hepatitis nonviral i hiki ke kumu i ka transaminitis. Hana ka hepatitis Nonviral i nā hōʻailona like me ka maʻi hepatitis viral.
Hana ka hepatitis autoimmune ke hōʻeha kāu ʻōnaehana pale i nā hunaola i kou ake. ʻAʻole maopopo i ka poʻe noiʻi nā kumu o kēia, akā he mea nui ke kūpuna a me ke kaiapuni.
Nā hopena hepatitis ʻalekohola mai ka inu ʻana i ka nui o ka waiʻona, maʻamau i nā makahiki he nui. Inā loaʻa iā ʻoe ka maʻi hepatita ʻona, pono ʻoe e haʻalele i ka inu ʻalekohola. ʻO ka hana ʻole ʻana pēlā e hiki ai i nā pilikia koʻikoʻi, me ka make pū kekahi.
Nā maʻi viral
ʻO nā maʻi viral nui loa e kumu i ka transaminitis nā maʻi mononucleosis infectious a me ka maʻi cytomegalovirus (CMV).
Hoʻolahalaha ʻia ka maʻi mononucleosis maʻi ma o ka lawai ʻana a hiki ke kumu:
- pehu nā tonsils a me nā lymph node
- eha ka 'ā'ī
- fiva
- ʻōpuʻu ʻōhū
- ʻeha poʻo
- fiva
Maʻamau ka maʻi CMV a hiki ke pālahalaha ʻia i loko o nā wai o ke kino, e laʻa me ke kuha, ke koko, ka mimi, ka semen, a me ka waiū umauma. ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi ʻōuli ke ʻole ka nāwaliwali o ka pale. Ke hana nei ka maʻi CMV i nā ʻōuli, like like lākou me nā mononucleosis infectious.
Ke laina lalo
ʻO nā ʻano mea like ʻole, mai nā maʻi nui a i nā loli lāʻau maʻalahi, hiki ke hoʻoulu i nā ʻenemi ate kiʻekiʻe, i ʻike ʻia ʻo transaminitis. ʻAʻole ia he mea maʻamau no kekahi poʻe e hoʻonui iki i nā enzyme ate. Inā hōʻike kahi hōʻike o ke koko he transaminitis kāu, he mea nui e hana pū me kāu kauka e kāpae i nā kumu kumu kūpono no ka mea ʻo ka hapanui o lākou e alakaʻi i ka hōʻino nui o ke akepaʻa a me ke kūpaʻa o ke ake inā haʻalele ʻole ʻia.