Izvi zvinowanzoitika Asi Mamiriro Akaoma Akazivikanwawo seFulminant Hepatitis
Kana iwe kana munhu waunoda ane chirwere chehutachipatachi hepatitis , iwe unofanirwa kuziva kuti chiropa chakakundikana ndechimwe chisingawanzo asi chakakomba chinokonzerwa nemigumisiro yehutachiona.
Chii Chinonzi Chiropa Chinokundikana?
Kurwara kwechiropa zvakanyanya ndekukurumidza kuendesa kuchipatara kune imwe nguva. Mamiriro acho ezvinhu anonziwo seasminist hepatic failure, achematic hepatic necrosis, fulminant hepatic necrosis uye fulminant hepatitis.
Izvo zvinoitika apo masero emuropa anokuvara nokukurumidza zvokuti nhengo haigone kuzvigadzirisa pakarepo zvakakwana. Zvikamu zvechiropa zvinouraya kana kutanga kutadza kushanda. Chiitiko chakadaro chinogona kuita kuti chiropa chirege kurega kushanda zvachose, zvichikonzera matambudziko kune dzimwe nzvimbo dzomuviri.
Nemhaka yokuti chiropa chikamu chinokosha chemuviri, kana chaparadzwa, dzimwe nhengo dzinobatwawo, zvakare. Uropi ndeimwe yezvikamu zvinokosha zvakakanganiswa panguva yekushaya simba kwechiropa, nekukuvadza kuuropi zvinoguma mumamiriro ezvinhu anonzi encephalopathy.
Chiremera chechiropa chinowanzoonekwa sechakaoma panzvimbo pokusingaperi apo kutanga kwechirwere kunowanikwa mukati memasvondo makumi maviri nemasere.
Zviratidzo zveAlute Chikundikana Kukundikana
Pamberi chiremba anokwanisa kuongorora kuti fulminant hepatitis, murwere anofanirwa kuratidza zviratidzo zvekuchera nepfungwa, chirwere cheuropi. Zviratidzo zvinokosha ndezvi:
- Kusanganiswa
- Shanduka mukuzvibata
- Shanduka mukuchenjerera
- Dambudziko kushanda kuburikidza nekuita kwepfungwa
Zviratidzo izvi zvinogona kutungamirira ku coma uye kunyange rufu kana chiropa chisina kuchinja.
Zvimwe zviratidzo zvekushaya chiropa zvakanyanya zvinosanganisira:
- Kuneta / malaise
- Lethargy
- Anorexia
- Nausea uye / kana kurutsa
- Kurudyi kwepamusoro ye quadrant kurwadziwa
- Itching
- Jaundice
- Mimba yekudzivirira
Chirwere chinokonzerwa nechiropa chinoratidzwa chinoenderana nekusawirirana kuongororwa kweropa (zvakadai sebilirubin level test), hepatic encephalopathy uye nguva refu prothrombin, iyo yakawanda nguva inotora kuti plasma yeropa ivhare.
Zvinokonzera Acute Chiremera Kukundikana
Kurwara kwechiropa zvakanyanya ndeimwe yezvinetso zvakakomba zvehutachiona hwehutachiona hutachiona. Chaizvoizvo, chiremba wose ane hanya iyi mupfungwa dzavo apo achirapa varwere vane acute viral hepatitis.
Kurwara kwechiropa zvakanyanya hazviwanzoitiki. Kana zvikaitika, zvinowanzoonekwa muhepatitis A uye kutapukira kwehepatitis B. Kunyange zvakadaro, vashoma kupfuura 1 kubva muzana yevanhu vane chirwere cheHpatitis B, uye kunyange nechepakati pezana yevanhu vane hepatitis A vachakurumidza kuzadza hepatitis.
Hepatitis E inogonawo kuita kuti chiropa chisakundikana, kunyange zvazvo utachiona uhwu husingawaniki muUnited States
Chimwe chikonzero chinokonzerwa nechiropa chakakundikana, kunyanya muU.S., ndiyo acetaminophen toxicity. Acetaminophen, inowanzozivikanwa seTylenol, chirwere chinorwadza-chinotapira chakafanana ne aspirin uye chinogona kutengwa pasina mushonga. Zvakawanda zvechirwere ichi zvinokuvadza chiropa uye zvinogona kutungamirira kuchiropa kusakundikana. Vanhu vanogara vachinwa doro rakawandisa uye vanotora acetaminophen yakawanda vanogona kunge vari mungozi yakawanda yekushaya chiropa chakakundikana.
Kune zvimwe zvakawanda zvinokonzerwa nekushaya simba kwechiropa, kusanganisira idiosyncratic (isingazivikanwi) zvinodhaka zvinodhaka, autoimmune hepatitis, chirwere cheWilson uye mushroom chepfu.
Kurapa uye Kurapa
Vanhu vane kukanganisa kwechiropa chakanyanya kunofanira kurapwa mukutarisa kunetseka kuchipatara chinotapira chiropa.
Chinangwa ndechokuchengeta murwere ari mupenyu kwenguva yakakwana kuti ape nguva yechiropa chekuzvigadzirisa pachayo, kana kusvikira murwere aine chiropa chekuisa. Zvinosuruvarisa, kuwedzerwa kwechiropa hakubatsiri mune zvemishonga kune wese munhu uye dzimwe nguva hapachina zviputi zvinowanikwa pakugadzirwa.
Muchiropa chakanyanya kukanganisa kunokonzerwa nehutachiona hwehutachipatachi, hutachiona hwehutachiona hunogona kubatsira kudzivisa kudiwa kwechiropa chekupemha.
Inofungidzirwa kuti 40 muzana yevarwere vane chiropa chakakomba chinokanganisa vachabva vasina kudzoka pasina kuwedzerwa kana vakatarisira zvakanaka.
Mune varwere vanowana chiropa chitsva, gore rimwechete rinopona rinopfuura 80 muzana.
Sources:
Kurwara kwechiropa kwakanyanya kune vanhu vakuru: Etiology, zvipatara zviratidzo, uye kuongororwa. Kusvika pari zvino. August 12, 2015.
Kurwara kwechiropa zvakanyanya kune vanhu vakuru: Kutarisira uye kufungidzira. Kusvika pari zvino. January 5, 2016.
Fontana, RJ Chikwata Chekushaya Chiremera. Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 8e . Philadelphia, Elsevier, 2006. Mapeji 1993-2002.
Dienstag, JL Acute Viral Hepatitis. Harrison's Principles of Internal Medicine, 17e . New York, McGraw-Hill, 2008. Mapeji 1944-1945.