Hepatitis

Chirongwa cheHepatitis

Hepatitis chirwere chinoratidzwa nekuputika kwechiropa. Apo isu tinowanzobatanidza nayo nehutachiona hwehutachiona, hwakadai sehepatitis B kana C, panewo maitiro asina-viral ehosha, kusanganisira autoimmune hepatitis uye doro hepatitis.

Hepatitis inogona kuitika kana kuti isina zviratidzo uye inogona kugadzirisa pachayo pachayo pasina mushonga wezvokurapa. Kana zviratidzo zvikaitika, zvinogona kuva nezviratidzo zvakadai sokunaya kweganda nemaziso ( jaundice ), kurasikirwa kwechido, uye kunzwa kwekuneta zvakanyanya, izvo zvinogona kupera kwemavhiki panguva imwe.

Acute uye Chronic Hepatitis

Zvichienderana nechinokonzera, hepatitis inogona kupa sezvinenge zvakaoma kana zvisingaperi .

Hazvo hepatitis inowanzova nehutachiona mumasikirwo uye inowanzozvidavirira, ichiratidza pakutanga neyemagetsi, zvirwere zvakadai semaperembudzi (fever, maziso, marwadzo akabatana, neusea) vasati varatidzwa ne jaundice, mhepo yakasviba (choluria), uye mabheji ane ruvara rwevhu . Chirwere chakawedzerwa uye kurwadziwa kwepamuviri kana kushungurudzika (zvinowanzo mukodzero yepamusoro quadrant pasi pemiti) zvinowanzovewo.

• Hepatologist kana Gastroenterologist? Kusarudza Zvakarurama Chiropa Chidzidzisi

• Chii chinonzi HBeAg kana Hepatitis B e-Antigen?

Kudzorera kunotora kutora mwedzi mumwe chete kana zvakadaro, kunyange mune dzimwe mamiriro-kunyanya ne hepatitis B-zvinogona kutora mwedzi mina kuti zviratidzo zvigadzirise zvakakwana.

Kurwara kwehepatitis, nekusiyana, chirwere chinobudirira. Inogona kuva isina zviratidzo mumatambo ekutanga uye inoonekwa chete neongororo yekuongorora. Zvisinei, sezvo kuvhiringidza kunowedzera zvishoma nezvishoma, kunogona kukonzera kugadzirwa kwechivara chinonzi scar (chinonzi fibrosis ), chinogona kudzivirira ropa kubuda mukati uye kunze kwechiropa. Kana kuora kunoramba kuchiwedzera, chiropa chekugona kushanda chinogona kudziviswa zvakakomba, zvichiguma nemamiriro ezvinhu anonzi cirrhosis . Ndiyo panguva ino iyo jaundice nemamwe zviratidzo zvechipatara zvinogona kuonekwa, zvinowanzova zviratidzo zvekuwedzera kwechiropa chirwere.

Zvimwe zvinokonzera hepatitis zvakasiyana-siyana, zvichibva kune hutachiona hwehutachiona kuhutano hwema genetic uye kunwisa doro kushandiswa. Zvinhu zvitatu zvinowanzokonzera zvinogona kuve zvakarongeka sezvipembenene, zvinoshandisa muviri, uye zvimoto.

Zvinokonzera Kutapukira kweHepatitis

Kunyange zvazvo hutachiona hwehupachipatara ndiyo inowanzozivikanwa yehepatitis pasi rose, kunewo mabhakitiriya uye zvinokonzera zvirwere zvechirwere. Izvi zvinosanganisira zvirwere zvechiropa zvinokonzerwa nezvinhu zvose kubva kuSalmonella uye E.Byteria mabhakitiriya kune zvipenyu zveprotozoan zvinorwisa zvakasimba chiropa.

Mukutaura kwehutachiwana hwehutachiwana, tinowanzotarisa kune hutachiona hwehutachiona hwehutachiona, huchipiwa kuti vanopfuura mamiriyoni 1.5 vanhu vanorwara nechirwere gore negore. Iyo miviri yakawanda kwazvo inowanzoenderana chete uye inogona kusiyaniswa nenzira dzekutumira, kuwedzera kwezvirwere, uye nzira dzokudzivirira.

• Hepatitis A inokonzerwa nehutachiona hweH hepatitis A (HAV) uye inowanzoparidzirwa kuburikidza nezvokudya kana mvura yakasvibiswa nezvipembenene zvine utachiona hweHIV. Icho chinopa pachena kwete nekufambira mberi kune chiitiko chisingaperi. Ivhareji incubation nguva iri pakati pe14 ne 48, nekunzwa kwakakwana kubva kune zviratidzo zvinotora kutora kwemwedzi miviri. Mushonga unowanikwa unogona kudzivirira hutachiona hweHIV kusvika kumakore gumi.

• Hepatitis B inokonzerwa nechirwere che hepatitis B (HBV) . Inopararira kuburikidza nehutano neHBV-ine utachiona, ropa, kana salivha, kana panguva yepabonde kana nekuda kwekushandisa mushonga wezvinodhaka. Kugovera razors, kutora mishonga isina kuchena, kana kunwisa kunogonawo kutumira utachiona. Hepatitis B inogona kupa zvose zviri zviviri uye zvisingagumi, nekavhareji inowanikwa mumazuva 45 kusvika ku160. Mukuwedzera kune zvirwere zviviri zveHBV , pane zvinomwe zvinotenderwa neDAA-zvinogamuchirwa zvinoshandiswa mukurapa kweHBV chirwere. Kunyange pasina mishonga inokwanisa kubudisa hutachiona, inogona kubudirira kudzivirira kudzokorora kwehutachiona uye kukanganisa kuchiropa.
• Hepatitis C inokonzerwa nechirwere che hepatitis C (HCV) . Hepatitis C inopararira zvakanyanya kuburikidza nekushandisa injecting zvinodhaka, asi inogona kuparidzirwa kuburikidza nepabonde uye kubva kuna amai kuenda kumwana panguva yekuzvitakura. Nguva yekukohwa inogona kubva kubva pamasikati kusvika pamakumi mashanu. Kunyange chero kupi zvako kubva kune makumi maviri kusvika ku40 kubva muzana yeHBV-munhu ane hutachiwana huchavhara hutachiona pasina hutano kana zviratidzo, zvakasara zvichaenderera kune chirwere chisingaperi. Kunyange zvazvo pasina mushonga wokudzivirira hutachiona hwehutachiona, mishonga yerudzi idzva ikozvino inogona kukanganisa zvirwere zvepakati kusvika 99 muzana mune mamwe mapoka.

• Hepatitis D inokonzerwa nehutachiona hweH hepatitis D (HDV) uye inongogona kuitika kana munhu akabatwa nehutachiona hweHpatitis B (HBV). Inonyanya kupararira kuburikidza nekushandisa injecting zvinodhaka uye ine huwandu hwehuwandu hwehuwandu hwevirusi dzose (20 muzana). Kazhinji muU.S., hepatitis D inowanzoonekwa zvikuru munyika dziri kusimukira, dzakadai seaya dziri kuSouth Africa yeSouth Africa, Middle East, uye nechokumaodzanyemba kweSouth America. Kunyange zvazvo chirwere cheHBV chinozivikanwa kuti chidzivirire utachiona (sezvo HDV isingagoni kuratidzira pachayo), nzira dzokurapa dzakashata, uye chete 20 muzana yevaya vari kurapwa vanogona kuwana hutachiwana hwekuregererwa kwetachiona.
• Hepatitis E inokonzerwa nehutachiona hweH hepatitis E (HEV) uye inopararira zvikurukuru kuburikidza nemvura yakasvibiswa munzvimbo dzine utsvina hwakashata. Hepatitis E inowanikwa muIndia, Southeast Asia, Central America, uye kuchamhembe uye pakati peAfrica. Nguva yekudzivirira iri pakati pemazuva 14-60, uye zvirwere zvizhinji zvakanyanya zvinogadzirisa pachavo pachavo. Zvisinei, kune vanhu vane mafungiro ekudzivirira zvirwere, chirwere chinogona kufambira mberi kune chirwere chisingaperi. Hapana chirwere chinogona kuwanika kudzivirira HEV chirwere. Kurapa nzira dzisingakwanisi, kunyange zvazvo kune kubudirira mukubudirira kwehutachiona nekushandiswa kwezvinodhaka ribavirin .

• Zvaunofanira Kuziva Nezve 5 Marudzi eViral Hepatitis

• Chirwere cheHerpatitis B cheSunus Antibody (HBsAb) Chinotungamirirwa Sei?

Matetabolic Anokonzera Hepatitis

Zvinokonzera mishonga inokonzera hepatitis ndeaya inobatanidza zvinhu zvatinogona kutora kana kuti zvinoratidzirwa, kana izvo zvinosanganiswa nekuderedza, insulin kusagadzikana, uye chirwere cheshuga. Izvi hazvirevi kuratidza kuti munhu "anokonzera" hepatitis yavo, asi kuti kune zvinhu zvinoshanduka zvinokonzera munhu pangozi yakakura yechiropa kuvhiringidza nekukuvara.

Izvozvo zvinokonzera kushandiswa kwehutachiona hwehepatitis zvinogona kuiswa zvakanyanya se:

• Dorosi hepatitis , kuwedzerwa kwechirwere chechiropa chinodhaka, ndicho chinokonzera kukanganisa muUnited States. Inotanga kukura pane kwenguva yakareba uye inozivikanwa kuti inobatsira kusvika 10 kusvika ku20 muzana yezvinodhakwa. Ngozi yehupatitis inoratidzika kunge yakabatana zvakakwana nehuwandu uye nguva yekudhakwa doro, nekudya zvakadzama kunotsanangurwa seanopfuura 80 gramu doro nezuva nezuva varume uye 40 gm pazuva pavakadzi. Kunyanyisa kunwa doro kunoshandiswawo kunowedzera kukanganisika kwehutachiona hwehutachipatachi , zvikurukuru hepatitis B uye C.
• Zvinodhaka-induced hepatitis ndizvo zvinokonzerwa nenhamba ipi zvayo yeupisi kana mishonga munhu angave akataridzirwa. Inogona kusanganisira kushandiswa zvakanyanya kweAcetaminophen (Tylenol, paracetamol) , pamwe chete nemiti yakawandisa yemishonga uye yezvokudya zvinowanikwa pane iyo. Anti-tuberculosis drugs, anti-epileptics, mishonga yeHIV, mishonga yemishonga, chirongwa chekudzivirira pamuviri, uye vanabolic steroid ndeimwe yemakirasi emishonga iyo kukuvara kwechiropa kunogona kuitika semugumisiro wekushandisa nguva dzose.
• Izvo zvisina kunwa zvinodhaka zvechiropa chirwere (NAFLD) chakanyanyobatanidzwa nehutachiona hwehutachiona , boka rezvokurapa rinosanganisira kurema kwepamuviri, kupisa kweropa, uye lipid yakakwirira, glucose, uye cholesterol. Sezvo NAFLD ichifambira mberi, zviratidzo zvekugara kwenguva refu hepatitis zvinogona kukura, zvichiratidza nekuwedzera kwehuwandu hwechiropa chokuputika uye fibrosis. NAFLD nhasi ndiyo yechitatu inowanzokonzera chiropa chechiropa muUnited States

Autoimmune Hepatitis

Kuzvidzivirira kwehepatitis, chimiro chechirwere chemoto , chirwere umo muviri wechirwere chemuviri wako unopesana nemasero eropa. Mamiriro aya anotendwa kuti ane maitiro ezvisikwa, pamwe nevamwe vanhu vakatarisana nechirwere chechiropa pasina zvinokonzera kupisa kana kuti zvinokonzera mishonga. Autoimmune hepatitis inonyanya kuonekwa muvakadzi, kazhinji pakati pemakore gumi nemashanu.

Zviratidzo zvinogona kubva pane zvinyoro kusvikira kune zvakanyanya, nevamwe vanhu vanotaura neacute hepatitis (jaundice, kumusoro kwepamusoro pemarwadzo emimba), asi vamwe vanoratidza zvirwere zvisingaperi (zvakadai sokuneta, aches, kusina chiropa chinoshanda chekuedza).

A definitive diagnosis of autoimmune hepatitis inoda chiropa cheopsy . Mishonga inoshandiswa inosanganisira kushandisa korticosteroid zvinodhaka, prednisone kana budesonide , zvose zviri zviviri zvinogona kukwanisa kuregererwa mutengo kubva pakati pe 60 ne80 muzana.

> Sources:

> Basra G, Basra S, uye Parudupi S. Zviratidzo uye zviratidzo zvekudhakwa kwakanyanya kwechirwere chehepatitis. " World Journal of Hepatology. 2011; 35 (5): 118-120.

> Centers for Disease Control and Prevention (CDC). Viral Hepatitis. Atlanta, Georgia.

> Kaplowitz N. Drug-Induced Chiropa Injury. Clinical Infectious Diseases. 2004; 38 (Suppl 2): ​​S44-S48.

> National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Autoimmune Hepatitis. Bethesda, Maryland.

> Rinella M. Nonalcoholic fatty chiropa chirwere: a systematic review. Nyaya yeAmerican Medical Association. 2015; 313 (22): 2263-2273.