Autoimmune hepatitis. lapaʻau kiʻi

Autoimmune hepatitis i loko o ka hapanui o na hihia e hoʻomōhala ana i koke, a me kona lapaʻau hoikeana i ole okoa mai na symptoms o huʻi hepatitis. Ma ka loiloi mua ke kahua o ka maʻi ia nawaliwali kanaka Kahalaopuna. Dark mimi, jaundice, pili - kēia mau hōʻailona e pili ana i autoimmune hepatitis. Symptoms ikeia ao alohilohi i lawa, a hiki ma ka loiloi mua ke kahua. No kekahi mau mahina, ka mea lawe i ka oi piha lapaʻau kiʻi.

Ma pohihihi keia hoopii, autoimmune hepatitis ua wehewehe aku ma ka gradual pele. Naʻe, i loko o keia hihia, ua Kīwala'ō ma kaʻeha a me ka ehaeha ma ka hypochondrium akau, he kanaka Kahalaopuna discomfort, jaundice ikeia iki. A helu o nā mea maʻi me ka autoimmune hepatitis hoʻomaka e hoʻomohala i ka mai kuni, e like me extrahepatic hoike ana.

Piha lapaʻau kiʻi ua wehewehe aku ma ka loa nawaliwali, pruritus, nausea, lymphadenopathy. No ka maʻi ua i wehewehe aku ma ka jaundice (ʻaʻole ikaika, akā, piʻi pū i exacerbations), he hoomahuahua i ka nui o ka spleen a me ka akepaʻa. One-hapakolu o ka wahine autoimmune hepatitis ua pu ma ka amenorrhea (wa e kaawale aku o ka menstruation) a me ka hirsutism (lauoho ka ulu ana e like me na kanaka). I na kanaka, i ka pathology i ke pili me ka gynecomastia (ulu o mammary glands i loko o nā wāhine). Mawaena o ka nui ili reactions e e kaulana huehue, capillaries a me lupus palmarnuyu erythema a me nā lesions.

Autoimmune hepatitis mea he maʻi e holumua ai lesion ano me ke alo o ke akepaa-pili, lāʻau lapaʻau autoantibodies. Ke kaʻina hana i wahi me ka 'ano nui li nui, hypergammaglobulinemia.

Autoimmune hepatitis. lapaʻau

Pathogenetic Inc o ka maʻi o ka glucocorticosteroid Inc. Immunosuppressive Inc ke emi i ka ha awina o pathological keʻano o ka hanaʻana 'ia i loko o ke akepaa, a poina' ō o ka ha awina o T-suppressors, emi ka nui o nā reactions e hoʻonui ai i ka make ana o hepatocytes.

I hookuu, ka Inc ua hoʻohana 'ia ai' e like me "Methylprednisolone" a me "prednisolone". Ka loiloi mua kela la i keia mahele lāʻau - kanaono milligrams - ma ka hebedoma mua, he kanaha - lua, he kanakolu - i loko o ke kolu-hapaha. A laila, ua hoemiia ka laʻau heluna i iwakalua milligrams, i mea no ka mālama 'ana i mahele lāʻau. Hope Inc ua lawe mai like loa me ka normalization o lapaʻau, keʻena hoʻokolohua a me histological kiko'î.

Hoemi i ka nui o ka lāʻau loaa hanaia ke kiʻekiʻe. Kēia mea i loko o ka mooolelo o ka ka nui o ka lapaʻau papa, a me ka nui o ka lāʻau lapaʻau hōʻailona.

Autoimmune hepatitis hiki ke? Ee i loko o ka hapalua o ka makahiki. Eia naʻe, ma na hihia a pau, Inc mau he lōʻihi i hala, i kekahi manawa no ka wā e ola ana. I Ina o ka ole o ka monotherapy hoakaka kuapo kaapuni hoomakaukau "delagil", "Azathioprine", "Ciclosporin".

Inā immunosuppressive Inc i ole paka i ka manao result no eha makahiki, i ke alo o ka mau recurrences,ʻaoʻao 'ole, mai ka Inc hiki ke hoala mai i ka ninau o ke akepaʻa transplant.