So wobetumi de awuduru ahyɛ wo mmerɛbo mu? (Toxic Hepatitis) Momma yɛnhwehwɛ nea eyi yɛ ankasa!

Mmɛn yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu no mu biako. Te sɛ nea wɔde yiyi mogya mu no, mmerɛbo no adwuma titiriw ne sɛ ebeyi awuduru afi nipadua no mu na atew mogya no ho . Nanso, ɛtɔ mmere bi a awuduru betumi asɛe mmerɛbo no nso. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm, a ɛne Toxic Hepatitis . Ebia wontee eyi ho asɛm da. Nanso eyi yɛ biribi a ɛsɛ sɛ yɛn nyinaa hu.

Dɛn ankasa ne Toxic Hepatitis?

Sɛ yɛbɛka no tiawa a, hepatitis a awuduru wom ne bere a yɛn mmerɛbo mu yɛ hyew. Saa ɔfe yi fi biribi a awuduru wom (awuduru) a wɔde wɔn ho hyɛ mu . Eyi kyerɛ sɛ wo:

• Sɛ wode wo nsa ka biribi a awuduru wom a.
• Sɛ wohome mframa a awuduru wom a.
• Sɛ womene biribi a awuduru wom a.

Eyi betumi ama mmerɛbo no ahonhon. Ɛnyɛ ɛno nko, na mmom sɛ wonom nnuru bi dodo anaa wonom nsa pii a, ebetumi asɛe mmerɛbo no nso na ɛde tebea yi aba. Sɛ mmerɛbo no ahonhon saa bere tenten a, ebetumi nso asɛe mmerɛbo no daa. Susuw ho sɛ sɛ yɛkɔ so hwie nsu fĩ gu yɛn nsuo afiri mu wɔ fie a, ɛbɛyɛ fĩ.

Dɛn na ɛto yɛn mmerɛbo ankasa?

Mmɛn yɛ akwaa akɛse a ɛwɔ yɛn nipadua mu no mu biako. Ɛte sɛ yɛn nipadua no ahotew beae . Mmerɛbo titiriw na ɛho tew yɛn mogya na eyi awuduru ne nneɛma a yɛmpɛ a ɛkɔ nipadua no mu no fi hɔ. Sɛ ɛnyɛ adwuma yiye a, yɛn nipadua nyinaa betumi ayɛ nea entumi nyɛ adwuma yiye.

So mmerɛbo mu yare ahorow a awuduru wom wɔ hɔ?

Yiw, yebetumi ahu mmerɛbo mu yare a awuduru wom wɔ akwan titiriw abien so:

• Hepatitis a awuduru wom a emu yɛ den: Eyi yɛ tebea a ɛba mpofirim . Nsɛnkyerɛnne betumi ada adi bere tiaa bi anaa bere tiaa bi akyi bere a wɔde wɔn ho ahyɛ ade bi a awuduru wom mu akyi.
• Hepatitis a awuduru wom a enni sabea: Eyi gye bere kakra ansa na aba. Ebia yare no ho sɛnkyerɛnne biara nni hɔ adapɛn anaa asram pii. Ɛyɛ mmerɛbo no na bere kɔ so no, ɛsɛe .

Wɔ saa ahorow abien yi akyi no, nnuruyɛfo nso kyekyɛ tebea yi mu sɛnea nea ɛde ba no te.

• Hepatitis a nnuru de ba: Eyi fi nnuru bi a obi we, ɔhome, anaa ɔde ne nsa ka. Ebia nnipa a wɔyɛ adwuma wɔ adwumayɛbea ahorow bi mu no bɛkɔ asiane mu.
• Hepatitis a nnuru de ba: Saa tebea yi betumi aba sɛ wonom nnuru bi dodo , sɛ nhwɛso no , acetaminophen (a wɔsan frɛ no Panadol, paracetamol), nnuru a wɔde kum ɛyaw te sɛ nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) , anaa nnuru afoforo a oduruyɛfo akyerɛw wo.
• mmerɛbo mu yare a nsa de ba:Eyi yɛ tebea a ɛba nnipa a wɔnom nsa daa mu, titiriw wɔn a nsa anom (Alcohol use disorder). Asiane yi yɛ kɛse ma wɔn a ɛtɔ mmere bi a wɔnom nsa ka nnubɔne afoforo ho no.

Dɛn ne mmerɛbo mu awuduru ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw biako a ɛkyerɛ sɛ mmerɛbo mu haw ne honam ani ne aniwa a ɛyɛ kɔkɔɔ (Jaundice) . Eyi yɛ biribi a nnipa dodow no ara nim. Nanso, ebia sɛnkyerɛnne afoforo bɛka eyi ho:

• Yafunu mu yaw , titiriw wɔ yafunu no atifi nifa so.
• Sɛ wote nka sɛ wo yafunu ayɛ hyew esiane nsu a ɛboaboa ano wɔ yafunu mu nti (ascites) .
• Ɔbrɛ ne nkwa a enni mu ho nkate a ɛkɔ so daa `(Ɔbrɛ)` .
• Huraeɛ .
• Aduan yɛ nea ɛnyɛ dɛ .
• Akisikuru ne ɔfe .
• Nsakrae a ɛba nsu kɔla mu , titiriw nsu a ɛyɛ kɔkɔɔ tuntum kosi tii kɔla.

Nnipa binom betumi anya honam ani akisikuru a wɔfrɛ no ``Toxic hepatitis rash`` . Eyi ma nsensanee nketenkete a ɛyɛ kɔkɔɔ anaa nsensanee pue wɔ honam ani. Honam ani nso betumi ayɛ mmerɛw (pruritus) .

Dɛn ne nneɛma atitiriw a ɛde mmerɛbo mu yare a awuduru wom ba?

Sɛnea yɛadi kan aka ho asɛm no, nnuru anaa nnuru bi a wɔde di dwuma no ne ade titiriw a ɛde ba. Nsɛnkyerɛnne no betumi ada adi ntɛm ara, anaasɛ ebetumi ada adi wɔ adapɛn anaa asram bi akyi.

Nanso ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ ɛnyɛ obiara a obenya saa nneɛma yi na obenya mmerɛbo mu yare a awuduru wom. Ɛsono sɛnea obiara nipadua yɛ n’ade.

Momma yɛnhwɛ nneɛma atitiriw kakraa bi nti:

Hepatotoxicity a nnuru de ba

Eyi ba esiane nnuru ne nnuru a wɔde ka ho a yɛnom no bi nti.

• Nnuadewa bi a wɔde ka aduan ho : Yegye di sɛ Ayurveda ne aduru a wɔde di dwuma wɔ amanne kwan so no nyɛ asiane biara. Nanso, sɛ wɔde nhabannuru bi di dwuma wɔ ɔkwan a ɛnteɛ so a, ebetumi apira mmerɛbo no.
• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) : Ɛnyɛ papa sɛ wode nnuru a wɔde kum ɛyaw te sɛ ibuprofen bedi dwuma bere nyinaa anaasɛ ɛboro so.
• Nnuru a wɔkyerɛw ma: Nnuru bi a nnuruyɛfo kyerɛw ma (e.g., nnuru a wɔde sa nsamanwaw, nnuru bi a wɔde sa akisikuru) betumi aka mmerɛbo no sɛ wɔannom sɛnea wɔakyerɛ no a.

mmerɛbo mu yare a awuduru wom a nsa de ba

Nsã a wɔnom boro so no nye mma mmerɛbo no yiye. Sɛ worehyia ɔhaw wɔ nsa a wobɛnom so a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.

Na sɛ wonom acetaminophen pii nso ɛ?

Acetaminophen mpo (e.g. Tylenol®, Panadol, Paracetamol), a yɛtaa de di dwuma ma atiridiinini ne nipadua mu yaw no, sɛ wɔnom boro so a, ebetumi ayɛ awuduru ama mmerɛbo no. Ɛsɛ sɛ mpanyimfo pii kae nneɛma yi:

• Acetaminophen bɛboro miligram 4000 da biara ( nnɔnhwerew 24) .Mfa no. (Ɛno kyerɛ sɛ Panadol aduru bɛboro 8 a wɔde di dwuma daa).
• Mfa acetaminophen ntra nnafua 10 bere koro mu (a wunni aduruyɛfo afotu).

Sɛ wowɔ mmerɛbo mu yare bi dedaw a, acetaminophen a wobɛnom dodo no betumi ayɛ asiane kɛse. Sɛ wususuw sɛ woanom boro dodow a wɔkamfo kyerɛ no so a, kɔ oduruyɛfo nkyɛn ntɛm ara . Ebia wo duruyɛfo nso bɛyɛ acetaminophen dodow ho nhwehwɛmu de ahwɛ sɛnea acetaminophen dodow wɔ wo mogya mu.

Na sɛ vitamin A kɔ soro nso ɛ?

Vitamin A ho hia ma nipadua no. Nanso, sɛ wɔnom vitamin A bɛboro 40,000 IU (International Units) da biara a, ebetumi ama mmerɛbo mu awuduru aba. Enti, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa afa vitamin anaa aduannuru biara a wobɛnom ho.

So mmerɛbo mu yare a awuduru wom tumi fi onipa biako so kɔ foforo so?

Dabi, hepatitis a awuduru wom nyɛ yare a wotumi de fi onipa biako mu kɔ foforo mu. Ɛyɛ tebea a ɛnyɛ nea wɔde yare mmoawa ba. Enti, wuntumi nnya bi mfi obi a ɔwɔ yare no ho a wobɛka ho no mu.

Hena na ɔwɔ asiane kɛse mu ma tebea yi?

Obiara betumi anya mmerɛbo mu yare a awuduru wom. Nanso, nnipa binom wɔ asiane kɛse mu:

• Wɔ mmea fam (esiane sɛnea wɔyɛ wɔn ade wɔ nnuru bi ho nti).
• Wɔ wɔn a nsanom aka wɔn hɔ (Asanom a wɔde di dwuma ho haw) fam no .
• Nnipa a wɔwɔ mmerɛbo mu yare dedaw , sɛ nhwɛso no, wɔn a wɔwɔ Hepatitis B anaa Hepatitis C.
• Wɔn a wɔde nnuru bi a wɔkyerɛw ma wɔn anaa nnuru a wɔtɔn (titiriw nnuru pii a wɔde di dwuma bere koro mu) di dwuma no fam.
• Wɔ wɔn a wɔne nnuru bi (e.g. nnuru a wɔde siw ano) yɛ adwuma anaasɛ wɔtaa di nkitaho no fam no .

Afei nso, nnipa a wɔwɔ awosu mu nyarewa ahorow bi wɔ asiane mu kɛse. Nhwɛso ahorow:

• Alpha-1 antitrypsin a enni nipadua no mu .
• Hemochromatosis (dade a ɛboro so wɔ nipadua no mu).

Dɛn ne nsɛnnennen a ebetumi afi mmerɛbo mu yare a awuduru wom mu aba?

Sɛ wɔansa saa tebea yi yiye a, ebetumi asɛe mmerɛbo no kɛse. Eyi betumi ama tebea horow te sɛ mmerɛbo no mu yare ( mmerebe a ɛyɛ den na ɛyɛ ketewaa) ne awiei koraa no mmerɛbo no a entumi nyɛ adwuma yiye . Sɛ ɛba saa a, ebia ebehia mpo sɛ wɔma wo mmerɛbo foforo . Enti ɛnyɛ adwene pa sɛ wubebu w’ani agu so kɛkɛ.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wowɔ sɛnkyerɛnne bi a, oduruyɛfo bedi kan abisa wo wo sɛnkyerɛnne ne w’asetra kwan (e.g., nnuru a wonom, nsa a wonom, adwuma a woyɛ). Afei wɔbɛyɛ nipadua mu nhwehwɛmu . Ebia wɔbɛyɛ nhwehwɛmu ahorow bi nso de ahu sɛ ebia wowɔ mmerɛbo mu yare a awuduru wom anaa.

Mogya mu nhwehwɛmu

Eyi nti, wɔyɛ mogya mu nhwehwɛmu pii titiriw:

• Comprehensive metabolic panel (CMP) : Eyi betumi ama yɛanya adwene wɔ sɛnea nnuru ne akwaa ahorow a ɛwɔ nipadua no mu yɛ adwuma ho.
• Berɛbo dwumadi ho nhwehwɛmu : Eyinom hwɛ sɛnea mmerɛbo no reyɛ adwuma yiye ne sɛ ebia mmerɛbo no asɛe anaa.

Nea ɛka ho no, sɛ oduruyɛfo no pɛ a, obetumi ayɛ mogya mu nsa dodow (BAC) nhwehwɛmu anaa nhwehwɛmu bi de ahwɛ sɛ nnubɔne afoforo a wɔde di dwuma ɔkwammɔne so wɔ hɔ anaa. Wobetumi ahu eyinom denam mogya ne nsu mu nhwehwɛmu so.

Sɔhwɛ afoforo

Sɛ ɛho hia sɛ wonya nsɛm pii fa mmerɛbo no tebea ho a, oduruyɛfo betumi ayɛ nhwehwɛmu ahorow te sɛ:

• Mfoninitwa nhwehwɛmu : Sɛ nhwɛso no, CT scan anaa MRI scan . Eyinom twa mmerɛbo no mu mfonini na wɔhwehwɛ mu.
• Liver biopsy : Woyi ntini ketewaa bi fi mmerɛbo no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛnea asɛe mmerɛbo no. Mpɛn pii no, sɛ sɔhwɛ afoforo ntumi nwie a, wɔyɛ eyi.

Dɛn ne ayaresa a wɔde sa eyi?

Hepatitis a awuduru wom a wɔbɛsa no gyina baabi a wo mmerɛbo no asɛe no so. Sɛ oduruyɛfo bi hwɛ wo mmerɛbo mu wie a, ebia ɔbɛkamfo nea edidi so yi akyerɛ:

• Wɔka kyerɛ wɔn sɛ wonnyae nnuru anaa aduannuru a wɔde ma mmerɛbo no a awuduru wom nom .
• Wɔka kyerɛ wo sɛ gyae nsa nom koraa .
• Sɛ wohyia nnuru wɔ adwumam a, wo ne wo panyin nka ho asɛm na bɔ mmɔden sɛ wobɛdan akɔ adwuma foforo mu .
• Sɛ ɛno ntumi nyɛ yiye a, wɔkamfo kyerɛ sɛ hyɛ nneɛma a wɔde bɔ wo ho ban (te sɛ anim akataso ne nsateaa) bere a wode nnuru reyɛ adwuma no.

Nea ɛho hia sen biara ne sɛ wubeyi nea asɛe mmerɛbo no afi hɔ. Eyi ma mmerɛbo no nya hokwan sa ne ho yare.

So wobetumi asa mmerɛbo mu yare a awuduru wom koraa?

Mpɛn pii no, yiw, wobetumi asa mmerɛbo mu yare a awuduru wom . Yɛn mmerɛbo tumi yi nkwammoaa a asɛe na ɛyɛ foforo. Eyi kyerɛ sɛ mmerɛbo no tumi dan nneɛma a asɛe no. Nanso, sɛ wunya mmerɛbo mu yare a emu yɛ den, te sɛ akisikuru , a, asiane wom sɛ wo mmerɛbo no bɛyɛ adwuma yiye. Sɛ ɛba saa a, ebia w’aduruyɛfo kuw no ne wo bɛkasa afa mmerɛbo a wɔde bɛma obi foforo ho.

Bere tenten ahe na egye ansa na asa?

Bere a egye na obi anya ahoɔden afi mmerɛbo mu yare a awuduru wom mu no gyina nneɛma pii so:

• Bere tenten ahe na woanya saa tebea yi?
• Sɛnea wo mmerɛbo no sɛe kodu.

Sɛ nneɛma a asɛe no nyɛ den anaasɛ ɛyɛ mmerɛw a, ebetumi agye adapɛn anaa asram pii ansa na mmerɛbo no asiesie nkwammoaa a asɛe no na asa.

Yɛbɛyɛ dɛn atumi abɔ yɛn ho ban afi eyi ho?

Nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi mmerɛbo mu yare a awuduru wom ho:

• Kwati sɛ wode wo ho bɛhyɛ mfiridwuma mu nnuru a ebetumi asɛe mmerɛbo no mu.
• Mfa nnubɔne a mmara mma ho kwan (cocaine, wii, ne nea ɛkeka ho) nni dwuma .
• To nsa dodow a wonom ano hye , anyɛ saa a ɛbɛyɛ papa sɛ wubegyae koraa.
• Sɛ wotɔ nnuru fi nnurutɔnbea mpo a, fa no sɛnea wɔakyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata mu .
• Wo ne oduruyɛfo nkasa ansa na woanom aduannuru biara .

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ mmerɛbo bɛsɛe no so? Ɔkwan bɛn so na yɛbɛma mmerɛbo no anya apɔwmuden?

Wubetumi aboa ma wo mmerɛbo ayɛ yiye denam asetra mu nsakrae a ɛyɛ papa a wobɛyɛ so. Bere a hepatitis a awuduru wom aduan pɔtee biara nni hɔ no, wubetumi aboa wo mmerɛbo no ma ayɛ adwuma denam nneɛma a wubetumi ayɛ a wubedi na woanom so. Sɔ nneɛma yi hwɛ:

• Nom nsu ne nsu pii. Mma nsu a ɛho ayɛ fĩ mma.
• Di nnuan a ahoɔdennuru pii wom pii (sɛ nhwɛso no, bankye, green peas, ne aburow a wɔayam te sɛ aburow a ɛyɛ bruu).
• Tow nnuan a srade pii wom na asikre pii wom ano .
• Tew nkyene a wodi so .

Sɛ wowɔ mmerɛbo mu yare a awuduru wom a, dɛn na wobɛhwɛ kwan?

Wo ne wo duruyɛfo nka wo mmerɛbo akwahosan ho asɛm. Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wobɛhwɛ wo ho bere a wo ho retɔ wo wɔ mmerɛbo mu yare a awuduru wom ho no akyi yiye.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ mmerɛbo mu yare a emu yɛ den ho sɛnkyerɛnne, anaasɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mmerɛbo no ayɛ adwuma yiye a, kɔ oduruyɛfo nkyɛn ntɛm ara . Eyinom bi ne:

• Nsu a ɛyɛ sum na ɛyɛ tarry .
• Delirium (adwene a ɛyɛ basaa, adwene a ɛyɛ basaa).
• Sɛ jaundice (honam ani ne aniwa a ɛyɛ kɔkɔɔ) kɔ soro a.
• Sɛ aduan ho akɔnnɔ no kɔ so a.
• Ecchymosis yɛ nsensanee a ɛte sɛ akuru a ɛba nipadua no so mpofirim .
• Ɛyɛ den sɛ wobɛkanyan nipadua no .
• Mogya a wɔfe .

Bere kɔ so no, mmerɛbo mu yare a awuduru wom betumi aba. Ebia worenhu sɛnkyerɛnne biara kosi sɛ wo mmerɛbo bɛsɛe. Nanso, asetra mu nsakrae a wobɛyɛ no betumi aboa ma wo mmerɛbo no ayɛ yiye. Wo ne wo duruyɛfo nkasa mfa nea ɛde mmerɛbo mu awuduru ba ne sɛnea wubetumi ama wo mmerɛbo akwahosan atu mpɔn ho. Sɛ mmerɛbo mu yare a awuduru wom asɛe wo mmerɛbo kɛse a, wo duruyɛfo bɛkyerɛkyerɛ ayaresa a wubetumi apaw mu na aboa wo ma wo ho atɔ wo.

Fa nkrasɛm kɔ fie

Enti, yɛwɔ anidaso sɛ afei moate nea awuduru yɛ hepatitis, nea ɛde ba, ne sɛnkyerɛnne, ne ayaresa ase. Kae sɛ yɛn mmerɛbo yɛ akwaa a ɛsom bo yiye . Ɛyɛ yɛn asɛyɛde sɛ yɛbɔ ho ban.

• Nnom nnuru a ɛho nhia . Nkɔ so mfa nnuru biara nni dwuma a wunni oduruyɛfo afotu.
• Twe wo ho fi nsa ho sɛnea wubetumi biara .
• Di aduan pa ne asetra kwan a ɛfata akyi .
• Sɛ wowɔ sɛnkyerɛnne bi a ɛyɛ soronko a ɛfa wo mmerɛbo ho a, mmu w’ani ngu so na kɔ oduruyɛfo nkyɛn ntɛm ara .

Sɛ yɛhwɛ saa nneɛma yi so a, yebetumi abɔ yɛn ho ban afi mmerɛbo a asɛe ho kɛse. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne oduruyɛfo bɛkasa.

` mmerɛbo, mmerɛbo mu yare a awuduru wom, mmerɛbo a ɛsɛe, mmerɛbo mu awuduru, mmerɛbo mu yare, nsa, nnubɔne