Ke inu nui nei ʻoe i ka waiʻona? E aʻo kākou e pili ana i ka mea e hana ʻia ana i ke akepaʻa! (Maʻi Ake e pili ana i ka waiʻona)

Ua ʻike anei ʻoe ʻo ka waiʻona a mākou e inu ai no ka leʻaleʻa, no ka leʻaleʻa, a i kekahi manawa ma muli o ka maʻa mau hiki ke hōʻino mālie i kahi ʻāpana koʻikoʻi loa i loko o ko mākou kino? ʻAe, ke kamaʻilio nei au e pili ana i ke akepaʻa. Manaʻo kekahi poʻe ʻaʻole e hōʻeha ka inu ʻana i kahi mea liʻiliʻi, akā ʻo ia maoli nō anei? E nānā kākou i ka mea e hana ʻia i ke akepaʻa ma muli o kēia waiʻona.

He aha ka maʻi akepaʻa e pili ana i ka waiʻona?

I ka ʻōlelo maʻalahi, ke hoʻomau ʻoe i ka inu nui ʻana i ka waiʻona, hoʻomaka ka momona e hōʻiliʻili i loko o kou ake a hōʻino iā ia, ʻo ia ka mea a mākou e kapa nei ʻo 'Alcohol-Associated Liver Disease' . He ʻano maʻi ake kēia i kapa ʻia ʻo 'steatotic liver disease'. I ka wā ma mua, ua kapa pū nā kauka i kēia ʻano he 'alcoholic liver disease'.

ʻO ka mea e hana ʻia, ke inu ʻoe i ka waiʻona ma mua o ka hiki i kou ake ke hana, hōʻiliʻili ka momona keu i loko o nā hunaola o kou ake. E noʻonoʻo e like me kahi hale hana e piha ana i ka waihona. Ua kapa ʻia kēia maʻi ʻo 'steatosis' , ʻo ia hoʻi ka hōʻiliʻili ʻana o ka momona i loko o ke ake.

ʻEkolu mau pae o kēia maʻi ...

ʻAʻole e lilo koke ka pōʻino o ke akepaʻa i hana ʻia e ka waiʻona i mea koʻikoʻi. Hiki ke ʻike ʻia ʻekolu mau pae nui:

1. Maʻi akepaʻa steatotic e pili ana i ka waiʻona: ʻO kēia ke kahua mua. ʻO ka mea e hana ʻia ma ʻaneʻi, ke hoʻomau ʻoe i ka inu ʻana i ka waiʻona nui, hōʻiliʻili ke akepaʻa i ka momona ma mua o ka hiki ke mālama. I ka hapa nui o nā hihia, ʻaʻohe hōʻailona nui i kēia kahua.

2. ʻO ka steatosis hepatic e pili ana i ka waiʻona: ʻO kēia hōʻiliʻili ʻana o ka momona ke kumu o ka mumū, a i ʻole ka pehu ʻana, i loko o ke ake. He mea koʻikoʻi iki kēia. Hiki i kēia mumū ke hōʻeha nui i ke ake a ma hope aku hiki ke alakaʻi i kahi maʻi weliweli i kapa ʻia ʻo cirrhosis .

3. ʻO ka cirrhosis e pili ana i ka waiʻona: ʻO kēia ke kahua weliweli loa. ʻO kēia kahi e make ai nā hunaola ate a pani ʻia e nā ʻiʻo ʻeha. ʻO kēia ʻeha ke kumu o ka nalowale loa o ke akepaʻa i kona hiki ke hana. He hōʻino mau loa kēia, ʻo ia hoʻi, ʻaʻole hiki ke hoʻihoʻi ʻia.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

ʻO ka mea kaumaha, ʻaʻole hōʻike ka nui o ka poʻe me kēia maʻi i nā hōʻailona mua. I kekahi manawa ʻo ka mea mua āu e ʻike ai, ʻo ia ka luhi mau . Akā i ka wā e ʻoi aku ka ʻino o ka maʻi, e ʻike paha ʻoe i nā hōʻailona e like me:

• kuni
• Ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (kapa ʻia kēia e nā kauka he 'ascites' ) a i ʻole ka pehu ʻana ma nā wāwae (i kapa ʻia ʻo 'edema ')
• Makemake nui
• Ka luaʻi ʻana, malia paha ka luaʻi ʻana i ke koko
• Melemele o nā maka a me ka ʻili (ua kapa ʻia kēia he jaundice )
• Ka emi ʻana o ke kaumaha

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​ʻoiai inā he kanaka ʻona ʻoe, pono ʻoe e ʻike i ke kauka, no ka mea, hiki ke hoʻoweliweli ke kūlana inā nānā ʻole ʻia.

No ke aha e loaʻa ai kēia maʻi? He aha ke kumu nui?

ʻO ke kumu nui a hoʻokahi wale nō o kēia, ʻo ia ka hoʻohana nui ʻana i ka waiʻona no kahi manawa lōʻihi . Hoʻomohala pinepine ʻia kēia maʻi i nā poʻe i inu nui no ʻelima a ʻumi mau makahiki.

I kēia manawa ke noʻonoʻo nei paha ʻoe i ka nui o ka 'inu nui ʻana'. He ʻokoʻa iki ia ma muli o ke kāne a me ka wahine:

• No nā kāne: Ua wehewehe ʻia ka inu nui ʻana he ʻekolu a ʻoi aku paha mau mea inu waiʻona (ʻo ka pia māmā maʻamau) i ka lā, a i ʻole 21 a ʻoi aku paha mau mea inu i ka pule. No nā mea inu ikaika e like me ka waina, whiskey, a i ʻole ka lama, ʻoi aku ka haʻahaʻa o ka nui o nā mea inu.
• No nā wāhine: ʻElua a ʻoi aku paha inu i ka lā, a i ʻole 14 a ʻoi aku paha inu i ka pule, ua manaʻo ʻia he inu nui.

Ua hōʻike ʻia e ka noiʻi he 90% o ka poʻe inu nui e loaʻa i ka maʻi akepaʻa momona (steatosis). He mea ʻawahia kēia momona i ke akepaʻa. Hiki iā ia ke alakaʻi i ka mumū, ka cirrhosis, a me ke kanesa o ke akepaʻa. Eia naʻe, ʻaʻole i loaʻa i nā kānaka a pau nā hihia koʻikoʻi o kēia maʻi.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻO ke kumu pilikia nui ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo Alcohol Use Disorder (AUD) . ʻO ia hoʻi, ka inu nui ʻana i ka waiʻona no ka liʻiliʻi he ʻelima mau makahiki i ka lālani. ʻO ka 'AUD' kahi kūlana kahi hiki ʻole iā ʻoe ke kāohi i kāu inu ʻana, makemake ʻoe e inu mau, a paʻakikī iā ʻoe ke hoʻōki.

Eia kekahi, hiki ke hana ʻia kēia maʻi akepaʻa ma ka inu ʻana i ka nui o ka waiʻona i ka manawa hoʻokahi ('Binge drinking' - ʻo ia hoʻi, ka inu ʻana i ka nui o ka waiʻona i loko o kahi manawa pōkole). Inā loaʻa iā ʻoe kekahi maʻi akepaʻa ʻē aʻe (e like me ka hepatitis B a i ʻole C), ʻoi aku ka nui o ka pōʻino i kou akepaʻa mai ka waiʻona.

He aha nā pilikia weliweli e hiki ke kū mai ma muli o kēia maʻi?

Inā lilo ka maʻi cirrhosis i hoʻokumu ʻia e ka waiʻona i mea koʻikoʻi, hiki iā ia ke alakaʻi i nā pilikia e hoʻoweliweli ai i ke ola. Eia kekahi mau laʻana:

• ʻO nā varices venous a me ke kahe koko i loko o ke ala ʻai ( Gastrointestinal varices a i ʻole ke kahe koko gastrointestinal ), no ka laʻana, ka luaʻi ʻana i ke koko.
• ʻO ka hōʻino ʻana o ke akepaʻa i ka lolo ( Hepatic encephalopathy ). Hiki i kēia ke hana i ka hiamoe nui i ke ao, ka huikau, a me ka coma.
• Ka maʻi ʻaʻai o ke akepaʻa ( Hepatocellular carcinoma ).
• Ka hāʻule ʻana o nā puʻupaʻa ( hepatorenal syndrome ).
• Ka hemahema o ka hanu (ʻO ka maʻi hepatopulmonary (maʻi hepatopulmonary).
• ʻO ka maʻi bacteria i loko o ka lua ʻōpū ( Spontaneous bacterial peritonitis) .

He mau kūlana weliweli maoli kēia, no laila he mea nui loa e makaʻala me ka waiʻona.

Pehea e ʻike ai nā kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia iā ʻoe ma ke kino. E nīnau ʻo ia e pili ana i kou mōʻaukala olakino. ʻO ka mea nui loa, ʻo ia ke nīnau i ka nui o ka waiʻona āu e inu ai. Hiki paha iā ʻoe ke hopohopo e pane i kēia nīnau. Hiki paha iā ʻoe ke kānalua e kamaʻilio e pili ana i kāu mau hana inu. Eia naʻe, ʻo ka ʻike pololei āu e hāʻawi ai e kōkua i ke kauka e hana i kahi hōʻailona pololei. E ʻoluʻolu e haʻi i ka ʻoiaʻiʻo. ʻAʻole ke kauka e hoʻohewa nei iā ʻoe, aia ʻo ia ma ʻaneʻi e kōkua.

Eia kekahi, hiki i ke kauka ke hana i nā hoʻokolohua e like me:

• Helu koko piha (CBC ): Nānā no ka anemia (helu koko haʻahaʻa) a i ʻole ka helu platelet haʻahaʻa.
• ʻO ka `CT scan` , `MRI test` a i ʻole nā ​​​​​​hoʻāʻo `Ultrasound` : Hiki i kēia ke nānā i ke kūlana o ke akepaʻa, inā he hōʻiliʻili momona, a inā paha he mau hōʻailona o ka `cirrhosis`.
• Nā hoʻāʻo hana ate : Hiki i kēia ke hoʻoholo inā ua hōʻino ʻia ke ake.
• Nā hoʻāʻo biomarker waiʻona : Hiki i kēia ke ʻike i ke alo o ka waiʻona i loko o kou koko a i ʻole ka mimi. Hiki i kekahi mau hoʻāʻo biomarker waiʻona ke ʻike i ka inu nui ʻana i nā mahina ma hope o kou inu ʻana i ka waiʻona.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka lāʻau lapaʻau nui a maikaʻi loa no ka maʻi akepaʻa steatotic e pili ana i ka waiʻona a i ʻole ka steatosis hepatic e pili ana i ka waiʻona, ʻo ia ka hoʻōki loa ʻana i ka inu ʻana i ka waiʻona . Hiki i kēia ke kōkua i ka hoʻohuli ʻana i ka pōʻino o ke akepaʻa.

Ua ʻike mākou he mea maʻalahi kēia e ʻōlelo, akā paʻakikī ke hana. Loaʻa pinepine kēia maʻi akepaʻa i nā poʻe me ka maʻi hoʻohana waiʻona (`Alcohol Use Disorder - AUD`). Inā loaʻa iā ʻoe ka `AUD`, hiki i kāu kauka ke kuhikuhi i kēia mau lāʻau lapaʻau:

• Lapaʻau ʻano: Ma kēia, hiki iā ʻoe ke hana pū me nā kākāʻōlelo no ka ʻona a i ʻole nā ​​​​​​psychologists. E kōkua lākou iā ʻoe e hoʻololi i kāu ʻano inu ʻona. Kākoʻo ʻia kēia ma o nā ʻano lapaʻau like ʻole.
• Lāʻau lapaʻau: Aia nā lāʻau lapaʻau e hōʻemi i ka makemake e inu i ka waiʻona a hōʻemi i nā hōʻailona haʻalele.

ʻO ka cirrhosis i hoʻoulu ʻia e ka waiʻonaʻOkoʻa ka mālama ʻana no ke ʻano ma muli o kou kūlana olakino. No ka laʻana, ʻo ka lāʻau lapaʻau wale nō no ka cirrhosis he hoʻoili ate . Eia naʻe, ʻaʻole hiki i nā mea āpau e pono ai ke akepaʻa olakino ke loaʻa i hoʻokahi. Aia kekahi mau kūlana e pono e hoʻokō ʻia. Inā loaʻa iā ʻoe ka cirrhosis, e nīnau i kāu kauka inā kūpono ka hoʻoili ate iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe e inu nui ana ʻoe i ka waiʻona i nā manawa a pau a i ʻole ke pilikia nei ʻoe i ka kaohi ʻana i kāu inu ʻana, he mea nui e kamaʻilio me ke kauka. Ua ʻike nā kauka ʻaʻole maʻalahi ka kaʻana like ʻana i ka ʻike pilikino, e like me kāu hoʻohana ʻana i ka waiʻona. E kamaʻilio lākou e pili ana i kou mau pilikia a loiloi i kou olakino me ka hoʻohewa ʻole iā ʻoe.

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:

• Hiki iaʻu ke hoʻohuli i kēia kūlana?
• E ʻoi aku ka ʻino o koʻu kūlana?
• Aia kekahi mau lāʻau lapaʻau e pono ʻole iaʻu e lawe no ka mea ua hōʻino ʻia koʻu ake e ka waiʻona? (Hiki i kekahi mau mea e like me nā lāʻau ʻeha ke hōʻeha i ke ake.)

Inā loaʻa iaʻu kēia maʻi, he aha kaʻu e manaʻo ai?

He ʻokoʻa ke kūlana o kēlā me kēia kanaka. Hiki ke ho'ōla loa ʻia ka maʻi akepaʻa steatotic e pili ana i ka waiʻona ma kahi o ʻeono pule ma hope o kou hoʻōki ʻana i ka inu ʻana i ka waiʻona. ʻO ke ʻano kēia, hiki i kou akepaʻa ke ola hou.

Akā inā loaʻa iā ʻoe ka cirrhosis, ʻokoʻa ke kūlana. Inā ʻoe e hoʻōki i ka inu ʻona, hiki iā ʻoe ke pale i ka maʻi mai ka ʻino a hoʻolōʻihi i kou ola. Akā, ʻaʻole hiki ke hoʻohuli ʻia ka hōʻino mau loa i ke akepaʻa. ʻO ka lāʻau lapaʻau wale nō ka hoʻoili ʻana i ke akepaʻa.

He aha ke ola o kekahi kanaka me kēia maʻi?

Hiki i ke kanaka me ke ʻano maʻalahi o ka maʻi ke ola i kahi ola maʻamau inā e hoʻōki loa lākou i ka inu ʻana, e like me kekahi kanaka me ka ʻole o ka maʻi. Akā, pili wale nō ia i ka mea e hoʻōki ana i ka inu ʻana.

ʻOi aku ka pōkole o ke ola o kekahi me ka cirrhosis. ʻO ka awelika o ke ola ma hope o ka ʻike ʻana ma waena o ʻelua a me ʻumikūmālima mau makahiki, akā pili kēia i nā kumu he nui, me ke koʻikoʻi o ka maʻi, nā pilikia, a me ka haʻalele ʻana i ka waiʻona. Inā loaʻa iā ʻoe kēia ʻano maʻi akepaʻa, ʻo kāu kauka kāu kumu ʻike maikaʻi loa. E ʻike ʻo ia i ke ʻano o ka maʻi akepaʻa āu a pehea e hoʻopilikia ai iā ʻoe.

ʻO ka mea hope loa, pono wau e ʻōlelo i kēia ...

Hiki ke paʻakikī ke ʻae ua inu nui ʻoe i ka waiʻona i nā manawa a pau. Hiki ke paʻakikī ke haʻi aku i ke kauka i ka nui a me ka pinepine o kou inu ʻana. Akā, he mea nui ka kaʻana like ʻana i kēlā ʻike. ʻO ia ka mea e kōkua ai i kāu kauka e ʻike pololei i ka pōʻino a ka waiʻona i hana ai i kou ake.

Inā ʻoe e ʻike mua i ka maʻi a hoʻōki i ka inu ʻana i ka waiʻona, hiki iā ʻoe ke pale aku i ka maʻi mai ka ʻino ʻana.Hiki ke hoʻohuli i ka pōʻino i hana ʻia i ke akepaʻa e ka waiʻona.

Ua ʻike nā kauka ʻaʻole maʻalahi ka haʻalele ʻana i ka inu ʻana. Aia lākou ma laila e kōkua iā ʻoe, ʻaʻole e hoʻohewa iā ʻoe. ʻO ka hana mua i ka ho'ōla ʻana, ʻo ia ke wehe ʻana e pili ana i kāu hoʻohana ʻana i ka waiʻona. No laila, mai makaʻu a hilahila paha e kamaʻilio me ke kauka e pili ana i ia mea. E mahalo ana kou akepaʻa iā ʻoe! E hoʻomanaʻo, ʻo ke noi ʻana i ke kōkua he hōʻailona ia o ka ikaika, ʻaʻole ka nāwaliwali.

ʻAila , akepaʻa, maʻi akepaʻa, Maʻi akepaʻa e pili ana i ka waiʻona, cirrhosis, steatosis, haʻalele ʻana i ka waiʻona, momona akepaʻa, ʻaila akepaʻa, waiʻona