Ke hoʻouka kou kino ponoʻī i kou akepaʻa? E kamaʻilio kākou e pili ana i ka maʻi hepatitis autoimmune.

Ua manaʻo paha ʻoe e hoʻomaka ana ka ʻōnaehana pale o kou kino ponoʻī, ʻo ia hoʻi ka ʻōnaehana pale kino, e hoʻouka i kou akepaʻa ponoʻī? He mea kupanaha ia, ʻeā? Akā, ʻo ka maʻi hepatitis autoimmune kēlā ʻano maʻi. ʻOiai paha he mea paʻakikī iki kēia, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka maʻi hepatitis autoimmune?

I ka ʻōlelo maʻalahi, ʻo ka hepatitis autoimmune kahi maʻi lōʻihi e hoʻopilikia ai i kou ake. Hoʻomaka ia me kahi hewa liʻiliʻi i loko o ka ʻōnaehana pale o kou kino, ʻo ia hoʻi ka ʻōnaehana pale . E noʻonoʻo i kēia ʻano: ua like ko mākou ʻōnaehana pale me kahi pūʻali koa e pale ana i ko mākou ʻāina. ʻO kāna hana ke kaua aku i nā mea komo hewa mai nā ʻāina ʻē e like me nā germs a me nā virus. Akā, i ka hepatitis autoimmune, ua manaʻo kuhihewa kēia pūʻali koa, ʻo ia hoʻi ka ʻōnaehana pale, ʻo kāna mau hunaola ake ponoʻī ka ʻenemi a hoʻomaka e hoʻouka iā lākou.

Ke hoʻouka ka ʻōnaehana pale i ka ʻiʻo o ke akepaʻa ma kēia ʻano, hoʻoulu ia i ka mumū o ke akepaʻa, a i ʻole ka hepatitis. Ke hoʻomau nei kēia hoʻouka ʻana, lilo kēia mumū i mea maʻi mau. I ka hala ʻana o ka manawa, hiki i kēia mumū mau ke hōʻeha nui i ke akepaʻa. ʻO ke kikoʻī, lilo ka ʻiʻo o ke akepaʻa i ʻeha a hiki i ke akepaʻa ke hāʻule mālie. Ua kapa ʻia kēia he cirrhosis .

ʻO ka nūhou maikaʻi, hiki i ka lāʻau lapaʻau ke hōʻemi i ka pehu ʻana o ke akepaʻa a pale i nā pilikia mai ka maʻi. Eia nō naʻe, i kekahi manawa ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona i nā pae mua o kēia maʻi.

He aha nā ʻano nui o ka hepatitis autoimmune?

ʻElua ʻano nui o ka hepatitis autoimmune (AIH). Hoʻokaʻawale ʻia kēia mau mea e ke alo o nā autoantibodies like ʻole, hiki i kā mākou poʻe ʻepekema ke ʻike me kahi hoʻāʻo antibody . Hoʻouka kēia mau antibodies like ʻole i nā ʻano cell like ʻole i loko o ke ake.

ʻAno 1

ʻO kēia ke ʻano "maʻamau", a ʻo ia hoʻi ke ʻano maʻamau. Ma kahi o 80% o nā maʻi i ʻike ʻia he ʻano kēia. Hiki iā ia ke ulu i kēlā me kēia makahiki. I ka hepatitis autoimmune type 1, hoʻouka nā antibodies i kapa ʻia ʻo ASMA (anti-smooth muscle antibodies) i nā cell muscle smooth i loko o ke ake. Ua kapa ʻia kēia ʻano maʻi 1 i kekahi manawa ʻo "lupoid hepatitis" no ka mea ua like kona mau hōʻailona me nā Systemic Lupus Erythematosus . Eia nō naʻe, hiki i ka hoʻāʻo koko ASMA ke kōkua i ka hoʻokaʻawale ʻana ma waena o nā maʻi ʻelua.

ʻAno 2

ʻO ka hepatitis autoimmune ʻano 2 kahi ʻano hepatitis kakaikahi a ʻoi aku ka koʻikoʻi. ʻIke pinepine ʻia ia ma mua, i ka wā kamaliʻi. Hiki iā ia ke holomua wikiwiki ma mua o ke ʻano 1. Hoʻokumu ʻia kēia ʻano e ka anti-LKM-1 (anti-liver-kidney microsome type 1 antibodies) a i ʻoleʻO nā antibodies i pili i ka mea i kapa ʻia ʻo anti-LC1 (anti-liver cytosol type 1 antibodies) . Hoʻopili nā antibodies Anti-LKM-1 i kahi protein i kapa ʻia ʻo cytochrome P450-2D6 (CYP2D6) i loko o nā cell ate. ʻO Anti-LC1 kahi antibody ate kūikawā no ka type 2 AIH.

Pehea ka laha ʻole o ka maʻi hepatitis autoimmune?

ʻAʻole maʻamau ka maʻi hepatitis autoimmune. ʻAʻole maopopo i ka nui o ka poʻe i loaʻa iā ia. Wahi a nā noiʻi ʻEulopa, hoʻopilikia ka maʻi ma waena o 0.010% a me 0.025% o ka heluna kanaka ʻEulopa. ʻOiai hiki iā ia ke hoʻopilikia i kekahi lāhui a hui ʻē paha, ʻoi aku ka maʻamau i waena o nā ʻōiwi Alaska (ma kahi o 0.043% o kēlā heluna kanaka). ʻOi aku ka maʻamau i nā wahine ma mua o nā kāne, ma ka lakio o 4:1.

He aha nā hōʻailona?

ʻAʻole nā ​​kānaka a pau me ka maʻi hepatitis autoimmune e loaʻa nā hōʻailona. I kekahi manawa ʻike ʻia nā hōʻailona ma hope, ma hope o ka hoʻomaka ʻana o ka maʻi e hoʻopilikia i ka hana o ke akepaʻa. Hiki i kēia ke hana i nā hopena ʻaoʻao like ʻole i ke kino.

ʻO kekahi mau hōʻailona mua maʻamau:

• ʻEha a ʻoluʻolu ʻole paha ka ʻōpū.
• ʻO ka pehu ʻana o ka ʻōpū ma muli o ka hoʻonui ʻia ʻana o ke akepaʻa.
• Luhi .
• ʻEha hui.
• ʻO ke ʻano o ka ʻili ʻulaʻula ke ʻano o ka huhū.
• ʻAkika.

Ke hoʻomaka kou akepaʻa e hana maikaʻi ʻole, hiki i ka bile ke hōʻiliʻili i loko o kou koko. Hiki i kēia ke hana i nā hōʻailona e like me:

• Jaundice ( melemele o ka ʻili a me nā maka).
• Ka mimi ʻeleʻele a i ʻole nā ​​​​​​ʻōpala kala māmā.
• ʻŌhūhū (Pruritus) .
• Ka luaʻi a i ʻole ka nalowale o ka makemake.

ʻO nā hopena ʻē aʻe i lohi paha e komo pū me:

• ʻO nā angiomas spider (nā kiko ʻulaʻula ma ka ʻili e like me nā ʻupena nananana) .
• Ka hoʻonui ʻia ʻana o nā aʻa koko i loko o ka anus (varices) .
• ʻO ka maʻalahi o ka palapū a me ke kahe ʻana o ke koko.
• ʻO ka nalowale ʻana o ka menstruation mahina i nā wahine.
• Ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (ascites) a i ʻole nā ​​​​lālā (edema) .
• Ka huikau, ka hiamoe, a i ʻole ka hiamoe (encephalopathy hepatic) .

He aha nā kumu o ka hepatitis autoimmune?

Hiki mai nā maʻi autoimmune ke kuhihewa kāu ʻōnaehana pale i kekahi o kāu mau cell ponoʻī he mea hoʻoweliweli. Ke ʻike ka ʻōnaehana pale i kēia "hoʻoweliweli," hoʻouka ia i kēlā mau cell. Hoʻoulu kēia i ka mumū mau loa ma kahi ʻāpana kikoʻī o ke kino. I ka hepatitis autoimmune, hoʻouna ka ʻōnaehana pale i nā antibodies kikoʻī e hoʻouka i nā ʻano cell kikoʻī i loko o ke ake. He hana paʻakikī loa kēia.

ʻEhia ka awelika o ka makahiki e hoʻomaka ai kēia maʻi?

ʻAʻole hiki ke ʻike pono i ka manawa i hoʻomaka mua ai ka hepatitis autoimmune. ʻO kēia no ka mea ʻaʻohe pinepine nā hōʻailona i nā pae mua. ʻIke pinepine ʻia ke ʻano 1 AIH i ka wā mua a i ka waena o ka makahiki, ma waena o 15 a me 40 mau makahiki. Eia nō naʻe, hiki ke hana i kēlā me kēia makahiki. ʻIke pinepine ʻia ke ʻano 2 AIH ma mua, i ka wā kamaliʻi, ma waena o 4 a me 14 mau makahiki. ʻOiai i kēlā manawa, hiki ke loaʻa nā hōʻailona koʻikoʻi o ka maʻi akepaʻa.

Pehea e hoʻomohala ai ka maʻi hepatitis autoimmune?

He nīnau paʻakikī maoli ke kumu e loaʻa ai i nā kānaka nā maʻi autoimmune. ʻAʻole like me hoʻokahi kumu, akā he hui pū ʻana o nā kumu.

• Mana hoʻoilina: I kekahi mau hihia, hiki i kāu mau genes ke hoʻonui i kou hiki ke hoʻomohala i kekahi mau maʻi autoimmune. Eia nō naʻe, ʻaʻole nā ​​​​mea āpau i loaʻa i kēlā mau genes e loaʻa i ka maʻi, a ʻaʻole nā ​​​​mea āpau i loaʻa i ka maʻi e loaʻa i kēlā mau genes.
• Nā kumu kaiapuni: Hiki i nā kumu ʻē aʻe ʻaʻole genetic, i kapa ʻia hoʻi ʻo "nā kumu kaiapuni," ke kōkua i kēia. Hiki i kēia ke lilo i mau mea ʻawahia a i ʻole nā ​​hanana e hoʻokaumaha i kāu ʻōnaehana pale. I loko o kekahi poʻe maʻalahi, hiki i kēia mau kumu ke hoʻoulu i ka ʻōnaehana pale e pane nui, e hopena ai i kahi maʻi autoimmune mau loa.

Ua ʻike ʻia kekahi mau lāʻau lapaʻau a me nā maʻi viral he mau mea hoʻoulu no ka hepatitis autoimmune. Eia kekahi, inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe, ʻoi aku ka nui o kou loaʻa ʻana o ka hepatitis autoimmune.

He aha nā maʻi e hiki ke hoʻoulu i ka hepatitis autoimmune?

ʻOi aku ka nui o kou loaʻa ʻana o ka maʻi hepatitis autoimmune inā loaʻa iā ʻoe kahi moʻolelo o kēia mau maʻi viral:

• ʻO ka maʻi hepatitis viral (A, B, C, D a i ʻole E).
• ʻO ka maʻi ʻEpstein-Barr (mononucleosis) ka maʻi ʻeha.
• ʻO ka maʻi ahulau .
• ʻO ka maʻi herpes .

He aha nā lāʻau lapaʻau e hiki ke hoʻoulu i ka hepatitis autoimmune?

Ua pili ka maʻi hepatitis autoimmune i hoʻokomo ʻia e ka lāʻau me kēia mau lāʻau lapaʻau:

• Nitrofurantoin ( no nā maʻi ʻōpū mimi).
• Minocycline ( no ka ʻeha).
• ʻO Atorvastatin ( no ka cholesterol kiʻekiʻe).
• ʻO Isoniazid ( he lāʻau antibiotic).

He aha nā maʻi autoimmune ʻē aʻe e pili ana me ka hepatitis autoimmune?

Hoʻomohala kekahi poʻe i ka hepatitis autoimmune me kekahi maʻi autoimmune ʻē aʻe e hoʻopilikia ai i kā lākou mau ʻauwai bile. Eia kekahi laʻana:

• ʻO ka cholangitis biliary mua (PBC) .
• ʻO ka cholangitis sclerosing mua (PSC) .

Ua manaʻo ʻia kēia he "ʻano like ʻole" o ka maʻi hepatitis autoimmune.

Akā ma ke ʻano laulā, inā loaʻa iā ʻoe kahi maʻi autoimmune, ʻoi aku ka nui o kou hiki ke hoʻomohala i kekahi. Me he mea lā hiki i ka mumū mau ma kekahi wahi ke hoʻoulu i ka mumū ma kahi ʻē aʻe. ʻO ka manawa kūpono o ka hoʻomohala ʻana i kahi maʻi autoimmune ʻelua ma kahi o 25%-50%. Inā ʻo ka hepatitis autoimmune kāu maʻi autoimmune mua, loaʻa iā ʻoe kahi manawa like e hoʻomohala ai i kahi lua.

ʻO nā kūlana ʻē aʻe i ʻike pinepine ʻia me AIH:

• ʻO ka maʻi o Graves .
• Maʻi Celiac .
• Maʻi ʻōpū mumū .
• ʻO ka ʻāʻī rumatika .
• ʻO ka maʻi diabetes ʻano 1.
• ʻO Vitiligo ( nā kiko keʻokeʻo ma ka ʻili).

He maʻi laha anei ka maʻi hepatitis autoimmune?

ʻAʻole. Hiki ke hoʻoulu ʻia ka maʻi hepatitis viral (e like me ka hepatitis A, B, a me C) e nā virus lele. Hiki ke laha kēia mau maʻi i nā poʻe ʻē aʻe. Eia nō naʻe, ʻaʻole he maʻi ka hepatitis autoimmune, no laila ʻaʻole ia e laha i nā poʻe ʻē aʻe.

Pehea e ʻike ʻia ai ka maʻi hepatitis autoimmune?

Loaʻa paha iā ʻoe a ʻaʻole paha he mau hōʻailona maopopo o AIH. E nānā mua ke kauka iā ʻoe ma ke kino a hana i kekahi mau hoʻokolohua maʻamau, e like me nā hoʻokolohua kiʻi a me nā hoʻokolohua koko. Hiki i kahi hoʻokolohua koko i kapa ʻia he panel metabolic piha ke nānā i nā hōʻike o ka maʻi akepaʻa. Aia i loko o kēia panel kekahi mau hoʻokolohua hana akepaʻa e ana i nā mea e like me nā pae enzyme akepaʻa a me ka mumū.

Akā, ʻaʻole pili kēia mau ʻōkuhi i ka hepatitis autoimmune. E hana kāu kauka i nā hoʻokolohua koko ʻē aʻe e nānā i nā maʻi kikoʻī a me nā kumu ʻē aʻe o ka hepatitis. E nānā pū lākou i nā autoantibodies . Ke kāpae lākou i nā kumu ʻē aʻe a ʻike ʻia nā antibodies e pili ana i ka hepatitis autoimmune, e mākaukau lākou e hōʻoia i ka hōʻailona. ʻO ke ala maikaʻi loa e hōʻoia ai i kēia, ʻo ia ka hana ʻana i kahi biopsy ate . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke akepaʻa a nānā iā ia ma lalo o kahi microscope.

He aha nā lāʻau lapaʻau no ka hepatitis autoimmune?

ʻO ke ʻano maʻamau o ka lāʻau lapaʻau, ʻo ia ka hoʻomaka ʻana me nā lāʻau kiʻekiʻe o nā corticosteroids e kāohi i ka mumū a me ka pane autoimmune, a laila e hoʻemi mālie i ka nui. ʻO Prednisone ka lāʻau lapaʻau i kuhikuhi pinepine ʻia a noiʻi maikaʻi ʻia no ka hepatitis autoimmune. Hana maikaʻi ia no nā poʻe he nui, akā hiki iā ia ke hana i nā hopena ʻaoʻao. ʻIke ʻia he emi nā hopena ʻaoʻao o nā lāʻau lapaʻau ʻē aʻe, e like me ka budesonide.

Hiki i kāu kauka ke kuhikuhi i kahi immunosuppressant i kapa ʻia ʻo azathioprine me nā steroids.Hiki ke kuhikuhi ʻia ka lāʻau lapaʻau. A i ʻole hiki ke kuhikuhi ʻia ma hope o kou hoʻopau ʻana i kāu lāʻau steroid. No ka mea, ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao o ka azathioprine ma mua o nā steroids, hana maikaʻi loa ia ma ke ʻano he lāʻau mālama lōʻihi, ʻo ia hoʻi ke pale aku i kāu ʻōnaehana pale mai ka lilo hou ʻana i mea hana nui. Pono paha ʻoe e lawe iā ia i kēlā me kēia manawa i kou ola.

He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i kēia mau lāʻau lapaʻau ke loaʻa kekahi mau hopena ʻaoʻao. ʻO ia ke kumu e nānā mau ai ke kauka iā ʻoe.

Nā hopena ʻaoʻao o ka hoʻohana lōʻihi ʻana i nā steroids (Corticosteroids):

• Hoʻonui ʻia ka makemake a me ka piʻi ʻana o ke kaumaha.
• Nā maʻi naʻau e like me ka hopohopo a me ke kaumaha.
• Glaucoma ( ʻike maka pōwehiwehi).
• ʻO ka Osteopenia a i ʻole ka osteoporosis (ka nāwaliwali o nā iwi).
• Maʻi diabetes .
• Ke koko kiʻekiʻe .

Nā hopena ʻaoʻao o ka lawe ʻana i nā immunosuppressants:

• Nā maʻi pinepine (ma muli o ka emi ʻana o ka ʻōnaehana pale).
• Ka luaʻi a me ka luaʻi.
• ʻŌhūhū ʻili (maniʻo).
• ʻO ka maʻalahi o ka palapū a me ke kahe ʻana o ke koko.
• Hana ʻino o ka puʻupaʻa.
• ʻO ka maʻi pankreatitis .

ʻOiai ʻoe e lawe ana i kēia mau lāʻau lapaʻau, e nānā kāu kauka iā ʻoe no nā hopena ʻaoʻao. Inā ʻoi aku ka koʻikoʻi o nā hopena ʻaoʻao o kāu lāʻau lapaʻau, a inā ʻaʻole ia e kōkua nui iā ʻoe, e hāʻawi lākou i kahi koho ʻē aʻe. Mai makaʻu, e kamaʻilio me kāu kauka e pili ana i kēia mau mea āpau.

ʻEhia ka lōʻihi o ka hana ʻana o ka lāʻau lapaʻau?

ʻO ka pahuhopu o ka lāʻau lapaʻau, ʻo ia ke hoʻōla i ka maʻi. Pono paha ʻoe e lawe i ka lāʻau lapaʻau no kekahi mau mahina a i kekahi mau makahiki e hoʻokō ai i kēia. I loko o kēia manawa, e nānā pinepine kāu kauka i kou akepaʻa e hōʻoia i ka hana ʻana o ka lāʻau. E hōʻike ana nā hoʻokolohua hana akepaʻa e hoʻi mālie ana kou mau pae enzyme akepaʻa i ka maʻamau. ʻO ke kala ʻana, ʻo ia hoʻi, ua nalowale nā ​​hōʻailona a me nā ʻōuli āpau o ka maʻi.

Ua ʻōlelo ka ʻAhahui ʻAmelika no ke Aʻo ʻana i nā Maʻi Ake (AASLD) e lawe ʻoe i nā steroids no ʻekolu mau makahiki ma mua o ka hoʻōki ʻana i ka lāʻau lapaʻau. Ma hope o kou hoʻomaha ʻana no ʻelua mau makahiki ma ka liʻiliʻi, e noʻonoʻo lākou e hoʻōki i nā immunosuppressants. Ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau, ma kahi o 50% o ka poʻe e loaʻa paha kahi relapse i loko o ʻekolu mahina. No kekahi poʻe, hiki ke hala nā makahiki, a i ʻole ʻaʻole loa lākou e loaʻa hou.

Loaʻa i kekahi poʻe kekahi hoʻomaikaʻi me ka lāʻau lapaʻau, akā ʻaʻole lawa e hoʻi i ka hoʻomaha. I kēlā hihia, e hoʻāʻo kāu kauka i nā lāʻau lapaʻau ʻē aʻe. ʻAʻole pane iki kekahi poʻe i ka lāʻau lapaʻau. I kēlā hihia, e hoʻomau ka hele ʻana o ka maʻi i ka ʻino. Hiki i kēia poʻe ke loaʻa nā pilikia e pono ai ka lāʻau hou. Hiki paha iā lākou i ka hopenaPono paha ka hoʻoili ʻana o ke ake.

Hiki ke ho'ōla loa ʻia ka maʻi hepatitis autoimmune?

ʻAʻole. ʻAʻole hiki ke ho'ōla loa ʻia. Akā hiki ke hoʻokuʻu ʻia ka maʻi. ʻO ke ʻano kēia, e nalowale ana ke kaʻina hana mumū no kekahi manawa, i kekahi manawa no ka manawa lōʻihi. Akā ma hope o kou hoʻōki ʻana i ka mālama ʻana, hiki ke hoʻi hou mai. Ua kapa ʻia kēia he relapse . ʻO ka hapa nui o ka poʻe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau (ma kahi o 80%) i ka hopena e hoʻi hou mai ka maʻi a pono e hoʻomaka hou i ka lawe ʻana i ka lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ke kāohi maikaʻi i ka maʻi, akā pono paha ʻoe e lawe iā lākou i kēlā me kēia manawa i kou ola.

He aha ka awelika o ke ola no ka poʻe me ka maʻi hepatitis autoimmune?

Me ka ʻole o ka lāʻau lapaʻau, ʻo ka nui o ke ola ʻelima makahiki he 50%. Akā me ka lāʻau lapaʻau, ʻo ka nui o ke ola 10 makahiki he 90% a ʻo ka nui o ke ola 20 makahiki he 70%. ʻOiai me ka lāʻau lapaʻau, ma kahi o 15% o ka poʻe e loaʻa i ka cirrhosis, ma hope o 10 a 20 mau makahiki. Hiki ke hana kēia inā ʻaʻole holo pono ka lāʻau lapaʻau, inā ʻaʻohe pane piha i ka lāʻau lapaʻau, a inā hoʻi hou ka maʻi i nā manawa he nui. Ke hoʻi hou ka maʻi, hiki ke hoʻi koke mai.

Pehea e mālama ai iaʻu iho i koʻu wā e noho ana me ka maʻi hepatitis autoimmune?

He mea nui loa kēia. Aia kekahi mau mea hiki iā ʻoe ke hana ma kāu ʻaoʻao e kāohi i ka maʻi a ola i kahi ola olakino.

• Mai poina i nā manawa i koho ʻia e kāu kauka. Pono kāu kauka e nānā i kou akepaʻa no ke koena o kou ola. ʻOiai inā ua hoʻomaha ʻoe no kekahi manawa, hiki i ka maʻi ke hoʻi hou mai me ka ʻole o ka hōʻike a i ʻole nā ​​​​hōʻailona maopopo. Hiki i kāu kauka ke nānā i ka nui o ka fibrosis (hōʻino ma mua o ka ʻōpala) i loko o kou akepaʻa me ka hoʻohana ʻana i nā ʻano hana ʻole e like me ka elastography . Inā hoʻomaka ʻoe e ʻike hou i nā hōʻailona, ​​​​e kelepona koke i kāu kauka.
• E mālama i kāu ʻai. He mea nui ka ʻai olakino no kekahi me ka maʻi akepaʻa. ʻOi loa me ka AIH, ua hōʻike nā haʻawina he 30% o ka poʻe i loaʻa nā hōʻailona o ka maʻi akepaʻa momona ʻaʻole i ka waiʻona . ʻO ke ʻano kēia he ʻano ko kou kino e mālama i ka momona keu i loko o ke akepaʻa, ʻo ia kekahi kumu o ka mumū. Hiki iā ʻoe ke pale aku i kēia ma ka mālama ʻana i ke kaumaha olakino a me ka hoʻēmi ʻana i ke kō a me nā momona momona mai kāu ʻai. Hiki i kēia ke kōkua i ka hoʻomaikaʻi ʻana i kāu mau hopena lapaʻau.
• E pale i kou ʻōnaehana pale. Hoʻonāwaliwali nā maʻi akepaʻa a me nā lāʻau immunosuppressant i kou ʻōnaehana pale. ʻO ia hoʻi, pono ʻoe e mālama pono iā ʻoe iho i ʻole e maʻi. Hiki i kāu kauka ke ʻōlelo aku i kekahi mau mea hoʻohui huaora a me nā lāʻau pale e pale aku iā ʻoe mai nā maʻi. Mai lawe i nā mea hoʻohui i ʻae ʻole ʻia e kāu kauka.
• E pale i ka waiʻona. Hoʻonāwaliwali ka inu ʻana i ka waiʻona i kou ʻōnaehana pale a hōʻino i kou ake.

He maʻi koʻikoʻi ka hepatitis autoimmune, akā nui ka poʻe e pane maikaʻi i ka lāʻau. Hiki i ka maʻi ke hoʻomaha, kokoke e nalowale loa no ka manawa lōʻihi. Inā hoʻi hou mai, hiki ke hoʻohana hou ʻia ka lāʻau like. Hiki i ka lāʻau ke loaʻa nā hopena ʻaoʻao, akā ma ka mālama ʻana i kāu ʻai a me ka ʻōnaehana pale, hiki iā ʻoe ke ola i kahi ola maʻamau. Inā ʻaʻole holo pono ka lāʻau, he koho ka hoʻoili ʻana i ke akepaʻa.

Nā mea e hoʻomanaʻo ai mai kēia ʻatikala (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO ka hepatitis Autoimmune kahi maʻi mau loa kahi e hoʻouka ai kāu ʻōnaehana pale ponoʻī i kou ake.
• ʻAʻole kēia he maʻi lele.
• ʻAʻole paha he mau hōʻailona i nā pae mua, akā e ʻike ʻia paha nā hōʻailona e like me ka luhi, ka ʻeha ʻōpū, a me ka jaundice.
• Pono paha nā hoʻāʻo koko a me ka biopsy ate no ka ʻike pololei.
• Hiki i ka lāʻau lapaʻau (steroids, immunosuppressants) ke hoʻopau i ka maʻi. Eia nō naʻe, ʻaʻohe lāʻau lapaʻau piha, a hiki ke hoʻi hou.
• Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, no laila he mea nui ka nānā ʻana i ke kauka.
• He mea nui loa ka nohona olakino (ʻai maikaʻi, pale ʻana i ka waiʻona, hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau) i ka mālama ʻana i ka maʻi.
• Mai makaʻu. Hiki iā ʻoe ke ola i kahi ola maikaʻi me kēia maʻi. E kūkākūkā i nā mea āpau me kāu kauka a e hahai i kāna ʻōlelo aʻo.

Inā he mau nīnau hou aku kāu e pili ana i kēia, e ʻoluʻolu e nīnau i kāu kauka. Ke makemake nei au iā ʻoe e ola koke!

ʻO ka maʻi akepaʻa, ka maʻi hepatitis autoimmune, ka ʻōnaehana pale, ka mumū o ke akepaʻa, ka cirrhosis, nā maʻi autoimmune, ka mālama ʻana i ke akepaʻa