Hepatitis ʻawahia: E makaʻala i nā lāʻau lapaʻau, ka waiʻona, a me nā kemika!

ʻO ke akepaʻa kekahi o nā ʻōkana koʻikoʻi a nui loa i loko o ko kākou kino. Hana ia e like me kahi hale hana nui i loko o ko kākou kino. Hana ke akepaʻa i nā hana koʻikoʻi he nui, e like me ke kānana ʻana i nā mea ʻawahia e komo i loko o ke kino, ke kōkua ʻana i ka ʻai ʻana, a me ka mālama ʻana i ka ikehu. Akā, ua ʻike anei ʻoe hiki i kekahi o nā lāʻau lapaʻau a kākou e lawe ai i kēlā me kēia lā, ka waiʻona a kākou e inu ai, a i ʻole kekahi mau kemika a kākou e komo ʻike ʻole ai i loko o ko kākou kino ke hōʻino i kēia akepaʻa hana nui, ʻo ia hoʻi, lilo i 'ʻawahia'? I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia maʻi koʻikoʻi i kapa ʻia ʻo 'Toxic Hepatitis' i ka lāʻau lapaʻau, ʻo ia hoʻi ka lāʻau make o ke akepaʻa.

I ka ʻōlelo maʻalahi, he aha ka Hepatitis Toxic?

ʻO ka Hepatitis ʻawaʻawa, a i ʻole ka lāʻau make ʻana o ke ake, ʻo ia ka wā e hōʻino ai kahi mea ʻawaʻawa, kahi mea e hōʻino ai i ko mākou kino, i nā hunaola ake a hoʻoulu i ka pehu ʻana o ke ake. I ka lāʻau lapaʻau, kapa mākou i kēia pehu ʻana he "mumū." Hiki i kēia mea ʻawaʻawa ke komo i loko o ko mākou kino ma nā ʻano he nui.

• Ma ke ale ʻana: Ma ka lawe ʻana i ka nui o kekahi o nā lāʻau lapaʻau a mākou e lawe ai, ma ka inu ʻana i ka waiʻona, a i ʻole ma ke ale ʻana i kekahi kemika ʻē aʻe.
• Ma ka hanu ʻana: Ma ka hanu ʻana i nā kemika ʻawahia i hui pū ʻia i ka lewa ma kekahi mau hale hana, nā hale kaʻa, a i ʻole nā ​​​​hale kūʻai pena.
• Ma o ke komo ʻana ma o ka ʻili: Hiki i nā kemika ikaika, e like me kekahi mau pesticides, ke komo i loko o ke kino ma o ka hoʻopā ʻana me ka ʻili.

Penei ke ʻano o ka hōʻino ʻia ʻana o ko kākou akepaʻa i kona hoʻāʻo ʻana e kānana i nā mea ʻawahia e komo i loko o ke kino. Ke hana ʻia kēia hōʻino i ka hala ʻana o ka manawa, hiki i ke akepaʻa ke lilo i mea hana ʻole mau loa.

Aia kekahi mau ʻano nui o ka Hepatitis Toxic?

ʻAe, hiki ke hoʻokaʻawale ʻia kēia ʻano i ʻelua ʻano nui ma muli o ke ʻano o kona hana ʻana.

• Hepatitis ʻawahia koʻikoʻi: He ʻano maʻi kēia e hiki koke mai ana. Hoʻomaka nā hōʻailona e ʻike ʻia i loko o kekahi mau hola a i ʻole mau lā ma hope o ka ʻai ʻia ʻana o ka mea ʻawahia. No ka laʻana, hiki ke hana ʻia kēia ʻano inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (overdose).
• ʻO ka Hepatitis ʻawaʻawa mau loa: He ʻano kēia e ulu mālie ana i ka hala ʻana o ka manawa. I kekahi manawa hiki ke hala i nā hebedoma, nā mahina, a i ʻole nā ​​makahiki no ka ʻike ʻia ʻana o nā hōʻailona. ʻOi aku ka nui o ka poʻe e inu waiʻona no ka manawa lōʻihi e loaʻa i kēia ʻano.

Eia kekahi, aia kahi hoʻokaʻawale e pili ana i ke kumu o kēia kūlana. Hiki ke hoʻohana ʻia ka papa ma lalo nei e hoʻomaopopo pono i kēia.

He aha nā hōʻailona o ka hōʻino ʻia o ke akepaʻa?

ʻO ka hōʻailona nui a maʻa mau loa o ka maʻi akepaʻa, ʻo ia ka melemele o nā maka a me ka ʻili. Kāhea mākou i kēia he jaundice , a ma nā ʻōlelo lapaʻau ua kapa ʻia ʻo "Jaundice." Ma waho aʻe o kēia, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.

• ʻEha ma ka ʻaoʻao ʻākau o ka ʻōpū, ma lalo o nā iwi ʻaoʻao
• Luhi a me ka luhi
• Makemake nui
• Ka luaʻi a me ka luaʻi
• kuni haʻahaʻa
• Mimi melemele ʻeleʻele a ʻeleʻele paha
• ʻO ka distension ʻōpū, a i ʻole ascites
• ʻĀnai (Pruritus)
• Nā kiko poni a i ʻole nā ​​​​​​pale ma ka ʻili

He aha nā kumu nui o ka maʻi Hepatitis Toxic?

E like me kā mākou i kūkākūkā ai ma mua, aia kekahi mau kumu. E nānā kākou iā lākou me nā kikoʻī hou aku.

Nā lāʻau lapaʻau a me nā huaora (hepatotoxicity i hoʻoulu ʻia e ka lāʻau lapaʻau)

He mea maʻamau loa kēia e ʻike ʻia.

• Nā lāʻau hoʻopau ʻeha: ʻO kekahi mau lāʻau hoʻopau ʻeha, ʻoiai nā mea hiki ke kūʻai ʻia ma ke kūʻai aku ma ka hale kūʻai lāʻau lapaʻau, no ka laʻana, ʻo `(Acetaminophen)` (loaʻa i nā lāʻau lapaʻau e like me `Panadol` ma Sri Lanka) a me `(NSAIDs)` (Nonsteroidal anti-inflammatory drugs) (e.g. `Ibuprofen`, `Diclofenac`) hiki ke hōʻino i ke akepaʻa inā lawe ʻia ma mua o ka nui i ʻōlelo ʻia.
• Nā lāʻau lapaʻau i kuhikuhi ʻia: Hiki i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻohaʻahaʻa cholesterol, nā lāʻau epilepsy, a me nā antibiotics, ke hoʻopilikia i ke akepaʻa o kekahi poʻe. Akā, mai ho'ōki i ka lawe ʻana i kāu mau lāʻau lapaʻau ma muli o kēia. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka e pili ana i ia mea.
• Nā lāʻau lapaʻau lāʻau a me Ayurvedic: Aia kahi manaʻo i loko o ke kaiāulu ʻaʻole e hōʻeha ka 'lāʻau lapaʻau Sinhala' a i ʻole nā ​​'mea kuʻuna'. Akā, ʻaʻole ia he ʻoiaʻiʻo loa. Loaʻa paha i kekahi mau lāʻau lapaʻau nā mea hoʻohui e hōʻino ai i ke akepaʻa. No laila, he mea weliweli ka hoʻohana ʻana i kēia mau mea me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka kūpono.
• Nā wikamina: ʻO ka lawe nui ʻana i kekahi mau wikamina, e like me ka wikamina A, hiki ke lilo i mea ʻawahia i ke akepaʻa.

E aʻo pono e pili ana i ka lāʻau make Acetaminophen

He lāʻau lapaʻau ʻo 'Acetaminophen' a mākou e hoʻohana pinepine ai no ke kuni a me nā ʻeha kino. Ma Sri Lanka, loaʻa ia ma lalo o nā inoa e like me 'Panadol' a me 'Paramol'. ʻOiai he lāʻau lapaʻau palekana loa kēia, hiki iā ia ke hōʻeha nui i ke akepaʻa inā lawe ʻia me ka nui.

E noʻonoʻo, lawe kekahi i ʻelua papa Panadol no ke poʻo. I kekahi mau hola ma hope mai, lawe lākou i kahi ʻeke ʻē aʻe mai ka hale kūʻai lāʻau lapaʻau no ke anu. ʻAʻole lākou i ʻike aia pū kekahi Acetaminophen i loko o kēlā ʻeke. Ma kēia ʻano, hiki iā lākou ke ʻoi aku ma mua o ka nui o kēlā me kēia lā me ka ʻike ʻole.

Ma keʻano laulā, ʻaʻole pono ka pākeke e lawe ma mua o 4,000 milligrams o ka acetaminophen (ʻo ia hoʻi he 8 500mg papa) i loko o 24 mau hola. Inā loaʻa iā ʻoe ka maʻi akepaʻa, pono e emi iho kēia nui. Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau, ʻoiai inā ʻaʻohe ou hōʻailona, ​​e hele koke i ka ʻoihana pilikia o ka haukapila (ETU). Inā pono, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui no ka ʻōlelo aʻoaʻo.

Ka hoʻohana ʻana i ka waiʻona (hepatitis ʻawahia i hoʻoulu ʻia e ka waiʻona)

ʻO ka inu nui ʻana i ka waiʻona kekahi kumu nui o ka hōʻino ʻana o ke akepaʻa. He mea make pololei ka waiʻona i nā hunaola akepaʻa. Ke inu ʻia ka waiʻona no ka manawa lōʻihi, hōʻiliʻili ka momona i loko o ke akepaʻa, a laila lilo ia i pehu, a i ka hopena hiki i ke akepaʻa ke lilo i ʻeha loa a hiki ʻole ke hana (Cirrhosis).

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

ʻOiai hiki i kekahi ke loaʻa i ka 'Hepatitis ʻawahia', ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• No nā wāhine: No ka mea, ʻokoʻa ke ʻano o ka metabolism o ke kino o nā wāhine ma mua o nā kāne, ʻoi aku ka nui o ko lākou pilikia o ka hōʻino ʻia ʻana o ke akepaʻa mai kekahi mau lāʻau lapaʻau a me ka waiʻona.
• No ka poʻe e inu nui ana i ka waiʻona.
• No ka poʻe i loaʻa mua i kahi maʻi akepaʻa ʻē aʻe (e.g. Hepatitis B, Hepatitis C, Fatty Liver).
• No ka poʻe e hoʻohana ana i kekahi mau lāʻau lapaʻau i ka manawa like.
• No ka poʻe e hana ana me nā kemika (e like me ka ʻoihana pena, ka ʻoihana palakiko, nā lawelawe hoʻomaʻemaʻe maloʻo).
• No nā kānaka me kekahi mau maʻi hoʻoilina (e.g. 'Alpha-1 antitrypsin deficiency', 'Hemochromatosis').

Hiki ke lilo i mea weliweli kēia? He aha nā pilikia?

ʻAe, inā ʻaʻole mālama koke ʻia ka Hepatitis ʻawahia a ʻaʻole hoʻoneʻe ʻia ka mea ʻino, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi. ʻO ka pilikia nui ka cirrhosis o ke ake.

ʻO ka Cirrhosis kahi kūlana kahi e luku ʻia ai nā hunaola ate olakino a pani ʻia me nā ʻiʻo ʻeha. Hoʻopilikia loa kēia i ka hana maʻamau o ke ake. I ka hopena, alakaʻi kēia i ka hāʻule ʻana o ke ake . I ia mau hihia, ʻo ke koho hoʻōla ola wale nō paha he hoʻoili ake .

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i nā nīnau he nui e pili ana i kāu mau hōʻailona, ​​​​nā lāʻau lapaʻau āu e lawe ai, inā ʻoe e inu ana i ka waiʻona, a me kāu ʻoihana. A laila e nānā ʻo ia i kou kino. Hiki iā ia ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Nā hoʻāʻo koko:
• Nā Hoʻāʻo Hana o ke Ake: Hiki i kēia ke nānā i nā pae enzyme o ke ake e ʻike inā he pōʻino o ke ake.
• ʻO ka Comprehensive Metabolic Panel `(CMP)`: Kōkua kēia hoʻāʻo i ka loaʻa ʻana o kahi ʻike piha o nā kaʻina hana metabolic o ke kino a me ka hana o nā ʻōkana.
• Ke hoʻāʻo ʻana no ka waiʻona a i ʻole nā ​​​​pae lāʻau ʻē aʻe.
• Nā hoʻokolohua ʻē aʻe:
• Nā Scan: Hiki i kahi CT scan a i ʻole MRI scan ke nānā maka i ke kūlana o ke akepaʻa.
• Biopsy o ke akepaʻa: I kekahi mau hihia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke akepaʻa me ka hoʻohana ʻana i kahi nila liʻiliʻi loa a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka pōʻino.

Pehea e mālama ʻia ai? Hiki ke ho'ōla ʻia kēia?

ʻO ka lāʻau lapaʻau maikaʻi loa no ka 'Hepatitis ʻawahia' ʻo ia ka pale koke ʻana i ka mea e hōʻino nei i ke akepaʻa. Aia ka lāʻau lapaʻau i ka nui o ka hōʻino ʻia o ke akepaʻa.

• Ke hoʻōki ʻana i ka lāʻau lapaʻau ʻino: Inā manaʻo kāu kauka he lāʻau lapaʻau a huaora paha ke kumu o ka hōʻino ʻana i ke akepaʻa, e aʻo aku ʻo ia iā ʻoe e hoʻōki koke i ka lawe ʻana.
• Ka hoʻōki loa ʻana i ka ʻona.
• Nā loli ma ka wahi hana:Inā hana ʻia kēia kūlana e nā kemika, pono paha ʻoe e ʻaʻahu i nā lako pale (nā pale maka, nā mīkina lima) ma ka hana a i ʻole e hoʻoneʻe ʻia i kahi hana ʻē aʻe.
• No ka overdose acetaminophen: Hāʻawi ʻia kahi antidote kūikawā ma ka haukapila. Inā hāʻawi koke ʻia, hiki i kēia ke pale i ka hapa nui o ka hōʻino ʻana i ke akepaʻa.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā loaʻa kekahi o nā hōʻailona koʻikoʻi ma lalo nei, he hōʻailona paha ia o ka hāʻule piha ʻana o ke akepaʻa. No laila , e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU).

• Ke luaʻi ʻana i ke koko.
• Noho ʻeleʻele, ʻālohilohi.
• Ka ʻike koke ʻia ʻana o nā kiko e like me ka palapū ma ke kino holoʻokoʻa.
• Melemele nui (Jaundice).
• ʻAnorexia koʻikoʻi.
• Delirium, kūlana delusional.
• Ka paʻakikī o ka hele wāwae.