Hiki ke hoʻomake ʻia kou akepaʻa? (Hepatitis ʻawahia) E ʻike kākou i ke ʻano o kēia!

ʻO ke akepaʻa kekahi o nā ʻōkana koʻikoʻi loa i loko o ko kākou kino. E like me ke kānana, ʻo ka hana nui a ke akepaʻa, ʻo ia ka wehe ʻana i nā mea ʻawahia mai ke kino a hoʻomaʻemaʻe i ke koko . Eia nō naʻe, i kekahi manawa hiki ke hōʻino ʻia ke akepaʻa e nā mea ʻawahia. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi ʻo Toxic Hepatitis . ʻAʻole paha ʻoe i lohe i kēia ma mua. Akā, he mea kēia e pono ai kākou a pau e ʻike.

He aha maoli ka Hepatitis Toxic?

I ka ʻōlelo maʻalahi, ʻo ka maʻi hepatitis ʻawahia ka wā e pehu ai ko kākou ake. Hoʻokumu ʻia kēia pehu e ka ʻike ʻana i kahi mea ʻawahia (toxin) . ʻO ia hoʻi, ʻo ʻoe:

• Inā ʻoe e hoʻopā i kahi mea ʻawahia.
• Inā ʻoe e hanu i ka ea ʻawahia.
• Inā ʻoe e ale i kahi mea ʻawahia.

Hiki i kēia ke hoʻoulu i ke akepaʻa e pehu. ʻAʻole wale ia, akā inā ʻoe e lawe nui i kekahi mau lāʻau lapaʻau a inu nui paha i ka waiʻona, hiki iā ia ke hōʻino i ke akepaʻa a hoʻoulu i kēia ʻano. Inā pehu ke akepaʻa e like me kēia no ka manawa lōʻihi, hiki iā ia ke hōʻino mau loa i ke akepaʻa. E noʻonoʻo e like me ka mea inā e ninini mau ana mākou i ka wai lepo i loko o kā mākou kānana wai ma ka home, e lilo ia i lepo.

He aha ka mea e hana maoli ana i ko kākou akepaʻa?

ʻO ke akepaʻa kekahi o nā ʻōkana nui loa o ko kākou kino. Ua like ia me ke kikowaena hoʻomaʻemaʻe o ko kākou kino. Hoʻomaʻemaʻe nui ke akepaʻa i ko kākou koko a hoʻopau i nā mea ʻawahia a me nā mea pono ʻole e komo i loko o ke kino. Inā ʻaʻole ia e hana pono, hiki i ko kākou kino holoʻokoʻa ke lilo i mea hana ʻole.

Aia kekahi mau ʻano like ʻole o ka maʻi hepatitis ʻawahia?

ʻAe, hiki iā mākou ke ʻike i ka hepatitis ʻawahia ma nā ʻano nui ʻelua:

• ʻO ka maʻi hepatitis ʻawahia koʻikoʻi: He ʻano kēia e hiki koke mai ana . Hiki ke ʻike koke ʻia nā hōʻailona ma hope koke iho o ka hoʻopili ʻia ʻana i kahi mea ʻawahia.
• Hepatitis ʻawahia mau loa: He manawa iki ka ulu ʻana o kēia ʻano. ʻAʻohe paha he mau hōʻailona no nā pule a i ʻole nā ​​mahina. ʻO ke akepaʻa ka mea i hōʻino ʻia i ka hala ʻana o ka manawa.

Ma waho aʻe o kēia mau ʻano ʻelua, hoʻokaʻawale pū nā kauka i kēia kūlana e like me ke kumu e hoʻoulu ai.

• ʻO ka maʻi hepatitis i hoʻoulu ʻia e ka kemika: Hoʻokumu ʻia kēia ma ka ʻai ʻana, ka hanu ʻana, a i ʻole ka hoʻopā ʻana i kahi kemika. Hiki i ka poʻe e hana ana ma kekahi mau hale hana ke pilikia.
• ʻO ka maʻi hepatitis i hoʻoulu ʻia e ka lāʻau lapaʻau: Hiki ke loaʻa kēia ʻano inā lawe ʻoe i ka nui o kekahi mau lāʻau lapaʻau, no ka laʻana , acetaminophen (ʻike ʻia hoʻi ʻo Panadol, paracetamol), nā lāʻau hōʻeha ʻeha e like me nā lāʻau anti-inflammatory nonsteroidal (NSAID) , a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe i kauoha ʻia e ke kauka.
• ʻO ka maʻi hepatitis i hoʻoulu ʻia e ka waiʻona:He kūlana kēia e kū mai ana i ka poʻe e inu mau ana i ka waiʻona, ʻoiai ka poʻe i hoʻopili ʻia i ka waiʻona (Alcohol use disorder). ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e lawe pū ana i ka waiʻona me nā lāʻau ʻē aʻe i kekahi manawa.

He aha nā hōʻailona o ka lāʻau make i ke akepaʻa?

ʻO kekahi o nā hōʻailona nui o nā pilikia akepaʻa, ʻo ia ka melemele o ka ʻili a me nā maka (Jaundice) . He mea kēia i kamaʻāina ka hapa nui o ka poʻe. Eia nō naʻe, aia paha kekahi mau hōʻailona ʻē aʻe ma waho aʻe o kēia:

• ʻEha ka ʻōpū , ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
• Manaʻo e like me ka pehu ʻana o kou ʻōpū ma muli o ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (ascites) .
• Ka luhi mau a me ke ola ʻole `(Fatigue)` .
• Kuni .
• ʻAʻohe ʻono o ka meaʻai .
• Ka luaʻi a me ka luaʻi .
• Nā loli i ke kala o ka mimi , ʻoiai ka mimi melemele ʻeleʻele a i ke kala tī.

Hiki i kekahi poʻe ke loaʻa i kahi ʻulaʻula ʻili i kapa ʻia ʻo "Toxic hepatitis rash" . ʻO kēia ke kumu o nā kiko poni liʻiliʻi a i ʻole nā ​​kiko e ʻike ʻia ma ka ʻili. Hiki nō hoʻi i ka ʻili ke lilo i ʻānai (pruritus) .

He aha nā kumu nui o ka maʻi hepatitis ʻawahia?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ka ʻike ʻana i kekahi mau kemika a i ʻole nā ​​​​lāʻau lapaʻau ke kumu nui. Hiki ke ʻike koke ʻia nā hōʻailona, ​​​​a i ʻole hiki ke ʻike ʻia i nā pule a i ʻole nā ​​​​mahina ma hope.

Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻaʻole nā ​​​​mea āpau i pili i kēia mau mea e loaʻa i ka maʻi hepatitis ʻawahia. He ʻokoʻa ka pane ʻana o ke kino o kēlā me kēia kanaka.

E nānā kākou i kekahi mau kumu nui:

ʻO ka hepatotoxicity i hoʻoulu ʻia e ka lāʻau lapaʻau

Hiki kēia ma muli o kekahi o nā lāʻau lapaʻau a me nā mea hoʻohui a mākou e lawe ai.

• ʻO kekahi mau mea hoʻohui lāʻau lapaʻau : Ke manaʻoʻiʻo nei mākou ʻaʻohe mea ʻino o Ayurveda a me nā lāʻau lapaʻau kuʻuna. Eia nō naʻe, hiki i kekahi mau lāʻau lapaʻau, inā hoʻohana hewa ʻia, ke hōʻeha i ke akepaʻa.
• Nā lāʻau anti-inflammatory ʻaʻole steroidal (NSAIDs) : ʻAʻole maikaʻi ka hoʻohana mau ʻana i nā lāʻau ʻeha e like me ka ibuprofen a nui loa paha.
• Nā lāʻau lapaʻau i kuhikuhi ʻia: Hiki i kekahi mau lāʻau lapaʻau i kuhikuhi ʻia e nā kauka (e.g., nā lāʻau lapaʻau no ka maʻi puʻupuʻu, kekahi mau lāʻau lapaʻau no ka maʻi epilepsy) ke hoʻopilikia i ke akepaʻa inā ʻaʻole i lawe ʻia e like me ke kuhikuhi ʻana.

ʻO ka maʻi hepatitis ʻawaʻawa i hoʻoulu ʻia e ka waiʻona

He mea ʻino loa ka inu ʻana i ka waiʻona no ke akepaʻa. Inā pilikia ʻoe i ka kaohi ʻana i kāu inu ʻana i ka waiʻona, he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo.

He aha inā ʻoe e lawe nui i ka acetaminophen?

ʻOiai ʻo ka acetaminophen (e like me Tylenol®, Panadol, Paracetamol), ka mea a mākou e hoʻohana pinepine ai no ke kuni a me nā ʻeha kino, hiki ke lilo i mea ʻawahia i ke akepaʻa inā lawe nui ʻia. Pono nā mākua he nui e hoʻomanaʻo i kēia mau mea:

• ʻOi aku ma mua o 4000 milligrams o ka acetaminophen i kēlā me kēia lā (24 mau hola)Mai lawe. (ʻO ia hoʻi, ʻoi aku ma mua o 8 mau papa Panadol maʻamau).
• Mai lawe i ka acetaminophen no nā lā he 10 a ʻoi aku i ka manawa (me ka ʻole o ke aʻo ʻana a ke kauka).

Inā loaʻa iā ʻoe kahi maʻi akepaʻa, hiki i ka lawe ʻana i ka nui o ka acetaminophen ke lilo i mea weliweli loa. Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i ʻōlelo ʻia, e ʻike koke i ke kauka . Hiki i kāu kauka ke hana i kahi hoʻāʻo pae acetaminophen e nānā i ka pae o ka acetaminophen i loko o kou koko.

A he aha inā e hoʻonui ʻia ka wikamina A?

He mea nui ka wikamina A no ke kino. Eia nō naʻe, ʻo ka lawe ʻana ma mua o 40,000 IU (International Units) o ka wikamina A i kēlā me kēia lā hiki ke hoʻopilikia i ke akepaʻa. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e pili ana i kekahi wikamina a mea hoʻohui paha āu e lawe ai.

He laha anei ka maʻi hepatitis ʻawahia mai ke kanaka a i ke kanaka?

ʻAʻole. ʻAʻole hiki ke laha ka maʻi hepatitis ʻawahia mai kekahi kanaka a i kekahi. He maʻi lele ʻole ia. No laila, ʻaʻole hiki iā ʻoe ke loaʻa mai ka noho ʻana a puni kahi mea i loaʻa i ka maʻi.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Hiki i kekahi ke loaʻa i ka maʻi hepatitis ʻawahia. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• No nā wāhine (ma muli o ke ʻano o kā lākou pane ʻana i kekahi mau lāʻau lapaʻau).
• No ka poʻe i hoʻopilikia ʻia e ka waiʻona (Alcohol use disorder) .
• ʻO ka poʻe i loaʻa mua i ka maʻi akepaʻa , no ka laʻana, ka poʻe me ka Hepatitis B a i ʻole Hepatitis C.
• No ka poʻe e hoʻohana ana i kekahi mau lāʻau lapaʻau i kuhikuhi ʻia a i ʻole nā ​​​​lāʻau lapaʻau i kūʻai ʻia ma luna o ke kauka (ʻoi aku hoʻi nā lāʻau lapaʻau he nui i ka manawa hoʻokahi).
• No ka poʻe e hana pū ana a i ʻole e launa pinepine me kekahi mau kemika (e like me nā mea hoʻoheheʻe) .

Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi hoʻoilina .

• Ka nele o ka Alpha-1 antitrypsin .
• Hemochromatosis (ka nui o ka hao i loko o ke kino).

He aha nā pilikia e hiki ke loaʻa mai ka maʻi hepatitis ʻawahia?

Inā ʻaʻole mālama pono ʻia kēia ʻano, hiki iā ia ke hōʻeha nui i ke ake. Hiki i kēia ke alakaʻi i nā ʻano e like me ka cirrhosis (ka paʻakikī a me ka liʻiliʻi o ke ake) a ma hope ka hāʻule ʻana o ke ake . Inā hana ʻia kēlā, pono paha ʻoe i kahi hoʻoili ake . No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā wale iā ia.

Pehea e ʻike ai nā kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona, ​​e nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou nohona (e laʻa, nā lāʻau lapaʻau āu e lawe ai, ka hoʻohana ʻana i ka waiʻona, ka ʻoihana). A laila e hana lākou i kahi hoʻokolokolo kino . Hiki paha iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia inā he hepatitis ʻawahia kou.

Nā hoʻāʻo koko

No kēia, ua hana nui ʻia kekahi mau hoʻāʻo koko:

• Panel metabolic piha (CMP) : Hiki i kēia ke hāʻawi i kahi manaʻo o ka hana o nā kemika like ʻole a me nā ʻōpū i loko o ke kino.
• Nā hoʻāʻo hana ate : Nānā kēia i ka maikaʻi o ka hana ʻana o ke akepaʻa a inā he hōʻino ʻia ke akepaʻa.

Eia kekahi, inā makemake ke kauka , hiki iā ia ke hana i kahi hoʻāʻo waiʻona koko (BAC) a i ʻole kahi hoʻāʻo e nānā i nā lāʻau lapaʻau ʻē aʻe. Hiki ke ʻike ʻia kēia mau mea ma o nā hoʻāʻo koko a me ka mimi.

Nā hoʻokolohua ʻē aʻe

Inā pono ka ʻike hou aku e pili ana i ke kūlana o ke akepaʻa, hiki i ke kauka ke hana i nā hoʻokolohua e like me:

• Nā hoʻāʻo kiʻi : No ka laʻana, kahi CT scan a i ʻole MRI scan . Lawe kēia i nā kiʻi o loko o ke akepaʻa a nānā iā ia.
• Biopsy akepaʻa : Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke akepaʻa a nānā ʻia ma lalo o kahi microscope e ʻike i ke ʻano o ka pōʻino i loaʻa i ke akepaʻa. Hana pinepine ʻia kēia inā ʻaʻole i hoʻoholo ʻia nā hoʻokolohua ʻē aʻe.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka lāʻau no ka maʻi hepatitis ʻawahia e pili ana i ka nui o ka hōʻino ʻia i kou ake. Ma hope o ka nānā ʻana i kou ake, hiki i ke kauka ke ʻōlelo i kēia mau mea:

• Ua ʻōlelo ʻia iā lākou e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau a i ʻole nā ​​​​mea hoʻopihapiha meaʻai e ʻawaʻawa ai ke ake.
• Ke haʻi aku nei lākou iā ʻoe e hoʻōki loa i ka inu ʻana i ka waiʻona .
• Inā pili ʻoe i nā kemika ma ka hana, e kamaʻilio me kou luna e pili ana i ia mea a e hoʻāʻo e hoʻololi i kahi hana ʻē aʻe .
• Inā ʻaʻole hiki kēlā, paipai lākou e ʻaʻahu i nā lako pale (e like me nā pale maka a me nā mīkina lima) i ka wā e hana ana me nā kemika.

ʻO ka mea nui loa, ʻo ia ka wehe ʻana i ka mea i hōʻino i ke ake. Hāʻawi kēia i ke ake i kahi manawa e ho'ōla ai iā ia iho.

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

I ka hapanui o nā hihia, ʻae, hiki ke ho'ōla ʻia ka maʻi hepatitis ʻawahia . He hiki kupaianaha ko kākou akepaʻa e wehe i nā ʻāpana i hōʻino ʻia a hana i nā mea hou. ʻO ia hoʻi, he hiki i ke akepaʻa ke hoʻohuli i ka pōʻino i hana ʻia. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi akepaʻa koʻikoʻi, e like me ka cirrhosis , aia ʻoe i ka pilikia o ka hāʻule ʻana o ke akepaʻa. Inā hana ʻia kēlā, e kamaʻilio paha kāu hui lapaʻau me ʻoe e pili ana i kahi hoʻoili akepaʻa.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO ka manawa e ho'ōla ai mai ka maʻi hepatitis ʻawahia e pili ana i kekahi mau kumu:

• ʻEhia ka lōʻihi o kou loaʻa ʻana i kēia maʻi?
• Ka nui o ka pōʻino i kou ake.

Inā he akahai a kaulike paha ka pōʻino, hiki ke hala kekahi mau pule a i ʻole mau mahina no ke akepaʻa e hoʻoponopono a ho'ōla i nā hunaola i hōʻino ʻia.

Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia?

Aia kekahi mau mea e hiki ai iā mākou ke hana e pale iā mākou iho mai ka maʻi hepatitis:

• E pale i ka pili ʻana i nā kemika ʻoihana e hiki ke hōʻino i ke ake.
• Mai hoʻohana i nā lāʻau lapaʻau kū ʻole i ke kānāwai (cocaine, marijuana, a pēlā aku) .
• E hōʻemi i ka nui o ka waiʻona āu e inu ai , a i ʻole ʻoi aku ka maikaʻi o ka hoʻōki loa.
• ʻOiai inā kūʻai ʻoe i ka lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e lawe pono e like me ke kuhikuhi ʻana, ma ka nui kūpono .
• E kamaʻilio me ke kauka ma mua o ka lawe ʻana i kekahi mau mea hoʻohui meaʻai .

Pehea e hōʻemi ai i ka pilikia o ka hōʻino ʻana o ke akepaʻa? Pehea e mālama ai i ke olakino o ke akepaʻa?

Hiki iā ʻoe ke kōkua i ka mālama ʻana i kou akepaʻa ma o ka hana ʻana i nā hoʻololi nohona olakino. ʻOiai ʻaʻohe meaʻai hepatitis ʻawahia kikoʻī, hiki iā ʻoe ke kōkua i kou akepaʻa e hana ma ka ʻai ʻana a me ka inu ʻana i nā mea hiki iā ʻoe ke hana. E hoʻāʻo i kēia mau mea:

• E inu i ka nui o ka wai a me nā wai. Mai hoʻokuʻu i ka make wai.
• E ʻai i nā meaʻai kiʻekiʻe i ka fiber (e.g., nā pīni, ka pī ʻōmaʻomaʻo, a me nā palaoa holoʻokoʻa e like me ka laiki ʻeleʻele).
• E hoʻēmi i nā meaʻai momona kiʻekiʻe, kiʻekiʻe i ke kō .
• E hōʻemi i ka hoʻohana ʻana i ka paʻakai .

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka hepatitis ʻawahia?

E kamaʻilio me kāu kauka e pili ana i ke olakino o kou ake. E hahai pono i nā ʻōlelo a kāu kauka e pili ana i ke ʻano o ka mālama ʻana iā ʻoe iho i kou hoʻōla ʻana mai ka maʻi hepatitis ʻawahia.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o ka hāʻule ʻana o ke akepaʻa, a inā he mau hōʻailona o ka hāʻule ʻana o ke akepaʻa koke, e ʻike koke i ke kauka . ʻO kēia mau mea:

• Nā noho ʻeleʻele, ʻālohilohi .
• Delirium (huikau, disorientation).
• Inā piʻi aʻe ka jaundice (melemele o ka ʻili a me nā maka) .
• Inā hoʻomau ka makemake .
• ʻO ka ecchymosis ka ʻike koke ʻia ʻana o nā kiko e like me ka palapū ma ke kino .
• Ka paʻakikī i ka hoʻoneʻe ʻana i ke kino .
• Ke luaʻi ʻana i ke koko .

Hiki i ka maʻi hepatitis ʻawahia ke ulu i ka hala ʻana o ka manawa. ʻAʻole paha ʻoe e ʻike i kekahi mau hōʻailona a hiki i ka hōʻino ʻia ʻana o kou ake. Eia nō naʻe, ʻo ka hoʻololi ʻana i ke ʻano o ka nohona e hiki ke kōkua i kou ake e hoʻōla. E kamaʻilio me kāu kauka e pili ana i ke kumu o ka ʻawahia o ke ake a pehea e hiki ai iā ʻoe ke hoʻomaikaʻi i ke olakino o kou ake. Inā ua hōʻino nui ʻia kou ake e ka maʻi hepatitis ʻawahia, e wehewehe kāu kauka i nā koho lapaʻau i loaʻa iā ʻoe e kōkua iā ʻoe e hoʻōla.

E lawe i ka leka i ka home

No laila, ke lana nei ko mākou manaʻo ua maopopo iā ʻoe i kēia manawa ke ʻano o ka maʻi hepatitis ʻawahia, kona mau kumu, nā hōʻailona, ​​a me ka mālama ʻana. E hoʻomanaʻo, he ʻōkana waiwai nui ko kākou akepaʻa . ʻO ko kākou kuleana ke pale aku iā ia.

• Mai lawe i ka lāʻau lapaʻau me ke kumu ʻole . Mai hoʻomau i ka hoʻohana ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
• E noho mamao aku mai ka waiʻona i ka hiki .
• E hahai i kahi papaʻai a me ke ʻano ola kino olakino .
• Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e pili ana i kou akepaʻa, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka .

Inā mālama mākou i kēia mau mea, hiki iā mākou ke pale iā mākou iho mai ka hōʻino ʻia o ke akepaʻa i kahi nui. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka.

ʻAke , maʻi hepatitis ʻawahia, hōʻino ʻana o ke ake, ʻawahia o ke ake, maʻi ake, waiʻona, lāʻau lapaʻau