Unyango lwe-autoimmune hepatitis

Umxholo

• 1. IiCorticoids
• 2. Amajoni omzimba
• 3. Ukufakelwa kwesibindi
• Iimpawu zokuphucula i-hepatitis yokuzimela
• Iimpawu zokuba mandundu kwesifo sokuhlasela kwamalungu omzimba

Unyango lwe-autoimmune hepatitis lubandakanya ukusetyenziswa kweziyobisi ze-corticosteroid ezinxulunyaniswa okanye ezingasebenziyo ngamachiza omzimba kwaye ziqala emva koxilongo olwenziwe ngugqirha ngohlalutyo lweempawu kunye neempawu ezivezwe ngumntu kunye nesiphumo sovavanyo lwelabhoratri oluceliweyo, njengomlinganiso yee-enzyme zesibindi, ii-immunoglobulins kunye ne-antibodies, kunye nohlalutyo lwesibindi se-biopsy.

Xa umntu engaphenduli kunyango ngamachiza okanye xa isifo sele sikwiqondo eliphambili, i-hepatologist okanye ugqirha jikelele unokucebisa ngokwenza ukufakelwa kwesibindi. Ukongeza, ukongeza unyango, kuyacetyiswa ukuba abaguli batye ukutya okunezakha-mzimba okunesiselo esinxilisayo kunye nokutya okunamafutha, njengeesoseji okanye amashwamshwam.

Funda ngakumbi malunga ne-hepatitis yokuzimela.

Unyango lwe-autoimmune hepatitis lunokwenziwa nge-corticosteroids, i-immunosuppressants okanye, kwiimeko ezinzima kakhulu, ngokufakelwa kwesibindi. Ngokwesiqhelo, unyango lweziyobisi lwe-autoimmune hepatitis kufuneka luqhubeke ebomini ukugcina isifo siphantsi kolawulo.

1. IiCorticoids

Iziyobisi zeCorticosteroid, ezinje ngePrednisone, zisetyenziselwa ukunciphisa ukudumba kwesibindi okubangelwa kukusebenza kwamajoni omzimba kwiiseli zesibindi. Ekuqaleni, idosi ye-corticosteroids iphezulu, kodwa njengoko unyango luqhubeka, ugqirha unokunciphisa isixa sePrednisone ukuya kubuncinci obuyimfuneko ukuze isifo sihlale silawulwa.

Nangona kunjalo, ukusetyenziswa kwe-corticosteroids kuneziphumo ebezingalindelekanga ezinjengokutyeba, ukutyeba kwamathambo, isifo seswekile, ukunyuka koxinzelelo lwegazi okanye uxinzelelo kwaye, ke, kunokuba yimfuneko ukwenza indibaniselwano ne-immunosuppressants ukunciphisa iziphumo ebezingalindelekanga, ukongeza kwimfuno ukulandelelwa gqolo ngugqirha.

Ukusetyenziswa kwe-corticosteroids kubonisiwe kubantu abaneempawu ezikhubaza ngakumbi, ezinje ngokudinwa kunye nentlungu edibeneyo, umzekelo, xa umntu etshintshe kakhulu amanqanaba ee-enzyme zesibindi okanye i-gamma globulins, okanye xa i-necrosis yeethishu ye-hepatic iyeka kwi-biopsy .

2. Amajoni omzimba

Unyango lweCorticoid, olufana neAzathioprine, lubonakalisiwe ngenjongo yokunciphisa ukusebenza kwamajoni omzimba, kwaye ke, ukuthintela ukutshatyalaliswa kweeseli zesibindi kunye nokudumba okungapheliyo kwilungu. I-Azathioprine ihlala isetyenziswa ngokudibanisa ne-corticosteroids ukunciphisa iziphumo ebezingalindelekanga ezinxulumene nolu nyango.

Ngexesha lokunyanga iziyobisi ezikhuselayo, ezinje ngeAzathioprine, isiguli kufuneka kuvavanyo lwegazi rhoqo ukuvavanya inani leeseli ezimhlophe, ezinokuthi zinciphise kwaye ziququzelele ukuqala kosulelo.

3. Ukufakelwa kwesibindi

Ukufakelwa kwesibindi kusetyenziswa kwezona meko zinzima zesifo sokuqina komzimba, xa isigulana siba nesibindi okanye ukusilela kwesibindi, umzekelo, kwaye sisebenza endaweni yesibindi esigulayo sisempilweni. Funda ngakumbi malunga nokufakelwa kwesibindi.

Emva kokufakelwa kwesibindi, isiguli kufuneka sibhedlele esibhedlele kangangeeveki ezi-1 ukuya kwezi-2 ukuqinisekisa ukuba akukho lungu litsha lilahliweyo. Ukongeza, abantu abafakelweyo kufuneka bathathe ii-immunosuppressants kubo bonke ubomi babo ukunqanda umzimba ukuba ungasamkeli isibindi esitsha.

Ngaphandle kohlobo olusebenzayo lonyango, kunokwenzeka ukuba esi sifo siphinde senzeke, kuba isifo sokuqina komzimba esibizwa ngokuba yi-autoimmune hepatitis sinxulumene nenkqubo yomzimba yokuzikhusela hayi kwisibindi.

Iimpawu zokuphucula i-hepatitis yokuzimela

Iimpawu zokuphucula i-hepatitis yokuzimela komzimba zihlala zivela kwiiveki ezimbalwa emva kokuqala konyango kwaye zinxulumene nokwehla kweempawu, ukuvumela isigulana ukuba siphile ubomi obuqhelekileyo.

Iimpawu zokuba mandundu kwesifo sokuhlasela kwamalungu omzimba

Xa unyango lungenziwa ngokufanelekileyo, isigulana sinokuphuhlisa i-cirrhosis, i-encephalopathy okanye ukusilela kwesibindi, sibonisa iimpawu zokonyuka ezibandakanya ukudumba ngokubanzi, utshintsho kwivumba kunye neengxaki zemithambo-luvo, ezinjengokudideka kunye nokozela.