ʻO Cirrhosis o ke ake i nā ʻīlio

ʻO Cirrhosis i nā ʻīlio: nā mea nui

• ʻO Cirrhosis kahi maʻi ate mau me ka lāʻau ʻole.
• He mea maʻamau i nā ʻīlio kahiko ma mua o nā ʻīlio liʻiliʻi.
• He ʻokoʻa loa nā kumu o ka ulu ʻana o ka maʻi.
• ʻO nā hōʻailona nui o ka cirrhosis ate i nā ʻīlio ka emi ʻana o ka ʻai, ka luaʻi ʻana, ka wehe ʻana o nā feces a me ka mimi.

Nā kumu o ka cirrhosis

He ʻokoʻa nā kumu o ka ulu ʻana o nā loli cirrhotic. No ka loaʻa ʻana o nā hoʻololi i nā ʻiʻo o ke ake, pono ka hana o kahi mea pōʻino. I loko o nā ʻīlio, hiki i kēia mau mea ke ʻano o nā toxins, nā lāʻau lapaʻau, nā hana infectious a invasive. I ka pane ʻana i ka hana o ka mea pōʻino, ka make ʻana o nā hepatocytes - nā puʻupuʻu ate. Ke ho'āʻo nei ke kino e kū'ē i kēia kaʻina hana a hoʻoulu i nā kaʻina hana compensatory, pono e laweʻia kahi o nā pūnaewele make e kekahi mea. ʻOi aku ka wikiwiki o ka ulu ʻana o nā ʻiʻo pili ma mua o nā hepatocytes, a hoʻomohala ka ʻīlio i ka fibrosis ate. A laila hoʻomaka ke kaʻina o ka angiogenesis - ke kūkulu ʻana i nā kīʻaha koko hou. Hoʻopuni ʻia nā moku hou e nā ʻiʻo pili, e hoʻemi ana i ko lākou leo. Hoʻokumu nā moku i kahi pūnaewele hou, e hoʻopili ana i nā moku nui o ke ake - ke aʻa hepatic a me ka vein portal. Akā, hiki i ka vasculature hou ke hele i kahi liʻiliʻi liʻiliʻi o ke koko, a mālama pū i kahi kiʻekiʻe kiʻekiʻe ma mua o ka mea maʻamau. ʻO ka hopena, hoʻomaka ka piʻi ʻana i loko o ka vein portal, e alakaʻi ana i ka hypertension portal.

ʻO nā kumu nui e hōʻino ai i ke akepaʻa penei:

1. Nā huahana lāʻau

   ʻO kekahi mau lāʻau, ke lawe ʻole ʻia, hiki ke alakaʻi i nā loli koʻikoʻi i ke ake. Aia kēia mau lāʻau i ka phenobarbital, i hoʻohana pinepine ʻia no ka convulsive syndrome i nā ʻīlio. ʻO ka hoʻomākaukau ʻana o Glucocorticoid i nā koina kiʻekiʻe a no kahi papa lōʻihi e alakaʻi i nā hopena koʻikoʻi, me ka maʻi ate. ʻO kekahi mau ʻīlio he hypersensitive i ka lāʻau antiparasitic mebendazole (ʻaʻole i loaʻa pinepine ʻia ma ka mākeke i kēia mau lā), i nā koina kiʻekiʻe e ʻona loa ia. ʻO nā lāʻau antibiotic mai ka hui tetracycline a me kekahi mau lāʻau antifungal (ketoconazole) hiki ke pilikia loa ke hoʻohana ʻole ʻia. ʻO ka Paracetamol, ʻoiai i nā haʻahaʻa haʻahaʻa, hiki ke hoʻololi i nā loli hiki ʻole i ke ake i nā ʻīlio.

2. Nā lōlani

   Makemake nā ʻīlio i ka nau ʻana i nā mea ʻai ʻole. ʻO ka ethylene glycol i loko o ka antifreeze he mea ʻono i ka ʻono, a ʻaʻole mālama ʻia nā ʻīlio i ka ʻahaʻaina inā waiho ʻia i ko lākou komo. Aia ka xylitol i ka nau a me ka niho niho no ke kanaka, he mea make no na holoholona. Hoʻomaka ka ʻai ʻana o nā pā i ka oxidize i loko o ka ʻōpū o ka ʻīlio a hoʻokuʻu i nā metala kaumaha. Huna ʻia nā aflatoxins e nā haʻuki parasitic he nui (e laʻa me nā molds) a he hopena hepatotoxic. ʻO nā fungicides, insecticides a me kekahi rodenticides he mea ʻawaʻawa loa ke ʻai ʻia.

3. Infections

   ʻO ka maʻi ate maʻamau i nā ʻīlio he leptospirosis. ʻO ka Leptospira ka hua bacteria e komo i loko o ke ake, puʻupaʻa, akemāmā a me kekahi mau ʻiʻo ʻē aʻe o ke kino ola. Loaʻa ka maʻi maʻi ma o ka wai i maʻi ʻia (ʻoi pinepine i loko o nā puddles) a i ʻole ma hope o ka ʻai ʻana i nā rodents i make i ka maʻi. ʻO kekahi maʻi ʻē aʻe ʻo ia ka maʻi hepatitis infectious i hoʻokumu ʻia e ka adenovirus type 1. I kēia mau lā, ʻaʻole maʻamau kēia maʻi a ʻaneʻane ʻaʻole hiki mai ma muli o ka hoʻomaʻamaʻa pono ʻana i nā ʻīlio home.

4. Nā hoʻouka kaua

   He kakaikahi ka parasite ma ke akepaa o na ilio. ʻO kahi helminth e hoʻopaʻa pololei ana i loko o ke ake (Opisthorchis felineus) ke kumu o ka opisthorchiasis. Loaʻa ka maʻi ma o ka ʻai ʻana i nā iʻa i mālama ʻole ʻia. Hiki i nā helminths ʻē aʻe (toxocars, roundworms) ke neʻe aku i ke ake i ka wā o ko lākou ola ʻana a moe i laila ma ke ʻano o nā larvae.

Nā hōʻailona o ka cirrhosis ate i nā ʻīlio

Hiki ke ʻokoʻa nā hōʻailona lapaʻau i loaʻa me ka cirrhosis ate i nā ʻīlio. ʻO ko lākou koʻikoʻi e pili ana i ka pae o ka maʻi. E liʻiliʻi paha ke kelepona hele ʻana o ka ʻīlio, ʻoi aku ka luhi. E hiamoe ka hapa nui o ka lā. E emi mālie ke kaumaha o ke kino. He lohi ka makemake, a hiki ke make wai i loko o ka laulā maʻamau a hoʻonui. Hiki ke luaʻi i kēlā me kēia manawa, hiki ke luaʻi i ka bile. ʻAʻole paʻa ka noho, hoʻololi ka maʻi maʻi me ka constipation. Hiki ke ʻeleʻele ke kala o ka mimi, aneane ʻeleʻele. Hiki i nā feces ke lilo i ke kala a hina a keʻokeʻo paha. ʻO ka ʻili a me ka mucous membrane i kekahi mau hihia e lilo i icteric, ʻo ia hoʻi, loaʻa kahi ʻula melemele. Ma muli o ka hypertension ma ka portal vein o ke ake, hiki ke ʻike pinepine ʻia ka piʻi ʻana o ka nui o ka ʻōpū ma muli o ka wai ascitic i loko.

ʻO ka maʻamau, hoʻopuka ka ate i nā mea like ʻole o ka ʻōnaehana coagulation koko, me ka vitamina K. Me ka cirrhosis, hoʻemi ʻia ka hana ʻana o kēia mau mea, hiki ke ʻike ʻia ke koko: ʻaʻole kū maikaʻi ke koko ma kahi o ka ʻeha, ʻike ʻia nā haumia koko i ka mimi a feces, a'a koko koko, eha ma ke kino. I nā pae koʻikoʻi o ka cirrhosis, hiki ke ʻike ʻia nā ʻano nūnū ma muli o ka ulu ʻana o ka encephalopathy hepatic. Loaʻa i ka puaʻa nā convulsions, tremors, impaired coordination. Make paha o ka holoholona.

lapaʻau '

Hoʻokumu ʻia ka hōʻailona o ka cirrhosis ma kahi ala paʻakikī, ʻo ia hoʻi, pono e noʻonoʻo i ka mōʻaukala o ke ola a me nā maʻi, nā hōʻailona maʻi a me nā ʻikepili mai nā noiʻi ʻike a me nā haʻawina. Pono e hoʻomanaʻo inā ua make ka ʻīlio i kekahi mea, inā paha lākou i hāʻawi iā ia i kekahi mau lāʻau ma kāna iho. Eia kekahi, e kōkua ʻia ke kauka e ka ʻikepili e pili ana i nā lāʻau lapaʻau i loaʻa a me nā lāʻau lapaʻau e kūʻē i nā parasites.

I ka wā o ka hoʻokolokolo ʻana, ʻike ʻia ke kala o ka mucous membranes, ka helu o ka hoʻopiha ʻana i ka capillary, ke kiʻekiʻe o ka dehydration, ka ʻeha a me nā loli pathological i loko o ka ʻōpū, a me ka mahana o ke kino. Lawe ʻia nā hoʻāʻo koko maʻamau a me ka biochemical. Ma kahi ho'āʻo koko maʻi, hiki ke ʻike ʻia ka anemia, ʻaʻohe loli nui ka leukocyte formula. Wahi a ka hoʻāʻo koko biochemical, ʻike ʻia ka piʻi ʻana o nā enzyme ate a me bilirubin. I ka pae koʻikoʻi o ka cirrhosis, ʻaʻohe loli i ka hoʻāʻo koko biochemical, no ka mea, ua make loa nā cell i hana i kēia mau mea.

Me ka haʻahaʻa haʻahaʻa o ka albumin koko, e loaʻa pinepine ka effusion i loko o ka ʻōpū a i ʻole ka umauma. I kekahi mau hihia, e hoʻemi ʻia ka glucose koko a me ka urea. Me ka piʻi ʻana o ke kiʻekiʻe o nā waikawa bile, hiki ke kānalua ʻia ka hoʻokumu ʻana o nā shunts hepatic lua.

Manaʻo pinepine ʻia kahi hoʻāʻo koko no ka leptospirosis e microagglutination. No ke aʻo ʻana no ka maʻi hepatitis infectious, hoʻohana ʻia ke ʻano o ka polymerase chain reaction a i ʻole enzyme immunoassay. Pono ka ultrasound o ka ʻōpū o ka ʻōpū me ka manaʻo nui ma ka ʻāpana o ke ake. Ma ke alo o ka effusion, lawe ʻia ka wai no kāna aʻo ʻana i mea e haʻalele ai i nā kaʻina maʻi a me nā hana inflammatory.

ʻO ka hōʻailona hope loa o ka cirrhosis i ka hapa nui o nā hihia hiki ke hana ʻia me ke kōkua o ka histological examination.

Ka lapaʻau ʻana i ka cirrhosis ate ma nā ʻīlio

Inā ʻai ka ʻīlio i kahi mea ʻawaʻawa, pono ʻoe e hoʻopili koke i ke keʻena keʻena kokoke loa. I loko o ke keʻena kino, hiki ke ʻōlelo ʻia e hoʻoulu i ka luaʻi ʻana i mea e hoʻokuʻu koke ai i ka toxin a i ʻole ka holoi ʻana i ka ʻōpū. Kau ʻia nā droppers e hoʻopau i ka ʻona. Inā ʻike ʻia ka mea ʻawaʻawa, hiki ke hoʻohana i kahi antidote kūpono.

ʻO ka mālama ʻana i nā maʻi infectious aia i ka hoʻokomo ʻana i nā lāʻau antibacterial, antifungal a me antiparasitic. ʻO nā loli cirrhotic Sami i loko o ke ake, ʻaʻole hiki ke hoʻololi. ʻAʻole hiki ke ola hou kēlā ʻāpana o ke akepaʻa, kahi i pani ʻia e ka ʻiʻo pili. Hoʻohana wale ʻia ka hōʻailona a me ke kākoʻo o ka cirrhosis ate i nā ʻīlio. Kau ʻia nā meaʻai therapeutic kūikawā no nā maʻi ate. Hiki ke hoʻohui ʻia nā huaora e like me ka huaora B12, E a me K.

Kau ʻia nā lāʻau choleretic, ʻo ia hoʻi, nā lāʻau choleretic. I kekahi manawa ua kuhikuhi ʻia nā lāʻau mai ka hui o nā hepatoprotectors. ʻOiai ʻaʻole pili kēia mau lāʻau i ka waihona o ka lāʻau lapaʻau e pili ana i nā hōʻike, i ka wā e hoʻohana ai iā lākou, hiki ke ʻike pinepine ʻia kahi hopena maikaʻi. ʻO kēia mau lāʻau lapaʻau he S-adenosylmethionine a me ka waiu ʻuala hua extract.

Kāohi

No ka pale ʻana i ka ulu ʻana o nā maʻi ate, me ka cirrhosis i nā ʻīlio, pono e hahai i nā lula kumu no ka mālama ʻana i kahi holoholona. Pono e wehe i nā mea ʻawaʻawa a pau mai ke komo ʻana o ka ʻīlio. Pono e hana i ka hoʻopaʻa ʻana o ka makahiki, e komo pū ana me ka pale ʻana i ka maʻi hepatitis a me kekahi mau maʻi leptospirosis. Hoʻokō ʻia ka mālama pale ʻana no nā parasite kūloko ma ka liʻiliʻi ʻehā manawa o ka makahiki no nā ʻīlio hele wāwae a i kēlā me kēia mahina no nā ʻīlio hahai a ʻai i ka ʻiʻo maka.

ʻO ka hoʻokolohua lapaʻau makahiki e kōkua i ka ʻike ʻana i ka maʻi i ka wā mua a lawe i nā hana kūpono i ka manawa.

22 2021 Iune

Hōʻano hou ʻia: 28 Iune 2021