Matenda a hepatitis

Matenda a hepatitis ndikutupa kwa chiwindi. Zimachitika maselo amthupi akamalakwitsa maselo abwinobwino a chiwindi kukhala olowerera owopsa ndikuwaukira.

Mtundu uwu wa matenda a chiwindi ndi matenda omwe amadzimangirira okha. Chitetezo cha mthupi sichitha kusiyanitsa pakati pa minofu yathanzi ndi zinthu zowopsa, zakunja.Zotsatira zake ndizoyankha mthupi zomwe zimawononga matupi abwinobwino amthupi.

Kutupa chiwindi, kapena hepatitis, kumatha kuchitika limodzi ndi matenda ena amthupi okha. Izi zikuphatikiza:

• Matenda amanda
• Matenda otupa
• Matenda a nyamakazi
• Scleroderma
• Matenda a Sjögren
• Njira lupus erythematosus
• Chithokomiro
• Type 1 shuga
• Zilonda zam'mimba

Matenda a hepatitis amatha kupezeka m'mabanja a anthu omwe ali ndi matenda omwe amadzimadzimadzi okhaokha. Pakhoza kukhala chifukwa cha chibadwa.

Matendawa amapezeka kwambiri mwa atsikana ndi amayi achichepere.

Zizindikiro zimaphatikizapo:

• Kutopa
• Kusapeza bwino, kusakhazikika, kapena kudwala (malaise)
• Kuyabwa
• Kutaya njala
• Nseru kapena kusanza
• Ululu wophatikizana
• Zojambula zofiirira kapena zadongo
• Mkodzo wakuda
• Kutsegula m'mimba

Kusapezeka kwa msambo (amenorrhea) kungakhalenso chizindikiro.

Kuyesedwa kwa matenda a chiwindi a autoimmune kumaphatikizapo kuyesa magazi otsatirawa:

• Kuyesa kwa chiwindi
• Anti-chiwindi impso microsome mtundu 1 antibody (anti LKM-1)
• Anti-nyukiliya antibody (ANA)
• Anti-yosalala minofu yoteteza (SMA)
• Seramu IgG
• Chiwindi chofufuza chiwindi cha nthawi yayitali

Mungafunike prednisone kapena mankhwala ena a corticosteroid kuti muchepetse kutupa. Azathioprine ndi 6-mercaptopurine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena am'thupi. Awonetsedwa kuti athandizanso anthu omwe ali ndi matenda a chiwindi a autoimmune, nawonso.

Anthu ena angafunike kumuika chiwindi.

Zotsatira zimasiyanasiyana. Mankhwala a Corticosteroid amatha kuchepetsa kupita patsogolo kwa matendawa. Komabe, chiwindi cha autoimmune chimatha kupita ku chiwindi. Izi zingafune kumuika chiwindi.

Zovuta zingaphatikizepo:

• Matenda a chiwindi
• Zotsatira zoyipa zochokera ku steroids ndi mankhwala ena
• Matenda a hepatocellular carcinoma
• Kulephera kwa chiwindi

Itanani foni kwa omwe akukuthandizani mukawona zizindikiro za matenda a chiwindi.

Matenda a hepatitis omwe amatha kudziletsa samatha kupewedwa nthawi zambiri. Kudziwa zoopsa kungakuthandizeni kuzindikira ndi kuchiza matendawa msanga.

Lupoid chiwindi

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo

Czaja AJ. Matenda a hepatitis. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 90.

Pawlotsky JM. Matenda a chiwindi ndi autoimmune. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 149.