Chithandizo cha autoimmune hepatitis

Zamkati

• 1. Ma Corticoids
• 2. Odwala matenda opatsirana pogonana
• 3. Kuika chiwindi
• Zizindikiro zakusintha kwa chiwindi cha autoimmune
• Zizindikiro za kuwonjezeka kwa chiwindi cha autoimmune

Kuchiza kwa chiwindi cha autoimmune kumaphatikizapo kugwiritsa ntchito mankhwala a corticosteroid okhudzana kapena osagwiritsidwa ntchito ndi ma immunosuppressive ndipo amayamba atazindikira kuti adokotala atasanthula zizindikilo zomwe munthuyo adapeza komanso zotsatira za mayeso a labotale, monga muyeso a michere ya chiwindi, ma immunoglobulins ndi ma antibodies, komanso kuwunika kwa chiwindi.

Munthuyo akapanda kulandira chithandizo ndi mankhwala osokoneza bongo kapena ngati matendawa atha kale kupita patsogolo, a hepatologist kapena wothandizira angalimbikitse kuti apange chiwindi. Kuphatikiza apo, kuti athandizire kuchipatala, ndikulimbikitsidwa kuti odwala azidya zakudya zopatsa thanzi zomwe sizimamwa zakumwa zoledzeretsa komanso zakudya zamafuta, monga masoseji kapena zokhwasula-khwasula.

Dziwani zambiri za matenda a chiwindi.

Kuchiza kwa chiwindi cha autoimmune kumatha kuchitika ndi corticosteroids, ma immunosuppressants kapena, pakavuta kwambiri, ndikuyika chiwindi. Nthawi zambiri, chithandizo chamankhwala cha autoimmune hepatitis chiyenera kupitilizidwa kwa moyo wonse kuti matendawa azilamuliridwa.

1. Ma Corticoids

Mankhwala a Corticosteroid, monga Prednisone, amagwiritsidwa ntchito pochepetsa kutupa kwa chiwindi komwe kumachitika chifukwa cha chitetezo chamthupi pamaselo a chiwindi. Poyamba, mlingo wa corticosteroids ndiwokwera, koma pomwe chithandizo chikuyenda, adotolo amachepetsa kuchuluka kwa Prednisone pamlingo wofunikira kuti matendawa azilamulirabe.

Komabe, kugwiritsa ntchito corticosteroids kumakhala ndi zovuta zina monga kunenepa, kufooka kwa mafupa, matenda ashuga, kuchuluka kwa magazi kapena nkhawa ndipo chifukwa chake, kungakhale kofunikira kuphatikiza ndi ma immunosuppressants kuti muchepetse zovuta, kuwonjezera pa kufunika kuti dokotala azimutsatira nthawi ndi nthawi.

Kugwiritsiridwa ntchito kwa corticosteroids kumawonetsedwa kwa anthu omwe ali ndi zofooka zambiri, monga kutopa ndi kupweteka kwamalumikizidwe, mwachitsanzo, munthu atasintha kwambiri michere ya chiwindi kapena gamma globulins, kapena pamene necrosis ya minofu ya chiwindi imayima mu biopsy ..

2. Odwala matenda opatsirana pogonana

Mankhwala a Corticoid, monga Azathioprine, amawonetsedwa ndi cholinga chochepetsa chitetezo cha mthupi, motero, kupewa kuwonongedwa kwa maselo a chiwindi komanso kutupa kwa ziwalo. Azathioprine nthawi zambiri amagwiritsidwa ntchito limodzi ndi corticosteroids kuti muchepetse zovuta zoyambitsidwa ndi mankhwalawa.

Mukamalandira mankhwala osokoneza bongo, monga Azathioprine, wodwalayo amayenera kuyezetsa magazi pafupipafupi kuti awone kuchuluka kwa ma cell oyera, omwe amatha kuchepa ndikuthandizira kuyamba kwa matenda.

3. Kuika chiwindi

Kuika chiwindi kumagwiritsidwa ntchito pamavuto owopsa a chiwindi cha autoimmune, pomwe wodwalayo adwala matenda enaake kapena kulephera kwa chiwindi, mwachitsanzo, ndipo amatenga chiwindi chodwala ndi chathanzi. Dziwani zambiri zakusintha kwa chiwindi.

Pambuyo pakuyika chiwindi, wodwalayo ayenera kuchipatala kwa milungu 1 mpaka 2 kuti awonetsetse kuti palibe chiwalo chatsopanocho. Kuphatikiza apo, omwe amaikidwa m'malo mwake amathanso kumwa ma immunosuppressants m'miyoyo yawo yonse kuti thupi lisakane chiwindi chatsopano.

Ngakhale kuti ndi njira yabwino yochiritsira, pali kuthekera kuti matendawa adzachitikanso, chifukwa matenda a chiwindi omwe amadzichititsa ndi okhudzana ndi chitetezo chamthupi cha munthu osati chiwindi.

Zizindikiro zakusintha kwa chiwindi cha autoimmune

Zizindikiro zakusintha kwa chiwindi cha autoimmune nthawi zambiri zimawoneka patatha milungu ingapo chithandizo chitayambika ndipo zimakhudzana ndi kuchepa kwa zizindikilo, zomwe zimalola wodwalayo kukhala moyo wabwinobwino.

Zizindikiro za kuwonjezeka kwa chiwindi cha autoimmune

Chithandizocho chikapanda kuchitidwa bwino, wodwalayo amatha kudwala matenda am'mimba, encephalopathy kapena kufooka kwa chiwindi, kuwonetsa zizindikiro zowonjezereka zomwe zimaphatikizapo kutupa kwathunthu, kusintha kwa kununkhira komanso mavuto amitsempha, monga kusokonezeka ndi kugona.