Ukwelashwa kwe-hepatitis ezenzakalelayo

-Delile

• 1. AmaCorticoids
• 2. Ama-immunosuppressants
• 3. Ukufakelwa kwesibindi
• Izimpawu zokwenza ngcono i-hepatitis ezenzakalelayo
• Izimpawu zokuwohloka kwesibindi okuzenzakalelayo

Ukwelashwa kwe-hepatitis ezenzakalelayo kuhilela ukusetshenziswa kwezidakamizwa ze-corticosteroid ezihambisana noma cha nezidakamizwa zokuzivikela emzimbeni futhi kuqala ngemuva kokuxilongwa okwenziwe ngudokotela ngokuhlaziya izimpawu nezimpawu ezethulwe ngumuntu kanye nomphumela wezivivinyo zaselabhoratri eziceliwe, njengokulinganisa yama-enzyme wesibindi, ama-immunoglobulin kanye nama-antibodies, kanye nokuhlaziywa kwesibindi kwe-biopsy.

Lapho umuntu engaphenduli ekwelashweni ngezidakamizwa noma lapho isifo sesivele sisezingeni eliphakeme kakhulu, i-hepatologist noma udokotela ojwayelekile angancoma ukwenza ukufakelwa kwesibindi. Ngaphezu kwalokho, ukugcwalisa ukwelashwa, kunconywa ukuthi iziguli zidle ukudla okunomsoco okuneziphuzo ezidakayo nokudla okunamafutha, njengamasoseji noma ukudla okulula.

Funda kabanzi nge-hepatitis ezenzakalelayo.

Ukwelashwa kwe-hepatitis ezenzakalelayo kungenziwa ngama-corticosteroids, ama-immunosuppressants noma, ezimweni ezinzima kakhulu, ngokufakelwa kwesibindi. Imvamisa, ukwelashwa ngezidakamizwa kwe-autoimmune hepatitis kufanele kuqhutshekelwe impilo ukugcina isifo silawulwa.

1. AmaCorticoids

Izidakamizwa zeCorticosteroid, njengePrednisone, zisetshenziselwa ukunciphisa ukuvuvukala kwesibindi okubangelwa isenzo samasosha omzimba kumaseli wesibindi. Ekuqaleni, umthamo we-corticosteroids uphakeme, kepha njengoba ukwelashwa kuqhubeka, udokotela anganciphisa inani lePrednisone kubuncane obudingekayo ukuze lesi sifo siqhubeke silawulwa.

Kodwa-ke, ukusetshenziswa kwe-corticosteroids kunemiphumela emibi njengokuzuza kwesisindo, ukwehlisa amandla kwamathambo, isifo sikashukela, ukukhuphuka kwengcindezi yegazi noma ukukhathazeka, ngakho-ke, kungadingeka ukwenza inhlanganisela nama-immunosuppressants ukunciphisa imiphumela emibi, ngaphezu kwesidingo ukulandelwa ngezikhathi ezithile ngudokotela.

Ukusetshenziswa kwama-corticosteroids kuboniswa kubantu abanezimpawu ezikhubaza kakhulu, njengokukhathala nobuhlungu obuhlangene, ngokwesibonelo, lapho umuntu eguqule kakhulu amazinga ama-enzyme wesibindi noma i-gamma globulins, noma lapho i-necrosis yezicubu ze-hepatic iyeka ku-biopsy .

2. Ama-immunosuppressants

Izindlela zokwelapha zeCorticoid, njenge-Azathioprine, zikhonjiswa ngenhloso yokwehlisa ukusebenza kwamasosha omzimba futhi, ngalokho, ukuvimbela ukubhujiswa kwamaseli wesibindi nokuvuvukala okungapheli kohlaka. I-Azathioprine ivame ukusetshenziswa ngokuhlanganiswa nama-corticosteroids ukunciphisa imiphumela emibi ehambisana nalokhu kwelashwa.

Ngesikhathi sokwelashwa ngemithi yokuzivikela emzimbeni, njenge-Azathioprine, isiguli kufanele sihlolwe njalo ngegazi ukuze sihlole inani lamaseli amhlophe egazi, angancipha futhi enze lula ukuqala kwezifo.

3. Ukufakelwa kwesibindi

Ukufakelwa kwesibindi kusetshenziswa ezimweni ezinzima kakhulu ze-autoimmune hepatitis, lapho isiguli siba ne-cirrhosis noma ukwehluleka kwesibindi, ngokwesibonelo, futhi sisebenza ukufaka isibindi esigulayo ngesinempilo. Funda kabanzi ngokufakelwa kwesibindi kabusha.

Ngemuva kokufakelwa kwesibindi, isiguli kufanele silaliswe esibhedlela amasonto e-1 kuye kwayi-2 ukuqinisekisa ukuthi akukho ukwenqatshwa kwesitho esisha. Ngaphezu kwalokho, abantu abatshalwe kabusha kumele futhi bathathe ama-immunosuppressants ezimpilweni zabo zonke ukuvimbela umzimba ekwenqabeni isibindi esisha.

Yize kuyindlela yokwelashwa ephumelelayo, kunethuba lokuthi lesi sifo sizophinda senzeke, ngoba i-autoimmune hepatitis ihlobene namasosha omzimba womuntu hhayi nesibindi.

Izimpawu zokwenza ngcono i-hepatitis ezenzakalelayo

Izimpawu zokuthuthuka kwesifo sokusha kwesibindi okuzenzakalelayo zivame ukuvela emasontweni ambalwa ngemuva kokuqala kokwelashwa futhi zihlobene nokwehla kwezimpawu, okuvumela isiguli ukuthi siphile impilo ejwayelekile.

Izimpawu zokuwohloka kwesibindi okuzenzakalelayo

Uma ukwelashwa kungenziwanga kahle, isiguli singaqala ukuba ne-cirrhosis, encephalopathy noma ukwehluleka kwesibindi, sikhombise izimpawu zokuwohloka ezibandakanya ukuvuvukala okujwayelekile, izinguquko zephunga nezinkinga zemizwa, njengokudideka nokuzela.