Jiyya na autoimmune hepatitis: hanyoyin, magunguna, illa, kintace

Da yawa daga cikinmu sun ji game da irin wannan cututtuka kamar autoimmune hepatitis. Menene wannan Pathology? Yana da wani kullum cutar, wanda yake shi ne insoluble kumburi a irin wannan muhimmanci zuciya da sauransu domin mu zama kamar hanta. Saita yanayi, wannan Pathology yana ba.

Abin da idan wannan ya faru?

Idan ganewar asali "autoimmune hepatitis", abin da yake nufi? Wannan shi ne wani tsanani Pathology a cikin gaba daya ba a sani ba dalilai, sannu a hankali ta halakar da hanta Kwayoyin. Kuma a cikin wannan tsari ya taimaka da rashin lafiya ta mallaka rigakafi da tsarin. A mataki na farko da cutar akwai wani kumburi daga cikin parenchyma, cewa shi ne babban sashi na jiki. Wannan tsari progresses hanzari da za a iya kai wa ga cirrhosis.

Wannan yana tare da cell mutuwa na irin wannan muhimmanci jiki ga mu - hepatocytes. Su wuri nan da nan ya cika m da inelastic connective nama. A sakamakon haka, da hanta ne kawai ba su iya qualitatively gudanar da ayyuka.

Za ka iya samun sunaye daban-daban na wannan cuta. Duk da haka, ya fi na kowa Pathology a cikin likita adabi cewa hanya: aiki na kullum autoimmune hepatitis. Yana da wani m cutar da cewa shi ne ya fi kowa a cikin 'yan mata girmi 10 shekaru da kuma a cikin matan da suka ba su isa da shekaru talatin.

cututtuka

Clinical bayyananen cuta bambanta. Alal misali, a kwata na dukan marasa lafiya ba tare da wani bayyanar cututtuka na autoimmune hepatitis ba. Kuma shi yana muddin wani mutum ba shi da wani rikitarwa. A irin haka ne, cutar ba zato ba tsammani ta kama tare da mutane, ko sun nuna duk da bayyanar cututtuka da kwayar hepatitis, ko wasu alamu suggestive na hanta lalacewa. A farko bambance-bambancen da mutum events shi zai fara zuwa a damemu da wani rauni. Jikinsa ruwaye zama duhu. Fata da kuma mucous membranes, yellowing, asarar ci. A karo na biyu idan, akwai extrahepatic yanayin da cututtuka. Wannan shi ne dalilin da ya sa likitoci sau da yawa bayar da shawarar da kasancewar a cikin jiki na daban-daban na tsari cututtuka irin rheumatoid amosanin gabbai, lupus, da dai sauransu

Amma a general, bayyananen cututtuka ne kamar yadda wuce kima gajiya, zazzabi, karuwa a jiki zafin jiki zuwa 39 digiri, lymphadenopathy, kuraje, ciki zafi, musamman a dama babba quadrant, take hakkin da gidajen abinci, kazalika a cikin aiki girma na gashi a kan dukkan sassa na jiki . Idan cutar farawa don su tsokane kira na adrenal hormones, wanda ake samar a wuce haddi, da mãsu haƙuri iya samun wani karu a tsoka nama a ƙafafunsa da hannuwansa, bugun kiran sauri da wuce haddi nauyi, bayyanar stretch alamomi a kan cinyoyinsa da wani haske zama ja a kan cheeks.

Wani lokaci marasa lafiya cuta auku ba zato ba tsammani, shi ya bayyana sa samun abinci da kuma fitowa da wuya. Duk wannan yana tare da ya faru na fulminant hepatitis, wanda ya haddasa mutuwar m na mafi yawan hanta Kwayoyin. Wannan, bi da bi, take kaiwa zuwa wani m samuwar gubobi, barnatar da shafi, sa'an nan harba kwakwalwa. Yana da wuya, idan ba riga ya bayyana autoimmune hepatitis (cututtuka), magani. Hangen nesa a irin haka ne, likitoci ba musamman unfavorable ga mãsu haƙuri.

iri cututtuka

Jiyya na autoimmune hepatitis ne kai tsaye dogara da jinsunan. A musamman irin cutar da aka ƙaddara da kasancewar a cikin jini magani daga wani irin antibody. A wannan yanayin, akwai iri uku autoimmune kullum hepatitis B:

1. A cikin farko da irin gano cuta-actin antibodies da sunadarai, furotin, m tsoka Kwayoyin, antinuclear antibodies.

2. Domin na biyu irin cuta halin gaban antibodies zuwa microsomes, ga Kwayoyin kodan da kuma hanta.

3. Na uku irin Pathology da aka cuta a lokuta na ganewa na antibodies zuwa abu da yake da alhakin gina jiki kira, Ina nufin zuwa hanta narkewa antigen.

Pathology Sanadin

Autoimmune hepatitis - wata cuta a cikin abin da wani mutum na rigakafi da tsarin zai fara aiki gwagwarmaya tare da nasu gaba daya lafiya tsokoki da kuma Kwayoyin. Abin da aka kafe Sanadin wannan sabon abu? A wannan tambaya, ta zamani, magani ba zai iya amsa ba tukuna. Duk da haka, masana kimiyya sun nuna cewa, irin wannan gazawar jiki ta defenses ba daban-daban a baya haifa kwayar cututtuka, kamar hepatitis A da B da C, herpes, Epstein-Barr cutar.

Wasu masu bincike sun nuna ra'ayi, da kuma cewa a ci gaba da daban-daban autoimmune cututtuka, da babban rawa da aka buga da wani takamaiman gene. Duk da haka, shi ne ya kamata a lura cewa cutar a yara a karkashin shekaru 10 ana kusan taba gano.

bincikowa da

Jiyya na autoimmune hepatitis zai zama yafi tasiri idan cutar da aka gano a wani wuri ya fara ta ci gaba. Duk da haka, Pathology ganewar asali ne musamman wuya. Yawanci, irin wannan ganewar asali likitoci sa kawai yayin da hankali ware gaban sauran cututtuka. Don yin wannan, likita na nazarin haƙuri ta bayyanar cututtuka da kuma kiwon lafiya da tarihin rayuwarsa. Duk wannan ya faru a cikin shakka daga cikin tattaunawar. A wannan yanayin, da gwani ya sami abin da ke damu da mutumin, da kuma tsawon lokacin da shi yana.

Next, wani jiki jarrabawa yi, a lokacin da likita ya bincika fata da kuma mucous membranes, ƙaddara haƙuri ta jiki zafin jiki, da kuma wasan yara masu kara shãfi hanta figuring ta zafi da karuwa a size. Lokacin da samuwa da ake zargi na da ciwon Pathology dakin gwaje-gwaje karatu ne gudanar. Suna tsara don sanin matakin dauri globulin da kuma na ayyuka na enzyme AST. Yana bayar da shugabanci da kuma immunological bincike na jini. Bincika da shi da kuma ga hepatitis A da B da kuma C. The likita ya ba shugabanci to coprogram. A binciken ne stool rajistan shiga ga gaban undigested abinci barbashi.

Bincikowa da ne da za'ayi idan ya cancanta. Yana hada da wani duban dan tayi jarrabawa na ciki, esophagus da duodenum 12 tare da yin amfani da kayan aiki endoscopic. Wannan binciken ne aka yi nufi ga ware gaban marurai na daban-daban etiology. A haƙuri aka aiko zuwa wani hanta biopsy, a cikin abin da karamin nama samfurin da aka dauka na jiki zuwa ta histology.

Da zarar gano autoimmune hepatitis ganewar asali, da kuma magani wajabta ta likita, duk samu shawarwari da ya kamata a lura ba tare da kasa. Kawai a cikin wannan hali mu iya magana game da m kintace na ci gaba da cutar.

magani Pathology

Da zarar autoimmune hepatitis (cututtuka) an gano, da kuma lura da wannan cuta ya zama m, wani likita na iya amfani da hanyoyin da dama. Suna nan kamar haka:

- a cika tare da wani m rage cin abinci.

- a likitanci far.

- su gudanar da tiyata.

La'akari da dukan wadannan hanyoyin daki-daki.

rage cin abinci

Jiyya na kullum autoimmune hepatitis, wanda yake a cikin m mataki, da za'ayi a karkashin m gado sauran. Bayan da ya faru na zamani gafarar haƙuri isa ya shirya aikinku kuma sauran, guje wa kowane irin (wani tunanin da kuma ta jiki) sha. Bugu da kari, yana da muhimmanci a kawar da sakamako a kan hanta na daban-daban guba abubuwa, ciki har da barasa da magani da kwayoyi, janye da cewa dalĩli. A cikin tsawon gafarta musu ba lallai ba ne su ma su gudanar da physiotherapy jiyya da shafi hanta yankin. Haramta, kuma balneotherapy.

Don normalize da yanayin haƙuri ne muhimmanci dace abinci mai gina jiki. Ta hanyar lura da kullum autoimmune hepatitis, gastroenterologists bayar da shawarar yin amfani da abun da ake ci (tebur № 5). Yana hada kayan lambu soups da ramammu nama (kaji, nama). A rage cin abinci da marasa lafiya da abinci da kifi za a iya kunshe a cikin gasa ko Boiled. Rage cin abinci, wanda aka shawarar a lokuta inda ake bukata magani na kullum autoimmune hepatitis, ya hada da irin kayayyakin kamar yadda low-mai yoghurt da cuku, kuma idan ba rashin ha} uri, sa'an nan da madara da kuma madara kayayyakin. Lokacin da dafa for mutanen da suke fama daga autoimmune hepatitis, yana da muhimmanci a yi amfani da man shanu da kayan lambu mai kawai a kananan yawa. Ya kamata ya zama iyaka da kuma yin amfani da qwai. Su za a iya hada a rage cin abinci kawai 2 ko sau 3 a lokacin da ya gabata na 1-2 qwai da rana.

Babu laifi a rage cin abinci ba a dauke dangane da wadanda ba acidic kayan lambu da 'ya'yan itãce. Duk da haka, su yi amfani da, kazalika da dukan sauran halatta abinci, dole ne dole zama a wani m kewayo.

Rage cin abinci, shawarar da mutum wanda yake lura da autoimmune hepatitis, ware daga rage cin abinci na soyayyen abinci, m nama, m kuma yaji snacks, zobo da alayyafo, koko da kuma karfi da kofi, barasa, da kuma gwangwani kaya. Power haka ya kamata ko da yaushe a fractional. Yana da muhimmanci a ci akalla sau hudu a rana, kuma shi ne mafi alhẽri idan abinci ne da za a samar da sau shida. Yana da muhimmanci da girmama daidaita cin abincin nasu saboda haka cewa jiki na'am da duk dole abu don shi.

Da amfani da kwayoyi

Idan lura da autoimmune hepatitis, likita jerin ayyuka za su dogara a kan mataki da kuma shakka daga cuta. Amma a cikin wani akwati, a cikin Bugu da kari ga yin amfani da rage cin abinci, marasa lafiya da aka gudanar da zama dole magunguna. Dangane da abin da aka lura a wani haƙuri da ganewar asali "autoimmune hepatitis" asibitin, magani gwani za a iya sanya tare da daban-daban kwayoyi.

Ganin cewa babban dalilin da wannan cuta ne wuce-wuri-kunnawa da matsalar aiki na samfur na jiki ta defenses, da suka fara maida halakar da lafiya Kwayoyin na hanta, a far da likita dole ne hada da miyagun kwayoyi da cewa Target rigakafi danniya. Yana imunosupressivnye kwayoyi ne hormonal da anti-mai kumburi. Wadannan da farko sun hada da irin wannan kwayoyi a matsayin "Prednisolone" da "Azathioprine". Wadannan biyu kwayoyi suna amfani da wadanda yanayi inda lura da autoimmune hepatitis. A cikin shakka daga far su iya designate ko dai dabam, ko tare.

Amma ga "prednisolone", wannan magani yana da m bakan da aiki. Yana yana da wani tasiri mai kyau a kan kowane irin rayuwa tsari, da kuma samar da wani fairly kyau anti-mai kumburi sakamako. Ƙarƙashin rinjayar da miyagun ƙwayoyi rage aiki na pathological tsari. Wannan shi ne saboda biyu, zuwa ga tasiri kai tsaye daga immunosuppressive jamiái a kan K-Kwayoyin da inducing da tasiri a kan haɗẽwar haushi aiki na T-lymphocytes.

Kawai high allurai da miyagun ƙwayoyi ne iya samar da tasiri, idan suka kamu da autoimmune hepatitis (cututtuka) magani. Hangen nesa da cutar a cikin wadannan lokuta, shi ne m. Saboda haka, a gwajinsu a lokacin hanya manufa ta amfani da pharmacological nufin "Prednisolone" lura rage a cikin tsanani da kuma mita na immunopathological halayen lura a cikin hanta nama.

Wani miyagun ƙwayoyi jiyya na autoimmune hepatitis - "Azathioprine". Na rigakafi da martani shi rinjayar da suppressing inji rayayye tasowa kwafi masu kunnen doki na rigakafi Kwayoyin, kazalika da kawar da kawar da kumburi Kwayoyin.

Drug "Azathioprine" rinjayar da biyu da firamare da sakandare na rigakafi da martani. Duk da haka, lura da wannan magani ga masana suka ce shi kasa sakamako. Wannan shi ne saboda wani take hakkin kunna kwayoyi, kazalika da hanzari na aiwatar da ta hallaka a lokuta da cutar hanta. Don warware wannan batu a cikin shakka daga far aka bi-biye sanya wani hormonal miyagun ƙwayoyi - "Prednisolone". Shi ne iya kunna sakamako na "azathioprine". Bugu da ƙari kuma, illa bayan lura da autoimmune hepatitis a cikin hadaddun amfani da biyu kwayoyi a hudu sau karami kamar yadda idan aka kwatanta da wadanda ya lura a lokacin da daya ne kawai "prednisolone". Wannan ya nuna a fili da bukatar irin wannan fuskanta da magani.

A amfani da biyu kwayoyi a lokaci guda damuarn cin gaban kumburi da kuma damar da m sojojin da kwayoyin da kansa kawar da data kasance glitches. Abin baƙin ciki, shan wadannan kwayoyi, marasa lafiya suna tilasta su daga watanni shida zuwa 4 years. Duk da haka, likitoci ba su ba da wani tabbacin cewa wannan hanya zai zama daya kawai. Mutane da yawa marasa lafiya da maimaita shi fiye da sau daya a rayuwarsu.

Wannan algorithm ne amfani far a kuma waɗannan lokuta inda a lura da autoimmune hepatitis a yara.

Don kawar kofermentativnye Pathology da kuma na rayuwa kwayoyi za a iya amfani da su. Su irin wannan bitamin da kuma multivitamin gidaje, kamar yadda "kokarboksilazu", "Riboksin" kuma da yawa wasu. A lura da ake amfani da gepatoprotektory dake dauke da cikin abun da ke ciki na phospholipids. Wadannan su ne kwayoyi kamar "Livolin", "Esentsiale", "Geptral" kuma da yawa wasu. A cewar masana, da manufar wadannan kudi ya kamata a yi kawai a mataki na gafarta musu, a lokacin da babu wani pronounced kumburi.

Domin excrete mai guba na rayuwa kayayyakin ne waɗanda suke tãre da abin da hanta ba zai iya jimre, likitoci rubũta igiyar jini jiko far. Yawanci, a irin haka ne, da wani magani "Reosorbilakt" ko Saline. A hanya aka yi a karkashin m iko da jini da kuma fitsari fitarwa.

Alternative magani makirci

Jiyya ta amfani da hade da kwayoyi kamar "prednisolone" da "Azathioprine" da aka yadda ya kamata a yi amfani da likita yi ne kusan biyar da suka gabata. Irin wannan far za muhimmanci ƙara da rayuwa Hasashen na marasa lafiya da autoimmune hepatitis.

A halin yanzu, duk da haka, duk da mafi inflamed da muhawara a kan yin amfani da wasu makircinsu cewa sun zama ƙasa da lokaci ga marasa lafiya da kuma zai sa 'yan kadan illa. Alal misali, masana la'akari da yiwuwar cewa magani iya Madĩna autoimmune hepatitis "Budenofalk". Yana da wani magani na zuwa rukuni na glucocorticosteroids 2nd tsara. Bugu da ƙari kuma, shi yana da kadan illa da casa'in cikin dari da aka metabolised da hanta riga a farko nassi therethrough. Wannan taimaka wajen maido da kiwon lafiya na marasa lafiya fama da autoimmune hepatitis.

A sakamakon asibiti karatu nuna a ƙarshe cewa da miyagun ƙwayoyi "Budenofalk" ana amfani da a hade tare da "azathioprine" sa da kuma kula da gafarar a cikin wadanda mutane da autoimmune hepatitis suka yi ba tukuna da bayyanar cututtuka na hanta cirrhosis. A wannan far kan zargin karami, fiye da bayan aikace-aikace na "Prednisolone" illa.

Kamar yadda masu bincike, da miyagun ƙwayoyi ne iya zama wani sabon asibiti misali na kula amfani a cikin zubar da autoimmune hepatitis.

m magani

A waɗannan lokuta inda da amfani da miyagun ƙwayoyi far ga shekaru hudu bai inganta da yanayin haƙuri, kuma ba normalize ta biochemical pokazatelt jini, da mãsu haƙuri ne da za'ayi tiyata.

Yana da wani aiki to dashi da mai bayarwa ta zuciya da sauransu. Matsayin mai mulkin, wannan daukan wani yanki na 'yan qasar hanta na mutum jini.

jama'a magunguna

A amfani da kudi, wanda girke-girke da aka halitta da quacks dangane da halitta sinadaran, da barin fitarwa na bile, kawar da tashin zuciya, da kuma cututtuka na maye, kazalika da cire zafi.

Ya kamata a haifa tuna cewa idan wani mutum da aka gano autoimmune hepatitis, magani na jama'a magunguna kawai kawo taimako ga bayyanar cututtuka da cutar, amma rabu da shi ba cikakken damar. Irin wannan hanyoyin su ne tasiri ne kawai a lokacin da pathologies cewa za a iya bi sauƙi. Wannan ya shafi hepatitis A ko wani mai guba irin.

To kafa a yaki da kumburi a cikin hanta na tsirũruwa dabam-dabam da choleretic sakamako. Daga su shirya infusions da decoctions. Irin wannan ganye ne:

- nettle Tushen kuma ganye.
- Mint da kuma anisi.
- Yarrow.
- horticultural tsaba fennel.
- St. John wort.
- Birch bar.

Daga ganye kõma zargin cewa kai kafin abinci. An jiko na fure kwatangwalo shayi aka maye gurbinsu. Sha shi ta hanyar bambaro saboda wannan wakili yana da wani mummunan sakamako a kan hakori enamel.

M sakamako a kan hanta da ruwan 'ya'yan itace da kayan lambu daban-daban, domin ya ƙunshi manyan yawa na bitamin da kuma ma'adinai abubuwa. Juice za a iya amfani da magani daga hepatitis B a cikin gida:

- Urushalima artichoke.
- raw dankali.
- karas, diluted da ruwa.
- seleri da Dandelion ganye.
- raw beets, tsarma da ruwa.

Outlook

Tsira da marasa lafiya fama da autoimmune hepatitis, gaba daya masu zaman kansu na tsanani da kumburi tsari faruwa a cikin hanta. A m lokuta, 80% na mutanen da shi ne fiye da shekara 15. Duk da haka, a cikin rashi na da cikakken far da kuma a cikin tsanani da rashin lafiya kawai don 'yan sarrafa su tsira fiye da shekaru biyar.