Hepatitis mea hoʻāhu o ka ate, i hana pinepine ʻia e ka maʻi me ka maʻi, akā i kekahi manawa e ka ʻalekohola, a i ʻole e ka lāʻau a ʻona paha.

Hoʻololi ka nui o nā ʻōuli mai kekahi kanaka a i kekahi a hilinaʻi i ke kumu o ka maʻi hepa. Kuhi kekahi ʻano hepatitis i kekahi ʻāpana o ke ake e luku loa ʻia.

Hoʻoholo wikiwiki ka hapanui o ka hepatitis, me ka waiho ʻole i kekahi sequelae. I kekahi manawa mau ka maʻi no kekahi mau mahina. Ke lōʻihi ma mua o 6 mahina, noʻonoʻo ʻia maʻi. Ke hōʻino nui ʻia ke akepaʻa, ʻo kahi transplant o kēia ʻōpala wale nō ka hopena.

ano

Hiki ke hoʻohui ʻia ʻo Hepatitis i ʻelua mahele nui:

• ka hepatitis viral, i hoʻokumu ʻia e ka maʻi virus. I nā ʻāina i kūkulu ʻia, ʻo ka maʻi hepatitis A, B a me C ke kumu o 90% o nā maʻi hepatitis acute. ʻO Hepatitis D, ʻo E a me nā virus G ke kuleana no ka maʻi hepa.
• ka ʻo ka maʻi hepatitis non-viral, ma muli o ka ʻai ʻana i nā huahana ʻona i ke ake (ka waiʻona, nā mea ʻawaʻawa, etc.). ʻO ka maʻi hepatitis non-viral hiki ke hopena i nā maʻi e pili ana i ke akepaʻa, e like me ka momona momona (fatty ate) a me ka maʻi hepatitis autoimmune (he maʻi hepatitis inflammatory mau o ka ʻike ʻole ʻia, i hōʻike ʻia e ka hana ʻana o nā autoantibodies).

ʻO ka pinepine o ka hepatitis

Ma Kanada,hepatitis C ʻO ka maʻi hepatitis maʻamau loa: i kēlā me kēia makahiki, pili ia ma kahi o 45 i 100 poʻe¹. No ka maʻi hepa B, pili ia ma kahi o 3 i 100 Canadians, a me ka hepatitis A, 000 i 1,5^1,42.

ʻOi aku ka maʻamau o ka maʻi hepatitis Viral i nā ʻāina hana ʻole. KA 'hepatitis A. he hopena ia ma ʻApelika, kekahi mau ʻāina ma ʻAmelika Hema a me ʻAsia². Pēlā nō ia no ka maʻi hepitis B. ʻOiaʻiʻo, i ka hapanui o nā ʻāina o ʻApelika sub-Sahara a me ʻAsia, kahi o 8% a i 10% o ka heluna kānaka he mau halihali lawe lima o kaHe pīpī B, ʻo ia kekahi o nā kumu nui o ka make i nā mākua (mai ka maʻi ʻaʻai ate a i ʻole cirrhosis). ʻAneʻane 3% o ko ka honua heluna kanaka i loaʻa i ka maʻihepatitis C. Ma ʻApelika, ʻo ka prevalence o kēia maʻi ka mea kiʻekiʻe loa ma ka honua: ʻoi aku ia ma mua o 5%⁴.

Ke hakakā nei nā luna olakino lehulehu e pale i ka maʻi hepatitis viral, ka mea hele pinepine ʻole ʻia no nā makahiki. Ma mua o ka hana ʻia ʻana o kahi hōʻailona, ​​ʻaʻole paha i hōʻeha nui ka maʻi i ke kino, akā ua laha pū kekahi i nā poʻe ʻē aʻe.

Nā ʻano hoʻohaʻahaʻa

• Hepatitis A.. ʻO ka mea ʻoi loa kēia o ka maʻi hepatitis viral. ʻO ka maʻamau e hakakā ke kino iā ia i loko o kekahi mau pule a paʻa ka pale no ke ola. ʻO ke kumu o kēia aia nā mea ʻāpana kūʻē i ka maʻi. Hoʻolahalaha ʻia ka maʻi hepatitis A e kaʻai ʻana oka wai orʻai hoʻohaumia. Hiki ke loaʻa i loko o ka pahu o kahi mea maʻi a hoʻohaumia i ka meaʻai, ka wai a me nā lima o kekahi kanaka ʻē aʻe. ʻO nā meaʻai maka a i ʻole ʻai ʻia paha ka mea ʻoi loa e hoʻouna i ka maʻi. Hiki ke hoʻoili ʻia ka virus e nā iʻa iʻa i ʻohi ʻia mai nā wahi kahi e hoʻokuʻu ʻia ai ka wai hoʻonoe ʻole i hoʻomaʻamaʻa ʻia. ʻOi aku ka makaʻu o ka lawe ʻana i nā ʻāina me nā kūlana hygienic maikaʻi ʻole. Ma kēia mau ʻāina, aneane ua loaʻa nā keiki āpau i ka maʻi maʻi. Pale aku kahi lāʻau lapaʻau iā ia.
• He pīpī B. ʻO kēia ke ʻano o ka maʻi hepa pinepine loa i ka honua, a ʻo ka mea make loa nō hoʻi. Hoʻolaha ʻia ka maʻi hepatitis B a puni ka manawa o anal (ka semen a me nā wai o ke kino e loaʻa iā ia) a na ka ke koko. He 50 a 100 ka nui o ka ma'i ma'i ma mua o ka ma'i ma'i AIDS³. Hiki ke hoʻololi i nā syringes i hoʻohaumia ʻia. ʻO ka hapa nui o ka poʻe i loaʻa i ka maʻi e hoʻokō i ka hakakā ʻana i ka maʻi. Ma kahi o 5% e noho mau ana i ka maʻi maʻi a ʻōlelo ʻia he "mea lawe" o ka maʻi. ʻAʻohe hōʻailona o nā mea lawe, akā nui lākou i ka hoʻomohala ʻana i ka cirrhosis ate a i ʻole ke kanesa maʻi akepau, nā maʻi weliweli ia e ola ai. Hiki i kahi makuahine hānai ke hoʻohuli i ka maʻi i kāna pēpē i ka wā hānau hānau. Ua hāʻawi ʻia kahi kano mai ka makahiki 1982.
• hepatitis C. ʻO Hepatitis C ke ʻano o ka maʻi hepatitis ka mea hoʻomake loano ka mea, he kumu hoʻomālū kūpaʻa ke kumu. Hiki i 80% o nā maʻi maʻi hepatitis C i lilo maʻi. ʻO ke ʻano o ka hope he mea hou loa ia: mai ka makahiki 1989. Lawe pinepine ʻia ka maʻi ma ke kamaʻilio pololei ʻana me koko kanaka haumia : ka mea nui ma ka hoʻololi ʻana i nā syringes i hoʻohana ʻia no ka hoʻokomo ʻana i nā lāʻau lapaʻau, ma ke kahe ʻana o ke koko i ʻike ʻole ʻia, a me ka hoʻohana hou ʻana i nā nila unsterile a me nā syringes. ʻOi aku ka liʻiliʻi, ua ʻaelike ʻia i ka wā pale ʻole ʻia me nā poʻe maʻi, ʻoi loa inā e hoʻololi ʻia ke koko (menstruation, nā ʻeha ma nā genital a i ʻole nā ​​anal anal). ʻO ia ke kumu helu ʻekahi o ke kanu ʻana o ke ake. ʻAʻohe lāʻau lapaʻau e pale aku iā ia.
• Hepatitis huelo. Hoʻokumu pinepine ʻia ia e ka hōʻino waiona a i ʻole ka hoʻohana ʻana o nā lāʻauʻona. ʻAi ʻia o Fish inedible, hōʻike ʻia i huahana kemika (i ka wahi hana, ʻo kahi laʻana) a me kaʻai ʻana o huahana ola kino or mea kanu ʻawahia no ke akepaʻa (e like me nā mea kanu o ka ʻohana Aristolochiaceae, ma muli o ka waikawa aristolochic i loko o lākou, a me ka comfrey, no nā pyrrolizidines i loko) hiki ke hana i ka maʻi hepatitis. Ma muli o ka mea i ʻai ʻia, hiki i ka maʻi maʻi ʻawaʻawa ke ulu i nā hola, nā lā a i ʻole mau mahina ma hope o ka hoʻolaha ʻana. ʻO ka maʻamau, e emi nā ʻōuli ke kū kekahi i ka hōʻike ʻia i ka lāʻau ʻino. Eia nō naʻe, hiki i kekahi ke hōʻeha mau i ke akepaʻa a loaʻa, no ka laʻana, mai ka cirrhosis.

Nā pilikia i hiki

Hepatitis i hōʻike ʻole ʻia i ka manawa a i ʻole mālama maikaʻi ʻole ʻia hiki ke alakaʻi ʻia i nā pilikia koʻikoʻi.

• He maʻi maʻi maʻi maʻi. ʻO kēia ka pilikia ka pinepine pinepine. ʻ saidlelo ʻia ʻo Hepatitis he maʻi mau inā ʻaʻole e hoʻōla ʻia ma hope o 6 mau mahina. Ma 75% o nā hihia, ʻo ia ka hopena o ka hepatitis B a i ʻole C. Hoʻōla ʻia ka hepatitis maʻi maʻamau i loko o hoʻokahi a ʻekolu mau makahiki paha.
• ʻO Cirrhosis. ʻO Cirrhosis kahi hana nui loa o nā "scars" i ke akepaʻa, i hoʻokumu ʻia ma ke ʻano he hopena o ka hoʻouka pinepine ʻana (e nā toxins, nā virus, a pēlā aku.). ʻO kēia mau "fibrous barriers" e hoʻopau i ke kahe o ke kahe o ke koko i ka meaola. 20% a 25% o ka neʻe mua o ka hepatitis i ka cirrhosis inā ʻaʻole holo pono ka lāʻau lapaʻau a i ʻole ke mālama maikaʻi ʻia.
• Kanesa maʻi ʻaʻai. ʻO ia ka hopena hope loa o ka cirrhosis. Eia nō naʻe, pono e hoʻomaopopo ʻia ʻo ka maʻi ʻaʻai ʻana nō hoʻi ka hopena mai ka maʻi kanesa i loaʻa i loko o kahi ʻano ʻē aʻe e laha i ke ake ma o ka metastasis. Hepatitis B a me C, a me ka hepatitis ʻawahia i hoʻokumu ʻia e ka nui o ka ʻai ʻanawaiʻona holomua paha i ka maʻi ʻaʻai.
• ʻO ka maʻi hepitis Fulminant. ʻImi loa, ʻike ʻia ka hepatitis fulminant e kahi hemahema nui o ke ake, ʻaʻole hiki ke hana hou i kāna mau hana. Luku nui ʻia nāʻiʻo o ke ake a koi ʻia ka transplantation o nā meaola. Hana ʻia ia i ka poʻe me ka maʻi hepa B a i ʻole ka hepatitis ʻona. No ma kahi o 1 i ka 4 mau kānaka, make ia i ka wā pōkole.