Zvinodhaka-zvinokonzerwa nekukuvara kwechiropa

Zvinodhaka-zvinokonzerwa nekukuvara kwechiropa kukuvara kwechiropa kunogona kuitika kana iwe ukatora mimwe mishonga.

Dzimwe mhando dzekukuvara kwechiropa dzinosanganisira:

• Utachiona hepatitis
• Doro hepatitis
• Autoimmune hepatitis
• Iron kuwandisa
• Chiropa chakakora

Chiropa chinobatsira muviri kuputsa mimwe mishonga. Izvi zvinosanganisira mimwe mishonga yaunotenga-pamusoro-pekutengesa kana mupi wezveutano anokuraira. Nekudaro, maitiro acho anononoka mune vamwe vanhu. Izvi zvinogona kukuita iwe mukana wekukuvara kwechiropa.

Mimwe mishonga inogona kukonzera hepatitis ine zvidiki zvidiki, kunyangwe kana iyo chiropa kuputsika system yakajairika. Mahombe madhizaini emishonga yakawanda anogona kukuvadza chiropa chaicho.

Mazhinji madhiragi akasiyana anogona kukonzera hepatitis inokonzerwa nezvinodhaka.

Painkillers uye fivha inodzora iyo ine acetaminophen ndizvo zvinowanzoitika chikonzero chekukuvara kwechiropa, kunyanya kana ichitorwa mumadhosi akakura kupfuura iwo akakurudzirwa. Vanhu vanonwa doro zvakapfurikidza vane mukana wekuti vave nedambudziko iri.

Nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen, diclofenac, uye naproxen, zvinogona zvakare kukonzera chiropa-chinokonzera hepatitis.

Mimwe mishonga inogona kutungamira mukukuvara kwechiropa inosanganisira:

• Amiodarone
• Anabolic steroids
• Mapiritsi ekudzivirira kubata pamuviri
• Chlorpromazine
• Erythromycin
• Halothane (rudzi rweanesthesia)
• Methyldopa
• Isoniazid
• Methotrexate
• Statins
• Sulfa zvinodhaka
• Tetracyclines
• Amoxicillin-clavulanate
• Mimwe mishonga yekurwisa kubata

Zviratidzo zvinogona kusanganisira

• Marwadzo emudumbu
• Weti yakasviba
• Manyoka
• Kuneta
• Kupindwa nechando
• Kutemwa nemusoro
• Jaundice
• Kupererwa nechido
• Kusvotwa uye kurutsa
• Mapundu
• Machena machena kana evhu

Iwe unenge uine kuongororwa kweropa kuti utarise kushanda kwechiropa. Chiropa enzymes ichave yakakwira kana iwe uine mamiriro acho.

Wako mupi achaita bvunzo yemuviri kuti aone kuwedzerwa kwechiropa uye kwepamuviri mudumbu mune yekurudyi chikamu chepamusoro chedumbu nzvimbo. Rash kana fivha inogona kuve chikamu cheimwe mhinduro yezvinodhaka inokanganisa chiropa.

Iyo chete yekurapa chaiyo yezviitiko zvakawanda zvekukuvara kwechiropa kunokonzerwa nekutora mushonga kumisa mushonga wakakonzera dambudziko.

Nekudaro, kana iwe ukatora madosi epamusoro eacetaminophen, iwe unofanirwa kurapwa kurapwa kwekukuvara kwechiropa mubazi rekukurumidzira kana kumwe kurapa kwakanyanya kurongeka nekukurumidza sezvazvinogona.

Kana zviratidzo zvakakomba, iwe unofanirwa kuzorora uye kudzivirira kuneta zvakanyanya, doro, acetaminophen, uye chero zvimwe zvinhu zvinogona kukuvadza chiropa. Ungangoda kuwana zvinwiwa kuburikidza nemutsinga kana kusvotwa uye kurutsa kwakanyanya.

Zvinodhaka-zvinokonzerwa nekukuvara kwechiropa kazhinji zvinopera mukati memazuva kana mavhiki mushure mekumira kutora mushonga wakakonzera.

Kazhinji, zvinodhaka zvinokonzerwa nechiropa zvinogona kukonzera kukundikana kwechiropa.

Fonera mupiki wako kana:

• Unovandudza zviratidzo zvekukuvara kwechiropa mushure mekunge watanga kutora mushonga mutsva.
• Wakaonekwa uine chinodhaka-chinokonzera kukuvara kwechiropa uye zviratidzo zvako hazviite zvirinani mushure mekumira kutora mushonga.
• Iwe unovandudza chero zviratidzo zvitsva.

Usambofa wakashandisa zvinopfuura chiyero chakakurudzirwa chemishonga inopfuura-the-counter ine acetaminophen (Tylenol).

Usatore mishonga iyi kana ukanwa zvakanyanya kana nguva dzose; taura nemupi wako nezve doses dzakachengeteka.

Nguva dzose udza mupi wako nezveese mishonga yaunotora, kusanganisira pamusoro-pe-counter zvinodhaka uye mishonga yemakwenzi kana yekuwedzera. Izvi zvakakosha zvakanyanya kana uine chirwere chechiropa.

Taura nemupi wako nezve mimwe mishonga yaungangoda kudzivirira. Mubatsiri wako anogona kukuudza kuti ndeipi mishonga yakachengeteka kwauri.

Chepfu hepatitis; Zvinodhaka-zvinokonzerwa hepatitis

• Kugaya chirongwa
• Hepatomegaly

Chalasani NP, Hayashi PH, Bonkovsky HL, et al. ACG Clinical Guideline: kuongororwa uye manejimendi yediosyncratic zvinodhaka-zvinokonzeresa kukuvara kwechiropa. Ndiri J Gastroenterol. 2014; 109 (7): 950-966. PMID: 24935270 www.ncbi.nlm.nih.gov/pubmed/24935270.

Chitturi S, Teoh NC, Farrell GC. Hepatic drug metabolism uye chirwere chechiropa chinokonzerwa nemishonga. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 88.

Devarbhavi H, Bonkovsky HL, Russo M, Chalasani N. Zvinodhaka-zvakakonzera kukuvara kwechiropa. Mune: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, eds. Zakim uye Boyer's Hepatology. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 56.

Theise ND. Chiropa uye nduru. Mune: Kumar V, Abbas AK, Aster JC, eds. Robbins uye Cotran Pathologic Hwaro hweHosha. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.