Kurapa kwe autoimmune hepatitis
Zvemukati
- 1. Corticoids
- 2. Vanodzvinyirira
- 3. Kuisa chiropa
- Zviratidzo zvekuvandudzwa kwe autoimmune hepatitis
- Zviratidzo zvekuwedzera autoimmune hepatitis
Kurapa kwe autoimmune hepatitis kunosanganisira kushandiswa kwecorticosteroid zvinodhaka zvinosanganisirwa kana kuti kwete nemishonga yekuzvidzivirira uye zvinotanga mushure mekuongororwa kunoitwa nachiremba kuburikidza nekuongororwa kwezviratidzo nezviratidzo zvakapihwa nemunhu uye mhedzisiro yeanokumbirwa marabhoritari miedzo, senge kuyerwa yechiropa enzymes, immunoglobulins uye maantibhakosi, uye chiropa biopsy kuongorora.
Kana munhu wacho akasapindura kurapwa nemishonga kana kana chirwere chacho chatova padanho repamusoro, hepatologist kana murapi anogona kukurudzira kuita chiropa. Pamusoro pezvo, kurapa kurapwa, zvinokurudzirwa kuti varwere vadye chikafu chakaringana chakaderera muzvinwiwa zvinodhaka uye zvine mafuta chikafu, senge masoseji kana zvidyiwa.
Dzidza zvakawanda nezve autoimmune hepatitis.
Kurapa kwe autoimmune hepatitis kunogona kuitwa ne corticosteroids, immunosuppressants kana, mumatambudziko akaipisisa, nechiropa chekuisa. Kazhinji, kurapwa kwemishonga ye autoimmune hepatitis inofanirwa kuenderera mberi kwehupenyu kuchengetedza chirwere chiri pasi pesimba.
1. Corticoids
Corticosteroid zvinodhaka, zvakadai sePrednisone, zvinoshandiswa kudzikisa kuzvimba kwechiropa kunokonzerwa nekuita kwema immune system pane echiropa maseru. Pakutanga, muyero wecorticosteroids wakakwira, asi apo kurapwa kunofambira mberi, chiremba anogona kudzora huwandu hwePrednisone kusvika padiki pane zvakakosha kuti chirwere chirambe chichidzorwa.
Nekudaro, kushandiswa kwecorticosteroids kune mhedzisiro senge kuwedzera uremu, kushomeka kwemapfupa, chirwere cheshuga, kuwedzerwa kweropa kana kushushikana uye, nekudaro, zvinogona kuve zvakakosha kuita mubatanidzwa nemaununosuppressants kudzora mhedzisiro, kuwedzera pane izvo yekutevera nguva nenguva nachiremba.
Iko kushandiswa kwecorticosteroids kunoratidzwa kune vanhu vane zvimwe zvinoremadza zviratidzo, senge kuneta uye kurwadza kwemajoini, semuenzaniso, kana munhu achinge achinja zvakanyanya mazinga eneropa enzymes kana gamma globulins, kana kana necrosis yethepatic tishu inomira mu biopsy ..
2. Vanodzvinyirira
Mishonga yeCorticoid, yakadai saAzathioprine, inoratidzirwa nechinangwa chekudzora mashandiro ezvirwere zvemuviri uye, nekudaro, kudzivirira kuparadzwa kwemasero echiropa uye kuzvimba kusingaperi kwenhengo. Azathioprine inowanzo shandiswa pamwe chete ne corticosteroids kuitira kudzikisira mhedzisiro inosangana neiyi yekurapa.
Munguva yekurapwa nemishonga yekuzvidzivirira, yakadai seAzathioprine, murwere anofanirwa kuongororwa ropa nguva dzese kuti aongorore huwandu hwesero chena reropa, iro rinogona kudzikira uye kufambisa kutanga kwezvirwere.
3. Kuisa chiropa
Chiropa kupinza chinoshandiswa mune zvakakomba zviitiko zve autoimmune hepatitis, apo murwere anokura cirrhosis kana kukundikana kwechiropa, semuenzaniso, uye anoshanda kutsiva chiropa chine chirwere neicho chine hutano. Dzidza zvakawanda nezve kuisirwa chiropa.
Mushure mekuiswa kwechiropa, murwere anofanirwa kuiswa muchipatara kwe1 kusvika kumavhiki maviri kuti ave nechokwadi chekuti hapana kurambwa kwechinhu chitsva. Uye zvakare, vanhu vakaisirwa vanofanirwa kutora maunosuppressant muhupenyu hwavo hwese kudzivirira muviri kubva pakuramba chiropa chitsva.
Kunyangwe iri nzira inoshanda yekurapa, pane mukana wekuti chirwere ichi chizoitika zvakare, nekuti autoimmune hepatitis ine hukama nemabatirwo emuviri kwete nechiropa.
Zviratidzo zvekuvandudzwa kwe autoimmune hepatitis
Zviratidzo zvekuvandudzika kwe autoimmune hepatitis zvinowanzoonekwa mavhiki mashoma mushure mekutanga kwekurapa uye zvine hukama nekuderera kwezviratidzo, zvichibvumira murwere kurarama hupenyu hwakajairika.
Zviratidzo zvekuwedzera autoimmune hepatitis
Kana kurapwa kwacho kusingaitwe nemazvo, murwere anogona kuita cirrhosis, encephalopathy kana kutadza kwechiropa, achiratidza zviratidzo zvekuwedzera izvo zvinosanganisira kuzvimba kwakazara, shanduko yekunhuhwirira uye matambudziko emitsipa, senge kuvhiringidzika uye kukotsira.