Isifo sesibindi sokuvutha esingaziwa, esinesimo esingapheliyo, sibizwa ngokuba yi-autoimmune hepatitis. Ngelishwa, esi sifo asiqhelananga, kwaye sichaphazela kakhulu abafazi beselula. Ingozi enkulu kukuba le ngxaki ibangela umonakalo omkhulu wesibindi, i-cirrhosis nokungakwazi.
Izibonakaliso ze-Hepatitis engapheliyo
Kwiimeko eziqhelekileyo zempilo kunye nomzimba, isifo sokuqala singenzeka ngaphandle kwemiboniso yeklinikhi, ngokuqhelekileyo i-hepatitis ifunyanwe kwisigaba seenguqu ezinzulu kwi-parenchyma ne-cirrhosis.
Nangona kunjalo, isigulo sisoloko sivakalelwa ngokukhawuleza, sinokubonakaliswa kwesifo.
Iimpawu ze-hepatitis:
- ukubumnyama komchamo ukuya kumbala weti emnyama okanye ubhiya obumnyama;
- i-icterus yesikhumba, i-sclera;
- ubuthathaka, ukulala, ukucinga ngokukhathala;
- ukungabi nesidlo;
- intlungu kwi-hypochondrium efanelekileyo , ubunzima;
- ukuphazamiseka kwisithili se-epigastric;
- umkhuhlane;
- isikhumba.
Ukongeza, ukubonakaliswa kwe-extrahepatic kunye nokuphazamiseka ekusebenziseni ezinye iinkqubo zomzimba zenzeke:
- hirsutism ;
- i-humorrhea;
- isilitis;
- vitiligo;
- arthralgia;
- i-hemolytic anemia;
- iridocyclitis;
- myocarditis;
- pleurisy.
Ukuxilongwa kwe-autopatmune hepatitis
Kunzima ukucacisa ngokuqinisekileyo olu hlobo lwesifo, kuba zonke iimpawu zifana nezinye iintlobo ze-viral hepatitis.
Kuba ingxelo ye-diagnostic ngqo, i-laboratory ekhethekileyo, iimvavanyo ze-biochemical kunye ne-ultrasound, i-biopsy, iqhutyelwa.
Ngokutsho kweendlela ezifunyenwe kuluntu lwengonyango lwamazwe ngamazwe, i-hepatitis yokuzimela yodwa ibonakaliswe ngezi zikhombisi:
- egazini akukho namanqaku e-viral infections of hepatitis A, B, C;
- ukwandiswa komsebenzi we-ALT kunye ne-ASAT;
- ii-antibody titres zidlula i-1:80;
- kwinqanaba le-y-globulines lingaphezu kwama-1.5 amaxesha okanye ngaphezulu;
- kwi-anamnesis akukho nxilisayo, ukuxhomekeka kwenzondo.
Kule ngxaki ye-hepatitis ye-1 iyimpawu ezibonakalayo ngenxa yobukho be-antibodies egazini le-SMA okanye le-ANA, iindidi ezi-2-ezichasene ne-LKM-I, iindidi ezi-3-i-SLA.
Ngombulelo kwi-ultrasound, kunokwenzeka ukubonakalisa iqondo lokunciphisa i-parenchyma kunye nezicubu zesibindi, nokwandisa. I-Biopsy yenzelwa ukuhlalutya kwe-morphological yesampuli, ukufumanisa umsebenzi wesifo kunye nokuqhubeka kwayo.
Unyango lwe-autopatmune hepatitis
Ngokukodwa, unyango lusekelwe ekusebenziseni i-horticone ye-corticosteroid, okwangoku kunye negalelo ekunciphiseni iimpendulo zesistim somzimba kunye nokuyeka inkqubo yokuvuvukala.
Ngokuqhelekileyo, ixesha elide le-Prednisone (prednisone) linikezelwa ngolu hlobo lwe-infraons. Emva kweenyanga ezimbalwa zonyango, umlinganiselo weliza linciphisa, kwaye unyango lufumana udidi oluxhasayo. Ukongeza, iskimu yongeza enye imithi - iDelagil. Ubude bekhosi buya kuba ziinyanga ezi-6-8, emva koko kuyimfuneko ukubeka iliso rhoqo kwi-hepatologist kunye neyeza lokukhusela.
Kuloo meko apho unyango lwama-hormone aluvelisi umphumo ofunwayo kunye nesifo se-hepatitis sibonakala ngokuphindaphindiweyo kwakhona, kuyacaca ukwenza umsebenzi wokufakelwa kwesibindi.
Ukutya ngokuzimela kwesifo se-hepatitis
Njengaye nezinye iintlobo zezifo ezichazwe, isondlo sinconywa ngokwemiqathango kunye nemigangatho yetafile inombolo ye-5 ye-Pevzner.
Akubandakanyi nayiphi na imveliso ye-choleretic, ukutya okunamafutha kunye okuthosiweyo, i-pastries e-fresh, iifomese, ngakumbi i-tshokoleta kunye ne-cocoa.
Ukusela utywala kunqatshelwe.
Ukutya, i-pasta, i-pastry ebhakiweyo, isonka se-1 kunye no-2 uhlele ufulawa (izolo), imifuno, izithelo kunye namajikijolo (amnandi kuphela) avunyelwe.