Chirwere chinokonzera chirwere chechivi chisingazivikanwi chinotangira, chinogara chisingagumi, chinonzi autoimmune hepatitis. Zvinosuruvarisa, chirwere ichi hachisi chakanaka, uye chinokanganisa kunyanya vakadzi pazera duku. Dambudziko guru nderokuti chirwere ichi chinokonzera kukanganisa kwakakomba kwechiropa, chirwere chetrhosis uye kusakwana.
Zviratidzo zveHuit Selfimmune Hepatitis
Muhutano hwehutano uye mumuviri, chirwere ichi pakutanga chinogona kuitika kunze kwechirwere chekuratidzira, kazhinji hepatitis inowanikwa pane imwe shato yekuchinja kwakakomba muhepatic parenchyma uye cirrhosis.
Kunyange zvakadaro, chirwere ichi chinowanzomira chakanzwa uye kamwe-kamwe, nechirevo chechiratidzo.
Zviratidzo zvekudzivirira kwehupatachi hepatitis:
- kurima kwemuti kune rumwe ruvara rwekasi kana kuti doro;
- icterus yeganda, shrera;
- kushaya simba, kugona, pfungwa yekuramba yakaneta;
- kusava nenzara;
- marwadzo mukanani hypochondrium , kusuruvara;
- kusanzwisisika munzvimbo yepamusoro epigastric region;
- fever;
- ganda rashes.
Mukuwedzera, zviratidzo zvekuwedzera uye kukanganisa mukushanda kwemamwe masangano emuviri kunogona kuitika:
- hirsutism ;
- amenorrhea;
- ulcerative colitis;
- vitiligo;
- arthralgia;
- hemolytic anemia;
- iridocyclitis;
- myocarditis;
- pleurisy.
Kuongororwa kwehupenyu hwehutachiona hwehupatachi
Izvo zvakaoma kugona kunyatsoita chirwere ichi, nokuti zviratidzo zvose zvakafanana nezvimwe zvakasiyana zvehutachiona hwehutachi hepatitis.
Pamusoro pemashoko ekunyatsoongorora, ma laboratory chaiwo, kuongororwa kwezvinhu zvinokonzerwa nemagetsi uye ultrasound, biopsy, inofanira kuitwa.
Maererano nemitemo yakagamuchirwa munharaunda yekurapa yepasi rose, autoimmune hepatitis inoratidzwa nezviratidzo izvi:
- muropa hapasina zviratidzo zvehutachiona hwehutachiona hweHatpatitis A, B, C;
- basa rakawedzera reAl and ASAT;
- the antibody titles exceed 1:80;
- iyo ye y-globulins inopfuura 1.5 kana kupfuura;
- mu anamhambisisipo hapana doro, kudengenyeka kunonyadzisa.
Munharaunda iyi inonzi hepatitis type 1 inoonekwa nokuda kwekuvapo kwezvirwere muropa SMA kana ANA, 2 marudzi - anti-LKM-I, 3 marudzi - SLA.
Kuonga ultrasound, zvinokwanisika kuzarura dhigirii ye necrotizing parenchyma uye chiropa tishu, uye kuwedzera. Bhiopsy inoshandiswa pakuongorora kwemaitiro emushambadziro, kuonekwa kwezvirwere zvechirwere uye kufambira mberi kwayo.
Kurapa kwe autoimmune hepatitis
Kunyanya, kurapwa kunobva pakushandiswa kwe-corticosteroid hormone, iyo inobatsira panguva imwe chete kubvisa kupindura kwemasimba ezvirwere uye kuvhara kupisa.
Kazhinji, nzira yakareba yePrednisone (prednisone) inopiwa nenzira yekurohwa. Pashure pemwedzi yakawanda yekurapa, kuyerwa kwechirwere kunoderedzwa, uye kurapa kunowedzera kutsigira unhu. Mukuwedzera, chirongwa chinowedzera imwe mishonga - Delagil. Nguva yenguva yacho inogona kusvika kumwedzi 6-8, mushure mokunge yakakosha kugara ichicherechedza hepatologist uye chirwere chekudzivirira.
Mune mamiriro ezvinhu apo kurapwa kwehomoni hakuiti zvinodiwa uye hepatitis inoratidzwa nekudzoka zvakare, zvinonzwisisika kuita chirwere chekuvhara chiropa.
Kudya mu autoimmune hepatitis
Sezvimwe nezvimwe zvakasiyana-siyana zvezvirwere zvinorondedzerwa, chirongwa chinokurudzirwa maererano nemitemo nemitemo yetafura nhamba ye5 ye Pevzner.
Iyo inosanganisa chero chero ipi zvayo yezvokudya, mafuta nemafuta akaomeswa, mapeji matsva, sweets, kunyanya chokoti necocoa.
Kunwa doro kunorambidzwa zvachose.
Zvokudya, pasta, zvikabikwa zvakabikwa, chingwa che1 uye 2 sarudza hupfu (yezuro), miriwo, michero nemabriji (zvinotapira chete) zvinobvumidzwa.