Hepatic Encephalopathy

Ka luna 'o symptoms o ka kāna hana a ka Central ko mākou hopohopo nenoaiu, oa. E. Neuropsychiatric kāna hana i loko o kanaka e loaa ana mai ake e hemahema paha cirrhosis o ke akepaʻa ua kapaia hepatic encephalopathy. Ma ke alo o ka maʻi hiki ia he reversible metabolic encephalopathy, irreversible maʻi kāna hana o ka lolo 'ole a me ka edema.

I kaʻike, o "hepatic encephalopathy" ua kau ka hola 80% o nā mea maʻi nona cirrhosis o kekahi etiology, a ma kahi o 20% o nā mea maʻi undergoingʻoki lāʻau lapaʻau kaʻina hana i ka mea e lilo portosystemic shunt, e like me nā mea maʻi e loaa ana mai ake ole.

I ka papa kuhikuhiE kumu o ke akepaa 'ole, i mea heʻilihune o ka hepatic encephalopathy i manaoia:

- eiei? Lesions o ke akepaʻa (cirrhosis, maʻi a me ka huʻi hepatitis);

- hou (iaʻi) biliary'āpana;

- 'ole ma ke akepaʻa, o kelaʻawahia waiwai (hoʻohana o ka nahesa niho Fish, kekahi laau a me kaʻawahia waiwai);

- infectious maʻi;

- nui nā palapū paha'ā;

- huʻi cholangitis;

- septic a me ka purulent maʻi;

- thrombosis o ka nū aa koko o ke akepaʻa.

Lapaʻau Mea Maluna maopopo ka palena haʻahaʻa hepatic encephalopathy, episodic a koʻikoʻi. Eia kekahi, ia anao? Aou kekahi mau kuʻina o ka maʻi.

- 'Aʻohe (latent) ka anu u - i lapaʻau symptoms

- ka mua ke kahua - laila, he hiamoe ka haunaele o ka pāpana,

- i ka lua o ke kahua - akaka disorientation i ka manawa,

- i ke kolu o ke kahua - i ka alo ana o ke pani a me ka disorientation,

- ka ha o ke kahua - coma.

Hepatic encephalopathy kena ae la ia e huʻi ake maʻi, e like me huʻi hepatitis, encephalopathy, a, i hanaʻia ma luna o ke kumu o ka maʻi akepaa maʻi - cirrhosis lauwili e like me ka 'inikua mōʻaukala, keʻena hoʻokolohua ho'āʻo a me ka piha lapaʻau ninaninau. I ka huʻi hepatitis, hepatic encephalopathy syndromes pele hou haʻi, a Hawaiʻi ma mua o ka ake cirrhosis.

Hepatic encephalopathy: Symptoms

- irritability, lilo o ka hoihoi i loko o ka 'ohana, ano kama lii, a me na kanaka me loli;

- hiamoe kāna hana me ka hana maʻamau o ka ike paka i ;

- monotone leo, slowness o ka olelo, a pela aku;.

- imua o ka ala "hepatic" mai ka moʻolelo o ka lua;

- i ke alo o ka "papai" he tremor;

- loli ma ka abdomen (ascites) ;

- jaundice a hepatic aa koko ma luna o kaʻili;

-ʻeleʻele noho pā holoi a me ka luaʻi koko.

Ka nui vocal ki ina hana like, ma i ua diagnosed hepatic encephalopathy i: abdominal ultrasound, endoscopy opu, esophagus a me ka electroencephalography. Kekahi hoʻohana keʻena hoʻokolohua epekema e like me kaʻohiʻohi koko Eia kekahi laʻana (huina, biochemical, hoomau hoomake iho no hoi, ka waiʻona a me ka ammonia pae), mimi a me feces. Eia hou, e alakaʻi psychometric ikea ai o ka hoʻomanawanuiʻana me nā kahua o ka hoʻonaʻauao i kakahiaka nui o ka maʻi.

Hepatic Encephalopathy: lapaʻau

Iapaau ana o na maʻi like hepatic encephalopathy, mea i koe i loko i loaʻa i ka papa kuhikuhiE mau mea ekolu:

1. Ka loaʻaʻana, a mahope hoʻopau o nā kumumea i ka pilina i ke kūpono 'ana o hepatic encephalopathy.
2. Lawe ana mai hana nona ma hoemi i ke kahua o kelaʻawahia huahana a me kā lākou mau metabolites. Nō hoʻi, hanana'ōnaehana, me hoemi i ka nui o ka ai nā polokina, kā lākou nā loli intraintestinal āina a me ka normalization o intestinal microflora, a me ka stimulation o ka naʻau i ka neʻe 'ana.
3. Ka hoʻohanaʻana i ai 'e hoʻololi i ka lākiō o neurotransmitters.

Eia hou, i ahonui adherence i paipai i ka kūikawāʻai i ka neʻe aku huʻi a me ka momoma ai, a me ka waiʻona.