Cirrhosis biliary muamua: o le a lea, faʻailoga ma pe faʻafefea ona togafitia

Anotusi

• Faailoga autu
• Faʻafefea ona faʻamaonia le faʻamaoniga
• Mafuaʻaga mafuaʻaga
• Faʻafefea ona fai le togafitiga

O le cirrhosis biliary muamua o se faʻamaʻi tumau lea o le gaʻo o le gaʻo i totonu o le ate ua faʻasolosolo lemu faʻaleagaina, puipuia le aluʻaga o le gaʻo, o se vailaʻau gaosia e le ate ma teuina i le gallbladder ma e fesoasoani i le faʻasoʻoina o gaʻo meaai. O le mea lea, o le maile faʻaputu i totonu o le ate mafai mafua mafua pupuga, faʻatafunaga, maʻila ma le mulimuli ane atinaʻe o le ate toilalo.

E leai lava se togafiti mo le muamua biliary cirrhosis, peitaʻi, ona o le faʻamaʻi mafai ona mafua ai le leaga o le ate, o loʻo i ai ni togafitiga faʻailoa mai e le gastroenterologist poʻo le hepatologist o loʻo faʻamoemoe e faʻatuai le atinaʻeina o faʻamaʻi ma faʻamalieina faʻailoga e pei o tiga i le manava, lelava tele faʻafefeteina poʻo le fula i vae poʻo tapuvae, mo se faʻataʻitaʻiga.

A faʻalaʻitiiti le poloka poloka poloka, e ono mafai ona sili atu le ogaoga ma vave faʻaleagaina le ate, faʻamatalaina lua biliary cirrhosis, lea e masani ona fesoʻotaʻi ma le i ai o faʻamaʻi tatai maa poʻo tumors.

Faailoga autu

I le tele o tulaga, o le biliary cirrhosis e faʻamaonia muamua ae le i aliali mai ni faʻailoga, aemaise lava ile suʻesuʻeina ole toto na faia mo seisi mafuaʻaga poʻo se masani. Peitaʻi, o faʻailoga muamua lava e mafai ona aofia ai le lelava faifai pea, paʻu gaugau e oʻo i mata matutu poʻo le gutu.

A o le faʻamaʻi ua i se sili alualu i luma tulaga, auga mafai ona:

• Tiga i le itu taumatau i luga o le manava;
• Tiga soʻoga;
• Tiga o maso;
• Fafu vae ma tapuvae;
• Manava fulafula manava;
• Faaputuputuina o suavai i le manava, ua taʻua o ascites;
• Toto teu i le paʻu faataamilo i mata, laumata poʻo luga o alofilima, alofilima, tulilima poʻo tulivae;
• Paʻu samasama ma mata;
• Sili ponaivi ponaivi, faʻateleina le lamatiaga o le gagau;
• Kolisi maualuga;
• Manava manava ma tino puta o gaʻo;
• Hypothyroidism;
• Paʻu pauna mo leai se mafuaaga manino.

O nei faʻailoga e mafai foi ona avea ma faʻailo o isi faʻafitauli o le ate ma, o le mea lea, e fautuaina ia faʻafesoʻotaʻi se fomaʻi o le fomaʻi poʻo se gastroenterologist e suʻesuʻe saʻo ma faʻateʻa isi faʻamaʻi e iai foʻi faʻailoga.

Faʻafefea ona faʻamaonia le faʻamaoniga

O le faʻamaoniga o le muamua biliary cirrhosis e faia e se hepatologist poʻo gastroenterologist faʻavae i luga o le falemaʻi talaʻaga, o faʻailoga faʻaalia e le tagata ma suʻega e aofia ai:

• Toto faʻataʻitaʻiga e siaki le maualuga o le kolene, ate o le ate ma sela e iloa ai faʻamaʻi o le autoimmune;
• Ultrasound;
• Maneta resonance ata;
• Faʻaiuga

I se faʻaopopoga, e ono faʻatonuina e le fomaʻi le biopsy o le ate e faʻamaonia ai le faʻamaoniga poʻo le fuafuaina o le tulaga o le muamua biliary cirrhosis. Saili pe faʻafefea ona faia le biopsy o le ate.

Mafuaʻaga mafuaʻaga

O le mafuaʻaga o le muamua biliary cirrhosis e le o iloa, ae e masani ona fesoʻotaʻi ma tagata e maua i faʻamaʻi o le autoimmune ma, o le mea lea, e ono mafai ona amataina e le tino lava ia le faʻagasologa o le fulafulaʻaga e faʻatamaʻia ai sela o gaʻo gaʻo. Lenei pupuga mafai ona pasi atu i isi sela o le ate ma taitai atu ai i le foliga mai o le faʻaleagaina ma maʻila e fetuʻunai le saʻo faʻagaioiga o le okeni.

Isi mea e mafai ona saofaga i mafua ai muamua biliary cirrhosis o siama e siama e pei o Escherichia coli, Mycobacterium gordonae poʻo le Novophingobium tagata manogi, pulou poʻo anufe pei o Opisthorchis.

I se faʻaopopoga, tagata o loʻo ulaula pe o loʻo i ai se tagata o le aiga ma le muamua biliary cirrhosis o loʻo i ai se faʻateleina lamatiaga o le atinaʻeina o le faʻamaʻi.

Faʻafefea ona fai le togafitiga

E leai se togafiti mo le biliary cirrhosis, peitaʻi, o nisi vailaʻau e mafai ona faʻaaoga e faʻatuai ai le atiaʻe o le maʻi ma faʻamafanafana faʻailoga, e aofia ai:

• Ursodeoxycholic acid (Ursodiol poʻo Ursacol): o se tasi o muamua vailaʻau faʻaaogaina i nei tulaga, aua e fesoasoani talo e pasi i ala ma tuua le ate, faʻaititia le pupuga ma puipuia le afaina o le ate;
• Obeticolic acid (Ocaliva): lenei fofo fesoasoani le ate gaioiga, faʻaititia o faʻailoga ma le alualu i luma o le faʻamaʻi ma mafai ona faʻaaogaina toatasi pe faʻatasi ma le ursodeoxycholic acid;
• Fenofibrate (Lipanon poʻo Lipidil): O lenei vailaʻau e fesoasoani e tuʻu i lalo le toto cholesterol ma triglycerides ma, pe a faʻaaogaina faʻatasi ma le ursodeoxycholic acid, e fesoasoani e faʻaititia ai le fula o le ate ma faʻaititia ai faʻailoga e pei o le lautele o le paʻu o le ila.

I le sili ona ogaoga mataupu, lea o le faʻaaogaina o vailaʻau foliga mai e le faʻatuai ai le atinaʻeina o le faʻamaʻi pe a tumau pea le malosi faʻailoga, e mafai ona fautuaina e le fomaʻi o le hepatologist se taotoga ate, ina ia faʻafualoa ai le ola o le tagata.

E masani lava, o mataupu tau taotoga e alualu i luma ma o le maʻi e mouʻesea atoa, toefuatai le lelei o le olaga o le tagata, ae atonu e manaʻomia le i ai i le lisi faatalitali mo se talafeagai ate. Saili pe faʻafefea ona faia le tui o le ate.

I se faʻaopopoga, e masani mo tagata e maua i le biliary cirrhosis le faigata ona mitiia gaʻo ma vaitamini. I lenei auala, e mafai ai e le fomaʻi ona fautuaina le tulitatao ma se fai meaʻai e amata ona faʻaopopo vitamini, ae maise vitamini A, D ma K ma ia faia se paleni meaʻai ma maualalo taumafa masima.