ʻO Malaki 18, 2024 ka 24th "National Love for Liver Day", a ʻo ke kumuhana hoʻolaha o kēia makahiki ʻo "ka pale ʻana a me ka nānā mua ʻana, a e noho mamao mai ka cirrhosis ate".
Wahi a nā helu helu o ka World Health Organization (WHO), aia ma mua o hoʻokahi miliona mau make ma muli o nā maʻi ate ma ka honua holoʻokoʻa i kēlā me kēia makahiki.Ma kahi o hoʻokahi o kēlā me kēia 10 o ko mākou ʻohana a me nā hoaaloha i loaʻa i ka maʻi hepatitis B a i ʻole C maʻi, a ʻoi aku ka liʻiliʻi o ke akepaʻa momona.
Ua hoʻokumu ʻia ka La Lahui Aloha Aʻo i mea e hōʻuluʻulu ai i nā ʻano hui like ʻole, e hoʻoneʻe i ka lehulehu, e hoʻolaha nui i ka ʻike ʻepekema kaulana e pale ai i ka maʻi hepatitis a me nā maʻi ate, a me ka pale ʻana i ke olakino o ka poʻe ma lalo o ke kūlana o ka maʻi o ke ake. ʻO nā maʻi e like me ka maʻi hepa B, ka maʻi hepa C a me ka maʻi hepatitis e hoʻonui nei i kēlā me kēia makahiki ma Kina.
E hana pū kākou, e hoʻolaha i ka ʻike e pili ana i ka pale ʻana a me ka mālama ʻana i ka fibrosis ate, e hana ikaika i ka nānā ʻana, hoʻomaʻamaʻa maʻamau, a me ka hahai mau ʻana e hōʻemi i ka hiki ʻana mai o ka cirrhosis ate.
01 E ike i ke ake.
Kahi o ke ake: ʻO ke ake ke ake.Aia ia ma ka ʻaoʻao ʻākau o ka ʻōpū a lawe i ka hana nui o ka mālama ʻana i ke ola.ʻO ia hoʻi ka mea nui i loko o ke kino kanaka.
ʻO nā hana nui o ke ake: ka huna ʻana i ka bile, mālama i ka glycogen, a me ka hoʻoponopono ʻana i ka metabolism o ka protein, ka momona a me ka carbohydrate.Loaʻa iā ia ka detoxification, hematopoiesis a me nā hopena coagulation.
02 Nā maʻi ate maʻamau.
1 ka ma'i hepatitis
ʻO ka inu ʻana ka mea e hōʻeha ai i ke akepaʻa, a ʻo ka ʻeha o ke akepaʻa ma muli o ka inu ʻana, ua kapa ʻia ʻo ia ka maʻi ate ʻawaʻawa, hiki ke alakaʻi i ka piʻi ʻana o ka transaminase, a hiki i ka inu ʻana i ka wā lōʻihi ke kumu i ka cirrhosis.
2 Auwepa momona
ʻO ka ʻōlelo maʻamau, ʻōlelo mākou i ke akepaʻa momona ʻole, ʻoi aku ka momona.ʻO nā ʻeha o ke akepaʻa ma muli o ka hōʻiliʻili ʻana o ka momona i loko o ke ake e hele pū ʻia me ke kūpaʻa o ka insulin, a ʻoi aku ka paona o nā maʻi me ʻekolu kiʻekiʻe.I nā makahiki i hala iho nei, me ka hoʻomaikaʻi ʻana o ke kūlana ola, ke hoʻonui nei ka nui o nā momona momona i kēlā me kēia lā.Nui ka poʻe i ʻike i ka piʻi ʻana o ka transaminase i ka hoʻokolokolo kino, a ʻaʻole lākou e hoʻolohe pinepine iā ia.ʻO ka hapa nui o ka poʻe ʻaʻole loea e manaʻo he mea ʻole ka ate momona.ʻO ka ʻoiaʻiʻo, he mea ʻino loa ka ate momona a hiki ke alakaʻi i ka cirrhosis.
3 ʻO ka maʻi hepatitis i hoʻokomo ʻia i ka lāʻau
Ke manaʻoʻiʻo nei au he nui nā mea mālama ola kino superstitious i kapa ʻia ʻo "conditioning" hopena i ke ola, a makemake wau i ka aphrodisiac, nā meaʻai, nā lāʻau nani, nā lāʻau lapaʻau Kina, etc. i ʻekolu mau ala", a ʻo ka hopena o ka "conditioning" ʻo ia nā lāʻau lapaʻau a me kā lākou metabolites i loko o ke kino i nā hopena ʻaoʻao ma ke kino kanaka a hōʻeha i ke ake.
No laila, ʻaʻole pono ʻoe e lawe i ka lāʻau lapaʻau me ka ʻike ʻole i ka pharmacology a me nā waiwai lāʻau lapaʻau, a pono ʻoe e hahai i ka ʻōlelo a ke kauka.
03 ka hana eha i ke ake.
1 Ka inu nui ʻana
ʻO ke akepaʻa wale nō ka mea hiki ke hoʻololi i ka waiʻona.ʻO ka inu ʻana i ka waiʻona no ka manawa lōʻihi e hiki ke maʻalahi i ke akepaʻa momona.Inā ʻaʻole mākou e inu i ka waiʻona me ka haʻahaʻa, e pōʻino ke ake e ka ʻōnaehana pale, e alakaʻi ana i ka nui o nā pūnaʻi ate e make a hoʻoulu i ka maʻi hepatitis mau loa.Inā hoʻomau ka ulu nui ʻana, e hoʻoulu ʻia ka cirrhosis a me ka maʻi maʻi ate.
2 E ala i ka pō no ka manawa lōʻihi
Ma hope o ka hola 23 o ke ahiahi, ʻo ia ka manawa no ke ake e hoʻomaʻemaʻe a hoʻoponopono iā ia iho.I kēia manawa, ʻaʻole au i hiamoe, e pili ana i ka detoxification maʻamau a me ka hoʻoponopono ʻana o ke ake i ka pō.ʻO ka noho ʻana i ka pō a me ka hana nui no ka manawa lōʻihi hiki ke alakaʻi maʻalahi i ka emi ʻana o ke kūpaʻa a me ka pōʻino o ka ate.
3Take laau no ka manawa loihi
ʻO ka hapa nui o nā lāʻau lapaʻau pono e hoʻololi ʻia e ke ake, a ʻo ka lawe ʻana i nā lāʻau lapaʻau me ka ʻole e hoʻonui i ke kaumaha o ke ake a hiki ke alakaʻi maʻalahi i ka pōʻino o ke ake.
Eia kekahi, ʻo ka ʻai nui ʻana, ka puhi ʻana, ka ʻai ʻana i nā manaʻo maikaʻi ʻole (ka huhū, ke kaumaha, a me nā mea ʻē aʻe), a me ka ʻole ʻana i ka manawa i ke kakahiaka e hōʻino pū i ke olakino o ke ake.
04 Nā hōʻailona o ke ake ʻino.
Ke māhuahua nei ke kino holoʻokoʻa a māluhiluhi;Pau ka ʻai a me ka nausea;ʻO ke kuni liʻiliʻi mau, a i ʻole ke anu;ʻAʻole maʻalahi ka noʻonoʻo ʻana;Hoemi koke i ka inu waiona;Loaʻa i ka maka ʻulaʻula a nalowale ka luster;He melemele ka ʻili a he ʻeha paha;Huli ka mimi i kala pia;ʻO ka pāma ate, ka spider nevus;Poniuniu;He melemele a puni ke kino, ʻoi aku ka sclera.
05 Pehea e aloha ai a mālama i ke ake.
1. ʻO ka meaʻai maikaʻi: ʻO ka meaʻai kaulike he ʻano koʻikoʻi a maikaʻi.
2. Hoʻoikaika mau a hoʻomaha.
3. Mai lawe wale i ka lāʻau lapaʻau: Pono e hana ʻia ka hoʻohana ʻana i nā lāʻau lapaʻau ma lalo o ke alakaʻi a ke kauka.Mai lawe wale i nā lāʻau lapaʻau a hoʻohana i nā huahana mālama ola me ka akahele.
4. ʻO ka lāʻau lapaʻau no ka pale ʻana i ka maʻi ate: ʻO ka lāʻau lapaʻau ke ala maikaʻi loa e pale ai i ka maʻi hepatitis viral.
5. Ka hoʻokolokolo kino maʻamau: Manaʻo ʻia no ka poʻe mākua olakino e nānā kino i hoʻokahi manawa i ka makahiki (ka hana o ka ate, ka maʻi hepa B, ka lipid koko, ke kani ʻana o ka ate B, etc.).Manaʻo ʻia ka poʻe me ka maʻi ate mau e hoʻokolokolo i kēlā me kēia ʻeono mahina-ka nānā ʻana i ka ultrasound ate a me ka nānā ʻana i ka serum alpha-fetoprotein no ka maʻi maʻi ate.
Hepatitis hoʻonā
Hāʻawi ʻo Macro & Micro-Test i kēia mau huahana:
Māhele.1 kaʻike nui oHBV DNA
Hiki iā ia ke loiloi i ka pae hoʻopiʻi viral o ka poʻe i loaʻa i ka maʻi HBV a he kuhikuhi koʻikoʻi no ke koho ʻana i nā hōʻailona mālama antiviral a me ka hoʻoholo ʻana i ka hopena curative.I ke kaʻina o ka mālama ʻana i ka antiviral, loaʻa ka pane virological paʻa hiki ke hoʻomalu nui i ka holomua o ka cirrhosis ate a hōʻemi i ka hopena o ka HCC.
Mahele.2HBV genotyping
ʻOkoʻa nā genotypes o ka HBV i ka epidemiology, ka hoʻololi virus, nā hōʻike maʻi a me ka pane ʻana i ka lāʻau lapaʻau, e pili ana i ka helu seroconversion o HBeAg, ke koʻikoʻi o nā ʻeha o ka ate, ka ulu ʻana o ka maʻi maʻi ate, a me nā mea ʻē aʻe. a me ka hopena therapeutic o nā lāʻau antiviral.
Pōmaikaʻi: 1 paipu o ka hopena hopena hiki ke ʻike i nā ʻano B, C a me D, a ʻo ka palena haʻahaʻa loa he 100IU/mL.
Nā pōmaikaʻi: hiki ke ʻike nui ʻia ka ʻike o ka HBV DNA i ka serum, a ʻo ka palena haʻahaʻa loa he 5IU/mL.
Part.3 ka helu ana oHBV RNA
ʻO kaʻikeʻana i ka HBV RNA i loko o ka serum hiki ke nānā pono i ke kiʻekiʻe o ka cccDNA i loko o nā hepatocytes, he mea nui ia i ka hōʻailona kōkua o ka maʻi HBV, kaʻike pono o ka mālamaʻana i ka NAs no nā maʻi CHB a me ka wānana o ka weheʻana i ka lāʻau.
Nā pōmaikaʻi: hiki ke ʻike nui ʻia ka ʻike o ka HBV RNA i ka serum, a ʻo ka palena haʻahaʻa loa he 100Copies/mL.
Mahele 4 HCV RNA quantification
ʻO ka ʻike HCV RNA ka hōʻailona hilinaʻi loa o ka maʻi maʻi a me ka hoʻopiʻi hou ʻana, a he hōʻailona nui hoʻi ia o ke kūlana maʻi hepatitis C a me ka hopena lapaʻau.
Nā pōmaikaʻi: hiki ke ʻike nui ʻia ka ʻike o ka HCV RNA i ka serum a i ʻole ka plasma, a ʻo ka palena haʻahaʻa loa he 25IU/mL.
Mahele.5HCV genotyping
Ma muli o nā hiʻohiʻona o ka HCV-RNA virus polymerase, ua maʻalahi ka hoʻololi ʻana o kāna mau genes ponoʻī, a pili pono kāna genotyping i ke ʻano o ka pōʻino o ke ake a me ka hopena therapeutic.
Pōmaikaʻi: 1 paipu o ka hopena hopena hiki ke ʻike i nā ʻano 1b, 2a, 3a, 3b a me 6a ma ke kākau ʻana, a ʻo ka palena haʻahaʻa loa he 200IU/mL.
Ka manawa hoʻouna: Mar-18-2024