Autoimmune hepatitis. asibiti hoto

Autoimmune hepatitis a mafi yawan lokuta tasowa ba zato ba tsammani, da kuma ta asibiti manifestations ba daban-daban daga cikin cututtuka da m hepatitis. A can farko da cutar alama wani rauni mutum ji. Dark fitsari, jaundice m - wadannan alamun cewa bi autoimmune hepatitis. Alamun bayyana haske da isasshen ko a farko. Watanni da dama, yana daukan sanya wani karin cikakken asibiti hoto.

A rare lokuta, autoimmune hepatitis halin da hankali kwarara. Duk da haka, a cikin wannan harka, aka mamaye zafi da, wani nauyi a cikin dama hypochondrium, wani mutum ji rashin jin daɗi, jaundice bayyana dan kadan. A yawan marasa lafiya da autoimmune hepatitis fara ci gaba da wani zazzabi, kazalika da extrahepatic manifestations.

Cikakken asibiti hoto ne halin mai tsanani rauni, pruritus, tashin zuciya, lymphadenopathy. Domin cutar da ake kuma halin da jaundice (ba m, amma ƙaruwa a lokacin exacerbations), da karuwa a size na baƙin ciki, kuma hanta. Daya bisa uku na mata autoimmune hepatitis yana tare da amenorrhea (babu haila) da kuma hirsutism (gashi girma kamar maza). A maza, da Pathology iya dangantawa da gynecomastia (ci gaban mammary gland a mata). Daga cikin manyan fata halayen kamata a lura da kuraje, capillaries da kuma lupus palmarnuyu erythema da sauran raunuka.

Autoimmune hepatitis ne a kullum m rauni harafin da gaban hanta-hade, magani autoantibodies. A tsari faruwa tare da wani fairly m kumburi, hypergammaglobulinemia.

Autoimmune hepatitis. magani

Pathogenetic far da cuta ne a glucocorticosteroid far. Immunosuppressive far iya rage aiki na pathological tafiyar matakai abin da ke faruwa a cikin hanta, game da shi, da inganta ayyukan T-kashewar, rage-rage na tsanani da halayen da taimakawa wajen lalata hepatocytes.

Yawancin lokaci, far da ake amfani da kwayoyi kamar "Methylprednisolone" ko "prednisolone". A farko kullum kashi - sittin milligrams - a cikin makon farko, da arba'in - na biyu, talatin - a cikin na uku-kwata. Daga bisani, da sashi an rage wa ashirin milligrams, wanda shine kula kashi. Taimaka far ne da za'ayi muddin daidaita asibiti, dakin gwaje-gwaje da kuma histological sigogi.

Rage adadin miyagun ƙwayoyi aka karɓa yi hankali. Wannan daukan la'akari da tsanani da na asibiti hanya da matakin da magani alamomi.

Autoimmune hepatitis za a iya gyara a cikin rabin shekara. Duk da haka, a lokuta da dama, far yana da wani dogon lokaci, wani lokacin na rayuwa. A hali na gazawar monotherapy bayar canza kewaye shirye-shirye "delagil", "Azathioprine", "Ciclosporin".

Idan immunosuppressive far bai nuna da sa ran sakamakon na tsawon shekaru hudu, gaban mahara recurrences, illa daga far za a iya tada tambaya na wani hanta dashi.