Maimoatanga o te kakā autoimmune: tikanga, rongoā, ngā pānga taha, matapae

E rave rahi o tatou i rongo e pā ana ki taua mate rite kakā autoimmune. He aha te mea tenei māuiuitanga? Ko te mate ma'i, i te mea he mumura rewakore i roto i te taua okana nui mo to tatou oraraa rite te ate. Whakatakotoria he o te natura, e kore tenei māuiuitanga kua.

He aha te mea e tupu tenei?

Ki te te tātaritanga "kakā autoimmune", he aha te auraa? Ko te māuiuitanga nui i roto i te take tino unknown tenei, āta e whakamotitia te pūtau ate. A i roto i tenei tukanga tauturu ake pūnaha ārai o te raruraru. I roto i te wāhanga tuatahi o te mate i reira ko te mumura o te parenchyma, e ko te wahi matua o te tinana. kauneke tere tenei tukanga me taea arahi ki cirrhosis.

tahi tenei e mate pūtau o te tinana nui taua mo tatou - hepatocytes. whakakiia tonu ratou wahi i te kiko tūhonohono taratara, me te rorohakore. Ka rite ki te hua, te ate, ko te noa e kore e taea e ki te qualitatively te kawe i roto i o ratou mahi.

Ka taea e kitea e koe rerekē ingoa mo tenei mate. Heoi, ko te māuiuitanga tino noa i roto i te tuhinga hauora e ara: kaha kakā autoimmune ma'i. Ko te mate onge e he tino noa i roto i ngā kōtiro pakeke atu i te 10 tau, me te i roto i nga wahine kahore i nei i tae te tau o toru tekau.

tohu

rerekē faaiteraa haumanu o mate. Hei tauira, e kore te mea he hauwhā o tūroro katoa ki kahore he tohu o te kakā autoimmune. A pumau reira rite te roa rite kore e he tangata i tetahi pōauautanga. I roto i ngā take pēnei i, kitea rawatia ake mau te mate ake ki te iwi whakaatu ratou i nga tohu katoa o te kakā viral, ranei era atu tohu suggestive o kino ate ranei. I roto i te kē tuatahi o ngā tangata e haamata te reira ki te whakakorikoria te ngoikore. riro pouri ana fluids tinana. Kiri me kiriuhi mucous, te kōwhaitanga, mate o hiahia. I roto i te take tuarua, i reira he āhua extrahepatic o nga tohu. Ko te aha maha whakaaro kaiwhakaako te aroaro i roto i te tinana o te tini o nga mate pūnahanaha pērā i kaikōiwi, lupus, me ētahi atu

Otiia i roto i te whānui, faaiteraa mate he rohirohi rite nui, kirika, hua i roto i te pāmahana te tinana ki te 39 nga nekehanga, lymphadenopathy, hakihaki, mamae puku, rawa i roto i te hautahi o runga matau, takahi o nga hononga, me te i roto i te tupu kaha o te huruhuru i runga i nga wahi katoa o te tinana . Ki te tīmata te mate ki te whakapataritari i te ariā o hormones adrenal, e kua whakaputaina i roto i te i te taikaha, kia wheako te manawanui he hekenga i roto i te uaua kikokiko i roto i te waewae, me ringa, tere waea taimaha i te taikaha, te ahua o te tohu totoro i runga i te huha me te pāpāringa kanapa i runga i nga paparinga.

I te tahi taime puta ohorere mate tūroro, puta reira te ume nei me puta rawa pakeke. haere tahi tenei katoa e te takanga o te kakā fulminant, e ai mate tere o te nuinga o nga pūtau ate. Tenei, i roto i te tahuri, arata'i ki te hanganga tere o tāoke, tōraro pā, a ka whakapoke i te roro. Ko reira tino uaua, ki te kahore i puta mai kua kakā autoimmune (tohu), maimoatanga. Waitohunga i roto i ngā take pēnei i, hoatu tino kino mo te manawanui tākuta.

momo o mate

Maimoatanga o te kakā autoimmune ko tika ti'aturi i runga i ona momo. whakaritea te momo ngā o te mate e te aroaro i roto i te serum toto o te tetahi ahua o te antibody. I roto i tenei take, i reira e toru ngā momo o autoimmune kakā B:

1. I roto i te momo tuatahi tautuhi paturopi mate-actin ki te pūmua, te pūmua, ngā pūtau uaua maeneene, paturopi antinuclear.

2. hoki te momo tuarua o te mate āhuatanga e te aroaro o paturopi ki microsomes, ki te pūtau nga whatukuhu, me te ate.

3. pāngia te momo tuatoru o te māuiuitanga e i roto i te wā o te rapunga o paturopi ki te taonga i te kawenga mō te kōtuitanga pūmua, i.e. ki antigen wairewa ate.

Take māuiuitanga

kakā Autoimmune - he mate i roto i nei tīmata pūnaha ārai o te tangata pakanga kaha ki o ratou ake te kopa tino hauora me ngā pūtau. He aha hutia te take o tenei āhuatanga? I tenei pātai, e kore e taea e rongoā hou whakahoki ano. Heoi, kua fokotu'u aivanaa e hoatu he kore taua o parepare o te tinana rerekē whanau mua mate viral, pērā i kakā A me B ko C, herpes, Epstein-Barr huaketo.

Kua whakahuatia ētahi kairangahau te tirohanga, me e i roto i te whanaketanga o te tini o nga mate autoimmune, takaro te tūranga matua e te ira motuhake. Heoi, ko reira ia tapao e tata kore e te mate i roto i ngā tamariki i raro i te 10 tau kitea.

tātaringa

ka kia nui atu whai hua Treatment o kakā autoimmune ki te kitea te mate i timata te wawe tona whanaketanga. Heoi, he tino uaua māuiuitanga tātaritanga. Tikanga, hoatu anake te taua tākuta tātaritanga i āta tutakina te aroaro o ētahi atu mate. Ki te mahi i tenei, tātari te rata tohu o te manawanui me te hītori hauora o tona ora. tenei katoa tupu i roto i te akoranga o te whakahaere. I roto i tenei take, kua kite i te tohunga i roto i te mea kei te whakapawerawera i te tangata, me pehea te roa pumau reira.

Next, he whakamātautau tinana whakamana, i roto i nei tirohia te tākuta te kiri me kiriuhi mucous, ine pāmahana tinana o te manawanui, me koronete pa ate aperaa tona mamae, me te hua i roto i te rahi. A, no te wātea whakapae o ia i te rangahau māuiuitanga taiwhanga e whakahaere. E hangaia ratou ki te whakatau i te taumata o te here globulin me te mahi o te AST whākōkī. E whakarato ana i te aronga me te tātari immunological o toto. Te ārohi i te reira a mo te kakā A me te B, me te C. Ko te tākuta homai aronga ki te coprogram. Ko te ako, ko te taki nohoanga mo te aroaro o matūriki kai pukupuku.

kawea Tātaritanga te roto ki te tika. Kei roto te reira i te whakamātautau ultrasound o te puku, pū kai, me te duodenum 12 ki te whakamahi o te taputapu endoscopic. tikanga tenei ako e ki te aukati i te aroaro o te pukupuku o te etiology rerekē. Kei te tono tangata te manawanui ki te unuhanga ate, i roto i nei tangohia te tauira kiko iti te o te tinana ki tona histology.

Kia tāutuhia te tātaritanga kakā autoimmune, me maimoatanga whakaritea e te tākuta, kia kitea kahore he tūtohutanga riro katoa kore. Anake i roto i tenei take e taea tatou te kōrero e pā ana ki te matapae pai o te whanaketanga o te mate.

māuiuitanga rongoa

Kia kakā autoimmune (tohu) e tāutuhia, ka meinga maimoatanga o tenei mate kua faufaa, kia whakamahi i te tākuta maha ngā tikanga. Ko ratou e whai ake:

- ki te ū ki te kai tino;

- i roto i te therapy hauora;

- ki te whakahaere pokanga.

A feruri i te katoa o enei tikanga i roto i te taipitopito.

kai

kawea maimoatanga o te kakā autoimmune ma'i, e kei i te wā whakapeka, i raro i te moenga okiokinga tino. Ki runga ki te takanga o te wāhanga murunga manawanui nui ki te whakarite i tō mahi, me te okiokinga, faka'ehi'ehi mei katoa ahua (aronganui me te tinana) te rohirohi. I tua atu, he mea nui ki te whakakore i te pānga i runga i te ate o ngā matū paitini, tae atu waipiro me te rongoa taero, mawehe atu e taua mana. I roto i te wā o te murunga kore he tika ki te whakahaere ano hoki me maimoatanga i tua e pā te rohe ate. Rāhuitia me balneotherapy.

Hei haerenga i te huru o te manawanui he mahu'inga nutrition tika. Na roto i te maimoatanga o te kakā autoimmune ma'i, tūtohu gastroenterologists te whakamahi o kai (tepu № 5). Kei roto te reira i hupa huawhenua me te mīti ngako (heihei, mīti). Ka taea te whakauru i te kai o te tūroro ki ika kai i roto i te tunua kohuatia ranei. hua Diet, tūtohutia nei i roto i te wā i reira te maimoatanga e hiahiatia o kakā autoimmune ma'i, ngā taua hua rite miraka tepe iti-ngako, me te tīhi, me te mea kahore ātete, ka te waiu, me te waiu. A, no te tunu hoki te iwi e mamae i te kakā autoimmune, he mea nui ki te whakamahi i pata me te hinu huawhenua anake i roto i ngā rahinga iti. E tika ana kia iti, me te whakamahi o hua. Ka taea te whakauru ratou i roto i te kai anake 2 ranei 3 ngā wā i roto i te wiki o te 1-2 hua ia ra.

e kore te No kai rāhuitanga whakaaro i roto i te pā ana ki kore-waikawa huawhenua me hua. Heoi, ratou whakamahi, me te tahi atu kai tukua katoa, me tika kia i roto i te whānui whaitake.

Diet, tūtohutia e te tangata ki te ko te maimoatanga o te kakā autoimmune nei, tutakina i te kai o ngā kai parai, kai fatty, paramanawa tote me te raukikini, he kopurepure, me te kōkihi, koukou me te kawhe kaha, waipiro, me te taonga kēne. Power kupu kia tonu kia hautanga. He mea nui ki te kai i te iti rawa e wha nga wa he ra, a he pai ki te ko te kai ki te kia hua ono ngā wā. He mea nui hoki ki te faatura i te kai whārite kia te tinana e tango te rauemi e tika ana katoa hoki reira.

Ko te whakamahi o te raau taero

Ki te maimoatanga o te kakā autoimmune, ka whakawhirinaki rata raupapa o ngā mahi i runga i te atamira me te akoranga o te mate. Otiia i roto i tetahi take, i roto i te tua ki te whakamahi o te kai, whakahaere ngā tūroro i te rongoa e tika ana. Runga anō i te mea kua kitea i roto i te manawanui ki te tātaritanga o "autoimmune kakā" whare hauora, e taea te whakaritea maimoatanga mātanga ki ngā taero.

Homai te meka e te take matua o tenei mate ko Kōnei-whakahohenga me arā o parepare o te tinana, tīmata inarā whakangaro i te pūtau hauora o te ate, i roto i te therapy me ngā te rata taero e ngā pehanga ārai. imunosupressivnye reira e hormonal me anti-inflammatory taero. Enei matua ngā taua raau taero rite "Prednisolone" me "Azathioprine". E whakamahia ēnei taero e rua i roto i aua āhuatanga i reira te maimoatanga o te kakā autoimmune. I roto i te akoranga o te therapy kia tautapa ratou rānei wehe tahi ranei.

Ko te "prednisolone", he whānui o te mahi tenei tarukino. He he mana pai i runga i nga mea katoa o te tukanga pūkoro, ka whakarato te pānga anti-inflammatory āhua pai. I raro i te mana o te raau taero te whakaiti i te mahi o te tukanga pathological. he tika e rua ki te mana tika o āpiha immunosuppressive i runga i K-pūtau me te kukume tona mana i runga i te mahi suppressor o T-lymphocytes tenei.

E taea e ki te whakarato whai hua, ki te pāngia kakā autoimmune (tohu) maimoatanga anake pota tiketike o te tarukino. Waitohunga o te mate i roto i enei wā, ko reira pai. Ko te kupu, i roto i te mau tamataraa haumanu i roto i te ūnga akoranga mā te whakamahi i te tikanga pharmacological "Prednisolone" kite whakaiti i roto i te kaha me te auau o ngā tauhohe immunopathological kitea i roto i te kiko ate.

Ko tētahi atu maimoatanga tarukino o kakā autoimmune - "Azathioprine". Ko te whakautu ārai pānga reira ki te tämi tikanga kaha whakawhanake iramate o ngā pūtau ārai, me te te whakakorenga o te whakakorenga o ngā pūtau inflammatory.

Drug "Azathioprine" pānga e rua te tuatahi, me te whakautu ārai tuarua. Heoi, ko te maimoatanga o tenei rongoā mō tohunga maha mea reira iti pānga. Ko te tika ki te takahi o te whakahohe taero, me te te whakatere o te tukanga o tona whakangaromanga i roto i te wā o te mate ate tenei. Hei whakatau i tēnei take i roto i te akoranga o te therapy te tahitia tautapatia ki tetahi atu tarukino hormonal - "Prednisolone". Ko te taea ki te whakahohe i te pānga o "azathioprine" ia. I tua atu, ngā pānga taha i muri i te maimoatanga o te kakā autoimmune i roto i te matatini mā te whakamahi i te raau taero e rua i roto i te wha nga wa iti rite whakaritea ki te hunga kitea, no te anake kotahi "prednisolone". tohu mārama tenei te hiahia mo te huarahi taua ki te maimoatanga.

Ko te whakamahi o rua taero i te wa ano inhibits te whanaketanga o te mumura me te taea nga ope tiaki o te kaiao takitahi faaore aukatinga ngā. Kia aroha mai, tango enei taero, e takoha tūroro ki i te ono marama ki te 4 tau. Heoi, e kore e hoatu e taote tetahi taurangi e ka waiho tenei akoranga te kotahi anake. He maha tūroro i ki te faahiti i te reira hau atu i te kotahi i roto i to ratou ora.

tono tēnei hātepe te therapy me i roto i aua wā i reira te maimoatanga o te kakā autoimmune i roto i ngā tamariki.

Hei whakakore i kofermentativnye māuiuitanga me taea te whakamahi taero pūkoro. Ko ratou he huaora taua me complexes multivitamin, rite "kokarboksilazu", "Riboksin" me te tini ke atu. I roto i te maimoatanga e whakamahia me gepatoprotektory e roto i roto i to ratou hanganga o phospholipids. He taero rite "Livolin", "Esentsiale", "Geptral" me te tini ke atu enei. E ai ki te tohunga, kia hanga te whakaaro o enei moni anake i te wā o te murunga, i te mea kahore he mumura korerotia.

I roto i te tikanga ki te puha te hua pūkoro paitini ko te hunga ki e kore e taea e te ate akakoromaki, rata whakahau therapy whaowhia rō-uaua. Tikanga, i roto i ngā take pērā, he tarukino "Reosorbilakt" saline ranei. whakamana ana te tukanga i raro i te mana tamau o te pēhanga toto, me te putanga mimi.

kaupapa maimoatanga Alternative

Treatment te whakamahi i te huinga o taero pērā i "prednisolone" me "Azathioprine" Kei whakamahia tōtika i roto i te mahi hauora he tata e rima tekau tau. ka whakanui i tino taua therapy te tümanako ora o tūroro ki kakā autoimmune.

I tēnei wā, Heoi, ko te atu katoa ahi te tautohe i runga i te whakamahi o ētahi atu kaupapa e kua meinga iti wa mō ngā tūroro, me e meinga iti pānga taha. Hei tauira, whakaaro tohunga te pea e taea ai te maimoatanga kakā autoimmune "Budenofalk". Ko te tarukino no ki te rōpū o glucocorticosteroids whakatupuranga 2. I tua atu, kua reira pānga taha iti me metabolised iwa tekau ōrau e te ate kua i te therethrough irava tuatahi. E āwhina ana tēnei ki te whakahoki i te hauora o tūroro mate i kakā autoimmune.

Ko te hua o te rangahau haumanu whakakitea conclusively e te tarukino "Budenofalk" te whakamahia i roto i ngā ki "azathioprine" kia kaha ai a mau tonu murunga i roto i aua iwi ki te kakā autoimmune kua nei kahore ano i nga tohu o te ate cirrhosis. I roto i tenei therapy mo te putanga o iti, i te i muri i te tono o "Prednisolone" pānga taha.

E ai ki kairangahau, taea ki te riro i te paerewa haumanu hou o te tiaki whakamahia i roto i te tukunga o te kakā autoimmune te tarukino ko.

maimoatanga hāparapara

I roto i aua wā i reira e kore e te whakamahi o te therapy tarukino mō te wha tau e i te whakapai ake i te huru o te manawanui, me te kore e haerenga ona toto pokazatelt matüora, kawea te manawanui kei roto i pokanga.

Ko reira he mahi ki te transplant okana o te kaituku. Ka rite ki te tikanga, e te wahi o te ate Māori o te toto tangata tenei.

rongoā iwi

Ko te whakamahi o moni, i hanga tohutao e rata e hāngai ana i runga i kai māori, tuku te hōneatanga o ate, faaore whakapairuaki, me tohu o te haurangi, me te tango i te mamae.

kia whanau te reira i roto i te ngakau e, ki te kitea he tangata te kakā autoimmune, maimoatanga o rongoā iwi kawea anake te tauturu ki te tohu o te mate, engari kia whakakahoretia o reira e kore te tino tukua. He whai hua anake ka e taea te tukinotia te pathologies ngāwari taua tikanga. E pā ana tēnei ki te kakā A ranei ki te momo paitini.

Well whakapumautia i roto i te whawhai ki te mumura i roto i te ate o ngā otaota i pānga choleretic. Mai i ratou ia faaineine i infusions me decoctions. Taua otaota e:

- pakiaka Ongaonga me rau;
- te miniti, o te anihi;
- Yarrow;
- purapura te Ahumāra o fennel;
- marou o St John;
- rau birch.

Mai i otaota unu utu e tango i te aroaro o te kai. whakakapia He whaowhia o hope rohi tea te. Inumia reira i roto i te kakau witi no tenei kaihoko he pānga kino i runga i niho i tohu.

pānga pai i runga i te ate, me te wai ngā huawhenua, no te mea te reira kei nui o huaora me ngā huānga kohuke. Ka taea te whakamahi wai mo te maimoatanga o te mate ate kakā B i roto i te whare:

- Hiruharama artichoke;
- raw rīwai;
- kāroti, diluted ki te wai;
- herewi me te aihere rau;
- beets raw, waimeha ki te wai.

outlook

Survival o tūroro mate i kakā autoimmune, tino motuhake o te kaha o te tukanga inflammatory tango wahi i roto i te ate. I roto i te wā ngawari, 80% o te iwi, ko te reira nui atu i te 15 tau. Heoi, i roto i te ngaro o te therapy oti, me te i roto i te mate kino anake ki te torutoru whakahaere ki te ora neke atu i te rima tau.