Paewhiri huaketo Hepatitis

Ko te papa huaketo hepatitis tetahi rarangi o nga whakamatautau toto e whakamahia ana kia kitea nga mate o naianei, o mua ranei e te mate pukupuku A, te kakati B, te mate pukupuku ranei C. Ka taea e ia te tirotiro i nga tauira toto mo te maha atu o nga momo mate pukupuku kakati i te wa kotahi.

Ka taea e nga whakamatautau antibody me nga antigen te kite i ia momo momo wheori hepatitis.

Panui: Ko te Hepatitis D anake te take e pangia ai te mate e te hunga he mate ate kakate B. Kaore i te tirotirohia i nga waa o te rewharewha hepatitis.

Ko te toto he mea tango mai i te uaua mai i roto o te tuaono, i muri ranei o te ringa. Ka horoia te papaanga me te rongoa patu-patu (antiseptic). Ka takaia e te kaiwhakawhiwhi hauora he taura hakinakina ki te taha o runga hei pehanga i te rohe ka pupuhi te uaua ki te toto.

Muri iho, ka ata whakauruhia e te kaiwhakarato he ngira ki roto i te uaua. Ka kohia te toto ki roto i te ngongo ngongo e piri ana ki te ngira. Ko te roopu rapa kua tangohia i to ringa.Ka kohia te toto, ka tangohia te ngira. Ka taupokina te papa poka kia kore ai e heke te toto.

I nga kohungahunga me nga tamariki nohinohi ranei, he taputapu koi e kiia ana ko te lancet ka whakamahia hei poka i te kiri kia mate ai te toto. Ka kohia te toto ki roto i te ngongo iti o te karaihe, ki runga raanei ki te waahanga whakamatautau ranei. Ka taea te taapiri te takai ki runga ake i te rohe mena ka heke te toto.

Ko te tauira toto ka tukuna ki te taiwhanga kia tirohia. Whakamahia ai nga whakamatautau toto (serology) hei tirotiro i nga paturopi ki ia o nga wheori kakati.

Kaore he whakaritenga motuhake e hiahiatia ana.

Ko etahi e rongo ana i te mamae totika ina whakauruhia te ngira ki te utu toto. Ko etahi e mohio ana he werawera noa iho ranei te kare-a-roto. Muri iho, ka raru pea koe.

Ka tono pea to kaiwhakarato ki te whakamatau mena he tohu hepatitis koe. E whakamahia ana ki:

• Rapua te mate hepatitis o mua ranei o mua
• Whakatauhia te mate uruta o te tangata he mate kakati
• Aroturukihia te tangata e tukuna ana i te mate ate kakā

Ka mahia pea te whakamatautau mo etahi atu tikanga, penei i te:

• Hepatitis toitoha tonu
• Hepatitis D (kaihoko reiti)
• Hinengaro nefrotic
• Cryoglobulinemia
• Porphyria cutanea tarda
• Erythema multiforme me te nodosum

Ko te mutunga o te hua kaore e kitea he paturopi kakati ki te tauira toto. Ka kiia tenei he hua kino.

Ko nga awhe uara noa ka rereke te rereketanga i te waahanga o te waahanga e whakamatauhia ana. Korero ki to kaiwhakarato mo te tikanga o o hua o te whakamatautau.

He rereke nga whakamatautau mo te mate kakā A me te mate ate B. Ko te whakamatautau pai ka kiia he rereke.

Ko te tikanga o te whakamatautau pai:

• I tenei wa he mate pukupuku koe. Akene he mate hou tenei (he kakā kakā), akene he mate kua roa koe e mate ana (he mate kakā tawhito).
• I pangia koe e te mate hepatitis i mua, engari kaore o mate i a koe kaare e taea te hora atu ki etahi atu.

Hepatitis He hua mo te whakamatautau:

• IgM anti-hepatitis A huaketo (HAV) paturopi, i pa ki a koe i te mate hepatitis A.
• Katoa (IgM me IgG) nga paturopi ki te mate kakā A, kua pangia koe e te mate o mua, o mua ranei, te aukati ranei ki te mate kakati A

Nga hua o te whakamatautau Hepatitis B:

• Hepatitis B mata antigen (HBsAg): kua pangia koe e te mate hepatitis B, i enei wa, i nga wa roa ranei (mo te wa roa)
• Antibody ki te hepatitis B matua antigen (Anti-HBc), kua pa he mate hepatitis B o mua, o mua ranei
• Antibody ki HBsAg (Anti-HBs): Kua pa he mate hepatitis B o mua, kua tae atu ranei ki a koe te kano kano mate hepatitis B, me te kore pea e pangia koe
• Hepatitis B momo e antigen (HBeAg): kua pangia koe e te mate hepatitis B maamaa ana ka hora e koe te mate ki etahi atu na roto i te taatai ​​me te tohatoha ngira

Ko nga antibodies ki te mate kakā C ka kitea i te nuinga o te waa 4 ki te 10 wiki i muri i to pangia o te mate. Ko etahi atu momo whakamatautau ka taea te whakatau mo te whakamaimoa me te aro turuki i te mate ate kakati C.

Ko nga raru e pa ana ki te whakaheke toto he iti nei, engari ka uru pea ki:

• Te whakaheke toto
• Te maarere, te ahua marama ranei
• Hematoma (whakaheke toto i raro o te kiri)
• Mate (he morearea pea ka pakaru te kiri)

Hepatitis He whakamatautau antibody; Hepatitis B whakamātautau antibody; Hepatitis C whakamātautau antibody; Hepatitis D whakamātautau antibody

• Whakamatautau toto
• Hepatitis B huaketo
• Erythema multiforme, raiona porowhita - ringaringa

Pawlotsky J-M. Hepatitis viral tino kino. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 148.

Pawlotsky J-M. Te mate kakā viral me te mate autoimmune. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 149.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Te arotake i te mahi ate. I roto i: McPherson RA, Pincus MR, eds. Ko te Tohu Haumanu a Henry me te Whakahaere ma nga Tikanga Laboratory. 23rd ed. St Louis, MO: Elsevier; 2017: chap 21.

Wedemeyer H. Hepatitis C. In: Feldman M, Friedman LS, Brandt LJ, eds. Ko te mate huringa o Sleisenger me te Fordtran's Gastrointestinal me te ate: Pathophysiology / Tohu / Whakahaere. 10 o nga ra. Philadelphia, PA: Elsevier Saunders; 2016: chap 80.