Cagaarshowga iswada

Cagaarshowga 'Autoimmune hepatitis' waa caabuq ku dhaca beerka. Waxay dhacdaa marka unugyada difaaca jirka ay ku khaldamaan unugyada caadiga ah ee beerka duullaanno waxyeello leh oo ay weeraraan.

Noocaan cagaarshowga waa cudur isdifaaca jirka. Nidaamka difaaca jirka ma kala garan karo farqiga u dhexeeya unugyada jirka ee caafimaadka qaba iyo waxyaabaha waxyeelada leh, walxaha ka baxsan.Natiijadu waa jawaab celin difaac oo baabi'isa unugyada jirka ee caadiga ah.

Caabuqa beerka, ama cagaarshowga, ayaa dhici kara iyadoo ay weheliyaan cudurrada kale ee isdifaaca jirka. Kuwaas waxaa ka mid ah:

• Cudurka xabaalaha
• Cudurka caloosha ee caabuqa leh
• Rheumatoid arthritis
• Scleroderma
• Sjögren syndrome
• Nidaamka lupus erythematosus
• Qanjirka 'thyroid'
• Nooca 1aad ee sonkorowga
• Cudurka 'ulcerative colitis'

Cagaarshowga otomatigga ah wuxuu ku dhici karaa xubnaha qoyska ee dadka qaba cudurrada is-difaaca jirka. Waxaa jiri kara sababo hidde ah.

Cudurkani wuxuu ku badan yahay gabdhaha iyo haweenka da'da yar.

Calaamadaha waxaa ka mid noqon kara:

• Daal
• Raaxo-darrada guud, raaxo-darrada, ama dareen-xanuun (xanuun)
• Cuncun
• Cunto xumo
• Lalabbo ama matagid
• Xanuun wadajir ah
• Saxaro midabkeedu yahay cirro ama dhoobo
• Kaadi madow
• Kala-baxa caloosha

Maqnaanshaha caadada (amenorrhea) sidoo kale waxay noqon kartaa astaamo.

Tijaabooyinka hepatitis-ka jirka waxaa ka mid ah baaritaanka dhiigga ee soo socda:

• Tijaabooyinka shaqada beerka
• Nooca maaddada microsome ee ka hortagga beerka nooca 1 antibody (anti LKM-1)
• Kahortaga nukliyeerka (ANA)
• Antibody-muruqa antibody (SMA)
• Serum IgG
• Cad ka-qaadista beerka si loo raadsado cagaarshowga muddada-dheer

Waxaad u baahan kartaa daawada loo yaqaan 'prednisone' ama daawooyinka kale ee loo yaqaan 'corticosteroid' si ay kaaga caawiso yareynta caabuqa. Azathioprine iyo 6-mercaptopurine waa daawooyin loo isticmaalo daaweynta cudurrada kale ee isdifaaca jirka. Waxaa loo muujiyey inay caawinayaan dadka qaba cagaarshowga iswada, iyo sidoo kale.

Dadka qaarkiis ayaa laga yaabaa inay u baahdaan xubin beerka ah.

Natiijadu way kala duwan tahay. Daawooyinka 'Corticosteroid' ayaa laga yaabaa inay yareeyaan horumarka cudurka. Si kastaba ha noqotee, hepatitis autoimmune ayaa laga yaabaa inuu u gudbo cirrhosis. Tani waxay u baahan tahay beerka beeris.

Dhibaatooyinka waxaa ka mid noqon kara:

• Cirrhosis
• Dhibaatooyinka ka yimaada steroids iyo daawooyinka kale
• Kansarka 'Hepatocellular carcinoma'
• Beerka oo xumaada

Wac daryeel caafimaad bixiyahaaga haddii aad dareento astaamaha cagaarshowga iswada.

Cudurka cagaarshowga ee 'Autoimmune hepatitis' badanaa lagama hor tagi karo. Ogaanshaha astaamaha halista waxay kaa caawin kartaa inaad goor hore ogaato oo aad daaweyso cudurka.

Cagaarshowga Lupoid

• Nidaamka dheefshiidka
• Xubnaha habka dheefshiidka

Czaja AJ. Cagaarshowga iswada. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 90.

Pawlotsky JM. Cagaarshowga joogtada ah ee fayraska iyo iswada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 149.