Gastroenterology

Autoimmune Hepatitis

Overview

Unlike other forms of hepatitis, such as viral and toxic hepatitis在美国，当人体免疫系统错误地攻击健康的肝细胞时，自身免疫性肝炎就会发生. 结果，肝脏发炎，发展成肝炎. In severe cases or if left untreated, the condition can lead to scarring of the liver, a condition known as cirrhosis, and ultimately to liver failure.

研究表明，遗传因素可能会增加一些人患自身免疫性肝炎的风险. 任何年龄的人都可能患上自身免疫性肝炎, 年龄在20到40岁之间的女性最常受到影响.

Our approach to autoimmune hepatitis

加州大学旧金山分校为自身免疫性肝炎患者提供最先进的诊断和治疗选择. 我们通常开始使用高剂量的强的松(一种类固醇药物)来阻止或减缓免疫系统对肝脏的攻击. 然后，我们逐渐减少剂量，并可能补充额外的免疫抑制药物，以长期控制病情.

自身免疫性肝炎可导致严重的肝脏损伤或衰竭. In these cases, a liver transplant may be necessary. 我们的肝脏移植项目被美国国立卫生研究院指定为卓越中心.S. Department of Health and Human Services, 以卓越的成果和帮助开创移植技术而闻名，这些技术使移植更安全、更成功. We perform more than 100 transplants each year, 我们的存活率在全国名列前茅.

Awards & recognition

  • usnews-neurology

    Among the top hospitals in the nation

  • One of the nation's best in gastroenterology & GI surgery

Signs & symptoms

自身免疫性肝炎的症状因严重程度而异. However, some of the more common include:

  • Fatigue
  • Enlarged liver
  • 黄疸，一种导致皮肤和眼睛泛黄的疾病
  • Joint pain
  • Abdominal discomfort
  • 血管在皮肤表面看起来像“蜘蛛”
  • Nausea
  • Vomiting
  • Loss of appetite
  • Dark urine
  • Mental confusion, which may occur in advanced stages

Diagnosis

In making a diagnosis of autoimmune hepatitis, 你的十大赌博平台排行榜会首先对你进行全面的身体检查，并询问你的病史, including any symptoms you have been experiencing.

You may also receive the following tests:

  • Blood Tests. 将进行一系列血液检查，以检测任何表明自身免疫性肝炎和肝损伤的抗体. 此外，血液检查有助于区分你患的是哪种类型的肝炎.
  • Liver Biopsy. 因为自身免疫性肝炎以外的疾病也能产生这些抗体 liver biopsy often is done to establish the diagnosis. 在活组织检查中，用细针从肝脏中取出一小块组织样本. 组织在实验室中制备并染色，以便在显微镜下检查.

Treatments

一种叫做强的松的药物是治疗自身免疫性肝炎的基础. 它最初是高剂量的，当肝脏开始反应时逐渐减少.

强的松治疗的最佳时间是不确定的. 因为许多患者在相对短暂的治疗后复发, 大多数十大赌博平台排行榜建议泼尼松在停药前以最低有效剂量服用一到两年. 长期前景取决于患者最初治疗的成功.

对于对强的松有耐药性的患者，可以尝试其他类型的免疫抑制. 肝移植是治疗进展为肝衰竭的病例.

Liver transplantation

Liver transplant 对于自身免疫性肝炎导致严重肝损害或进展为肝功能衰竭的人是否推荐. 移植的评估很复杂，通常需要几个月的时间. Therefore, even if a patient is feeling well, 一旦出现肝功能衰竭的症状，或者通过x光检查或肝活检诊断为晚期肝病，他们就应该接受移植手术.

加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的，并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.

More treatment info

Recommended reading

After Living Liver Donor Surgery

See what to expect following the surgery, 从你要住院多久到疼痛管理, when you can eat and drink again, and whether you'll have a scar.

FAQ: Living Liver Donor

得到一些重要问题的答案，比如你如何有资格成为捐赠者, what the first and next steps are in the process, why your blood type is important, and confidentiality.

Evaluation to be a Living Liver Donor

Find out what the evaluation process is like, whether it's covered by insurance, 当你知道你是否有资格成为肝脏捐赠者的时候, and more.

FAQ: Getting a Liver Transplant

查找有关肝移植的常见问题，包括, who gets priority, whether there's a way to expedite the process, and more.

Liver Transplant Glossary

使用这个肝脏移植术语表来帮助你理解一些深奥的语言和术语，包括, Angiogram, Echocardiogram, Sclerotherapy, and more.

Living Donor Liver Transplant: The Facts

In the U.S., there are over 17,000 patients on the liver waiting list, but only enough donated livers to perform about 5,000 transplants per year. Learn more.

Where to get care (2)

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    我们十大赌博靠谱网络平台您对您在加州大学旧金山分校健康中心的体验进行反馈. 了解如何与我们联系，提出意见、问题或疑虑.

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