{"id":8774,"date":"2015-05-28T15:57:52","date_gmt":"2015-05-28T13:57:52","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=8774"},"modified":"2024-02-26T17:11:55","modified_gmt":"2024-02-26T16:11:55","slug":"hepatitis-autoimmune-hai","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/","title":{"rendered":"Hepatitis Autoimmune (HAI)"},"content":{"rendered":"

Qu\u00e8 \u00e9s l’Hepatitis Autoimmune (HAI)?<\/span><\/p>\n

L’Hepatitis Autoimmune (HAI) \u00e9s una malaltia cr\u00f2nica del fetge que cursa en brots produint inflamaci\u00f3 del teixit hep\u00e0tic per un atac de les pr\u00f2pies defenses (autoimmunitat) a les c\u00e8l\u00b7lules del fetge.<\/p>\n

Pot estar relacionada amb altres malalties autoimmunes com la tiro\u00efditis o diabetis mellitus tipus 1, entre d’altres. \u00c9s m\u00e9s freq\u00fcent en dones, es pot veure a totes les edats per\u00f2 t\u00e9 dos pics d’incid\u00e8ncia, als 40 i als 60 anys.<\/p>\n

Hi ha la HAI tipus 1 que \u00e9s la m\u00e9s freq\u00fcent en el nostre medi i \u00e9s t\u00edpica d’adults i la HAI tipus 2 que \u00e9s m\u00e9s freq\u00fcent en nens i adolescents.<\/p>\n

Com es diagnostica?<\/span><\/p>\n

Es necessita una anal\u00edtica en la qual s’objectiven elevaci\u00f3 de transaminases (GOT i GPT) amb els anticossos t\u00edpics i elevaci\u00f3 de la gamma-globulina.
\n\u00c9s important descartar altres causes com les hepatitis v\u00edriques, per f\u00e0rmacs o per alcohol.
\nEn molts casos es necessita una bi\u00f2psia hep\u00e0tica per establir el diagn\u00f2stic definitiu i estudiar la pres\u00e8ncia de fibrosi.
\nLa fibrosi es pot mesurar a trav\u00e9s de t\u00e8cniques de elastograf\u00eda de transici\u00f3 hep\u00e0tica (FibroScan CAP\u00ae<\/a>).<\/p>\n

Quins s\u00edmptomes t\u00e9?<\/span><\/p>\n

Els s\u00edmptomes s\u00f3n molt inespec\u00edfics o fins i tot inexistents. Pot notar-se molt cansament, dolor en les articulacions i color groguenc de la pell o de la part blanca dels ulls (icter\u00edcia).<\/p>\n

Quin pron\u00f2stic t\u00e9?<\/span><\/p>\n

Amb el tractament adequat, l’hepatitis autoimmune t\u00e9 un pron\u00f2stic bo. Sense tractament, el risc de complicacions greus augmenta de forma considerable.<\/p>\n

Com es tracta?<\/span><\/p>\n

L’objectiu del tractament \u00e9s disminuir la inflamaci\u00f3 amb els f\u00e0rmacs indicats pel seu metge especialista. La pauta m\u00e9s habitual d’inici de tractament \u00e9s amb medicaci\u00f3 immunosupressora, com serien els Corticoides o l’azatioprina.<\/p>\n

El seu metge especialista determinar\u00e0 la combinaci\u00f3 de f\u00e0rmacs, les dosis i el temps necessari depenent de l’evoluci\u00f3 cl\u00ednica i anal\u00edtica.<\/p>\n

En alguns casos es pot retirar la medicaci\u00f3 per\u00f2 sempre sota una estreta vigil\u00e0ncia perqu\u00e8 hi ha un risc alt que la malaltia ressorgeixi.
\nEn els casos greus en qu\u00e8 es produeix insufici\u00e8ncia hep\u00e0tica (tant en casos de recent aparici\u00f3 com cr\u00f2nics) pot ser necessari fins i tot plantejar el trasplantament hep\u00e0tic.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Qu\u00e8 \u00e9s l’Hepatitis Autoimmune (HAI)? L’Hepatitis Autoimmune (HAI) \u00e9s una malaltia cr\u00f2nica del fetge que cursa en brots produint inflamaci\u00f3 del teixit hep\u00e0tic per un atac de les pr\u00f2pies defenses (autoimmunitat) a les c\u00e8l\u00b7lules del […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":7391,"menu_order":16,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8774","page","type-page","status-publish"],"yoast_head":"\nHepatitis Autoimmune (HAI) - Servidigest<\/title>\n<meta name=\"description\" content=\"Hepatitis Autoimmune\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hepatitis Autoimmune (HAI) - Servidigest\" \/>\n<meta property=\"og:description\" content=\"Hepatitis Autoimmune\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-26T16:11:55+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/\",\"name\":\"Hepatitis Autoimmune (HAI) - Servidigest\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\"},\"datePublished\":\"2015-05-28T13:57:52+00:00\",\"dateModified\":\"2024-02-26T16:11:55+00:00\",\"description\":\"Hepatitis Autoimmune\",\"breadcrumb\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-autoimmune-hai\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Serveis M\u00e8dics de Cl\u00ednica ServiDigest\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aparell digestiu\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Hepatologia. 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