Tatalaksana Non-Acetaminophen Induced Acute Liver Failure Dengan Menggunakan N-acetylcysteine

Penulis

  • Mia Putri Sahara UNRAM

DOI:

https://doi.org/10.29303/jku.v11i4.801

Kata Kunci:

N-acetylcysteine, Non-Acetaminophen Induced Acute Liver Failure

Abstrak

Gagal hati akut merupakan suatu kondisi dimana terjadi disfungsi hati yang akut. Terdapat dua jenis akut dari gagal hati akut ini yaitu acetaminophen induced acute liver failure dan non acetaminophen induced acute liver failure.Gagal hati memiliki penilaian angka insidensi sebanyak 1-6 kasus per 1 juta setiap tahun pada berbagai negara maju, sedangkan untuk Negara berkembang angka insidensi diperkiraan lebih besar karena memiliki angka insidensi hepatitis yang tinggi, di Amerika, diperkirakan sebanyak 2.500 kasus gagal hati akut per tahun. Sampai saat ini, tidak ada pengobatan yang mampu untuk gagal hati akut yang disebabkan oleh non-acetaminophenselain dengan cara transplantasi hati. hasil analisis penelitian yang dilakukan, terapi pengobatan N-acetylcysteine ??(NAC) pada gagal hati akut yang diinduksi non-acetaminopen dapat Berdasarkan yang dijanjikan. Non-acetaminophen induced acute liver failure dengan meningkatkan hemodinamik sistemik dan penghantaran oksigen ke jaringan.

 

Referensi

1. Weiler N, Schlotmann A, Schnitzbauer AA, Zeuzem S, Welker MW. The epidemiology of acute liver failure: Results of a population-based study including 25 million state-insured individuals. Dtsch Arztebl Int. 2020;117(4):43– 50.
2. Nabi T, Nabi S, Rafiq N, Shah A. Role of N-acetylcysteine treatment in non-acetaminophen-induced acute liver failure: A prospective study. Saudi J Gastroenterol. 2017;23(3):169–75.
3. Fontana RJ, Engle RE, Gottfried M, Hammed B, Hanje J, Durkalski V, et al. Role of Hepatitis E Virus Infection in North American Patients With Severe Acute Liver Injury. Clin Transl Gastroenterol. 2020;11(11):e00273.
4. Chughlay MF, Kramer N, Spearman CW, Werfalli M, Cohen K. N- acetylcysteine for non-paracetamol drug-induced liver injury: A systematic review. Br J Clin Pharmacol. 2016;81(6):1021–9.
5. Jaeschke H, Akakpo JY, Umbaugh DS, Ramachandran A. Novel Therapeutic Approaches Against Acetaminophen-induced Liver

Injury and Acute Liver Failure. Toxicol Sci. 2020;174(2):159–67.
6. Hu J, Zhang Q, Ren X, Sun Z, Quan
Q. Efficacy and safety of acetylcysteine in “non- acetaminophen” acute liver failure: A meta-analysis of prospective clinical trials. Clin Res Hepatol Gastroenterol. 2015;39(5):594–9.
7. Yan M, Huo Y, Yin S, Hu H. Mechanisms of acetaminophen- induced liver injury and its implications for therapeutic interventions. Redox Biol. 2018;17(March):274–83.
8. Acute B. N-acetylcysteine for acute liver failure not caused by paracetamol overdose. 2021;1–4.
9. Mendizabal M, Silva MO. Liver transplantation in acute liver failure: A challenging scenario. World J Gastroenterol. 2016;22(4):1523–31.
10. Akakpo JY, Ramachandran A, Kandel SE, Ni H, Kumer SC, Rumack BH, et al. 4- Methylpyrazole protects against acetaminophen hepatotoxicity in mice and in primary human hepatocyte. Physiol Behav. 2018;176(3):139–48.
11. Akakpo JY, Ramachandran A, Duan L, Schaich MA, Jaeschke MW, Freudenthal BD, et al. Delayed Treatment with 4-
Methylpyrazole Protects Against Acetaminophen Hepatotoxicity in Mice by Inhibition of c-Jun n- Terminal Kinase. Toxicol Sci.
2019;170(1):57–68.
12. Walayat S, Shoaib H, Asghar M,
Kim M, Dhillon S. Role of N- acetylcysteine in non- acetaminophen-related acute liver failure: An updated meta-analysis and systematic review. Ann Gastroenterol. 2021;34(2):235–40.

Diterbitkan

2022-12-30

Cara Mengutip

Sahara, M. P. (2022). Tatalaksana Non-Acetaminophen Induced Acute Liver Failure Dengan Menggunakan N-acetylcysteine. Baphomet University : Situs Slot Online Gacor Terbaik Hari Ini Server Thailand Gampang Maxwin 2024, 11(4), 1183–1186. https://doi.org/10.29303/jku.v11i4.801

Terbitan

Bagian

Tinjauan Pustaka