Unyango lwe-hepatitis C yiyona ngxaki, eyayixazululwa ixesha elide kunye nososayensi emhlabeni wonke. Unyaka ngamnye inani lamatyala landa ngokunyuka, ngoko ke wonke umntu omele aqonde ulwazi olusisiseko malunga nesi sifo, iindlela zokufumanisa, unyango kunye nokukhusela.
Yintoni i-hepatitis C?
Ngokwezibalo, kwiimeko ezininzi, i- hepatitis C ivela kubasetyhini abaneminyaka yobudala, kwaye ukukhubazeka kubonakala ngokungahambi ngexesha lokuxilongwa kwezilwanyana kwezinye izizathu. Ngenxa yokuba isifo "sinyuka" singaboni, siphumelele iimpawu ezingabonakaliyo, ngokukhawuleza kubangela umonakalo ngemiphumo emibi, kuthiwa "ngumbulali onothando."
I-Hepatitis C yi-pathology yemvelaphi yentsholongwane, apho iiseli zesibindi zichaphazeleka ngokukodwa. Ukongezelela, isifo sibangelwa ukuphazamiseka kwamagciwane, ngokuyinxalenye ekuhlaseleni ezinye izitho zangaphakathi kunye neenkqubo: izintso, imiphunga, inkqubo ye-nervous system, i-hematopoiesis, isistim somzimba. I-agent causative yintsholongwane evela kwintsapho ye-flaviviruses, edla ukutshintsha rhoqo. Kukho malunga neyeshumi ze-genotype zayo, kwaye emzimbeni womntu ogulayo, ngenxa yokuphakama kwe-pathogen ukuguqulwa kwemithambo, ukuya kumanqanaba angama-40 angama-mutant angabalwa ngokufanayo.
I-Hepatitis C - iindlela zokuhambisa
Umthombo wentsholongwane ngumntu obhekene nesimo esibi okanye esingapheliyo sesifo, kunye nomthwali wesifo. Utsho i-hepatitis C ngokuyinhloko ngegazi kunye namacandelo ayo. Ukongezelela, kwinani elincinci labasetyhini, ukugula kwexesha elide, intsholongwane ifunyenwe kwigazi lokuya esikhathini, ukukhulelwa kwamanzi, isisu, i-lymph. Ngokuqhelekileyo, ukusuleleka kwe-parenteral kwenzeka xa kungekho ukuthotyelwa kokuthotyelwa kwemigangatho yococeko kunye nococeko kwiimeko ezinjalo:
- ukuphathwa kwezonyango, kunye nokusetyenziswa kweenaliti, iisringana, i-scalpels;
- i-hemodialysis, ukudluliselwa kwegazi lomnikeli, ukutshintshwa kwezitho zabaxhasi;
- ukusetyenziswa ezininzi kwesaliti enye ngamayeza;
- inkonzo zamazinyo;
- iiseshoni zokwenza i-acupuncture sessions;
- iinkonzo zabazinwele;
- ukuguguza, ukuhamba nge-pedicure kwi-salon;
- ukudweba;
- inkqubo yokubhoboza;
- ukusetyenziswa kombindi womnye umntu, i-razor nezinye izinto.
Ukongezelela, kukho indlela yesondo yokudlulisela isifo, umngcipheko wenyuka kunye nokutshintsha rhoqo kwiinkwenkwezi zesini, ukulala ngesondo esingakhuselekanga, ukulala ngokwesondo, ngokwesondo ngexesha lokuya esikhathini. Ngokubhekiselele kokusasazeka kwintsholongwane kumama ukuya kumntwana ngexesha lokukhulelwa nokubeletha, oku kubakho, kodwa kuphantsi kwaye kwiimeko ezininzi zidibaniswa necesarean section. Ukukhutshwa kokungcola ngokutya, ukutya, amanzi, ngxiba, ukukhwehlela, ukumanga nokuvuma.
I-Hepatitis C - ixesha lokutshatyalaliswa
Xa intsholongwane ye-hepatitis C ingena emzimbeni, ixesha eliphakathi kwentsholongwane kunye nokubonakala kweempawu zokuqala ziyahlukahluka kwaye ziyahlukahluka ngokuxhomekeke kwinani lamaseli angene kwi-pathogen, ukusebenza komzimba wesimo somzimba, isimo esiphezulu somzimba, njalonjalo. Ixesha elincinci lokuxubusha lingaba malunga neveki ezimbini, iiveki ezide kakhulu - ezingama-26. Ngokuqhelekileyo eli xesha li malunga neentsuku ezingama-50.
Bangaphi bahlala ne-hepatitis C?
I-hepatitis engapheliyo, efunyenwe kwizigaba eziphambili kwaye ingafumani unyango olufanelekileyo ngexesha elifanelekileyo, ngokuqinisekileyo iholele kwisifo se-cirrhosis yesibindi. Xa kungabikho ukuguqulwa komzimba, oku kubangela isiphumo esibulalayo kwiminyaka engama-20 ukuya kwe-30 emva kokusuleleka. Kwiimeko apho umntu enemikhwa emibi, uhola ubomi obungenampilo, obhekene nezinye izifo, eli xesha liyancitshiswa kakhulu.
Ukuba isifo sifumaneka kwisigaba esingavulwa, unyango oluchanekileyo lwe-hepatitis C luyenziwa, yonke imirhumo yonyango yenziwa, ngoko umonakalo wokuphulukisa nokubuyiswa kwemisebenzi yesibindi kukhulu. Ukuqwalasela iikhompyutheni zanamhlanje, amaxabiso okubuyisela athabathela kuma-60-90%, oko kukuthi, ngonyango oluyimpumelelo, ixesha lokuphila komntu osulelekileyo lilingana nalolo lugqithiselwe ininzi yoluntu.
I-Hepatitis C - iimpawu
Iimpawu zokuqala ze-hepatitis C kwiimeko ezininzi zinokuphosakela ngokubonakaliswa kwesifo sokuphefumula kwentsholongwane yokuphefumula, kuba ziquka ezi zilandelayo:
- ukwanda kancinci kumbindi womzimba;
- intloko;
- intlungu yomculo;
- buthathaka;
- ukuphazamiseka kokutya;
- isicefe
- kuphazamiseka esiswini.
Kwizigulane ezininzi, nokuba le mibonakalo ayisekhoyo, ngoko abayayiqaphela isifo ixesha elide. Emva kweeveki ezimbalwa, iimpawu ezinjalo ze-hepatitis C ziyakuthi:
- kumnyama komchamo;
- ukucaciswa kwamathambo;
- ukuphuka kwesikhumba kunye ne-sclera kwamehlo;
- ukugquma kwesikhumba nokutshiza;
- umbala ophuzi ngolwimi ;
- ukungahambi kakuhle kwi-hypochondrium.
I-hepatitis engapheliyo inokukrokra ngeempawu eziphazamisayo ezingafaniyo:
- ukukhathala rhoqo;
- ukubuthathaka kobugcisa;
- ukwanda kwimiqulu yesisu ngokubhekiselele kwimvelaphi yokulahlekelwa kwesisindo;
- ukuguquka kwemizwelo, ukucaphuka.
I-Hepatitis C - Ukuchonga
Ukuchonga ubukho bentsholongwane emzimbeni kunokuba, emva kokuvavanywa kwegazi lwebhubhorha usebenzisa enye yeendlela ezilandelayo:
- i-polymerase chain reaction;
- indlela ye-immunoenzymatic.
Ukongeza, ukufumanisa i-hepatitis C, kunokwenzeka ukuba uhlalutye ngokuzimeleyo. Ukuhlolwa kwekhaya ngokukhawuleza, okungazithengwa kwi-pharmacy, ubukho be-antibodies kwi-virus ye-hepatitis C imiselweyo. Oku kufuna ukubethelwa ngomunwe, ukuqokelela inani elincinci legazi, ukulusebenzisa kwisiqephu esikhethekileyo kunye nokongeza i-reagent (konke okufunayo kufakiwe). Isiphumo siyaziwa imizuzu elishumi kamva.
Ukuba uhlalutyo lwe-hepatitis luqinisekisa isi sifo, uphando lubelwe ukucacisa isigaba se-pathology, ukuvavanya umlinganiselo wesibindi somonakalo, ukuchonga iingxaki, eziphambili zezi:
- vavanyo lwegazi jikelele;
- iilingo eziphambili ;
- coagulogram;
- I-Ultrasound yesigxina sesisu;
- biopsy yesibindi .
I-Hepatitis C - unyango
Indlela yokuphatha i-hepatitis C, ngokweyiphi na isicwangciso, ugqirha ugqirha emva kokuqhuba iinkqubo zokuxilonga nokugqiba i-genotype ye-pathogen. Izigulane kufuneka ziqwalasele ukuba unyango lwe-hepatitis C lude kwaye lubiza. Kukho iinkqubo zemfundo ezikhethekileyo zamahhala zonyango lo kunyango, olungasetyenziselwa ezinye iindidi zezigulane. Ulwaphulo lujoliswe ekususeni intsholongwane emzimbeni, ukuqinisa umkhuhlane, ukukhusela iingxaki.
Ngaba i-hepatitis C yonyango?
Oogqirha bathi kunokwenzeka ukuba baphilise ngokupheleleyo izigulane ezinokuxilongwa "kwintsholongwane ye-hepatitis C" ukuba isifo sifumaneka ngexesha. Xa i-pathology iqhubekela phambili kwiminyaka emininzi, amathuba okuphucula ayencinci, kodwa nakwiimeko ziyakwazi ukufezekisa ukuxolelwa, ukugcina umsebenzi wesibindi, ukuthintela uphuhliso lweengxaki ezinzulu. Kufuneka kuqatshelwe ukuba malunga nama-20% amatyala anentsholongwane kule ntsholongwane yilezi zonyango, njengoko kubonakaliswe ukufunyanwa kwamagciwane kwi-agent engumnxeba usulelo ngaphandle kobukho beeseli zintsholongwane emzimbeni.
I-Hepatitis C
Izidakamizwa ezisandul 'ukusetyenziswa kwintsholongwane ye-hepatitis C ekupheliseni i-pathogen ziquka kuphela iziyobisi ezinokusetyenziswa kwi-interferon-α (i-Roferon-A, i-Intron-A, i-Pegasys, i-Pegintron, i-Infergen), enceda ukukhusela amaseli ukungena kwi-virus, ukuvimbela ukukhula kwegciwane, ukukhuthaza omzimba wokulwa nesifo. Ukusetyenziswa kwabo kuyakunxibelelana kunye neziyobisi ezisekelwe kwi-ribavirin (Rebetol, Arviron), indlela yokusebenza ehambelana nokuyeka inkqubo yokwahlula iintsholongwane, ezikhokelela ekufeni kwazo.
Utyando ngale ndlela yokulwa ne-hepatitis C ineemida ezininzi kunye nemiphumo emibi, akufanelekanga kuzo zonke i-genotypes ze-ejenti yokusulela isifo. Kwiminyaka emininzi edlulileyo, ukuphulukiswa kwonyango lwe-pathology kwathathwa, xa emva kwexesha elide uphando lwezidakamizwa ezintsha zabhaliswe kwi-hepatitis C yesenzo ngokuthe ngqo:
- Sofosbuvir;
- Daklataswir;
- Ladipasvir.
Ukususela ngoko, izicwangciso zonyango olutsha ziye zaphuhliswa ngokuxhomekeka kwi-genotype yesifo sengculaza, iziphumo ezintle ngaphandle kokuphazamiseka okukhulu. Ukongeza kwipilisi ye-anti-infiratory, amaqela alandelayo eziyobisi anqunywe unyango:
- i-hepatoprotectors (i-Phosphogliv, i-Ursonan, iKarsil);
- i-immunomodulators (i-Timogen, i-Zadaxin, iDerinat);
- iivithamini kunye nezinto zokulandelela.
Unyango olumiselweyo luya kunceda kuphela ukuba zilandelayo iingcebiso eziphambili:
- Ukugatywa ngokutsha kotywala nokutshaya.
- Ukunciphisa iimeko ezinzima.
- Ukutya ngokutya.
- Umsebenzi oqhelekileyo ngokomzimba.
I-Hepatitis C - unyango kunye nezilwanyana zomntu
Naziphi na izilwanyana zomntu ze-hepatitis C zinokusebenza nje ngamayeza ancedisayo kwaye zingasetyenziswa kuphela emva kokubonisana nodokotela. Ngokwenene, oogqirha bendoda batusa ukusetyenziswa kweziyobisi ezahlukahlukeneyo ezisekelwe kwiingcali zonyango kunye nezinye izinto ezisemgangathweni ezichaphazela ukusebenza kwesibindi.
Recipe esebenzayo
Izithako:
- iigrafu - itafile e-1. isipuni;
- amanzi - 150 ml.
Ukulungiselela nokusetyenziswa
- Nika amanzi emathunjini uze uyigcwalise ngezinto eziluhlaza.
- Ukunyanzelisa iiyure ezimbini, cima.
- Thatha iinqwelo ezintathu ngehafu yeeyure ngaphambi kokutya kathathu ngosuku.
I-Hepatitis C - unyango, ukutya
Abo bane-hepatitis C, ukutya kuyimfuneko. Ukutya kwesi sifo kuya kuhambelana netafile ye-5 (ngokutsho kwePevzner), ukukhawulela ukusetyenziswa kwamatye, kungabandakanyi ukutyiwa, utyisi, ukutshaya, izitya zokucoca, ukutya okusemandleni. Ukongezelela, izigulana kufuneka zandise inani lombane ogqityiweyo ku-2-3 ilitha ngosuku.
I-Hepatitis C - ukuthintela
Iigonti ezikhusela isifo, kodwa kunjalo, ukukhusela i-hepatitis C kukugwema iindlela zokusasazeka kwale ntsholongwane. Ukuthintela ukunxibelelana okunokwenzeka kunye negazi kunye nezinye izifo zamanzi ezigulayo, kufuneka uyeke ukusebenzisa iimveliso zonyango, sebenzisa iinkonzo zezobuhle kunye namaziko ogqirha apho kugcinwa khona imimiselo yezocwangco, kwaye ugweme ukuziphatha okubi ngokwesondo.