Hepatitis A

Hepatitis A kuzvimba (kutsamwa uye kuzvimba) kwechiropa kubva kuhutachiona hwehepatitis A.

Hutachiona hwehepatitis A hunowanikwa muzvigaro neropa remunhu ane hutachiona. Utachiona huripo mazuva gumi nemashanu kusvika makumi mashanu nemashanu zviratidzo zvisati zvaitika uye mukati mevhiki rekutanga rerwara.

Unogona kubata hepatitis A kana:

• Iwe unodya kana kunwa chikafu kana mvura yakashatiswa nezvituru (tsvina) ine hutachiona hwehepatitis A. Michero isina kuvharwa uye isina kubikwa uye miriwo, hove, chando, uye mvura ndizvo zvinowanzoita chirwere.
• Iwe unosangana nechituru kana ropa remunhu uyo ​​parizvino ane chirwere ichi.
• Munhu ane hepatitis A anopfuudza hutachiona kuchinhu kana chikafu nekuda kwekushambidza mawoko mushure mekushandisa chimbuzi.
• Iwe unotora chikamu mune zvebonde zvinosanganisira kusangana nemuromo-anal.

Haasi munhu wese ane zviratidzo nehutachiona hwehepatitis A. Naizvozvo, vanhu vazhinji vakatapukirwa kupfuura vanoonekwa kana kushumwa.

Njodzi zvinhu zvinosanganisira:

• Kumhiri kwemakungwa kufamba, kunyanya kuAsia, Maodzanyemba kana Central America, Africa uye Middle East
• IV kushandisa zvinodhaka
• Kugara munzvimbo inochengeterwa vakwegura
• Kushanda muhutano, chikafu, kana indasitiri yetsvina
• Kudya mbichana mbichana dzakadai sey oysters uye clams

Humwe hutachiona hwehutachiona hunosanganisira hepatitis B uye hepatitis C. Hepatitis A ndiyo yakanyanya kutetepa uye yakapfava pazvirwere izvi.

Zviratidzo zvinowanzo kuratidza kumusoro kwemavhiki maviri kusvika matanhatu mushure mekuratidzwa kuhutachiona hwehepatitis A. Ivo anowanzo nyoro, asi anogona kutora kusvika kumwedzi yakati wandei, kunyanya kune vakuru.

Zviratidzo zvinosanganisira:

• Weti yakasviba
• Kuneta
• Itching
• Kupererwa nechido
• Low-grade fever
• Kusvotwa uye kurutsa
• Pale kana chevhu-chitsvuku zvituru
• Ganda jena (jaundice)

Anopa hutano anoita bvunzo dzepanyama, dzinogona kuratidza kuti chiropa chako chakawedzerwa uye nyoro.

Kuongororwa kweropa kunogona kuratidza:

• Yakakwidziridzwa IgM uye IgG antibodies kune hepatitis A (IgM inowanzova yakanaka pamberi peIgG)
• Zvirwere zveIgM zvinoonekwa panguva yehutachiona hwakanyanya
• Yakakwidziridzwa echiropa enzymes (chiropa chinoshanda bvunzo), kunyanya transaminase enzyme mazinga

Iko hakuna chaiyo kurapwa kwe hepatitis A.

• Iwe unofanirwa kuzorora uye ugare wakashongedzwa zvakanaka kana zviratidzo zviri zvakanyanya.
• Vanhu vane hepatitis yakaoma vanofanira kudzivirira doro uye zvinodhaka zvine chepfu kuchiropa, kusanganisira acetaminophen (Tylenol) panguva yechirwere chakakomba uye kwemwedzi yakati wandei mushure mekupora.
• Kudya kwemafuta kunogona kukonzera kurutsa uye kunonyanya kudzivirirwa panguva yechikamu chakakomba chechirwere.

Utachiona haugare mumuviri mushure mekunge hutachiona hwaenda.

Vanhu vazhinji vane hepatitis A vanopora mukati memwedzi mitatu. Vanenge vanhu vese vanova nani mukati memwedzi mitanhatu. Iko hakuna kukuvara kusingaperi kana iwe uchinge wapora. Zvakare, haugone kuwana chirwere zvakare. Pane njodzi yakadzika yekufa. Iyo njodzi yakakwira pakati pevakuru uye vanhu vane chirwere chisingaperi chechiropa.

Fonera mupiki wako kana iwe uine zviratidzo zvehepatitis.

Aya matipi anotevera anogona kubatsira kudzikisa njodzi yako yekuparadzira kana kubata hutachiona.

• Nguva dzose geza maoko ako mushe mushure mekushandisa chimbuzi, uye kana wasangana neropa remunhu ane hutachiwana, zvituru, kana imwe mvura yemumuviri.
• Dzivisa chikafu chisina kuchena nemvura.

Utachiona hunogona kupararira nekukurumidza kuburikidza nenzvimbo dzekuchengetedza masikati uye dzimwe nzvimbo uko vanhu vari pedyo nepedyo. Kunyatsogeza mawoko usati uye mushure mekuchinja kweseji, usati washandisa chikafu, uye mushure mekushandisa chimbuzi kunogona kubatsira kudzivirira kuputika kwakadaro.

Kumbira mupiki wako nezvekutora immune globulin kana chirwere che hepatitis A kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uine hepatitis A kana chirwere che hepatitis A.

Zvikonzero zvakajairika zvekutora imwe kana zvese izvi zvekurapa zvinosanganisira:

• Iwe une hepatitis B kana C kana chero chimiro chechirwere chisingaperi chechiropa.
• Unogara nemunhu ane hepatitis A.
• Iwe uchangobva kuita zvepabonde nemumwe munhu ane hepatitis A.
• Iwe munguva pfupi yapfuura wakagovana zvinodhaka zvisiri pamutemo, zvakabaiwa jekiseni kana zvisina kujowa, nemumwe munhu ane hepatitis A.
• Wakave nehukama hwepedyo kwenguva yakareba nemumwe munhu ane hepatitis A.
• Iwe wakadya muresitorendi umo vanoona zvekudya kana vanobata chikafu vakawanikwa vaine hutachiona kana kusvibiswa nehepatitis.
• Iwe uri kuronga kuenda kunzvimbo uko hepatitis A yakajairika.

Mishonga inodzivirira hutachiona hwehepatitis A inowanikwa. Mushonga unotanga kudzivirira mavhiki mana mushure mekunge mawana muyero wekutanga. Iwe unozofanirwa kutora booster kupfura mwedzi mitanhatu kusvika gumi nemiviri gare gare kuitira kwenguva refu dziviriro.

Vafambi vanofanirwa kutora anotevera matanho ekudzivirira kubva pakubatwa nechirwere ichi:

• Dzivisa zvigadzirwa zvemukaka.
• Dzivisa nyama nehove mbishi kana zvisina kubikwa.
• Ngwarira michero yakachekwa inogona kunge yakashambidzwa mumvura isina kuchena. Vafambi vanofanirwa kubvisa michero mitsva nemiriwo pachavo.
• Usatenge chikafu kubva kune vanotengesa mumugwagwa.
• Wana jekiseni rekurwisa hepatitis A (uye pamwe hepatitis B) kana uchienda kune dzimwe nyika kunoitika chirwere.
• Shandisa chete kabhodhoro remvura yemumabhodhoro pakusuka mazino nekumwa. (Rangarira kuti aizi cubes inogona kutakura hutachiona.)
• Kana mvura yemumabhodhoro isingawanikwi, mvura inovira ndiyo nzira yakanakisa yekubvisa hepatitis A. Isa mvura yacho kumota izere kwemineti imwechete kuti ive yakachengeteka kunwa.
• Chikafu chinopisa chinofanirwa kupisa kusvika pakubata uye kudyiwa ipapo ipapo.

Hutachiona hepatitis; Inotapukira hepatitis

• Kugaya chirongwa
• Hepatitis A

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Pawlotsky JM. Acute viral hepatitis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 139.

Robinson CL, Bernstein H, Poehling K, Romero JR, Szilagyi P. Advisory Committee yezvekudzivirira Maitiro akakurudzira chirongwa chekudzivirira vana uye vechidiki vane makore gumi nemasere kana vadiki - United States, 2020. MMWR Morb Inofa Wkly Rep. 2020; 69 (5): 130-132. PMID: 32027628 www.ncbi.nlm.nih.gov/pubmed/32027628.

Sjogren MH, Bassett JT. Hepatitis A. Mune: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 78.