Hepatitis C

Hepatitis C chirwere chehutachiona chinotungamira mukuzvimba (kuzvimba) kwechiropa.

Mamwe marudzi ehutachiona hepatitis anosanganisira:

• Hepatitis A
• Hepatitis B
• Hepatitis D
• Hepatitis E

Hepatitis C hutachiona hunokonzerwa nehutachiona hwehepatitis C (HCV).

Unogona kubata hepatitis C kana ropa remumwe munhu ane HCV rakapinda mumuviri wako. Kufungidzira kunogona kuitika:

• Mushure metsono tsvimbo kana kukuvadza kukuvara
• Kana ropa kubva kune mumwe munhu ane HCV rinobata akachekwa paganda rako kana kubata maziso ako kana muromo

Vanhu vari panjodzi yeHCV ndevaya:

• Baya jekiseni zvinodhaka mumugwagwa kana kugovana tsono nemunhu ane HCV
• Wanga uri pane yenguva refu yeitsvo dialysis
• Gara uchisangana neropa kubasa (senge mushandi wezvehutano)
• Ita zvepabonde zvisina kudzivirirwa nemunhu ane HCV
• Vakazvarwa kuna amai vaive neHCV
• Akagamuchira nyora kana gumha ane tsono dzisina kuiswa utachiona zvakanaka mushure mekushandiswa pane mumwe munhu (njodzi yakadzika kwazvo nevashandi vane rezinesi retiatisi kana mvumo kana rezinesi rekugopa)
• Akagamuchira chinongedzo kubva kune mupi ane HCV
• Goverana zvinhu zvako pachako, zvakadai semabhurashi emazino uye razors, nemumwe munhu ane HCV (zvisingawanzoitika)
• Vakagamuchira kuwedzerwa ropa (zvisingawanzo muUnited States kubvira pakuongororwa kweropa kwakawanikwa muna 1992)

Vanhu vazhinji vane hutachiwana hweHCV munguva pfupi vasina zviratidzo. Vamwe vanhu vane yero yeganda (jaundice). Chirwere chisingaperi chinowanzo kukonzera zviratidzo. Asi kuneta, kushushikana uye mamwe matambudziko anogona kuitika.

Vanhu vane chirwere chenguva refu (chisingaperi) kazhinji havana zviratidzo kusvikira chiropa chavo chava neronda (cirrhosis). Vanhu vazhinji vane chirwere ichi vanorwara uye vane matambudziko mazhinji ehutano.

Zviratidzo zvinotevera zvinogona kuitika nehutachiona hweHCV:

• Marwadzo mudumbu repamusoro repamusoro
• Kuzvimba kwepamuviri nekuda kwemvura (ascites)
• Clay-mavara kana akachenesa zvituru
• Weti yakasviba
• Kuneta
• Kupindwa nechando
• Itching
• Jaundice
• Kupererwa nechido
• Kusvotwa uye kurutsa

Kuongororwa kweropa kunoitwa kuongorora HCV:

• Enzyme immunoassay (EIA) kuona HCV antibody
• Polymerase cheni reaction (PCR) kuti utarise hutachiona pachahwo, kuyera hutachiona huwandu (hutachiona huwandu), uye kuziva mhando yehutachiona hwehepatitis C

Vose vakuru vane makore gumi nemasere kusvika makumi manomwe nemasere vanofanirwa kuwana bvunzo-yenguva imwechete yeHCV. Iyi bvunzo yekuongorora inoongorora maantibhakitiriya anorwisa HCV (anti-HCV). Kana iyo antibody test iri yakanaka, bvunzo yePCR inoshandiswa kuratidza hutachiona hweHCV.

Kuwedzera kwemajini kuongorora kunoitwa kutarisa mhando yeHCV (genotype). Kune marudzi matanhatu ehutachiona (genotypes 1 kusvika 6). Mhedzisiro yekuedzwa inogona kubatsira chiremba wako kusarudza kurapwa kwakakunakira iwe.

Iyi bvunzo inotevera inoitwa kuti itarise uye kuongorora kukuvara kwechiropa kubva kuHCV:

• Chikamu cheAlbumin
• Chiropa basa bvunzo
• Prothrombin nguva
• Chiropa biopsy

Iwe unofanirwa kutaura nemubatsiri wako wezvehutano nezvezvaungaite pakurapwa uye kurapwa kwaunofanira kutanga.

• Chinangwa chekurapa ndechekubvisa muviri wehutachiona. Izvi zvinogona kudzivirira kukuvara kwechiropa kunogona kutungamira kuchiropa kutadza kana gomarara rechiropa.
• Kurapa kwakanyanya kukosha kune vanhu vari kuratidza zviratidzo zvechiropa fibrosis kana scarring.

Mishonga yeAntiviral inoshandiswa kurapa HCV. Iyi mishonga inobatsira kurwisa HCV. Nyowani antiviral zvinodhaka:

• Ipa mushonga unovandudzwa zvakanyanya
• Iva nemhedzisiro mishoma uye zviri nyore kutora
• Inotorwa nemuromo kwemasvondo masere kusvika makumi maviri nemana

Kusarudzwa kwemushonga upi kunoenderana negenotype yeHCV yauinayo.

Kuiswa kwechiropa kunogona kukurudzirwa kune vanhu vanoita cirrhosis uye / kana gomarara rechiropa. Mupi wako anogona kukuudza zvakawanda nezvechiropa chekuisa.

Kana iwe uine HCV:

• Usatore mishonga yekutengesa iyo yausina kutora usati wabvunza mupi wako. Bvunzawo nezve mavitamini uye zvimwe zvinowedzera.
• Usashandise doro kana zvinodhaka zvemumugwagwa. Doro rinogona kukurumidza kukuvadza chiropa chako. Inogona zvakare kudzora mashandiro anoita mishonga.
• Kana kuongororwa kweropa kuchiratidza kuti hauna antibodies kune hepatitis A uye B, iwe unoda hepatitis A uye hepatitis B majekiseni. Kana usati wagamuchira mushonga we hepatitis A kana B kana usati wave nemhando idzi dzehepatitis, ungangoda majekiseni avo.

Kubatana neboka rekutsigira kunogona kubatsira kudzikisira kushushikana kwekuve neHCV. Kumbira mupiki wako nezvechiropa chirwere zviwanikwa uye mapoka ekutsigira munharaunda yako.

Vanhu vazhinji (75% kusvika 85%) vane hutachiona vane HCV isingaperi. Aya mamiriro anounza njodzi cirrhosis, gomarara rechiropa, kana zvese zviri zviviri. Maonero eHCV anoenderana nechikamu pane genotype.

Mhinduro yakanaka pakurapwa inoitika kana hutachiona husingakwanise kuonekwa muropa masvondo gumi nemaviri kana kupfuura mushure mekurapwa. Izvi zvinonzi "yakatsigirwa virologic mhinduro" (SVR). Kusvika 90% yeavo vanorapwa mamwe magenotypes vane iyi mhando yekupindura.

Vamwe vanhu havateerere kurapwa kwekutanga. Vangangoda kurapwa zvakare nekirasi yakasiyana yemishonga.

Zvakare, vamwe vanhu vanogona kutapukirwazve kana kutapukirwa nechero genotype strain.

Fonera mupiki wako kana:

• Unovandudza zviratidzo zvehepatitis
• Iwe unotenda iwe wakaratidzwa kune HCV

Matanho anogona kutorwa kubatsira kudzivirira kupararira kweHCV kubva kune mumwe munhu kuenda kune mumwe anosanganisira:

• Vashandi vezvehutano vanofanirwa kutevedzera zvekubata pakubata ropa.
• Usagovane tsono nemumwe munhu.
• Usatore nyora kana kuboora muviri kana kugashira acupuncture kubva kune mumwe munhu asina mvumo kana rezinesi.
• Usagovane zvinhu zvako pachako, zvakadai semazatsi uye mabhurosi emazino.
• Dzidzira bonde rakachengeteka.

Kana iwe kana mumwe wako akatapukirwa neHCV uye mave muhukama hwakagadzikana uye hwemurume mumwechete (pasina vamwe vakaroorana) hukama, njodzi yekupa hutachiona, kana kuwana hutachiona kubva, kune mumwe munhu ari pasi.

HCV haigone kupararira nekungobata-bata, sekubata maoko, kutsvoda, kukosora kana kuhotsira, kuyamwisa, kugovana midziyo yekudya kana magirazi ekunwa.

Parizvino hapana mushonga weHCV.

Yakatsigirwa virologic mhinduro - hepatitis C; SVR - hepatitis C

• Kugaya chirongwa
• Hepatitis C

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Hepatitis C mibvunzo nemhinduro kune veruzhinji. www.cdc.gov/hepatitis/hcv/cfaq.htm. Yakagadziridzwa Kubvumbi 20, 2020. Yakasvika paKurume 30, 2020.

Ghany MG, Morgan TR; AASLD-IDSA Hepatitis C Nhungamiro Panel. Hepatitis C Guidance 2019 Kwidziridzo: AASLD-IDSA kurudziro yekuyedza, kubata, uye kurapa hutachiona hwehepatitis C hutachiona. Hepatology. 2020; 71 (2): 686-721. PMID: 31816111 pubmed.ncbi.nlm.nih.gov/31816111/.

Jacobson IM, Lim JK, Fried MW. American Gastroenterological Association Institute kiriniki yekudzidzira kugadzirisa-nyanzvi ongororo: kuchengetwa kwevarwere vakawana yakagadziriswa virologic mhinduro mushure mehutachiona hwehutachiona hwehutachiona hwehutachiona hweC. Gastroenterology. 2017; 152 (6): 1578-1587. PMID: 28344022 pubmed.ncbi.nlm.nih.gov/28344022/.

Naggie S, Wyles DL. Hepatitis C. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 154.