Cirrhosis uye Hepatitis C: Kubatana Kwavo, Kufungidzira, uye Zvimwe

Zvemukati

• Cirrhosis
• Hepatitis C inogona kunge isingaonekwe
• Zviratidzo zvechirrhosis nekuda kwehepatitis C
• Kufambira mberi kune cirrhosis
• Cirrhosis matambudziko
• HCV uye cirrhosis kurapwa
• Cirrhosis maonero

Hepatitis C inogona kutungamira ku cirrhosis

Vamwe muUnited States vane hutachiona husingaperi hwehepatitis C (HCV). Asi vanhu vazhinji vanotapukirwa neHCV havazive kuti vanayo.

Kwemakore, hutachiona hweHCV hunogona kukonzera kukuvadza kukuru kuchiropa. Kune vanhu makumi manomwe nevashanu kusvika makumi masere nevashanu vane hutachiona hweHCV husingaperi, pakati vanozoita cirrhosis. HCV hutachiona ndicho chinonyanya kukonzera cirrhosis uye kenza yechiropa.

Cirrhosis

Chiropa inhengo inoburitsa ropa muropa uye inogadzira zvakakosha muviri. Pane zvinhu zvakawanda zvinogona kukuvadza chiropa. Zvimwe zvacho zvinosanganisira:

• kunwa doro zvisina mwero
• utachiona
• hepatitis

Nekufamba kwenguva, kuzvimba muchiropa kunokonzera kukuvara uye kukuvara zvachose (kunzi cirrhosis). Panzvimbo yecirrhosis, chiropa hachikwanise kuzvipodza pachacho. Cirrhosis inogona kutungamira ku:

• kupera-nhanho chirwere chechiropa
• gomarara rechiropa
• chiropa kutadza

Pane matanho maviri echirrhosis:

• Yakabhadharwa cirrhosis zvinoreva kuti muviri uchiri kushanda zvisinei nekuderera kwechiropa uye nekushaiwa.
• Yakagadziriswa cirrhosis zvinoreva kuti chiropa mashandiro ari kuputsa. Zviratidzo zvakakomba zvinogona kuitika, sekutadza kwetsvo, variceal hemorrhage, uye hepatic encephalopathy.

Hepatitis C inogona kunge isingaonekwe

Panogona kuve nezviratidzo zvishoma mushure mekutanga hutachiona hweHCV. Vanhu vazhinji vane hepatitis C havatozivi kuti vane chirwere chinotyisa.

HCV inorwisa chiropa. Vanhu vazhinji vakafumurwa vanowana hutachiona husingaperi mushure mekutanga hutachiona neHCV. Husingaperi HCV hutachiona zvishoma nezvishoma hunokonzera kuzvimba uye kukuvara muchiropa. Dzimwe nguva mamiriro acho anogona kusazoonekwa kwemakore makumi maviri kana makumi matatu.

Zviratidzo zvechirrhosis nekuda kwehepatitis C

Iwe unogona kunge usina chero zviratidzo zvecirrhosis kusvikira paine kukuvara kwakanyanya kuchiropa chako. Paunowana zviratidzo, izvi zvinogona kusanganisira:

• kuneta
• kusvotwa
• kurasikirwa nenzara
• kuonda
• kubuda ropa kana kupwanya nyore
• ganda rinonhuwa
• yero discoloration mumaziso uye ganda (jaundice)
• kuzvimba makumbo
• Urume mudumbu (ascites)
• kuongororwa kweropa zvisina kujairika, senge bilirubin, albumin, uye coagulation parameter
• akawedzera mitsipa mudumbu uye mudumbu repamusoro iyo inogona kubuda ropa (variceal hemorrhage)
• kutadza kushanda kwepfungwa nekuda kwekuwanda kwehupfu (hepatic encephalopathy)
• hutachiona hwemukati wedumbu uye ascites (bhakitiriya peritonitis)
• yakasanganiswa itsvo uye chiropa kutadza (hepatorenal syndrome)

Chiropa biopsy icharatidza kupora, izvo zvinogona kusimbisa kuvapo kwechirrhosis kune vanhu vane HCV.

Lab miedzo uye bvunzo yemuviri inogona kukwana kuti chiremba wako aongorore yakakwira chiropa chirwere pasina biopsy.

Kufambira mberi kune cirrhosis

Pasina chikamu chechina chevanhu vane HCV vanozoita cirrhosis. Asi, zvimwe zvinhu zvinogona kuwedzera njodzi yako yechirrhosis, kusanganisira:

• kushandisa doro
• hutachiona neHCV uye imwe hutachiona (senge HIV kana hepatitis B)
• akakwirira esimbi muropa

Chero ani ane chirwere chisingaperi cheHCV anofanirwa kunwa doro. Cirrhosis inogona zvakare kumhanyisa muvanhu vakura kupfuura makumi mana neshanu se fibrosis uye kuwedzera kwemavanga. Kurwisa nehasha hutachiona hweHCV muvanhu vadiki kunogona kubatsira kudzivirira kufambira mberi kune cirrhosis.

Cirrhosis matambudziko

Zvakakosha kuti ugare uine hutano kana uine cirrhosis. Ive neshuwa yekuchengetedza majekiseni ese kusvika, kusanganisira:

• hepatitis B
• hepatitis A
• furuwenza
• chirwere chemabayo

Cirrhosis inogona kuchinja nzira inoyerera neropa mumuviri wako. Kupenga kunogona kuvhara kuyerera kweropa kuburikidza nechiropa.

Ropa rinogona kusuduruka kuburikidza nemidziyo mikuru mudumbu uye esophagus. Iyi mitsipa yeropa inogona kuwedzera uye kutsemuka, ichikonzera kubuda kweropa mudumbu. Ita shuwa yekutarisa kubuda kweropa zvisina kujairika.

Gomarara rechiropa ndechimwe chinetso checirrhosis. Chiremba wako anogona kushandisa ultrasound uye kumwe kuongorora kweropa mwedzi mishoma yega kuyedza cancer. Mamwe matambudziko echirrhosis anosanganisira:

• gingivitis (chingamu chirwere)
• chirwere cheshuga
• shanduko pamaitiro ekurapwa mumuviri wako

HCV uye cirrhosis kurapwa

Yakanyanya kushanda, yakanangana-inoshanda antivirals uye imwe HCV mishonga inogona kurapa yekutanga-nhanho cirrhosis. Iyi mishonga inogona kudzora kufambira mberi kwechirwere chechiropa uye kutadza kwechiropa.

Kana cirrhosis ikafambira mberi, kurapwa kunova kwakaomarara nekuda kwematambudziko akaita se:

• ascites
• kupererwa neropa
• encephalopathy

Aya matambudziko anogona kuita kuti zvive zvisina ngozi kushandisa mimwe mishonga. Kuiswa kwechiropa kunogona kunge kuri iko chete kurapwa sarudzo.

Kuisirwa chiropa ndiyo chete mushonga unoshanda wecirrhosis yepamusoro. Vazhinji vanhu vanogashira chiropa chinotakurirwa hepatitis C vanorarama kweanopfuura makore mashanu mushure mekuiswazve. Asi, hutachiona hweHCV hunowanzo kudzoka. Icho chinonyanya kukonzera chiropa kuisirwa muUnited States.

Cirrhosis maonero

Vanhu vane cirrhosis vanogona kurarama kwemakumi emakore, kunyanya kana ikakurumidza kuongororwa uye ikabatwa zvakanaka.

Inenge 5 kusvika ku20 muzana yevanhu vane chirwere chisingaperi chehepatitis C vanozoita cirrhosis. Uine izvozvo mupfungwa, zvinotora makore angangoita makumi maviri kusvika makumi matatu kuti cirrhosis ikure muhuwandu hwevanhu.

Kushandisa yakananga-inoshanda antivirals kunogona kubatsira kunonoka kana kudzivirira kuenderera kune cirrhosis. Kana ikasiiwa isina kurapwa, cirrhosis inogona kutungamira kukundikana kwechiropa.

Kuchengetedza hutano hweropa, edza zvinotevera:

• chengetedza hutano huzhinji
• nzvenga doro
• gara uchirapwa
• bata hutachiona hweHCV

Iwe zvakare uchazoda kushanda neyegastroenterologist kana hepatologist kuti uwane kurapwa kwakanyanya uye kuongorora chero matambudziko.