Zvese nezve Hepatitis B

Zvemukati

• Kuendesa kweHepatitis B
• Maitiro ekuongororwa kunoitwa
• Hepatitis B yekudzivirira
• Hepatitis B ine mushonga?
• Zviratidzo zvikuru
• Kurapa sei
• Mafomu ekudzivirira

Hepatitis B chirwere chinotapukira chinokonzerwa nehutachiona hwehepatitis B, kana HBV, iyo inokonzeresa shanduko muchiropa uye inogona kutungamira pakuonekwa kwezviratidzo uye zviratidzo, zvakadai sefivha, kuda kurutsa, kurutsa, uye maziso eyero uye ganda. Kana chirwere ichi chikasazivikanwa uye chikarapwa, chinogona kufambira mberi kusvika kuchikamu chisingaperi, icho chinogona kunge chisingaite kana kuratidzwa nekuremara kwakakomba kwechiropa, kufambira mberi kune cirrhosis nekuchinja basa.

Hepatitis B inoonekwa seHIV (STI), nekuti hutachiona hunowanikwa muropa, urume uye kusangana nekutsi kwemukadzi, uye inogona kutapurirwa kune mumwe munhu panguva yepabonde isina dziviriro (isina kondomu). Nekudaro, zvinokwanisika kudzivirira kutapurirana kuburikidza nekushandisa makondomu uye kubaiwa. Dzidza maitiro ekuzvidzivirira kubva kuHepatitis B.

Kurapa kwehepatitis B kunosiyana zvichienderana nedanho rechirwere, nechiropa chakakomba chichikurudzirwa kuti uzorore, uwane hydrate uye utore chikafu, nepo mukurapa kwechiropa kwechiropa kuchiwanzoitwa nemishonga yakatemwa nana hepatologist, infectologist kana chiremba mukuru.

Kuendesa kweHepatitis B

Hutachiona hwehepatitis B hunogona kuwanikwa kunyanya muropa, urume, kusangana nekutsi kwemukadzi uye mukaka wemuzamu. Nenzira iyi, kutapurirana kunogona kuitika kuburikidza:

• Kusangana kwakananga neropa uye zvakavanzika zvemunhu ane hutachiona
• Kuita zvepabonde zvisina kudzivirirwa, ndiko kuti, pasina kondomu;
• Kushandiswa kwezvinhu zvakasvibiswa neropa kana zvakavanzika senge majekiseni anoshandiswa zvakanyanya kana kushandiswa kwemishonga yakashandiswa zvakananga mutsinga, tsono uye zvimwe zviridzwa zvinoshandiswa kugadzira nyora kana kugadzirira, pamwe nezvinhu zvinoshandiswa kugadzira kuboora;
• Kugovana zvinhu zvehutsanana zvakadai semazaya kana kuveura uye manicure kana pedicure maturusi;
• Munguva yekuzvarwa kwakanaka kana kuyamwa, kunyangwe zvisingaite.

Kunyangwe ichigona kutapuriranwa kuburikidza nemate, hutachiona hweB hahuwanzo kutapurirana kuburikidza nekutsvoda kana kugovana zvidimbu kana magirazi, sezvo panofanirwa kuve neronda rakavhurika mumuromo.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwehepatitis B kunoitwa nekuitisa ongororo yeropa kuti uone kuvapo kweHBV mukutenderera, pamwe nekuwanda kwayo, uye idzi data dzakakosha kuti chiremba aratidze kurapwa.

Uye zvakare, kuongororwa kweropa kunogona kuratidzirwa kuongorora mashandiro echiropa, uchikumbirwa muyero weGlutamic Oxalacetic Transaminase (TGO / AST - Aspartate aminotransferase), Glutamic Pyruvic Transaminase (TGP / ALT - Alanine Aminotransferase), Gamma- glutamyltransferase (gamma -GT) uye bilirubin, semuenzaniso. Dzidza zvakawanda nezve izvi uye mimwe bvunzo inoongorora chiropa.

Kuziva huvepo hwehutachiona muropa, kuvapo kana kusavapo kwemaantigen (Ag) nema antibodies (anti) muropa kunoongororwa, pamwe nemhedzisiro inogona kunge iri:

• HBsAg inoshanda kana yakanaka: hutachiona nehutachiona hwehepatitis B;
• HBeAg reagent: yakakwira kudzokororazve hutachiona hwehepatitis B, zvinoreva kuti njodzi yekutapukirwa kwehutachiona yakakura;
• Anti-Hbs reagent: kurapa kana kutapukirwa nehutachiona kana munhu wacho akabayiwa nhomba yekurwisa hepatitis B;
• Anti-Hbc reagent: kuratidzwa kwekare kune hutachiona hwehepatitis B

Chiropa biopsy inogona zvakare kushandiswa kubatsira pakuongorora, kuongorora kukanganiswa kwechiropa, kufanotaura kufambira mberi kwechirwere uye kudiwa kwekurapwa.

Hepatitis B yekudzivirira

Mushonga wehepatitis B ndiyo nzira inoshanda kwazvo yekudzivirira chirwere uye, nekudaro, chinofanira kutorwa nekukurumidza mushure mekuzvarwa, kusvika maawa gumi nemaviri ekutanga mushure mekusununguka, mumwedzi wechipiri nemwedzi wechi6 weupenyu hwemwana, zvichiita huwandu hwese hutatu mishonga.

Vakuru vasina kubayiwa jekiseni sevana vanogona kuwana jekiseni, kusanganisira vakadzi vane nhumbu kubva kune yechipiri trimester yepamuviri. Muvanhu vakuru, mushonga wekuzvimba hepatitis B unoshandiswawo muzvikamu zvitatu, yekutanga inogona kutorwa pazvinenge zvichidikanwa, yechipiri mushure memazuva makumi matatu uye chechitatu mushure memazuva zana nemakumi masere emutero wekutanga. Ziva painoratidzwa uye kuti ungawana sei hutachiona hwehepatitis B.

Chiyero chinoratidza kushanda kwechirwere chekuzvimba chiropa hepatitis B ndeye maAnti-hbs ayo akanaka apo jekiseni rinokwanisa kumisikidza hutachiona.

Hepatitis B ine mushonga?

Acute hepatitis B ine chirwere chinongoerekana chaitika, kazhinji, nekuda kwemuviri pachawo unogadzira antibodies kubvisa hutachiona. Nekudaro, mune dzimwe nguva, hepatitis B inogona kusingaperi uye hutachiona hunoramba huri mumuviri kwehupenyu hwese.

Mune chirwere chisingaperi chehepatitis B pane njodzi huru yezvirwere zvakakomba zvechiropa, senge chiropa cirrhosis, kutadza kwechiropa uye gomarara rechiropa, izvo zvinogona kuumba kukuvara kusingachinjiki kuchiropa, saka mune izvi zviitiko, varwere vanofanirwa kutevera kurapwa kunoratidzwa nachiremba.

Nekudaro, nekurapwa munhu anogona kuve mutakuri ane hutano husingaperi, ndokuti, anogona kuve nehutachiona mumuviri, asi asina chirwere chinoshanda chechiropa, uye mune iyi nyaya, haafanire kutora chaiyo mishonga. Mukuwedzera, varwere vane chirwere chisingaperi chehepatitis B vanogona kurapwa mushure memakore akati wandei ekurapwa.

Zviratidzo zvikuru

Iyo incubation nguva yehepatitis B ndeye 2 kusvika kumwedzi mitanhatu, saka zviratidzo nezviratidzo zveacute hepatitis B zvinogona kuoneka mushure memwedzi mumwe kusvika kumitatu yekusvibiswa. Zviratidzo zvekutanga nezviratidzo zvehepatitis B zvinosanganisira:

• Kurwara kwekufamba;
• Kusvipa;
• Kuneta;
• Low fever;
• Kushaiwa kudya;
• Marwadzo emudumbu;
• Marwadzo mumajoini uye mhasuru.

Zviratidzo zvakaita seruvara rweyero muganda nemumaziso, weti yakasviba uye zvigaro zvemwenje zvinoreva kuti chirwere ichi chiri kukura uye pane kukuvara kwechiropa. Mune chisingaperi hepatitis B, varwere vazhinji havaratidze chero zviratidzo, asi hutachiona hunoramba huri mumuviri uye hunogona kutapurirwa nenzira imwecheteyo.

Kurapa sei

Kurapa kweacute hepatitis B kunosanganisira kuzorora, kudya, hydration uye hapana zvinwiwa zvinodhaka. Kana zvichidikanwa, munhu wacho anogona kutora mishonga yekubvisa zviratidzo zvakaita sefivha, mhasuru nemusoro, kuda kurutsa uye kurutsa.

Kurapa kwechirwere cheshuga B chisingaperi, mukuwedzera pakusanwa doro uye kudya kwakaderera-mafuta, kunosanganisira antiviral uye immunomodulatory zvinodhaka zvakadai seInterferon neLamivudine kudzivirira kusagadziriswa kwechiropa kukuvara, kunogona kutorwa kweupenyu hwese.

Nekudaro, kana zvasimbiswa nekuongororwa kweropa kuti munhu ane chirwere chisingaperi chehepatitis B haana chirwere chechiropa, haadi kutora mimwe mishonga, ndosaka vanhu vane chirwere chisingaperi chehepatitis B vachifanira kuongororwa ropa nguva zhinji. Tsvaga rumwe ruzivo nezve kurapwa kwehepatitis B.

Tarisa vhidhiyo inotevera yekuti ungadya sei kana paine hepatitis B kudzivirira zvimwe zvinetso muropa:

Mafomu ekudzivirira

Kudzivirirwa kwehepatitis B kunogona kuitwa kuburikidza nemitezo mitatu yejekiseni uye kushandiswa kwemakondomu mune zvese zvepabonde. Kushandiswa kwemakondomu kwakakosha nekuti kune akati wandei akasiyana hutachiona hwehepatitis uye murwere anenge aine chirwere chekuzvimba hepatitis B anogona kuwana hepatitis C.

Uyezve, zvakakosha kuti usagovane zvinhu zvemunhu, zvakadai sebhurosi rezino, reza kana shave yekuveura, uye manicure kana pedicure zviridzwa, pamwe nejekiseni kana zvimwe zviridzwa zvakapinza. Kana munhu wacho achida kutora nyora, kuboora kana kugadzirwa muviri, ita shuwa kuti zvese zvigadzirwa zvakaiswa sterile.