Ebia woate mmerɛbo mu tebea ahorow ho asɛm, nanso ɛnnɛ wɔ Nirogi Lanka no, yɛpɛ sɛ yɛka nea ɛyɛ soronko mmom na ɛho hia ho asɛm: Hepatitis D. Momma yɛnhwɛ nea ɛma saa mmoawa yi da nsow, sɛnea ɛka w’akwahosan, ne anammɔn a ɛho hia a wubetumi ayɛ de abɔ wo ho ban no yiye.
Dɛn ne Hepatitis D?
Sɛ yɛbɛka no tiawa a, Hepatitis D yɛ ɔyare mmoawa a ɛma mmerɛbo no ho yɛ hyew. Nanso, nea ɛma mmoawa yi yɛ soronko ankasa ne sɛ Hepatitis D mmoawa (HDV) no ankasa ntumi mfa ɔyare mmoawa mma. Ɛte sɛ nea ɛyɛ nwonwa, ɛnte saa? Sɛ mmoawa no bɛsan ayɛ foforo na ɛde yare aba wo nipadua mu a, ɛsɛ sɛ mmoawa no ne Hepatitis B mmoawa (HBV) no bom tra . Wei kyerɛ sɛ sɛ woanya Hepatitis B dedaw nkutoo a, anaasɛ sɛ wunya mmoawa abien no nyinaa bere koro mu nkutoo a, wubetumi anya Hepatitis D. Ɛno nkutoo ntumi ntra ase anaasɛ ɛde yare mma kɛkɛ.
Mpɛn pii no, hepatitis D yare mmoawa no gu akuw abien mu:
1. Nyarewa a Ɛyɛ Hu: Nsɛnkyerɛnne no da adi ntɛmntɛm na ebetumi atra hɔ adapɛn anaa asram pii. Wɔ tebea horow bi mu no, wo nipadua no ankasa betumi ayi ɔyare mmoawa no afi hɔ.
2. Nyarewa a Enni Sabea: Eyi ne ɔkwan a emu yɛ den kɛse. Ɔyare mmoawa a emu yɛ den betumi akɔ so abɛyɛ tebea a enni sabea, a yare no ho sɛnkyerɛnne no kɔ so bɛboro asram asia. Eyi betumi ama wo mmerɛbo asɛe bere tenten, daa.
Dɛn ne Hepatitis D ahorow?
Momma yɛnhwɛ akwan titiriw abien a wubetumi afa so anya Hepatitis D no yiye.
Dɛn ne Coinfection?
Coinfection ba bere a woanya Hepatitis B virus (HBV) ne Hepatitis D virus (HDV) nyinaa bere koro pɛpɛɛpɛ mu no . Fa no sɛ ɛyɛ mmoawa abien no nyinaa ntua a ɛba bere koro mu. Wɔ tebea horow yi mu no, mpɛn pii no, sɛnkyerɛnne ahorow no te sɛ Hepatitis B yare a wɔtaa de di dwuma no nanso ebetumi ayɛ kɛse kɛse . Nanso, asɛmpa bi wɔ hɔ: sɛ wonya abien no nyinaa bere koro mu a, mpɛn pii no, sɛnea ɛbɛyɛ yiye sɛ ɔyare no bɛkɔ so ayɛ nea enni sabea no sua.
Dɛn ne Superinfection?
Superinfection yɛ tebea soronko a asiane kɛse wom . Eyi ba bere a wowɔ Hepatitis B yare a ɛwɔ hɔ dedaw (ebia nea enni sabea) na afei woanya Hepatitis D mmoawa no foforo no. Ɛte sɛ nea wode yare foforo aka nea ɛwɔ hɔ dedaw ho. Sɛ ɔyare mmoawa a ɛboro so ba a, ebia Hepatitis B ho sɛnkyerɛnne a na ɛwɔ hɔ kan no bɛsan ada adi mpofirim anaasɛ wobɛte nka sɛ emu yɛ den kɛse koraa . Mpɛn pii no (bɛyɛ 90%), saa ɔyare mmoawa a ɛboro so yi kɔ so kɔ tebea a enni sabea mu . Eyi kyerɛ sɛ ɔyare mmoawa no betumi atra wo nipadua mu akyɛ, na ama wo mmerɛbo no asɛe ntɛmntɛm.
Dɛn ne Hepatitis D ho sɛnkyerɛnne ahorow?
Hepatitis D ho sɛnkyerɛnne no te sɛ hepatitis afoforo yiye. Ebia nnipa binom renkyerɛ yare no ho sɛnkyerɛnne biara koraa. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba a, ebia wubehu nea edidi so yi:
- Huraeɛ.
- Yafunu mu yaw , titiriw wɔ wo yafunu no atifi nifa so (baabi a wo mmerɛbo no wɔ).
- Akisikuru ne ɔfe.
- Aduan ho akɔnnɔ a ɛyera , baabi a wunni ɔpɛ biara sɛ wubedidi.
- Nsu a ne kɔla yɛ tuntum , a mpɛn pii no ɛte sɛ tii kɔla.
- Nea ɛne eyi bɔ abira no, wo nsu a ɛwɔ wo nsu mu no betumi ayɛ mmerɛw anaasɛ ayɛ dɔte .
- Wora ne aniwa a ɛyɛ kɔkɔɔ —yare a wɔfrɛ no jaundice . Eyi ba bere a wo mmerɛbo ntumi nyɛ bilirubin ho adwuma yiye no.
- Ɔbrɛ anaa ɔbrɛ a ɛkɔ so daa.
Hepatitis D yare mmoawa nso betumi ama Hepatitis B ho sɛnkyerɛnne biara a na ɛwɔ hɔ dedaw no asɛe kɛse .
Dɛn na ɛde Hepatitis D ba?
Nea ɛde ba ne Hepatitis Delta Virus (HDV) . Nanso, sɛnea yɛaka no, ɛno nkutoo ntumi nyɛ adwuma. Ɛde ne ho to Hepatitis B mmoawa (HBV) so koraa na ama atra ase na ayɛ nea ɛsan ba bio. Enti, sɛ wubenya Hepatitis D a, ɛsɛ sɛ wunya HBV mmoawa no wɔ wo nipadua mu.
Ɔkwan bɛn so na Hepatitis D kɔ nnipa mu?
Hepatitis D no nam ɔkwan koro no ara so na ɛba sɛnea Hepatitis B yɛ no: ɛnam mogya anaa nipadua mu nsu afoforo (sɛ nhwɛso no, mmadwoa, awotwaa mu nsu a efi nipadua mu) a obi anya ɔyare no bɛka no so. Akwan atitiriw a wɔfa so de nsɛm kɔma nkurɔfo no bi ne:
- Nna mu nkitahodi a wɔmmɔ ho ban (wɔmfa kɔndɔm nni dwuma bere a wɔde wɔn ho hyɛ ɔbea no awotwaa mu, ano, anaa akyi berɛmo mu).
- Nnade anaa syringe a wɔde gu nnubɔne mu a wɔkyɛ . Aduruyɛ nnwinnade a wɔmfaa nnuru a ekum ɔyare mmoawa nhyɛ mu yiye a wɔde bedi dwuma nso betumi de asiane aba.
- Needlestick opira ma akwahosan adwumayɛfo bere a wɔrehwɛ ayarefo.
- Nyarewa a efi ɛna mu kɔ abofra mu bere a wɔrewo. Eyi ntaa mma, titiriw sɛ wɔyɛ akwan a ɛfata a wɔfa so siw ano a.
- Sɛ wɔde nnwinnade a ɛnyɛ nea ɛmma ɔyare mmoawa bedi dwuma de ayɛ tattoo anaasɛ wɔbɛbɔ obi akuturuku nso de asiane kɛse ba.
Hena na ɔwɔ asiane kɛse sɛ obenya Hepatitis D?
Akuw a edidi so yi wɔ asiane kɛse mu sɛ wobenya Hepatitis D wɔ Nirogi Lanka adwene mu:
- Ankorankoro a wɔanya Hepatitis B (HBV) dedaw: Hepatitis D ntumi ntra hɔ a Hepatitis B nni hɔ a.
- Nnipa a wɔde nnubɔne gu nipadua mu: Titiriw wɔn a wɔkyɛ nnade anaa nnwinnade afoforo.
- Wɔn a wɔne no da: Obiara a ɔne obi a ɔwɔ HBV ne HDV nyinaa da.
- Ofie mufo: Wɔn a wɔne obi a ɔwɔ HBV ne HDV te, titiriw sɛ wɔkyɛ wɔn ankasa nneɛma te sɛ ahama anaa brɔs a wɔde sew sẽ a.
- Nnipa a wɔwɔ HIV.
- Mmarima a wɔne mmarima da: Titiriw wɔ nna mu dwumadi a wɔmmɔ ho ban mu.
- Akwahosan ho adwumayɛfo: Anaasɛ wɔn a wɔwɔ mmeae afoforo a mogya anaa nipadua mu nsu a wɔtaa de wɔn ho hyɛ mu no.
- Ankorankoro a wɔwɔ asaabo mu yare a wɔreyɛ wɔn mogya mu nhwehwɛmu.
Dɛn ne nsɛnnennen a ebetumi afi Hepatitis D mu aba?
Hepatitis D, titiriw sɛ ɛbɛyɛ nea enni sabea a, ebetumi asɛe wo mmerɛbo kɛse. Nsɛnnennen atitiriw a ɛde ba no bi ne:
- Cirrhosis: Eyi ne akuru a ɛwɔ wo mmerɛbo mu ntini mu. Bere kɔ so no, bere a wo mmerɛbo no mu yɛ den na ɛyɛ akuru kɛse no, ɛhwere tumi a etumi yɛ adwuma yiye, te sɛ sɛnea kuru a emu dɔ wɔ wo honam ani gyaw agyiraehyɛde a ɛtra hɔ daa no.
- Mmerɛbo a entumi nyɛ adwuma yiye: Eyi yɛ tebea a emu yɛ den a wo mmerɛbo ntumi nyɛ ne nnwuma a ɛho hia bio, na ɛde wo nkwa to asiane mu tẽẽ.
- Hepatocellular carcinoma: Eyi yɛ mmerɛbo mu kokoram titiriw bi. Sɛ wowɔ Hepatitis D a enni sabea a, asiane a ɛwɔ hɔ sɛ wubenya kokoram yi no dɔɔso kɛse.
Ɔkwan bɛn so na wohu Hepatitis D?
Sɛ wususuw sɛ wowɔ Hepatitis D ho sɛnkyerɛnne anaasɛ woka kuw bi a asiane kɛse wom ho a, ade a eye sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn akɔyɛ nhwehwɛmu. Wɔnam mogya mu nhwehwɛmu so titiriw na ɛma wohu yare no . Wo aduruyɛdan no bɛhwɛ sɛ mmoawa nketenkete (HDV RNA) anaa nnuru a ɛko tia nyarewa a wo nipadua ayɛ de ako atia mmoawa no (Anti-HDV antibodies) wɔ hɔ anaa.
Bio nso, sɛnea ɛbɛyɛ na wo duruyɛfo ahwɛ wo mmerɛbo akwahosan ne baabi a akuru biara wɔ no, obetumi akamfo akyerɛ sɛ wɔnyɛ ultrasound , FibroScan , anaa elastography . Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ mmerɛbo mu ntini mu nhwehwɛmu (mmerɛw mu ntini ketewaa bi).
So aduru bi wɔ hɔ a edi mũ a wɔde sa Hepatitis D?
Sɛ yɛbɛka nokware a, mprempren wonni Hepatitis D. Nanso, ɛtɔ mmere bi a HDV yare a emu yɛ den, titiriw wɔ nsɛm a ɛka ho mu no betumi asiesie wɔn ankasa a wɔansa.
Wɔ wɔn a wɔwɔ Hepatitis D a enni sabea fam no, nnuruyɛfo de wɔn adwene si mmoawa no a wɔbɛhwɛ so, mmerɛbo a wɔsɛe no so a wɔbɛtew so, na wɔasiw nsɛnnennen foforo ano. Ayaresa ahorow a wobetumi de adi dwuma no bi ne:
- Peginterferon alfa a wɔde twitwiw nipadua no mu: Wɔtaa de eyinom ma pɛnkoro dapɛn biara bɛyɛ afe biako na aboa wo nipadua no mu tumi a ɛko tia nyarewa no ma ako atia ɔyare no. Yɛsrɛ sɛ monhu sɛ eyi betumi de ɔhaw ahorow aba.
- Bulevirtide (Hepcludex®): Eyi yɛ aduru foforo a ekum ɔyare mmoawa a ɛmma HDV mmoawa no ntumi nkɔ wo mmerɛbo mu nkwammoaa mu. Bere a wɔapene so sɛ wɔnsa wɔn yare wɔ aman pii so no, ebia ɛsono sɛnea wobetumi anya ayaresa.
- Mmerɛbo a wɔde ma: Sɛ wo mmerɛbo asɛe kɛse na entumi nyɛ adwuma bio a, ebia mmerɛbo a wɔde bɛma obi foforo ne ayaresa a etwa to.
Wɔreyɛ nhwehwɛmu wɔ akwan foforo a wɔfa so sa yare ho wɔ Nirogi Lanka ne wiase nyinaa.
Sɛ mewɔ Hepatitis D a, dɛn na ɛba?
Sɛ wohu sɛ wowɔ Hepatitis D a, wo duruyɛfo bɛhwɛ wo mmerɛbo akwahosan yiye . Nea ɛka eyi ho ne nhwehwɛmu a wɔyɛ no daa, mogya mu nhwehwɛmu a wɔkɔ so, ne mfoninitwa. HDV a emu yɛ den anaa HBV/HDV a ɛka bom no betumi atew wɔ adapɛn anaa asram pii mu.
Nanso, ɔyare mmoawa a ɛboro so no taa kɔ so kodu Hepatitis D a enni sabea, a ebetumi atra hɔ mfe pii. Ebia w’aduruyɛfo kuw no bɛyɛ ayaresa ho nhyehyɛe ahorow a ɛbɛtra hɔ afe biako anaa nea ɛboro saa.
Dɛn ne nkɔmhyɛ a ɛfa Hepatitis D ho?
Owu a efi HBV/HDV a ɛka bom yɛ ade a emu yɛ den mu ba no ho yɛ na yiye (bɛyɛ 1-5%), ɛwom sɛ ne ho tɔ no betumi agye adapɛn anaa asram pii de.
Nanso, HBV/HDV superinfection a enni sabea yɛ aniberesɛm . Ankorankoro a wɔwɔ saa tebea yi mu 70% kosi 80% betumi anya cirrhosis bere tenten. Eyi betumi aba ntɛmntɛm—ɛtɔ mmere bi a wɔ mfe abien a edi kan no mu—anaasɛ ɛkɔ so nkakrankakra wɔ mfe 5 kosi 10 mu. Nea ɛyɛ awerɛhow no, wɔn a wɔwɔ Hepatitis D a enni sabea (wɔbɔ amanneɛ sɛ bɛyɛ 15% wɔ mfe 5-10 mu) no fã kɛse bi hyia nsɛnnennen a emu yɛ den te sɛ mmerɛbo a entumi nyɛ adwuma yiye anaa mmerɛbo mu kokoram. Eyi nti na ɛho hia sɛ wohu yare no ntɛm na wɔde animdefo di ho dwuma no.
So wobetumi asiw Hepatitis D ano?
Yiw, koraa! Ɔkwan a eye sen biara na etu mpɔn sen biara a wobɛfa so abɔ wo ho ban afi Hepatitis D ho ne sɛ wubesiw Hepatitis B ano . Eyi te saa efisɛ Hepatitis D ntumi nkɔ wo nipadua mu a Hepatitis B nni hɔ.
- Nya vaccinated against Hepatitis B. Eyi ne anammɔn biako pɛ a ɛho hia sen biara. Vaccine no yɛ nea ahobammɔ wom kɛse na etu mpɔn. Sɛ wonnya nyɛɛ wo vaccine a, ɛho hia sɛ wo ne wo duruyɛfo kasa na ama woanya.
- Sɛ wususuw sɛ woanya Hepatitis B (sɛ nhwɛso no, ɛnam obi a ɔwɔ ɔyare no mogya a wo ne no di nkitaho so) a, kɔ ayaresabea ntɛm ara. Ebia wobɛfata sɛ wonya nnuru a wɔde bɔ wo ho ban no dodow, ne Hepatitis B immune globulin (HBIG) , a ɛsɛ sɛ wode ma wɔ nnɔnhwerew 24-48 ntam na aboa ma ɔyare mmoawa no ankɔ so.
Sɛ wo ne Hepatitis B te dedaw a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya "superinfection" so denam ahwɛyiye yi a wobɛfa so:
- Bere nyinaa hyɛ nsateaa a mmoawa nnim sɛ wohwɛ kwan sɛ wobɛkɔ mogya, kuru a ɛbɛkɔ mu, anaa nipadua mu nsu afoforo mu a.
- Mfa nnade, syringe, anaa nnwinnade biara a wɔde gu nnuru mu nkyɛ da .
- Mfa nneɛma a wode bɛtew w’ankasa wo ho te sɛ brɔs anaa ahama a wɔde twitwiw sẽ nkyɛ, efisɛ ebia mogya kakraa bi na ɛwɔ mu.
- Fa kɔndɔm di dwuma bere nyinaa bere a woreyɛ nna mu dwumadi biara.
- Sɛ wo duruyɛfo akyerɛw nnuru a ekum ɔyare mmoawa ama Hepatitis B a, hwɛ hu sɛ wobɛnom sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.
Sɛ woanyinsɛn na wo ne Hepatitis B anaasɛ ɔyare mmoawa a ɛka ho (HBV/HDV) te a, nnuruyɛfo betumi ayɛ nneɛma pɔtee bi wɔ wo ba no awo akyi pɛɛ de nnuru a wɔde bɔ wo ba ne ayaresa a ɛho hia ama wo na ama asiane a ɛwɔ hɔ sɛ wobenya ɔyare no akɔ wo ba no so no so kɛse.
Mɛyɛ dɛn ahwɛ m’akwahosan so bere a mete Hepatitis no?
Sɛ wowɔ Hepatitis (B anaa D) a, nneɛma pii wɔ hɔ a wubetumi ayɛ de abɔ wo mmerɛbo ho ban na ansɛe bio:
- Kwati nsa koraa. Nsã de adwennwen kɛse ba mmerɛbo mu nkwammoaa so, na sɛ wo mmerɛbo no ayɛ hyew dedaw a, ebia ɛbɛpere sɛ edi ho dwuma.
- Gyae sigaretnom anaa kwati sɛ wubefi ase, efisɛ sigaretnom nso sɛe mmerɛbo akwahosan.
- Kura mu duru a ɛfata mu. Sɛ woyɛ kɛse dodo anaasɛ woyɛ kɛse mmoroso a, ebetumi ama woanya mmerɛbo mu yare a srade wom, na ebetumi ama wo mmerɛbo tebea nyinaa asɛe.
- Kɔ wo duruyɛfo anaa aduannuru ho ɔbenfo nkyɛn kɔhwehwɛ afotu a ɛfata wɔ aduan a eye sen biara a ɛbɛboa mmerɛbo akwahosan ho. Aduan a ɛkari pɛ ho hia.
- Hwɛ wo duruyɛfo ansa na woanom nnuru biara a wɔtɔn a wɔmfa nnuru nhyɛ mu (OTC). Sɛ nhwɛso no, nnuru a wɔde kum ɛyaw te sɛ Acetaminophen (Tylenol®) a wobɛtaa de adi dwuma no betumi ayɛ den ama wo mmerɛbo. Fa nnuru a ɛtete saa di dwuma wɔ aduruyɛ akwankyerɛ ase nkutoo.
- Kɔ so mfa wo ho nhyɛ wo bere a woadi akyi no mu na wie mmerɛbo akwahosan ho nhwehwɛmu a wɔkamfo kyerɛ nyinaa. Eyi ho hia na ama woahwɛ wo nkɔso so.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wunya hepatitis ho sɛnkyerɛnne (te sɛ atiridiinini, nipadua mu yaw, aduan ho akɔnnɔ a ɛyera, anaa jaundice), anaasɛ wowɔ Hepatitis B dedaw na wuhu sɛ wo sɛnkyerɛnne no mu ayɛ den mpofirim a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn . Bio nso, sɛ wugye di sɛ woanya Hepatitis B anaa D a, hwehwɛ aduruyɛfo afotu ntɛm ara.
Bere bɛn na ɛsɛ sɛ mekɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So?
Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den a edidi so yi mu biara a, hwehwɛ ayaresa ntɛm ara :
- Yafunu mu yaw a emu yɛ den.
- Ɔfe a ɛkɔ so anaasɛ ɛyɛ den , titiriw sɛ wuntumi mma nsu nkɔ fam a.
- Mogya anaa nneɛma a ɛte sɛ kɔfe a wɔayam a wɔfe.
- Jaundice a ɛreyɛ kɛse (w’ani anaa wo honam ani yɛ kɔkɔɔ kɛse).
- Adwene a ɛyɛ basaa, adwene a ɛyɛ basaa, anaasɛ ɛyɛ den sɛ wobɛda (eyinom betumi ayɛ Hepatic Encephalopathy ho sɛnkyerɛnne ).
- Nsu a ɛyɛ tuntum anaasɛ nsu a ɛba no so tew kɛse.
- Nsu a ɛyɛ mmerɛw anaa dɔte kɔla.
- Yafunu mu a ɛho ahonhon kɛse.
Eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo no ayɛ basaa kɛse anaasɛ entumi nyɛ adwuma yiye.
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Wɔ Nirogi Lanka no, yɛhyɛ wo nkuran sɛ fa wo ho hyɛ wo hwɛ mu denneennen. Sɛ wo ne wo duruyɛfo hyia a, susuw ho sɛ wubebisa sɛ:
- Hepatitis pɔtee bɛn na mewɔ?
- Dɛn ne ayaresa a metumi apaw?
- Bere tenten ahe na ebehia sɛ metra saa ayaresa yi so?
- Ɔkwan pa bɛn na mɛfa so anom m’aduru no, na dɛn ne nea ebetumi afi mu aba?
- So sɛnkyerɛnne foforo pɔtee bi anaa nsakrae bi wɔ hɔ a ɛsɛ sɛ mehwɛ yiye wɔ ho?
- Dɛn na me mmerɛbo te mprempren, na nhwehwɛmu foforo bɛn na ehia?
- Ahwɛyiye bɛn na ɛsɛ sɛ meyɛ na amma eyi antrɛw ankɔ afoforo so?
- Sɛ mewɔ Hepatitis B a, dɛn bio na metumi ayɛ de asiw Hepatitis D ano?
Nsonsonoe bɛn na ɛda Hepatitis B ne Hepatitis D ntam?
Hepatitis B ne Hepatitis D nyinaa yɛ mmoawa a wɔde wɔn ani si wo mmerɛbo so pɔtee. Nsonsonoe titiriw no ne sɛ sɛ wowɔ Hepatitis B dedaw nkutoo a Hepatitis D betumi anya wo . Hepatitis D mmoawa (HDV) no yɛ adwuma te sɛ mmoawa a "ɛnyɛ pɛ"; entumi ntra ase anaasɛ n’ankasa ntumi nkɔ so bio na ɛde ne ho to HBV mmoawa no "mmoa" so koraa na ama wɔanya ɔyare no.
Ɛho hia sɛ wuhu sɛ ɛnyɛ obiara a ɔwɔ Hepatitis B na obenya Hepatitis D. Nokwarem no, nnipa dodow no ara a wɔwɔ Hepatitis B no nni Hepatitis D.
Hepatitis D abu so dɛn?
Abenfo bu akontaa sɛ nnipa a wɔwɔ Hepatitis B wɔ wiase nyinaa no mu 5% kosi 15% —bɛyɛ nnipa ɔpepem 12 kosi 45—no nso anya HDV. Hepatitis D abu so kɛse wɔ Afrika mmeae bi (te sɛ Afrika Mfinimfini), Asia (sɛ nhwɛso no, Mongolia, Pakistan), Amazon a ɛwɔ Amerika Kesee Fam, ne Europa Apuei Fam mmeae bi. Ɛntaa mma wɔ United States ne Europa Atɔe fam. Bere a ɛnyɛ nea abu so kɛse wɔ Sri Lanka no, asiane no da so ara wɔ hɔ, na wɔhyɛ nyansa sɛ wɔnyɛ ahwɛyiye.
Esiane sɛ Hepatitis D mmoawa no hwehwɛ sɛ Hepatitis B (HBV) mmoawa no na ama woanya ɔyare no nti, wo kwan a wobɛfa so abɔ wo ho ban no yɛ tẽẽ: biribiara a wobɛyɛ de asiw HBV yare no ano nso bɔ wo ho ban fi Hepatitis D. Bio nso, esiane Hepatitis B vaccine a wɔde di dwuma kɛse nti, Hepatitis B dodow ne, nea efi mu ba ne sɛ, Hepatitis D nsɛm no dɔɔso a ɛrekɔ fam nkakrankakra wɔ wiase nyinaa. Eyi ho hia, efisɛ ankorankoro pii betumi anya Hepatitis B a wɔrenkyerɛ yare no ho sɛnkyerɛnne biara koraa.
Sɛ wowɔ ɔyare a enni sabea a, wo ne wo duruyɛfo nyɛ adwuma yiye na hwɛ wo mmerɛbo akwahosan daa. Aduruyɛ mu nhwehwɛmu a ɛkɔ so wɔ ayaresa foforo ho no kɔ so ma anidaso sɛ wobenya ayaresa a etu mpɔn kɛse daakye.
Nneɛma a ɛho hia sen biara a wɔde kɔ
Hepatitis D yɛ mmerɛbo mu yare soronko bi. Asɛm a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ wuntumi nnya Hepatitis D gye sɛ Hepatitis B mmoawa no wɔ wo nipadua mu dedaw. Enti, Hepatitis B a wubesiw ano no ne ɔkwan a etu mpɔn sen biara a wobɛfa so abɔ wo ho ban afi Hepatitis D ho.
Hepatitis B vaccine a wobɛma, nna a ahobammɔ wom a wobɛma, ne nnade anaa syringe a worenkyɛ da no yɛ anammɔn a ɛho hia a wubetumi ayɛ de abɔ wo ho ban afi Hepatitis B ne Hepatitis D nyinaa ho.
Sɛ wɔahu sɛ wowɔ Hepatitis B dedaw a, yɛsrɛ sɛ mma wo ho nnyɛ wo hu. Ɛho hia sɛ wudi wo duruyɛfo aduruyɛ ho afotu akyi, kɔ nhwehwɛmu a wɔayɛ ho nhyehyɛe nyinaa, na wokwati nneɛma a ɛhaw mmerɛbo no, te sɛ nsa a ɛboro so anaa nnuru a w’akwahosan ho ɔyaresafo nkyerɛw mma wo. Saa a wobɛyɛ no betumi atew asiane a ɛwɔ hɔ sɛ wubenya Hepatitis D no so kɛse.
Ma w’ani nna hɔ wɔ sɛnkyerɛnne biara ho. Sɛ wowɔ biribi a ɛhaw wo a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Sɛ wuhu ntɛm a, ɛyɛ w’adwinnade a eye sen biara a wode bɛtew nsɛnnennen so na woakura asetra a ahoɔden wom na ɛyɛ nnam mu wɔ Nirogi Lanka mu.
👩🏽 ⚕️ Nsɛmmisa a Wɔtaa Bisa (FAQs) .
💬 So Hepatitis D te sɛ mmoawa afoforo a ɛsɛe mmerɛbo?
Hepatitis D yɛ mmerɛbo mu mmoawa a emu yɛ den, nanso ɛyɛ soronko efisɛ ɛyɛ mmoawa a "ɛnyɛ pɛ". Enni abɔde a nkwa wom tumi a ɛde ɔyare mmoawa ba wo nipadua mu anaasɛ ɛde nyarewa ba n’ankasa so. Ɛhwehwɛ sɛ Hepatitis B mmoawa no wɔ hɔ na ama ayɛ yiye na apira.
💬 Asiane bɛn na ɛwɔ HBV ne HDV coinfection nyinaa mu?
Sɛ wowɔ mmoawa abien no nyinaa (B ne D) a, wonim no sɛ "super-infection." Wobu eyi sɛ mmerɛbo mu yare a emu yɛ den sen biara no mu biako. Ebetumi ama mmerɛbo mu nkwammoaa asɛe ntɛmntɛm, na ɛde mmerɛbo mu akisikuru (akuru a ɛba mmerɛbo mu) ne awiei koraa no, mmerɛbo mu kokoram aba. Ebetumi nso ama obi anya jaundice (honam ani ne aniwa a ɛbɛyɛ kɔkɔɔ).
💬 Dɛn ne ayaresa akwan a wɔfa so sa Hepatitis D?
Mprempren, wonni Hepatitis D aduru tẽẽ biara.Mpɛn pii no, wɔde Pegylated Interferon a wɔde twitwiw nipadua no mu na wɔde sa yare, ɛwom sɛ ɛsono sɛnea wodi nkonim de. Enti, ɔkwan a etu mpɔn sen biara a wogye tom wɔ wiase nyinaa da so ara yɛ sɛ wobesiw ɔyare no ano koraa denam Hepatitis B vaccine a wobenya bere a wɔawo wo no so —sɛ wunni Hepatitis B a, wuntumi nnya Hepatitis D.
Tags: Hepatitis D, Hepatitis D, mmerɛbo, mmerɛbo mu yare, mmoawa, Hepatitis B, Hepatitis B, HDV, HBV, jaundice, Jaundice, mmerɛbo mu yare, Cirrhosis, Mmerɛbo mu yare, mmerɛbo mu kokoram
