An ka kunnafoni caman sɔrɔ Sugunɛbilenni C. A bɛ nɔ bila i sugunɛ na cogo min na ni makun ye

Yala aw delila ka sugunɛbilenni C mɛn wa? N’a sɔrɔ ɔwɔ, n’a sɔrɔ ayi. O ye banakisɛ ye min bɛ don i fari la ka don i fari la ka i sugunɛ tiɲɛ. Mɔgɔ caman yɛrɛ t’a dɔn ko a bɛ u la barisa a tɛ taamasiɲɛ foyi jira a daminɛ na. Nka aw kana aw hakili ɲagami, furakɛli ɲumanw bɛ a la sisan!

Sugunɛbilenni C ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Sugunɛbilenni ye bana ye min bɛ sɔrɔ banakisɛ dɔ fɛ min bɛ bin an ka sugunɛ kan. Ni nin banakisɛ in, n’o bɛ wele ko Sugunɛbilenni (HCV), o donna an ka sugunɛ na, a bɛ funu bila mɔgɔ la. I n’a fɔ ni an ye joginda sɔrɔ, a bɛ funu cogo min na. O funu bɛ sugunɛ tiɲɛ dɔɔni dɔɔni. A ka ca a la, ni a ma furakɛ, a tɛna kɛnɛya a yɛrɛ ma. Waati tɛmɛnen kɔ, sugunɛ bɛ se ka tiɲɛ kosɛbɛ. Nka kibaru duman bɛ yen! Sisan fura kura dɔw bɛ yen minnu bɛ se ka sugunɛbilenni furakɛ pewu.Gɛlɛya ye ko mɔgɔ caman tɛ a taamasiɲɛw jira, wa u t’a dɔn ko a bɛ u la.

A taamasiɲɛw ye mun ye?

Fɛn min nafa ka bon, o filɛ nin ye. Mɔgɔ fanba tɛ bana taamasiɲɛ si jira! O de ye bana in yɔrɔ ye min bɛ mɔgɔ siran kosɛbɛ. Nka, mɔgɔ dɔw bɛ se ka taamasiɲɛ dɔw jira ni banakisɛ donna farikolo la ani farikolo y’a daminɛ k’a kɛlɛ, o kɔrɔ ye ko ‘kɔrɔlen’ waati.

Taamasiɲɛ jugumanw

Nin taamasiɲɛ ninnu fana bɛ se ka kɛ i n’a fɔ fariganba taamasiɲɛw. Aw ye a lajɛ:

• A bɛ kɛ i n’a fɔ kɔnɔdimi.
• Sugunɛ dibi, a bɛ se ka kɛ banakɔtaa nɔgɔlen
• Farigan walima mura taamasiɲɛw bɔlen don ɲɔgɔn fɛ, i n’a fɔ farigan, faridimi, kɔnɔboli, ani sɛgɛn
• Fari ni ɲɛ finmanw bɛ kɛ jɛman ye. An b’o fana Weele ko ‘janɔbila’.

Taamasiɲɛ minnu bɛ sɔrɔ waati jan kɔnɔ (Kɔrɔlen) .

Sisan, ni taamasiɲɛ juguman minnu kofɔra ka tɛmɛ, olu tɛ aw la, a bɛ se ka kɛ aw tɛna foyi ye san caman kɔnɔ. An bɛ o de wele ko sugunɛbilenni C ‘kɔrɔlen’ Nka, ni sugunɛ bɛ daminɛ ka baara kɛ ka ɲɛ dɔɔni dɔɔni, nin taamasiɲɛ suguw bɛ se ka bɔ kɛnɛ kan:

• Taamasiɲɛ minnu fɔra ka tɛmɛ (i n’a fɔ kɔnɔdimi, jaŋɔyi) olu bɛɛ bɛ se ka segin.
• O dɔrɔn tɛ, nka fɛn kura wɛrɛw fana bɛ se ka fara a kan:
• Joli bɛ kɛ banakɔtaa la walima joli min bɛ fɔɔnɔ
• Joli bɛ to ka bɔ, a bɛ kɛ bulu ye hali ni kuru fitini dɔ bɛ a la
• Nɔgɔ min tɛ se ka muɲu farikolo fan bɛɛ la
• A bolokɔniw bɛ kɛ bilen ye walima u bɛ kɛ dibi ye.
• Angiyɔmu (joli sira misɛnniw minnu bɛ i n’a fɔ wuluwulu fari la) .
• Kɔnɔ bɛ fa ji la ka kɔnɔbara funu (an b’o wele ko `(Ascites)`)

O bɛ se ka lase mɔgɔ dɔ ma cogo di?

Nin ye ɲininkali ye mɔgɔ caman bɛ min kɛ. sugunɛbilenni bɛ sɔrɔ joli fɛ kosɛbɛ . O kɔrɔ ye ko a bɛ yɛlɛma ni sugunɛbilenni banakisɛ (HCV) bɛ mɔgɔ min na, o joli donna mɔgɔ wɛrɛ fari la. Aw bɛ miiri a la i n’a fɔ furakisɛw tila ɲɔgɔn na minnu bɛ kɛ ka dɔrɔgu pikiri kɛ.A fɔra ko nin de ye nin ko in jɛnsɛncogo fɔlɔ ye diɲɛ yɔrɔ caman na.

Nka a bɛ se ka jɛnsɛn cogo wɛrɛw la:

• Den bɛ se ka sugunɛbilenni C sɔrɔ ba fɛ min bɛ a la (kɔnɔmaya waati walima a bange waati).
• Fɔlɔ la, mɔgɔw tun bɛ bana in sɔrɔ joli doncogo fɛ, joli minnu tun ma sɛgɛsɛgɛ ka ɲɛ. Nka sisan, o farati ka dɔgɔ kosɛbɛ, barisa joli bɛ sɛgɛsɛgɛ kosɛbɛ ni a dira.
• Tuma dɔw la, hali dɔgɔtɔrɔsow la, ni minɛn minnu ma sterilize ka ɲɛ, olu bɛ kɛ, a bɛ se ka yɛlɛma joli fɛ (nka o fana man ca kosɛbɛ sisan).
• aw bɛ se ka bana sɔrɔ ni aw ye tatuwati kɛ walima ni aw ye farikolo sɔgɔ ni minɛnw ye minnu ma sterilize ka ɲɛ . Aw ka kan ka aw janto o la kosɛbɛ.
• Laala ni aw ni mɔgɔ wɛrɛ ye razɔri walima ɲinw burusi tila ɲɔgɔn na min nɔgɔlen don ni joli ye. Miiri k’a filɛ, i bɛ nin ɲɔgɔnna fɛnw tila i teriw cɛ siyɔrɔ dɔ la, tiɲɛ tɛ? Farati bɛ a la ni aw ye joli sɔrɔ joginda fitini dɔ la.

Min nafa ka bon, o ye, hali ni bana taamasiɲɛw tɛ aw la ani ni aw t’a dɔn ko sugunɛbilenni bɛ aw la, aw bɛ se ka a jɛnsɛn hali bi. Nka aw hakili to a la ko a bɛ jɛnsɛn joli dɔrɔn de fɛ. A tɛ jɛnsɛn fɛnw fɛ i n’a fɔ daji, sumaya, boloci, walima dumuni tila-tila.

Mun bɛ kɛ aw la ni aw ye sugunɛbilenni C sɔrɔ?

Sugunɛbilenni tɛ bɛɛ minɛ cogo kelen na. Mɔgɔ dɔw fɛ, mɔgɔ 30 ɲɔgɔn 100 kan , banakisɛ bɛ saniya u yɛrɛ ka farikolo tangalanw fɛ n’u y’a sɔrɔ fɔlɔ (fasa acute). O bɛ se ka kalo damadɔw ta. Nka, mɔgɔ caman bolo (70 ɲɔgɔn 100 kan), o tɛ kɛ a yɛrɛ ma. Kɛlɛ kɛlen kɔ kalo caman kɔnɔ, farikolo bɛ laban ka bana basigilen dɔ sɔrɔ ni banakisɛ in ye, min bɛ wele ko banakisɛ ‘kɔrɔlen’.

Gɛlɛya jumɛnw bɛ sɔrɔ sugunɛbilenni na waati jan kɔnɔ?

Sugunɛbilenni basigilen kɔrɔ ye ko funu bɛ to ka kɛ i ka sugunɛ na. O bɛ i n’a fɔ sugunɛbana basigilen. O funu min bɛ senna, o bɛ aw ka sugunɛ tiɲɛ dɔɔni dɔɔni san caman kɔnɔ. Joli bɛ kɛ sugunɛ na, o b’a to a tɛ baara kɛ ka ɲɛ. o bana in bɛ wele ko cirose . O ye bana ye, mɔgɔ caman bɛ siran min ɲɛ. Ni sirozi juguyara, sugunɛ bɛ se ka dɛsɛ pewu (sugunɛbilenni basigilen).

Sirose ni sugunɛbaralabana bɛ se ka kɛ sababu ye ka gɛlɛya wɛrɛw lase mɔgɔ ma, i n’a fɔ:

• Tansiyɔn jiginni joli siraw la minnu ni sugunɛ bɛ ɲɔgɔn na (Portal Hypertension) .
• Sugunɛ kansɛri

Dɔgɔtɔrɔw bɛ o sɔrɔ cogo di?

Ni aw hakili la ko sugunɛbilenni bɛ aw la, walima ni sugunɛbana taamasiɲɛw bɛ aw la, aw ka kan ka taa dɔgɔtɔrɔso la. Dɔgɔtɔrɔ bɛna aw sɛgɛsɛgɛ ka a lajɛ ni funu, ɲɛ jɛman, ani fɛn wɛrɛw tɛ a la.

O kɔfɛ, a bɛna ɲini aw fɛ aw ka joli sɛgɛsɛgɛli caman kɛ . Olu kunbabaw ye:

• Banakisɛfagalanw sɛgɛsɛgɛli : O bɛ aw joli lajɛ ni farikolojidɛsɛbanakisɛw tɛ sugunɛbilenni banakisɛ la. Ni o ye ko ɲuman ye, o b’a jira ko sugunɛbilenni C delila aw la.
• ARN sɛgɛsɛgɛli : Ni banakisɛfagalanw sɛgɛsɛgɛli ye ``positif`` ye, o sɛgɛsɛgɛli bɛ kɛ o kɔfɛ. A bɛ a lajɛ ni banakisɛ in bɛ baara la hali bi aw fari la. O kɔrɔ ye ko a bɛ se k’a dɔn ni aw farikolo ye banakisɛ in saniya a yɛrɛ ma, walima ni bana in bɛ aw la hali bi.
• Jɛnkulu sɛgɛsɛgɛli : Sugunɛbilenni banakisɛ suguya kunbaba wɔɔrɔ bɛ yen a dɔgɔyalenba la. Nin sɛgɛsɛgɛli in bɛ se k’a jira aw la banakisɛ suguya min bɛ aw la. O bɛna aw ka dɔgɔtɔrɔ dɛmɛ a ka fura ɲuman sugandi aw ye.
• Sugunɛ baarakɛcogo sɛgɛsɛgɛli (LFT): Olu bɛ aw ka sugunɛ kɛnɛya bɛɛ lajɛ.

Ni joli sɛgɛsɛgɛliw y’a jira ko bana in kɛra aw ka sugunɛ na, aw ka dɔgɔtɔrɔ bɛ se ka yamaruya di ka sɛgɛsɛgɛli wɛrɛw kɛ walasa ka aw ka sugunɛ tiɲɛni sɛgɛsɛgɛ ka taa a fɛ. Misali dɔ ye ultrasound scan ye min bɛ wele ko Transient Elastography (Fibroscan) . O bɛ se ka sugunɛ gɛlɛya hakɛ jateminɛ, walima kuru/fiɲɛ hakɛ jateminɛ.

Furakɛliw ye jumɛnw ye?

Nin ye kibaru duman ye tiɲɛ na! Sisan , fura minnu bɛ se ka kɛ sugunɛbilenni na kosɛbɛ, olu bɛ yen. Ninnu ye furaw ye minnu bɛ ta ka kɛ furakisɛ ye. `DAA` fura suguya tan ni fila ni kɔ bɛ yen minnu bɛ baara kɛ banakisɛ suguya wɛrɛw kama.

Fura minnu bɛ sɛbɛn ka caya (dɔgɔtɔrɔ bɛ olu sɛbɛn):

• `Elbasiviri/grazopreviri (Zepatier®)`
• `Glekapreviri/pibrentasvir (Mavyret®)`
• ``Ledipaswiri/sofosbuwiri (Harvoni®)''.
• ``Sofosbuwiri/velpatasviri (Epclusa®)''.
• ``Sofosibuwiri/velpatasviri/voxilapreviri (Vosevi®)''.

Nin fura in bɛ se ka gɛlɛya aw hakili la, nka dɔgɔtɔrɔ bɛna fura ɲuman sugandi aw ye.

Ni aw ye sugunɛbilenni sɔrɔ kabini tuma jan ani ni aw ka sugunɛ tiɲɛna kosɛbɛ, aw bɛ se ka furakɛli wɛrɛw kɛ. Tiɲɛni dɔw bɛ se ka kɔsegin, nka dɔw tɛ se ka kɔsegin. Aw bɛ se ka sugunɛbana nɔ wɛrɛw fana furakɛ. A ka c’a la, nin `DAA` furakɛli in bɛ kɛ kalo fila fo kalo wɔɔrɔ kɔnɔ. Mɔgɔ dɔw la, a bɛ se ka mɛn.

Yala furakɛli kɔlɔlɔ dɔw bɛ yen wa?

Mɔgɔ fanba tɛ kɔlɔlɔba sɔrɔ nin `DAA` fura ninnu na, nka kɔlɔlɔ misɛnniw bɛ se ka sɔrɔ mɔgɔ dɔw la.

• Kɔnɔdimi dɔɔni
• Kɔnɔboli
• Sɛgɛn
• Kunkolodimi
• Fɔɔnɔnege
• Tuma dɔw la, ninakili bɛ gɛlɛya dɔɔni

Ni nin ɲɔgɔnna dɔ kɛra, aw ka kan k’o fɔ dɔgɔtɔrɔ ye.

Ne bɛ se ka mun wɛrɛ kɛ walasa ka ne sugunɛ tanga?

Ni sugunɛbana bɛ aw la, fɛn damadɔ bɛ yen aw bɛ se ka minnu kɛ walasa ka sugunɛ tiɲɛni wɛrɛw bali. Ninnu nafa ka bon sugunɛbana suguya bɛɛ la, sugunɛbilenni dɔrɔn tɛ.

• Ni aw bɛ dɔlɔ min, aw ka kan ka a dabila pewu walima ka dɔ bɔ a la kosɛbɛ. Dɔlɔ ye sugunɛ jugu ye.
• N’i ​​bɛ sigarɛti min, i jija k’o fana dabila.
• Ni aw ma sugunɛbilenni ni sugunɛbilenni bolociw ta, aw bɛ u ta. Sabula sugunɛ min bɛ ni sugunɛbilenni ye kaban, o kunbɛnni bɛ se ka gɛlɛya ni a ye sugunɛbilenni suguya wɛrɛ sɔrɔ.
• Aw bɛ to ka kuma aw ka dɔgɔtɔrɔ fɛ tuma bɛɛ ani ka a ka laadilikanw labato ka ɲɛ.

Yala aw tɛ se ka aw yɛrɛ tanga sugunɛbilenni ma wa?

aw bɛ se ka aw yɛrɛ tanga o ma cogo kelen min na , o ye ka aw yɛrɛ tanga joli banakisɛ sɔrɔli ma . Sisan, sugunɛbilenni boloci tɛ yen, dɔnnikɛlaw bɛ ka ɲinini kɛ a kan, nka ikomi nin banakisɛ suguya caman bɛ yen, wa a bɛ fɛn caman sɛmɛntiya joona, o la, a ka gɛlɛn dɔɔnin ka boloci dɔ dilan min bɛ baara kɛ bɛɛ ye.

O la, an ye kuma minnu kan ka tɛmɛ, an ka kan k’an janto fɛnw lasecogo la:

• Ni aw bɛ dɔrɔgu ta, aw kana pikirijikɛlanw tila ɲɔgɔn na. (Tiɲɛ na, a ka fisa i ka i yɛrɛ tanga dɔrɔguta ma pewu).
• Ni aw bɛ tatuwati kɛ walima ni aw bɛ farikolo sɔgɔsɔgɔ, aw bɛ yɔrɔw sugandi minnu bɛ baara kɛ ni minɛn kura sterilizelenw dɔrɔn ye .
• Aw kana baara kɛ ni mɔgɔ wɛrɛw ka razɔri walima ɲinfura ye.

Sugunɛbilenni C ka ɲɛnamaya ɲɛfɔcogo ye mun ye?

An kumana ka tɛmɛn cogo min na mɔgɔ dɔw, banakisɛ in daminɛ na (fase acute), u bɛ se ka kɛnɛya u yɛrɛ ma. Nka mɔgɔ caman bolo, a bɛ kɛ bana basigilen ye. Hali ni bana taamasiɲɛw tɛ aw la walima ni aw b’a dɔn ko a bɛ aw la, sugunɛbilenni basigilen bɛ to ka aw sugunɛ tiɲɛ waati tɛmɛnen kɔfɛ. O de kama a nafa ka bon ka taa sɛgɛsɛgɛli kɛ tuma bɛɛ.

Nka, n’i y’a dɔn ko a b’i bolo, foyi tɛ hami o la. Sabula sugunɛbilenni caman bɛ se ka kɛnɛya pewu ni banakisɛfagalanw ye minnu bɛ sɔrɔ sisan! Ni bana in kɛra aw la kabini waati jan, a bɛ se ka furakɛ.

Nka, mɔgɔ dɔw fɛ, hali ni sugunɛbilenni C kɛnɛyara, a bɛ se ka kɛ ko sugunɛ tiɲɛni dɔw (kɛrɛnkɛrɛnnenya la sirozi) tɛ se ka kɔsegin. Mɔgɔ minnu ye bana in sɔrɔ san 20-30 kɔnɔ, olu 20% ɲɔgɔn bɛ se ka nin tiɲɛni in sɔrɔ min tɛ se ka segin kɔ.

Aw bɛ se ka kabakoya ani ka hami ni aw y’a dɔn ko sugunɛbilenni bɛ aw la.A bɛ se ka kɛ aw tɛ bana ye fewu, wa aw yɛrɛ tɛ a dɔn aw ye a sɔrɔ cogo min na walima waati min na. Nka k’a dɔn ko a bɛ i bolo, o ka fisa ni i kana a dɔn. Sugunɛbilenni ye bana ye min bɛ se ka furakɛ. Wa ni a dɔnna ka furakɛ joona, o bɛ se ka aw ka sugunɛ kisi tiɲɛni kuntaalajan ma.

Aw ye aw hakili to fɛn nafamaba la (Take-Home Message) .

Okey, donc, ka bɔ an ye kuma min fɔ, ninnu ye fɛn nafamabaw ye i ka kan ka minnu to i hakili la:

• Sugunɛbilenni ye banakisɛ ye min bɛ sugunɛ tiɲɛ. A ka ca a la, a tɛ taamasiɲɛw jira a daminɛ na.
• A ka ca a la a bɛ sɔrɔ joli bananen dunni fɛ. A bɛ se ka sɔrɔ fana fɛnw fɛ i n’a fɔ pikirijikɛlanw tilatilali ani ka tatu/piercing kɛ ni minɛnw ye minnu ma sterilize.
• Sisan , fura minnu bɛ se ka kɛ kosɛbɛ o la (`DAA` furaw) bɛ yen. A bɛ se ka kɛnɛya pewu kalo damadɔ kɔnɔ.
• Ni aw hakili la ko farati bɛ aw la, walima ni sugunɛbana taamasiɲɛw bɛ aw la, aw ye aw jija ka taa dɔgɔtɔrɔso la walasa ka a lajɛ.
• Ni a dɔnna ka furakɛ joona, tiɲɛni jugumanba bɛ se ka kɛ sugunɛ na (cirrhose, cancer) bɛ se ka bali.
• Aw kana siran! Min nafa ka bon kosɛbɛ, o ye ka kunnafoni sɔrɔ ani ka tugu dɔgɔtɔrɔ ka laadilikan ɲumanw kɔ.

Ni ɲininkali wɛrɛw bɛ aw fɛ o ko la, aw kana maloya ka dɔgɔtɔrɔ ɲininka. Aw ka to kɛnɛya la!

` Sugunɛbilenni, sugunɛ, banakisɛ, taamasiɲɛw, furakɛli, a jɛnsɛnni, sirozi, HCV, sugunɛbana