Ua lohe paha ʻoe i ka Hepatitis C? Malia paha ʻae, ʻaʻole paha. He huakino ia e komo malū ana i loko o kou kino a hōʻino i kou ake. ʻAʻole ʻike ka nui o ka poʻe ua loaʻa iā lākou no ka mea ʻaʻole ia e hōʻike i kekahi mau hōʻailona i ka wā mua. Akā, mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no ia i kēia manawa!
He aha ka maʻi Hepatitis C?
I ka ʻōlelo maʻalahi, ʻo ka Hepatitis C kahi maʻi i hoʻokumu ʻia e kahi maʻi e hoʻouka i ko kākou ake. Ke komo kēia maʻi, i kapa ʻia ʻo Hepatitis C Virus (HCV), i loko o ko kākou ake, hoʻoulu ia i ka mumū. E like me ka wā e loaʻa ai iā kākou kahi ʻeha, pehu ia. Hoʻopōʻino mālie kēia mumū i ke ake. I ka hapa nui o nā hihia, inā ʻaʻole mālama ʻia, ʻaʻole ia e hoʻōla iā ia iho. I ka hala ʻana o ka manawa, hiki i ke ake ke hōʻino nui ʻia. Akā aia ka nūhou maikaʻi! I kēia manawa, aia nā lāʻau lapaʻau hou e hiki ke hoʻōla loa i ka Hepatitis C. ʻO ka pilikia, ʻaʻole hōʻike ka nui o ka poʻe i nā hōʻailona a ʻaʻole ʻike ua loaʻa iā lākou.
He aha nā hōʻailona?
Eia ka mea nui. ʻAʻole hōʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona! ʻO ia ka ʻāpana weliweli loa o kēia maʻi. Eia nō naʻe, hiki i kekahi poʻe ke hōʻike i kekahi mau hōʻailona ke komo ka maʻi i loko o ke kino a hoʻomaka ke kino e hakakā iā ia, ʻo ia hoʻi, i ka wā 'acute'.
Nā hōʻailona koʻikoʻi
Hiki i kēia mau hōʻailona ke like me nā hōʻailona o ke anu maʻamau. E nānā:
- Me he ʻeha ʻōpū lā.
- ʻO ka mimi ʻeleʻele, a he mau ʻōpala māmā paha
- Nā hōʻailona like me ke anu a i ʻole ka maʻi flu, e like me ke kuni, ka ʻeha kino, ka nausea, a me ka luhi
- Melemele o ka ʻili a me ke keʻokeʻo o nā maka. Kāhea mākou i kēia ʻo 'jaundice'.
Nā hōʻailona e kū mai ana i kahi manawa lōʻihi (Chronic)
I kēia manawa, inā ʻaʻohe ou hōʻailona koʻikoʻi i ʻōlelo ʻia ma mua, ʻaʻole paha ʻoe e manaʻo i kekahi mea no nā makahiki. ʻO kēia ka mea a mākou e kapa nei he hepatitis C 'mau'. Eia naʻe, i ka hoʻomaka mālie ʻana o ke akepaʻa e hana maikaʻi ʻole, hiki ke ʻike ʻia nā hōʻailona e like me kēia:
- Hiki ke hoʻi hou mai nā hōʻailona a pau i ʻōlelo ʻia ma mua (e like me ka ʻeha o ka ʻōpū, ka jaundice).
- ʻAʻole wale kēlā, akā hiki ke hoʻohui ʻia nā hiʻohiʻona hou ʻē aʻe:
- Ke koko i loko o ka ʻōpala a i ʻole ka luaʻi ʻana i ke koko
- Ke kahe pinepine nei ke koko, e lilo ana i polū mai kahi palapū liʻiliʻi
- He ʻeha hiki ʻole ke hoʻomanawanui ma ke kino holoʻokoʻa
- ʻUlaʻula a ʻeleʻele paha ke ʻano o nā pālima.
- Nā angiomas spider (nā kīʻaha koko liʻiliʻi e like me ka spider ma ka ʻili)
- Ua piha ka ʻōpū i ka wai a pehu ka ʻōpū (kapa mākou i kēia `(Ascites)`)
Pehea e hōʻike ai kēia i kekahi?
He nīnau kēia a ka poʻe he nui e nīnau ai. Hoʻolaha nui ʻia ka Hepatitis C ma o ke koko . ʻO ia hoʻi, hoʻolaha ʻia ia ke komo ke koko o ke kanaka me ka Hepatitis C Virus (HCV) i ke kino o kekahi kanaka ʻē aʻe. E noʻonoʻo e like me ka kaʻana like ʻana i nā nila i hoʻohana ʻia e hoʻokomo i nā lāʻau lapaʻau.Ua hōʻike ʻia kēia ʻo ke ala nui e hoʻolaha ʻia ai kēia ma nā wahi he nui o ka honua.
Akā aia kekahi mau ala ʻē aʻe e hiki ai ke hoʻolaha ʻia:
- Hiki i kahi pēpē ke loaʻa i ka hepatitis C mai kahi makuahine i loaʻa iā ia (i ka wā hāpai a i ka wā hānau paha).
- I ka wā ma mua, ua loaʻa ka maʻi i nā kānaka ma o nā hoʻoili koko i hoʻāʻo pono ʻole ʻia. Akā i kēia manawa ua emi loa kēlā pilikia, no ka mea, ua hoʻāʻo pono ʻia ke koko i ka wā e hāʻawi ʻia ai.
- I kekahi manawa, ʻoiai ma nā haukapila, inā hoʻohana ʻia nā lako i hoʻomaʻemaʻe pono ʻole ʻia, hiki ke laha ma o ke koko (akā he mea kākaʻikahi loa kēia i kēia manawa).
- Hiki iā ʻoe ke loaʻa i ka maʻi ma ka peʻa ʻana a i ʻole ke kī ʻana i ke kino me ka hoʻohana ʻana i nā lako i hoʻomaʻemaʻe pono ʻole ʻia . Pono ʻoe e makaʻala loa i kēia.
- Malia paha inā ʻoe e kaʻana like i kahi pahi ʻumiʻumi a i ʻole ka palaki niho me kekahi mea ʻē aʻe i piha i ke koko. E noʻonoʻo e kaʻana like i nā mea e like me kēia ma waena o nā hoaaloha ma kahi lumi moe, ʻeā? Aia kahi pilikia inā loaʻa iā ʻoe ke koko mai kahi ʻeha liʻiliʻi.
ʻO ka mea nui, ʻoiai inā ʻaʻohe ou hōʻailona a ʻaʻole ʻoe i ʻike he hepatitis C kou, hiki nō iā ʻoe ke hoʻolaha. Akā e hoʻomanaʻo, hoʻolaha wale ia ma o ke koko. ʻAʻole ia e laha ma o nā mea e like me ka lawai, ka hou, ka lulu lima, a i ʻole ka kaʻana like ʻana i ka meaʻai.
He aha ka mea e hiki mai ana iā ʻoe inā loaʻa iā ʻoe ka maʻi hepatitis C?
ʻAʻole like ka hopena o ka Hepatitis C i nā kānaka a pau. No kekahi poʻe, ma kahi o 30 mai ka 100 , ua hoʻomaʻemaʻe ʻia ka maʻi e ko lākou ʻōnaehana pale ponoʻī ke loaʻa mua iā lākou (ka wā koʻikoʻi). Hiki i kēia ke hala i kekahi mau mahina. Eia nō naʻe, no nā poʻe he nui (ma kahi o 70 mai ka 100), ʻaʻole kēia e hana ma kāna iho. Ma hope o nā mahina o ke kaua ʻana, hoʻomohala ke kino i kahi maʻi mau me ka maʻi, i ʻike ʻia he maʻi 'mau'.
He aha nā pilikia o ka loaʻa ʻana o ka hepatitis C no ka manawa lōʻihi?
ʻO ke ʻano o ka maʻi hepatitis C mau loa, aia ka mumū mau i loko o kou ake. Ua like kēia me ka maʻi ake mau. Hoʻopōʻino mālie kēia mumū mau i kou ake i nā makahiki he nui. Loaʻa ka ʻōpala i loko o ke ake, ka mea e pale ai iā ia mai ka hana maʻamau. Ua kapa ʻia kēia maʻi cirrhosis . ʻO kēia ke ʻano a ka poʻe he nui e makaʻu nei. Ke lilo ka cirrhosis i mea koʻikoʻi, hiki i ke ake ke hāʻule loa (ka hāʻule ʻana o ke ake mau).
ʻO ka Cirrhosis a me ka hāʻule ʻana o ke akepaʻa e hiki ke alakaʻi i nā pilikia hou aʻe, e like me:
- Hoʻonui ʻia ke kaomi i loko o nā kīʻaha koko e pili ana i ke akepaʻa (Portal Hypertension)
- Ka maʻi ʻaʻai ate
Pehea e ʻike ai nā kauka i kēia?
Inā manaʻo ʻoe he maʻi hepatitis kou, a inā he mau hōʻailona kou o ka maʻi akepaʻa, pono ʻoe e ʻike i ke kauka. E nānā ke kauka iā ʻoe a nānā no ka pehu ʻana, ka melemele o nā maka, a me nā mea ʻē aʻe.
Ma hope o kēlā, e noi ʻia ʻoe e hana i kekahi mau hoʻokolohua koko . ʻO nā mea nui:
- Hoʻāʻo antibody: Nānā kēia i kou koko no nā antibody e kūʻē i ka maʻi hepatitis C. Inā maikaʻi kēia, hōʻoia ia ua loaʻa iā ʻoe ka hepatitis C.
- Hoʻāʻo RNA: Inā he "maikaʻi" ka hoʻāʻo antibody, hana ʻia kēia hoʻāʻo ma hope. Nānā ia inā e hana mau ana ka maʻi i loko o kou kino. ʻO ia hoʻi, hiki iā ia ke haʻi inā ua hoʻomaʻemaʻe kou kino i ka maʻi ma kāna iho, a inā paha ua loaʻa iā ʻoe ka maʻi.
- Hoʻāʻo Genotype: Aia ma ka liʻiliʻi he ʻeono mau genotypes nui o ka maʻi hepatitis C. Hiki i kēia hoʻāʻo ke haʻi iā ʻoe i ke ʻano o ka maʻi āu. E kōkua kēia i kāu kauka e koho i ka lāʻau lapaʻau maikaʻi loa nāu.
- Nā hoʻāʻo hana ate (LFT): Nānā kēia i ke olakino holoʻokoʻa o kou ake.
Inā hōʻike nā hoʻokolohua koko ua hoʻopilikia ʻia kou akepaʻa, hiki i kāu kauka ke kauoha i nā hoʻokolohua ʻē aʻe e noiʻi hou aku i ka hōʻino ʻia o kou akepaʻa. ʻO kahi laʻana he scan ultrasound i kapa ʻia ʻo Transient Elastography (Fibroscan) . Hiki i kēia ke ana i ka paʻakikī o ke akepaʻa, a i ʻole ka nui o ka scarring/fibrosis.
He aha nā lāʻau lapaʻau?
He nūhou maikaʻi maoli kēia! I kēia manawa, aia nā lāʻau lapaʻau kūpono loa no ka maʻi hepatitis C. ʻO nā mea nui i hoʻohana ʻia, ʻo ia nā lāʻau 'direct-acting antiviral' (DAA) . He mau lāʻau lapaʻau kēia i lawe ʻia ma ke ʻano he mau pila. Aia ma mua o hoʻokahi kakini mau ʻano lāʻau 'DAA' e hana kūʻē i nā ʻano like ʻole o ka maʻi.
Eia kekahi mau lāʻau lapaʻau i kuhikuhi pinepine ʻia (ua kuhikuhi ʻia kēia e ke kauka):
- ʻElbasvir/grazoprevir (Zepatier®)
- ʻO Glecaprevir/pibrentasvir (Mavyret®)
- ʻO Ledipasvir/sofosbuvir (Harvoni®)
- ``Sofosbuvir/velpatasvir (Epclusa®)''
- ʻO ka lāʻau lapaʻau ʻo Sofosbuvir/velpatasvir/voxilaprevir (Vosevi®)
He mea paʻakikī paha kēia lāʻau lapaʻau iā ʻoe e hoʻomanaʻo, akā na ke kauka e koho i ka lāʻau lapaʻau kūpono nāu.
Inā ua loaʻa iā ʻoe ka maʻi hepatitis C no ka manawa lōʻihi a ua hōʻino nui ʻia kou akepaʻa, pono paha ʻoe i nā lāʻau ʻē aʻe. Hiki ke hoʻohuli ʻia kekahi o nā pōʻino, akā ʻaʻole hiki i kekahi. Pono paha ʻoe e mālama i nā hopena ʻē aʻe o ka maʻi akepaʻa. ʻO ka maʻamau, ʻelua a ʻeono mahina ka lōʻihi o kēia lāʻau `DAA`. I kekahi poʻe, hiki ke lōʻihi.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao nui mai kēia mau lāʻau lapaʻau 'DAA', akā hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao liʻiliʻi.
- ʻO kahi ʻeha iki o ka ʻōpū
- Ka maʻi pākī
- Luhi
- ʻEha poʻo
- Ka luaʻi
- I kekahi manawa he paʻakikī iki ka hanu ʻana
Inā loaʻa kekahi mea e like me kēia, pono ʻoe e haʻi i ke kauka.
He aha hou aʻe kaʻu e hana ai e pale aku i koʻu ake?
Inā loaʻa iā ʻoe ka maʻi akepaʻa, aia kekahi mau mea hiki iā ʻoe ke hana e pale aku i ka hōʻino hou ʻana o ke akepaʻa. He mea nui kēia no kekahi maʻi akepaʻa, ʻaʻole wale no ka maʻi hepatitis C.
- Inā ʻoe e inu i ka waiʻona, pono ʻoe e hoʻōki loa a hōʻemi nui paha. He ʻenemi ka waiʻona i ke akepaʻa.
- Inā ʻoe e puhipaka ana, e hoʻāʻo hoʻi e haʻalele i kēlā.
- Inā ʻaʻole ʻoe i loaʻa i nā lāʻau pale no ka Hepatitis A a me ka Hepatitis B, e kiʻi iā lākou. No ka mea, ʻo ke akepaʻa e loaʻa nei i ka Hepatitis C hiki ke paʻakikī ke mālama inā loaʻa iā ia kekahi ʻano hepatitis ʻē aʻe.
- E hoʻomau i ka launa pū ʻana me kāu kauka i kēlā me kēia manawa a e hahai pono i kāna mau ʻōlelo aʻoaʻo.
ʻAʻole hiki iā ʻoe ke pale iā ʻoe iho mai ka maʻi hepatitis C?
ʻO ke ala wale nō e pale aku ai iā ʻoe iho mai kēia, ʻo ia ke pale ʻana i ka loaʻa ʻana o ke koko i loaʻa i ka maʻi . ʻAʻohe lāʻau pale no ka hepatitis C i kēia manawa. Ke noiʻi nei nā kānaka ʻepekema iā ia, akā no ka mea he nui nā ʻano like ʻole o kēia maʻi a loli koke ia, he mea paʻakikī iki ka hana ʻana i kahi lāʻau pale e pono ai no nā mea āpau.
No laila, pono kākou e makaʻala e pili ana i nā ʻano hoʻoili a kākou i kūkākūkā ai ma mua:
- Inā ʻoe e hoʻohana i nā lāʻau lapaʻau, mai kaʻana like i nā nila. (ʻOiaʻiʻo, ʻoi aku ka maikaʻi o ka haʻalele loa ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau.)
- I ke kau ʻana i nā peʻa a i ʻole nā kī kino, e koho i nā wahi e hoʻohana wale ʻia ai nā lako hou a sterilized .
- Mai hoʻohana i nā ʻumiʻumi a i ʻole nā palaki niho o haʻi.
He aha ka wānana no ka maʻi hepatitis C?
Ua kamaʻilio mākou ma mua e pili ana i ke ʻano o kekahi poʻe, i nā pae mua o ka maʻi (pae koʻikoʻi), hiki ke hoʻōla iā lākou iho. Akā no nā poʻe he nui, lilo ia i maʻi maʻi mau. ʻOiai inā ʻaʻohe ou hōʻailona a ʻike paha ua loaʻa iā ʻoe, hoʻomau ka maʻi hepatitis C mau i ka hōʻino ʻana i kou akepaʻa i ka hala ʻana o ka manawa. ʻO ia ke kumu he mea nui e loaʻa nā nānā maʻamau.
Akā, ke ʻike ʻoe ua loaʻa iā ʻoe, ʻaʻohe mea e hopohopo ai. No ka mea , hiki ke ho'ōla loa ʻia ka hapa nui o nā maʻi hepatitis C me nā lāʻau antiviral i loaʻa i kēia manawa! ʻAʻohe mea i ka lōʻihi o kou loaʻa ʻana i ka maʻi, hiki ke ho'ōla ʻia.
Eia nō naʻe, no kekahi poʻe, ʻoiai ma hope o ka ho'ōla ʻia ʻana o ka maʻi hepatitis C, ʻaʻole paha e hoʻihoʻi ʻia kekahi o nā pōʻino i ke akepaʻa (ʻoi aku ka cirrhosis). Ma kahi o 20% o ka poʻe i loaʻa i ka maʻi no 20-30 mau makahiki e loaʻa paha kēia pōʻino hiki ʻole ke hoʻihoʻi ʻia.
E kahaha paha ʻoe a hopohopo hoʻi ke ʻike ʻoe he maʻi hepatitis C kou. ʻAʻole paha ʻoe e maʻi iki, a ʻaʻole paha ʻoe i ʻike pehea a i ka wā i loaʻa ai iā ʻoe. Akā, ʻoi aku ka maikaʻi o ka ʻike ʻana ua loaʻa iā ʻoe ma mua o ka ʻike ʻole. He maʻi hiki ke mālama ʻia ka maʻi hepatitis C. A inā ʻike ʻia a mālama ʻia i ka wā mua, hiki iā ia ke hoʻopakele i kou akepaʻa mai ka pōʻino lōʻihi.
E hoʻomanaʻo i ka mea nui loa (Leka Lawe-Home)
ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:
- He maʻi ʻo Hepatitis C e hōʻino ana i ke ake. ʻAʻole pinepine ia e hōʻike i nā hōʻailona i ka wā mua.
- Hoʻolaha nui ʻia ia ma o ka ʻai ʻana i ke koko i loaʻa i ka maʻi. Hiki nō hoʻi ke hoʻolaha ʻia ma o nā mea e like me ka kaʻana like ʻana i nā nila a me ke kiʻi ʻana i nā peʻa/piercings me nā lako hana i hoʻomaʻemaʻe ʻole ʻia.
- I kēia manawa, aia nā lāʻau lapaʻau kūpono loa no kēia (nā lāʻau 'DAA'). Hiki ke ho'ōla loa ʻia i loko o kekahi mau mahina.
- Inā manaʻo ʻoe ua pilikia paha ʻoe, a inā he mau hōʻailona kou o ka maʻi akepaʻa, e ʻike pono i ke kauka no ka nānā ʻana.
- Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke pale ʻia ka hōʻeha nui ʻana i ke akepaʻa (cirrhosis, cancer).
- Mai hopohopo! ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻia a hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono.
Inā he mau nīnau hou aku kāu e pili ana i kēia, mai hilahila a nīnau i kāu kauka. E noho olakino!
ʻO ka Hepatitis C, ke akepaʻa, ka maʻi, nā hōʻailona, ka lāʻau lapaʻau, ka laha ʻana, ka cirrhosis, HCV, ka maʻi akepaʻa
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