E aʻo hou kākou e pili ana i ka Hepatitis D. He mea kūikawā iki kēia!

Ua lohe paha ʻoe i nā maʻi like ʻole o ke akepaʻa. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi like, akā ʻokoʻa iki. ʻO ia ka Hepatitis D. He aha ka mea kūikawā e pili ana iā ia, pehea e pale aku ai, e ʻike kākou i nā mea āpau e pili ana i kēia lā.

He aha ka maʻi Hepatitis D?

I ka ʻōlelo maʻalahi, ʻo ka Hepatitis D kahi maʻi viral e hoʻoulu ai i ka mumū o ke ake . Eia naʻe, ʻo ka ʻokoʻa nui loa, ʻaʻole hiki i ka maʻi Hepatitis D (HDV) ke hoʻoulu i ka maʻi ma kāna iho. ʻAʻole anei he mea kupaianaha? ʻAe, i mea e hoʻoulu ai kēia maʻi i ka maʻi i loko o kou kino, pono e hui pū ʻia me ka maʻi Hepatitis B (HBV) . ʻO ia hoʻi, hiki iā ʻoe ke hoʻomohala i ka Hepatitis D ke loaʻa iā ʻoe ka Hepatitis B, a i ʻole ke loaʻa iā ʻoe ka Hepatitis B. Maopopo iā ʻoe? ʻAʻole loa.

Hiki ke loaʻa ka maʻi Hepatitis D ma nā ʻano ʻelua:

1. Ka maʻi ʻoi loa: I kēia hihia, ʻike koke ʻia nā hōʻailona a hiki ke mau no kekahi mau pule a mau paha nā mahina. I kekahi manawa, hiki ke hoʻomaikaʻi iā ia iho.

2. Maʻi mau: ʻO kēia ka mea weliweli loa. Hiki i kahi maʻi ʻoi ke lilo i maʻi mau. I kēlā hihia, mau nā hōʻailona no ʻeono mahina a ʻoi. Hiki i kēia ke hōʻeha i ke akepaʻa no ka manawa lōʻihi.

He aha nā ʻano o ka Hepatitis D?

E nānā kākou i nā ʻano nui ʻelua o ka maʻi Hepatitis D me nā kikoʻī hou aku.

He aha ka Coinfection?

ʻO ka maʻi like ʻana ke loaʻa iā ʻoe ka maʻi hepatitis B (HBV) a me ka maʻi hepatitis D (HDV) i ka manawa like . E noʻonoʻo e like me ka hoʻouka ʻia ʻana e nā maʻi ʻelua i ka manawa hoʻokahi. I kēia hihia, like nā hōʻailona me nā maʻi hepatitis B, akā hiki i nā maʻi ʻelua ke ʻoi aku ka ʻino no ka mea aia pū lāua. ʻO ke ʻano kēia, hiki i ka maʻi ke ʻoi aku ka ʻino. Akā aia ka nūhou maikaʻi. Ke loaʻa iā ʻoe kēia hui pū ʻana, ʻoi aku ka haʻahaʻa o ka manawa e lilo ai i mea maʻi mau.

He aha ka superinfection?

I kēia manawa, he ʻano ʻokoʻa iki ka superinfection a ʻoi aku ka weliweli . ʻO ka mea e hana ʻia, ua loaʻa iā ʻoe kahi maʻi hepatitis B , ʻo ia hoʻi, aia ka maʻi HBV i loko o kou kino (hiki ke mau loa). A laila, loaʻa iā ʻoe kahi maʻi hou me ka maʻi hepatitis D (HDV). Ua like ia me ka loaʻa ʻana o hoʻokahi maʻi a laila hele mai kekahi maʻi ʻē aʻe. Ke loaʻa iā ʻoe kahi superinfection e like me kēia, hiki i kāu mau hōʻailona hepatitis B ma mua ke ʻike hou ʻia a i ʻole e ʻoi aku ka koʻikoʻi . I ka hapanui o nā hihia, he kiʻekiʻe loa ka manawa o kēia superinfection e lilo i maʻi mau loa (ma kahi o 90%).ʻO ia hoʻi, hiki i ka maʻi ke hoʻomau i loko o ke kino no ka manawa lōʻihi a kiʻekiʻe hoʻi ka nui o ka hōʻino ʻia o ke akepaʻa.

He aha nā hōʻailona o ka Hepatitis D?

Ua like loa nā hōʻailona o ka Hepatitis D me nā ʻano hepatitis ʻē aʻe. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​hiki iā ʻoe ke manaʻo i kēia mau mea:

• Kuni .
• ʻEha ka ʻōpū , ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū (kahi o ke akepaʻa).
• Ka luaʻi a me ka luaʻi .
• ʻAnorexia , ka nalowale ʻana o kekahi makemake e ʻai.
• Ke ʻeleʻele nei kou mimi , e like me ke kala o ka wai tī.
• Ma ka ʻaoʻao ʻē aʻe, e melemele kou noho, a malia paha he hina hina .
• Melemele nā ​​maka, melemele ka ʻili - ʻo ia ka mea a mākou e kapa nei he jaundice . Hana ʻia kēia ke hiki ʻole i ke akepaʻa ke hana pono i kahi mea i kapa ʻia ʻo bilirubin.
• Manaʻo luhi .

Hiki i ka maʻi Hepatitis D ke hoʻonui i nā hōʻailona o ka hepatitis B i loaʻa iā ʻoe.

He aha ke kumu o ka Hepatitis D?

ʻO ke kumu o kēia, ʻo ia ka Hepatitis Delta Virus , a i ʻole HDV no ka pōkole. Akā e like me kā mākou i ʻōlelo ai ma mua, ʻaʻole hiki iā ia ke hana i kekahi mea ma kāna iho. Pono maoli ia i ka Hepatitis B Virus (HBV) e ola a hana i nā kope hou aʻe o ka virus (ʻo ia hoʻi, e laha). ʻO ia ke kumu, inā makemake ʻoe e loaʻa i ka Hepatitis D, pono nō hoʻi ʻoe e loaʻa ka virus HBV i loko o kou kino.

Pehea e laha ai ka maʻi Hepatitis D?

Hoʻolaha ʻia ka Hepatitis D ma ke ʻano like me ka Hepatitis B. ʻO ia hoʻi, ke komo ke koko a i ʻole nā ​​wai kino ʻē aʻe (e like me ka semen, nā mea hoʻokahe wahine) o kahi kanaka i loaʻa i ka maʻi i loko o ke kino o ke kanaka olakino. Eia nā ala nui e laha ai:

• Mai ka moekolohe pale ʻole (ʻo ia hoʻi, ʻaʻole e hoʻohana i ka condom i ka wā o ka moekolohe vaginal, oral, a anal paha).
• Ma ka kaʻana like ʻana i nā nila a me nā syringe i hoʻohana ʻia i ka wā e hoʻokomo ai i nā lāʻau lapaʻau . Hiki nō hoʻi kēia ke hana inā ʻaʻole i hoʻomaʻemaʻe pono ʻia nā lako i hoʻohana ʻia e hoʻokomo i kekahi mau lāʻau lapaʻau.
• No nā limahana mālama ola, ua paʻa ulia me kahi mea e like me ke nila i ka wā e hana ana me nā mea maʻi.
• Hiki ke laha ka maʻi mai ka makuahine a i ka pēpē i ka wā hānau keiki. Eia nō naʻe, he mea kakaikahi kēia, ʻoiai inā e lawe ʻia nā hana palekana e pono ai.
• Aia kekahi pilikia i ka hoʻohana ʻana i nā lako i hoʻomaʻemaʻe ʻole ʻia i ka wā e peʻa ai a i ʻole e hoʻopuehu pepeiao.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka Hepatitis D?

ʻOi aku ka nui o ka pilikia o nā hui ma lalo nei i ka hoʻomohala ʻana i ka Hepatitis D:

• ʻO ka poʻe i loaʻa mua i ka maʻi Hepatitis B(Me ka ʻole o kēia, ʻaʻole e hoʻokumu ʻia ʻo D!)
• ʻO ka poʻe e hoʻokomo ana i nā lāʻau lapaʻau , ʻoiai inā lākou e kaʻana like i nā nila.
• ʻO nā poʻe e moe kolohe ana me kekahi mea i loaʻa i ka hepatitis B (HBV) a me D (HDV).
• ʻO ka poʻe e noho ana ma ka hale hoʻokahi me kekahi me ka maʻi hepatitis B (HBV) a me D (HDV) (e.g., inā lākou e kaʻana like i nā mea e like me nā ʻumiʻumi a me nā pulupulu niho).
• Nā kānaka me ka maʻi HIV .
• I ka wā e moe ai nā kāne me nā kāne (me ka pale ʻole ʻia).
• ʻO ka poʻe e hana ana i ka mālama ola kino a i ʻole nā ​​​​​​ʻoihana ʻē aʻe e launa pinepine me ke koko a me nā wai o ke kino.
• ʻO nā kānaka me nā maʻi puʻupaʻa e hana ʻia ana i ka hemodialysis .

He aha nā pilikia e hiki ke loaʻa mai ka Hepatitis D?

ʻO ka Hepatitis D, ʻoiai inā lilo ia i mea maʻi, hiki ke hōʻeha nui i ke akepaʻa. Eia kekahi o nā pilikia nui:

• ʻO Cirrhosis: ʻO kēia ka wā e lilo mālie ai ke akepaʻa i ʻeha a hiki ʻole ke hana i kāna mau hana maʻamau. E like me ka hana ʻana o kahi ʻeha ma ko mākou ʻili ke loaʻa iā mākou kahi ʻeha, loaʻa pū kekahi ʻeha ma ke akepaʻa. Hoʻopilikia kēia i ka hana o ke akepaʻa.
• Ka hāʻule ʻana o ke akepaʻa: He kūlana koʻikoʻi kēia. ʻAʻole hiki i ke akepaʻa ke hana i kekahi o kāna hana. Hiki ke hoʻoweliweli i ke ola.
• ʻO ka maʻi kanesa Hepatocellular: He ʻano maʻi kanesa kēia e ulu ana i loko o ke ake. ʻOi aku ka nui o ka pilikia o ka poʻe me ka hepatitis D mau loa i ka loaʻa ʻana o kēia maʻi kanesa.

Pehea e ʻike ai inā loaʻa iā ʻoe ka Hepatitis D?

Inā loaʻa iā ʻoe nā hōʻailona o ka Hepatitis D, a inā paha ʻoe i loko o kahi hui pilikia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a hoʻāʻo ʻia. Hoʻohana nui nā kauka i nā hoʻāʻo koko e ʻike i kēia. E nānā ke keʻena hoʻokolohua i kou koko no nā ʻāpana o ka maʻi (HDV RNA) a i ʻole no nā antibodies (anti-HDV antibodies) i hana ʻia e kūʻē i ka maʻi.

Eia kekahi, pono paha ʻoe e hana i kahi scan ultrasound , nā scan kūikawā e like me FibroScan a i ʻole Elastography , a i kekahi manawa he biopsy ate e nānā i ke kūlana o kou ake a ʻike inā he mau ʻeha.

Aia kekahi lāʻau lapaʻau piha no ka Hepatitis D?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau no ka Hepatitis D i kēia manawa . ʻO kēia ka mea kaumaha loa. Eia nō naʻe, hiki i nā maʻi HDV koʻikoʻi ke hoʻomaikaʻi i kekahi manawa me ka ʻole o ka lāʻau lapaʻau (ʻoi aku hoʻi i nā hihia o ka maʻi hui pū ʻana).

Akā no ka poʻe me ka maʻi hepatitis D mau loa, hiki i nā kauka ke hāʻawi i kēia mau lāʻau lapaʻau. Hoʻāʻo kēia mau lāʻau lapaʻau e kāohi i ka maʻi, hōʻemi i ka hōʻino ʻana i ke akepaʻa, a pale i nā pilikia.

• ʻO ka inikini Peginterferon alfa: He inikini kēia āu e lawe ai i hoʻokahi manawa i ka pule. Hāʻawi pinepine ʻia no hoʻokahi makahiki. Kōkua ia i kāu ʻōnaehana pale e hakakā i nā maʻi. Akā hiki ke loaʻa nā hopena ʻaoʻao.
• ʻO Bulevirtide (Hepcludex®): He lāʻau antiviral hou kēia. Kāohi ia i ka maʻi HDV mai ke komo ʻana i nā ʻāpana akepaʻa. Ua ʻāpono ʻia no ka mālama ʻana i ka HDV ma kekahi mau ʻāina, akā ʻaʻole ma nā wahi āpau.
• Hoʻoili akepaʻa: Inā ua hōʻino nui ʻia kou akepaʻa a ua hāʻule, pono paha kahi hoʻoili akepaʻa hou ma ke ʻano he koho hope loa.

Ke noiʻi ʻia nei nā lāʻau lapaʻau hou.

He aha ka mea e hana ai inā loaʻa iaʻu ka Hepatitis D?

Inā ua ʻike ʻia ʻoe me ka hepatitis D, e nānā pono kāu kauka i ke olakino o kou ake . Hiki i kēia ke komo pū me nā nānā mau ʻana, nā hoʻāʻo koko, a me nā scan. Hiki i ka maʻi hepatitis D koʻikoʻi a i ʻole HBV/HDV coinfection ke hoʻopau me ka ʻole o ka lāʻau lapaʻau i loko o kekahi mau pule a i ʻole mau mahina.

Eia nō naʻe, i ka hapanui o nā hihia, lilo ka superinfection i ka hepatitis D mau loa. Hiki i ka maʻi mau ke mau ma mua o ʻeono mahina, i kekahi manawa he mau makahiki. Hiki i kāu kauka ke mālama iā ʻoe no hoʻokahi makahiki a ʻoi aku paha.

He aha ka wānana no ka Hepatitis D?

He mea kākaʻikahi loa ka make mai ka maʻi hui pū ʻana o HBV/HDV (ma kahi o 1-5%), akā hiki ke lōʻihi ka ho'ōla ʻana i nā pule a i ʻole nā ​​mahina.

Eia nō naʻe, ʻoi aku ka koʻikoʻi o ka maʻi HBV/HDV mau loa . Ma waena o 70% a me 80% o ka poʻe me kēia maʻi e loaʻa i ka cirrhosis. Hiki ke hana koke kēia, i loko o nā makahiki ʻelua mua o ka maʻi, a i ʻole hiki ke hala i 5 a 10 mau makahiki. ʻO ka mea pōʻino, he hapa nui o ka poʻe me ka hepatitis D mau loa (wahi a kekahi mau hōʻike he 15% i loko o 5-10 mau makahiki) e make mai nā pilikia e like me ke kanesa o ke akepaʻa a i ʻole ka hāʻule ʻana o ke akepaʻa. ʻO ia ke kumu he mea nui ka ʻike mua a me ka hoʻokele ʻana.

Hiki ke pale ʻia ka Hepatitis D?

ʻAe, hiki iā ʻoe! ʻO ke ala maikaʻi loa a koʻikoʻi loa e pale aku iā ʻoe iho mai ka Hepatitis D, ʻo ia ka pale ʻana iā ʻoe iho mai ka Hepatitis B. No ka mea, ʻaʻole hiki i ka Hepatitis D ke ulu me ka ʻole o ka Hepatitis B.

• E loaʻa i ka lāʻau pale no ka Hepatitis B.ʻO kēia ka mea nui loa. He palekana loa a he pono kēia lāʻau pale. Inā ʻaʻole ʻoe i loaʻa i ka Hepatitis B, e kiʻi pono i kēia lāʻau pale.
• Inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka maʻi hepatitis B (no ka laʻana, inā ua loaʻa iā ʻoe ke koko o kahi kanaka i loaʻa i ka maʻi), hiki iā ʻoe ke loaʻa ka lāʻau pale i ka wā hikiwawe loa. Hiki iā ʻoe ke loaʻa i kahi lāʻau i kapa ʻia ʻo hepatitis B immune globulin (HBIG) i loko o 24-48 mau hola. Hiki i kēia ke kōkua i ka pale ʻana i ka maʻi.

Inā loaʻa iā ʻoe ka Hepatitis B, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kou pilikia o ka hoʻomohala ʻana i kahi superinfection:

• E ʻaʻahu i nā mīkina lima sterile i ka wā e pili ana ʻoe i ke koko, ka ʻōpala i ʻeha, a i ʻole nā ​​​​​​wai kino ʻē aʻe.
• Mai kaʻana like i nā nila a me nā syringe i hoʻohana ʻia e hoʻokomo i nā lāʻau lapaʻau me nā poʻe ʻē aʻe .
• Mai kaʻana like i nā mea pilikino e like me nā pulupulu niho a me nā ʻumiʻumi me nā poʻe ʻē aʻe .
• E hoʻohana i ka condom i kēlā me kēia ʻano moekolohe.
• E lawe i ka lāʻau antiviral no ka Hepatitis B e like me ka mea i kauoha ʻia e kāu kauka.

Inā hāpai ʻoe a loaʻa iā ʻoe ka maʻi Hepatitis B a i ʻole HBV/HDV, hiki i nā kauka ke hōʻemi nui i ka pilikia o ka loaʻa ʻana o kāu pēpē i ka maʻi ma ka hoʻopili ʻana a me ka mālama ʻana i kāu pēpē ma hope koke o ka hānau ʻana.

Pehea e hiki ai iaʻu ke mālama i koʻu olakino? (Inā loaʻa iaʻu ka maʻi hepatitis)

Inā loaʻa iā ʻoe ka maʻi hepatitis (B a i ʻole D), aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka hōʻino ʻana i kou akepaʻa:

• E pale loa i ka waiʻona. Ke komo ka waiʻona i loko o ke akepaʻa, hōʻino ia i kona mau hunaola. ʻAʻole hiki i kahi akepaʻa maʻi ke lawelawe i kēia.
• Inā ʻoe e puhipaka, e hoʻōki, a i ʻole mai hoʻomaka. He mea ʻino nō hoʻi ka puhipaka no ke akepaʻa.
• E mālama i ke kaumaha olakino e kūpono iā ʻoe. ʻO ka momona nui/momona hiki ke hoʻonui i ka maʻi akepaʻa momona ma ka hoʻoulu ʻana i ka momona e hōʻiliʻili i loko o ke ake.
• E nīnau i kāu kauka a meaʻai meaʻai paha e pili ana i nā meaʻai āu e ʻai ai a pale aku ai i mea e ola ai kou akepaʻa. He mea nui ka ʻai kaulike.
• E nīnau i kāu kauka i nā lāʻau lapaʻau over-the-counter (OTC) e palekana nou a me nā mea āu e kaupalena ai. No ka laʻana, ʻo ka lawe ʻana i nā lāʻau ʻeha e like me ka acetaminophen (Tylenol®) i nā manawa a pau ʻaʻole ia he mea maikaʻi no kou akepaʻa. No laila e hoʻohana wale iā lākou e like me ke kuhikuhi a kāu kauka.
• E hele i nā manawa i koho ʻia e kāu kauka i ka manawa kūpono a e loaʻa i nā hoʻokolohua āpau i ʻōlelo ʻia e nānā i ke olakino o kou ake. He mea nui loa kēia.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi hepatitis (e like me ke kuni, ʻeha kino, nalowale o ka makemake, jaundice), a inā loaʻa iā ʻoe ka maʻi hepatitis B a ʻoi koke ka ʻino o kāu mau hōʻailona, ​​​​e ʻike pono i ke kauka . Eia kekahi, inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka maʻi hepatitis B a i ʻole D, e ʻimi i ka ʻōlelo aʻo lapaʻau.

Āhea wau e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia o ka haukapila :

• Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū .
• Inā ʻoe e luaʻi nui ana , a inā ʻaʻole hiki iā ʻoe ke hoʻomau i kekahi mea i lalo.
• Inā ʻoe e luaʻi i ke koko a i ʻole ka luaʻi ʻana ua like ia me ka lepo kofe.
• Inā ua piʻi aʻe ka jaundice (lilo nā maka a me ka ʻili i melemele ʻeleʻele).
• Inā ʻike ʻia ua hemahema ka ʻike , inā paʻakikī ke noho ʻike, inā loaʻa ka huikau (kapa mākou i kēia he encephalopathy hepatic ).
• Inā he ʻeleʻele ʻeleʻele ka mimi a i ʻole ua emi nui ka nui o ka mimi i hana ʻia.
• Inā he lepo a he ʻōmaʻomaʻo paha ke kala o kou noho .
• Inā pehu loa kou ʻōpū.

He mau hōʻailona paha kēia o ka hōʻino nui ʻana o ke akepaʻa.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe i ke kauka, hiki ke kōkua i ka nīnau ʻana i nā nīnau e like me kēia:

• He aha ke ʻano o ka maʻi hepatitis iaʻu?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pehea ka lōʻihi o kēia lāʻau lapaʻau?
• Pehea e hoʻohana ai au i kēia lāʻau lapaʻau? Aia kekahi mau hopena ʻaoʻao?
• Aia kekahi mau hōʻailona hou a i ʻole nā ​​​​hōʻailona e ʻoi aʻe ana e pono iaʻu e makaʻala nui?
• Pehea ke ʻano o koʻu ake i kēia manawa? He aha nā hoʻokolohua e pono iaʻu e hana i ka wā e hiki mai ana?
• He aha kaʻu e hana ai e pale aku i kēia mai ka laha ʻana i nā poʻe ʻē aʻe?
• Inā loaʻa iaʻu ka Hepatitis B, he aha hou kaʻu e hana ai e pale aku ai i ka loaʻa ʻana o ka Hepatitis D?

He aha ka ʻokoʻa ma waena o ka maʻi Hepatitis B a me ka maʻi Hepatitis D?

ʻElua ʻano maʻi viral ʻo Hepatitis B a me Hepatitis D. Hoʻopilikia nā mea ʻelua i ke akepaʻa. Akā ʻo ka ʻokoʻa nui, hiki i ka Hepatitis D ke hoʻopili iā ʻoe inā loaʻa iā ʻoe ka Hepatitis B, a inā paha ua loaʻa iā ʻoe ka Hepatitis B. Ua like ka maʻi Hepatitis D (HDV) me kahi maʻi "ʻaʻole piha"; ʻaʻole hiki iā ia ke hana ma kāna iho, pono ia i ke "kōkua" mai ka HBV.

ʻAʻole nā ​​kānaka a pau i loaʻa i ka maʻi hepatitis B e loaʻa i ka maʻi hepatitis D. ʻO kaʻoiaʻiʻo, he nui ka poʻe i loaʻa i ka maʻi hepatitis B ʻaʻole i loaʻa i ka maʻi hepatitis D.

Pehea ka maʻamau o ka Hepatitis D?

Ma waena o 5% a me 15% o ka poʻe o ka honua holoʻokoʻa i loaʻa i ka hepatitis B.– ʻO ia hoʻi, ma waena o 12 a me 45 miliona mau kānaka – ua loaʻa pū kekahi i ka HDV, wahi a nā loea. ʻO ka maʻi Hepatitis D ka mea maʻamau ma nā ʻāpana o ʻApelika (e.g., ʻApelika Waena), ʻĀsia (e.g., Mongolia, Pakitana), ka Amazon River Basin ma ʻAmelika Hema, a me nā ʻāpana o ʻEulopa Hikina. ʻAʻole ia he mea maʻamau ma ʻAmelika Hui Pū ʻIa a i ʻole ʻEulopa Komohana. ʻAʻole ia he mea maʻamau ma Sri Lanka, akā aia ka pilikia.

ʻOkoʻa iki ka hana a ka maʻi hepatitis D ma mua o nā maʻi ʻē aʻe. ʻO ia hoʻi, pono ia i ke kōkua o ka maʻi hepatitis B (HBV) e hoʻoulu ai i kahi maʻi. ʻO ka mea pōmaikaʻi, ʻo nā hana āpau āu e hana ai e pale aku iā ʻoe iho mai ka HBV e kōkua pū iā ʻoe e pale aku iā ʻoe mai ka hepatitis D. Eia kekahi, ʻo ka hoʻolauna ʻia ʻana o ka lāʻau pale hepatitis B i alakaʻi i ka emi ʻana o ka nui o ka poʻe me ka hepatitis B a, no laila, ka hepatitis D ma ka honua holoʻokoʻa. He mea nui loa kēia no ka mea hiki i kekahi poʻe ke loaʻa ka hepatitis B me ka ʻole o nā hōʻailona.

Inā loaʻa iā ʻoe kahi maʻi mau, e hana pū me kāu kauka e nānā mau i ke olakino o kou ake. ʻO ka noiʻi ʻana i nā lāʻau lapaʻau hou e hāʻawi paha i nā koho lapaʻau hou aʻe i ka wā e hiki mai ana.

ʻO ka mea nui loa e pono ai kākou e aʻo mai kēia

No laila, he ʻano maʻi akepaʻa kūikawā ʻo Hepatitis D. ʻO ka mea nui e hoʻomanaʻo ai, no ka hiki ʻana mai o kēia, pono e loaʻa pū ka maʻi Hepatitis B i loko o ke kino. No laila, ʻo ka pale ʻana iā ʻoe iho mai ka Hepatitis B ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka Hepatitis D.

ʻO ka loaʻa ʻana o ka lāʻau pale Hepatitis B, ka hana ʻana i ka moekolohe palekana, a me ka ʻole o ka kaʻana like ʻana i nā nila inā ʻoe e hoʻohana i nā lāʻau lapaʻau e pale aku iā ʻoe mai ka Hepatitis D.

Inā loaʻa iā ʻoe ka Hepatitis B, mai hopohopo. Akā e hōʻoia e hahai i nā ʻōlelo a kāu kauka, e hana i nā hoʻokolohua maʻamau, a pale i nā mea e hiki ke hōʻino i kou ake (ʻoi aku ka waiʻona a me kekahi mau lāʻau lapaʻau kūʻai ʻole ʻia). Hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka Hepatitis D.

E makaʻala i nā hōʻailona. Inā he kānalua kou, mai hoʻokaʻulua e ʻike i ke kauka. ʻO ka wikiwiki o kou ʻike ʻana, ʻoi aku ka maikaʻi o kou kūlana e ola ai i kahi ola olakino me nā pilikia liʻiliʻi.

Hepatitis D, Hepatitis D, Ake, Maʻi ake, Virus, Hepatitis B, Hepatitis B, HDV, HBV, Jaundice, Cirrhosis, ʻAʻole hiki ke hoʻokō ʻia ke ake, Kanesa ake