Yu dɔn ɛva yɛri bɔt Epataytis C? Sɔntɛm yes, sɔntɛm nɔ. Na vayrɔs we de slip insay yu bɔdi ɛn pwɛl yu liva. Bɔrku pipul nɔr kin ivin no se dɛn gɛt am bikɔs i nɔr kin sho ɛni sayn fɔs. Bɔt nɔ wɔri, gud tritmɛnt dɛn de fɔ am naw!
Wetin na Epataytis C?
Fɔ tɔk am simpul wan, Epataytis C na sik we wan vayrɔs we de atak wi liva kin kam wit. We dis vayrɔs we dɛn kɔl Epataytis C Vayrɔs (HCV) go insay wi liva, i kin mek wi gɛt inflamɛns. Jɔs lɛk we wi gɛt wund, i kin swel. Dis inflamɛns kin pwɛl di liva smɔl smɔl. Bɔku tɛm, if dɛn nɔ trit am, i nɔ go bɛtɛ fɔ insɛf. As tɛm de go, di liva kin pwɛl bad bad wan. Bɔt gud nyus de! Naw nyu mɛrɛsin dɛn de we kin mɛn Epataytis C. Di prɔblɛm na dat bɔku pipul dɛn nɔ kin sho di sik ɛn nɔ kin no se dɛn gɛt am.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Na dis na di impɔtant tin. Bɔrku pipul nɔr kin sho ɛni sayn! Dat na di pat we de mek pɔsin fred pas ɔl pan dis sik. Bɔt sɔm pipul dɛn kin sho sɔm sayn dɛn we di vayrɔs go insay di bɔdi ɛn di bɔdi bigin fɔ fɛt am, dat na, di tɛm we di ‘akyu’ faz de.
Akyu simptom dɛn
Dɛn sayn ya kin tan lɛk bak wae pɔrsin gɛt kɔmɔn kol. Tek wan luk:
- I kin tan lɛk se yu bɛlɛ de at.
- Dak urine, sɔntɛm layt stɔl
- Di sayn dɛm we fiba di wan dɛm wae gɛt kol ɔr flu, lɛk fiva, bɔdi pen, nɔs, ɛn taya
- Di skin we de yɔlɔ ɛn di wayt we de na di yay. Wi kin kɔl dis bak ‘jaundice’.
Simptom dɛm wae kin apun fɔ lɔng tɛm (Chronic) .
Naw, if yu nɔr gɛt di akyu sik wae wi bin dɔn tɔk bɔt, yu nɔr kin fil natin fɔ lɔng lɔng tɛm. Dis na wetin wi kin kɔl ‘chronic’ hepatitis C. Bɔt as di liva de bigin fɔ wok smɔl smɔl, sɔm kayn sik dɛn lɛk dis kin apin:
- Ɔl di sayn dɛm wae wi bin dɔn tɔk bɔt (lɛk bɛlɛ at, janda) kin kam bak.
- Nɔto dat nɔmɔ, bɔt dɛn kin ad ɔda nyu tin dɛn bak:
- Blɔd na di stɔl ɔ blɔd we de vɔmit
- Blɔd bɔku tɛm, i kin tɔn blu ivin if yu gɛt smɔl brus
- Wan it we pɔsin nɔ ebul fɔ bia ɔlsay na di bɔdi
- Di palm dɛn kin tan lɛk rɛd ɔ dak.
- Spayda angiomas (smɔl smɔl blɔd vesel dɛn we tan lɛk spayda na di skin) .
- di bכdi fulכp wit wata εn di bכdi de swel (wi kכl dis `(Ascites)`)
Aw dis kin pas to pɔsin?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Epataytis C kin pas tru blɔd mɔ . Dat min se i kin pas we pɔsin we gɛt di Epataytis C Vayrɔs (HCV) in blɔd go insay ɔda pɔsin in bɔdi. Tink bɔt am lɛk fɔ sheb nidul dɛn we dɛn kin yuz fɔ injɛkt drɔgs.Dɛn ripɔt se dis na di men we aw dis kin pas na bɔku say dɛn na di wɔl.
Bɔt ɔda we dɛn de we dɛn kin mek i skata:
- di pikin kin gεt epataytis C frכm mama we gεt am (we i bεlε כ we i bכn).
- Trade, pipul dɛn bin de gɛt di sik bay we dɛn de gi dɛn blɔd we dɛn nɔ bin de tɛst dɛn fayn fayn wan. Bɔt naw da risk de dɔn smɔl, bikɔs dɛn kin tɛst blɔd gud gud wan we dɛn gi am.
- Sɔntɛnde, ivin na ɔspitul, if dɛn yuz ikwipmɛnt we dɛn nɔ sterilayz fayn, i kin pas tru blɔd (bɔt dis sɛf nɔ kin bɔku naw).
- Yu kin gɛt di sik bay we yu gɛt tatu ɔ yu bɔdi piercing yuz ikwipmɛnt we dɛn nɔ sterilayz fayn . Yu nid fɔ rili tek tɛm wit dis.
- Sɔntɛm if yu sheb reza ɔ tut brɔsh wit ɔda pɔsin we gɛt blɔd. Imajin se yu de sheb tin dɛn lɛk dis wit yu padi dɛn na dɔm, nɔto so? Risk de if yu gɛt blɔd frɔm smɔl wund.
De impɔtant tin na dat, ivin if yu nɔr gɛt di sik ɛn nɔr no se yu gɛt epataytis C, yu kin stil spre am. Bɔt mɛmba se na blɔd nɔmɔ i kin pas. I nɔr de spre tru tin dɛm lɛk saliva, swet, shek an, ɔr sheb it.
Wetin kin apin to yu if yu gɛt epataytis C?
Epataytis C nɔ kin afɛkt ɔlman di sem we. Fɔ sɔm pipul dɛm, lɛk 30 pan 100 , di vayrɔs kin klin bay dɛn yon imyun sistɛm we dɛn fɔs gɛt am (di akyu faz). Dis kin tek sɔm mɔnt. Bɔt fɔ bɔku pipul dɛn (lɛk 70 pan 100 pipul dɛn), dis nɔ kin apin fɔ insɛf. Afta sɔm mɔnt we dɛn dɔn fɛt, di bɔdi kin dɔn gɛt wan sik we de kɔntinyu fɔ gɛt di vayrɔs, we dɛn kɔl ‘chronic’ infection.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt epataytis C fɔ lɔng tɛm?
Krכnik epataytis C infεkshכn min se yu liva gεt inflameshn we de kכntinyu. Dis tan lɛk sik we nɔ de mɛn na di liva. Dis inflamɛns we de kɔntinyu fɔ pwɛl yu liva smɔl smɔl fɔ lɔng tɛm. Ska kin apin na di liva, we kin mek i nɔ ebul fɔ wok fayn fayn wan. Dɛn kɔl dis sik we dɛn kɔl sirosis . Dis na di kɔndishɔn we bɔku pipul dɛn kin fred. We sirosis kin tranga, di liva kin pwɛl kpatakpata (chronic liver failure).
Sirosis ɛn liva we nɔ de wok fayn kin mek yu gɛt ɔda prɔblɛm dɛn, lɛk:
- di prεshכn we de go כp na di bכdi we kכnekt to di liva (Portal Hypertension) .
- Liva Kansa
Aw dɔktɔ dɛn kin fɛn dis?
If yu tink se yu gɛt epataytis, ɔ if yu gɛt sayn dɛn fɔ gɛt liva sik, yu fɔ go to dɔktɔ. Di dɔktɔ go chɛk yu ɛn chɛk fɔ si if yu yay dɔn swel, yu yay dɔn yɔlɔ, ɛn ɔda tin dɛn.
Afta dat, dɛn go aks yu fɔ du bɔku blɔd tɛst dɛn . Di men wan dɛn na:
- Antibodi test: Dis de chɛk yu blɔd fɔ antibodies agens di hepatitis C vayrɔs. If dis na pɔsitiv, i de kɔnfirm se yu dɔn ɛva gɛt epataytis C.
- RNA tεst: If di antibodi tεst na ``positiv``, dεn de du dis tεst nεks. I de chɛk if di vayrɔs stil de wok na yu bɔdi. Dat min se, i kin no if yu bɔdi dɔn klin di vayrɔs fɔ insɛf, ɔ if yu stil gɛt di sik.
- Jεnotayp tεst: כlmost siks men jεnotayp dεm de fכ di epataytis C vayrus. Dis tɛst kin tɛl yu us kayn vayrɔs yu gɛt. Dis go ɛp yu dɔktɔ fɔ pik di bɛst tritmɛnt fɔ yu.
- Liva fכnshכn tεst (LFT): Dis dεm de chεk di כvala hεlth fכ yu liva.
If blɔd tɛst sho se yu liva dɔn afɛkt, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no mɔ bɔt aw yu liva dɔn pwɛl. Wan ɛgzampul na wan ɔltra saund skan we dɛn kɔl Transient Elastography (Fibroscan) . dis kin mכsu aw di liva stif, כ di εnd we di ska/fibrosis de.
Wetin na di tritmɛnt dɛn?
Dis na rili gud nyus! Naw, tritmɛnt dɛn de we rili fayn fɔ ɛp epataytis C. Di men wan dɛn we dɛn kin yuz na ‘dayrɛkt-aktin antivayral’ (DAA) drɔgs . Dis na mɛrɛsin dɛn we dɛn kin tek as pils. I pas wan duzin kayn `DAA` drɔgs we de wok agens difrɛn kayn vayrɔs.
Na sɔm mɛrɛsin dɛn we dɛn kin gi pɔsin (na di dɔktɔ kin gi dɛn mɛrɛsin ya):
- `Elbasvir/grazoprevir (Zepatier®)`
- `Glekaprevir/pibrentasvir (Mavyret®)`
- ``Lɛdipasvir/sofosbuvir (Harvoni®)''.
- ``Sofosbuvir/velpatasvir (Epclusa®)''.
- ``Sofosbuvir/velpatasvir/voksilaprevir (Vosevi®)''.
Dis mɛrɛsin kin tranga fɔ yu fɔ mɛmba, bɔt di dɔktɔ go pik di rayt mɛrɛsin fɔ yu.
If yu dɔn gɛt epataytis C fɔ lɔng tɛm ɛn yu liva dɔn pwɛl bad bad wan, yu kin nid ɔda tritmɛnt. Sɔm pan di damej dɛn kin chenj, bɔt sɔm nɔ kin ebul fɔ chenj. Yu kin nid bak fɔ trit ɔda tin dɛn we kin apin to pɔsin we gɛt liva. Dis `DAA` tritmɛnt kin te fɔ tu to siks mɔnt. Na sɔm pipul dɛn, i kin las fɔ lɔng tɛm.
Ɛni bad tin de we di tritmɛnt kin du?
Bɔrku pipul nɔr kin gɛt big big sayd ɛfɛkt frɔm dɛn `DAA` mɛrɛsin ya, bɔt sɔm pipul kin gɛt smɔl smɔl sayd ɛfɛkt.
- Smɔl bɛlɛ diskɔmfɔt
- Rɔnbɛlɛ
- We pɔsin taya
- Ed de at
- Vɔmit
- Sɔntɛnde, i kin at fɔ blo smɔl
If sɔntin lɛk dis apin, yu fɔ tɛl di dɔktɔ.
Wetin bak a go du fɔ protɛkt mi liva?
If yu gɛt liva sik, sɔm tin dɛn de we yu kin du fɔ mek yu nɔ pwɛl mɔ liva. Dɛn tin ya impɔtant fɔ ɛni liva sik, nɔto jɔs epataytis C.
- If yu de drink rɔm, yu fɔ stɔp am ɔl ɔ yu fɔ ridyus am bad bad wan. Rɔm na ɛnimi to di liva.
- If yu de smok, tray fɔ lɛf dat bak.
- If yu nɔ gɛt di vaysin fɔ Epataytis A ɛn Epataytis B, gɛt dɛn. Bikɔs liva we dɔn ɔlrɛdi sɔfa wit Epataytis C kin at fɔ handle if i gɛt ɔda kayn epataytis.
- Stay kɔntakt wit yu dɔktɔ ɔltɛm ɛn fala in instrɔkshɔn dɛn fayn fayn wan.
Yu nɔ go ebul fɔ protɛkt yusɛf frɔm epataytis C?
Di wangren we fɔ protɛkt yusɛf frɔm dis na fɔ avɔyd fɔ gɛt blɔd we gɛt di sik . Naw, no vaysin nɔ de fɔ epataytis C. Sayɛnsman dɛn de du risach bɔt am, bɔt bikɔs bɔku difrɛn kayn vayrɔs dɛn de ɛn i kin chenj kwik kwik wan, i kin tranga smɔl fɔ mek wan vaysin we go wok fɔ ɔlman.
So, wi nid fɔ tek tɛm wit di we dɛn we wi bin dɔn tɔk bɔt fɔ transmit am:
- If yu de yuz drɔgs, nɔ sheb nidul. (Fɔ tru, i bɛtɛ fɔ lɛ yu nɔ yuz drɔgs atɔl.)
- We yu de mek tatu ɔ pɔyz yu bɔdi, pik ples dɛn we yu jɔs yuz nyu tin dɛn we dɛn dɔn sterilayz .
- Nɔ yuz ɔda pipul dɛn reza ɔ tut brɔsh.
Wetin na di prɔgnosis fɔ epataytis C?
Wi bin dɔn tɔk bɔt aw sɔm pipul dɛn, we de na di fɔs stej fɔ di vayrɔs (acute phase), kin wɛl fɔ dɛnsɛf. Bɔt fɔ bɔku pipul dɛn, i kin bi wan sik we nɔ de mɛn. Ivin if yu nɔr gɛt di sik ɔr yu no se yu gɛt am, krɛse sik kin kɔntinyu fɔ pwɛl yu liva as tɛm de go. Na dat mek i impɔtant fɔ mek yu de chɛk yu ɔltɛm.
Bɔt, wans yu no se yu gɛt am, natin nɔ de fɔ wɔri bɔt. Bikɔs bɔku pan di epataytis C infɛkshɔn dɛn kin wɛl kɔmplit wan wit di antivayral mɛrɛsin dɛn we de naw! I nɔ mata aw lɔng yu dɔn gɛt dis sik, i kin mɛn.
Bɔt fɔ sɔm pipul dɛn, ivin afta dɛn dɔn wɛl afta di epataytis C dɔn wɛl, sɔm pan di damej dɛn we de na di liva (espɛshali sirosis) nɔ kin ebul fɔ chenj. Na lɛk 20% pan di pipul dɛm wae dɔn gɛt dis sik fɔ 20-30 ia kin gɛt dis damej wae nɔr kin ebul fɔ chenj.
Yu kin sɔprayz ɛn wɔri we yu kam fɔ no se yu gɛt epataytis C. Yu nɔ kin fil sik atɔl, ɛn yu nɔ kin ivin no aw ɔ ustɛm yu gɛt am. Bɔt fɔ no se yu gɛt am bɛtɛ pas fɔ nɔ no. Epataytis C na sik we pɔsin kin mɛn. Ɛn if dɛn no am ɛn trit am kwik, i kin sev yu liva frɔm damej fɔ lɔng tɛm.
Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .
Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:
- Epataytis C na wan vayrɔs we de pwɛl di liva. Bɔrku tɛm e nɔr kin sho sɔm kayn sik fɔs.
- I kin pas am mɔ bay we pɔsin it blɔd we gɛt di sik. I kin pas bak tru tin dɛm lɛk fɔ sheb nidul ɛn fɔ mek dɛn du tatu/piercing wit ikwipmɛnt we nɔ sterilayz.
- Naw, tritmɛnt dɛn de we rili wok fɔ dis (`DAA` drɔgs). I kin wɛl kpatakpata insay sɔm mɔnt.
- If yu tink se yu go dɔn de pan denja, ɔ if yu gɛt sayn dɛn fɔ gɛt liva sik, mek shɔ se yu go to dɔktɔ fɔ mek dɛn chɛk yu.
- If dɛn no ɛn trit am kwik, dɛn kin mek dɛn nɔ gɛt siriɔs damej pan di liva (sirosis, kansa).
- Nɔ panik! Di tin we impɔtant pas ɔl na fɔ mek dɛn no ɛn fala di rayt advays we di dɔktɔ gi yu.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shem ɛn aks yu dɔktɔ. Stay wit wɛlbɔdi!
` Epataytis C, liva, vayrɔs, di simptom dɛm, tritmɛnt, transmishɔn, sirosis, HCV, liva sik
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