Ka tuyige ebisingawo ku Hepatitis C. Engeri gye bukosaamu ekibumba kyo mu kasirise

Wali owuliddeko ku bulwadde bwa Hepatitis C? Mpozzi yee, mpozzi nedda. Kawuka akayingira mu mubiri gwo ne kwonoona ekibumba kyo. Abantu bangi tebamanyi na kubulina kubanga tebulaga bubonero bwonna mu kusooka. Naye teweeraliikiriranga, waliwo obujjanjabi obulungi obugijjanjaba kati!

Obulwadde bw’ekibumba C kye ki?

Mu ngeri ennyangu, Hepatitis C bulwadde obuva ku kawuka akalumba ekibumba kyaffe. Akawuka kano akayitibwa Hepatitis C Virus (HCV) bwe kayingira mu kibumba kyaffe, kaleeta okuzimba. Nga bwe tufuna ekiwundu, kizimba. Okuzimba kuno kwonoona ekibumba mpolampola. Emirundi egisinga, singa tekijjanjabwa, tekijja kutereera ku bwakyo. Ekiseera bwe kigenda kiyitawo, ekibumba kiyinza okwonooneka ennyo. Naye waliwo amawulire amalungi! Kati waliwo eddagala eppya eriwonya ddala obulwadde bwa Hepatitis C. Ekizibu kiri nti abantu bangi tebalaga bubonero era tebamanyi nti balina.

Obubonero bwe buliwa?

Bino bye bikulu. Abantu abasinga tebalaga bubonero bwonna! Ekyo kye kitundu ekisinga okutiisa ku bulwadde buno. Wabula abantu abamu bayinza okulaga obubonero obumu ng’akawuka kayingidde mu mubiri omubiri ne gutandika okukalwanyisa, kwe kugamba, mu kiseera ky’omutendera gwa ‘acute’.

Obubonero obw’amaanyi

Obubonero buno era buyinza okufaananako n’obw’omusujja gw’ensiri. Weetegereze:

• Kiwulira ng’olubuto luluma.
• Omusulo omuddugavu, oboolyawo omusulo omutangaavu
• Obubonero obufaananako n’obw’omusujja oba ssennyiga, gamba ng’omusujja, okulumwa omubiri, okuziyira n’okukoowa
• Okufuuka okwa kyenvu kw’olususu n’enjeru z’amaaso. Kino era tukiyita ‘jaundice’.

Obubonero obubeerawo okumala ebbanga eddene (Chronic) .

Kati, bw’oba ​​tolina bubonero bwa maanyi obwogeddwako emabegako, oyinza okumala emyaka nga towulira kintu kyonna. Kino kye tuyita ‘chronic’ hepatitis C. Kyokka ekibumba bwe kitandika okukola obulungi mpolampola, obubonero nga buno buyinza okulabika:

• Obubonero bwonna obwogeddwako emabegako (nga okulumwa olubuto, jaundice) buyinza okuddamu.
• Tekikoma awo, naye n’ebintu ebirala ebipya biyinza okugattibwako:
• Omusaayi mu musulo oba omusaayi ogusesema
• Okuvaamu omusaayi emirundi mingi, okufuuka bbululu ne bwe kiba kiwundu ekitono
• Okusiiwa okutagumiikiriza mu mubiri gwonna
• Engalo zirabika nga zimyufu oba enzirugavu.
• Spider angiomas (emisuwa emitono egy’omusaayi ebiringa enkonge ku lususu) .
• Olubuto lujjula amazzi era olubuto ne luzimba (kino tukiyita `(Ascites)`)

Kino kitambuzibwa kitya eri omuntu?

Kino kibuuzo abantu bangi kye babuuza. Obulwadde bw'ekibumba C businga kuyita mu musaayi . Kwe kugamba, busiigibwa ng’omusaayi gw’omuntu alina akawuka ka Hepatitis C Virus (HCV) guyingidde mu mubiri gw’omuntu omulala. Kilowoozeeko ng’okugabana empiso ezikozesebwa okukuba ebiragalalagala.Kigambibwa nti eno y’engeri enkulu kino gye kitambuzibwamu mu bitundu by’ensi bingi.

Naye waliwo engeri endala gye kiyinza okusaasaanyizibwamu:

• Omwana asobola okufuna obulwadde bw’ekibumba C okuva ku maama abulina (oba ng’ali lubuto oba ng’azaalibwa).
• Edda abantu baakwatibwa obulwadde buno nga bayita mu kuteekebwamu omusaayi ogutakeberebwa bulungi. Naye kati akabi ako katono nnyo, kubanga omusaayi bwe guweebwayo gukeberebwa bulungi.
• Oluusi, ne mu malwaliro, singa bakozesa ebyuma ebitannaba kuzaala bulungi, bisobola okusiigibwa okuyita mu musaayi (naye kino nakyo tekitera kubaawo nnyo kati).
• Osobola okukwatibwa obulwadde nga okola ttatu oba okufumita omubiri ng'okozesa ebyuma ebitannaba kuzaala bulungi . Kino olina okwegendereza ennyo.
• Mpozzi singa ogabana razor oba toothbrush n'omuntu omulala that's stained with blood. Teebereza okugabana ebintu nga bino mu mikwano gyo mu kisulo, nedda? Waliwo akabi singa ofuna omusaayi okuva mu kiwundu ekitono.

Ekikulu, ne bw’oba ​​tolina bubonero era nga tomanyi nti olina obulwadde bwa hepatitis C, okyayinza okubusaasaanya. Naye jjukira nti kisaasaanyizibwa mu musaayi gwokka. Tebusaasaana nga buyita mu bintu ng’amalusu, entuuyo, okukwatagana mu ngalo, oba okugabana emmere.

Kiki ekikutuukako singa ofuna obulwadde bw’ekibumba C?

Obulwadde bw’ekibumba C tebukwata buli muntu mu ngeri y’emu. Ku bantu abamu, nga 30 ku 100 , akawuka kalongoosebwa abaserikale baabwe b’omubiri nga basoose okukafuna (the acute phase). Kino kiyinza okutwala emyezi egiwerako. Kyokka, eri abantu bangi (nga 70 ku 100), kino tekibaawo ku bwakyo. Oluvannyuma lw’emyezi nga balwana, omubiri gutuuka ekiseera ne gufuna obulwadde obutawona obw’akawuka kano, obumanyiddwa nga ‘chronic’ infection.

Bizibu ki ebiva mu kubeera n’obulwadde bwa hepatitis C okumala ebbanga eddene?

Obulwadde bwa hepatitis C obutawona kitegeeza nti ekibumba kyo kirina okuzimba okugenda mu maaso. Kino kiringa obulwadde bw’ekibumba obutawona. Okuzimba kuno okugenda mu maaso kwonoona ekibumba kyo mpolampola okumala emyaka mingi. Enkovu zibeera mu kibumba ekigiremesa okukola obulungi. Embeera eno eyitibwa obulwadde bwa cirrhosis . Eno y’embeera abantu bangi gye batya. Obulwadde bwa cirrhosis bwe buba obw’amaanyi, ekibumba kisobola okulemererwa ddala (chronic liver failure).

Obulwadde bwa Cirrhosis n’okulemererwa kw’ekibumba bisobola okuvaako ebizibu ebirala, gamba nga:

• Puleesa okweyongera mu misuwa egyekuusa ku kibumba (Portal Hypertension) .
• Kookolo w’ekibumba

Kino abasawo bakizuula batya?

Bw’oba ​​olowooza nti olina obulwadde bw’ekibumba, oba bw’oba ​​olina obubonero bw’obulwadde bw’ekibumba, olina okulaba omusawo. Omusawo ajja kukukebera era akebere oba ozimba, amaaso ga kyenvu n’ebirala.

Oluvannyuma lw’ekyo, ojja kusabibwa okukeberebwa omusaayi emirundi egiwerako . Ebikulu bye bino:

• Okukebera obutoffaali obuziyiza endwadde: Kino kikebera omusaayi gwo oba tegulina buziyiza ku kawuka ka hepatitis C. Kino bwe kiba nga kirungi, kikakasa nti wali ofunye obulwadde bwa hepatitis C.
• Okukebera RNA: Singa okukebera antibody kuba ``positive``, okukebera kuno kwe kuddako. Kikebera oba akawuka kakyakola mu mubiri gwo. Kwe kugamba, kiyinza okumanya oba omubiri gwo gugogodde akawuka kano ku bwagwo, oba okyalina akawuka kano.
• Okukebera ensengekera y’obutonde: Waliwo ebika by’ensengekera y’obutonde ebikulu ebitakka wansi wa mukaaga eby’akawuka ka hepatitis C. Okukebera kuno kuyinza okukubuulira ekika ky’akawuka ky’olina. Kino kijja kuyamba omusawo wo okulonda obujjanjabi obusinga obulungi gy’oli.
• Okukebera enkola y’ekibumba (LFTs): Bino bikebera obulamu bw’ekibumba kyo okutwalira awamu.

Singa okukebera omusaayi kulaga nti ekibumba kyo kikoseddwa, omusawo ayinza okulagira okukeberebwa okulala okwongera okunoonyereza ku kwonooneka kw’ekibumba kyo. Ekyokulabirako ekimu kwe kukebera amaloboozi agayitibwa Transient Elastography (Fibroscan) . Kino kiyinza okupima obugumu bw’ekibumba, oba obunene bw’enkovu/fibrosis.

Obujjanjabi bwe buruwa?

Gano ddala mawulire malungi! Kati waliwo obujjanjabi obukola ennyo ku bulwadde bwa hepatitis C. Ebikulu ebikozesebwa ge ddagala lya ‘direct-acting antiviral’ (DAA) . Lino ddagala erimira ng’empeke. Waliwo ebika by'eddagala lya `DAA` ebisoba mu kkumi erikola ku bika by'akawuka kano eby'enjawulo.

Wano waliwo eddagala eritera okulagirwa (lino omusawo y’abalagira):

• `Eddagala lya Elbasvir/grazoprevir (Zepatier®)`
• `Eddagala lya Glecaprevir/pibrentasvir (Mavyret®)`
• ``Eddagala lya Ledipasvir/sofosbuvir (Harvoni®)''.
• ``Eddagala lya sofosbuvir/velpatasvir (Epclusa®)''.
• ``Eddagala lya sofosbuvir/velpatasvir/voxilaprevir (Vosevi®)''.

Eddagala lino liyinza okukukaluubirira okujjukira naye omusawo ajja kukulonda eddagala erituufu.

Bw’oba ​​omaze ebbanga ng’olina obulwadde bwa Hepatitis C ate ng’ekibumba kyonoonese nnyo, oyinza okwetaaga obujjanjabi obulala. Ebimu ku byonooneddwa bisobola okukyusibwa, naye ebimu tebisobola. Oyinza n’okukwetaagisa okujjanjaba ebizibu ebirala ebiva mu bulwadde bw’ekibumba. Obujjanjabi buno obwa `DAA` butera okumala emyezi ebiri oba mukaaga. Mu bantu abamu, kiyinza okuwangaala.

Waliwo ebizibu byonna ebiva mu bujjanjabi buno?

Abantu abasinga tebafuna buzibu bunene okuva mu ddagala lino erya `DAA`, naye abantu abamu bayinza okufuna ebizibu ebitonotono.

• Obuzibu obutono mu lubuto
• Embiro
• Okukoowa
• Okulumizibwa omutwe
• Ekikeeto
• Oluusi okukaluubirirwa katono okussa

Singa ekintu nga kino kibaawo, olina okukitegeeza omusawo.

Kiki ekirala kye nnyinza okukola okukuuma ekibumba kyange?

Bw’oba ​​olina obulwadde bw’ekibumba, waliwo ebintu ebiwerako by’osobola okukola okutangira ekibumba okwongera okwonooneka. Bino bikulu ku bulwadde bwonna obw’ekibumba, so si bulwadde bwa kibumba C bwokka.

• Bw’onywa omwenge, olina okugukomya ddala oba okugukendeeza ennyo. Omwenge mulabe eri ekibumba.
• Bw’oba ​​onywa sigala, fuba n’ekyo okukireka.
• Bw’oba ​​tonnafuna ddagala lya Hepatitis A ne Hepatitis B, lifune. Kubanga ekibumba ekyatawaanyizibwa edda obulwadde bwa Hepatitis C kiyinza okuba ekizibu okukwata singa kifuna ekika ekirala eky’obulwadde bw’ekibumba.
• Sigala ng’okwatagana n’omusawo wo buli kiseera era ogoberere ebiragiro bye n’obwegendereza.

Tosobola kwekuuma bulwadde bwa hepatitis C?

Engeri yokka gy'oyinza okwekuuma kino kwe kwewala okufuna omusaayi ogulimu obuwuka . Mu kiseera kino tewali ddagala ligema bulwadde bwa hepatitis C. Bannasayansi babunoonyerezaako, naye olw’okuba waliwo ebika by’akawuka kano eby’enjawulo bingi ate nga kakyuka mangu, kizibu okutondawo eddagala erigema eri buli muntu.

N’olwekyo, twetaaga okwegendereza enkola z’okutambuza ze twayogeddeko emabegako:

• Bw’oba ​​okozesa ebiragalalagala, togabana mpiso. (Mazima ddala, kirungi okwewala ddala okukozesa ebiragalalagala.)
• Bw’oba ​​okola ttatu oba okufumita omubiri, londa ebifo ebikozesa ebyuma ebipya byokka ebitaliimu buwuka .
• Tokozesa bbulawuzi za bantu balala oba bbulawuzi z’amannyo.

Kiki ekitegeeza nti omuntu alina obulwadde bw’ekibumba C?

Twayogedde emabegako ku ngeri abantu abamu, mu mitendera egy’okusooka egy’akawuka (acute phase), gye bayinza okuwona ku lwabwe. Naye abantu bangi, bufuuka obulwadde obutawona. Ne bw’oba ​​tolina bubonero oba ng’omanyi nti olina, obulwadde bw’ekibumba C obutawona bugenda mu maaso n’okwonoona ekibumba kyo okumala ekiseera. Eno y’ensonga lwaki kikulu okwekebejjebwa buli kiseera.

Naye, bw’omala okumanya nti olina, tewali kye weeraliikirira. Kubanga obulwadde bwa Hepatitis C obusinga obungi busobola okuwona ddala n’eddagala eriweweeza ku kawuka kati eririwo! Obulwadde buno ne bw’omala ebbanga ki, busobola okuwona.

Wabula eri abantu abamu, ne bwe kiba nti obulwadde bw’ekibumba C buwonye, ​​ebimu ku byonooneddwa ekibumba (naddala obulwadde bwa cirrhosis) biyinza obutaddamu. Abantu nga 20% ababadde n’obulwadde buno okumala emyaka 20-30 bayinza okufuna okwonooneka kuno okutasobola kuddamu.

Oyinza okwewuunya n’okweraliikirira ng’okizudde nti olina obulwadde bw’ekibumba C. Oyinza obutawulira bulwadde n’akatono, era oyinza n’obutamanya ngeri oba ddi lwe wabufuna. Naye okumanya nti olina kisinga obutamanya. Obulwadde bw’ekibumba C bulwadde obujjanjabwa. Era singa bumanyibwa ne bujjanjabwa nga bukyali, busobola okutaasa ekibumba kyo obutakwonoonebwa okumala ebbanga eddene.

Jjukira ekintu ekisinga obukulu (Take-Home Message)

Okay, kale, okusinziira ku bye twogeddeko, bino bye bintu ebikulu by’olina okujjukira:

• Obulwadde bwa Hepatitis C kawuka akaayonoona ekibumba. Ebiseera ebisinga tekiraga bubonero mu kusooka.
• Businga kusiigibwa nga buyita mu kumira omusaayi ogulimu obuwuka. Era kiyinza okusaasaanyizibwa nga kiyita mu bintu ng’okugabana empiso n’okukola ttatu/okuboola n’ebyuma ebitali bifumbiddwa.
• Kati waliwo obujjanjabi obukola ennyo ku kino (eddagala lya `DAA`). Kisobola okuwona ddala mu myezi mitono.
• Bw’oba ​​olowooza nti oyinza okuba nga wali mu bulabe, oba ng’olina obubonero bw’obulwadde bw’ekibumba, kakasa nti ogenda ew’omusawo akukebere.
• Singa kizuulibwa nga bukyali ne kijjanjabwa, okwonooneka okw’amaanyi ku kibumba (cirrhosis, kookolo) kuyinza okuziyizibwa.
• Tosattira! Ekisinga obukulu kwe kutegeezebwa n’okugoberera amagezi amatuufu ag’abasawo.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tokwatibwa nsonyi buuza omusawo wo. Sigala nga oli mulamu bulungi!

` Hepatitis C, ekibumba, akawuka, obubonero, obujjanjabi, okusaasaana, cirrhosis, HCV, obulwadde bw’ekibumba