Hepatitis C. I liver chu ngawi renga a nghawng dan hi i zir belh ang u

Hepatitis C tih hi i hre tawh em? A ni mai thei, a ni lo mai thei. I taksaa lut rukin i thin (liver) tichhe thei virus a ni. Mi tam tak chuan an nei tih pawh an hre lo a, a chhan chu a tir lamah chuan symptoms a lan loh vang a ni. Mahse, lungngai suh, tunah chuan a enkawlna tha tak tak a awm tawh!

Hepatitis C hi eng nge ni?

A awlsam zawngin sawi ila, Hepatitis C hi kan thin (liver) rawn beitu virus avanga lo awm a ni. He virus, Hepatitis C Virus (HCV) tia koh hi kan thin (liver) a luh chuan inflammation a siam thin. Hliam kan neih chuan a hring chhuak ang bawkin. He inflammation hian zawi zawiin liver a tichhe thin. A tam zawkah chuan enkawl loh chuan a mah chauhin a dam lo ang. Hun a kal zel a, thin (liver) hi nasa takin a chhe thei a ni. Mahse, chanchin lawmawm a awm! Tunah chuan Hepatitis C tidam vek thei damdawi thar a awm ta a, buaina chu mi tam takin symptom an lantir lo va, an nei tih an hre lo.

Eng nge a lan chhuah dan?

Hetah hian a pawimawh ber. Mi tam zawk chuan symptom an nei lo! Chu chu he natna hlauhawm ber a ni. Amaherawhchu, mi thenkhat chuan hri hi taksaa a luh a, taksain a do tan a, chu chu ‘acute’ phase-ah a ni.

Acute symptoms a awm thei

Heng symptoms te hi common cold nen pawh a inang thei bawk. En teh:

• Pum na ang maiin a lang.
• Zun dum, bawlhhlawh light pawh a ni thei
• Flu ang chi natna chi hrang hrang, khawsik, taksa na, luak chhuak, leh hahna te
• Vun sen leh mit var te. Hei hi ‘jaundice’ kan ti bawk.

Hun rei tak chhunga natna lan chhuah dan (Chronic) .

Tunah chuan a hmaa kan sawi tawh ang khan acute symptoms i neih loh chuan kum tam tak chhung chu engmah i hre lo mai thei. Hei hi ‘chronic’ hepatitis C kan tih chu a ni a, mahse, zawi zawiin liver hian hna a thawk tha lo tan a, hetiang symptoms hi a lo lang thei a ni:

• A hmaa kan sawi tawh ang chi natna lan chhuah zawng zawng (ril na, jaundice ang chi) te hi a lo kir leh thei a ni.
• Chu mai ni lovin, thil thar dang pawh a awm thei bawk:
• Thluak chhunga thisen emaw, thisen chhuak emaw
• Thisen chhuak fo, hliam tenau tak atang pawhin blue a lo ni
• Taksa pum puiah tuar theih loh khawpa natna
• Kutphah chu a sen emaw, a dum emaw angin a lang.
• Spider angiomas (vunah hian rulhut ang chi thisen kalna kawng te tak te) .
• Pum chu tuiin a khat a, pum a hring (hei hi `(Ascites)` kan ti) .

Engtin nge hei hi mi pakhatah a kai darh?

Hei hi mi tam takin an zawh thin a ni. Hepatitis C hi thisen hmanga kai a ni ber . Chu chu Hepatitis C Virus (HCV) vei thisen mi dang taksaa a luh chuan a kai a ni. Ruihhlo inject nana hman tur needle insem ang maiin han ngaihtuah teh.Hei hi khawvel hmun tam takah he thil kai darh dan ber nia sawi a ni.

Mahse a darh theih dan dang a awm a:

• Nausen chuan hepatitis C hi nu a nei (naupai lai emaw, nau piang lai emaw) a vei thei a ni.
• Tun hma chuan miten thisen pekna hmangin an kai a, chu chu uluk taka enfiah a ni lo. Mahse tunah chuan chu risk chu a hniam tawh hle a, a chhan chu thisen pek a nih hian uluk taka test a nih vang a ni.
• A châng chuan damdawi-inah pawh hmanraw tha taka sterilized loh hman a nih chuan thisen kaltlangin a kai thei a (mahse tunah chuan hei pawh hi a tlem hle bawk).
• Thil hmanrua sterilized tha lo hmanga tattoo emaw body piercing emaw tih hian natna i kai thei a ni . Hemi chungchangah hian i fimkhur hle a ngai a ni.
• Mi dang nen thisen chhuak razor emaw toothbrush emaw i share a nih pawhin a ni mai thei. Dormitory-a ṭhiante zingah hetiang thil hi i sawi dun ang tih han ngaihtuah teh, a dik em? Hliam te tak te atanga thisen i hmuh chuan risk a awm.

A pawimawh ber chu, symptoms nei lo leh hepatitis C i vei tih i hriat loh pawhin i la darh thei tho. Mahse, thisen hmang chauha darh a ni tih hre reng ang che. Saliva, thawmhnaw, kut inthlak, ei tur insem ang chi thil hmanga darh a ni lo.

Hepatitis C i vei chuan eng nge i chungah thleng?

Hepatitis C hian mi zawng zawng a nghawng dan inang vek lo. Mi thenkhat tan chuan 100 zinga 30 vel chuan virus hi an vei hmasak ber (the acute phase) hian anmahni immune system hmangin a tifai thin. Hei hian thla engemaw zat a daih thei. Mahse, mi tam tak (mi 100 zinga 70 vel) tan chuan hei hi a mah chauhin a thleng lo. Thla tam tak an inbeih hnuah a tawpah chuan taksain hri kai chhunzawm zel a nei a, chu chu ‘chronic’ infection tia hriat a ni.

Hepatitis C rei tak neih hian eng harsatna nge a thlen?

Chronic hepatitis C infection tih awmzia chu i liver hian inflammation a nei chhunzawm zel tihna a ni. Hei hi chronic liver disease ang a ni. He inflammation kal zel hian kum tam tak chhung chu i liver chu a tichhe zauh zauh thin. Liver-ah hian hliam a awm a, chu chuan a hnathawh dan pangngai a tikhawlo a ni. Hetiang dinhmun hi cirrhosis an ti a . Hei hi mi tam takin an hlauh em em dinhmun chu a ni. Cirrhosis a nasat chuan liver a fail vek thei (chronic liver failure).

Cirrhosis leh liver failure hian harsatna dang a thlen thei a, chungte chu:

• Liver nena inzawm thisen kalna kawng (Portal Hypertension) .
• Liver Cancer a ni

Doctor-te hian engtin nge hei hi an hmuh?

Hepatitis i vei nia i inhriat chuan, emaw, thin natna lanchhuahna i neih chuan Doctor i pan tur a ni. Doctor chuan a enfiah ang che a, a hring, mit sen leh thil dang a en ang.

Chumi hnuah chuan thisen test vawi engemaw zat neih tir i ni ang . A bulpui berte chu:

• Antibody test: Hei hian i thisenah hepatitis C virus laka antibody a awm leh awm loh a enfiah thin. Hei hi positive a nih chuan hepatitis C i vei tawh tih a nemnghet a ni.
• RNA test: Antibody test chu ``positive`` a nih chuan he test hi tih leh a ni. I taksaah virus a la active em tih a check thin. Chu chu i taksain amah chauhin virus a tifai em tih emaw, i la kai em tih emaw a hre thei tihna a ni.
• Genotype test: Hepatitis C virus hi genotype lian ber paruk tal a awm a. He test hian eng virus chi nge i neih tih a hriat theih. Hei hian i doctor-in i tana enkawlna tha ber a thlan theih nan a pui ang.
• Liver function test (LFTs): Hengte hian i liver hriselna zawng zawng a enfiah thin.

Thisen test-ah i liver a nghawng tih a hriat chuan, i doctor chuan i liver chhiatna chhui chian belh turin test dang a ti thei ang. Entirna pakhat chu ultrasound scan Transient Elastography (Fibroscan) tih hi a ni. Hei hian liver a khauh zia a teh thei a, a nih loh leh scarring/fibrosis awm zat a teh thei bawk.

Enkawlnate chu engte nge ni?

Hei hi chanchin lawmawm tak a ni tak zet! Tunah chuan hepatitis C enkawlna tha tak tak a awm tawh a, a hman ber chu ‘direct-acting antiviral’ (DAA) damdawi te hi a ni . Hengte hi damdawi, pill anga ei thin te an ni. `DAA` damdawi chi hrang hrang, hri chi hrang hrang laka hnathawk thei chi sawmhnih chuang a awm a.

Damdawi pek thin thenkhat (hengte hi doctor-in a pek thin) te chu hetiang hi a ni:

• `Elbasvir/grazoprevir (Zepatier®)` tih a ni
• `Glecaprevir/pibrentasvir (Mavyret®) tih hi a awm a, a chhuahna tur hmun tur chu a inang lo hle
• ``Ledipasvir/sofosbuvir (Harvoni®) tih hi a awm a, a man pawh a tlawm hle.
• ``Sofosbuvir/velpatasvir (Epclusa®) tih hi a awm a, a man pawh a tlawm hle.
• `Sofosbuvir/velpatasvir/voxilaprevir (Vosevi®) tih te hi a awm a, hei hi a chhuahna tur hmun tur a ni

He damdawi hi i tan hriat reng a harsa mai thei, mahse doctor chuan i tan damdawi dik tak a thlang ang.

Hepatitis C hi rei tak i vei tawh a, i thin (liver) nasa taka a chhiat chuan enkawlna dang i mamawh mai thei. A chhiatna ṭhenkhat chu tihdanglam theih a ni a, ṭhenkhat erawh chu tihdanglam theih a ni lo. Liver natnain nghawng dang a neih pawh enkawl a ngai mai thei bawk. He `DAA` enkawlna hi thla hnih atanga thla ruk chhung a ni tlangpui. Mi thenkhatah chuan a daih rei thei hle.

Enkawlna hian side effect a nei em?

Mi tam zawk chuan heng `DAA` damdawi atang hian side effect lian tham an nei lo a, mahse mi thenkhat chuan side effect tenau te an nei thei bawk.

• Tlemte chuan pum na a ti na
• Kawthalo
• Chau lutuk
• Lu na
• Luhai
• A chang chuan thawk harsa deuh

Hetiang thil a lo thlen chuan Doctor hnenah i hrilh tur a ni.

Ka thin venhim nan eng nge ka tih belh theih ang?

Liver natna i neih chuan liver tihchhiat belh zel tur venna atan thil engemaw zat i tih theih a awm. Hengte hi hepatitis C chauh ni lovin, thin natna eng atan pawh a pawimawh hle.

• Zu i in chuan i chawlhsan vek tur a ni emaw, nasa takin i tihtlem tur a ni. Zu hi thin (liver) hmelma a ni.
• Meizial i zuk chuan chu pawh chu bansan tum ang che.
• Hepatitis A leh Hepatitis B vaccine i la dawng lo a nih chuan la rawh. A chhan chu Hepatitis C vei tawh liver hian hepatitis chi dang a neih chuan a tuar harsa thei hle.
• I doctor nen inbiak reng la, a thupekte chu uluk takin zawm rawh.

Hepatitis C lakah hian i inveng thei lo em ni?

Hemi laka invenna awmchhun chu thisen hrik kai loh hi a ni . Tunah hian hepatitis C vaccine hi a la awm lo a, Scientist te chuan an zirchiang mek a, mahse he virus chi hrang hrang a awm avangin leh a inthlak danglam thuai avangin mi zawng zawng tana tha tur vaccine siam hi a harsa deuh a ni.

Chuvangin, a hmaa kan sawi tawh angin transmission method hrang hrangah kan fimkhur a ngai a ni:

• Ruihhlo i hman chuan needle insem suh. (Dik tak chuan ruihhlo hman loh vek hi a tha ber.)
• Tattoo emaw, taksa piercing emaw i tih hunah, sterilized, hmanraw thar chauh hmangna hmun thlang rawh .
• Midang razor emaw toothbrush emaw hmang suh.

Hepatitis C hi eng prognosis nge ni?

Mi thenkhat, hri kai hmasa ber (acute phase)-a awmte, anmahni chauha an dam theih dan tur kan sawi tawh a. Mahse mi tam tak tan chuan natna khirh tak a lo ni ta a ni. Symptoms nei lo emaw, i nei tih i hriat emaw pawh nise, chronic hepatitis C hian hun kal zelah i liver a tichhe chhunzawm zel a ni. Chuvang chuan checkup neih reng a pawimawh.

Mahse, i nei tih i hriat veleh chuan ngaihtuah tur a awm tawh lo. A chhan chu hepatitis C infection tam zawk hi tuna antiviral damdawi hman mek hmang hian tihdam vek theih a ni! Eng ang pawhin natna hi i vei tawh a, a dam thei a ni.

Mahse, mi thenkhat tan chuan hepatitis C a dam hnuah pawh liver (a bik takin cirrhosis) chhiatna thenkhat chu a let leh thei lo mai thei. Kum 20-30 chhung he natna vei tawh zinga 20% vel chuan he chhiatna siamthat theih loh hi an nei thei a ni.

Hepatitis C i vei tih i hriat chuan mak i ti a, i lungngai hle mai thei a, natna i nei lo tak tak thei a, engtin nge i vei tih leh engtikah nge i vei tih pawh i hre lo mai thei. Mahse, i nei tih hriat chu hriat loh ai chuan a tha zawk. Hepatitis C hi enkawl theih a ni. Tin, a hmaa hriat leh enkawl a nih chuan i liver chu hun rei tak chhunga chhiatna lakah a chhanhim thei bawk.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• Hepatitis C hi thin (liver) tichhe thei virus a ni. A tir lamah chuan symptoms a lang lo fo.
• Thisen hrik kai ei atanga kai a ni ber. Tin, needle insem leh unsterilized equipment hmanga tattoo/piercing tih te ang chi thil hmangin a kai thei bawk.
• Tunah chuan hei (`DAA` damdawi) enkawlna tha tak tak a awm ta. Thla engemaw zat chhungin a dam kim thei.
• Risk i nei nia i ngaih a nih chuan, emaw, liver disease symptoms i neih chuan doctor pan ngei ngei tur a ni.
• A hmaa hmuhchhuah leh enkawl a nih chuan thin (liver) chhiatna nasa tak (cirrhosis, cancer) te chu a veng thei a ni.
• Hlauthawng suh! A pawimawh ber chu hriattirna leh damdawi lam thurawn mumal tak zawm hi a ni.

Hemi chungchanga zawhna dang i neih chuan zak suh la, i doctor zawt rawh. Hrisel takin awm rawh!

` Hepatitis C, thin, virus, symptoms, enkawl dan, kai dan, cirrhosis, HCV, thin natna