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!