Musaope matenda a chiwindi a Hepatitis C - tiyeni tidziwe bwino!

Kodi mudamvapo za Hepatitis C? Mwina inde, mwina ayi. Zili ngati mdani wosalankhula m'thupi mwathu. Chifukwa, anthu ambiri sadziwa kuti ali ndi matendawa, chifukwa kumayambiriro kwake sasonyeza zizindikiro zilizonse. Koma pakapita nthawi, amatha kuwononga chiwindi chathu kwambiri. Koma nkhani yabwino ndi yakuti, tsopano pali mankhwala atsopano omwe angachiritse matendawa kwathunthu. Choncho tiyeni tidziwe izi.

Mwachidule, kodi matenda a chiwindi a C ndi chiyani?

Chiwindi cha chiwindi (Hepatitis C) ndi kachilombo ka HIV. Kachilomboka (Hepatitis C virus - HCV) kamaukira mwachindunji chiwindi, chomwe ndi chimodzi mwa ziwalo zofunika kwambiri m'thupi lathu. Tangoganizani kuti thupi lathu ndi fakitale yayikulu, ndipo woyang'anira wamkulu wake ndi chiwindi. Chifukwa chake kachilomboka kamachita ndikuwononga maselo a chiwindi ndikuyambitsa kutupa pamenepo. Ngati sichinachiritsidwe, kuwonongeka kumeneku kungachuluke pang'onopang'ono ndipo chiwindi chingalepheretsedwe kwathunthu.

Kodi zizindikiro za matendawa ndi ziti?

Apa ndi pomwe anthu ambiri amasokonezeka. Chifukwa anthu ambiri omwe ali ndi matenda a chiwindi C samakhala ndi zizindikiro zilizonse kumayambiriro. Koma anthu ena amatha kukhala ndi zizindikiro zina pamene kachilomboka kalowa m'thupi ndipo thupi limayamba kulimbana nako (ichi ndi chomwe timachitcha gawo la "acute"). Koma zizindikiro izi zimafanana ndi za chimfine wamba, kotero anthu ambiri amazinyalanyaza.

Zizindikiro zazikulu zimangowoneka pokhapokha ngati matendawa akhalapo kwa nthawi yayitali (izi zimatchedwa gawo la "nthawi yayitali") ndipo chiwindi chimayamba kuwonongeka. Tiyeni tiwone izi padera.

Kodi matendawa amafalikira bwanji kuchokera kwa munthu wina kupita kwa wina?

Ichi ndi chinthu chofunika kwambiri. Matenda a chiwindi a Hepatitis C amafalikira pokhapokha magazi a munthu wodwala akalowa m'thupi la munthu wathanzi. Izi zikutanthauza kuti safalikira kudzera m'malovu, thukuta, misozi, kugawana chakudya, kapena kukumbatirana.

Izi ndi nthawi zomwe matendawa amatha kufalikira kwambiri:

• Kugawana ma syringe ndi singano zomwezo pobayira mankhwala: Ichi ndiye chifukwa chachikulu chomwe chikufalikira matendawa ku Sri Lanka ndi padziko lonse lapansi.
• Kujambula tattoo kapena kuboola thupi pogwiritsa ntchito zida zosayeretsera: Ndikoopsa kwambiri kuchita zinthu izi m'malo osayera komanso osayeretsa bwino zidazo.
• Kuchokera kwa mayi amene ali ndi kachilombo kupita kwa mwana wake: Matendawa amatha kufalikira kuchokera kwa mayi amene ali ndi kachilombo kupita kwa mwana wake panthawi ya mimba kapena pobereka.
• Ngozi zachipatala: Munthu wathanzi amabayidwa kuchipatala ndi chinthu china, monga singano yopaka magazi a wodwala yemwe ali ndi kachilomboka.
• Kugawana zida za munthu: Ngati wina agwiritsa ntchito chinthu monga lezala kapena burashi ya mano yomwe yagwiritsidwa ntchito ndi munthu wodwala matendawa ndipo ili ndi magazi, ikhoza kuperekedwa kwa wina.
• Kulandira magazi isanafike chaka cha 1992: Panthawiyo, ukadaulo woyesera magazi a chiwindi cha C sunapangidwe. Chifukwa chake, pali chiopsezo kwa iwo omwe adalandira magazi panthawiyo. Komabe , tsopano magazi onse operekedwa amayesedwa mosamala kwambiri, kotero palibe chifukwa chodera nkhawa.

Kodi chimachitika n’chiyani m’thupi lanu ngati mutadwala matenda a chiwindi otchedwa hepatitis C?

Kachilombo ka hepatitis C kakalowa m'thupi, si thupi la aliyense lomwe limayankha mofanana.

• Mwa anthu ena (pafupifupi 30 mwa 100), chitetezo cha mthupi chimatha kulimbana ndi kachilomboka ndikukagonjetsa kwathunthu mkati mwa miyezi ingapo. Zikatero, matendawa amatha.
• Koma kwa anthu ambiri (pafupifupi 70 mwa 100), thupi silingathe kugonjetsa kachilomboka. Pambuyo pa miyezi ingapo yolimbana, kachilomboka kamakhala m'thupi kwamuyaya. Ichi ndi chomwe timachitcha matenda osatha a chiwindi cha mtundu wa C.

Mavuto a matenda osatha

Matenda osatha amatanthauza kuti chiwindi chimatupa nthawi zonse. Kuwonongeka kumeneku kukachitika kwa zaka zambiri, maselo a chiwindi abwino amalowedwa m'malo ndi minofu ya chilonda. Matendawa amatchedwa cirrhosis . Cirrhosis ikachitika, ntchito ya chiwindi imawonongeka kwathunthu. Iyi ndi gawo lomaliza la kulephera kwa chiwindi.

Matenda a cirrhosis angayambitse mavuto aakulu:

• Kuthamanga kwa magazi m'thupi (Portal Hypertension): Kupanikizika kwambiri m'mitsempha komwe kumabweretsa magazi ku chiwindi.
• Khansa ya Chiwindi: Matenda a chiwindi amawonjezera kwambiri chiopsezo cha khansa ya chiwindi.

Kodi dokotala amazindikira bwanji matendawa?

Ngati muli ndi zizindikiro izi kapena mukuganiza kuti muli ndi matendawa, pitani kwa dokotala wanu. Iye adzakuyang'anirani ndikuyang'ana zinthu monga maso achikasu ndi mimba yotupa. Kenako, adzalamula kuti muyesedwe magazi kangapo kuti atsimikizire matendawa.

Ngati mayeso a magazi awa akusonyeza kuti chiwindi chawonongeka, dokotala angakulimbikitseninso kuti mupange scan yapadera, monga transient elastography, kuti muone kukula kwa kuwonongekako.

Kodi pali mankhwala? Kodi angathe kuchiritsidwa kwathunthu?

Inde! Ndi zoonadi! Iyi ndi nkhani yofunika kwambiri komanso yosangalatsa. Zaka zapitazo, panali mankhwala ochizira izi omwe anali ndi zotsatirapo zambiri ndipo sanali othandiza kwenikweni. Koma tsopano pali mankhwala atsopano otchedwa Direct-acting antivirals (DAAs) .

Mankhwalawa amabwera ngati mapiritsi. Ngati mumwa mankhwalawa kwa nthawi yayitali pakati pa miyezi iwiri ndi isanu ndi umodzi, mutha kuchiza matendawa kwathunthu ndi mwayi woposa 95%. Dokotala wanu adzakusankhirani mankhwala oyenera kutengera mtundu wa kachilombo komwe muli nako.

Komabe, ngati mwakhala ndi matendawa kwa nthawi yayitali ndipo muli ndi vuto lalikulu la chiwindi (monga matenda a chiwindi), mungafunike kuchiza vutoli padera ngakhale kachilomboka katatha.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Zotsatirapo zoyipa za mankhwala atsopano a DAA awa ndizosowa kwambiri. Anthu ena angakumane ndi zinthu monga:

• Kuwawa kwam'mimba
• Kutsegula m'mimba
• Kutopa
• Mutu
• Kusanza
• Kuvuta kupuma

Ngati muli ndi chilichonse mwa izi, lankhulani ndi dokotala wanu za izi.

Zinthu zomwe mungachite panthawi ya chithandizo

Monga munthu amene ali ndi vuto la chiwindi, muli ndi udindo waukulu woteteza chiwindi chanu kuti chisawonongekenso pamene mukulandira chithandizo.

• Pewani mowa kotheratu: Mowa ndi mdani wamkulu wa chiwindi. Ndi bwino kusiya kumwa mowa, osati panthawi yolandira chithandizo chokha, komanso kwa moyo wonse.
• Siyani kusuta.
• Katemera wa chiwindi cha A ndi B: Izi ndizofunikira kwambiri kuti muteteze chiwindi chanu ku matenda ena opatsirana.
• Tsatirani malangizo a dokotala molondola: pitani kuzipatala nthawi zomwe dokotala wakupatsani, ndipo imwani mankhwala anu monga momwe mwalangizidwira.

Kodi pali njira yopewera izi?

Mwatsoka, palibe katemera woteteza matenda a chiwindi cha mtundu wa C. Chifukwa chake, njira yokhayo yopewera matenda ndi kupewa kukhudzana ndi magazi omwe ali ndi kachilomboka. Izi zikutanthauza kuti,

• Musagwiritse ntchito singano zogwiritsira ntchito pobaya mankhwala osokoneza bongo.
• Ngati mukujambula tattoo kapena kuboola thupi, chitani izi pamalo oyera kwambiri komanso okhala ndi zida zoyeretsera thupi bwino.
• Musagwiritse ntchito malezala kapena maburashi a mano a munthu wina.

Mungadabwe komanso kudabwa kudziwa kuti muli ndi matenda a chiwindi otchedwa hepatitis C. Simungadziwe komwe munawapeza kapena momwe munawapezera. Koma m'malo modandaula za matendawa, kudziwa kuti muli ndi matendawa n'kwabwino kwambiri kuposa kusadziwa. Chifukwa tsopano amatha kuchiritsidwa kwathunthu. Akapezeka msanga, kuwonongeka kwa chiwindi kungachepe.