Ngaba wakha weva ngeHepatitis C? Mhlawumbi ewe, mhlawumbi akunjalo. Ifana notshaba oluthuleyo emzimbeni wethu. Kuba, abantu abaninzi abazi nokuba banaso esi sifo, kuba kumanqanaba okuqala asibonakalisi zimpawu. Kodwa ngokuhamba kwexesha, sinokubangela umonakalo omkhulu kwisibindi sethu. Kodwa iindaba ezimnandi zezokuba, ngoku kukho amayeza amatsha anokunyanga esi sifo ngokupheleleyo. Ngoko masiqaphele oku.
Ngamafutshane, yintoni i-hepatitis C?
IHepatitis C yintsholongwane ebangelwa yintsholongwane. Le ntsholongwane (iHepatitis C virus - HCV) ihlasela isibindi ngokuthe ngqo, esinye sezitho ezibalulekileyo emzimbeni wethu. Khawuthelekelele ukuba umzimba wethu ngumzi-mveliso omkhulu, kwaye umphathi oyintloko wayo sisibindi. Ngoko ke le ntsholongwane yenza umonakalo kwiiseli zesibindi kwaye ibangele ukudumba apho. Ukuba ayinyangwa, lo monakalo unokwanda kancinci kancinci kwaye isibindi sinokuphela ngokupheleleyo.
Zithini iimpawu zesi sifo?
Kulapho abantu abaninzi badideka khona. Kuba uninzi lwabantu abosulelwe yi-hepatitis C abanazo iimpawu kwasekuqaleni. Kodwa abanye abantu banokuba neempawu ezithile njengoko intsholongwane ingena emzimbeni kwaye umzimba uqala ukulwa nayo (le yi-"acute phase"). Kodwa ezi mpawu zifana nezo zomkhuhlane oqhelekileyo, ngoko ke abantu abaninzi abazinanzi.
Iimpawu ezinzulu zibonakala kuphela xa isifo sikhona ixesha elide (oku kubizwa ngokuba yi-"chronic phase") kwaye isibindi siqala ukonakala. Makhe sijonge ezi zimbini ngokwahlukeneyo.
| Xa kuvela iimpawu | Iimpawu ezibonakalayo |
|---|---|
| Kwinqanaba lokuqala (iSigaba esiPhambili) |
|
| Isigaba Esingapheliyo | Ukongeza kuzo zonke iimpawu ezingentla:
|
Esi sifo sidluliselwa njani ukusuka komnye umntu ukuya komnye?
Le yeyona nto ibalulekileyo. I-Hepatitis C idluliselwa kuphela xa igazi lomntu osulelekileyo lingena emzimbeni womntu ophilileyo. Oko kuthetha ukuba ayidluliselwa ngamathe, ukubila, iinyembezi, ukwabelana ngokutya, okanye ukuwolana.
Okubaluleke kakhulu: I-Hepatitis C idluliselwa ngegazi kuphela. Ayidluliselwa ngezinye izinto zomzimba okanye ngokunxibelelana nje.
La ngamaxesha apho esi sifo sinokusasazeka khona:
- Ukwabelana ngeesirinji neenaliti ezifanayo xa kujovwa amayeza: Esi sesona sizathu siphambili sokusasazeka kwesi sifo eSri Lanka nakwihlabathi liphela.
- Ukuzisika okanye ukugqobhoza umzimba usebenzisa izixhobo ezingabulawanga ziintsholongwane: Kuyingozi kakhulu ukwenza ezi zinto kwiindawo ezingacocekanga kwaye ezingazicoci kakuhle izixhobo.
- Ukusuka kumama osulelekileyo ukuya kumntwana wakhe: Esi sifo sinokudluliselwa ukusuka kumama osulelekileyo ukuya kumntwana wakhe ngexesha lokukhulelwa okanye lokuzala.
- Iingozi zezempilo: Umntu ophilileyo uhlatywa esibhedlele ngento ethile, njengenaliti edyojwe ligazi lesigulana esosulelekileyo.
- Ukwabelana ngezixhobo zomntu: Ukuba omnye umntu usebenzisa into efana nerazor okanye ibrashi yamazinyo esetyenziswe ngumntu osulelekileyo kwaye inegazi kuyo, inokudluliselwa komnye umntu.
- Ukufumana utofelo-gazi ngaphambi kowe-1992: Ngelo xesha, ubuchwepheshe bokuvavanya igazi le-hepatitis C babungekaphuhliswa. Ke ngoko, kukho umngcipheko othile kwabo bafumene igazi ngelo xesha. Nangona kunjalo , ngoku lonke igazi elinikelweyo livavanywa ngokungqongqo koku, ngoko akukho mfuneko yokukhathazeka ngako.
Kwenzeka ntoni emzimbeni xa une-hepatitis C?
Xa intsholongwane ye-hepatitis C ingena emzimbeni, ayingomzimba wonke osabela ngendlela efanayo.
- Kwabanye abantu (malunga nama-30 kwabali-100), inkqubo yomzimba yokuzikhusela iyakwazi ukulwa nentsholongwane ize iyoyise ngokupheleleyo kwiinyanga ezimbalwa. Kwimeko enjalo, isifo siyaphela nje.
- Kodwa kubantu abaninzi (malunga nama-70 kwabali-100), umzimba awukwazi ukoyisa le ntsholongwane. Emva kweenyanga ezimbalwa zokulwa, le ntsholongwane ihlala emzimbeni ngokusisigxina. Oku sikubiza ngokuba lusulelo lwe-hepatitis C olungapheliyo .
Iingxaki zosulelo olungapheliyo
Usulelo olungapheliyo luthetha ukuba isibindi sihlala sivuvukala. Xa lo monakalo usenzeka kangangeminyaka emininzi, iiseli zesibindi ezisempilweni zithathelwa indawo zizicwili. Le meko ibizwa ngokuba yi-cirrhosis . Xa kuvela i-cirrhosis, ukusebenza kwesibindi kuyawohloka ngokupheleleyo. Eli linqanaba lokugqibela lokusilela kwesibindi.
I-Cirrhosis inokubangela iingxaki ezinzulu ngakumbi:
- Uxinzelelo lwegazi oluphezulu: Uxinzelelo olugqithisileyo kwimithambo yegazi oluzisa igazi esibindini.
- Umhlaza Wesibindi: I-Cirrhosis inyusa kakhulu umngcipheko womhlaza wesibindi.
Ugqirha usifumanisa njani esi sifo?
Ukuba unale mpawu okanye ukrokrela ukuba unesi sifo, bona ugqirha wakho. Uza kukuhlola aze akhangele izinto ezifana namehlo atyheli kunye nesisu esidumbileyo. Emva koko, baya kuyalela uvavanyo lwegazi oluninzi ukuqinisekisa isifo.
| Igama lovavanyo lwegazi | Ngamafutshane, ubona ntoni kuyo? |
|---|---|
| Uvavanyo lwe-Antibody | Umzimba wakho uvavanywa ukuba unazo na ii-antibodies ezichasene nentsholongwane ye-hepatitis C. Ukuba oku kubonisiwe, kuthetha ukuba sele wosulelwe yile ntsholongwane ngaxa lithile. |
| Uvavanyo lwe-RNA | Ukuba uvavanyo lwe-antibody lubonise ukuba ikhona, nantsi into oza kuyenza ngokulandelayo. Oku kujonga ukuba intsholongwane isasebenza na emzimbeni wakho. |
| Uvavanyo lweGenotype | Kukho iintlobo ezingaphezu kwe-6 zentsholongwane ye-hepatitis C. Oku kuya kukunceda ufumanise ukuba loluphi uhlobo onalo. Oku kubaluleke kakhulu ekukhetheni unyango. |
| Uvavanyo lweMisebenzi yeSibindi | Oku kunokukunceda ubone impilo yesibindi sakho iyonke kunye nokuba sonakele na. |
Ukuba olu vavanyo lwegazi lubonisa ukuba isibindi sonakele, ugqirha unokucebisa ukuba kwenziwe i-scan ekhethekileyo, efana ne -transient elastography, ukuze kulinganiswe ubungakanani bomonakalo.
Ngaba ikhona indlela yonyango? Ngaba inganyangeka ngokupheleleyo?
Ewe! Ngokuqinisekileyo kunjalo! Le yeyona ndaba ibalulekileyo neyonwabisayo. Kwiminyaka eyadlulayo, bekukho unyango lwale nto olwaluneziphumo ebezingalindelekanga ezininzi kwaye belungasebenzi kakuhle. Kodwa ngoku kukho amayeza amatsha abizwa ngokuba yi -Direct-acting antivirals (DAAs) .
Ezi ziza ngohlobo lweepilisi. Ukuba uthatha la mayeza kanye kangangexesha eliphakathi kweenyanga ezi-2 nezi-6, ungasinyanga ngokupheleleyo esi sifo ngamathuba angaphezu kwama-95%. Ugqirha wakho uza kukhetha amayeza afanelekileyo kuwe ngokusekelwe kuhlobo lwentsholongwane onayo.
Nangona kunjalo, ukuba sele unesi sifo ixesha elide kwaye unomonakalo omkhulu wesibindi (njengokuqaqamba kwesibindi), unokufuna ukunyanga loo monakalo ngokwahlukileyo kwanasemva kokuba intsholongwane iphelile.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
Iziphumo ebezingalindelekanga zala mayeza matsha e-DAA aziqhelekanga. Abanye abantu banokufumana izinto ezifana nezi:
- Isisu esibuhlungu
- Urhudo
- Ukudinwa
- Intloko ebuhlungu
- Isicaphucaphu
- Ubunzima bokuphefumla
Ukuba unayo nayiphi na kwezi, thetha nogqirha wakho ngayo.
Izinto onokuzenza ngexesha lonyango
Njengomntu onesifo sesibindi, unoxanduva olukhulu lokukhusela isibindi sakho ekonakaleni okungakumbi ngelixa ufumana unyango.
- Kuphephe ngokupheleleyo utywala: Utywala lolunye lwezona ntshaba zinkulu zesibindi. Kungcono ukuyeka ukusela utywala, kungekuphela nje ngexesha lonyango, kodwa ubomi bakho bonke.
- Yeka ukutshaya.
- Gonyelwa i-hepatitis A kunye ne-B: Oku kubaluleke kakhulu ukukhusela isibindi sakho kwiintsholongwane ezingakumbi.
- Landela iingcebiso zonyango ngokuchanekileyo: yiya kwiikliniki ngamaxesha amiselwe ngugqirha, kwaye usele amayeza akho njengoko eyalelwe.
Ngaba ikho indlela yokukuthintela oku?
Ngelishwa, akukho gonyo lokuthintela i-hepatitis C okwangoku. Ke ngoko, indlela ekuphela kwayo yokuthintela usulelo kukuphepha ukudibana negazi elineentsholongwane. Oko kuthetha ukuba,
- Ungaze wabelane ngeenaliti ezisetyenziselwa ukujova iziyobisi.
- Ukuba uthatha itattoo okanye ugqobhoza umzimba, kwenze kuphela kwindawo ecocekileyo kakhulu kwaye enezixhobo ezicociweyo ngokufanelekileyo.
- Musa ukusebenzisa iireyiza okanye iibrashi zamazinyo zomnye umntu.
Usenokumangaliswa kwaye wothuke xa ufumanisa ukuba une-hepatitis C. Usenokungazi nokuba uyifumene phi okanye njani. Kodwa endaweni yokuba ukhathazeke ngayo, ukwazi ukuba unesifo kungcono ngokuphindwe kaliwaka kunokungazi. Kuba ngoku sinokunyangeka ngokupheleleyo. Okukhona ifunyanwa ngokukhawuleza, kokukhona umonakalo omncinci esibindini ungancitshiswa.
Umyalezo Wokuya Ekhaya
- IHepatitis C sisifo esibangelwa yintsholongwane esonakalisa isibindi. Abantu abaninzi ababonisi zimpawu ekuqaleni.
- Idluliselwa kuphela ngokudibana kwegazi elinentsholongwane. Izinto eziphambili ezibangela umngcipheko kukusetyenziswa kweenaliti ezingakhuselekanga kunye nokudweba iitattoo.
- Amayeza amatsha (ii-DAA) afumanekayo ngoku anokunyanga ngokupheleleyo esi sifo kwiimeko ezingaphezu kwama-95%.
- Ukuba unesikrokro malunga nesi sifo, bona ugqirha wakho ngoko nangoko uze uhlolwe igazi.
- Okukhona isifo sifunyanwa ngokukhawuleza kwaye unyango luqala, kokukhona umonakalo wesibindi ohlala ixesha elide unokuthintelwa.
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