Njani kwaye yintoni ngayo hepatitis C? Indlela yokuphatha hepatitis C kweli khaya?

Umhla wokuzalwa esemthethweni kohlobo C abanentsholongwane kuqwalaselwa ngo-1989. akukho iinkqubo ezithile zokuxilonga ukuqaphela ukuba zange ziphuhliswe kude kube lelo xesha. Xa emzimbeni womntu, ihepatitis C ntsholongwane, ngendlela elula, kudale ukudumba esibindini. usuleleko Worldwide ke ngoku kukho ingxaki enkulu kakhulu. Ukuze siqonde noko iindlela kunye amalungiselelo ngayo hepatitis C, kuyimfuneko ukuba aqhelane ingxaki iinkcukacha abaninzi.

Ngubani Ngubani

-Arhente causative kweentlobo kohlobo A and B ziye zachongwa kwi-imi- 70 kwinkulungwane yama-20. Noko ke, kwakukho iingcebiso emva kokuba izazinzulu ukuba zikhona ezinye iintlobo esi sifo ( "akukho A okanye B"). Ingongoma onke amathandabuzo sasimi ngo-1989, xa ngethuba iimvavanyo ezininzi igazi labantu watyhila enye arhente ezithile egazini, elo wabelithiyiwe igama "hepatitis C virus". Ngoko nangoko kwakukho eninzi imibuzo ezahlukeneyo malunga oko kuyingozi hepatitis C, ukuze aphathe ngayo, yintoni amachiza ukuyisebenzisa.

Isambuku oosonzululwazi kunye neengcali zonyango solidarity nye uvakalelwa ukuba olu hlobo sifo kuyingozi kakhulu ezaziwayo. Yiyo le fomu ekudla ngokuba 'umbulali ithenda ", njengoko usulelo akanakho ukuzibonakalisa iminyaka, ngoko ukuthetha, ukuba siziphathe" abalulamileyo njengamatakane, "kodwa kuchaphazela kakhulu iiseli isibindi ibangele iingxaki ezinzulu. Le ndoda kweli xesha ayikho into akanamdla kunokuba aphathe hepatitis C, kodwa abazange bacinge ukuba unalo loo isifo esiyingozi.

imizila exposure kunokwenzeka

Indlela losulelo sohlobo C ntsholongwane - hematogenous parenteral (.. usuleleko Ie yenzeka ngenxa yegazi). Kusenokwenzeka kwezinye iimeko. Okokuqala, igazi abamkeli ukutofelwa igazi. Ngokobalo manani ukuya kwi-2% abanikele ehlabathini abathwali ntsholongwane. Ngenxa yesi sizathu, phambi ukutofelwa igazi, ukuba zihlolelwe ubukho pathogen kuyo (ukuba zitshiphu ngoko ukunyanga umntu). Kwaye, kunjalo, malunga ne-4% kuzo zonke iimeko zokugula kwenzeka inkqubo kwegazi.

Okwesibini, ukusetyenziswa kweenkqubo zonyango kunye isitofu yenaliti omnye ngabantu abohlukeneyo. Uninzi lwezi zifo phakathi ngamakhoboka eziyobisi kunye nabantu abafumana amayeza yegazi. Ziziphi amayeza ngayo hepatitis C, kuya kufuneka ichazwe ngezantsi.

Okwesithathu, amathuba ukunyuka usulelo kwezo abantu abaphangelayo awabonana iimveliso ngegazi (sithetha abasebenzi bezonyango).

Ukongeza, kuyenzeka ukuba 'sivuke' usulelo olufumaneka ngokwayamana. Kusenokwenzeka ukuba kosulelwa kwisithuba usapho kunye nobudlelwane kunye nomlingani owaziwayo ayinamsebenzi. Noko ke, xa amaxesha abafowunelwa ngokungakhethi amaninzi kwandisa umngcipheko wokosuleleka yintsholongwane sohlobo C, t. To. Izithethi zomthonyama ezi-3% amafanasini, 6% abasetyhini zobuhle lula, 4% of rhoqo "abathengi" gqirha isifo neegcushuwa.

Mother-to-child gciwane kunqabile kakhulu. Usulelo ngobisi lwebele awufumaneki ngexesha zisanyisa, ngoko phindeke abafazi abanomdla umbuzo kunokuba imphathe hepatitis C nokuba yingozi ukuba umntwana ngokubanzi ayikho imfuneko.

Ngaphezu koko ke, kusenokwenzeka ukuba bosulelwe ngexesha isicelo ukuya umzimba umzimba okanye ukugqojozwa komzimba, imithi, indlebe lihlaba iinaliti ezingazinzanga. Yaye malunga nama-40% kwizigulane abazi okanye musa ukukhumbula ukuba yintoni okanye ngubani baba umthombo.

symptomatology

Phambi kokuba kucingwe umbuzo wokuba yintoni ngayo hepatitis C, kubalulekile ukuqonda xa umntu kufuneka uqale ukuxhalaba, phulaphula imeko yakhe ngokukhawuleza kangangoko kunokwenzeka bafune iingcebiso zonyango.

Eyona nkalo iphambili sohlobo C ntsholongwane - na hexa wayo, ubuchule kunye wayevuma ukuba lokuziguqula. Isifo kungenziwa ngeendlela ezimbini. Ukuba intsholongwane baphinda ngokukhawuleza, oko imperceptible kumonakalo iseli kwesibindi babantu, izinga le nkqubo etshabalalisayo kune eyakhe ubunakho zesibindi ngokutsha. Kulo mzekelo, inkqubo endaweni hepatocytes (iiseli kwesibindi): kukuqulungana (nokuqina) kwithishyu. Kwimeko enjalo kuchaphazela umsebenzi omzimba. Ukuba inkqubo phindana iyacotha, nokuphola isibindi ukubuyisela ezonakeleyo.

Iimpawu ezilumkisayo azisoloko ekhona. Ngethuba okuthatha (malunga nama-50 iintsuku), umntu ngokuqhelekileyo esiziva kunye bafunde usulelo ngengozi. Nangona kunjalo, kukho non-ezithile iimpawu hepatitis B, ubukho apho kufuneka bafune iingcebiso zonyango. Ezi ziquka ubuthathaka, ukudinwa, asthenia (chronic fatigue syndrome).

izigaba survey

Ngokuqhelekileyo, kuba uninzi lwezigulane yokusabela elihle kohlobo C uba isimanga epheleleyo. Noko ke, ithemba sizibuze umbuzo bomthendeleko, nokuba abaphathana hepatitis C ngokubanzi, ekungekho nzuzo ngayo. Inyathelo elilandelayo wayeza kuba indlela uviwo olunye. Okokuqala, kuyimfuneko ukuba ukuphinda-ukwenza uvavanyo lwegazi ukuqinisekisa ubukho kwale ntsholongwane, i-arhente causative. Ukuba impendulo siyakha, ugqirha uyakukumisela eziliqela iinkqubo ezongezelelweyo.

Isibindi ultrasound (ultrasound) iya kunceda ugqirha ukuba ahlole ulwakhiwo inwebu wesibindi kunye nemeko amalungu eselumelwaneni ngocoselelo. Le nkqubo iya kwenziwa ngokuphindaphindiweyo ngaphandle nobungozi kwimpilo.

Fibroskanirovanie isibindi okanye elastometry iza kuhlola ekuhambeni iinkqubo ezingapheliyo esibindini kunye nokusebenza nothomalaliso (ukuba asele ethathiwe).

Uphando kakhulu ebalulekileyo eza kunika ugqirha wakho njengoko ingcaciso eninzi malunga nemeko kwesibindi - biopsy. Kwathathwa ze acalulwe zivavanywe phantsi neemicroscope iiseli isibindi iya kuvumela oogqirha ukuba izigqibo malunga nokuba okanye hayi inkqubo sele ezondeleyo, ukuba zange ziphuhliswe ngexesha kophononongo njengoko kwingxaki ngokoma. Emva kolu hlahlelo, ugqirha uya kwenza isigqibo sokuba yeyiphi indlela ukunyanga esi sigulane ethile, yintoni amalungiselelo (ukuphatha hepatitis C kunye nokusetyenziswa kweenkqubo ezikhethekileyo ezithile amayeza).

ngokuthatha inkqubo biopsy jikelele ilula kwaye ayibeki nayiphi na ingozi. Le isigulane engqengqe ngomqolo, ngokwenza zomzimba zalapha engasentla ekunene isiqwempu esiswini, inaliti okhethekileyo kuwutyhutyha ulusu uthabathe intwana encinane kwesibindi inyama ngeenjongo zophando.

zemithi Standard

Ukuze isigqibo kwirejimeni yonyango isethi amayeza, iidosi zabo namatyeli kulawulo, kuya kubaluleka ukuba ulwazi ugqirha malunga kweejini sohlobo C yentsholongwane zabo ezabelwe okwangoku-6, yaye kuwo wonke umhlaba ukubonisa amanani zabo ukusuka ku-1 ukuya 6 ukujika, kweejini elowo iintlobo zeHPV zingonobangela / iintlobo zeHPV zingonobangela, ezo etyunjwe iileta kwaye uqhagamshele kweejini digit (1a, 3b njalo njalo. d.).

I genotypes kuqala yesine fixed kwizigulane kunqabile kakhulu, kodwa ke ngelo xesha linye zezona zizinze (malunga kuthelekiswa isiqingatha nabanye) kuthomalaliso antiviral, kungakhathaliseki ukuba abaphathe hepatitis C kweejini 3, kwakunye bonke abanye, iSADC unyango ngeendlela ezininzi zivunyiwe ngabantu ehlabathini.

Umphathi wesekethe anoqoqosho kukuba ukwamkela nasiphi interferon isitofu (NO suppositories, njengezingxobo, amathontsi kunye ezifana. D.) Xa umthamo we-3 IU (million). Periodicity - hayi ngaphantsi kwe ngenye imini. Ngaphezu wabelwa ukuba bafumane mhlawumbi ribavirin yonke imihla. Le yedosi ixhomekeke ubunzima yesigulane. Xa ubunzima bomzimba-65 kg kufuneka ithathwe ubuncinane 800 mg ngosuku, ubunzima ngakumbi - 1200 mg.

Iskim kakhulu kangangoko iquka ukuqaliswa interferon xa umthamo we-6 IU imihla kangangoko ALT eqhelekileyo. Kwiiveki 12 ecaleni 6 IU, kodwa yonke enye ngosuku. Okulandelayo 3 IU de kube sekupheleni unyango. Ribavirin - kuwo unyango kwi ithamo njengoko kuchaziwe apha ngasentla.

Kuba abo bakwaziyo ukufikelela lwezinto zokuphila zezimali, ngokubanzi akukho umbuzo malunga kakhulu ngempumelelo kunokuba ekunyangeni sohlobo C. Zezomntu antiviral unyango kulo mzekelo - nto ribavirin kunye "Peginterferon" 1 Ixesha ngeveki.

Njengoko ngexesha unyango, igama umgangatho - kwiiveki ezingama-24 xa umthamo we ribavirin 800 mg kungakhathaliseki ubunzima. Ukuba kweejini lwabonisa ukuba kweejini 1, ixesha unyango lomguli kabini ukuya kwiiveki 48, yaye ribavirin umiselwa (kwaye yamkelwe) ngokupheleleyo.

iindaba angaphandle

Imphathe hepatitis C eYurophu? Enyanisweni, unyango interferon sifanelekile ehlabathini lonke. Nangona kunjalo, i-EU iye yavuma udibaniso elitsha ichiza kuba unyango lwe uhlobo C. La machiza zibizwa ngokuba "Vekiraks" yaye "Eksvera". Zombini iyeza release form - iipilisi (.. okt, akukho mfuneko yokuba iinaliti ngokuphindaphindiweyo interferon). Ubume be-"Vekaraksa" iquka ombitasvir, paritaprevir kunye ritonavir. Icandelo engundoqo esebenzayo "Eksvera" - dasabuvir.

Unyango bezifo hepatitis C kweejini 1 ezivunyiweyo usebenzisa udibaniso olutsha lwamachiza nodibaniso ribavirin okanye ngaphandle kwayo. La machiza nazo izigulana kwesibindi babuyekezwe, izigulane kwi therapy replacement kwaye abo esinye isibindi. izifundo lwezonyango, leyo zazinyaswa ngabantu abangaphezulu kwe-2.300, wabonisa ukuba ama-95% ezigulane hepatitis C kweejini 1 awusenayo. Ukongeza, inkqubo entsha tolerability kakuhle (98% yezigulane bayigqiba ikhosi epheleleyo yonyango).

iindlela ezizezinye ukuba unyango sohlobo C: phytotherapy

Phantsi iindlela ezizezinye unyango sohlobo C libhekisa kwi iinketho ezahlukeneyo self-unyango kunye ezahlukeneyo iingcambu, iziqhamo kunye imifuno, apho kwenzeka into eninzi. Noko ke, ngaphambi kokuba ubuza umbuzo yokuphatha njani hepatitis C, iiresiphi abantu, kodwa kufuneka udibane nogqirha-phytotherapeutist, ekubeni ezininzi izityalo kunye neziqhamo zawo, amagqabi kunye neengcambu ayityhefu.

Ephumelelayo kuthetha izigulane ukufumana iingcambu ka Marsh nekalamo apho ukumnika kulungiselwe bona. 1 itispuni nengcambu otyunyuziweyo kugalela 1 nendebe yamanzi abilayo kwaye avunyelwe ukuba eme ngeenyawo imizuzu engama-20. Thatha le ukumnika kane ngemini kangangesiqingatha seyure phambi kokuba ityiwe isiqingatha sekomityi.

Impendulo yalo mbuzo lokuba ziphathwa njani hepatitis C ekhaya, izigulane ezininzi ukufumana isixhobo esinjalo, njengokuba mama. 4 grams osisiqu liyangxengwa ngobisi efudumeleyo, ongeze kuyo incindi yomdiliya nobusi. Le yokuqamba kuthathwa kabini ngemini phambi izidlo. Ukulandela Kucetyiswa ukuba badle ekrwada iqanda ekhaya.

Kukho inala iintlobo zokupheka kunye nezindululo eziya kukunceda ukuba qhubana hepatitis C, ngoko ke ubuncinane ukuba uzive ngcono.

Ayo kanye hepatitis C

Enye impendulo enye ukuya umbuzo ukuba bangazinyanga njani hepatitis C kweli khaya, ingaba ukusetyenziswa yejusi.

ukusebenza olungileyo juice ikhaphetshu (iglasi izihlandlo 2-3 ngosuku) okanye umxube zekhaphetshu kunye juice beet (le yokugqibela - akukho ngaphezu kwekota iglasi). Kubalulekile: emva ukucudisa ijusi kufuneka beme iiyure ubuncinane 4-5.

Ngaphezu koko, bathi ukuba iziphumo ezakhayo aokusetyenziswa ngokuthatha enesiqingatha ngemihla iglasi juice ithanga entsha. Ukuphucula imeko yabantu, yaye xa benikwa infusions yamandongomane, namaqunube, Jujube neswekile. Emanzini (250 ml) abilayo batyhileka 50 g zithako nganye wayipheka imizuzu engama-30, emva koko iphela. Kucetyiswa ukuba phambi kokuba balale kangangeentsuku ezingama-30.

Nokuba kunokuba imphathe hepatitis C? Ewe, a edandelion elula. Umntu upheka jam zeentyatyambo, ngoxa abanye bakholelwa ukuba iza kunceda nokuhlanganiswa iingcambu (okuthambile ekrwada kugalela amanzi abilayo kunye nokufaka ukuba imizuzu engama-40). Thatha le amayeza phambi kokuba isidlo kunye 1 icephe.

Ukutya kunye yokuphila kwezigulane hepatitis C

amayeza esintu, iziqhamo, incindi, kunye nokufakwa kwezityalo - konke oku impendulo alupheli kumbuzo lokuba ziphathwa njani hepatitis C kweli khaya? Kubonakala ukuba kubalulekile ukuthobela ukudla okuthile. Kuyimfuneko ukuba andise isabelo iimveliso zobisi, iinkozo kunye okuziinkozo ekutyeni ngokubanzi. Kuya kufuneka ukuba anciphise kubuncinane ukusetyenziswa iintlobo ezahlukeneyo ayi, itshokolethi, balondoloze kunye pickles, utywala kunye nokutya eqhotsiweyo. Ngaphezu koko, kubalulekile ukuba nditye phambi kokuba ulale kwaye usele ubuncinane neelitha ezintathu amanzi emini.

Nazo zonke ezi ngcebiso uze uvume neengcali zonyango. A indima ekhethekileyo kukwehla impilo oogqirha alahlwayo imikhwa. Yaba phakathi abalandeli iziselo ezinxilisayo amaninzi ikhula njenge kwingxaki kwesibindi kwesibindi. Nantoni na ukuba yokuyithenga isigulana - iglasi yewayini okanye ibhiya.

Ukuba isifo sele ozinzisiweyo, ugqirha kungenzeka ukuncoma eliphantsi yokudla ityuwa, ukunciphisa ukugcinwa ulwelo emzimbeni.

Yona indlela yokuphila, ngoko ngaphantsi eziqhelekileyo zoqhagamshelwano indlu amathuba yokosulela sohlobo C ntsholongwane phantse zero. Eyona nto ibalulekileyo kukuba ukuze sinikele ingqalelo yokunqunyulwa, ukutsha kunye nezinye umonakalo kwesikhumba, njengoko usulelo lwenzeka kuphela ngegazi. A ingozi encinane kakhulu ikhona ngexesha lokwabelana ngesondo. Ukuthintela iimeko uxinezeleko olungeyomfuneko kunye namava kwiimeko ezinjalo, oogqirha bacebisa ukusetyenziswa kweekhondom.

UPawulos

Ukusuka "umbulali yeethenda" akukho bani ugonyiwe. Sonke siyagula, siphatha amazinyo, wenze manicures bekhangeleka, tyelela iindawo zoluntu kunye nemivumbo, namanxeba. Kuzo zonke ezi meko abanokufumana zosulelwe hepatitis C kwaye bakuqaphele (kwaye batyeshele elide ngokwaneleyo). Ukuba isifo - a bakwazi accompli, akukho mfuneko ukuba ufune ulwazi ngokwabo malunga nendlela yokuphatha hepatitis C. I lwemithi kunye nogqirha ekhethiweyo ngabanye ukuba isigulane ngasinye ezisekelwe kwiziphumo zeemviwo onyango. Eyona nto ibaluleke ngokwenene - afune uncedo iziqinisekiso ngokukhawuleza kangangoko kunokwenzeka. Ngapha koko, awukwazi ukunika inkqubo etsolo ukudumba uguqulwe ube ezondeleyo.

Ke ukuba unyango sohlobo C ekhaya, wena unako, Kakade, ngcono imeko yempilo kunye imifuno, infusions evela amagqabi neengcambu izityalo, iziqhamo kunye ayo iziqhamo. Noko ke, akwaziwa kwityala olunye recovery ngokupheleleyo impatho enjalo. Ewe, yaye mhlawumbi izazinzulu ababesoloko bejikeleza wonke ukuba achithe iminyaka yobomi babo, kunye namaqumrhu - iibhiliyoni zeerandi kuphando nokuphuhliswa kwamachiza amatsha, ukuba kuphela ukuba alula - basela ngenyanga ibranti (okanye unyaka - eli gama ayibalulekanga) - waza wohlukana kohlobo C virus ?