IHepatitis D (iarhente yeDelta)

I-Hepatitis D yintsholongwane yentsholongwane ebangelwa yintsholongwane ye-hepatitis D (eyayibizwa ngokuba yi-Delta agent). Kubangela iimpawu kuphela kubantu abanesifo se-hepatitis B.

Intsholongwane ye-Hepatitis D (HDV) ifunyanwa kuphela kubantu abaphethe intsholongwane ye-hepatitis B. I-HDV inokwenza isifo sesibindi sibe mandundu kubantu abane-hepatitis B. esandula ukwenzeka okanye esinexesha elide (Isenokubangela iimpawu kubantu abaphethe intsholongwane ye-hepatitis B kodwa abangazange babe nazimpawu.

I-Hepatitis D ichaphazela malunga nezigidi ezili-15 zabantu kwihlabathi liphela. Kwenzeka kwinani elincinci labantu abaphethe i-hepatitis B.

Izinto zomngcipheko zibandakanya:

• Ukusebenzisa kakubi i-intravenous (IV) okanye iziyobisi ngenaliti
• Ukosulelwa ngelixa ukhulelwe (umama angadlulisela intsholongwane emntwaneni)
• Ukuthwala intsholongwane ye-hepatitis B
• Amadoda abelana ngesondo namanye amadoda
• Utofelo-gazi oluninzi

I-Hepatitis D inokwenza ukuba iimpawu ze-hepatitis B zibe mbi ngakumbi.

Iimpawu zingabandakanya:

• Intlungu zesisu
• Umchamo omnyama-mnyama
• Ukudinwa
• I-jaundice
• Intlungu edibeneyo
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu
• Ukuhlanza

Unokufuna ezi mvavanyo zilandelayo:

• Unyango lwe-anti-hepatitis D
• Isibindi se-biopsy
• Ii-enzyme zesibindi (uvavanyo lwegazi)

Uninzi lwamayeza asetyenziselwa ukunyanga i-hepatitis B aluncedo ekunyangeni i-hepatitis D.

Unokufumana iyeza elibizwa ngokuba yi-alpha interferon ukuya kuthi ga kwiinyanga ezili-12 ukuba unosulelo lwe-HDV lwexesha elide. Ukufakelwa kwesibindi kwisigaba sokugqibela sesifo se-hepatitis B sinokusebenza.

Abantu abanesifo esosulelayo se-HDV badla ngokuba bhetele kwiiveki ezi-2 ukuya kwezi-3. Amanqanaba e-enzyme yesibindi abuyela esiqhelweni kwiiveki ezili-16.

Phantse i-1 kwabali-10 kwabo bosulelekileyo banokuphuhlisa ukudumba kwesibindi (hepatitis) kwexesha elide.

Iingxaki zinokubandakanya:

• Esingapheliyo hepatitis esebenzayo
• Ukungaphumeleli kwesibindi

Fowunela umboneleli wakho wezempilo ukuba uneempawu ze-hepatitis B.

Amanyathelo okuthintela imeko ibandakanya:

• Fumana kwaye unyange usulelo lwe-hepatitis B ngokukhawuleza ukunceda ukuthintela i-hepatitis D.
• Kulumkele ukusebenzisa kakubi iziyobisi (IV). Ukuba usebenzisa iziyobisi ze-IV, thintela ukwabelana ngenaliti.
• Gonyelwa i-hepatitis B.

Abantu abadala abasemngciphekweni omkhulu wosulelo lwe-hepatitis B kwaye bonke abantwana kufuneka balufumane olu gonyo. Ukuba awufumani i-Hepatitis B, awunakufumana i-Hepatitis D.

Ummeli we Delta

• Intsholongwane yeHepatitis B

Ialves VAF. Hepatitis wentsholongwane egazini. Ku: Saxena R, ed. I-Hepatic Pathology esebenzayo: Indlela yokuChonga. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 13.

ILandaverde C, Perrillo R.Hepatitis D. Ku: Feldman M, Friedman LS, Brandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 81.

I-Thio CL, i-Hawkins C. Intsholongwane ye-Hepatitis B kunye ne-hepatitis delta virus. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 148.