Hepatitis

I-hepatitis kukudumba nokudumba kwesibindi.

I-hepatitis inokubangelwa ngu:

• Amaseli omzimba omzimba ahlasela isibindi
• Usulelo olusuka kwintsholongwane (njenge-hepatitis A, i-hepatitis B, okanye i-hepatitis C), iibhaktheriya, okanye iiparasites
• Ukulimala kwesibindi ngotywala okanye ityhefu
• Amayeza, njengokugqithisa kwe-acetaminophen
• Isibindi esinamafutha

Isifo sesibindi sinokubangelwa kukungazizuzi njenge-cystic fibrosis okanye i-hemochromatosis, imeko ebandakanya ukuba nentsimbi eninzi emzimbeni wakho.

Ezinye izizathu zibandakanya isifo sikaWilson, isifo apho umzimba ugcina ubhedu oluninzi.

I-Hepatitis inokuqala kwaye iphile ngokukhawuleza. Isenokuba yimeko yexesha elide. Ngamanye amaxesha, i-hepatitis inokukhokelela ekonakaleni kwesibindi, ukusilela kwesibindi, ukuqina kwesibindi, okanye nomhlaza wesibindi.

Zininzi izinto ezinokuchaphazela imeko yokuba nzima kangakanani. Oku kunokubandakanya unobangela womonakalo wesibindi kunye nasiphi na isigulo onaso. I-Hepatitis A, umzekelo, ihlala ixakekile kwaye ayikhokeleli kwiingxaki zesibindi ezingapheliyo.

Iimpawu ze-hepatitis zibandakanya:

• Intlungu okanye ukuqunjelwa kwindawo esiswini
• Umchamo omnyama kunye nezitulo ezimdaka okanye ezinombala wodongwe
• Ukudinwa
• Umkhuhlane ophantsi
• Ukurhawuzelela
• IJaundice (tyheli kolusu okanye amehlo)
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu nokugabha
• Ukuhla ukusinda

Awunakuba neempawu xa uqala ukusulelwa yi-hepatitis B okanye u-C. Usengaphumelela ukusilela kwesibindi kamva. Ukuba unayo nayiphi na imingcipheko yoluhlobo lwe-hepatitis, kufuneka uvavanywe rhoqo.

Uya kuba novavanyo lomzimba ukujonga:

• Isibindi esandisiweyo kunye nethenda
• Ulwelo esiswini (ascites)
• Mthubi ulusu

Unokuba novavanyo lwelebhu ukuxilonga kunye nokubeka iliso kwimeko yakho, kubandakanya:

• I-Ultrasound yesisu
• Iziphawuli zegazi ngokuzenzekelayo
• Uvavanyo lwegazi ukufumanisa i-Hepatitis A, B, okanye uC
• Uvavanyo lomsebenzi wesibindi
• I-biopsy yesibindi ukujonga ukonakala kwesibindi (kunokufuneka kwezinye iimeko)
• I-Paracentesis (ukuba ulwelo lusesiswini sakho)

Umboneleli wakho wezempilo uya kuthetha nawe malunga nokhetho lonyango. Unyango luya kwahluka, kuxhomekeka kwisizathu sesifo sakho sesibindi. Kuya kufuneka utye ukutya okunekhalori eziphezulu ukuba ulahla ubunzima bomzimba.

Kukho amaqela enkxaso kubantu abaneentlobo zonke ze-hepatitis. La maqela anokukunceda ufunde ngonyango lwamva nje kunye nendlela yokumelana nesi sifo.

Umbono we-hepatitis uya kuxhomekeka kwinto ebangela ukonakala kwesibindi.

Iingxaki zinokubandakanya:

• Umonakalo osisigxina wesibindi, obizwa ngokuba yi-cirrhosis
• Ukungaphumeleli kwesibindi
• Umhlaza wesibindi

Funa unonophelo ngokukhawuleza ukuba:

• Unempawu ezivela kwi-acetaminophen eninzi okanye amanye amayeza. Kuya kufuneka ukuba ukhuphe isisu sakho
• Hlanza igazi
• Yiba nezihlalo ezinegazi okanye ezilindileyo
• Badidekile okanye bayadida

Fowunela umnikezeli wakho ukuba:

• Unayo nayiphi na impawu ye-hepatitis okanye ukholelwa ukuba ufumene i-hepatitis A, B, okanye uC.
• Awunakho ukugcina ukutya phantsi ngenxa yokugabha okugqithisileyo. Kuya kufuneka ukuba ufumane isondlo ngomthambo (ngaphakathi ngaphakathi).
• Uziva ugula kwaye ukhe waya eAsia, eAfrika, eMzantsi Melika, okanye kuMbindi Merika.

Thetha nomboneleli wakho malunga nokugonya ukukhusela i-hepatitis A kunye ne-hepatitis B.

Amanyathelo okukhusela ukusasazeka kwe-hepatitis B kunye no-C ukusuka komnye umntu ukuya komnye kubandakanya:

• Gwema ukwabelana ngezinto zakho, ezifana neencakuba okanye iibrashi zamazinyo.
• MUSA ukwabelana ngenaliti zamachiza okanye ezinye izixhobo zamachiza (ezinjengeendiza zokurhola iziyobisi).
• Coca ukuchitheka kwegazi ngomxube wecandelo elinye leblitshi kumacandelo ali-9 amanzi.
• SUKUFUMANA iitattoo okanye ukugqobhoza umzimba ngezixhobo ezingacocwanga ngokufanelekileyo.

Ukunciphisa umngcipheko wokusasazeka okanye ukubamba i-hepatitis A:

• Njalo hlamba izandla zakho kakuhle emva kokusebenzisa indlu yangasese, kwaye xa udibana negazi lomntu osulelekileyo, ilindle, okanye olunye ulwelo lomzimba.
• Kuphephe ukutya okungcolileyo namanzi.

• Intsholongwane yeHepatitis B
• IHepatitis C
• I-anatomy yesibindi

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Izikhokelo zokujonga isifo se-hepatitis kunye nolawulo lwamatyala. www.cdc.gov/hepatitis/statistics/surveillanceguidelines.htm. Ukuhlaziywa ngoMeyi 31, 2015. Kufumaneka ngo-Matshi 31, 2020.

IPawlotsky JM. I-hepatitis yentsholongwane engapheliyo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 140.

UTakyar V, uGhany MG. IHepatitis A, B, D, kunye no-E kwi: Kellerman RD, Rakel DP, eds. Unyango lwangoku lukaConn 2020. IPhiladelphia, PA: Elsevier; Ngo-2020: 226-233.

U-JA omncinci, Ustun C. Usulelo kubamkeli be-hematopoietic stem cell transplants. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 307.