Hepatitis C - abantwana

I-Hepatitis C ebantwaneni kukudumba kwezicwili zesibindi. Kwenzeka ngenxa yosulelo lwe-hepatitis C virus (HCV).

Olunye usulelo oluqhelekileyo lwe-hepatitis virus lubandakanya i-hepatitis A kunye ne-hepatitis B.

Umntwana unokufumana i-HCV kumama osuleleke yi-HCV, ngexesha lokuzalwa kwakhe.

Phantse i-6 kwi-100 leentsana ezizalwe ngoomama abanesifo se-HCV bane-hepatitis C. Akukho lunyango lokuthintela i-hepatitis C ekuzalweni.

Ulutsha kunye nolutsha nabo banokufumana usulelo lwe-HCV. Zininzi izinto ezibangela i-hepatitis C kulutsha, kubandakanya:

• Ukubambeka ngenaliti emva kokusetyenziswa ngumntu osuleleke yi-HCV
• Ukudibana negazi lomntu osulelekileyo
• Sebenzisa iziyobisi ezitalatweni
• Ukuba neentlobano zesini ngokungakhuselekanga nomntu one-HCV
• Ukufumana iitattoo okanye unyango lweacupuncture ngeenaliti ezisulelekileyo

IHepatitis C ayisasazeki ekuncanciseni, ekuwangeni, ekuncamiseni, ekukhohliseni okanye ekuthimleni.

Iimpawu zikhula ebantwaneni malunga neeveki ezi-4 ukuya kwezi-12 emva kosulelo. Ukuba umzimba uyakwazi ukulwa ne-HCV, iimpawu ziphela kwiiveki ezimbalwa ukuya kwiinyanga ezi-6. Le meko ibizwa ngokuba sisifo esibuhlungu se-hepatitis C.

Nangona kunjalo, abanye abantwana abaze balahle i-HCV. Le meko ibizwa ngokuba sisifo esingapheliyo se-hepatitis C.

Uninzi lwabantwana abane-hepatitis C (etsolo okanye enganyangekiyo) ababonisi zimpawu de kubekho umonakalo ophucukileyo wesibindi. Ukuba iimpawu zenzeka, zingabandakanya:

• Intlungu kwisisu esisekunene
• Umbala wodongwe okanye ilindle eliluthuthu
• Umchamo omnyama
• Ukudinwa
• Ifiva
• Isikhumba esimthubi namehlo (jaundice)
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu nokugabha

Umboneleli wezempilo womntwana wakho uya kwenza iimvavanyo zegazi ukufumana i-HCV egazini. Olona vavanyo lwegazi luqhelekileyo zezi:

• I-enzyme immunoassay (EIA) yokufumana i-hepatitis C antibody
• Uvavanyo lwe-Hepatitis C RNA ukulinganisa amanqanaba entsholongwane (umthwalo wentsholongwane)

Iintsana ezizalwe ngoomama abane-hepatitis C kufuneka ziye kuvavanywa kwiinyanga ezili-18 ubudala. Eli lixesha apho ii-antibodies ezivela kumama ziya kuncipha. Ngelo xesha, uvavanyo luya kubonisa ngakumbi inqanaba lomzimba womntwana.

Olu vavanyo lulandelayo lubona ukonakala kwesibindi kwi-hepatitis C:

• Inqanaba lealbhamu
• Uvavanyo lomsebenzi wesibindi
• Ixesha leprothrombin
• Isibindi se-biopsy
• I-ultrasound yesisu

Ezi mvavanyo zibonisa ukuba lusebenza kakuhle kangakanani unyango lomntwana wakho.

Eyona njongo iphambili kunyango ebantwaneni kukhulula iimpawu kunye nokunqanda isifo ukuba singanwenwi. Ukuba umntwana wakho uneempawu, qiniseka ukuba umntwana wakho:

• Ufumana ukuphumla okuninzi
• Uselwa kakhulu ulwelo
• Utya ukutya okusempilweni

Acute hepatitis C ayifuni naluphi na unyango olukhethekileyo. Nangona kunjalo, umntwana wakho angayidlulisela kwabanye intsholongwane. Kufuneka uthathe amanyathelo okunceda ukunqanda ukusasazeka kwesi sifo.

I-hepatitis C engapheliyo ifuna unyango. Injongo yonyango kukuthintela iingxaki.

Ukuba akukho mqondiso wosulelo lwe-HCV emva kweenyanga ezi-6, umntwana wakho uchache ngokupheleleyo. Nangona kunjalo, ukuba umntwana wakho uvela kwi-hepatitis C engapheliyo, kunokubangela isifo sesibindi kamva ebomini.

Umboneleli womntwana wakho unokucebisa amayeza antiviral kwi-HCV engapheliyo. La mayeza:

• Yiba neziphumo ebezingalindelekanga ezimbalwa
• Kulula ukuthatha
• Zithathwa ngomlomo

Ukhetho lokusebenzisa amayeza ebantwaneni kwi-hepatitis C alucaci. Amayeza asetyenzisiweyo, i-interferon kunye ne-ribavirin, aneziphumo ebezingalindelekanga ezininzi kunye nemingcipheko ethile. Amayeza amatsha amatsha nekhuselekileyo avunyelwe abantu abadala, kodwa okwangoku akwabikho kubantwana. Iingcali ezininzi zicebisa ukuba ulinde unyango lwe-HCV ebantwaneni de la mayeza matsha avunyelwe ukuba asetyenziswe ebantwaneni.

Abantwana abangaphantsi kweminyaka emithathu ubudala abanakuludinga unyango. Usulelo kweli qela leminyaka lihlala lisombulula ngaphandle kwengxaki.

Iingxaki ezinokwenzeka ze-hepatitis C zezi:

• Isibindi sokuqina
• Umhlaza wesibindi

Ezi ngxaki zihlala zenzeka ngexesha lokuba mdala.

Tsalela umnikezeli wakho ukuba umntwana wakho uneempawu ze-hepatitis C. Kuya kufuneka unxibelelane nomboneleli wakho ukuba une-hepatitis C kwaye ukhulelwe.

Akukho zigonyo ze-hepatitis C. Ke ngoko, ukuthintela kudlala indima ebalulekileyo ekulawuleni isifo.

Kwikhaya apho umntu onesifo se-hepatitis C ahlala khona, thatha la manyathelo ukunceda ukuthintela ukusasazeka kwesi sifo:

• Kuphephe ukudibana negazi. Coca nakuphi na ukuchitheka kwegazi usebenzisa iblitshi namanzi.
• Oomama abane-HCV akufuneki bancancise ukuba iingono ziqhekekile kwaye zopha.
• Ukucanda ukusika kunye nezilonda ukunqanda ukudibana namanzi emzimbeni.
• Musa ukwabelana ngebrashi yamazinyo, iireyiza, okanye nayiphi na into enokosulelwa.

Usulelo oluthe cwaka - abantwana beHCV; Antivirals - hepatitis C abantwana; Abantwana beHCV; Ukukhulelwa - i-hepatitis C - abantwana; Ukuhanjiswa koomama - i-hepatitis C - abantwana

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UJhaveri R, uEl-Kamary SS. Intsholongwane yeHepatitis C. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 177.

UWadi JW, Holtzman D.I-Epidemiology, imbali yendalo, kunye nokuchongwa kwesifo se-hepatitis C. Ku: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, eds. I-Zakim kunye neBoyer's Hepatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 29.