I-Cocktail eyingozi: Utywala kunye neHepatitis C

Umxholo

• Utywala kunye nesifo sesibindi
• I-Hepatitis C kunye nesifo sesibindi
• Iziphumo zokudibanisa utywala kunye nosulelo lwe-HCV
• Utywala kunye nonyango lwe-HCV
• Ukuphepha ukusela utywala kulukhetho lobulumko

Ushwankathelo

Intsholongwane kaHepatitis C (HCV) ibangela ukudumba kwaye yonakalise iiseli zesibindi. Kule minyaka ingamashumi, lo monakalo uyanda. Ukudityaniswa kokusetyenziswa gwenxa kotywala kunye nosulelo kwi-HCV kunokubangela ukonakala kwesibindi. Ingakhokelela ekunqandeni okusisigxina kwesibindi, esaziwa njenge-cirrhosis. Ukuba ufumene ukuba unesifo se-HCV esingapheliyo, kufuneka uyeke ukusela utywala.

Utywala kunye nesifo sesibindi

Isibindi senza imisebenzi emininzi ebalulekileyo, kubandakanya ukukhupha igazi emzimbeni kunye nokwenza izondlo ezininzi ezibalulekileyo ezifunwa ngumzimba. Xa usela utywala, isibindi siyabuqhekeza ukuze sibususe emzimbeni wakho. Ukusela kakhulu kunokonakalisa okanye kubulale iiseli zesibindi.

Ukuvuvukala kunye nomonakalo wexesha elide kwiiseli zakho zesibindi kunokukhokelela ku:

• isifo sesibindi esinamafutha
• hepatitis ezinxilisayo
• ukuqina kotywala

Isifo sesibindi esinamafutha kunye ne-hepatitis enxilisayo enokudakwa ezinokuthi zibuyiswe xa uyeka ukusela. Nangona kunjalo, umonakalo ovela kwi-hepatitis enxilisayo kunye ne-cirrhosis isigxina, kwaye kunokukhokelela kwiingxaki ezinzima okanye nokufa.

I-Hepatitis C kunye nesifo sesibindi

Ukuvezwa kwegazi lomntu one-HCV kunokudlulisela intsholongwane. Ngokuka-, ngaphezulu kwezigidi ezithathu zabantu e-United States bane-HCV. Uninzi alwazi ukuba bosulelekile, ubukhulu becala ukusuleleka kokuqala kunokubangela iimpawu ezimbalwa kakhulu. Phantse iipesenti ezingama-20 zabantu abachaphazeleke kwintsholongwane bayakwazi ukulwa i-hepatitis C kwaye bayicime emzimbeni wabo.

Nangona kunjalo, abanye baba nosulelo olungapheliyo lwe-HCV. Uqikelelo lokuba iipesenti ezingama-60 ukuya kuma-70 zabo banesifo se-HCV baya kuphuhlisa isifo sesibindi esinganyangekiyo. Abantu abahlanu ukuya kuma-20 ekhulwini abane-HCV baya kuphuhlisa i-cirrhosis.

Iziphumo zokudibanisa utywala kunye nosulelo lwe-HCV

Uphononongo lubonisa ukuba ukusela kakhulu utywala nosulelo lwe-HCV kuyingozi empilweni. A yabonisa ukuba utywala obungaphezulu kwe-50 yegramu ngosuku (malunga neziphuzo eziyi-3.5 ngosuku) zikhokelela kumngcipheko okhulayo we-fibrosis kunye ne-cirrhosis yokugqibela.

Olunye uphononongo luqinisekisile ukuba ukusetyenziswa gwenxa kotywala kukonyusa umngcipheko wesifo sokuqina kwesibindi. Izigulana ezingama-6,600 ze-HCV zigqibe kwelokuba i-cirrhosis yenzekile kwipesenti ezingama-35 zezigulana ezazinxila. I-Cirrhosis yenzeke kwiipesenti ezili-18 zezigulana ezazingaseli kakhulu.

Ucwaningo lwe-2000 lwe-JAMA lubonise ukuba ezintathu okanye ngaphezulu iziphuzo zemihla ngemihla zinokunyusa umngcipheko we-cirrhosis kunye nesifo sesibindi esithuthukileyo.

Utywala kunye nonyango lwe-HCV

Ukunyanga ngokuthe ngqo kunyango lwe-antiviral ukunyanga usulelo lwe-HCV kunokukhokelela ekunciphiseni umngcipheko wesifo sesibindi. Nangona kunjalo, ukusetyenziswa kotywala kunokuphazamisa ukubanakho ukuthatha amayeza ngokungaguquguqukiyo. Ngamanye amaxesha, iingcali okanye iinkampani zeinshurensi zinokungabaza ukunika unyango lwe-HCV ukuba usela ngokusempilweni.

Ukuphepha ukusela utywala kulukhetho lobulumko

Ngokubanzi, ubungqina bubonisa ukuba ukusela utywala kuyingozi enkulu kubantu abane-HCV. Utywala bangela umonakalo odibanisa umonakalo kwisibindi. Nokuba isixa esincinci sotywala sinokunyusa umngcipheko wokonakaliswa kwesibindi kunye nezifo zesibindi eziqhubela phambili.

Kubalulekile ukuba abo bane-HCV bathathe amanyathelo okunciphisa umngcipheko wokuhlaselwa sisifo sesibindi. Ishedyuli yokuhlolwa rhoqo, ndwendwela ugqirha wamazinyo, kwaye uthathe amayeza afanelekileyo.

Ukuphepha izinto eziyityhefu kwisibindi kubalulekile. Iziphumo zokudibana kotywala esibindini kunye nokudumba okubangelwa yi-HCV kunokuba nzima. Abo banesifo se-HCV kufuneka bayeke utywala ngokupheleleyo.