I-Cirrhosis kunye ne-Hepatitis C: Unxibelelwano lwabo, ukuXela, kunye nokunye

Umxholo

• Isibindi
• IHepatitis C ayibonakali
• Iimpawu zesifo sokuqina kwesibindi ngenxa ye-hepatitis C
• Ukuqhubela phambili kwi-cirrhosis
• Iingxaki ze-Cirrhosis
• I-HCV kunye nokunyanga kwesibindi
• Umbono we-Cirrhosis

IHepatitis C inokukhokelela kwisifo sokuqina kwesibindi

Abanye eUnited States baneentsholongwane ezingapheliyo ze-hepatitis C (HCV). Nangona kunjalo abantu abaninzi abosuleleke nge-HCV abazi ukuba banayo.

Kule minyaka, usulelo lwe-HCV lunokubangela umonakalo omkhulu kwisibindi. Kubantu abangama-75 ukuya kuma-85 abanesifo esinganyangekiyo se-HCV, phakathi kwabo baya kuba nesifo se-cirrhosis. Usulelo lwe-HCV ngoyena nobangela uphambili wesifo sokuqina kwesibindi kunye nomhlaza wesibindi.

Isibindi

Isibindi lilungu elitshabalalisa igazi kwaye lenze izakha mzimba ezibalulekileyo. Zininzi izinto ezinokonakalisa isibindi. Ezinye zezi ziquka:

• utywala obungapheliyo
• izifunxi-gazi
• hepatitis

Ixesha elingaphezulu, ukudumba esibindini kubangela ukonakala kunye nomonakalo osisigxina (obizwa ngokuba yi-cirrhosis). Kwinqanaba le-cirrhosis, isibindi asikwazi ukuziphilisa. I-Cirrhosis inokukhokelela ku:

• Isifo sesibindi sokugqibela
• umhlaza wesibindi
• ukusilela kwesibindi

Amanqanaba amabini e-cirrhosis:

• Ukuqina kwesibindi kuthetha ukuba umzimba usasebenza nangona kuncitshisiwe ukusebenza kwesibindi kunye nokuqhekeka.
• Ukuqina kwesibindi kuthetha ukuba imisebenzi yesibindi iyaqhekeka. Iimpawu ezinokuthi zenzeke, ezifana nokungaphumeleli kwezintso, i-variceal hemorrhage, kunye ne-hepatic encephalopathy.

IHepatitis C ayibonakali

Kunokubakho iimpawu ezimbalwa emva kosulelo lokuqala lwe-HCV. Abantu abaninzi abane-hepatitis C abazi nokuba banesifo esisongela ubomi.

I-HCV ihlasela isibindi. Abantu abaninzi abatyhilekileyo banesifo esinganyangekiyo emva kokosuleleka yi-HCV. Usulelo lwe-HCV olungapheliyo lubangela kancinci ukudumba kunye nomonakalo esibindini. Ngamanye amaxesha imeko ayinakufunyanwa iminyaka engama-20 okanye engama-30.

Iimpawu zesifo sokuqina kwesibindi ngenxa ye-hepatitis C

Ungekhe ube nazimpawu ze-cirrhosis de kubekho umonakalo omkhulu kwisibindi sakho. Xa ufumana iimpawu, oku kunokubandakanya:

• ukudinwa
• isicaphucaphu
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda
• ukopha okanye ukugruzuka ngokulula
• ukurhawuzelela ulusu
• umbala omthubi wamehlo kunye nolusu (jaundice)
• ukudumba emilenzeni
• ulwelo esiswini (ascites)
• iimvavanyo zegazi ezingaqhelekanga, ezinje nge-bilirubin, i-albhamuin, kunye neparadagra parameter
• Iimvumba ezandisiweyo kwi-esophagus kunye nesisu esiphakamileyo esinokuphuma (i-variceal hemorrhage)
• Ukungasebenzi kakuhle kwengqondo ngenxa yokwakheka kweetyhefu (i-hepatic encephalopathy)
• usulelo lwamathumbu esiswini kunye ne-ascites (ibacterial peritonitis)
• ukudibana kwezintso kunye nokusilela kwesibindi (hepatorenal syndrome)

I-biopsy yesibindi iya kubonisa ukutshatyalaliswa, okungaqinisekisa ubungqina be-cirrhosis kubantu abane-HCV.

Uvavanyo lweLabhoratri kunye novavanyo lomzimba lunokwanela ukuba ugqirha wakho abhaqe isifo sesibindi esingaphaya kwe-biopsy.

Ukuqhubela phambili kwi-cirrhosis

Ngaphantsi kwekota yabantu abane-HCV baya kuphuhlisa i-cirrhosis. Kodwa, izinto ezithile zinokunyusa umngcipheko we-cirrhosis, kubandakanya:

• ukusetyenziswa kotywala
• Usulelo nge-HCV kunye nenye intsholongwane (njenge-HIV okanye i-hepatitis B)
• amanqanaba aphezulu entsimbi egazini

Nabani na onesifo se-HCV esingapheliyo kufuneka aphephe utywala. I-Cirrhosis nayo inokukhawulezisa kubantu abadala kunama-45 njenge-fibrosis kunye nokwanda kokuqhekeka. Ukunyanga ngomsindo usulelo lwe-HCV kubantu abancinci kunokunceda ukuthintela ukuqhubela phambili kwesifo sokuqina kwesibindi.

Iingxaki ze-Cirrhosis

Kubalulekile ukuhlala usempilweni ukuba une-cirrhosis. Qiniseka ukuba ugcina lonke ugonyo lusesikhathini, kubandakanya:

• hepatitis B
• hepatitis A
• umkhuhlane
• ukukrala kwemiphunga

I-Cirrhosis inokutshintsha indlela igazi elihamba ngayo emzimbeni wakho. Ukuqhekeka kunokuthintela ukuhamba kwegazi esibindini.

Igazi linokuntywila kwimithambo emikhulu esiswini kunye nomqala. Le mijelo yegazi inokwandisa kwaye iphule, ibangele ukuphuma kwegazi esiswini. Qiniseka ukuba ubukele ukopha okungaqhelekanga.

Umhlaza wesibindi yenye ingxaki enokubakho ye-cirrhosis. Ugqirha wakho unokusebenzisa i-ultrasound kunye novavanyo oluthile lwegazi rhoqo kwiinyanga ezimbalwa ukuvavanya umhlaza. Ezinye iingxaki ze-cirrhosis zibandakanya:

• gingivitis (isifo seentsini)
• isifo seswekile
• utshintsho kwindlela amayeza alungiswa ngayo emzimbeni wakho

I-HCV kunye nokunyanga kwesibindi

I-antivirals esebenzayo kunye ne-HCV inokunyanga i-cirrhosis yokuqala. La mayeza anokucothisa ukuqhubela phambili kwesifo sesibindi kunye nokusilela kwesibindi.

Xa i-cirrhosis iqhubela phambili, unyango luba nzima ngakumbi ngenxa yeengxaki ezinje:

• ascites
• ianemia
• ukungcangcazela

Ezi ngxaki zinokukwenza kungakhuselekanga ukusebenzisa amanye amayeza. Ukufakelwa kwesibindi kunokuba yindlela yonyango kuphela.

Ukufakelwa kwesibindi kukuphela kwonyango olusebenzayo lokuqina kwesibindi. Uninzi lwabantu abafumana ukufakelwa kwesibindi kwi-hepatitis C baphila iminyaka emihlanu ubuncinci emva kokufakelwa. Kodwa, usulelo lwe-HCV luhlala lubuya. Ngoyena nobangela uqhelekileyo wokufakwa kwesibindi eUnited States.

Umbono we-Cirrhosis

Abantu abane-cirrhosis banokuhlala amashumi eminyaka, ngakumbi ukuba bafumaniswe kwangoko kwaye balawulwa kakuhle.

Phantse ama-5 ukuya kuma-20 ekhulwini abantu abane-hepatitis C engapheliyo baya kuba ne-cirrhosis. Unoko engqondweni, kuthatha iminyaka engama-20 ukuya kwengama-30 ukuba i-cirrhosis ikhule kolo luntu.

Sebenzisa i-antivirals esebenza ngokuthe ngqo kunokunceda ukucothisa okanye ukuthintela ukuqhubela phambili kwi-cirrhosis. Ukuba ishiywe inganyangwa, i-cirrhosis inokukhokelela ekusileleni kwesibindi.

Ukugcina impilo yesibindi, zama oku kulandelayo:

• gcina impilo ngokubanzi
• thintela utywala
• Fumana unyango rhoqo
• ukunyanga usulelo lwe-HCV olusisiseko

Uyakufuna kwakhona ukusebenza kunye ne-gastroenterologist okanye i-hepatologist ukufumana unyango olungcono kunye nokubeka iliso nakwezinye iingxaki.