Zijongeka njani Iimpawu zeHepatitis C

Umxholo

• Ziintoni iimpawu?
• I-jaundice
• Izigcawu zesigcawu
• I-Ascites
• Edema
• Ukutyunyuzwa ngokulula nokopha
• Iplani yelichen
• IPorphyria cutanea tarda (PCT)
• Izipikili zikaTerry
• Isifo sikaRaynaud
• Amanyathelo alandelayo

Yintoni ihepatitis C?

Ukuthintela intsholongwane ye-hepatitis C (HCV) kunokukhokelela ekuphuhliseni i-hepatitis C, esisifo esosulelayo esibangela ukuba isibindi sakho sidumbe. IHepatitis C inokuba buhlungu (ixesha elifutshane), ihlala iiveki ezimbalwa ukuya kwiinyanga ezintandathu. Isenokuba sisifo esinganyangekiyo (ubomi obude).

I-hepatitis C engapheliyo inokukhokelela ekunqandeni okungenakuguqulwa kwesibindi (i-cirrhosis), ukulimala kwesibindi kunye nomhlaza wesibindi.

IHepatitis C isasazeka ngokudibana ngqo negazi elosulelekileyo. Oku kunokwenzeka nge:

• Ukwabelana ngeenaliti ezinegciwane, njengalezo zisetyenziselwa iziyobisi okanye iitattoos
• ukubetha ngenaliti ngengozi kwimeko yezempilo
• ukwabelana ngeencakuba okanye iibrashi zamazinyo, ezingaqhelekanga kakhulu
• ukunxibelelana ngokwesondo nomntu one-hepatitis C, engaqhelekanga kakhulu

Abafazi abakhulelweyo abane-hepatitis C banokudlulisela intsholongwane kwiintsana zabo.

Kufuneka ucoce ukuchitheka kwegazi ngomxube wecandelo elinye leblitshi ukuya kwiinxalenye ezili-10 zamanzi. Lo mkhuba waziwa ngokuba “lilumkiso kwindalo iphela.”

Izilumkiso kwindalo iphela ziyimfuneko kuba ngekhe uqiniseke ukuba igazi alosulelwanga ziintsholongwane ezinjengehepatitis C, hepatitis B, okanye i-HIV. I-Hepatitis C inokuhlala kwiiveki ezintathu kubushushu begumbi.

Ziintoni iimpawu?

Abantu abaphantse babe zizigidi ezine e-United States bane-hepatitis C. Kwaye ukuya kuthi ga kwiipesenti ezingama-80 azibonisi zimpawu kwinqanaba lokuqala.

Nangona kunjalo, i-hepatitis C inokukhula ibe sisimo esinganyangekiyo malunga neepesenti ezingama-75 ukuya kuma-85 zabantu abasulelwa yintsholongwane, ngokuka.

Ezinye zeempawu ze-hepatitis C ezibi zezi:

• ifiva
• ukudinwa
• ukungabikho komdla
• isicaphucaphu nokugabha
• isisu esibuhlungu

I-hepatitis C engapheliyo ibangela i-cirrhosis kwaye iveza iimpawu ezifanayo ze-hepatitis C ebukhali, kunye noku kulandelayo:

• ukudumba kwesisu
• ukudumba kweziphelo
• ukuqhawukelwa ngumphefumlo
• inyongo
• ukugruzuka okulula okanye ukopha
• intlungu edibeneyo
• isigcawu se-angioma
• gynecomastia - ukudumba kwethishu yamabele
• irhashalala, ulusu kunye notshintsho kutshintsho

I-jaundice

I-jaundice kuxa ulusu kunye nabamhlophe ngamehlo (sclera) baba tyheli. Oku kwenzeka xa kukho i-bilirubin eninzi (i-pigment etyheli) egazini. I-Bilirubin yimveliso yeeseli ezibomvu zegazi ezaphukileyo.

Ngokwesiqhelo i-bilirubin iyaqhekeka esibindini kwaye ikhutshwe emzimbeni kwisitulo. Kodwa ukuba isibindi sonakele, asikwazi ukuqhuba ngokufanelekileyo i-bilirubin. Emva koko iya kwakha kwigazi. Oku kubangela ulusu namehlo akhangeleke emthubi.

Ekubeni i-jaundice iyimpawu ye-hepatitis C kunye ne-cirrhosis, ugqirha uya kunyanga loo miqathango. Iimeko ezinzima ze-jaundice zingadinga ukutofelwa igazi.

Izigcawu zesigcawu

Isigcawu i-angioma, ekwabizwa ngokuba sisigcawu nevus okanye i-nevus araneus, yimithambo yegazi efana nesigcawu ebonakala ngaphantsi kolusu. Ziya kubonakala njengechaphaza elibomvu elinemigca eyolulela ngaphandle.

Isigcawu se-angioma sinxulunyaniswa namanqanaba okwanda kwe-estrogen. Banokubonakala kubantu abasempilweni, ngakumbi abantwana, kunye nabantu abane-hepatitis C.

Kubantu abane-hepatitis C, njengoko isibindi sonakala, amanqanaba e-estrogen aya kunyuka.

Isigcawu se-angioma sivela ikakhulu:

• ubuso, kufutshane nemihlathi
• izandla
• iingalo zangaphambili
• iindlebe
• udonga lwesifuba esingaphezulu

Isigcawu se-angioma sithambekele ekupheleni ngokwaso okanye njengoko imeko ikhula. Kwaye banokuphathwa ngonyango lwe-laser ukuba abahambi.

I-Ascites

I-Ascites kukudakumba okungaphezulu kwesisu esiswini okubangela ukuba isisu sithathe ukudumba, ukubonakala okufana nebhaluni. I-Ascites luphawu olunokubonakala kwinqanaba lesifo sesibindi.

Xa isibindi sakho sinqabile, siyancipha ekusebenzeni kwaye sibangele uxinzelelo ekwakheni emithanjeni. Olu xinzelelo lukhulu lubizwa ngokuba yi-portal hypertension. Ibangela ukuba ulwelo lube echibini elijikeleze isisu.

Uninzi lwabantu abane-ascites baya kuqaphela ukutyeba ngequbuliso, kwaye isisu sabo sinamathela ngaphezulu kwesiqhelo. I-Ascites inokubangela:

• ukungonwabi
• ubunzima bokuphefumla
• ulwelo olwakhiwe kwisifuba ukuya emiphungeni
• umkhuhlane

Amanyathelo athile akhawulezayo ugqirha anokucebisa ukuba anciphise ukutya kwakho ityuwa kunye nokuthatha i-diuretics, okanye iipilisi zamanzi, njenge-furosemide okanye i-Aldactone. La manyathelo athatyathwa kunye.

Ukuba une-ascites, kuya kufuneka ujonge ubunzima bakho yonke imihla kwaye unxibelelane nogqirha wakho ukuba ufumana ngaphezulu kweepawundi ezili-10, okanye iiponti ezimbini ngosuku iintsuku ezintathu zilandelelana. Ukuba ugqirha wakho uzimisele ukuba une-ascites, banokuphinda bacebise ukufakelwa kwesibindi.

Edema

Ngokufana ne-ascites, i-edema kukukhula kolwelo kwizicubu zomzimba. Oku kwenzeka xa ii-capillaries, okanye imithambo yegazi encinci, emzimbeni wakho ivuza ulwelo, kwaye yakha kwizicubu ezijikelezileyo.

I-Edema inika indawo echaphazelekayo ukudumba okanye ukubonakala. Abantu abane-hepatitis C engapheliyo bahlala bebona i-edema emilenzeni, emaqatheni nasezinyaweni.

Ukolula okanye isikhumba esikhanyayo, okanye ulusu oludimbileyo okanye olunemingxunya, zezinye iimpawu ze-edema. Ungajonga ukuntywila ngokucinezela ulusu imizuzwana eliqela kwaye ubone ukuba isifotho sihleli na. Ngelixa i-edema emnene ihamba yodwa, ugqirha wakho unokumisela i-furosemide okanye ezinye iipilisi zamanzi ukunceda ukukhupha ulwelo oluninzi.

Ukutyunyuzwa ngokulula nokopha

Kumanqanaba aphambili e-hepatitis C, unokubona ukutyumka ngokulula kunye nokuphuma kwegazi ngokugqithileyo ngaphandle kwesizathu. Ukutyumza ngokungaqhelekanga kukholelwa ukuba sisiphumo sesibindi esinciphisa imveliso yeeplatelets, okanye iiproteni ezifunekayo ukogquma igazi.

Kwiimeko ezimandundu ngakumbi, kunokubakho ukopha ngokugqithisileyo kwempumlo okanye iintsini, okanye igazi kumchamo.

Iplani yelichen

Iplani ye-Lichen sisifo solusu esibangela amaqhuma amancinci okanye amaqhakuva kwiindawo apho izihlunu zakho zidibanisa khona amathambo amabini. Ukuphindaphindeka kwentsholongwane ye-hepatitis C kwiiseli zolusu kucingelwa ukuba kubangela i-lichen planus. Amaqhuma ahlala evela kwezi ndawo zilandelayo:

• iingalo
• umzimba
• amalungu esini
• iinzipho
• ulusu

Ulusu lunokuziva ngathi lune-scaly kwaye lurhawuzelela. Kwaye unokufumana ukulahleka kweenwele, izilonda zesikhumba kunye neentlungu. Thetha nogqirha wakho malunga nonyango ukuba ubonakalisa nayiphi na kwezi mpawu ngenxa yesifo sokudumba kwesibindi.

IPorphyria cutanea tarda (PCT)

I-PCT sisifo solusu esibangela ezi mpawu zilandelayo:

• ukujika kwesikhumba
• ukulahleka kweenwele
• ukwanda kweenwele zobuso
• isikhumba esityebileyo

Iiblister zihlala zenzeka kwiindawo ezihlala zichanekile elangeni, njengasebusweni nasezandleni. Isinyithi esakha isibindi, kunye nokuveliswa okungaphezulu kwe-uroporphyrinogen, iprotein, egazini nasemchameni kubangela iPCT.

Unyango lwe-PCT lubandakanya ukuthintelwa kwesinyithi kunye notywala, ukukhuselwa lilanga, kunye nokunciphisa ukubonakaliswa kwe-estrogen.

Izipikili zikaTerry

Iinzipho zikaTerry luphawu apho umbala o-pinkish oqhelekileyo wamacwecwe esikhonkwane ajika umbala omhlophe-wesilivere, kwaye unebhendi ebomvu epinki-ebomvu, okanye umgca wokwahlula, kufutshane neengcebiso zeminwe.

Ugqirha woSapho waseMelika uxele ngo-2004 ukuba iipesenti ezingama-80 zezigulana ezinesifo sokuqina ziya kuphuhlisa iinzipho zikaTerry.

Isifo sikaRaynaud

Isifo sikaRaynaud sibangela ukuba imithambo yegazi emzimbeni wakho icinezeleke okanye imxinwa. Abanye abantu abane-hepatitis C banokuziva bebandayo kwaye babanda kwiminwe nakubhontsi xa ubushushu butshintsha okanye xa bexinezelekile.

Njengokuba beshushu okanye bezikhathaza ngoxinzelelo, banokuziva iintlungu zokuqaqamba okanye zokuhlaba. Ulusu lwakho lusenokujika lube mhlophe okanye luhlaza okwesibhakabhaka, kuxhomekeke ekujikelezeni kwegazi lakho.

Ukulawula isifo sikaRaynaud, kuya kufuneka uqiniseke ukuba unxiba ngokufudumeleyo xa imozulu ibanda. Ngelixa le meko okwangoku ingenanyango, ungazilawula iimpawu kwaye unyange oyena nobangela njenge-hepatitis C.

Ngamanye amaxesha, ugqirha wakho unokukunika amayeza ukukhuthaza ukuhamba kwegazi.

Amanyathelo alandelayo

I-hepatitis C engapheliyo ibonisa iimpawu kwiinqanaba zokuqala, kodwa inokunyangwa kwaye iphiliswe xa ifunyenwe kwangaphambili. Iimpawu ezibonakalayo zinokuba luphawu lokuba imeko iqhubekile.

Ukuba wena okanye umntu omaziyo ubonakalisa iimpawu ze-hepatitis C, nxibelelana nogqirha. Emva konyango lwakho, ugqirha wakho uza kuvavanya igazi lakho emva kweenyanga ezintathu ukuze abone ukuba ayisekho na intsholongwane.