Ukuphindaphinda iHepatitis C: Zithini iingozi?

Umxholo

• Ushwankathelo
• Unyango lwe-HCV
• Ukuphindaphinda kwe-hepatitis C
• Imiba yomngcipheko wokuphinda usuleleke
• Uthintelo
• Yise kude

Ushwankathelo

IHepatitis C inokuba nokuba buhlungu okanye inganyangeki. Kwimeko yokugqibela, intsholongwane ye-hepatitis C (HCV) ihlala emzimbeni kwaye inokukhokelela kusulelo olunokuhlala ixesha lokudla ubomi.

Ngokutsho kwamaZiko okuLawula nokuKhuselwa kwezifo (CDC), phakathi kwabantu abane-HCV bafumana i-hepatitis engapheliyo.

Iindaba ezimnandi zezokuba i-HCV iyanyangeka ngoku kunakuqala, nto leyo ichaza inqanaba eliphezulu lokunyanga. Ngapha koko, wakube uthathelwe ingqalelo ukuba uphilisiwe, umngcipheko ophakathi wokuphindaphinda ungaphantsi kwepesenti enye.

Nangona unyango lungcono, kusenokwenzeka ukuba ufumene usulelo olutsha kwixa elizayo. Nokuba unembali ye-hep C okanye hayi, kubalulekile ukuthatha amanyathelo okuthintela i-HCV.

Unyango lwe-HCV

I-Hepatitis C inyangwa ngamayeza antiviral abizwa ngokuba ngamayeza e-protease inhibitor. Kuthathwe ngomlomo, la mayeza afike indlela ende ngokusebenza kunye nokusebenziseka ngokulula.

Amachiza e-Hepatitis C asebenza ngokuthintela i-HCV ekuphindaphindeni emzimbeni. Ixesha elingaphezulu, intsholongwane iyakuziqhubela ngokwayo ukuze usulelo lucace.

Ikhosi ye-avareji yonyango lwe-hepatitis C sisiyobisi somlomo esingathathi ntsholongwane esithathiweyo ubuncinci. Ngamanye amaxesha unyango lunokuhamba kangangeenyanga ezi-6. Emva kweli nqaku, ugqirha wakho uya kuqhuba uvavanyo lwexeshana ukuqinisekisa ukuba i-HCV ihambile ngokupheleleyo.

Ukuze ugqirha wakho akuqwalasele “uphilisiwe” kwi-hepatitis C, kufuneka uphumelele kwisifo se-immunological esaziwa njengempendulo ye-virologic response (SVR). Oku kubhekisa kwisixa se-HCV kwinkqubo yakho.

Intsholongwane kufuneka ifikelele kumanqanaba asezantsi ngokwaneleyo ukuba iimvavanyo azinakuyifumana egazini lakho kangangeeveki ezili-12 emva kokuba ulugqibile unyango lwakho. Xa oku kusenzeka, uthathwa njenge-SVR, okanye uyaphiliswa.

Nje ukuba ugqirha wakho anqume ukuba ufikelele kwi-SVR, baya kuqhubeka nokujonga igazi lakho ubuncinci unyaka. Oku kwenziwa ukuqinisekisa ukuba usulelo alubuyanga. Ukuvavanywa kwegazi rhoqo kunokujonga nokuba kunokwenzeka ukuba kwenzeke umonakalo kwisibindi.

Ukuphindaphinda kwe-hepatitis C

Phantse iipesenti ezingama-99 zabantu abafezekisa i-SVR baphiliswa kwi-hepatitis C ebomini. Umngcipheko wokubuya kwe-hepatitis C emva kwe-SVR unqabile kakhulu. Kwakhona, xa ufika kwi-SVR, awukho semngciphekweni wokudlulisela i-HCV kwabanye.

Kwezinye iimeko, iimpawu zakho ze-hepatitis C zingaphinda ziphinde ziphinde zenzeke ngaphambi kokuba ufike kwi-SVR. Kodwa oku akuthathwa njengokuphindaphinda kuba usulelo alunyangeki ukuqala. Inkcazo enokwenzeka ngakumbi yokuphindaphinda sisifo esitsha ngokupheleleyo.

Imiba yomngcipheko wokuphinda usuleleke

Nokuba uphilisiwe, okanye ungenile kwi-SVR kunyango lwangaphambili lwe-hepatitis C, oku akuthethi ukuba ukhuselekile kusulelo olutsha kwixa elizayo. Iintsholongwane zinceda ukuphelisa usulelo esele lukhona lwe-HCV kuphela. Ngokungafaniyo nezinye iintlobo zentsholongwane, ukuba ne-hepatitis C kwixesha elidlulileyo akuthethi ukuba ukhuselekile kwi-HCV ubomi bakho bonke.

Unokuba semngciphekweni wokufumana i-HCV ukuba:

• bazalwa phakathi kowe-1945 nowe-1965
• watofelwa igazi okanye wafakelwa ilungu lomzimba ngaphambi kowe-1992
• bazalwa ngumama one-hepatitis C
• une-HIV
• sebenza kwindawo yezempilo apho unokuvezwa igazi labanye
• Unembali yokuvalelwa
• basebenzise, ​​okanye ngoku basebenzisa, iziyobisi ezingekho mthethweni

Uthintelo

Okwangoku, akukho sitofu sokugonya i-hepatitis C. Ekuphela kwendlela onokuyiphepha ngayo ukosuleleka yi-HCV kukuthintela.

Unokunceda ukuthintela usulelo olutsha lwe-hepatitis C ngokuphepha oku kulandelayo:

• ukwabelana ngesondo ngaphandle kwekhondom okanye enye indlela yothintelo
• Ukwabelana ngeenaliti kunye neesirinji
• usebenzisa iziyobisi ezifakiweyo
• ukufumana iitatoos ezenziwe ekhaya okanye ukugqobhoza
• ukwabelana ngeencakuba kunye neebrashi zamazinyo
• ukonzakala kwenaliti kwiiofisi zikagqirha nasezibhedlele

I-HCV inokubangela ezinye iimpawu. Kodwa uninzi lweziganeko ze-hepatitis C azibonakali de usulelo lufikelele kwinqanaba eliphambili kwaye luqale ukuchaphazela isibindi.

Kungathatha uvavanyo lwe-HCV antibody ukuze ube nethemba emva kokubhengeza kwakho kokuqala. Oku kuthetha ukuba ungadlulisela i-HCV kwabanye ngokungazi ngaphambi kokuba wazi ukuba usulelekile.

Gcina ukhumbule ukuba i-SVR ayikukhuseli kuwo nawuphi na umonakalo wesibindi owugcinayo ngenxa yosulelo lwakho lwe-HCV lokuqala. Ukuba unayo nayiphi na i-cirrhosis (ukusilela kwesibindi), ugqirha wakho unokufuna ukubeka esweni ukusebenza kwesibindi sakho ukuze ufumane ezinye iimpawu zesifo. Ukufakelwa kwesibindi akuyi kuthintela usulelo lwexesha elizayo, nokuba.

Yise kude

Unyango lwe-hepatitis C olwenziwe ngabaphandi kule minyaka ilishumi idlulileyo lusebenza ngakumbi kunangaphambili. Uninzi lwabantu luyanyangeka kwimeko yabo kwiinyanga ezininzi. Kwakhona, umngcipheko wokuphindaphinda emva kokuba ufike kwi-SVR unqabile.

Kodwa kusenokwenzeka ukuba ufumene usulelo olutsha lwe-HCV kwixa elizayo. Yiyo loo nto kubalulekile ukunceda ukunciphisa umngcipheko wokufumana intsholongwane. Ukuba unayo nayiphi na imeko yomngcipheko ongentla, thetha nogqirha wakho malunga nento onokuyenza ukunceda ukuthintela i-hepatitis C kwikamva lakho.