Uxolelo lweHepatitis C

Umxholo

• Ithetha ntoni i-SVR
• I-Hepatitis C inokucaca iyodwa
• Iphathwa njani i-hepatitis C
• Izinto ezichaza impendulo yakho kunyango
• Ukuphindaphinda kwe-Hepatitis C
• Soloko ugqibezela amayeza akho

Ukuxolelwa kwe-Hepatitis C kunokwenzeka

Phakathi kwabantu kwihlabathi liphela, kuqikelelwa ukuba, bane-hepatitis C. engapheliyo. Intsholongwane isasazeka ikakhulu ngokusebenzisa iziyobisi. Ukungafunyanwa kwesibindi hepatitis C kunokukhokelela kwiingxaki zesibindi ezinzulu, kuquka i-cirrhosis kunye nomhlaza.

Iindaba ezimnandi zezokuba intsholongwane inako ukuxolelwa ngonyango olululo. Oogqirha babhekisa kuxolelo njengempendulo eqhubekayo yentsholongwane (SVR).

Ithetha ntoni i-SVR

I-SVR ithetha ukuba intsholongwane ye-hepatitis C ayinakufunyanwa kwigazi lakho kwiiveki ezili-12 emva kwethamo lakho lokugqibela lonyango. Emva koku, kunokwenzeka ukuba intsholongwane ihambe ngokusisigxina. Isebe laseMelika laseMelika leMicimbi yeVeterans linika ingxelo yokuba iipesenti ezingama-99 zabantu abaphumelele i-SVR bahlala bengenayo intsholongwane.

Aba bantu nabo:

• amava okuphucula ukudumba kwesibindi
• yehlile okanye yabuya i-fibrosis
• aphindwe kabini amathuba okuba abe namanqaku asezantsi okudumba
• banciphisile umngcipheko wokufa, ukusilela kwesibindi kunye nomhlaza wesibindi
• bawanciphisile amathuba abo okuphuhlisa ezinye iimeko zonyango

Kuxhomekeka kumonakalo wesibindi, uyakufuna ukuqeshwa kunye nokuvavanywa kwegazi rhoqo kwiinyanga ezintandathu okanye ezili-12. I-antibody ye-hepatitis C iya kuba nethemba ngokusisigxina, kodwa oku akuthethi ukuba uphinde wosuleleka.

I-Hepatitis C inokucaca iyodwa

Kwabanye abantu, i-hepatitis C inokuzicacisa yodwa. Oku kubizwa ngokuba kukuxolelwa okuzenzekelayo. Iintsana kunye nabafazi abancinci ngakumbi banokuba nethuba lokuba intsholongwane izicoce kwimizimba yabo. Oku kunqabile phakathi kwabaguli abadala.

Izifo ezosulelayo (ezingaphantsi kweenyanga ezintandathu ubude) zisombulula ngokukhawuleza kumatyala ali-15 ukuya kwangama-50. Ukuxolelwa ngokukhawuleza kwenzeka ngaphantsi kweepesenti ezingama-5 zezifo ezingapheliyo ze-hepatitis C.

Iphathwa njani i-hepatitis C

Unyango lweziyobisi lunokunceda amathuba akho okubetha intsholongwane ye-hepatitis C kuxolelo. Isicwangciso sakho sonyango siya kuxhomekeka:

• Uhlobo lohlobo: Uhlobo lwakho lwe-hepatitis C okanye "uyilo" lwentsholongwane lusekwe ngokulandelelana kwe-RNA. Kukho ii-genotypes ezintandathu. Phantse iipesenti ezingama-75 zabantu baseUnited States bane-genotype 1.
• Umonakalo wesibindi: Umonakalo wesibindi okhoyo, nokuba ubumnene okanye ubukhali, unokumisela amayeza akho.
• Unyango lwangaphambili: Ngawaphi amayeza osele uwathabathile aya kuchaphazela amanyathelo alandelayo.
• Ezinye iimeko zempilo: I-coinfection inokuthi ilawule iziyobisi ezithile.

Emva kokujonga ezi zinto, umboneleli wakho wezempilo uya kukuyalela ikhosi yamayeza ukuba uyithathe iiveki ezili-12 okanye ezingama-24. Kuya kufuneka uthathe la mayeza ixesha elide. Iziyobisi ze-hepatitis C zingabandakanya:

• daclatasvir (Daklinza) kunye nesofosbuvir (Sovaldi)
• isofosbuvir kunye nevelpatasvir (Epclusa)
• I-ledipasvir / sofosbuvir (iHarvoni)
• simeprevir (Olysio)
• Unyango (Victrelis)
• ndikhokhele
• iribavirin (iRibatab)

Unokuva amanye amayeza amatsha ekubhekiswa kuwo njengamayeza asebenza ngqo kwi-antiviral (DAA). Oku kujolise ekuphindaphindeni kwintsholongwane kumanqanaba athile obomi be-hepatitis C.

Ugqirha wakho unokumisela ezinye indibaniselwano zala machiza. Ungahlala unolwazi malunga nonyango lwe-hepatitis C ngokubuza ugqirha wakho okanye ngokundwendwela i-HEP C123. Soloko ulandela kwaye ugqibe unyango lwakho. Ukwenza njalo kwandisa ithuba lakho lokuxolelwa.

Izinto ezichaza impendulo yakho kunyango

Zininzi izinto ezinokukunceda ukuqikelela impendulo yakho kunyango. Oku kubandakanya:

• Ugqatso: Xa kuthelekiswa nolunye uhlanga, abantu base-Afrika baseMelika ngokwasemlandweni baphendula bahlupheka kunyango.
• Uhlobo lwe-IL28B: Ukuba nale genotype kunokunciphisa izinga lokuphendula kunyango.
• Ubudala: Ukonyusa iminyaka kunciphisa utshintsho ekufezekiseni i-SVR, kodwa hayi kakhulu.
• Fibrosis: Ukutshatyalaliswa kwangaphambili kwezicubu kudibaniswa ne-10 ukuya kuma-20 ekhulwini kwempendulo ephantsi.

Ngaphambili, i-genotype kunye nenqanaba le-RNA yentsholongwane ye-hepatitis C ikwanceda ukuqikelela impendulo yakho kunyango. Kodwa ngamayeza ale mihla kwixesha le-DAA, adlala indima encinci. Unyango lwe-DAA lukwanciphisile amathuba okusilela kunyango. Nangona kunjalo, uhlobo oluthile lwentsholongwane ye-hepatitis C, i-genotype 3, iseseyona miceli mngeni kunyango.

Ukuphindaphinda kwe-Hepatitis C

Kuyenzeka ukuba intsholongwane ibuye ngokuphinda iphinde iphinde iphinde iphinde iphinde ibuye. Uphengululo lwamva nje lomngcipheko wokuphindaphinda kwe-hepatitis C okanye ukuphinda uphinde uphinde ubeke i-SVR eqinisekileyo kwiipesenti ezingama-90.

Amanqanaba okuphinda asuleleke kwakhona anokufikelela kwiipesenti ezisi-8 nangaphezulu, kuxhomekeke kumngcipheko.

Amanqanaba okubuyela umva axhomekeke kwizinto ezinje nge-genotype, irejimeni yeziyobisi, kwaye ukuba unazo naziphi na iimeko ezikhoyo. Umzekelo, inqanaba lokubuyela umva kweHarvoni kuthiwa liphakathi kwe-1 kunye ne-6 yepesenti. IHarvoni isetyenziselwa ikakhulu abantu abane-genotype 1, kodwa izifundo ezingaphezulu ziyafuneka koku.

Ithuba lokusuleleka kwakhona lixhomekeke kumngcipheko wakho. Uhlalutyo luchonge umngcipheko wokuphinda usuleleke njenge:

• ukusebenzisa okanye ukusebenzisa iziyobisi ezitofwayo
• ukuvalelwa
• amadoda abelana ngesondo namadoda
• iinkozo zemali, ngakumbi ezo zithintela amajoni akho omzimba

Usemngciphekweni ophantsi wokuphinda usuleleke ukuba awunabungozi. Umngcipheko ophezulu kuthetha ukuba ubuncinci buchongiwe buchaphazeleka kwakhona. Umngcipheko wakho uphezulu kwaye ukuba unayo i-HIV, ngaphandle komngcipheko.

Umngcipheko wokuphindaphinda kwe-hepatitis C kwiminyaka emihlanu:

Unokosulelwa kwakhona, okanye ufumane usulelo olutsha komnye umntu one-hepatitis C. Nangona kunjalo, kunokwenzeka ukuba ngoku uphila ngaphandle kwe-hepatitis C ebomini bakho. Unokuzijonga uxolelo okanye i-hepatitis C engalunganga.

Soloko ugqibezela amayeza akho

Njalo landela unyango ugqirha ugqirha. Oku kwandisa amathuba akho okuxolelwa. Thetha nogqirha wakho ukuba ufumana ukungahambi kakuhle okanye iziphumo ebezingalindelekanga ezivela kunyango lwakho. Cela inkxaso ukuba uziva unoxinzelelo. Ugqirha wakho unokuba nezixhobo ezikhuthaza isigulana ukuba zikufumane kunyango lwakho kunye neenjongo zakho zokuba ukhululeke kwi-hepatitis C.