Unyango lweHepatitis C: Zeziphi iindlela zam?

Umxholo

• Ichongwa njani ihepatitis C?
• Unyango lwe-hepatitis C ebukhali
• Unyango lwe-hepatitis C engapheliyo
• Amayeza
• Ukusebenza ngokuthe ngqo kwi-antivirals (DAAs)
• Ribavirin
• Ukufakelwa kwesibindi
• Ukuvavanyelwa umhlaza wesibindi
• Ngaba lukhona olunye unyango?
• Iingcebiso ezisempilweni zokuhlala ne-hepatitis C
• Thetha nogqirha wakho

Yintoni ihepatitis C?

I-Hepatitis C sisifo esosulelayo esibangela ukonakala kwesibindi. Usenokungazi nokuba unayo intsholongwane ebangela i-hepatitis C kuba imeko leyo ihlala ingenazimpawu.

Unyango lwakwangoko lungenza umahluko. Funda ukuze ufumane malunga nokhetho lwakho losulelo kwi-virus ye-hepatitis C (HCV).

Ichongwa njani ihepatitis C?

Ukufumanisa ukuba une-hepatitis C, ugqirha wakho uya kwenza uvavanyo lwegazi. Eyona isetyenziswa rhoqo ibizwa ngokuba luvavanyo lomzimba ngokuchasene neHCV. Ijonga ii-antibodies ze-HCV. Ii-antibodies ziiproteni ezinceda umzimba wakho ukulwa nezifo.

Ukuba ngaba uvavanyiwe une-antibacteria ze-HCV, oku kuthetha ukuba ubusengozini yintsholongwane. Nangona kunjalo, awunakuba nosulelo olusebenzayo.

Inyathelo elilandelayo kukuba novavanyo lwekhwalithi ye-HCV RNA. Olu vavanyo luya kumchazela ugqirha wakho ukuba ingakanani intsholongwane onayo emzimbeni wakho, nto leyo eya kubonisa ukuba ngaba usulelekile.

Ukuba ezi mvavanyo zibonisa ukuba unesifo se-HCV esisebenzayo, ugqirha wakho uya kwenza olunye uvavanyo olubizwa ngokuba yi-virus genotyping. Olu vavanyo lunokuxelela ugqirha wakho ukuba loluphi uhlobo lwe-HCV onalo. Unyango olufumanayo luya kuxhomekeka kuhlobo lwe-HCV ekwinkqubo yakho.

Unyango lwe-hepatitis C ebukhali

Kukho iindidi ezimbini eziphambili zosulelo lwe-hepatitis C: ezibi kakhulu nezingapheliyo. Usulelo lwe-HCV olungapheliyo yimeko yexesha elide, ngelixa uhlobo olubi sisifo sexesha elifutshane. Usulelo olunamandla lwe-HCV lwenzeka kwiinyanga ezintandathu zokuqala zokuvezwa kwintsholongwane ye-hepatitis C.

Ngokutsho kwe, malunga neepesenti ezingama-75 zabantu abane-HCV ebukhali baya kuqhubela phambili kwi-HCV engapheliyo. Oko kuthetha ukuba ukuya kuthi ga kwiipesenti ezingama-25 zabantu abane-hepatitis C ebukhali abaya kuphila kuyo ngaphandle konyango.

Ngesi sizathu, kwaye ngenxa yokuba unyango lwe-HCV lunokubiza, oogqirha ngokwesiqhelo abayiphathi i-HCV ebukhali. Baya kuhlala bebeka iliso kwintsholongwane ebukhali ukuze babone ukuba iqhubela phambili kwifom engapheliyo. Ukuba ifom engapheliyo iyakhula, unyango lunokuqaliswa ngelo xesha.

Unyango lwe-hepatitis C engapheliyo

Ngaphandle konyango, i-hepatitis C engapheliyo inokubangela ukonakala kwesibindi kunye nezinye iingxaki ezinzulu. Unyango luqukethe amayeza e-HCV okanye utyando.

Amayeza

Namhlanje, amayeza aphambili asetyenziselwa ukunyanga usulelo lwe-hepatitis C abizwa ngokuba yi-antivirals (DAAs) esebenza ngokuthe ngqo. La machiza ngamanye amaxesha anokusetyenziswa ngokudibeneyo ne-ribavirin.

Ukusebenza ngokuthe ngqo kwi-antivirals (DAAs)

Ii-DAA yimigangatho yokhathalelo losulelo olungapheliyo lwe-HCV. La machiza omlomo afike kwintengiso ukusukela ngo-2011 kwaye kuye kwafunyanwa kunyanga ukuya kubantu abanyangiweyo ngawo. Ukongeza, xa kuthelekiswa nonyango oludala njengee-interferon, zinokubangela iziphumo ebezingalindelekanga ezimbalwa kakhulu.

Ezinye iiDAA ziyafumaneka njengamachiza athile, kwaye uninzi luyafumaneka njengamayeza adibeneyo. Olu nyango ludibeneyo lukuvumela ukuba uthathe iipilisi ezimbalwa ngosuku. Unyango oludibeneyo lukhoyo ngoku:

• I-Epclusa (sofosbuvir / velpatasvir)
• IHarvoni (ledipasvir / sofosbuvir)
• Imavyret (glecaprevir / pibrentasvir)
• Itekhnoloji (ombitasvir / paritaprevir / ritonavir)
• IViekira Pak (dasabuvir + ombitasvir / paritaprevir / ritonavir)
• I-Vosevi (sofosbuvir / velpatasvir / voxilaprevir)
• I-Zepatier (elbasvir / grazoprevir)

La machiza anyanga iintlobo ezahlukeneyo ze-hepatitis C. Ugqirha wakho uya kukucebisa ngezona nyango zibalaseleyo kuhlobo lwakho lwe-HCV.

Ribavirin

IRibavirin sisiyobisi esidala esisetyenziswayo ngamanye amaxesha. Phambi kokuba i-DAA ifumaneke, i-ribavirin yayiqhele ukwenziwa ukuba isetyenziswe kunye nee-interferon. Namhlanje, ihlala isetyenziswa ngokudibanisa nee-DAA ezithile ukunyanga usulelo lwe-HCV (usulelo olunzima ukunyanga). Ezi DAA ziZepatier, Viekira Pak, Harvoni, kunye neTechnivie.

I-Ribavirin iza njengecapsule, ithebhulethi, okanye isisombululo. Iinguqulelo zamagama e-Brand ze-ribavirin zibandakanya:

• ICopegus
• Moderiba
• Ukuhlaziya
• Ribasphere
• Ribasphere RibaPak

Ukufakelwa kwesibindi

Kwiimeko ezinzima kakhulu zesifo se-hepatitis C esinganyangekiyo kunye nakwinqanaba elizayo kwimeko, ukufakelwa kwesibindi kunokufuneka. Olu hlobo lonyango lusetyenziswa kuphela ukuba intsholongwane ibangele ukonakala kwesibindi okunokubangela ukusilela kwesibindi.

Ngexesha lofakelo, ogqirha bazakususa isibindi sakho esenzakeleyo kwaye babuyisele elinye ilungu elisempilweni kumxhasi. Emva kokufakelwa, uya kumiselwa amayeza exesha elide ukunceda ukuqinisekisa impumelelo yokufakelwa.

Ukuvavanyelwa umhlaza wesibindi

Ukuba ne-hepatitis C kukubeka emngciphekweni omkhulu womhlaza wesibindi. Ke, njengenxalenye yonyango lwakho lwe-hepatitis C, unokufuna ukuvavanywa umhlaza wesibindi.

Ngokwenza uvavanyo lwe-ultrasound kwisibindi sakho unyaka nonyaka, okanye ngamanye amaxesha rhoqo rhoqo kwiinyanga ezintandathu, ugqirha wakho uya kuba nakho ukufumanisa umhlaza wesibindi.

Ngaba lukhona olunye unyango?

Ngelixa abanye abantu bekholelwa ukuba amayeza athile anokunceda impilo yesibindi, ithi azikho ezinye iindlela zokuxhasa okanye zonyango zokunyanga i-hepatitis C.

Ubisi lobisi (silymarin) ngamanye amaxesha luyacetyiswa ukunyanga iingxaki zesibindi. Nangona kunjalo, ndiqinisekisile ukuba inkunkuma yobisi ayiboniswanga ukuba isebenza ngakumbi kune-placebo kunyango lwe-hepatitis C. Oku kuyinyani nokuba imifuno ithathwa njengee-capsules okanye izicatshulwa.

Iingcebiso ezisempilweni zokuhlala ne-hepatitis C

Ikliniki yaseMayo ichonge utshintsho onokulenza ukukunceda ukuphucula impilo yakho ngexesha lonyango lwe-hepatitis C. Bacebisa ukuba:

• Lumka amayeza akho. Amanye amachiza, kwanalawo amiselwe ngugqirha wakho, anokuba neziphumo ebezingalindelekanga ezibangela ukonakala kwesibindi. Lo ngowona mngcipheko mkhulu kubantu abane-hepatitis C. Thetha nogqirha wakho malunga nokuba kufanelekile na ukunqanda amayeza athile okanye iziyobisi.
• Gwema utywala. Ukusela iziselo ezinxilisayo kunokwenza isifo sesibindi siqhubeke ngokukhawuleza. Ke ngoko, kungcono ukubuphepha utywala ukuba une-hepatitis C.

Thetha nogqirha wakho

Unyango kunye nembonakalo ye-hepatitis C yahluke kakhulu namhlanje kunakwiminyaka edlulileyo. Uninzi lwabantu baphiliswa umbulelo kwiiDAA ezintsha ezikhoyo.

Ukuba unayo i-hepatitis C okanye unokuba semngciphekweni wayo, eyona nto intle ukuyenza kukubona ugqirha. Ukuqala, banokukuvavanyela intsholongwane. Ukuba ufuna unyango, banokukuxelela malunga namayeza amatsha akhoyo anezinga elifanelekileyo lokunyanga i-hepatitis C.

Ukusebenza nogqirha wakho, unokwakha isicwangciso sonyango esinokukunceda ukulawula, okanye ukunyanga, i-hepatitis C.