Chiwindi cha matenda a Hepatitis C chingakhale chimodzi mwa zifukwa zomwe zimayambitsa matenda opatsirana pogonana
Vuto la hepatitis C kapena HCV ndilo chifukwa chachikulu cha chifuwa cha chiwindi chomwe chingayambitse chiwindi, ndipo munthuyo akhoza kukhala ndi chiwindikiro cha chiwindi ngati chithandizo cha mankhwala. Komabe, HCV siimabweretsa kutupa kwa chiwindi basi. Amagwiritsidwanso ntchito ndi hematologic, renal, dermatologic, rheumatic, ndi matenda omwe amadzimadzimutsa. Zina mwa zizindikiro zoyambirira za matenda a HCV ndi zizindikiro za nyamakazi monga kutupa kwa mafupa, kupweteka m'mimba, ndi kufooka kwathunthu.
Zizindikirozi zikhoza kuoneka msanga munthu asanamudziwe kuti ali ndi HCV. Ndiponso, kutupa kwa mafupa ndi mitsempha ya magazi (vasculitis) zingachitike monga chizindikiro cha matenda a HCV.
Mfundo Zachidule za HCV ndi Rheumatic Diseases
- Mavuto omwe amasonyeza kupweteka kwa nyamakazi ya nyamakazi komanso zowawa za minofu zimapezeka kwambiri kwa wodwala ali ndi kachilombo ka HIV.
- Matenda ambiri omwe ali ndi matenda a hepatitis alibe zizindikiro zoyambirira.
- Masiku ano chiopsezo chotenga HCV kudzera m'magazi ndi otsika kwambiri, koma isanafike 1990, iyi ndiyo njira yowonjezera.
- Kawirikawiri HCV imasamutsidwa kuchoka ku munthu wina kupita ku chimzake kudzera m'madzi a thupi monga umuna, kusungira kwa m'mimba, ndi magazi.
- Ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena mutayamba kuchita zachiwerewere zomwe zimakhala zoopsa kwambiri (monga zibwenzi zambiri, kugonana amuna kapena akazi okhaokha, ndi zina zotero) mumapanga mwayi wodwala. Ndi chifukwa chake anthu omwe ali ndi kachilombo ka HIV amayenera kuyezetsa HIV. Anthu omwe amagawana zida zothandizira cocaine amatha kuphatikizidwanso ku gulu loopsa.
- Ngati mwapezeka ndi matenda a rheumatic monga nyamakazi, muyenera kutenga kachilombo ka HIV.
Nchifukwa chiyani HCV imayambitsa matenda opatsirana pogonana?
Kawirikawiri, izi zonse zimachitika m'thupi pamene mukudwala matenda a HCV. Zonsezi, ndi momwe thupi limachitira ndi kachilomboka. Mankhwalawa ndi othandizira kuti chitetezo cha mthupi chimalimbikitsidwa kupitirizabe kulimbana ndi kachirombo ka HIV.
Ndicho chifukwa chake thupi limayamba kusonyeza zizindikiro za matenda a rheumatic omwe angachokere ku cryoglobulinemia mpaka zotsatira monga impso kulephera. Cryoglobulins ndi mapuloteni osokonezeka m'magazi omwe amapeza mphamvu pozizira. Umu ndi mmene cryoglobulinemia imayambira.
Matenda opatsirana pogonana a HCV angakhudze anthu omwe apezeka ndi HCV zabwino mosasamala za msinkhu wawo kapena amuna awo. Amatha kupatsirana kuchokera kwa mayi kupita kwa mwana pakubereka (nthawi zambiri).
Mmene Mungakhalire ndi HCV Rheumatic Diseases
Mavutowa akhoza kukhala okhumudwitsa kwambiri ndipo akhoza kukupangitsa moyo wanu kukhala wovuta ngati simukuchitapo kanthu. Zochitika zanu zachizolowezi za tsiku ndi tsiku zingakhale zovuta kwambiri. Muyenera kupita kukawona katswiri wabwino wa rheumatologist yemwe angakulimbikitseni inu momwe mungachite ndi vuto lanu. Komabe, muyenera kukhala ndi mgwirizano wamphamvu pakati pa madokotala awiri omwe akukuchitirani inu: omwe amachiza chiwindi ndi omwe amachititsa ziwalo zanu ndi ululu wa minofu. Mankhwalawa akhoza kukhala ovuta kwambiri m'magulu awiriwa ndipo simudziwa kuti mankhwala amatha kuyanjana ndi enawo. Mwachitsanzo, HCV imatetezedwa ndi interferons kapena mankhwala osokoneza bongo monga ribavirin. Izi zimakhala ndi zotsatira zoyipa monga ululu wamkati.
Muyenera kuchita mofulumira mukangoyesedwa bwino ngati vuto la chiwindi likhoza kukulirakulira chifukwa chalephera kapena khansara. Ngati mukumva kufunikira, pali magulu othandizira omwe akuthandizani kuphunzira njira zamoyo ndi matenda oopsa. Maguluwa angakuthandizeni kuthana ndi vuto latsopanoli.
Zomwe Muyenera Kuzikumbukira za Hepatitis ndi Rheumatic Diseases
Matenda a HCV sikutanthauza kuti muli ndi matenda a chiwindi. Mungathe kukhala chonyamulira ndikukhalabe ndi mavuto omwe mumakhala nawo. Ngati mwapeza mavutowa ndikupita kukayezetsa mwamsanga. HCV sikumverera ngati chirichonse chomwe chikufotokozedwa kwathunthu.
Kuwonjezera pa matenda oopsa, HCV sichisonyeza zizindikiro zina zoyambirira. Ngati mumanyalanyaza nyamakazi, mungakhale mukunyalanyaza matenda a HCV .
Pali chithandizo cha matenda a rheumatic, koma pachiyambi. M'tsogolomu, pangakhale nthawi yochuluka yomwe ingakhale yotheka kwa anthu omwe akuvutika nawo. Pali njira zothandizira mankhwala omwe angapezeke chifukwa cha vutoli. Mankhwala atsopano abwera omwe athandiziratu mkhalidwe wodwala mwa kupititsa chithandizo.
Zolemba:
Buskila D. Hepatitis C-yokhudzidwa ndi matenda a zizindikiro. Rheum Dis Clin North Am. 2009 Feb; 35 (1): 111-23.
Izumi Y, Komori A, Yasunaga Y, Hashimoto S, Miyashita T, Abiru S, Yatsuhashi H, Ishibashi H, Migita K. Amuna a nyamakazi akutsata mankhwala ndi IFN-alpha / ribavirin motsutsana ndi matenda a HCV. Intern Med. 2011; 50 (9): 1065-8.