Mungafune kuti impso zanu ziyesedwe ngati mwapezeka kuti muli ndi Hep C
Ngakhale kuti dzina lake limatchedwa matenda a hepatitis C ("chiwindi cha chiwindi" chomwe chimasonyeza kutupa kwa chiwindi), ndi matenda osiyanasiyana omwe amakhudza ziwalo zoposa chiwindi. Tizilombo toyambitsa matenda a hepatitis C tikhoza kukhudza mawonekedwe a ziwalo, kuphatikizapo impso, khungu, hematological dongosolo, komanso ngakhale kuyambitsa autoimmune matenda ndi shuga. Pankhani ya impso, chiwindi cha matenda a hepatitis C chimakhudza "fyuluta" ya impso, (yotchedwa "glomerulus") m'njira zosiyanasiyana, kupanga njira zosiyana za matenda.
Kuzindikira kuti chiwindi cha C chikhoza kukhala ndi mphamvu yaikulu pamaganizo a impso komanso chifukwa cha matenda a impso ndi uthenga wofunika kwambiri wopita kunyumba, kwa dokotala yemwe akuyendetsa matenda a hepatitis C, komanso odwala. Zimatiuza kuti odwala omwe ali ndi matenda a chiwindi (C) ayenera kuyesedwa pa mavuto omwe angayambitse matenda a impso. Mosiyana ndi zimenezi, odwala omwe amapereka kwa katswiri wa sayansi ya ziwalo ali ndi zizindikiro kapena zizindikiro zina angafunikire kuti agwiritse ntchito matenda a hepatitis C.
Hepatitis C ndi Kuwonongeka kwa Impso
Kawiri kawiri kafukufuku wa chifukwa chake matenda a chiwindi cha matenda a chiwindi amakhudza impso ndi mgwirizano pakati pa kachilombo ka hepatitis C ndi chizoloŵezi chake chotsitsimula mitsempha yathu (chomwe chimatchedwa "vasculitis"). Kutupa kotereku kudzaphatikizapo impso ndipo ikhoza kuthetsa zotupa m'maganizo a impso.
M'mawu ena, nthawi zambiri, si matenda a hepatitis C omwe amachititsa ululu kugwira ntchito , koma kwenikweni thupi limayankha matenda a chiwindi (C) omwe amachititsa kuti awonongeke.
Ntchito ya impso ingathe kukhala "chiwonongeko" cha nkhondo yomwe imapweteka pakati pa kachilombo ka hepatitis C ndi chitetezo cha thupi lathu, ndi odwala omwe akudwala matenda a impso osiyanasiyana.
Kodi Chiwindi cha Hepatitis C Chimachita Chiyani kwa Impso?
Katundu wapamwambawa atayambika, impso zimayamba kuonongeka.
Malo owonongeka kawirikawiri ndi fyuluta ya impso, yotchedwa glomerulus (impso iliyonse ili ndi milioni ya timagulu ting'onoting'ono). Chifukwa chake izi zimachitika chifukwa fyuluta iyi ndiyake yaying'ono ya mitsempha yaing'ono yamagazi. Monga tanenera kale, kachilombo ka hepatitis C kamakhala ndi chizoloŵezi choyambitsa shuga, chitetezo cha mthupi ku mitsempha ya magazi. Choncho, kusinthasintha kwa mitsempha ya magazi mkati mwa glomerulus kumakhala kovuta kwambiri.
Madokotala amagawanitsa matenda a impso a chiwindi a chiwindi m'magulu otsatirawa:
- Mankhwala a cryoglobulinemia - uwu ndiwo mtundu wina wa kutupa kwa mitsempha ya magazi / vasculitis. Mitsuko yamagazi ikhoza kuyaka pamalo osiyanasiyana, osati kwenikweni mu impso. Choncho, wodwala wodwalayo akhoza kukhala ndi zizindikiro zochokera ku matenda a impso, kuzimva ululu, kuthamanga. Ngati impso zimakhudzidwa, wodwala akhoza kuona magazi mumthambo, ndipo dokotala akhoza kutenga mapuloteni (chinthu chomwe sichiyenera kukhalapo) pamtundu wa mkodzo ngati glomerulus wawonongeka kwambiri.
- Polyarteritis nodosa - pamene akudwala matenda a hepatitis B omwe ali ndi kachilombo ka HIV , polyarteritis nodosa tsopano akudziwika kuti ali ndi matenda a hepatitis C. Uku ndi mtundu wosiyana wa kutupa kwakukulu kwa impso 'mitsempha ya magazi.
- Nthenda yosagwirizana ndi matenda a chiwindi - zomwe zingatheke kuti matenda a chiwindi a C asokonezeke. Tikudziwa kuti kachilombo ka HIV kameneka kangapangitsenso kusintha kwa impso 'fyuluta.
Kodi Mmodzi Wodziwidwa Bwanji Angadziwe Kuti Ali ndi Matenda a Impso?
Inu simungakhoze! Pambuyo pa zizindikiro za hepatitis C, zizindikiro zenizeni za impso zikhoza kapena sizikhalapo ndipo si zachilendo kukhala ndi matenda osalankhula, osadziwika ndi wodwalayo. Monga tafotokozera pamwambapa, odwala amatha kuona magazi mumtambo, koma izi sizingakhale choncho nthawi zonse. Mofananamo, mapuloteni mu mkodzo sangakhale owonekera (kapena akuoneka ngati "chithovu mu mkodzo"), kapena amawoneka ndi matenda ena omwe mungakhale nawo (monga matenda a shuga kapena shuga).
Mosakayikira, palibe zomwe mwapezazi zokwanira kutsimikizira kapena kutsutsa kuwonongeka kwa impso za chiwindi cha chiwindi. Komabe, dokotala wabwino adzayesa kuyesa kwa impso 'ntchito (monga serum creatinine, GFR, etc) mwa wodwala ndi matenda a chiwindi cha C, pamene katswiri wa sayansi ya zamoyo akuyang'anira wodwala ali ndi ziganizo zapamwambazi ayenera kuyamba kufunafuna chiwindi cha C monga zifukwa zomveka. Mwachindunji, pali mayesero ena angapo omwe angakhale othandiza:
- Kuyesedwa kwa chinachake chotchedwa " cryoglobulins. "
- Kuyezetsa magazi kwa chinthu
- Kuyesera Makhalidwe Othandizira
Popeza nthendayi imachitika pang'onopang'ono kwambiri ndipo imatha kukhala ndi "zokopa" zosiyana, nthawi zambiri chitsimikizo cha impso ndicho njira yokhayo yotsimikizira zomwe zikuchitika.
Matenda a Impso Kuchokera Kuchiza C
Mwachidule, tithandizeni . Choncho, omwe amapezeka kuti ali ndi vuto lalikulu la impso lomwe lingayambitse matenda a hepatitis C, chithandizochi chiyenera kuganizira za kuchiza matenda a chiwindi. Komabe, sikuti nthawi zonse zimakhala zosavuta. Sikuti wodwala aliyense amene ali ndi matenda a chiwindi (C) akudwala matenda a hepatitis C, ndiye kuti ali woyenera kuti adziwe mankhwala chifukwa chiwerengero cha mayankho chimasiyana komanso zotsatira za mankhwalawa ziyenera kusungidwa m'maganizo.
Odwala ena akhoza kale kudutsa "malo osabwerera" pokhudzana ndi kupulumutsa chiwindi kapena impso. Impso zimakonda kukhalabe ndi mphamvu zowonjezera. Choncho, ngati chiwopsezo choopsa chachitika kale mu impso, nkokayikitsa kuti wodwala angachire matenda a chiwindi ngakhale atachizidwa ndi matenda a chiwindi. Mosasamala, pakhoza kukhala zifukwa zomveka bwino (chifukwa cha chiwindi ndi ziwalo zina), kuti azichiritsabe hepatitis C.
Mfundo yofunika kukumbukira ndi yakuti kukhalapo kwa matenda a impso kumasintha njira zothandizira matenda a hepatitis C. Izi zili choncho chifukwa mankhwala amasiyana kwambiri chifukwa cha kuwonongeka kwa impso. Lankhulani ndi dokotala wanu za njira yabwino yothetsera.
> Zotsatira:
> Perico, D Cattaneo, B Bikbov, G Remuzzi. Matenda a Chiwindi a Chiwindi ndi Matenda Omwe Amachira Ambiri. CJASN January 2009 vol. 4 ayi. 1 207-220.
> Patrice Cacoub, MD. Maonekedwe owonjezereka a matenda aakulu a chiwindi cha chiwindi cha chiwindi. Adv Infect Dis 2016 Feb; 3 (1): 3-14.
> Malangizo a HCV: Malangizo a Kuyezetsa, Kusamalira, ndi Kuchiza Matenda a Chiwindi A C. American Association for Study of Liver Diseases and Infectious Diseases Society of America.