Kuyeza tizilombo toyambitsa matenda kumatiuza mmene mankhwala akugwiritsira ntchito bwino
Chiwerengero cha tizilombo ndi chiwerengero cha kachilombo ka HIV m'magazi anu. Mayeza a kachilombo kawirikawiri amagwiritsidwa ntchito poyang'anira matenda aakulu a tizilombo monga HIV , matenda a chiwindi (HBV) , ndi hepatitis C (HCV).
Pankhani ya HCV, mayesero otchedwa kuchuluka kwa HCV RNA amagwiritsidwa ntchito poyeza kuti majeremusi (RNA) omwe ali ndi kachilombo ka HIV amadziwika mu mililita ya magazi.
Mankhwala ena amatha kugwiritsidwanso ntchito poyang'anira zokhudzana ndi mavairasi, ambiri omwe amachita zimenezi pozindikira DNA kapena RNA.
Nchifukwa chiyani Vuto lachilombo ndilofunika?
Madokotala amagwiritsa ntchito chiwerengero cha mavairasi anu kuti adziwe momwe mukuchitira ndi mankhwala oletsa tizilombo. Kawirikawiri chiwerengero chanu cha majeremusi chiyesedwa musanayambe mankhwala (chifukwa cha chiwindi cha C, mwachitsanzo) ndikubwereza nthawi ndi nthawi kuti muyese momwe mukuyankhira. Zotsatira zochepa zokhudzana ndi mavairasi ndizofunika kuti muwone momwe ntchitoyo imathandizira.
Kachilombo kamene kamachepetsa kwambiri, monga kuchepa kwa 100 m'thupi mwachangu, kumatanthauza kuti mankhwala akugwira ntchito. Mwamunthu, munthu angakwaniritse chinthu chomwe chimatchedwa "chiwerengero cha tizilombo" chomwe sichidziwika, kutanthauza kuti matekinoloje omwe akuyesedwa sangathe kupeza umboni uliwonse wa kachilombo koyambitsa magazi.
Ndikofunika kumvetsetsa kuti pamene mayesero ali ofunikira mukulongosola zotsatira za mankhwala, sizikuwuzani kanthu za kuopsa kwa matenda a chiwindi.
Kawirikawiri, mayesero a chiwindi ndi mayesero (monga chitsanzo, ultrasound kapena MRI) amafunikira pa izo.
Kukula Kwambiri ndi Kutsika kwa Vuto Lofewa
Monga momwe tizilombo toyambitsa matenda a chiwindi timadziwira, vuto la tizilombo toyambitsa matenda ndiloposa 800,000 IU / L, pomwe vuto la tizilombo tochepa ndilo pansi pa 800,000 IU / L. Mtundu umenewu ukhoza kukhala wosiyana kwambiri, komabe, pogwiritsa ntchito zomwe zimaonedwa kuti ndizochitika m'deralo kapena chiwerengero china.
Ndikofunika kuzindikira kuti, kuchuluka kwa tizilombo ta 800,000 IU / L sikukutanthauza kuti muli ndi mavairasi enieni 800,000 m'magazi anu. M'malo mwake, zikutanthawuza kuti labu yatsimikiza kuti pali 800,000 maiko angapo padziko lonse (IU) mu lita imodzi ya magazi. IU ndi chiyero chogwiritsiridwa ntchito ndi akatswiri owona zapamwamba kuti awonetsetse molingana ndi labu ku labata ndipo amalingalira kuti ndi yolondola kuposa "kuphweka kwa mutu" chabe kwa kachilombo ka HIV.
Komabe, nthawi zambiri, 800,000 IU / L imagwirizanitsa ndi makope oposa mamiliyoni awiri a kachilombo ka HIV.
Ndalama Zowonongeka Zosasintha
Nthawi ya kukhululukidwa (vuto losawerengeka la tizilombo) Patatha masabata 12 mutatha kutsegula chiwindi cha C hepatitis C amadziwika kuti SVR , kapena SVR12. Pafupi anthu onse omwe amapindula ndi SVR12 amapita kukapeza SVR24, zomwe zikutanthauza kuti palibe mankhwala omwe amapezeka patatha masabata 24 pambuyo pa chithandizo.
Nthendayi yosadziwika sikutanthauza kuti mulibe kachilombo m'magazi anu kapena kuti mwalandira chithandizo. Komabe, ngati mutha kukhalabe ndi kachilombo kosawerengeka kwa masabata makumi awiri ndi awiri (ndipo tsopano akatswiri amaganiza ngakhale masabata khumi ndi awiri okha) mwayi woti kachilombo kamene kamabwereza (kubwerera) umaganizira kwambiri. Ndipotu, panthawiyi, munthu amadziwika kuti amachiritsidwa.
Ngakhale mayesero akhoza kukhala osiyana ndi mphamvu, zomwe zikutanthauza kuti amatha kudziwa kachilombo ka HIV, zowonjezereka zamakono zimakhala zolondola kwambiri.
Mawu Ochokera
Ngakhale kuti mayesero omwe amapezeka pakupeza ndi kuchiza matenda a chiwindi a C angamawoneke ovuta, yesetsani kuti musagwiritsidwe ntchito mwatsatanetsatane. Ngati muli ndi chiwindi cha chiwindi, khalanibe olimbikitsa mu chiwindi chanu poona dotolo yemwe amachiza anthu ndi matenda a chiwindi.
Tengani mankhwala anu monga momwe mumalangizira ndikukhalabe pafupi ndi dokotala wanu. Ndibwino, uthenga wabwino ndi wakuti mungathe kuchotsa kachilomboka m'thupi lanu (ndipo makamaka "mukuchiritsidwa").
> Zotsatira:
Burgess SV, Hussaini T, Yoshida EM. Kulingalira kwachisamaliro cha virologic pamasabata 4, 12 ndi 24 pambuyo pochiza matenda a chiwindi (c) chiwopsezo cha matenda a chiwindi m'kati mwa nthawi yatsopano yogwiritsira ntchito mankhwala otsekemera. Ann Hepatol . 2016 Mar-Apr; 15 (2): 154-9.
> Gupta E., Bajpai M, Choudhary A. Matenda a Hepatitis C: Kuyeza, kutulukira, ndi kutanthauzira ma laboratory. Asia J Transfus Sci. 2014 Jan-Jun; 8 (1): 19-25.
> University of Washington. Hepatitis C Online: Zolinga zothandizira ndi kulongosola yankho.
US Department of Veterans Affairs. Hepatitis: Hepatitis C RNA kuyezetsa magazi.