Kufunsa Momwe Mowa Wambiri Umatetezera
N'zovomerezeka kuti munthu yemwe ali ndi matenda a chiwindi chakumwa C komanso mbiri ya kumwa mowa mopitirira muyeso ali ndi mwayi waukulu wodwala matenda a chiwindi, kuphatikizapo matenda a chiwindi ndi hepatocellular carcinoma (mtundu wa khansa ya chiwindi). Zonsezi zimagwirira ntchito pamodzi kuti zithandize kukula, kukula, ndi kuopsa kwa matenda a chiwindi .
Chokha, kumwa mowa kwambiri kungayambitse mtundu wina wosagwidwa ndi matenda a chiwindi chotchedwa hepatitis. Mukakakangana ndi mavairasi a chiwindi (mwa mtundu wa hepatitis B kapena hepatitis C), zomwe zimakhudza chiwindi zikhoza kuwonjezeka.
Matenda a Hepatitis C amapezeka kwa ine kwambiri kwa anthu omwe ali ndi mbiri yoledzeretsa kuposa anthu osamwa. Ngakhale zifukwa za izi siziri zomveka bwino, timadziwa zinthu ziwiri:
- Kumwa mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo zimagwirizana kwambiri, ndipo;
- Kugwiritsa ntchito mankhwala osokoneza bongo kumakhalabe njira yotchuka yofalitsira matenda a hepatitis C ku US
Mabungwewa akutsindika kufunikira koyambanso kumwa mowa mwa anthu onse omwe ali ndi matenda a chiwindi a C, omwe ali odwala kapena osadziwika; komanso kuthana ndi kumwa mowa nthawi zonse pamene mukuyamba njira yothandizira HCV, makamaka pakati pa omwe amagwiritsa ntchito mankhwala osokoneza bongo komanso magulu ena oopsa.
Zina mwa zoopsa zogwiritsidwa ntchito mowa ndi matenda a chiwindi a C:
Kuwonjezeka kwa Mliri wa Cirrhosis
Palibe kukayikira kuti anthu omwe ali ndi matenda a chiwindi odwala matenda a chiwindi omwe amamwa mowa mwauchidakwa amakhala ndi mwayi wambiri wochizira . Kuchokera m'maganizo a anthu, oposa 90% omwe amamwa mowa kwambiri (omwe amawatcha kuti amayi omwe ali ndi zakumwa ziwiri tsiku lililonse ndi amuna omwe ali ndi zakumwa zitatu patsiku) adzakhala ndi matenda ambiri a chiwindi , omwe 20% adzakula chiwindi cha chiwindi mkati mwa zaka 10-20.
Matenda a hepatitis C amachitanso chimodzimodzi, ndipo 75% mwa anthu omwe ali ndi kachilombo amakhala ndi matenda aakulu, pamene 15-20% amatha kupita patsogolo ku matenda mkati mwa zaka 10-30.
Kuphatikizidwa kwa zinthu ziwirizi kumangowonjezereka mwamphamvu kwambiri, komanso kuwonjezetsa kuopsa kwa chiwindi cha chiwindi-mwa kulingalira kwina, ndi 200-300%. Kuwonjezera pamenepo, ogwiritsa ntchito mowa kwambiri omwe ali ndi HCV ali ndi chiwopsezo chachikulu choposa 11 chokhala ndi chiwopsezo kusiyana ndi osamwa ndi HCV.
Kuwonjezeka Kwambiri Kachilombo ka Hepatocellular Carcinoma
Hepatocellular carcinoma (HCC) ndiyo njira yowopsa kwambiri ya khansa ya chiwindi ku US ndipo ndi chimodzi mwa mavuto omwe amafala kwambiri ku matenda a chiwindi a hepatitis C. Zambiri kuposa chiwindi cha chiwindi, mgwirizano pakati pa uchidakwa ndi HCC ndi wamphamvu, ndipo 80% ya ma HCC amadziwika kuti ndi oledzera kwambiri.
Mavuto amaoneka ngati akuwonjezeka ndi ndalama zomwe munthu amamwa. Kafukufuku wina wa ku Italy anasonyeza kuti mwayi wa HCC unapitirira kawiri pamene munthu ankamwa madzi oposa 3.4 ndi 6.7 patsiku. Mofananamo, kafukufuku wasonyeza kuti kumwa mowa kwambiri kumatha kupititsa patsogolo chitukuko cha HCC ndi zaka zisanu, zomwe zimachititsa kuti matumbo akuluakulu asakhalenso ochepa chabe.
Kuchepetsa Mphamvu za mankhwala ochizira odwala a Peginterferon
Ngakhale mankhwalawa akugwiritsidwa ntchito mochuluka m'magulu amakono a HCV, amakhalanso wamba makamaka pamene mankhwala ena akulephera komanso / kapena matenda a chiwindi.
Zodabwitsa, nthawi zambiri odwala ali ndi mbiri ya mowa mwauchidakwa omwe amafuna peginterferon-based based
Mowa umasokoneza ubwino wa peginterferon, zomwe zimachititsa kuti 300% akhale ndi chiwopsezo cha tizilombo toyambitsa matenda (ie, kubwerera kwa kachilombo) pambuyo pomaliza mankhwala. Chodabwitsa n'chakuti chiopsezo cha kulephera chinawoneka chimodzimodzi pakati pa onse oledzera ndi oledzera poyerekeza ndi osamwa ndi HCV.
Kodi Mowa Umakhala Wotetezeka Motani?
Pakalipano, sakudziwa nthawi yayitali kuti wodwala asamamwe mowa asanamve zotsatira zake zoipa. Ndi chifukwa chake kumwa mowa (pamodzi ndi ndondomeko ya mankhwala oledzeretsa, ngati kuli kofunika) kuwonedwa ngati gawo la mankhwala omwe ali ndi matenda a HCV osatha, makamaka omwe amapezeka kuti ali ndi matenda a chiwindi .
Kuwonjezera pamenepo, odwala omwe amafuna peginterferon akulimbikitsidwa kuti azipewa miyezi isanu ndi umodzi asanayambe kulandira chithandizo ndipo ayenera kulangizidwa kuti asamamwe mowa kwa miyezi isanu ndi umodzi pambuyo pomaliza mankhwala.
Zotsatira:
Mueller, S .; Millonig, G ;; ndi Seitz, H. "Matenda a chiwindi, komanso matenda a hepatitis C: Kuphatikizidwa kwambiri." World Journal of Gastroenterology. July 28, 2009; 15 (28): 3462-3471.
National Institutes of Health (NIH). "Hepatitis C ndi Mowa." Bethesda, Maryland; inafalitsidwa pa September 29, 2004.