Vuto la Hepatitis C limayambitsa kutupa kwa chiwindi, koma nthawi zina kachilombo ka HIV kangayambitsenso matenda omwe amakhudza ziwalo zina za thupi. Izi zikachitika, zimatchedwa matenda a extrahepatic. Zizindikiro za extrahepatic za matenda a hepatitis C zingayambitse matenda a nyamakazi (kutupa thupi), kupweteka kwa minofu ndi kufooka, ndi mavuto aakulu (zotengera magazi).
Kodi Arthralgia ndi Arthritis Ndi Chiyani?
Arthralgia ndi ululu mu mgwirizano, womwe ndi pamene mafupa amakumana. Matenda a kutupa nyamakazi ndi kutupa kwa mgwirizano umene nthawi zina umaphatikizapo kutupa, kufiira, ndi ululu. N'chizolowezi kwa odwala omwe ali ndi HCV kuti adzidzidzidwe ndi matenda ozunguza thupi monga ululu m'magulu, minofu ndi minofu. Ndipotu, nthawi zambiri ululu m'maganizo ndi minofu pamodzi ndi kutopa ndi chimodzi mwa zizindikiro zoyamba za matendawa.
Kodi Ndili ndi Chisoni Chofanana?
Kupweteka kumodzi ndi chizindikiro chofala cha chiwindi chachikulu cha chiwindi (pamene zizindikiro zilipo) ndi matenda aakulu a chiwindi. Ndichimodzimodzinso ndi zotsatira za mankhwala a chiwindi monga peginterferon ndi ribavirin . Kafukufuku wina akusonyeza kuti pafupifupi munthu mmodzi mwa atatu mwa anthu atatu ali ndi chiwindi cha C chiwindi adzakhala ndi nyamakazi .
Zimayambitsa Mavuto Ogwirizanitsa Odwala Omwe Ali ndi HCV
Matenda a chifuwa chachikulu a HCV amapezeka chifukwa cha chitetezo cha thupi chiteteza kachilomboka.
Odwala omwe ali ndi HCV, chifukwa kachilombo ka HIV kamakhala kochulukitsa, chitetezo cha mthupi chimapitirizabe kumenyana ndi kachilomboka, zomwe zimapangitsa kuti kutentha kwapakati pazimenezi komanso kupsyinjika kwa ma HCV.
Ndipotu, matenda opatsirana ndi omwe amachititsa kuti thupi likhale lopweteketsa - ngakhale lomwe silikulumikiza mafupa ndi mafupa (monga hepatitis yomwe imawombera maselo a chiwindi).
Pamene anthu akudandaula za ululu wamadzimodzi popanda chifukwa chomveka, madokotala nthawi zina amayang'ana matenda osadziwika, mwa zina zotheka.
Kodi Ndingatani Kuti Ndichepetse Kupweteka?
Kusamalira ululu wamphongo wokhudzana ndi HCV kungakhale lupanga lakuthwa konsekonse. Zina mwa mankhwalawa akhoza kukhala ndi ziwopsezo zawo pachiwindi kapena zikhoza kuvulaza matendawa. Mavuto okhudzana ndi ma HCV angayambitse mavuto aakulu ndipo zimavuta kuchita ntchito za tsiku ndi tsiku. Pofuna kuthandizira kuthetsa vutoli, ndikofunikira kuona katswiri wa rheumatologist ndikuonetsetsa kuti pali kulankhulana bwino pakati pa dokotala amene akudwala matenda a chiwindi ndi madokotala akuyang'anira zizindikiro zanu zapadera.
Mwa kuyankhula kwina, odwala ayenera kulandira chisamaliro kuchokera ku magulu osiyanasiyana a madokotala omwe angagwire ntchito pamodzi kuti apeze mankhwala abwino ndi zoopsa kwambiri. Mankhwala osokoneza bongo a necrosis, kapena mankhwala osokoneza bongo a TNF, agwiritsidwa ntchito bwino kuti athandize odwala matenda a chifuwa chachikulu, ndipo amapezeka kuti akuthandiza odwala omwe ali ndi HCV, akuwoneka kuti samawongolera zina chiwindi kapena kuwonjezeka kwa chiwindi katundu. Mankhwala ena ogwiritsira ntchito matenda a nyamakazi, rituximab, akuyesedwanso kwa odwala omwe ali ndi HCV.
Zilonda zakumtunda zingakhale zothandiza kwa kupweteka kwapadera kosagwirizana ndi nyamakazi, kuphatikizapo kugwiritsa ntchito penti yotentha kapena kutentha mumsamba wofunda.
Kupaka minofu mwapang'ono ndi machitidwe otambasula kungathandizenso.
Zotsatira:
MD Onetsani. Mapepala Okhalitsa Oleza Mtima Ophatikizana. Elsevier, Inc. 2009.
AM Sanzone, Chiwawa RE. Hepatitis C ndi Arthritis: Zosintha. Matenda Ochepetsa Matenda a ku North America, 20 (2006) 877-889.