Hepatitis C (HCV) ndi kachilombo kofala kwambiri komwe kamakhudza chiwindi. Pakatha miyezi isanu ndi umodzi yodziwika, anthu amaonedwa kuti ali ndi kachilombo koyambitsa matenda a chiwindi. Anthu ambiri omwe ali ndi matenda opatsirana, pakati pa 75 ndi 85 peresenti, adzalandira kachilombo ka HIV. Matenda atsopano a chiwindi a chiwindi afala ndi nthiti za singano.
Kuwopsa kwa matenda a chiwindi ndi matenda a chiwindi ndi omwe amakhala chifukwa cha kugawa kwa singano pakati pa anthu omwe amagwiritsira ntchito mankhwala osokoneza bongo, kapena ngozi kuzipatala. Chiwindi cha matenda a Hepatitis C chikhoza kufalikira mwa kugawana zinthu zapakhomo zomwe zingakhale zowononga magazi, monga mabotolo ndi rasi. Ikhoza kufalikira kudzera mu kugonana kosatetezeka, ngakhale kutsegulira kumeneku sikukudziwika.
Kuchokera kumalo osatulutsidwa, chiwindi cha chiwindi cha matenda a chiwindi (C) chikhoza kutengera matenda a chiwindi, khansa ya chiwindi, ndi mavuto ena aakulu. Zakale, chiwindi cha chiwindi cha C chithandizidwa ndi pegylated interferon ndi ribavirin. Mankhwalawa sali opambana 100, ndipo akhoza kukhala ndi zotsatira zoyipa. Kuvuta kwa chithandizo cha mankhwala ndi zotsatira zake kumapangitsa kuti munthu adwale matenda odwala matenda a hepatitis C. Izi zimachepetsanso mphamvu ya PEG interferon ndi ribavirin kuti athetse HIV.
Mwamwayi, posachedwapa asayansi atulukira kalasi yatsopano ya mankhwala oletsa tizilombo toyambitsa matenda, kapena a DAA, kuti adziwe matenda a hepatitis C.
Mankhwalawa ndi othandiza kwambiri kuposa mankhwala oyambirira ndipo amakhala ndi zotsatira zochepa. Komabe, sangakhalepo kwa odwala onse kapena m'madera onse a dzikoli.
Kodi Mukudziwa: Hepatitis C ikugwirizana ndi matenda a hepatitis A (HAV) ndi mavairasi a hepatitis B (HBV) . Komabe, mosiyana ndi matenda a hepatitis A ndi B, pakalipano palibe katemera wa chiwindi cha C.
Matenda a Chiwindi ndi Kugwiritsa Ntchito Mankhwala Osokoneza Bongo
Ntchito yogwiritsira ntchito mankhwala osokoneza bongo ndiyo njira yowonjezera yowonjezera matenda a chiwindi. Kutengera kwa Centers for Disease Control, pafupifupi munthu mmodzi pa atatu omwe amagwiritsira ntchito mankhwala osokoneza bongo omwe ali ndi zaka zosakwana 30 ali ndi kachilombo ka HIV. khalani pamwamba kwambiri. Kuphatikiza apo, kachilombo ka HIV kangakhale kosawerengeka pakati pa anthu akale omwe akugwiritsa ntchito mankhwala osokoneza bongo omwe alipo kale. CDC imanena kuti pafupifupi 70-90 peresenti ya anthu omwe ali ndi matenda a chiwindi cha m'mimba. Mwachiwerengero, manambalawa ndi apamwamba kwambiri chifukwa amadziwika kuti ali ndi kachirombo kaye asanadziŵe za kuopsa kwa kugawa kwa singano.
Matenda ambiri opatsirana amatha kupatsirana ndi ndodo ya singano. Singano zonyansa zimapereka njira yophweka kuti matenda opatsirana mwazi asunthire kuchoka ku munthu wina kupita ku mzake. Ngakhale magazi ocheperako ndi zobisika zingathe kulandira matenda, ndi chifukwa chake kuyeretsa singano sikukwanira kuthetsa ngozi. Ngati n'kotheka, singano siziyenera kugwiritsidwanso ntchito. Mizinda yambiri ndi mayiko ali ndi mapulogalamu osinthana ndi singano omwe angapereke ogwiritsa ntchito mankhwala osokoneza bongo ndi singano zopanda kanthu kuti athetse chiopsezo cha matenda. Mapulogalamuwa angaperekenso kuyezetsa matenda ndi uphungu wa mankhwala kwa anthu omwe akulimbana ndi jekeseni.
Umboni wawonetsetsa kuti mapulogalamu osinthana ndi singano saonjezera kugwiritsa ntchito mankhwala osokoneza bongo. Komabe, amatha kuchepetsa kufala kwa matenda.
Kuchepetsa kachilombo ka HIV ndi HCV
Hepatitis C ndi HIV ndi mavairasi awiri omwe ali ndi nkhawa zambiri pa ogwiritsa ntchito mankhwala osokoneza bongo. Ndipotu, coinfection ndi onse mavairasi si zachilendo chiwerengero. Pakati pa 50 ndi 90 peresenti ya anthu omwe ali ndi kachilombo ka HIV omwe amamwa mankhwalawa amakhala ndi matenda a hepatitis C. Izi zingachititse kupanga chisankho chovuta kwambiri, ngakhale akatswiri ambiri ali ndi mwayi wogwira ntchito ndi odwala coinfected.
Kusintha kwa chidziwitso cha anthu pa chiopsezo cha kachirombo ka HIV kungawonjezere kuwonjezereka kwa matenda a hepatitis C omwe akuwonedwa ku United States kuyambira kumayambiriro kwa zaka za 2000.
Pamene kachilombo ka HIV kanasinthidwa kuti iwonedwe ngati chilango cha imfa kuti iwone ngati matenda aakulu, anthu sakhala okhudzidwa kwambiri ndi momwe angapewere magazi omwe ali ndi kachirombo ka HIV. Mwinanso, amakhulupirira kuti kuyeretsa koyambitsa matenda a HIV kumathandizanso kuthana ndi chiwindi cha matenda a chiwindi. Komabe, ngakhale kuti kachilombo ka HIV ndi kachilombo kochepa kwambiri, matenda a chiwindi sikutanthauza. Kuyeretsa zipangizo zamagetsi kapena "ntchito" m'njira zomwe zingalepheretse kufala kwa HIV sikugwiranso ntchito mofanana ndi matenda a chiwindi.
Mmene Kugwiritsa Ntchito Mankhwala Osokoneza Bongo Kumakhudzira Njira Yachilombo cha Chiwindi cha Chiwindi
Palinso umboni wina wakuti chiwindi cha matenda a Hepatitis C chikhoza kuchita mosiyana ndi ogwiritsira ntchito mankhwala osokoneza bongo kusiyana ndi anthu omwe amachitira chiwerewere. Anthu amene amamwa mankhwala osokoneza bongo angakhale ndi nthawi yovuta kuchotsa matendawa. Angakhalanso ndi mwayi wobwezeretsa kachilomboka atalandira chithandizo. Mpaka pano, zifukwa izi sizikudziwika. Kusiyana kwina kungakhale chifukwa cha mitundu yeniyeni ya chiwindi cha C yomwe anthu omwe amamwa mankhwalawa amavumbula. Zikhoza kukhala chifukwa cha kusungulumwa kwa anthu omwe amamwa mankhwala osokoneza bongo kapena omwe amabwereranso mankhwalawa. Pangakhalenso zinthu zina zomwe sizikudziwika.
Mawu Ochokera
Ngati muli ndi matenda a chiwindi, mukhoza kukhala chinthu chovuta kuyankhula. Ochita kafukufuku asonyeza kuti anthu ambiri samakambirana zao ndi anzawo. Izi zimaphatikizapo onse ogonana ndi anthu omwe akugawana nawo singano. Iwo sangathenso kufotokozera kachilombo kawo ngakhale kwa achibale awo apamtima.
Kwa anthu ena, zimakhala zovuta kulankhula za matenda a chiwindi chifukwa cha kugwirizana ndi mankhwala osokoneza bongo. Makamaka ngati simugwiritsanso ntchito mankhwala osokoneza bongo, zingakhale zoopsa kubweretsa gawo lanu lakale. Kwa anthu ena, sizingatheke kuti akambirane za chiwindi cha matenda a chiwindi C. Angakhale atakhala ndi kachilombo kwa nthawi yaitali osakhala ndi zizindikiro. Ambiri amadziwa kuti kachilombo ka HIV kamatha kupatsirana kapena ngati achibale awo ali pangozi.
Kawirikawiri, matenda a hepatitis C sangathe kufalikira mwa kugonana kwaokha. Komabe, sikuti imafalikira kudzera kugawana kwa singano. Ikhozanso kufalikira kudzera kugonana kosatetezedwa komanso kugwiritsa ntchito zinthu zonyansa. Choncho, ngati mukugawana nyumba ndi munthu wina, ndiwothandiza kuti adziwe kuti ali osamala kwambiri pogwiritsira ntchito mankhwala kapena mano . Izi ndizowona ngati mukugawana madzi mwachindunji-kudzera pogonana kapena kudzera mu singano. Anthu sangathe kuika chiopsezo ngati sakudziwa kuti zilipo.
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