Malonda ndi kumwa kwa mankhwala a HBV
Njira zothandizira odwala matenda a chiwindi (B) omwe ali ndi matenda a chiwindi (B) omwe sagwiritsidwa ntchito masiku ano sakhala abwino ngakhale lero. Pakalipano, pali mankhwala asanu ndi limodzi omwe alipo, poyerekeza ndi zaka 10 zapitazo pamene panalibe, zomwe zikutanthauza kuti dokotala wanu ali ndi zosankha pofufuza mankhwala (kapena mankhwala osokoneza bongo) omwe amakupindulitsani.
Ngakhale pali njira zambiri zothandizira mankhwala a Hepatitis B , pakadalibenso chithandizo cha matendawa.
Cholinga cha chithandizo chamankhwala ndikuteteza kachilombo ka HIV ndikusunga zizindikiro poyang'anira chiwindi ku zotsatira za matendawa. Komanso, ndibwino kukumbukira kuti si onse omwe akudwala matenda a chiwindi a B odwala omwe amafunikira mankhwala. Ndipo ngati mukuyamba mankhwala osokoneza bongo kapena ayi, muyenera kukhala osamalidwa ndi dokotala yemwe ali katswiri pa matenda a chiwindi kapena omwe amadziŵa bwino kwambiri komanso odziwa bwino kuchiza matenda a chiwindi B.
Zochita ndi Zochita
Mankhwala ambiri amapindula ndi zotsatira zake zomwe ziyenera kuyeza, ndipo kugwira ntchito ndi dokotala kungakuthandizeni kusankha mankhwala omwe ali ndi phindu loyenera kupitirira zoopsa. Pofuna kukuthandizani kumvetsetsa bwino mankhwala awa, apa pali ena mwa mphamvu zawo ndi zofooka zawo.
| Mankhwala | Zotsatira | Wotsutsa |
Interferon (interferon alpha-2b kapena pegylated interferon) | - Kawirikawiri chisankho chabwino kwa achinyamata omwe alibe matenda akuluakulu a chiwindi (omwe amachiritsa matenda a chiwindi)
- Kusankha bwino kwa genotype A matenda
- Kuchiza kwa nthawi yayitali (masabata 24 mpaka 48) poyerekeza ndi mankhwala ena a chiwindi a hepatitis B.
| - Zotsatira zoyipa kwambiri kwa anthu ena
- Sizipezeka kwa anthu omwe ali ndi vuto losokoneza chiwindi (matenda obwera chifukwa cha chiwindi)
- Ambiri okwera mtengo (nthawi zonse kapena pegylated) poyerekeza ndi mankhwala ena
- Pegylated interferon sakuvomerezedwa kwa ana
|
| - Wokwera mtengo poyerekezera ndi mankhwala ena a chiwindi cha hepatitis B
- Chimodzi mwa mankhwala osokoneza bongo a hepatitis B, kotero zambiri zimadziwika za chitetezo chake
- Zingakhale zothandiza pakupatsirana kachilombo koyambitsa matenda a HIV kuphatikizapo tenofovir
- Yavomerezedwa kwa ana ndi akulu
| - Nthaŵi zambiri amalephera kuthana ndi kachilombo ka hepatitis B chifukwa cha mankhwala osokoneza bongo
- Chifukwa cha kukana, sizingatheke kusiyana ndi mankhwala ambiri omwe amayamba chifukwa cha chiwindi cha hepatitis B
- Amafuna mankhwala a nthawi yaitali
|
Adefovir dipivoxil | - Angagwiritsidwe ntchito kwa odwala omwe ali ndi kachilombo koyambitsa matenda a hepatitis B a lamivudine
| - Angakhale poizoni kwa impso zanu pa mlingo waukulu
- Amafuna mankhwala a nthawi yaitali
|
| - Ali ndi chiwerengero chochepa chotsutsa.
- Zingakhale zothandiza kwa odwala omwe amalephera kubisala (matenda opatsirana ndi chiwindi)
| - Mankhwala atsopano, choncho ali ndi kafukufuku wochepa okhudza chitetezo chake - makamaka pazinthu zina
- Amadziwika kuti amachititsa khansa mu makoswe pamene amapatsidwa mlingo waukulu, koma palibe deta yomwe imathandizira odwala
- Amafuna mankhwala a nthawi yaitali
|
Telbivudine | - Angakhale mankhwala oletsa tizilombo toyambitsa matenda kuposa lamivudine ndi adefovir
| - Zikuoneka ngati lamivudine kuti ikhale yogonjetsedwa ndi kachilombo ka hepatitis B
- Amafuna mankhwala a nthawi yaitali
- Osavomerezedwa kwa ana
|
| - Ndibwino kuti muzitha kuchiza matenda a hepatitis B omwe nthawi zonse ndi osagwiritsa ntchito mankhwala
- Zitha kukhala bwino kusankha mankhwala pamene adefovir siigwira bwino
- Amachiza kachirombo ka HIV komanso kachirombo ka hepatitis B
| - Ndi mankhwala atsopano ochizira matenda a chiwindi a B, kotero kuti maphunziro ambiri ayenera kukwaniritsidwa
- Osavomerezedwa kwa ana
- Amafuna mankhwala a nthawi yaitali
- Kuwunika nthawi zonse ntchito ya impso n'kofunika
|
Chitsime:
Zaposachedwa. Basow, DS (Ed), UpToDate, Waltham, MA, 2010.