Phunzirani za Zizindikiro, Kuchiza ndi Kuteteza Hepatitis D
Matenda a hepatitis D, omwe amayamba chifukwa cha matenda a hepatitis D (HDV), ndi matenda omwe amachititsa chiwindi. N'chimodzimodzi ndi mavairasi ena a hepatotropic (A, B, C ndi E) chifukwa amachititsa kutupa kwa chiwindi ndipo amachititsa zizindikiro zofanana, koma HDV ndi yachilendo. Zingathe kupha munthu amene ali ndi matenda a shuga B. HDV silingathe kudziwerengera, kotero kuti zithetse vutoli, HDV imadalira kachilombo ka hepatitis B (HBV) pofuna kubwereza (kupanga mapepala okha).
Kodi matenda a Hepatitis D ndi otani?
Hepatitis D imayambitsa mitundu iwiri ya matenda: coinfection kapena superinfection. Coinfection ndi pamene wina ali ndi kachirombo ka HBV ndi HDV panthawi yomweyo. Kulephera kudzidzimutsa ndi pamene munthu ali kale ndi chiwindi cha B ndiyeno ali ndi kachilombo ka HDV.
Kuchepetsa kachilombo kawirikawiri kumakhala kovuta, ndipo kudzathetsa ndekha. Kulephera kudzipatulira kumakhala kovuta kwambiri. Ndi majeremusi oopsa, chiwindi chopweteka cha chiwindi cha mtundu wa B chikhoza kukhala choopsa komanso chapirosis (chiwindi cha chiwindi). Matenda ena amachititsa kuti matenda a hepatitis apitirire.
Kodi Ndili ndi Hepatitis D?
Njira yokhayo yodziwira ngati muli ndi chiwindi cha D ndi mwa kuyesa magazi. Kawirikawiri, madokotala amayang'ana chiwindi cha D kutentha kwa anthu omwe ali ndi matenda aakulu a chiwindi.
Malingana ndi kachitidwe ka matenda anu ndi zotsatira za kuyesedwa kwa magazi kwa HBV ndi HDV, madokotala akhoza kulingalira ngati matenda anu ali ovuta, aakulu kapena osasintha.
Kodi Zizindikiro Ndi Ziti?
Kawirikawiri, kufufuza kwa hepatitis D kumachitika kokha pamene matenda a chiwindi ndi aakulu kapena akukulirakulira.
Zizindikiro zilizonse zimakhala zofanana ndi matenda ena a chiwindi a chiwindi, makamaka mwamphamvu kwambiri. Mosasamala kanthu, ndi matenda a hepatitis D, matendawa amadziwika ndi matenda a HBV. Chiwindi cha Dermatitis D sichitha nthawi yaitali kusiyana ndi matenda a chiwindi.
Kodi Hepatitis D Yafalikira Bwanji?
Hepatitis D imafalikira mofanana ndi chiwindi cha hepatitis B, chomwe chimayambira mwachindunji ndi magazi omwe ali ndi kachilomboka. Zili zochepa ku United States ndi m'mayiko ena otukuka. M'madera amenewa, matenda a chiwindi a D amapezeka ambiri mwa ogwiritsira ntchito mankhwala osokoneza bongo. Palinso mgwirizano ndi ukhondo wabwino. Mayiko okhala ndi chiwerengero chapamwamba cha matenda a hepatitis D pakati pa ogwira ntchito a HBV ndi awa omwe ali pafupi ndi Nyanja ya Mediterranean, Middle East ndi Africa ya kum'mwera kwa Sahara.
Kodi Hepatitis D Yachita Motani?
Chithandizo chamankhwala cha hepatitis D nthawi zambiri chimaphatikizapo mankhwala a interferon . Mankhwala oletsa tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito pochizira matenda a hepatitis B sali othandiza pa matenda a chiwindi. Ngati matenda aakulu amatha kufika ku chiwindi, kusakaniza chiwindi kungakhale kofunikira. Zotsatira za kuika magazi kwa chiwindi cha D nthawi zambiri zimakhala bwino kusiyana ndi matenda a chiwindi.
Ngakhale mankhwala angakhale ofunika, nthawi zambiri amakhala okwera mtengo ndipo amakhala ndi zotsatirapo.
Chifukwa cha ichi, ndibwino kuyesa ndikupewa matenda poyamba.
Kodi Ndingatani Kuti Ndizipewa Kutsekula kwa Chiwindi D?
Palibe katemera wa chiwindi cha D, koma mutha kuteteza matenda a HDV mwa katemera wa matenda a hepatitis B. Chifukwa HDV imafuna HBV kupanga mapepala ake, popewera chiwindi cha B, mumapewa matenda a chiwindi.
Kwa omwe ali ndi matenda odwala matenda a chiwindi (omwe ali ndi HBsAg m'magazi awo), palibe katemera, koma kupeĊµa kukhudzana ndi magazi omwe ali ndi kachilombo kudzateteza ku matenda a hepatitis D. Izi zimaphatikizapo kugawana singano zonyansa, kugonana popanda chitetezo, ndi kugawana zinthu zomwe zimakhala ndi magazi omwe amawatsata monga razi ndi mabotolo.
Zolemba:
Maofesi a Kuletsa ndi Kuteteza Matenda. July 10, 2008. Viral Hepatitis.
Dienstag, JL. Hepatitis Yowopsa. Mu: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine, 17e. New York, McGraw-Hill, 2008.
Perrillo, R ndi Nair, S. Hepatitis B ndi D. Mu: M Feldman, LS Friedman, LJ Brandt (eds), Matenda a m'mimba ndi Matumbo, 8e . Philadelphia, Elsevier, 2006. 1647-1672.