Chiwindi cha matenda a chiwindi ndi matenda a chiwindi komanso kumvetsetsa zizindikiro za chiwindi chotchedwa hepatitis kumafuna kudziwa zomwe chiwindi chimapanga. Pakalipano, muyenera kudziwa kuti chiwindi ndi chofunikira kwambiri kwa thupi chifukwa chimakhudza ntchito zambiri zofunika pamoyo.
Mwachitsanzo, kodi mumadziwa kuti 25% mwa magazi anu amatha kupyolera m'chiwindi chanu miniti iliyonse?
Choncho maminiti asanu, chiwindi chanu chimatsanulira magazi anu onse. Chifukwa chiwindi chimadutsa machitidwe ambiri a thupi, zizindikiro ndi zizindikiro za matenda a chiwindi nthawi zambiri zimafanana ndi matenda osiyanasiyana. Zoonadi, chiwindi chikakhala ndi mavuto, thupi limakuthandizani kudziwa m'njira zosiyanasiyana.
Mfundo Zinayi Zofunika Kwambiri
Tisanayambe kudwala matenda a chiwindi, ndizofunika kumvetsetsa mfundo zinayi. Mfundo izi zidzakuthandizani kumvetsetsa mndandanda wa zizindikiro, zomwe sizowona koma wotsogolera. Zizindikiro ndizoyambi chabe. Kufufuza kuti munthu adziwe kuti ali ndi matenda a shuga amafunika kwambiri kuposa zizindikiro. Ndipotu, madokotala adzagwiritsa ntchito njira zosiyanasiyana kuti adziŵe matendawa .
- Choyamba, kachilombo koyambitsa matenda a shuga kawirikawiri amakhala ndi zizindikiro zofanana, mosasamala kanthu za matenda omwe ali ndi kachilomboka. Izi zikutanthauza kuti, panthawi yovuta, munthu amene ali ndi matenda a hepatitis A akhoza kukhala ndi zizindikiro zofanana ndi munthu yemwe ali ndi matenda a chiwindi. Ndikofunika kudziŵa kuti madokotala sangathe kudziwa mtundu wa kachilombo ka HIV ndi matendawa. Kuti mudziwe ngati kachilomboka kamene kamayambitsa matenda a chiwindi, ndiye kuti mumayesedwa magazi.
- Chachiwiri, zizindikirozo ndizochilendo. Popeza chiwindi chimagwira ntchito zambiri zofunika, zizindikiro zambiri ndizokhazikitsidwa mwalamulo, kutanthauza kuti zimakhudza thupi lonse. Mwachitsanzo, mwendo wopweteka nthawi zambiri umangopweteka komanso kumayendetsa mwendo. Ndi matenda a chiwindi, mukhoza kumva kupweteka pachiwindi, koma mumakhalanso ndi zowawa ndi zowawa m'maganizo anu ndi minofu.
- Chachitatu, zizindikiro zimasiyana. Ngakhale madokotala angathe kulemba zizindikiro zofanana za matenda a chiwindi, sikuti aliyense adzakhala ndi zizindikiro izi. Anthu ena akhoza kukhala ndi chizindikiro chimodzi chokha kapena ziwiri zomwe zimawoneka. Ena akhoza kukhala ndi zizindikiro zonse. Anthu amatha kukhala ndi kachilombo ka shuga m'njira zosiyanasiyana. Zizindikiro zimenezi zimadziwika kuti zilipo mwa anthu omwe ali ndi matenda a chiwindi . Mkhalidwe wanu ukhoza kukhala wosiyana.
- Chachinayi, nthawi zambiri mavairasi aakulu a chiwindi sangathe kukhala ndi zizindikiro. Kodi izi sizodabwitsa? Koma ndi zoona! Malingana ndi momwe thupi lanu limayankhira ndi matenda oyambirira, simungakhale ndi zizindikiro. Ndipotu, anthu ena amangozindikira kuti ali ndi (kapena ali) matenda a chiwindi pambuyo popereka magazi awo kapena mwinamwake panthawi ya ntchito yamagazi nthawi zonse panthawi yofufuza. Mawu omwe madotolo amagwiritsira ntchito kufotokoza munthu wopanda zizindikilo ndi "kuyerekezera." Mudali ndi kachilomboka, koma thupi lanu silinasowe kukuuzani za izo.
Zizindikiro za matenda a hepatitis opatsirana
Ngakhale zizindikiro za hepatitis zikhoza kukhazikitsidwa m'njira zingapo, njira yabwino ndi kugawa zizindikiro mu magawo atatu omwe akuyenda ndi matenda - kuyambira, pakati ndi kuchira. Zigawo zonsezi zimagwirizanitsa ndi nthawi yeniyeni imene madokotala amagwiritsira ntchito pofotokoza za tizilombo toyambitsa matenda.
Kuyambira Zizindikiro (Prodromal Stage)
Zizindikiro zoyambirira za chiwindi cha chiwindi, kapena zizindikiro za prodromal, zikhoza kuchitika modzidzimutsa kapena zikhoza kuchitika pang'onopang'ono komanso mosasamala. Zizindikiro zimenezi nthawi zambiri zimakhala zachilendo kuti anthu ambiri sangayembekezere kutuluka kwa chiwindi. Komabe, dokotala wabwino amafuna kutulutsa tizilombo toyambitsa matenda makamaka ngati muli ndi zoopsa zomwe zimapangitsa kuti mukhale ndi kachilombo ka shuga.
- Mndandandanda Waukulu wa Zizindikiro Zachilombo za Hepatitis
- Zizindikiro Zowopsa za Chiwindi cha Hepatitis
- Chizindikiro cha Chizindikiro
Zizindikiro zimayamba pambuyo pa nthawi yopuma , yomwe imakhala yeniyeni kwa kachilombo ka HIV komwe kamayambitsa matenda. Mukakhala ndi kachilomboka, kachilombo ka HIV kamasowa nthawi kuti iwerengere.
Ngati mavairasi okwanira atha kutenga matenda a hepatocytes pachiwindi, chitetezo cha thupi lanu chimayankha ndi maselo amphamvu oteteza mavairasi omwe amafufuza ndi kuwononga mavairasi a hepatitis. Ndizosangalatsa kuti gawo la zizindikiro zomwe mumakumana nazo pachiwindi chachikulu cha matenda a shuga kwenikweni zimayambitsidwa ndi chitetezo cha thupi lanu. Kumbukirani, mukhoza kukhala ndi zina mwazizindikirozi, zonsezi, kapena palibe. Aliyense akhoza kukhala ndi kachilombo ka shuga kamodzi mosiyana. Potsirizira pake, mudzapita ku gawo lachiwiri la zizindikiro: ku Middle.
Zizindikiro Zamkati (Icteric kapena Jaundice Stage)
Pakadutsa masiku asanu ndi asanu ndi asanu ndi awiri (10) mpaka patapita nthawi, chizindikiro choyamba chikhoza kuwonjezereka ndipo nthawi zina chimbudzi chikhoza kukula. Komabe, pamene jaundice ndi chizindikiro chodziwika kwambiri cha matenda a chiwindi, ndicho chizindikiro chomwe anthu ochepa ali nacho. Jaundice, yomwe imakhala ndi mankhwala otchedwa bilirubin m'thupi, imatha kupatsa khungu khungu, makamaka kumbali ya azungu. Kuwonjezera apo, anthu okhala ndi jaundice akhoza kukhala ndi malo obiriwira.
Chiwindi nthawi zambiri chimatulutsa bilirubin ngati chodetsa. Pamene chiwindi chawonongeka, ndi mavairasi a chiwindi mwachitsanzo, sangathe kuchita ntchito yake yamba ndipo zinthu zimayamba kuyenda molakwika. Bilirubin imamangirira m'magazi ndipo imayamba kuthamanga m'matumba apafupi. Pakakhala mankhwala okwanira, munthuyo amawonekera jaundiced.
Anthu ena sangadziwe kuti ali ndi kachilombo koyambitsa matenda a chiwindi mpaka iwo (kapena abwenzi awo) azindikire chikasu chawo chachikasu. Izi zimawatsogolera ku ofesi ya dokotala kumene kumatsatira ntchito ya magazi. Koma monga taonera kale, jaundice si njira yodalirika yodziwira tizilombo toyambitsa matenda chifukwa anthu ambiri omwe ali ndi kachilombo ka HIV samakhala nawo. Komanso, matenda ena angayambitse jaundice.
- Zonse Za Za Jacece
- Jaundice Mu Ana
Kubwezeretsa (Gawo Lophatikizapo)
Panthawi yochira, zizindikiro zidzatha, mwinamwake kutsata kumene adadza. Uyamba kuyamba kukhumba kwanu ndi mphamvu zanu zimayamba kubwerera kumene iwo anali asanadwale. Ngati mutakhala ndi jaundice, inunso, iyamba kutha pamene chiwindi chanu chimatha kusintha bilirubin m'magazi anu. Kwa anthu omwe ali ndi matenda a hepatitis A ndi E, kuyeretsa kwathunthu kumayembekezeredwa ndi miyezi iwiri, osati posachedwa. Kwa omwe ali ndi matenda a hepatitis B ndi C, kuyeretsa kwathunthu kumayembekezeredwa miyezi inayi mwa anthu ambiri omwe ali ndi matenda osavuta.
Kuchepetsa kachilomboka kapena kutentha kwa chiwindi ndi matenda a hepatitis D kumaonedwa kuti ndizovuta ndipo nthawi yochira ikhoza kukhala yayitali. Komanso, nthawi zowonongeka ndi matenda a hepatitis B ndi C zingakhale zosiyana kwambiri kwa anthu omwe ali ndi HIV.
Kuti mumve zambiri zokhudza mavairasi asanu omwe amachiza chiwindi ndi kuchititsa tizilombo toyambitsa matenda a shuga:
- Virus ya Hepatitis A
- Vuto la Hepatitis B
- Chiwindi cha Hepatitis C
- Vuto la Hepatitis D
- Matenda a Hepatitis E
Anthu ena sangafike ku malo ochira. Kwa anthu omwe ali ndi matenda a chiwindi (hepatitis), iwo sangakhale ndi zizindikiro (asymptomatic) kapena adzakhala ndi zizindikiro zomwe zafotokozedwa pamwambapa komanso m'ndandanda Wanga Wambiri Wachilombo Chowopsa cha Hepatitis . Kawirikawiri, anthu ambiri amapeza bwino. Komabe, kwa ena, matupi awo sangathe kuthetsa matendawa ndipo amasintha kupita ku matenda a chiwindi a chiwindi. Izi zikhoza kukudziwani ngati mutakhala ndi kachilombo koyambitsa matenda a chiwindi mu chiwindi pambuyo pa miyezi isanu ndi umodzi ya matenda. Matenda opatsirana adzapezeka ndi zizindikiro zosiyanasiyana.
- Zambiri Zokhudza Kutupa kwa Chiwindi
- Zovuta za matenda a chiwindi
- Zachidule Za Kuchiza Mankhwala a Hepatitis
> Zotsatira:
> Berenguer M, Wright TL. Hepatitis C. Mu: M Feldman, LS Friedman, LJ Brandt (eds), Matenda a m'mimba ndi Matumbo , 8e. Philadelphia, Elsevier, 2006. 1688-1689.
> 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. 1941-1942.
> Friedman LS. Chiwindi, Biliary Tract, & Pancreas. Mu: LM Tierney, SJ McPhee, MA Papadakis (eds), Kuzindikira Zamankhwala Zamakono ndi Kuchiza , 46e. New York, McGraw-Hill, 2007.
> Perrillo R, Nair, S. Hepatitis B ndi D. Mu: M Feldman, LS Friedman, LJ Brandt (eds), Matenda a m'mimba ndi Matumbo , 8e. Philadelphia, Elsevier, 2006. 1654-1655.
> Sjogren MH. Matenda a Chiwindi A: M Feldman, LS Friedman, LJ Brandt (eds), Matumbo ndi Matenda a Chiwindi , 8e. Philadelphia, Elsevier, 2006. 1641-1642.