Zizindikiro za matenda a chiwindi cha hepatitis C (HCV) zimasiyana chifukwa cha matenda. Zizindikiro zambiri zimaphatikizapo kutopa, jaundice, (mtundu wachikasu wa khungu ndi maso), malungo ndi mseru . Pakadutsa kachilomboka, chiwindi chikhoza kuyambitsa mavuto a magazi kapena kuperewera kwa magazi (kusokonezeka kwakukulu). Nthawi zina khansa ya chiwindi imakula, nthawi zambiri kuwonetsa ngati maonekedwe osoŵa zakudya.
Miyeso ya Matenda
Zotsatira za HCV mu thupi zimasintha pakapita nthawi pambuyo poyambitsa matenda. Izi makamaka chifukwa cha kuchuluka kwa kachilomboka, komwe kangabweretse mkati mwa thupi, kupanga makope ambiri. Kupitanso patsogolo kumakhudzana ndi zotsatira zowonjezera za kachilombo pachiwindi.
Zotsatira za matenda a HCV:
- Nthawi Yowonjezera: Panthawiyi, mutha kutenga kachirombo ka HIV, koma simungakhale ndi zizindikiro zilizonse. Ngati muli ndi zizindikiro, zingakhale kuphatikizapo malungo, kutopa, kapena kupwetekedwa m'mimba. Pafupifupi anthu amodzi (1) mwa anthu asanu (5) aliwonse amatha kulimbana ndi kachilombo ka HIV pa nthawiyi, musadwale matenda a HCV, ndipo musakhale ndi kachilombo ka HIV.
- Kuchepa kwa hepatitis: Pafupi miyezi 2-12 kuchokera pamene kachilombo kamalowa mu thupi, HCV ikhoza kuyambitsa matenda ochepa. Zizindikiro za matenda opatsirana amapezeka pafupifupi 15 mpaka 20 peresenti ya anthu omwe ali ndi kachilombo ka HIV, kawirikawiri amawoneka ngati chimfine pofotokozera ndi zochepa za chiwindi cha chiwindi.
- Matenda a Hepatitis: Oposa theka la anthu omwe ali ndi kachilombo ka HIV amayamba kukhala ndi matenda a shuga, makamaka ngati matendawa satsatiridwa. Matenda opatsirana amapezeka pamene kachilombo ka hepatitis C (HCV) sikangodziwika bwino ndipo imakhalabe m'thupi. Anthu ena amakhala ndi zizindikiro za matenda aakulu omwe ali ndi kachilombo ka HIV, osataya kachilomboka.
- Kutha Kwambiri Kutupa kwa Chiwindi: Chinthu chovuta kwambiri cha matendawa chimakhala ndi chiwindi chosalimba komanso mavuto ambiri omwe angakhale kuphatikizapo impso komanso khansa ya chiwindi.
Zizindikiro Zowonjezereka
Zizindikiro za chiwindi kufooka zikuphatikizapo zizindikiro zowononga mafupa, komanso zizindikiro zowonjezera za chiwindi chifukwa chakuti kachilombo kamayambitsa chiwindi. Zizindikiro zofala zomwe zimapezeka m'thupi lachilombo komanso lachilombo la HCV nthawi zambiri zimatha nthawi yayitali ndipo zimakhala zovuta kwambiri pa nthawi ya matenda.
Zizindikiro zowonjezereka za HCV zimaphatikizapo zizindikiro zomwe sizidziwika bwino ku chiwindi ndi kutuluka ndi matenda ambiri. Zizindikirozi zimakhala makamaka chifukwa cha ntchito ya thupi lomwe limateteza mthupi. Zizindikiro zowopsa kwambiri za HCV ndizo:
- Kutopa
- Fever
- Jaundice
- Nsowa ndi kusanza
- Kuchepa kwa njala
- Kupweteka m'mimba
- Kutsekula m'mimba
- Chisoni chophatikizana
- Matenda Achimuna
Zina mwa zizindikiro za HCV zapachilendo komanso zachilendo ndizofanana ndi zizindikiro za matenda aliwonse a chiwindi.
- Kuwombera ndi Kudandaula: Chiwindi chimathandiza kupanga mapuloteni omwe amathandiza mu magazi, omwe ndi mbali ya machiritso kuvulala. Kutaya magazi ndi kuvulaza kungakhale zizindikiro za chiwindi chosagwira ntchito, chifukwa cha chiwopsezo cha chiwindi pachiwindi, komanso kutentha kwa thupi kwa kachilomboka.
- Mitsempha Yamdima: Kumangirira kwa bilirubin, komwe kumawonekera pamene chiwindi chili ndi kachilomboka, kumayambitsa jaundice, komanso mdima wa mkodzo (choluria), ndi malo otsekemera kapena otentha.
- Zakale kapena zovuta
Mu chiwindi choopsa cha chiwindi, zizindikirozi zimadzikonzera okha, ngakhale milandu yambiri yokhudza jaundice ndi choluria ikhoza kutenga mwezi umodzi kapena kuposerapo. Mu chifuwa chachikulu cha chiwindi, zizindikirozi zimakhala zowonjezereka kuposa momwe zimayambira pachiwindi cha chiwindi.
Zizindikiro Zambiri
Zizindikiro zochepa zochepa za matenda a HCV zingathe kuchitika pazigawo zovuta kapena zosatha. Zambiri mwazizindikirozi zimachokera ku chiwindi cha chiwindi kapena kupweteka kwa thupi kwa kachilomboka.
- Kuchepetsa Kulemera: Izi zikhoza kuchitika chifukwa cha kuchuluka kwa zotsatira za matenda a HCV. Kusuta, kusanza, ndi kutopa kungachepetse chilakolako chanu, kukupangitsani kuchepetsa kuchuluka kwa chakudya chomwe mukufuna kudya. Ndipo, monga chiwindi chimakhala chovuta, sichikhoza kubweretsa mapuloteni ambiri ndi mafuta omwe amakuthandizani kukumba ndikudya chakudya chomwe mumadya, zomwe zimayambitsa kutsegula m'mimba komanso kwenikweni, kuperewera kwa zakudya ngakhale pamene mukudya.
- Kusokonezeka kosavuta kapena kutentha
- "Nsonga ndi masingano" osasangalatsa
- Khungu lachitsulo
- Anakulira, malo ovuta kwambiri
- Maso owuma amatsagana ndi pakamwa youma
- Matenda a chifuwa chachikulu: Kuphatikizika komanso kupweteka kwa thupi kumayambira musanadziwe kuti mwapezeka ndi HCV, ndipo mukhoza kuchitika panthawi iliyonse ya matenda. Mankhwalawa ndi othandizira kuti chitetezo cha mthupi chimalimbikitsidwa kupitirizabe kulimbana ndi kachirombo ka HIV.
- Vasulitis (kutupa kwa mitsempha ya magazi) kawirikawiri imapezeka ndipo zingayambitse zotsatira zosiyanasiyana, kuphatikizapo kupweteka, kuvula magazi, ngakhale kukwapula kapena kuvutika kwa mtima, ngakhale izi sizikusowa.
- Cryoglobulinemia: Cryoglobulins ndi mapuloteni m'magazi omwe amapeza mphamvu pozizira kutentha, zomwe zimayambitsa mavuto.
Mavuto
Gawo lachilendo la hepatitis C likhoza kupitirira kwa zaka zambiri. Panthawiyi, kuwonjezereka kwa mafuta kwa mafuta otchedwa statosis (mafuta osapangika ) ndi fibrosis (kuperewera kwa minofu) zingayambitse chiwindi. Zonsezi zimakhala zosavuta, ndipo anthu 60 mpaka 80 peresenti ya anthu omwe ali ndi zizindikiro zochepa kapena zosaoneka za matenda.
Matenda a chiwindi amatha kutanthauza kuti chiwindi chawonongeka kwambiri ndipo sichitha kugwira ntchito. Zizindikiro zimakhala zoonekeratu pamwambowu, nthawi zambiri zimakhudza ziwalo zosiyanasiyana, kuphatikizapo ubongo, impso, ndi gawo lakum'mimba.
Cirrhosis: Pakati pa anthu omwe ali ndi kachilombo koyambitsa matenda a chiwindi, chiwerengero cha 10 mpaka 15 peresenti chidzapititsa chikhalidwe chosasinthika chotchedwa cirrhosis , chomwe chiwonongeko chochokera ku fibrosis ndi chachikulu kwambiri moti magazi amatha kutuluka mkati mwa chiwindi. Cirrhosis imayesedwa ndi kuchuluka kwa kuwonongeka ndi kusankhidwa monga:
- Amalipiritsa chiwindi
- Kusokonezeka kwa chibwibwi
Kulipira matenda a chiwindi kumatanthauza kuti chiwindi chimagwira ntchito bwino ndipo, motero, chikhoza kuchititsa zizindikiro zochepa. Mukakhalapo, zizindikiro zimakhala ndi mavuto omwe amapezeka pakhungu, minofu, ndi ziwalo monga magazi omwe amachititsa kuti pakhale kuwonjezeka kwa magazi, omwe amadziwika kuti portal hypertension komanso build-up ya bile ndi poizoni wina.
Zina mwa zizindikiro zowonjezera za chifuwa chachikulu:
- Nkhumba zamatumbo, makamaka pa thunthu ndi nkhope
- Khungu lachitsulo
- Kufiira pamanja a manja
- Kulira kosavuta kapena magazi osadziwika
- Kumangirira kwa madzi m'ziuno ndi mapazi
- Kusasamala bwino ndi kukumbukira
- Kutaya njala
- Kutaya thupi
- Maselo otsika
- Kusokonezeka kwa Erectile kapena kutayika kwa libido
- Kusamvana kwauchidakwa
Mavuto otsiriza a matenda a hepatitis C ndi awa:
- Kusokonezeka kwa chibwibwi
- Hepatocellular carcinoma (HCC)
- Matenda otchedwa renal disease (ESRD)
Kuchulukitsidwa kwa chiwindi ndi matenda aakulu omwe chiwopsezo chowopsa cha chiwindi chasiyiratu kwambiri ndipo sichikhoza kugwira ntchito. Zizindikiro kawirikawiri zimakhala zovuta komanso zowonjezereka ndipo zingathe kupezeka m'njira zingapo monga:
- Kupitiriza kutopa
- Jaundice
- Zitsulo zokhazikika kapena zamagazi
- Kumangirira kwa madzi m'thupi, kumayambitsa kutupa ndi kusokonezeka
- Chomwe chimakhala "cholowa chokoma" chosiyana ndi "dzira lovunda" fungo lopuma
- Kuvulaza kwambiri kapena kutuluka mwazi
- Kuchuluka kwa mkodzo kosachepera
- Kusintha kwa umunthu, chisokonezo, kapena kutonthoza
- Kuwonjezera kugona
- Kusokonezeka kwa minofu
- Kutuluka kwa White kapena "mawanga a mkaka" pa misomali
- Kuthamanga magazi
- Mitsempha yothamanga-yowonjezera mitsempha ya mitsempha ya magazi yomwe imatha kutuluka magazi
Hepatocellular carcinoma (HCC) ndi mtundu wa khansara ya chiwindi yomwe imayambira kokha pamodzi ndi matenda a chiwindi mwa anthu omwe ali ndi chiwindi cha matenda a hepatitis C. Zizindikiro za HCC zimakhala zofanana ndi za chibwibwi chochepa ndipo zingaphatikizepo:
- Kupitiriza kutopa
- Jaundice
- Kumangirira kwa madzi m'mimba
- Kuvulaza kosawonongeka ndi kutuluka m'magazi
- Osadzimvera, kutayika kwakukulu
- Kutaya njala
- Kumverera kukhala wodzaza atatha kudya pang'ono
- Delirium, chisokonezo, kapena "kugwedeza" kayendedwe ka minofu
- Kusokonezeka m'mimba, makamaka kumtunda kumene kumakhala pansi kapena pansi pa nthiti
Matenda a nthenda yotchedwa renal disease (ESRD), yomwe imayambitsa matenda a impso , ingathe kuwonetsedwa komanso yovuta ndi matenda a hepatitis C. Zizindikiro za ESRD zimasiyana ndi izi:
- Kupitiriza kutopa
- Kupweteka kwa m'mimba mwathu
- Kuchuluka kwa mkodzo kosachepera
- Kulephera kukopa
- Mphuno ya mpweya
- Kutsekedwa kwa khungu kapena kosagwirizana, khungu lopanda kanthu
- Kusokonezeka kwa minofu
- Kutupa kwa miyendo ndi mapazi, kapena kuzungulira maso
- Khungu kapena kusanza, makamaka m'mawa ndi pambuyo pa chakudya
- Kuwonjezera kugona
- Kubwereza mobwerezabwereza kwa miyendo
- Kupuma pang'ono kapena kupuma kovuta
- Kusokonezeka maganizo, chisokonezo
Zotsatira za matenda opatsirana ndi chiwindi amatha kukhala osauka, ndipo zaka zisanu ndi zisanu zimakhala ndi moyo pa anthu omwe ali ndi matenda a chiwindi komanso 30 peresenti kwa iwo omwe ali ndi HCC.
Nthawi Yomwe Muwone Dokotala
Chifukwa zizindikiro za HCV sizikhoza kuchitika kumayambiriro oyambirira, ndipo chifukwa chakuti sizili zoopsa nthawi zonse, ngakhale muzigawo zovuta komanso zosatha, mungafunikire kuwona dokotala ngakhale mulibe zizindikiro zoonekeratu za matendawa.
Muyenera kuonana ndi dokotala ngati mwapezeka ndi kachilomboka, posachedwa kapena nthawi iliyonse m'mbuyomo. Ngati munakumanapo ndi zotsatirazi, mungakhale mwadzidzidzi ku HCV:
- Ngati mwakhala mukugonana mosatetezeka ndi munthu yemwe ali ndi HCV kapena amene angakhale naye
- Ngati mudagawana singano ndi wina aliyense
- Ngati mwadula khungu lanu kuchokera ku singano, galasi kapena chinthu china chimene chinali chodetsedwa ndi magazi a HCV
Ngati mukudwala matenda a chiwindi kapena matenda aakulu, muyenera kuwona dotolo wanu, chifukwa chomwe chikhoza kukhala HCV kapena vuto lina lomwe limafunikiranso kuchipatala. Zizindikilo zomwe mungayang'ane zikuphatikizapo:
- Kulimbana kotentha
- Jaundice
- Sinthani mtundu wa mkodzo wanu
- Nsupa, kusanza kapena kutsekula m'mimba komwe kuli kovuta kapena kukhala kwautali kuposa sabata
- Kufooka kosadziwika kumene kumatenga nthawi yaitali kuposa sabata
- Kutupa kwa mimba yanu
> Zotsatira:
> Axley P, Ahmed Z, Ravi S, Singal AK. Kachilombo ka Hepatitis C ndi Hepatocellular Carcinoma: Ndemanga Yachidule. J Clin Translator Hepatol. 2018 Mar 28; 6 (1): 79-84. lembani: 10.14218 / JCTH.2017.00067. Epub 2017 Dec 17.
> Bazerbachi F, Leise MD, Watt KD, Murad MH, Prokop LJ, Haffar S. Kukonzekera kwa khungu la cryoglobulinemia yokhudzana ndi matenda a hepatitis E: chiyanjano kapena chiwonongeko? Gastroenterol Rep (Oxf). 2017 Aug; 5 (3): 178-184. do: 10.1093 / gastro / gox021. Epub 2017 May 19.
> Chitsamba Choyaka H, Golabi P, Otgonsuren M, Rafiq N, Venkatesan C, Younossi ZM. Chiwindi Chachilendo Chosabalalitsa Chimawathandiza Kuwonjezeka kwa Mavuto a Matenda a Chiwindi mu Maofesi Odzidzimutsa a US. J Clin Gastroenterol. 2018 Mar 30. do: 10.1097 / MCG.0000000000001026. [Epub patsogolo pa kusindikiza]