Hepatitis C ndi matenda ashuga > Magazi a shuga m'magazi

Hepatitis C ndi matenda osokoneza bongo a shuga amakhazikika limodzi, kapena zimachitika nthawi imodzi. Chifukwa chiyani izi zikuchitika, ndipo nchiyani chimapangitsa kuti odwala matenda ashuga atengeke kwambiri ndi kachilomboka? Kodi owopsa otere ndi otani, amathandizidwa bwanji, ndipo pali mwayi woti akuchira?

Ndizachilendo kuti mwa anthu omwe ali ndi matenda ashuga a 1, HCV imachitika kangapo ka 10 kuposa momwe amachitira odwala omwe alibe vutoli.

Kodi matenda ashuga ndi chiyani?

Chinsinsi cha matendawa ndikuti pali shuga wambiri m'magazi a wodwala. Pulogalamu yodzaza ndi shuga imatha kugwira ntchito zonse mokwanira - kugawa oxygen, kugawa maselo a chitetezo chathupi. Zotsatira zake, odwala matenda ashuga amakhala ndi mabala osachiritsa, kufa ndi njala, komanso kukodza pafupipafupi kapena shuga wosakhazikika m'magazi.

Pakhoza kukhala zifukwa zingapo za machitidwe amtunduwu, koma chinsinsi chavutoli chagona mu kapamba, chomwe chimapanga insulini - chinthu chomwe chimalola shuga (kapena chakudya) kusinthika kukhala mphamvu. Odwala omwe ali ndi matenda ashuga, chiwalo ichi mwina sichigwira ntchito konse, kapena chachepetsa zokolola. Mtundu wa shuga umawunikidwa malinga ndi kuchuluka kwa ntchito ya thupi.

Mtundu woyamba wa shuga – wodwala insulin. Pankhaniyi, kapamba sangathe kupirira ndikupanga insulin, ndipo wodwalayo amakakamizidwa kutenga izi kuchokera kunja. Pafupifupi nthawi ziwiri kapena zitatu patsiku, jakisoni amapangidwa m'mimba kapena nthiti, chifukwa choti thupi limalandira kuchuluka kwa insulini.

Mtundu 2 Muli mlandu womwe odwala matenda ashuga ali ndi vuto lodana ndi kapamba. Poterepa, amatsatira zakudya zomwe zimapangitsa kuti thupi lizitha kuthana ndi kuchuluka kwa chakudya chamoto chokha (kapena mothandizidwa ndi mapiritsi). Kupanga kwa insulini kumapangidwa, koma kumakhala kosakwanira chifukwa cha kuchuluka kwa shuga.

Zizindikiro zake ndizofanana pazochitika zonsezi - mapangidwe a kulephera kwa impso, kuchepa kwa masomphenya, kusakhazikika pakhungu, kupsa mtima, pakamwa kowuma, komanso kukodza pafupipafupi. Chitetezo chofooka chimafooka, kuthamanga kwa magazi kumakwera, mavuto ndi ntchito yamtima amachitika. Zonsezi zimatsitsa thupi, zimapangitsa kuti azitha kutenga zilonda zamitundu mitundu, kuphatikizapo zamtunduwu.

Matenda a shuga ndi chiwindi - kulumikizana kwake

Kwenikweni, njira zosinthira za HCV ndizofanana kwa anthu onse.

Mndandandawu ukuphatikizapo:

kuthira magazi kapena kusinthana kwamadzi,
kuwonongeka kwa khungu ndi kupindika kwa maselo okhala ndi kachilomboka kuchokera kunja,
kugonana popanda chitetezo choyenera,
kujambula kapena kuboola pantchito pomwe satsatira miyezo yaukhondo.

Odwala omwe ali ndi matenda a shuga amtundu woyamba amatha kukhala pachiwopsezo ndipo amatha kutenga kachilombo ka hepatitis C, chifukwa amakakamizidwa kupereka jakisoni, kuthyola khungu. Nthawi yomweyo, ma syringe atsopano sapezeka nthawi zonse - amakonda kupulumutsa ndalama, anthu ambiri amagwiritsa ntchito syringe kangapo kangapo. Singano sikuti amatetezedwa nthawi zonse ndi chipewa, ndiye kuti chiopsezo cha matupi a ma virus omwe amalowa mthupi umakulanso. Hepatitis C ndi matenda ashuga a 2 amapezeka limodzi pafupipafupi.

Malangizo: Pofuna kupewa kufalikira kwa mabakiteriya, insulini iyenera kusungidwa pamalo ozizira, ndikumasula ma syringe ndi ma lontinu a glucometer musanagwiritse ntchito.

Chifukwa china chomwe chimapangitsa matenda a hepatitis C kutheka ndi chifukwa mabala omwe ali m'thupi (a mucous membranes) a odwala matenda ashuga amakhalabe omasuka komanso osatetezeka nthawi yayitali. Nthawi yomweyo, ma microcracks omwe amalandila pakugonana nawonso sadziwika. Zonsezi zimapanga maziko abwino polowerera mavairasi. Zotsatira zake, shuga ndi hepatitis zimakhudza dongosolo logaya chakudya palimodzi.

Ndizotheka kudziwa kuti munthu ali ndi kachilombo ka HCV akamayesa mayeso, ndipo pankhaniyi, odwala matenda ashuga amatetezedwa. Mwachitsanzo, amatha kuyesedwa, kufufuzidwa pafupipafupi kuchipatala. Komabe, ziyenera kukumbukiridwa kuti kufooka kwa chitetezo chokwanira, monga lamulo, sikuloleza kuti athe kukana mokhazikika, ndipo matendawa amafalikira.

Ndi zizindikiro ziti zomwe zingathandize kudziwa ngati wodwala matenda a shuga adwala chiwindi C?

Kusintha kwa ndowe (mkodzo wakuda, ndowe zopepuka),
maso achikasu amaso, mapuloteni amaso,
kuwonjezeka kwa kutentha, monga kuzizira kapena kutupa;
kufalikira kwa chiwindi (kuchuluka m'dera lomwe lili mu hypochondrium yoyenera, kupweteka m'dera lomweli),
kutaya mtima, kusasangalala,
kupweteka kwa minofu ndi molumikizana.

Ngati zizindikiro zingapo zotere zimachitika nthawi yomweyo, wodwalayo ayenera kupitiriza mayeso ofunikira ndikulembetsa ndi hepatologist kapena katswiri wa matenda opatsirana. Kuyesedwa kuti muthandizire kudziwa ngati matendawa adachitikadi - PCR, kusanthula kwachembere, kusanthula konse, kuyesa kwa magazi.

Njira ya mankhwala - zakudya kwa hepatitis C ndi matenda a shuga, mankhwala osokoneza bongo

Matenda a shuga amakhala ndi chiopsezo kwa iwo omwe asankha kulandira chithandizo chamankhwala. Pankhaniyi, wodwalayo sangathe kumwa mankhwalawa muyezo wofanana ndi womwewo, popeza zina mwa zida zodziwika bwino zomwe zimawonjezera shuga ndikuwonjezera vuto la wodwalayo. Zakudya za chiwindi C ndi matenda ashuga ziyenera kukhala zopatsa thanzi, koma osagwiritsa ntchito kuchuluka kwa kalori.

Langizo: Idyani masamba ndi zitsamba zambiri - zimakhala ndi zinthu zoteteza ku hepatocytes, koma okhala ndi chakudya chochepa. Makamaka saladi, udzu winawake, parsley.

Chifukwa chake, akatswiri a matenda a m'matenda a hepatologists nthawi zambiri amalimbikitsa kuti achepetse mlingo wake ndi theka, pomwe nawonso atalikulitsa maphunzirowo. Pazithandizo zonse, odwala matenda ashuga ayenera kusamala posankha zinthu.

Chithandizo chofala:

ribavirin ndi othandizira othandizira.
interferon alfa - mankhwala omwe amalimbikitsa shuga komanso amafuna chisamaliro chapadera.
hepatoprotectors - mankhwala opangidwa kuti ateteze chiwindi akakhala ndi mankhwala othandizira othandizira.
mankhwala omwe amalimbikitsa chitetezo cha mthupi.

Sichikhala chopanda pake kuyambira kutenga Urosan - chida chowonjezera chomwe chimakupatsani mwayi woteteza maselo, kukulitsa zokolola zamagetsi zovuta komanso kukhazikika kwa cholesterol. Ilinso ndi choleretic mphamvu, yofunikanso kwambiri - matenda a chiwindi omwe ali ndi mtundu wachiwiri wa shuga nthawi zambiri amatha mavuto a ndulu.

Sofosbuvir ichepetsa kwambiri kuchuluka kwa mankhwala omwe amamwa - mankhwalawa samakhudza shuga wamagazi, koma ndi othandiza kwambiri. Nthawi yomweyo, mtengo wokwera wa mankhwalawa umaperekedwa kuposa kuvomerezeka kwa chithandizo - wodwalayo safunika kuwononga ndalama poteteza kapena kukhazikika pakumwa mankhwala. Izi zimapangitsa kuchiza matenda osokoneza bongo a chiwindi kukhala kosavuta komanso otetezeka.

Momwe mungadzitetezere ku HCV mu shuga

Mwambiri, njira zopewera matenda ashuga ndizofanana ndi zina zonse - muyenera kupewa mayanjano osokoneza bongo, gwiritsani ntchito zinthu zaukhondo pokha, komanso mosamala kwambiri mukamayandikira njira zofuna zovuta zamatenda a dermal. Komabe, odwala matenda a shuga amayeneranso kuwongoletsa zala zam'manja akamagwiritsa ntchito glucometer, komanso kugula ma syringe ena atsopano obayira insulin.

Malangizo: Ndikofunikira kulimbitsa thupi nthawi zonse - kumwa mankhwala osokoneza bongo, kuchita masewera olimbitsa thupi, kuyendera pafupipafupi mpweya wabwino ndikudya zakudya zabwino zokha.

Ngati matenda sangathe kupewedwa, kuyeserera kwakukulu kuyenera kuchitidwa kuti apeze chithandizo chapamwamba chomwe sichimakhudzanso shuga. Sofosbuvir ndi daclatasvir pankhaniyi ndi mankhwala osakhazikika. Zakudya zapadera ziyenera kupangidwa kwa hepatitis C ndi matenda osokoneza bongo - pamodzi ndi mankhwala osankhidwa bwino izi zimatsimikiziridwa kuti zimapereka zotsatira zabwino.

Zolemba za matendawa

Matenda onsewa ndi osagwira ndipo amasiya zovuta kwambiri. Anthu omwe ali ndi matenda a shuga ali pachiwopsezo ndipo amatenga kachilombo ka hepatitis C. Izi zimachitika makamaka chifukwa cha jakisoni wa insulin, yomwe imapangitsa thupi kukhala pachiwopsezo chotenga matenda aliwonse.

Matenda a shuga (hyperglycemia) ndi matenda oopsa omwe amabwera chifukwa cha zovuta zomwe zimachitika chifukwa cha thupi. Ma membroni am'm cell samayankha insulin, yomwe imayambitsa shuga ndi thupi. Zotsatira zake, kuchuluka kwake mumagazi kumawonjezeka ndipo kungayambitse kudwala matenda ashuga.

Hyperglycemia imafooketsa chitetezo cha mthupi, khungu limakhala louma, tsitsi ndi misomali amakhala osakhazikika, zilonda za hematomas ndi trophic zimatha kuwoneka pamiyendo.

Hepatitis C ndi matenda oopsa a chiwindi. Ku Russia, malinga ndi ziwerengero ,onyamula ake ali anthu opitilira 5 miliyoni. Nthawi zambiri, opatsirana kudzera pogonana, singano zosabala ndi zida zamankhwala, kudzera mnyumba.

Matendawa amachititsa kuti chiwindi chiwonongeke, nthawi zambiri osazindikira, nthawi yomwe makulitsidwe amakhala mpaka mwezi umodzi ndi theka. Zovuta kwambiri kwa iye ndi anthu okalamba, ana, odwala ofooka.

Chithunzi cha kuchipatala

Zizindikiro zazikulu zokhala ndi matenda ngati matenda a shuga ndi:

shuga wamagazi ambiri
mabala ndi mabala sizichiritsa
kamwa yowuma
kufooka wamba
hematomas ndi trophic zilonda pamiyendo.

Ngati mukukumana ndi zofanana ndi izi, muyenera kupita kwa dokotala. Kupereka mankhwala munthawi yake. Matenda a shuga ndi amtundu 1 ndi 2. Matenda a mtundu uwu nthawi zambiri amapezeka ali aang'ono, ndipo lachiwiri ndi lokhwima kale. Nthawi zambiri, matenda ashuga, omwe amapezeka ali aang'ono, nthawi zambiri amakhala ndi malingaliro abwinobwino. Matenda a shuga a Type 2 mwa anthu okalamba amayamba chifukwa cha kuperewera kwa zakudya m'thupi.

Werengani komanso mphumu ndi matenda ashuga: mawonekedwe a maphunzirowa ndi chithandizo cha kuphatikiza

Chifukwa chakuti shuga samatengedwa bwino ndi thupi, gawo lake lalikulu limakhazikika m'magazi. Katundu pa dongosolo la kwamikodzo limachulukana, thupi limafunikira madzi ambiri kuti utsukitse shuga owonjezera kuchokera mthupi, ndipo pali ludzu losatha.

Pamodzi ndi shuga, calcium imatsukidwa m'thupi ndi gawo lina la zinthu zina zofunika, chifukwa, khungu limakhala losalala, mafupa amakhala osalala komanso osakhazikika.

Chifukwa chakufunika kwa jakisoni wosalekeza wa insulin, chitetezo cha wodwalayo ndi hyperglycemia chimafooka kwambiri ndipo amatha kupezeka ndi matenda osiyanasiyana. Makamaka nthawi zambiri pamakhala kachilomboka komwe kamayambitsa matenda monga hepatitis C. Zizindikiro zazikulu za matendawa ndi:

mkodzo wakuda
Kusintha kwa ndowe,
kuteteza khungu ndi mapuloteni amaso,
kupweteka kupweteka mbali yakumanja,
kutentha
kupanda chidwi ndi kusowa kwa chakudya,
kupweteka m'malo.

Hepatitis C ikhoza kulowa mthupi:

ndi magazi,
pa ma tatoo ndi kuboola,
m'zipinda zamankhwala
zogonana.

Mosiyana ndi zikhulupiriro zambiri, matendawa sangathe kudwala:

ndi kumpsompsona ndi kumpsompsona
pa kukhudzana ndi manja
mwa kudya zakudya wamba ndi zakumwa zina.

Hepatitis C ndi amodzi mwanjira zamatendawa, zomwe zimakhala zovuta kwambiri kuti odwala azinyamula komanso zimabweretsa zovuta zambiri, mpaka kuphatikizapo kuphatikizira cirrhosis.

Nthawi zambiri mwa anthu omwe ali ndi matenda omwewo monga matenda a shuga, izi zimachitika mwanjira yopanda tanthauzo, zimawonekera pokhapokha ngati mayeso atengedwa.

Zochizira

Ngati zidachitika kuti matenda a hepatitis C adapezeka ndi kupezeka kwa nthawi imodzi kwamatenda a shuga, musataye mtima, matendawa amathandizika.

Choyamba muyenera kuchita mayeso ofunikira - kusanthula konse, kusanthula kwachembere, kusanthula kwa ma virus a virus (PCR). Malinga ndi zotsatira zawo, adotolo akhazikitsa njira yochizira. Osadzisilira.

Werengani komanso Momwe Mungakhalire munthu wodwala matenda a shuga komanso chizolowezi chochita matenda oopsa

Mankhwala ochizira matenda ngati hepatitis C ndi okwera mtengo komanso ovuta kulekerera. Pazaka zamankhwala ndimadwala awa, ndikofunikira kutsatira zakudya zowonjezera zomwe sizikuphatikizira onse okazinga, amchere, osuta, ndi zonunkhira. Panthawi yopereka mankhwala ndikofunikira kutenga hepatoprotectors.

Tiyeneranso kudziwa kuti mankhwalawa omwe amapangidwa kuti athandize kachilomboka akhoza kukhala ndi shuga. Chifukwa chake, nthawi zambiri mankhwalawa a hepatitis C odwala omwe ali ndi shuga, kumwa kamodzi kwa mankhwalawa kumachepera, ndipo nthawi yawo amayendetsedwa.

Pankhaniyi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi, ndipo ngati ndi kotheka, jekeseni insulin.

Kodi ndingatengeke ndi jakisoni ndi syringe?

Kodi mwalandira jakisoni ndi syringe yopezeka mumsewu? Kodi ndizotheka kutenga china chake ngati mudzimaya nokha ndi syringe yomwe mumagwiritsa ntchito? Matenda ngati Edzi kapena syphilis - ayi. Munjira zina zonse, zili zofanana ndikukwapulidwa ndi msomali wachotupa. Kodi ndizotheka kupeza kena kena mwa kukoka mwala singano ndi syringe? Palibe magazi owoneka (kapena madzi ena okhala ndi kachilombo) - palibe chiopsezo chotenga kachiromboka. Pali magazi (atsopano) - pali chiwopsezo ngati magazi a munthu wina ndipo alowa m'thupi lanu. Ambiri mwa matenda obwera chifukwa cha HIV mdziko lapansi adachitika kudzera mu kugonana kosatetezeka, jakisoni wogwiritsa ntchito ma syringe, magazi, kapena chinthu china, komanso kuchokera kwa mayi kupita kwa khanda. Munthawi zonsezi, timadzi tokhala ndi ma virus timakhala tatsopano, timapezeka mokwanira (kuphatikiza mu syringe) ndipo timabayidwa m'thupi lina (kuphatikizira mwachindunji mu mtsempha). Onaninso zoopsa (kapena kusowa kwake) munthawi yanu ndipo musayike kuthamanga.
Zoyenera kuchita ngati mwangozi wakwapulidwa ndi singano ya syringe? Kodi ndizotheka kutenga kachilomboka monga kachilombo ka HIV, hepatitis. Zokhudza jakisoni wosiyanasiyana wa mitundu ingapo ya singano (chidziwitso chimapezeka kuchokera ku maphunziro omwe amachitika pakati pa ogwira ntchito pachipatala ku Zambia, komwe mulingo wa HIV pakati pa odwala ndi pafupifupi 50%).
Kulumikizana ndi magazi aliwonse pakhungu loyipa sikowopsa. Zilinso chimodzimodzi kwa mucous nembanemba (komanso osawonongeka).
Mukabailidwa ndi singano yopanda kanthu (kuchokera ku syringe) yokhala ndi magazi omwe ali ndi kachilombo, ndiye kuti mwina matendawa ndi 20%.
Mukabayidwa ndi singano yolimba (singano ya opaleshoni), kuyikirako sikukuposa 2%. Izi ndi zonse za singano ndi magazi atsopano.
HIV imakhala yosalimba kwambiri zachilengedwe. Magazi owuma alibe mavairasi amoyo.
Pali kachilombo kena, kosasangalatsa kwambiri - ndi kachilombo ka hepatitis B ndi C - pano manambala ndi osiyana - singano yopanda kanthu ndi 95%, yolimba ndi 20%. Ndipo khungu lolimba mu 10% ndilofanana chotchinga.
Kachilombo ka Hepatitis B (koma osati hepatitis C virus) kakhazikika kwambiri m'malo akunja. Mwayi wodwala matenda a hepatitis C pokoka singano yopanda magazi ndi magazi omwe ali ndi kachilomboka sikupitilira 20%, ndipo singano ya opaleshoni ili pafupifupi 2% (i.e. manambala amafanana ndi kachilombo ka HIV). Momwemonso kachilombo ka HIV, kachilombo ka hepatitis C kamadzapangidwa pakuuma.
Mwanjira ina, chiopsezo chachikulu kuchokera ku ma syringe oterewa ndi hepatitis B. Mukamazizira, kachilombo kameneka kamatha kugwira ntchito kwanthawi yayitali. Ndiosakhazikika pa kutentha kwambiri. Kuwiritsa nthawi yomweyo kumapangitsa kuti vutoli lithe.
Katemera wa hepatitis B akuphatikizidwa kalendala yopereka katemera ndipo amapatsidwa kwa onse akhanda.
Chifukwa chake, m'malo mwanu, ndikofunikira kukambirana ndi mwana za kuwopsa kwa zoseweretsa zoterezi, ndikuwunika mayeso ake ngati pali zingwe.

Matenda Azaga

Kuperewera kwa odwala matenda ashuga ndi chiwindi C kumachitika motsutsana ndi maziko a chitetezo chokwanira. Kubayidwa pafupipafupi kumawonjezera chiopsezo cha matenda ndi matenda. Pali matenda a shuga a mtundu woyamba ndi wachiwiri. Matenda a shuga a mtundu woyamba ndi matenda oopsa omwe amakhala ndi vuto la shuga. Mtundu woyamba wa shuga, kuwonjezeka kwa shuga m'magazi kumadziwika mwa wodwala chifukwa cha kuchepa kwa insulin.

Matenda a shuga a Type 1 amatchedwa kudalira insulin, odwala amafunika jakisoni wa insulin tsiku lililonse. Matenda a shuga a Type 1 akadali osachiritsika. Ngozi ili m'mavuto ake. Matendawa amatha kupangitsa matenda a impso, maso, mitsempha yamagazi, miyendo, mtima.

Anthu omwe ali ndi matenda a shuga amadziwika chifukwa cha khungu komanso kulephera impso. Pali kuchuluka kwa kuthamanga kwa magazi, kufinya kwamphamvu, azimayi amatha kukumana ndi mavuto okhala ndi pakati. Matendawa amadziwika chifukwa cha:

kuyesedwa kwa magazi pamimba yopanda kanthu,
kuyesa kwa maola awiri shuga.
glycated hemoglobin.

Anthu omwe ali ndi matenda a shuga a mtundu woyamba ayenera kupewa kupsinjika ndi kutaya mtima. Muzikhala ndi zakudya zoyenera komanso muzichita masewera olimbitsa thupi.

Matenda a 2 a shuga amapezeka kwambiri mwa achikulire, makamaka okalamba. Matenda a matenda amakula amayamba chifukwa chophwanya kagayidwe kazachilengedwe. Zikondamoyo sizitulutsa insulin yokwanira, yomwe imayambitsa kuchuluka kwa shuga m'magazi. Matendawa amakhala ndi chibadwa cham'tsogolo. Nthawi zambiri, imakhudza anthu onenepa kwambiri, mafuta ochulukirapo amalepheretsa kugwiritsa ntchito insulin.

Zizindikiro zazikulu za matenda ashuga zimatha kupezeka ndi ludzu, kuyabwa pakhungu, kufooka. Matenda a 2 odwala matenda ashuga amatha kukhala angina pectoris, catarices. Zilonda zamkhungu zamtundu wa zithupsa, ma carbuncle, ndikuchira pang'onopang'ono zimatha kuonedwa. Pankhani ya matenda, kudya mokwanira kumafunika. Odwala ali ndi maswiti okhala ndi zotsutsana komanso zakudya zopatsa thanzi.

Matenda a shuga a Mtundu Wachiwiri amachiritsika ngati shuga atakhala kwakanthawi kochepa. Mankhwala osokoneza bongo amathandizira kuchepetsa kuyamwa kwa shuga, amathandizira ntchito ya kapamba. Mkhalidwe wofunikira ndikuchotsanso kunenepa kwambiri, kusiya kusuta fodya komanso mowa. Ndikulimbikitsidwa kuti muwononge nthawi yambiri pochita masewera olimbitsa thupi, masewera.

Matenda a hepatitis C

Kachilomboka kamalowa m'magazi:

pogonana,
njira yakunyumba
kudzera mwa amayi omwe ali ndi kachilombo nthawi yobereka,
mwaukadaulo.

Kachilombo ka hepatitis C kamakhala kosagwirizana ndi chilengedwe kuposa hepatitis B. Singano yokhala ndi magazi owuma imagwira ntchito ngati gwero la matenda kwa milungu iwiri, kenako kuthekera kumatha. Kudziwonetsa kutentha kochepa kumachepetsa mphamvu yake ya kuvulazidwa, ndipo kuyanika kwamadzi kwachilengedwe kumachepetsa ntchito.

Ndizosangalatsa: Kuzindikira hepatitis C: zolemba, kusanthula kwa mawu
Kuti munthu atengeke ndi kachilomboka, kuwonongeka kwa pakhungu kuyenera kukhala kokulirapo kapena kuya. Zinthu zodula (mipeni, scalpels) sizowopsa, pokhapokha magazi atsopano atasungidwa pa iwo. Milandu yamatenda omwe ali ndi njirayi ya matendawa sapitilira 20-25%.

Mutha kupeza matenda kuchokera kwa wodwala kudzera mu jakisoni ndi singano yokhala ndi pateni, yomwe imagwiritsidwa ntchito jakisoni. Singano ndi syringe ndizowopsa, chifukwa kachilombo ka hepatitis C kamasungidwa nthawi yayitali .Mankhwala osokoneza bongo amagwiritsa ntchito syringe imodzi, motero, kufalikira kwa hepatitis C kumawonjezeka mpaka 90-95%.

Munthu wathanzi amatha kutenga kachilomboka podzikakamiza kwambiri ndi singano. Hepatitis C samatulutsa kudzera mu mpweya, zinthu zapakhomo, kapena kukhudza. Itha kupatsiriridwa kudzera mu manicure, lezala, ndi nsapato ngati magazi atakhala pa iwo.

Kodi zotsatira zabwino zakufufuza zimatanthauzanji?

Zotsatira zoyesedwa zabwino zingasonyeze izi:

Wodwala amadwala matenda a chiwindi.
Matendawa adafalikira kale. Pakadali pano, munthu ali ndi thanzi, komabe, adachitapo kale ndi kachilomboka.
Zotsatira zake zitha kukhala zabodza. Pankhaniyi, kafukufuku wowonjezera adzafunika.

Pa hepatoprotectors ndi chithandizo chokwanira kwambiri

Monga gawo la mankhwala, sizingatheke, koma ngakhale omwe amatchedwa hepatoprotectors ayenera kugwiritsidwa ntchito. Sizimadziwika ndi zotsatira zoyipa ndipo, ngakhale izi, zimasintha kwambiri kugwira ntchito kwa chiwindi. Ndizofunikanso kugwiritsa ntchito ma immunomodulators.

Ndalamazi zimakupatsani mwayi wolimbikitsa chitetezo cha mthupi, komanso zimapatsanso thupi mwayi wothana ndi zotupa.

Chithandizo cha matenda a chiwindi C komanso kudwala matendawa chimakhala chodula. Kuphatikiza apo, ndizovuta kwambiri kulekerera ndi onse odwala matenda ashuga. Pankhani imeneyi, kufunsana ndi katswiri matenda opatsirana pakufunika kwake ndikofunikira kwambiri. Mlingo wogwira ntchito mochizira matenda a chiwindi a hepatitis nthawi zambiri umawunikidwa ndi zizindikiro zomwe zimadziwika kale.

Ndiko kusanthula kwamwazi ndi kukosanso magazi, komanso kupezeka kwa HCV-PHK. Kupangidwe kwa zotsatirapo zilizonse kumawonetsanso kuyezetsa magazi konse.

Kutenga miyezo

Musanapange kusanthula, ndikofunikira kuti musambe m'manja. Pambuyo pake, muyenera kulipira mzere woyezera mu chipangizocho.

Kenako, pogwiritsa ntchito chida (chida chopanga dzenje pakhungu) kapena cholembera, chala chimadulidwa pang'ono. Dontho la magazi liyenera kuyikidwa pazomwe zimachitika. Pankhaniyi, muyenera kuwonetsetsa kuti malo oyeserera onse aphimbidwa.

Bokosi labwino kwambiri la mitundu yaposachedwa sikusowa "kukhetsa magazi". Ndiosavuta kuyendetsa bwino khungu.

Pambuyo pake, muyenera kudikirira mpaka chipangizocho chiwonetse kuchuluka kwa magazi. Kutengera ndi mtunduwo, kuwunikirako kumatenga masekondi angapo mpaka mphindi. Ngati chochitikachi sichikupulumutsirani zotsatira zokha, ziyenera kulembedwanso. Kuti muzimitsa mita, muyenera kungotulutsa gawo loyesa.

Kuphatikiza apo, ziyenera kukumbukiridwa kuti zotsatira zimatha kuwonetsedwa m'njira ziwiri: magazi ndi madzi a m'magazi. Pafupifupi, chizindikiro chachiwiri ndi chokulirapo nthawi 1.11 kuposa woyamba. Ndikwabwino kuti muyambe mwakambirana ndi dokotala za momwe amayezera.

Zimayambitsa hepatitis mu shuga

Pafupifupi ndizovuta kupeza chiwindi m'moyo watsiku ndi tsiku. Choyambitsa matendawa ndi matenda ashuga ndimatenda oyamba kudzera m'magazi a munthu wina - wouma kapena watsopano -. Pa nthawi yolipitsa ndi ma syringes oyamba ndi insulin kuchipatala. Kachilomboka kamapulumuka kutentha kwa masiku 4 mpaka sabata. Nthawi zambiri, pamakhala odwala matenda ashuga omwe sangathe kuchita jakisoni (mtundu 1 hypoglycemia). Kuphatikiza apo, ma virus ambiri - tizilombo toyambitsa matenda - timangokhala mthupi la munthu. Ndipo motsutsana ndi mbiri yakuchepa kwa chitetezo chathupi m'matenda a shuga kuphatikiza jakisoni wa insulin, hepatitis B, C, D, amakhala akhama, ndipo odwala matenda ashuga nthawi zambiri (mpaka 10) kuposa ena.

Zizindikiro ziti?

Kutopa mwachangu kumadziwika ndi matenda onsewa.

Hepatitis imakhala yodziwika bwino m'maganizo mwakuti munthu sangadziwe za matendawa kwa zaka zambiri chifukwa chosowa zizindikiro. Tsoka ilo, amawonekera kale pa gawo la 4 la fibrosis kapena cirrhosis ndi khansa. Odwala omwe ali ndi matenda ashuga, palibe kuwunikira kwa mapuloteni amaso ndi khungu. Zizindikiro zina zamatenda onsewa ndizosokoneza. Zizindikiro zodziwika bwino za matenda onsewa ndi kufooka kwa minofu, kutopa msanga, ndi kamwa yowuma. Zizindikiro zofanana ndi matenda a shuga:

kufuna kwambiri kudya ndi kumwa,
kufuna kugona
khungu lowuma
kuchepa kwa misomali ndi tsitsi,
Khungu
mabala amachiritso aatali, abrasions,
kupweteka m'mbali
mkodzo wakuda
kutentha pang'ono
kusowa kwa chakudya
mphwayi.

Kodi mwayi wotani syringe ndi wotani?

Munthu adalalidwa mwangozi ndi singano ya syringe yomwe imagwiritsidwa ntchito nthawi yomweyo mantha. Ndipo palibe zodabwitsa, zovomerezeka kapena zosamveka mu izi. Kupatula apo, aliyense ali ndi nkhawa za thanzi lawo, makamaka chifukwa chakuti masiku ano ngozi yakugwidwa ndi kachilombo kapena matenda opatsirana ndiyokwera kwambiri. Ngakhale kuti pali mankhwala ambiri omwe amatha kuthana ndi miliri ndi miliri.

Kodi kulumikizana kunali kuti?

Mwakutero, komwe kulumikizana ndi wovutirapo ndi singano yomwe idagwiritsidwa ntchito, sikofunikira kwambiri. Pakhoza kukhala malo ambiri otere:

-Ÿ pamasitepe poyeretsa,

Ÿ- potenga makalata,

- - osasamala, osagwira dzanja akudutsa pawindo m'masitepe kapena kubweza,

-Ÿ mumsewu, pita kunkhalango, uku ukuyenda nsapato zoonda, kudzera momwe singano ingadutse,

-Ÿ m'mabokosi amchenga (makamaka chiwopsezocho ndi chachikulu ngati makolowo adatembenuka kwakanthawi, ndipo panthawiyi mwanayo adapeza syringe ndi singano ndikuyamba kusewera nayo, kuvulaza mkono kapena gawo lina la thupi),

-Ÿngakhale m'chipinda chowongolera, popanga jakisoni kwa wodwala.

Mwa njira, mlandu wotsirizawu ndiwowopsa kwambiri, chifukwa mutha kudziwa zomwe munthu akudwala komanso zomwe angathe kutenga kachilomboka, chifukwa chake ndiwotheka kupewa izi pothana ndi bala kapena kumwa mankhwala oyenera.

Zomwe zingatengedwe

M'malo mwake, kuthekera kwa kufalitsa matenda moona kumakhala kochepa, komabe kulipo. The owopsa kwambiri matenda omwe angachitike:

Mukakhala ndi matenda oyamba, ndikofunikira kuchita katemera wadzidzidzi, ngati sichinali m'mbuyomu. M'matenda achiwiri, mwatsoka, monga momwe akatswiri amanenera, thandizo ndilosatheka. Ndipo kupewa matenda a HIV, njira yeniyeni ya mankhwala ena a chemotherapy iyenera kumwedwa.

Zoyenera kuchita kaye

Inde, munthu sayenera kuchita mantha. Kunyumba, tikulimbikitsidwa kuchita izi:

Sambani chilonda ndi madzi ndi sopo.
Chiritsani malo owonongeka ndi ayodini.
Valani chilonda ndi chigamba cha bactericidal.
Ngati ndi kotheka, tengani singano mosamala, ikani chidebe ndikupita kukayezetsa.

Pankhani ya chithandizo chamankhwala komanso kupewa

Makamaka, amakuthandizani kusankha mankhwalawa kuchipatala, komwe muyenera kupita mukangolowa jakisoni wa munthu wina.

Mwachitsanzo, ngati paramedic yemwe adalowetsa wodwala yemwe ali ndi kachilombo ka HIV adalowetsedwa, ndiye kuti pamilandu yotereyi pamakhala njira yapadera yotengera mankhwala ena. Zonse zimatengera kukula ndi kuya kwa kuwonongeka.

Mwa njira, chithandizo chilichonse pamenepa ndi mwayi wochepetsera kuthekera kwa matenda, ngati alipo.

Inde, owerenga onse angafune kudziwa kuti ndi piritsi yanji yomwe imayenera kumwa akamamwa jakisoni wa munthu wina kuti athetseretu matenda omwe angayambitse matenda oyambanso, koma mwatsoka, palibe katswiri wanzeru amene angapereke malangizowo.

Zoyenera kuchita ndi koti upite

Monga tanenera kale pamwambapa, mudzatha kupeza chithandizo choyenera kuchipatala chilichonse kapena kuchipatala. Chachikulu ndi kulumikizana ndi achipatala. Sangothandizira bala, komanso kuyesa kuyesedwa koyenera, kuphatikiza kupereka adilesi kapena kupita ku Center for the Prevention and Control of AIDS. Upangiri wofunikawu uperekedwa pamenepo.

Ndipo pamapeto pake - chinthu chachikulu!

Ngati inu kapena achibale anu simupatsidwa katemera wa kachilombo ka hepatitis B, tikupangira kuchita izi posachedwa. Popeza mwayi wokha wopewa matendawa ndiwotsimikizika kwambiri komanso kupewa panthawi yake!

Kuphatikiza apo, yesani kudutsa malo osadziwika. Makamaka, izi zimagwira ntchito pazosiyidwa zooneka bwino komanso zachilengedwe, momwe zingatheke kupeza syringe wakale, wosadziwika ndi aliyense wogwiritsa ntchito, ndizotheka.

Komanso khalani osamala pagulu. Mulowedwe komweko, pamabenchi amapaki, okwera, etc. Popeza palinso mwayi wophatikizidwa ndi syringe yoponyedwa ndi anthu osadziwika.

Zoyenera kuchita ngati mwangozi wakwapulidwa ndi singano ya syringe?
Kodi ndizotheka kutenga kachilombo monga kachilombo ka HIV, hepatitis, syphilis, ndi zina?

Tiyenera kunena kuti chiopsezo chotenga matenda opatsirana chochepa, komabe, matendawa sangathetsedwe konse. Kuvulala kungayambitse matenda monga kachilombo ka HIV ndi hepatitis B ndi C.

Izi zitha kuchitika mukamatsuka, ndikuchotsa zinyalala, ndikuchotsa manyuzipepala ndi makalata m'bokosi lamakalata, kusunthira dzanja lanu pamiyendo (ngati inali yamatanda, pamakhala zochitika) kapena kungoponda syringe mwangozi mutagwiritsa ntchito zinthu zolaula.

Nthawi zambiri achinyamata amabwera pambuyo poyendera ma discos a nightclub, makonsati a rock, ndi zikondwerero zazikulu.

Ana ang'ono omwe atasiyidwa osasamalidwa kwa mphindi zingapo amatha kupeza syringes ndi singano pamiyala kapena m'mabokosi amchenga. Izi zimakopa chidwi chawo, amayesa kuganizira nkhani yatsopano, amayamba kusewera nayo, kupopera madzi kuchokera ku ma syringes, i.e. kuvulala mwanjira ya jakisoni.

Kugonana ndi matenda a shuga

Nthawi zina muofesi ya endocrinologists funso lina limafunsidwa: "Kodi kugonana sikuphatikizidwa mu shuga?" Yankho sikuti ayi! Muyenera kulabadira nthawi yomweyo kuti ngati muli ndi "matenda okoma" simukufunika kuti mukhale ndi moyo wogonana wokhazikika komanso yesetsani kukondana pafupipafupi.

Matenda a shuga ndi kugonana: zomwe mungayembekezere?
Ubwino wakugonana ndi matenda ashuga
Kodi pali vuto lotani pakugonana ndi matenda ashuga?
Momwe mungapewerere kukula kwa hypoglycemia pambuyo pakugonana?

Komabe, mwa odwala omwe ali ndi hyperglycemia, sikuti nthawi zonse zimayenda bwino. Matendawa amadzimva okha. Nthawi zambiri odwala amakumana ndi zovuta zazikulu mu ubale wapamtima. Ntchito ya madotolo ndikupangitsa matenda onse ashuga kukhala osiyana.

Matenda a shuga ndi kugonana: zomwe mungayembekezere?

Kuchuluka kwa shuga m'magazi kumayambitsa zovuta zambiri kuchokera ku ziwalo zonse ndi machitidwe. Sanapitenso patsogolo zogonana. Popeza odwala amakhala ndi angiopathy ndi neuropathy, izi zimakhudza mwachindunji kuchuluka kwa moyo wapamtima.

Kugonana ndi matenda ashuga kumatha kusiya kusangalatsa kapena ngakhale kukhala kosatheka chifukwa cha izi:

Kuwonongeka kwa ulusi wamanjenje ndi mamolekyulu a glucose kumachepetsa chidwi ndi kusungidwa kwa mbolo. Zotsatira zake, poyamba mwamunayo amalephera kuchita chinthu china chofunikira, kenako sangathe kumaliza.
Ma psychology a ziwiya zazing'onoting'ono amatsogolera ku kusatheka kwa magazi okwanira "ulemu wa amuna." Kusabala kumapangidwa.
Mwa akazi, chifukwa cha acidosis yomwe imapanga nyini, kuwuma komanso kuchepa kwa kumasulidwa kwa mafuta achilengedwe kumawonedwa. Kugonana kumapangitsa azimayi kusasangalala kapena ngakhale kupweteka kuposa kusangalatsa.
Kuwonongeka kwa mitsempha yaying'ono kumachepetsa chilakolako chogonana, frigidity imayamba.
Kuphatikiza kwa matenda achikazi (cystitis, candidiasis, herpes, chlamydia) kumakhalabe kumachitika pafupipafupi. Amatuluka chifukwa cha kugwirira ntchito kwa thupi.
Choyimira pamalingaliro. Kudzikayikira kwamitundu iwiri yonse kumachepetsa kuchuluka kwa kugonana. Zapezeka kuti odwala matenda ashuga omwe amakhala m'mabanja amapanga chikondi ndi pafupifupi 43% chochepa kuposa mabanja okhazikika.

Zonsezi zimapangitsa kugonana ndi matenda ashuga kukhala vuto, koma siziyenera kutero.

Ubwino wakugonana ndi matenda ashuga

Kugonana pafupipafupi kumatha kubweretsa zabwino zambiri kwa munthu yemwe ali ndi "matenda okoma". Chifukwa chake, odwala matenda a shuga ayenera kukhala ndi moyo wogonana wokwanira.

Izi zikuphatikiza:

Kupititsa patsogolo kukazungulira kwa ziwalo za m'chiberekero. Hyperglycemia imayendetsa matenda a atherosclerosis, zomwe zimapangitsa kuti mitsempha yaying'ono ichepetse, ndipo magazi amayenda m'munsi. Kusangalatsa kosangalatsa minofu yonse ya thupi ndikulimbitsa magazi othamanga, kukonza kagayidwe kazinthu zamkati mwa ziwalo zonse ziwiri.
Kugonana ndi matenda amtundu wa 2 kapena matenda ashuga 1 ndi masewera olimbitsa thupi. Zovuta zambiri zamatendawa zimagwiritsidwa ntchito ngati mankhwala. Cholinga chachikulu ndikuwonjezera chidwi cha zotumphukira kuti insulini ikakamize glucose owonjezera kuti amwe. Nanga bwanji osaphatikiza phindu ndi chisangalalo?
Hypoglycemic zotsatira. Paubwenzi wapamtima, zopatsa mphamvu zambiri komanso shuga wa amzungu amawotchedwa.

Zonsezi zikuwonetsa kufunikira kogonana pafupipafupi kwa odwala omwe ali ndi "matenda okoma". Inde, kuchiza matenda ashuga pogonana ngati momwe mungapangire monotherapy sikungapereke zotsatira zomwe zikufunikira, koma kuonjezera phindu la mankhwala ambiri.

Matenda a hepatitis C amagwirizana ndi steatosis. Izi zikuwonetsedwa ndi kulumikizidwa kwamphamvu kwa steatosis ndi HCV genotype 3: odwala omwe ali ndi genotype iyi, mwayi wokhala ochepa steatosis ndiwokwera kwambiri kuposa odwala omwe ali ndi genotypes, zomwe zimawonetsa kukhalapo kwa sequotide sequot yomwe imayambitsa kusintha kwa metabolid ya lipid. The zimachitika ndi zovuta steatosis odwala genotype 3 malumikizidwe ndi tizilombo katundu ndi kuyankha kwa antiviral mankhwala: steatosis imachepetsa kapena kutha kwathunthu mwa odwala omwe akwanitsa kukhazikika kwa ma virologic poyankha (SVR) ndikubwereranso pomwe matendawo abwereranso. Pofotokoza pang'ono ubale wapakati pa kubwereza ndi kufalitsa kwa HCV pamatumbo a wodwala: mitundu yodziwika ya lipids ndiyofunikira pakulowerera kwa HCV, popeza kutsika kwake kumaletsa kuyambiranso kwa virus, msonkhano ndikumasulidwa kwa virion kumadalira lipids ndikugwiritsa ntchito hepatocyte lipoprotein secretion, HCV imazungulira m'magazi, mwanjira yolumikizana ndi lipoproteins, ndikupanga zomwe amatchedwa lipovirus tinthu tating'onoting'ono, chomaliziracho chimamangiriza ku hepatocytes kudzera pakukhudzana, kuphatikizapo ndi lipoprotein receptor thensity (LDL).

Ngakhale HCV imasinthasintha kagayidwe ka lipid kuti ichitikire momwemo, kusintha kumeneku kwachilendo kwa majini ena onse,
pomwe steatosis imakhala yofala komanso yovuta kwambiri ukakhala ndi kachilombo ka genotype 3, kamene kamaphatikizanso njira zina zothanirana ndi genotype iyi. Ngakhale pali njira zingapo zomwe zanenedweratu kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tisatayike, palibe mtundu umodzi woyeserera womwe umayambitsa kusintha komwe kumawonekera mwa anthu. Pali zifukwa zingapo zofotokozera kusiyana pakati pa vivo ndi vitro: njira zomwe zimagwiritsidwa ntchito popangitsa kusintha kwa metabolic nthawi zambiri zimachokera ku genotype 3; Kuphatikiza apo, kufananitsa mwachindunji pakati pa genotypes sikumachitika kawiri kawiri pogwiritsa ntchito mawonekedwe ndi mawonekedwe oyesera.

Pomaliza, ziganizo zina zozikidwa mu ma vitro powonera zimatsutsana ndi zomwe anthu amazindikira. Mulingo wamba umayimiriridwa ndi kuyambitsa kwa zolembedwa zomwe zimayambitsa neolipogeneis, monga SREBF1 ndi SREBF2. Ngakhale zinthu izi zimapezeka mobwerezabwereza m'maselo a chiwonetsero cha mapuloteni a HCV, osamvetseka mokwanira, zomwe zili m'chiwindi chake zimagwirizana mosiyanasiyana ndi kuuma kwa steatosis. Izi zikusonyeza kuti, ngakhale kuthandizira kwawo ndikofunikira pamoyo wa HCV, sikungakhale kokwanira kuti steatosis ichitike.

Zotsatira zamatenda a steatosis mu matenda a HCV

Kaya limagwirira ntchito chotani, ma virus steatosis samawoneka kuti akukhudza kukula kwa chiwindi fibrosis, ngakhale genotype 3 HCV imayanjana palokha komanso kupitilira kwa fibrosis. Viral steatosis sikuti imakuyipa machitidwe a interferon-α (INF-a) ndikuwongolera mankhwala osokoneza bongo. Nthawi yomweyo, steatosis chifukwa cha kagayidwe kachakudya imagwirizanitsidwa onse ndi kupititsa patsogolo kwa fibrosis komanso kusayankha bwino kwa INF-mankhwala. Vuto lina ndi ubale pakati pa steatosis ndi hepatocellular carcinoma (HCC). Kafukufuku angapo adagwirizana ndi steatosis ndi chiopsezo chokulitsa HCC matenda a hepatitis C. Chifukwa cha kuchuluka kwa odwala omwe ali ndi genotypes ophatikizidwa m'maphunzirowa, ndizosavuta kufotokoza kuti pali ubale wapakati pa virat steatosis ndi HCC. Ndizotheka kuti ubalewu ukhoza kufotokozedwa ndi mgwirizano wodziwika bwino wonenepa kwambiri (womwe umatsogolera ku steatosis) ndi HCC. Kumbali inayi, genotype 3 HCV imalumikizidwa ndi chiwopsezo chokulira kwa HCC, koma ngati izi zimagwirizanitsidwa ndi virat steatosis sichikudziwika. Kuyanjana sikutanthauza ubale wapamtima ndipo, kuwonjezera apo, matenda a steatosis nthawi zambiri amachepetsa kapena sapezeka kumapeto kwa matenda a chiwindi, i.e., nthawi ya HCC isanayambike. Chifukwa chake, palibe umboni wotsimikizira kuti virat steatosis imatsogolera ku HCC. Odwala ena omwe ali ndi mtundu wa 3 genotype, kubwerezabwereza kwa njira zopangira chidwi kumatha kuwonedwa, zomwe zimayambitsa zonse ziwonetsero ndi fcc: kuyambitsa kwachulukidwe pakupanga mitundu ya oksijeni yogwira kapena kuchepa kwa ntchito ya PTEN chotupa suppressor.

Viral ndi metabolic steatosis

Kutengera ndi zomwe tafotokozazi, ndikofunikira kuchokera pamalingaliro amtsogolo mwamavalidwe kusiyanitsa ndi steatosis wamavalidwe osiyana, kuphatikizapo metabolic (Gome 1). Tsoka ilo, virat steatosis ilibe zochitika zomveka bwino za histopathological zomwe zimaloleza kusiyanitsa. Chifukwa chake, kuwunika kosiyanitsa kuyenera kukhazikitsidwa ndi anamnesis, kupezeka kwa zoopsa, kusanthula kwa serum, ndi mayankho a mankhwala osokoneza bongo. Odwala omwe ali ndi HCV amakhala ndi ma lipoprotein otsika kwambiri, monga cholesterol, makamaka kwa odwala omwe ali ndi genotype 3. Mbiri yeniyeni ya lipid imabwezeretseka pambuyo pa chithandizo chathanzi, koma kulumikizana kwenikweni
hypocholesterolemia ndi steatosis sizomwe zimalembedwa.

HCV ndi shuga kagayidwe kachakudya

Pakuwunika meta, White adawonetsa kuti HCV imalumikizidwa ndi chiwopsezo chowonjezeka cha matenda a shuga 2 poyerekeza ndi kachilombo ka hepatitis B kachilombo ndi HBV kosadziwika komanso gulu. Mwa kafukufuku wambiri pamutuwu, kafukufuku wokhudzana ndi kuchuluka kwa anthu, olemba kuchuluka kwa a Mehta adawonetsa kuti HCV imalumikizidwa ndi matenda a shuga a 2 pakati pa anthu azaka zapakati pa 40 ndi akulu. Kafukufuku wa Longitudinal kwa anthu omwe ali ndi vuto lodzikhuthula komanso odwala omwe akudwala chiwindi kapena impso akutsimikiziranso kuti HCV ndiyo chiopsezo chachikulu chotenga matenda amtundu wa 2, makamaka kwa omwe ali pachiwopsezo cha kunenepa kwambiri. HCV isanayambitse matenda ashuga, ndipo sikuti ndimatenda a iatrogenic mwa odwala omwe ali ndi chithandizo chambiri cha matenda ashuga. Pazonse, HCV imawoneka kuti imathandizira kuyambika kwa matenda ashuga amtundu wa 2 mwa anthu omwe analingalira izi: kotero, pakati pa anthu omwe ali ndi immunosuppression, powerengera, izi zimachitika zaka khumi zapitazo poyerekeza ndi kuyendetsa kosadziwika.

Makina omwe HCV imayambitsa matenda ashuga chifukwa cha kupezeka kwa insulin (IR). Odwala omwe ali ndi hepatitis C ali ndi mitengo yayikulu kwambiri ya IR (yoyesedwa malinga ndi mtundu wa homeostasis wowunika HOMA-IR) poyerekeza ndi mawonekedwe osadziwika kapena odwala hepatitis B, omwe ali ofanananso ndi zina za chiopsezo cha IR, monga BMI, kuwonda komanso jenda. Njira zodziwira IR zimasiyana m'maphunziro angapo, ndipo zowonera zomwe zimapezeka mwa anthu omwe ali ndi kachilombo ka HCV ndizosemphana kutengera njira yomwe imagwiritsidwa ntchito. Kuyeza kwa HOMA-IR pakuwunika IR ndikosavuta kuphimba anthu ambiri, koma zikuwoneka kuti zikuwonjezera kuchuluka kwa odwala omwe ali ndi IR. Komabe, kukhalapo kwa IR kwa odwala omwe ali ndi hepatitis C yopanda metabolic syndrome kunatsimikiziridwa molondola pogwiritsa ntchito njira ya glucose, yomwe imakhala yolimba kwambiri komanso yosayenera kuzindikirika. Maphunzirowa adawonetsanso kuti mitundu yonse ya HCV genotypes ili ndi milingo yofanana ndi IR.

Chiwerengero chapamwamba cha HOMA-IR chimagwirizanitsidwa ndi kuchepa kwapadera kwa SVR pakati pa odwala omwe amalandira INF-regimens ya chithandizo, mosasamala mtundu wa HCV genotype. Komabe, kulumikizana kwachindunji pakati pa IR ndi INF-kukana sikungatheke, chifukwa kukonza kwa IR ndi pioglitazone sikukhudza mulingo wa HCV RNA kapena kuyankha kwachilengedwe pakuchiritsa. Nthawi yomweyo, mankhwala ogwiritsira ntchito metformin amawoneka kuti amakhudza chiyambi cha ma virus. Pali ubale pakati pa IR ndi kuyankha kwa ma virus pakati pa odwala omwe amalandila chithandizo cha mankhwala omwe ali ndi mankhwala ochita kupanga ngati anthiraprevir. Danoprevir monotherapy idawonetsa kuti kuchepa kwa HOMA-IR makamaka kofanana ndi kuchepa kwa HCV RNA, ndipo zoyambira HOMA-IR sizinakhudze kukwaniritsidwa kwa HCV. Zotheka kuti IR sikukhudza kukwaniritsidwa kwa mankhwala osokoneza bongo mwachindunji ndi SVR.

Ngati HCV isintha kagayidwe ka glucose, chithandizo cha matenda osachiritsika a hepatitis C chiyenera kutsitsa kuchepa kwa matenda a shuga a 2 pakati pa odwala omwe ali pachiwopsezo. Malipoti ambiri, kupatula ochepa, adawonetsa kuti kukwaniritsa SVR kumalumikizidwa ndi IR yabwino komanso chiopsezo chochepetsedwa cha kagayidwe kakang'ono ka shuga, kuphatikizapo matenda ashuga a 2. Kafukufuku wamkulu womwe wachitika kwa odwala 2842 omwe ali ndi matenda osachiritsika a hepatitis C omwe amalandila ma regimens osiyanasiyana, kuphatikizapo omwe ali ndi INF-a, adawonetsa kuti kuthana ndi kachilombo ka HIV kumachepetsa chiopsezo chokhala ndi matenda a shuga a 2, mosasamala zaka, cirrhosis ndi prediabetes . Kuphatikiza apo, chithandizo cha HCV chitha kuchepetsa kwambiri zovuta za matenda ashuga monga kulephera kwa impso ndi sitiroko, monga zikuwonekeranso ndi kafukufuku wambiri wokhala ndi anthu ku Taiwan.

Komabe, chithandizo cha HCV mwa odwala omwe ali ndi metabolic syndrome sayenera kusokoneza kayendetsedwe ka matenda a shuga a IR komanso mtundu wa 2, kuphatikiza pa machitidwe angapo omwe cholinga chake ndikusintha moyo wa wodwalayo komanso kugwiritsa ntchito mankhwala ena ake, monga metformin. Kuchulukitsa zolimbitsa thupi kungachepetse IR komanso mawonekedwe ena a metabolic syndrome. Chosangalatsa ndichakuti, odwala omwe ali ndi NASH atalandira chithandizo cha HCV pogwiritsa ntchito zolimbitsa thupi pakati komanso mwamphamvu, mawonekedwe a metabolic amasintha mosasamala kanthu za kusintha kwa thupi. Kumbali inayi, pulogalamu yowonjezera yochepetsera kulemera kwa thupi ndi masewera olimbitsa thupi olola kuchepetsa kuchuluka kwa steatosis ndi chiwindi fibrosis pamagulu ochepa a odwala. Pomaliza, zotsatira zabwino zidawonedwa kwa metformin, yomwe, monga akuwonetsera, imachepetsa kwambiri (pafupifupi 50%) chiopsezo chotenga HCC. Kuwongolera moyenera kwa glycemia kumathandizira kwambiri pochepetsa chiopsezo, chifukwa pafupipafupi HCC inali yayitali kwambiri pakati pa odwala omwe ali ndi msana wa 7% wa glycosylated hemoglobin.

Zizindikiro za kachilomboka

Nthawi zambiri, matenda amakhala asymptomatic, makamaka masabata 6 oyamba. Pambuyo pa nthawi imeneyi, wodwalayo amayamba kuvuta:

kutopa
kutopa,
nseru
kusowa kwa chakudya
kupweteka kwa molumikizana
malungo.

Matendawa amayenda ndimayimbidwe angapo, pofuna kudziwa komwe kumayenera kufunsa dokotala.

Zizindikiro zotsatirazi ndikusintha kwa mitundu ya ndowe ndi mkodzo, jaundice, kuchuluka kwa chiwindi. Akatswiri opatsirana matenda opatsirana, akatswiri a gastroenterologists amatenga nawo mankhwalawa komanso kuwazindikira. Amapereka kuyesedwa kwa magazi. Ngati chizindikiro chapadera cha kachilomboka, kuchuluka kwa michere ya chiwindi, bilirubin kumapezeka m'magazi, ndiye kukayikira za matendawa kumatsimikiziridwa. Chifukwa chake, ndikofunikira ngati muli ndi zizindikiro zingapo nthawi imodzi kuti mupite kuchipatala. Pambuyo pakuzindikira, dokotalayo amapereka mankhwala othandizira. Mukupweteka kwa chiwindi, kuyezetsa komwe kumachitika, chithandizo chovuta ndizovomerezeka, kugwiritsa ntchito mowa komanso mankhwala osokoneza bongo samachotsedwa, chifukwa zimakulitsa matendawa.

Kupatsirana pogonana

Monga tafotokozera pamwambapa, kufalitsa kwa hepatitis C ndizotheka. Komabe, izi ndizochepa kwambiri (zosaposa 3-5%). Ndikofunika kunena kuti ndi zizindikilo zakunja kuti mudziwe ngati munthu akudwala kapena ayi ndizosatheka. Pali mwayi wokhala ndi matenda pokhapokha ngati kugonana sikunatetezedwe. Kupanda kutero, chiwopsezo cha matenda chimachepetsedwa kukhala zero. Mlingo wa matenda nthawi yogonana ndiwokwera liti?

Kugonana kolimba, pakawonongeka nembanemba.
Paubwenzi wapakati ndi mkazi yemwe amakhala ndi msambo.
Pa kugonana kosatetezeka.

Pankhani yogonana mkamwa, madokotala alibe mgwirizano. Ine.e. sizikudziwika kwenikweni ngati chiwindi C chimatha kutenga kachilomboka mwanjira imeneyi.

Zomwe zimayambitsa matendawa

Nthawi zambiri, matenda oopsa a chiwindi ndi chifukwa cha kufalikira kwa mavairasi a chiwindi B, C, D kapena G. Makamaka pambuyo pa chiwindi C, matendawa amatha kukhala owonjezereka ndi 80%. Koma chomwe chimayambitsa matendawa chimatha kukhala chiwopsezo cha chiwindi. Awa ndimowa, benzene, mchere wamitsulo yolemera.

Kugwiritsira ntchito kwakanthawi mitundu ina ya mankhwalawa kumathandizanso kuti chiwopsezo chiwindi - mankhwala osokoneza bongo, mankhwala, antihypertensives, sedative, anti-TB ndi mankhwala a cytotoxic. Popeza izi, mukamamwa mankhwalawa, ndikofunikira kuyambitsa nthawi yomweyo othandizira chiwindi.

Matenda otupa a hepatitis amatha kukhala chifukwa cha kusokonekera kwa kagayidwe ka mankhwala ndi kayendedwe ka autoimmune m'thupi.

Njira yayitali ya hepatitis imatha kuwonetsedwa ndi zizindikiro zambiri zomwe sizili zovuta, koma kuphatikiza kwawo kuyenera kuchenjeza. Nazi zinthu zina zofunika kuzisamala:

Nause pambuyo chakudya
Kutopa
Khungu ndi azungu amaso akhungu loyera,
Ndulu zokulirapo,
Zamphuno
Kuchepetsa magazi.

Njira ya matendawa

Kuchuluka kwa matendawa kumatengera momwe ziwalo zina zofunika. Pakukanda, chiwindi chimakulitsidwa, ndipo wodwalayo amamva kuwawa. Ma acid akhungu omwe amakhala ndi tinthu tambiri timagazi ndipo magazi amayambitsa bradycardia. "Nyenyezi" zitha kuwoneka pamasaya ndi kumbuyo, komanso kufiyira m'manja. Wodwalayo amatha kudwala matenda osowa tulo, kukhumudwa, kusakwiya. Mu endocrine dongosolo, kusintha kumachitika. Zowawa zimatha kuwoneka. Koma nthawi yomweyo, mulingo wa serum bilirubin ukhoza kukhala wabwinobwino. Chiwindi cha wodwalayo chimayera.

Chithandizo cha matenda otupa chiwindi chiyenera kusankhidwa bwino, kusinthidwa poganizira momwe wodwalayo alili. Kuchuluka kwa kuwonongeka kwa chiwindi kumawerengedwa. Apo ayi, pali mwayi wopanga matenda enaake a chiwindi kapena khansa (hepatocellular carcinoma).

Therapy imaphatikizapo zinthu zotsatirazi:

Menyani ndi kachilomboka
Kuchotsa poizoni
Mankhwala othandizira
Kugwiritsa ntchito mankhwala othandizira.

Chikhululukiro cha nthawi yayitali chitha kuchitika pokhapokha poonetsetsa mosamalitsa zofunika zonse.Chithandizo chanthawi yake komanso kugwiritsa ntchito mankhwala amakono ndi chitsimikizo cha nkhondo yolimbana ndi matendawa.

Matenda a shuga ndi chiwindi - momwe thupi limachitikira

Iliyonse mwa matenda omwe akutchulidwa ali ndi chithunzi chake chamankhwala.

Mikhalidwe yotsatirayi imadziwika ndi anthu omwe ali ndi vuto la pancreatic:

kamwa yowuma, ludzu losatha,
kukodza pafupipafupi,
ulesi, kutopa, kusokonekera,
zotupa pakhungu - mawonekedwe a ming'alu, zotupa, zilonda.

Ndi zotupa za chiwindi ndi kachilomboka, zizindikiro zotsatirazi zimachitika:

kusowa kwa chakudya, nseru, kusanza
kuchepa zolimbitsa thupi, kulephera chidwi pantchito,
kuwonda mwadzidzidzi, kusokonezeka kwa tulo,
kugaya chakudya - kutsekula m'mimba, kudzimbidwa, kumatulutsa.

Zizindikirozi zimatha kukulira chifukwa matenda ashuga komanso hepatitis C mthupi, odwala ambiri sangadziwe kupezeka kwa kachilomboka. Komabe, ambiri a iwo amamwa mankhwala ochepetsa shuga omwe amakhudza chiwindi. Insulin iyeneranso kugwiritsidwa ntchito mosamala kwambiri, kutsatira malamulo okhwima (jakisoni aliyense - syringe yatsopano). Hepatitis ilibe gawo lalikulu pakuthandizira odwala matenda ashuga, koma mayankho sawoneka bwino - ngati munthu yemwe akudwala HCV wapezeka ndi vuto la kapamba, maphunzirowa amatha kusintha kwambiri.

Matenda a shuga ndi chiwindi - zomwe sizingaphatikizidwe

Kuphatikiza kwakukulu ndi kufanana kwa zakudya. Mwachitsanzo, kuchuluka kwa lokoma, zonunkhira, amchere kapena okazinga amatsutsana kumatenda onse awiri. Mowa uyeneranso kuchepetsedwa kapena kuchotsedwa pakumwa. Komabe, pali madera omwe matenda a shuga ndi a hepatitis sagwirizana - izi zimakonda kugwira ntchito pamapiritsi.

Ngati zotupa zomwe zimakweza shuga m'magazi zimaphatikizidwa pakuphatikizidwa kwa mankhwalawa, ndiye kuti mankhwalawa amatengedwa mosamala kwambiri - nthawi zambiri ndikofunikira kuchepetsa zomwe zimachitika. Komabe, lingaliro ili silikukhudza sofosbuvir yemwe mtengo wake umayikidwa kwambiri - piritsi limodzi lokha amawerengedwa tsiku lililonse, chifukwa chake phukusi zingapo zimagulidwa kwathunthu.

Munjira zambiri, mtengo wa sofosbuvir umatsimikiziridwa molingana ndi kugwira ntchito kwake komanso kusakhalapo kwa zotsatira zoyipa. Ndi chakudya choyenera, mankhwalawa sakhala ndi vuto lililonse pazovuta za hyperglycemic, chifukwa chake amawoneka kuti ndi otetezeka kwa odwala matenda ashuga. Izi zikufotokozera chifukwa chake mtengo wa sofosbuvir ndi daclatasvir poyamba unali wokwera kwambiri - izi tandem zamankhwala zimakhala ponseponse ndipo ndizoyenera pafupifupi odwala onse.

Iwo omwe amakayikira kuwonetsetsa kwa mankhwalawa amatha kuwerengera ndemanga zotsalira pa sofosbuvir ndi daclatasvir, olemba omwe ndi anthu enieni omwe adayang'anira matenda a chiwindi C. Kwa iwo omwe akukonzekera kuyamba kumwa sofosbuvir ndi daclatasvir, ndemanga zokhudzana ndi chithandizo cha anthu ena zingakhale zofunikira kwa kuphunzira.

Hepatitis C kachilombo koyambitsa matenda

Malinga ndi ziwerengero ku Russia, anthu oposa mamiliyoni asanu onyamula kachilombo ka hepatitis C, komwe kamayambitsa kuwonongeka kwakuopsa kwa chiwindi, adadziwika. Njira zofala kwambiri za matenda ndi kugonana kosadziteteza, zida zopanda mankhwala kapena zida zina, machitidwe a jakisoni kapena njira zina.

Pangakhalenso njira yanyumba yoti kachilomboka kalowe m'magazi mukamagwiritsa ntchito lezala, lumo wa manicure, mipeni ya tebulo, yomwe imatha kutenga magazi a wodwala yemwe ali ndi kachilombo. Nthawi yolowerera matendawa imayamba masiku 15 mpaka 150, choncho sizotheka nthawi zonse kugwirizanitsa matendawa ndi kuwonongeka kwakhungu kapena njira zamankhwala.

Zoopsa matenda amadziwika ana, okalamba, ofooka anthu, ndi zovuta, chiwindi C nthawi zambiri chimachitika ndi matenda ashuga. Palinso mitundu ina yamatendawa yomwe imafanana ndi matendawa; odwala amatha kudutsa kuwonongeka kwa maselo a chiwindi ndi kachilomboka mukamachita kafukufuku wambiri wa labotale.

Vutoli limalowetsa mthupi pokhapokha litalowa m'magazi a wodwala omwe ali ndi hepatitis C. Njira zazikulu zopatsira matendawa ndi hepatitis C zimaphatikizapo:

Kuika magazi, majakisoni, maopaleshoni.
Kugwiritsa ntchito singano imodzi ya anthu angapo (osokoneza bongo).
Ndi hemodialysis (zida zokuzira impso).
Kugonana mosadziteteza, makamaka kusamba. Chiwopsezo chikuwonjezeka ndikusinthidwa pafupipafupi kwa abwenzi.
Pa nthawi yobereka kuchokera kwa mayi yemwe ali ndi kachilombo, kupita kwa mwana.
Manicure, kuboola, jakisoni wa Botox, ma tatto.
Chithandizo cha mano

Palibe kufala kwa kachilomboka mukatupa, kutsokomola, kugwirana manja kapena kukumbatirana ndi wodwala yemwe ali ndi chiwindi.

Pafupifupi theka la matenda a chiwindi, gwero la matenda silingapezeke. Anamwino, akatswiri azachipatala, othandizira ma labotale othandizira odwala ndi opaleshoni ali pachiwopsezo chowonjezeka.

Zizindikiro za Hepatitis C

Kuyambika kwa matendawa kumatha kukhala koopsa, koma nthawi zambiri munthu amakhala ndi vuto lochepa kwambiri. M'miyezi isanu ndi umodzi yoyambirira, thupi limatha kuthana ndi matendawa. Ndi chitetezo chabwino komanso chithandizo choyenera, kachilomboka kamawonongeka, ndipo ma cell a chiwindi amayambiranso kugwira ntchito yawo.

Pakatha miyezi isanu ndi umodzi, m'malo mwa maselo athanzi, mawonekedwe amtundu wa chiwindi. Njira yotupa imayamba kudwala. Kenako matendawa amatha kukhala chiwindi cha chiwindi ndipo nthawi zina, khansa ya chiwindi yoyamba imayamba.

Palinso kuthekera kwa kukhalabe chonyamula kachilomboka. Pankhaniyi, sipangakhale zizindikiro za matendawa, kuyesedwa kwa chiwindi kumakhalabe kwabwinobwino, koma pazovuta zake kumatha kupangitsa kukula kwa chiwindi.

Kuwonetsedwa kwa chiwindi C kumatha kukhala kolakwika chifukwa cha zizindikiro za matenda a ndulu, chimfine, ndi matenda ena. Ngati zizindikiro zotere zikupezeka, muyenera kulumikizana ndi dotolo woyambitsa matenda:

Mkodzo ndi utoto wokutira.
Kutulutsa khungu ndi sclera ya diso.
Kupweteka kapena kupweteka kwa minofu.
Khansa, kusinthana ndi chakudya.
Kutopa.
Khungu loyera.
Kulemera ndi kupweteka mu hypochondrium yoyenera.

Chithandizo cha hepatitis C ndichitali. Mankhwala othandizira, ma immunomodulators ndi hepatoprotectors amagwiritsidwa ntchito. Kuphatikiza kwa Interferon alfa ndi Ribavirin kumapereka zotsatira zabwino.

Chofunikira kuti muchiritse ndikutsatira kwambiri zakudya, kumwa kwambiri kumapangitsa kuti matendawa achulukane komanso kuti chiwindi chiwindi chiwindi.

Kupewa kwa Hepatitis C

Ngati banja lili ndi wodwala matenda a chiwindi, ndiye kuti zinthu zonse zaukhondo ziyenera kukhala payekha. Izi ndizowona makamaka pakudula komanso komwe kungakhale kowopsa: lumo wa manicure, lezala, ma syringe, chovala mano. Mukamathandiza munthu yemwe ali ndi chiwindi (mwachitsanzo, ndimavulala), magolovu azachipatala ayenera kuvalidwa.

Mwazi wa wodwalayo, ukalowa m'zinthu, umasungiramo zinthu zopweteka kwa maola 48-96 kutentha kwambiri. Chifukwa chake, muzochitika zotere, ziyenera kuthandizidwa ndi yankho la chlorine (monga White), ndipo zinthu ziyenera kuwiritsa pambuyo osamba. Makondomu akuyenera kugwiritsidwa ntchito pakugonana.

Kwa odwala matenda ashuga, kusamalitsa kuyenera kuchitika mukamagwiritsa ntchito zinthu zonse zam'magazi a glucose ndi jakisoni. Chifukwa chake, simungagwiritse ntchito malawi mobwerezabwereza, ndipo makamaka molumikizana ndi wina aliyense pabanja. Komanso, miyezo ya glycemia iyenera kuchitika ndi chipangizo chamunthu payekha.

Ngati munthu akudwala matenda a hepatitis ailowetsa insulin, ndiye kuti singano, ma syringe ndi zinthu zina zomwe zimagwiritsidwa ntchito popereka mankhwalawa ziyenera kuyikidwa mu ethyl mowa kapena njira yotsatsira mankhwala kwa mphindi 30 kenako ndikuzitaya. Zochita zonsezi ziyenera kuchitika posamalira wodwala pokhapokha ngati ma rabara olimba kapena magolovesi a nitrile.

Zina za mapangidwe a chiwindi C mu matenda a shuga ndi:

Nthawi zambiri kusowa kwa nthawi ya icteric.
Zizindikiro zazikulu ndizophatikizira kupweteka komanso kuyabwa.
Mu pachimake maphunziro a matenda, kuwonongeka kwakukulu chiwindi.

Popeza anthu odwala matenda ashuga, makamaka omwe ali ndi insulin, amadwala chiwindi C maulendo 10 pafupipafupi kuposa mitundu ina ya anthu, ndipo kuwonjezeranso chiwindi cha chiwindi kumakulitsa chindapusa cha matenda a shuga komanso kumakulitsa kwambiri chiopsezo chovuta, ndiye kuti ngati mukukayikira kapena kuthekera kwa matenda, muyenera kuyesedwa.

Kuti mupeze matenda a hepatitis C, kuyezetsa kumachitika kuti mupeze ma antibodies a virus, kuyezetsa magazi a biochemical kuti mudziwe ntchito ya michere ya chiwindi (transaminases) ndi mulingo wa bilirubin.

Mutha kuphunzira za njira zochizira komanso kuopsa kwa matenda a hepatitis C mu shuga mwakuwonera kanema munkhaniyi.

Zoyenera kuchita ngati ndikulowedwa ndi singano kwa wodwala yemwe ali ndi chiwindi C?

Madotolo, ogwira ntchito yothandizira, ogwira ntchito muma parlors a tattoo ndi ma studio a manicure ayenera kudziwa njira zosavuta kwambiri kuti athe kusamalira mabala kapena kuvulala ndi singano. Kutenga kwa matenda kumafuna kuphatikizidwa kwa matenda a hepatitis C komanso nthawi yomwe amalowa m'magazi ndikuyambitsa matendawa. Kutsatira malamulo a kupewa ndi chitetezo kumakupatsani mwayi wopewa matenda osagwiritsa ntchito singano mosasamala.

Kupewa Kwadzidzidzi

Prostlaxis yolimbikitsidwa ndi hepatitis C yolumikizira singano yapangidwa ndi WHO. Pali malingaliro oyenera kupewa ndi kuteteza anthu pazinthu ngati izi. Amapezeka kuzipatala. Ikufotokoza mwachidule zoyenera kuchita ngati zotere zachitika. Malongosoledwe ofunikira adzakhala othandiza kwa anthu ndipo angathandize kupulumutsa thanzi. Ndingatani ngati singanoyo ili ndi kachilombo ka hepatitis C?

Simungaletse magazi. Iyenera kutuluka pachilonda kuti matenda asalowe m'magazi akulu. Magazi oyenda amathandizira kuteteza kachilomboka.
Ngati magazi atuluka pang'onopang'ono, ndikofunikira kuthina kukakamiza minofu kuti ipangitse kutulutsa kwake.
Timathandizira bala ndi zakumwa zoledzeretsa kapena 70%.
Pambuyo pa kumwa mankhwalawa, timapaka mafuta a ayodini ndi kusindikiza chilondacho ndi gulu lothandizira.
Pambuyo pazolowera zonse, timatembenukira ku chipatala chapafupi kuti tikawunikenso ndikupeza malangizo ofunikira.
Ngati tinthu tachilengedwe takhala tikufika pa mucous kapena m'maso, tsukani pakamwa panu ndipo tsitsani maso ndi njira yofooka ya potaziyamu permanganate (kapena chlorhexidine).
Ngati khungu labwinobwino libwera pamtetete, lisambe kangapo ndi sopo kenako ndikupukuta ndi yankho la mowa.
Mu chipatalacho, wodwalayo adalandira njira yothandizira maantibayotiki. Chithandizo cha antiviral chimayikidwa pambuyo pa matenda omaliza. Munthu amayesedwa mwadongosolo kwa miyezi iwiri ndi iwiri.
Pofuna kuti zisachitike, malamulo otetezedwa ayenera kusungidwa m'malo antchito komanso kunyumba.

Izi ndizosangalatsa: Hepatitis C: ndi chiyani ndipo imafalikira bwanji?

Njira zodzitetezera

Aliyense ayenera kudziwa kuti chidwi chathu chimateteza ku matenda omwe angatenge. Pazithunzi za tattoo, mukapyoza kuti muboole, muyenera kuwonetsetsa kuti mbuye wanu adatsegula zida zogwirira ntchito nanu: ayenera kukhala osabala.
Kulephera kugwiritsa ntchito mankhwala osokoneza bongo kumateteza kumatenda a singano.
Kugwiritsa ntchito njira yolepheretsa kulera kungathandize kuchotsa njira yakugonana yopatsirana hepatitis C.
Zinthu zaukhondo zaumwini ziyenera kugwiritsidwa ntchito osati kuloledwa kugwiritsidwa ntchito ndi alendo.

Malamulowa onse ayenera kukhala ofala tsiku ndi tsiku.

Ndi mayeso ati ndipo ayenera kumwedwa liti?

Pozindikira, kusanthula kumachitika kuti pakhale HIV RNA. Mwa izi, njira ya polymerase chain reaction imagwiritsidwa ntchito. Izi zitha kuchitika pakadutsa masabata 4-6 atenga kachilomboka. Ma antibodies amatsimikiziridwa ndi enzyme immunoassay. Kuika kwa mtundu wofunidwa kusanthula kumachitika ndi adokotala atamupima.

Kuti muzindikire matendawa ndikuwongolera mankhwalawa a hepatitis C, muyenera kupereka magazi a PCR

Ngati munthu ali ndi matenda opatsirana, zotsatira zake zimatha kukhala zabodza kapena zabodza. Pakapita kanthawi, magazi am'kati amabwezedwa kuti awunikirane kuti pamapeto pake atsimikizire kapena kutsutsa kuyambukira.

Kwa theka la chaka (miyezi 2-6), munthu amalembetsedwera kumalo opatsirana ndipo amamuyendera hepatitis C. Nthawi imeneyi, amafunika kusamala ndi abale ake apantchito komanso kuntchito kuti asayambitse matenda ena opatsirana mwachisawawa.

Anthu ambiri angakhale ndi chidwi chofuna kudziwa ngati chiwindi C chimafalikira kudzera mwa kupsompsona kapena malovu. Chiwopsezo cha kutenga matenda pamilandu iyi ndi chochepa kwambiri. Inde, malovu omwe ali ndi ma virus ochepa. Komabe, ndizosavuta kutenga kachilombo kuchokera kwa munthu amene wadwala kale.

Zinthu zina

Kodi amadwala bwanji chiwindi C? Izi zitha kuchitika kwa pafupifupi aliyense komanso kulikonse.

M'malo omangidwa.
Chiwopsezo chachikulu cha matenda pakati pa ogwira ntchito yazaumoyo. Kupatula apo, sizachilendo kuti madokotala samakhala ndi nthawi yovala magolovu, ngakhale gawo lachigawenga limatha kutaya moyo wa munthu.
Mutha kutenga kachilombo pogwiritsa ntchito zinthu zaukhondo za anthu ena - nsapato zam'manja, zala, zida zamaluso.
Malo onse omwe miyezo yoyera ikhoza kuphwanyidwa. Awa ndi chipinda cha manicure, owongolera tsitsi, ma parlors a tattoo, etc.
Mutha kutenga kachilomboka pagulu lililonse, mwangozi ndikulowera singano yomwe ili ndi kachilombo (Nthawi zambiri achinyamata omwe akudwala amawabalalitsa kuti abweze chifukwa choti ali ndi kachilomboka).

Zizindikiro

Kodi wodwala matenda a hepatitis C angapezeke bwanji? Kupatula apo, monga tanena kale, nthawi zambiri munthu amakhala wopanda zizindikilo zakunja ndi zifukwa zomukhudzira dokotala. Chifukwa chake, kachilomboka kangadziwike pakuwunika mayeso azachipatala kapena mayeso okonzekera thupi. Pamafunika:

Kuyesa kwa magazi.
Ultrasound Kuyang'ana kwam'mimba.
Chiwindi biopsy.

Funafunani thandizo kwa katswiri matenda opatsirana. Ngati wodwala ali ndi matenda a chiwindi a hepatitis C, a gastroenterologist kapena hepatologist amatenga nawo mbali poyang'anira wodwalayo.

Ngati banja lili ndi wodwala

Ngati pali wina m'banjamo amene akudwala matenda a hepatitis C, ndiye kuti onse otsala ayenera kukhala osamala kwambiri. Kupatula apo, monga zanenedwa pamwambapa, kachilomboka kitha kukhala kumalo achilendo kwa maola 96. Pankhaniyi, zochitika zotsatirazi ndizofunikira:

Zovala, bedi la wodwala liyenera kutsukidwa ndi kuyera. Ndikofunika kukumbukira kuti kachilomboka kamafa pa kutentha kwa 60 ° C m'mphindi 30, mukawiritsa - mu 2-3.
Zinthu zonse zapakhomo zizikhala za aliyense payekha.
Povulala, madera omwe akukhudzidwawa ayenera kumangidwa kapena kulungidwa ndi chithandizo cha band. Ngati mukufuna kuthandiza wodwala, muyenera kuvala magolovesi.