Izimpawu ze-hepatitis C kwabesifazane. Hepatitis C: ukwelashwa. Hepatitis C: Izimpawu

"Mnene umbulali" - igama esethiwa lona hepatitis C odokotela. izimpawu okuthambile kanye ezinzima, cishe ebulalayo asivumela ukubiza isifo eziyinkimbinkimbi ezifana isidlaliso impikiswano ezinjalo.

Sikwenza kanjani lokhu igciwane esiyingozi ngokwedlulele?

Hepatitis C iyinhlangano nature ezibangelwa amagciwane. Ngokubukeka, iseli lwegciwane has simise eyindilinga nge igobolondo futhi itholakala ngaphakathi ukwaziswa kwezakhi zofuzo. Ufuzo siqukethe isakhi sofuzo esisodwa kuphela (RNA Strand), okuyinto okubhalwe 9 amaprotheni. Ukuba lula kwezincazelo isakhiwo kusiza Ukungena okusheshayo igciwane ku amaseli isibindi. Iyunithi ethintekile Sizoqhubeka nokusebenza futhi enza kanjalo ngoba belalela izinga le-viral amaseli izithakazelo.

Hepatocyte synthesize amaprotheni ezibangelwa amagciwane kanye RNA. I izinhlayiya elalisanda kumiswa bathuthela ezindaweni enempilo, zokuthelela kubo. amaseli umsebenzi isikhathi eside virusonosnyh kuholela ukufa kwesibindi izicubu noma nokuzalwa kabusha yabo, waliguqula ku izimila ebulalayo.

Omunye isici hepatitis C yikhono layo akha "quasispecies" - izinhlayiya modified. Ufuzo igciwane, kukhona izindawo lapho ukuguquka kwezakhi zofuzo zenzeka njalo. Ngenxa nzima ukuhlonza, "isifo sokusha kwesibindi kohlobo C". Izimpawu kanye zokwelapha inkinga eyinkimbinkimbi ehambisana, ngoba yangaphambili kungukuthi liphinyiselwe, kanti owesibili ebizwa ngokuthi uchwepheshe luyingxenye ngabanye. Kulokhu, isibindi ahlahlele kancane kancane, futhi amaseli viral siqhubeke ukungena izicubu nezinye izitho, okubangela comorbidities.

Kanjani ukuthi utheleleke nge-hepatitis C?

Kwake kwathi ngo-umzimba zesifazane, igciwane i-hepatitis C esandisa e isibindi ukhiphela ngegazi wonke umzimba. Kodwa njengoba ejenti causative lesi sifo singena emzimbeni? Zonke izindlela ukutheleleka exhunywe ngegazi ngandlela-thile, ngakho kuyingozi zonke izimo lapho igazi lomuntu onegciwane Ungaxhuma eyakho. Inani elikhulu amacala ukutheleleka elihlobene ne imijovo yezidakamizwa enegciwane. Ngokuvamile isipetu enobuthi, okuyinto esetshenziswa abantu abaningana, igciwane komunye umuntu onegciwane kwenye. Ngokwezibalo, 80% of the abayimilutha ogulayo kwesibindi okungamahlalakhona C ukutheleleka okuyinto ngokuvamile kwenzeka ngesikhathi umjovo wokuqala.

Ingozi futhi kwezithombe. Ngokusebenzisa olungavikelekile ngocansi kungenzeka ukuthuthukisa lesi sifo (uma umlingani wakho kuyinto othwala igciwane) kuyinto 5-10%. Nokho, izimpawu hepatitis C e abesifazane awaveli ngokushesha. Ekuzalweni umama onegciwane ukuze amathuba ukudluliswa kwalesi sifo ezingenzeka embungwini ingeqi 5%.

Kuze kube muva nje, ukumpontshelwa igazi bebelokhu esiyingozi ngenxa yokuthi kwakungase itheleleke nge sokusha kwesibindi sohlobo C. Kusukela ngo-1999, donor impahla waqala ukuhlola khona amasosha sifo. Okwamanje, idatha kungenziwa kuphela abangenwe 4% of amacala. Ungakhohlwa ukuthi ingozi kungenzeka baqamekela eziningi ngokuphelele ayinangozi Uma unganakile, isimo. Ngokwesibonelo, uma uvakashela yokugunda, ukwelashwa njalo zamazinyo noma kokungenela kuhlinzwa, kukhona ingozi enkulu yokutheleleka.

Ezimweni lapho inqubo lihlotshaniswa kokunikezwa kwe-ubuqotho isikhumba noma nolwelwesi lwamafinyila, cela indlela idivaysi ziphathwa. kumele kube Wena baqaphe emzimbeni, umzimba, kokwenza manicure (pedicure). Ukutheleleka kungenzeka ngenxa amathuluzi ukusetshenziswa neprodezinfitsirovannyh ukuthi bangadlulisela igazi ezithathelwanayo kusukela kubavakashi odlule.

Ngenxa ezimweni 40 aphume 100 ayikwazi ukusungula imbangela omangalisayo ukutheleleka, kutuswa ukuba sizigweme izimo lapho izinhloso igazi lakho Ungaxhuma izinhlayiya igazi lomuntu onegciwane.

Izimpawu ze-hepatitis C kwabesifazane

Manje tshela kanjani liziphatha lesi sifo. Uma ngasizathu simbe kukhona umbuzo ngalokho izimpawu sokusha kwesibindi kohlobo C, kufanele ngaso sonke isikhathi uxhumane uchwepheshe. Lesi sifo hhayi libhekene izimpawu ezithile. Kusukela ezinye izinhlobo zamakhiwane igciwane ngokuphongoza sokusha kwesibindi sohlobo C.

Izimpawu awavamile ngesonto lokuqala ukugula, kanye yellowness kwesikhumba - into ezingavamile. Ngokuvamile isiguli ihlangabezana ukukhathala, ukhathele ngokushesha ngokomoya bese iba nomuzwa ukukhathala. Lawa izimpawu eziyinhloko sokusha kwesibindi sohlobo C. Abesifazane ku 35-65% of amacala ukucindezeleka. Akuvamile at inkambo okukhulu isifo bangezwa ubuhlungu bamalunga, ukuqunjelwa, ngokuvamile ngaphandle kakhulu okwandisa izinga lokushisa.

izimpawu ezifanayo hepatitis C e abesifazane iphuzu kuyadida ukuthi isifo esiyingozi kangaka. Ngaphezu kwalokho, iziguli kaningi bengaluceli usizo ngesikhathi, okuholela ukuxakeka. Ngaphandle ukunakekelwa okufanele ukusha kwesibindi kohlobo B igciwane kungaholela sibe sesomile noma nomdlavuza wesibindi. Ngokuhamba asymptomatic yesifo umuntu kungaba okungahleliwe ngokuphelele ukufunda ngalesi sifo ngendlela efanele usaqala. Ngokuvamile, lokhu kwenzeka lapho udinga ukuhlolwa igazi, noma wena ukunikela. Lapho usebenzisa inguquko yokwanda ngevolumu esiswini, kukhona emithanjeni spider, jaundice, ubuthakathaka babulawa.

I "Swallows" lokuqala isifo

Izimpawu yokuqala hepatitis C e abesifazane kudidaniswe umkhuhlane. Ukuqala Kwenkathi sifo zivame ukuhambisana adakwe ngesikhathi kuqala 2 amaviki okuphuma nhlobo ukubonakaliswa ebonakalayo. Kuphela ezimweni ezingavamile, kukhona ukulunywa, ubuhlungu emalungwini nemisipha, umchamo onombala, ukungakuthandi ukudla.

izikhalazo njalo, ngubani ziphathwa iziguli:

• ukucobeka, ukunganakwa, noma ukuba buthakathaka ngokomzimba;
• wanciphisa ukuhileleka sengqondo;
• ezingemnandi ukuzwa edonsa ngakwesokudla quadrant engenhla;
• ukungabakhathaleli nhlobo isifiso ukudla noma uketshezi;
• esidlweni ngasinye kubangela kabi.

Ngokuvamile, i-hepatitis C (izimpawu kanye nokwelashwa, njengoba siye kuboniswe kakade, bazimisele kakhulu ngokucophelela futhi ngamunye) idluliselwa ngendlela elula, kodwa oda 10% zingavezwa ukuba fulminant (okusheshayo) izinhlobo isifo kungaba yingozi. Ngo 80-90% of amacala, lesi sifo kuba amahlala khona.

Ukuhlonza isifo kuyadingeka ukuze enze uchungechunge, kuhlanganise ukuhlolwa laboratory saziso zimi kanje:

• ukuhlolwa igazi ngokuqukethwe ALT, AST, bilirubin;
• sokunquma anti-HCV egazini (amasosha omzimba-hepatitis C virus);
• ukuhlolwa igazi for PCR-HCV;
• SPL futhi isibindi biopsy, esebenzisa okuyinto kunqunywa ngobucayi isifo;
• ngoba iziguli sikashukela noma umfutho wegazi ophakeme kubalulekile ahlolisise le fundus, lapho retinopathy itholiwe.

Endabeni ngayinye, lezi izimpawu ziyahlukahluka sitholakele "hepatitis C". Ngakho-ke, udokotela ngezinye izikhathi wenabisa uhlu izindlela zocwaningo noma kuyancipha ke, kuye ngokuthi isimo noma laboratory imishini lesiguli.

ukubonakaliswa Clinical lesi sifo

Uma emzimbeni ngesikhumba noma mucosa, angenziwa nande buthelela ngegazi kuleli izitho zangaphakathi. Umonakalo omkhulu babangela ukuba amaseli isibindi. Nampande kubo, igciwane "indawo 'amaseli enempilo abathintekayo. Ngaphezu kwalokho, amangqamuzana abangela izifo kungazenza ikhodi yabo zofuzo kuyi-DNA yomuntu, siyivumele ukuba bayocasha isikhathi eside futhi akazange awe ngaphansi kwethonya ukulawula mzimba. Lokhu isici kuyinto enkulu imbangela percolation ngesimo njalo lesi sifo. Iphinde kunomthelela ukuthuthukiswa virus ukutheleleka isiguli, nakho kungaholela yokwehluleka kwesibindi acute, isifo sokusha kwesibindi kanye ukubukeka umdlavuza izimila.

Uma sicabangela le nqubo emangqamuzaneni, izimpawu lokuqala hepatitis C avele ngenxa ekubhujisweni samasosha omzimba asebenzayo isibindi. Uma umonakalo amagobolondo kwangaphakathi ubuqotho yibona namachibi izinqubo. Ezicutshini kwakhiwa "umgodi" lapho amaseli zihlobene enzyme ion K futhi uzoqala sodium ne-calcium ion. I ukungalingani kuholela yokuthi ketshezi kungaveli futhi kubangela iseli ukuvuvukala. sobala emtholampilo ukwanda isithombe emzimbeni isakhiwo kuhlehlela ku necrosis isibindi (izindawo amangqamuzana afile) iphazamisekile exchange bilirubin, okuyinto kubonakala ukuthuthukiswa jaundice.

Isigaba ukutheleleka

Ochwepheshe ukukhomba izigaba eziningana isifo: acute, esicashile, ukuvuselelwa kanye inqubo yokutakula. Nokho, ungakwazi ukugqamisa ifomu oyingozi futhi ezingalapheki, okuhlanganisa ezintathu zokugcina izigaba. Ake sihlole kabanzi lesi sifo "isifo sokusha kwesibindi kohlobo" izimpawu kwabesifazane, izithombe isitho ethintekile.

I-acute isigaba

Uma isiguli sekutholakele ukuthi sine- "acute hepatitis C", izimpawu zimi kanje:

• ukubonakaliswa acute ukusha kwesibindi kohlobo syndrome;
• okwandisa transamina inombolo;
• ukubukeka anti-HCV Igm, anti-HCV IgG ukuba amaprotheni-molecule e-ukungabi khona anti-HCV IgG;
• Ukuthola HCV RNA e umthamo wegazi lesiguli.

Isigaba acute sihlala 6 izinyanga.

isigaba esicashile

Lesi sinyathelo kungenzeka ngaphambi kwenzeke exacerbation sokusha kwesibindi sohlobo C. Izimpawu zokuqala ukuvela ngemuva kwezinyanga ezingu-6 noma ngaphambi kwalokho. Kulokhu:

• ukubonakaliswa emitholampilo kungukuthi waphawula;
• kancane anda ezingeni transamina;
• anti-HCV kunqunywa IG e imali kusuka mayelana 1: 160 noma ngaphezulu;
• akunqunywa anti-HCV Igm;
• Kungaba kakade ukutholwa HCV RNA egazini.

Isikhathi salesi isigaba uqobo eminyakeni engaba ngu-10.

ukuvuselelwa

Okwehlisa igciwane umsebenzi kuhambisana izici ezilandelayo:

• inkomba bokungasetshenziswa esigabeni acute;
• izimpawu zokuqala-hepatitis ezingamahlalakhona;
• okwandisa transamina Inkomba;
• ukuthola anti-HCV Igm, anti-HCV IgG, RNA egazini;

Lesi sinyathelo kunqunywa 5-10 iminyaka futhi wabe isibindi sibe sesomile, kungenziwa obonakala njengenhlangano oyinhloko carcinoma hepatocellular.

yokutakula

Uma ichaze sitholakele "hepatitis C", izimpawu, ukwelashwa, imiphumela nazo ahlolwe futhi wachazela nesineke, ungakwazi dlulela esinyathelweni ukululama. Kulesi sigaba it has nenqubo yayo sokunquma isimo umuntu. Lawa:

• ukungabi khona idatha emitholampilo;
• transamina ezingeni elemukelekile;
• ukuthola anti-HCV IgG anti-HCV IgG e titers ongaphakeme futhi zinyamalala kancane kancane;
• ukungabi khona Igm anti-HCV ne-HCV RNA egazini.

ukuphathwa beNdabuko hepatitis C

Lapho sitholakele ukwelashwa "hepatitis C" udokotela, nezifo ezithelelwanayo angase azithole. Ngokuvamile, iziqondiso eyinhloko umsebenzi okhokhelwayo yilezi:

• ukususwa ukuvuvukala emisipheni isibindi;
• nokuvimbela isifo sokusha kwesibindi;
• ekunciphiseni lokuhlushwa amaseli viral nokubhujiswa kwabo okuphelele.

Ukwelashwa isiguli umkhiqizo nemithi - njengoba izidakamizwa ebizayo aseYurophu, futhi yelinyenti ngentengo lozakwabo yasekhaya. Kufanele kuqashelwe ukuthi kanye yokwelapha udinga anamathele ohlotsheni lokudla kanye aluqede ngokuphelele ukusetshenziswa utshwala nogwayi imikhiqizo. Redundant nazo ukuthi ukuzikhandla ngokomzimba okukhulu. Isiguli kufanele kube uphumule.

Imithi yendabuko ekulweni hepatitis C

Abaningi ingozi futhi noma aphendukele ekuthengiseni imithi yendabuko. Ngo-hepatitis C abesifazane belulekwa ukuba bathathe izindlela ezifana:

• njalo ngezikhathi ezithile (njalo ngemva kwamahora 3) ukuphuza 2 wezipuni ukumnika yezinsika corn stigmas, futhi kanye ngosuku - ambalwa wezipuni Frechet horseradish;
• nsuku zonke esiswini esingenalutho ukuphuza ingilazi decoction esikweyoku (unga ngesipuni uju); ezimbili izinkomishi umhluzi izinso noma amahlamvu birch (engeza ingcosana baking soda); kungenziwa alternated nge 2 izinkomishi umhluzi sage, umhlonyane utshani kanye zokhuni amajikijolo;
• kunconywa ukulungiselela decoction of St John sika wort, izimbali Helichrysum kanye lalesi sihlahla amagxolo baphuze izibuko eziningana nsuku zonke;
• kaningi ngendlela ungakwazi uphuze itiye Mint noma decoction.
• Kahle izenzo brine iklabishi zifakwe emanzini anosawoti (kudingeka aphuze sips ambalwa ngosuku), u-garlic kanye kalamula (akukho kuka 6 wezipuni ngosuku.), Potato juice (1.5 v ngosuku.), Carrot, beetroot juice in a isilinganiso 1: 1 (2-3 izibuko usuku), a decoction of wort iSt John sika (kanye ngosuku 2 wezipuni. nezinkezo), dandelion juice (buhlanjululwe ngamanzi 1:10).

Ukuze ahlanze umzimba Abelapha ekuseni ukuncoma zonke izinsuku 3 ukwenza i enema elinomlando omude obuhlungu umhluzi chamomile.

Yiziphi izindlela zokunqanda isifo sokusha kwesibindi kohlobo C?

Kuze kube manje, ososayensi baye ayitholakalanga i Umuthi ophumelelayo wokugoma ngokumelene hepatitis C, ngakho izindlela zokuvimbela ezihlobene kuphela ukunciphisa izingozi ezihambisana Ukungena kungenzeka igciwane ngegazi. Ngamanye amazwi, wehlise zokuxhumana nabantu abasengozini: yezidakamizwa, ongqingili. Isexwayiso kwawo kufanele futhi oxhumana nabo abantu ngubani sezibekwe ukuhlinzwa noma igazi. Ngokukhethekile kufanele kukhokhelwe amathuluzi zenzelwe ukusetshenziswa umphakathi amaningi (zamazinyo, manicure, izesekeli wezinwele sika).

Kuleso simo, uma umndeni wakho has a ogulayo, kumelwe banamathele izinyathelo ezithile. ngabanye izesekeli essentials udinga ukwaba (Cutlery, isixubho, amathuluzi, njll .., lapho igazi ungathola). Uma umonakalo kwesikhumba kufanele aphathwe isilonda. Yiphathe zonke izindawo lapho ngephutha hit igazi iziguli womuntu. Isiguli noma wonke amalungu omkhaya kufanele bahlolwe njalo ukuze uvimbele ukuthuthukiswa isifo. Kumelwe nakanjani prophylaxis ngokugoma ngokumelene ne-hepatitis A no-B, njengoba ukutheleleka ngamagciwane eziningana iphathwa eliyinkimbinkimbi kakhulu.

Uma sikhuluma ezingeni likazwelonke, ukunciphisa nokulawula isifo sokusha kwesibindi kohlobo kunomthelela:

• ekwenteni ncono emazinga namasiko sabantu eziphilayo;
• Elingafaki uhlelo ukunganaki e kwezempilo, ukwethulwa kwe-simiso umthwalo wabo wemfanelo isinyathelo yezokwelapha eyiphutha;
• ukuqaliswa komshwalense wezempilo.