Kanjani futhi yini aphathe hepatitis C? Indlela esiphatha ngayo hepatitis C ekhaya?

Usuku lokuzalwa olusemthethweni-hepatitis C virus angabhekwa ngo-1989. kungekho izinhlelo ezithile zokuxilonga ukuhlonza kwakungasebenzeki athuthukile kuze kube yileso sikhathi. Uma emzimbeni womuntu, i-hepatitis C virus, ngamazwi alula singathi, kuphakamisa ukuvuvukala esibindini. ukutheleleka Emhlabeni wonke manje inkinga engathí sina kakhulu. Ukuze uqonde nalokho izindlela futhi imaphi amalungiselelo aphathe sokusha kwesibindi kohlobo C, kubalulekile ukuba bajwayelane inkinga kabanzi.

Ubani Ubani

I-ejenti causative kwesibindi izinhlobo A no B ikhonjwe ku-70-yalolucwaningo kwekhulu lama-20. Nokho, kwakukhona iziphakamiso emva ososayensi ukuthi zikhona ezinye izinhlobo zesifo ( "futhi A noma B"). Iphuzu konke ukungabaza eyayibekwe ngo-1989, lapho ngokuhamba eziningi ukuhlolwa igazi lomuntu wembula elinye ejenti ethize viral, esanikwa isikhulu igama "-hepatitis C virus". Ngokushesha kwaba khona imibuzo eminingi ehlukene ngalokho kuyingozi sokusha kwesibindi kohlobo C, indlela yokuphatha, yini izidakamizwa ukusebenzisa.

Njengoba ingxenye enkulu yomsebenzi ososayensi nochwepheshe wezokwelapha ababambisene nomunye umbono wokuthi lolu hlobo sifo iyona eyingozi kunazo zonke ezaziwayo. Kuyinto leli fomu colloquially ngokuthi "umbulali ithenda", njengoba ukutheleleka kungenzeka ukuzibonakalisa iminyaka, uma singakubeka kanjalo, iziphatha "abamnene njengewundlu," kodwa ngokujulile kuthinta amaseli isibindi nokuvuselela eziyingozi. Umuntu okukhulunywa ngaye lapha isikhathi akuyona into akanandaba kuka aphathe sokusha kwesibindi kohlobo C, kodwa akazange usola ukuthi unesifo okunjalo okuyingozi.

imizila ukuchayeka ezingenzeka

Mshini ukutheleleka kwesifo sokusha kwesibindi sohlobo C igciwane - hematogenous parenteral (.. Okungukuthi ukutheleleka kwenzeka ngegazi). Kungenzeka kwezinye izimo. Okokuqala, ukumpontshelwa abamukeli yokumpompela igazi. Ngokwezibalo, kuze 2% abanikele emhlabeni abathwali igciwane. Ngenxa yalesi sizathu, ngaphambi kokumpompela igazi ke lwavivinywa khona pathogen kuwo (kungcono ezishibhile bese ukwelapha umuntu). Futhi, nokho, ama-4% wabo bonke amacala ukutheleleka kwenzeka enqubeni yokumpontshelwa igazi.

Okwesibili, ukusetshenziswa izinqubo zokwelapha kanye imijovo elilodwa inaliti ngabantu ezahlukene. Eziningi zalezi izifo phakathi yezidakamizwa futhi abantu abathola imithi ngemithambo yegazi. Imiphi imithi ukwelapha isifo sokusha kwesibindi kohlobo C, kuyothiwa kuchaziwe ngezansi.

Okwesithathu, ematfuba ukutheleleka ukwenyuka bantu abangabahlali esemsebenzini ukuxhumana ngemikhiqizo yegazi (sikhuluma abasebenzi bezokwelapha).

Ngaphezu kwalokho, kungenzeka ukuba "" ukutheleleka ngokuhlangana ngokocansi. Cishe nazo lezi zifo emkhayeni ne ubudlelwane nomlingani owaziwayo azinakwa. Nokho, lapho izikhathi oxhumana ngokungakhethi abaningi kwandisa ingozi yokutheleleka nge-virus ye-hepatitis C, t. Ukuze. Izikhulumi bomdabu amayelana 3% kongqingili, mayelana 6% abesifazane zobuhle lula, futhi 4% njalo "amakhasimende" Venereal udokotela isifo.

Kumama kuye enganeni gciwane lingena ezingavamile kakhulu. Ukutheleleka nge ubisi lwebele ingekho phakathi lactation, ngakho lactating abesifazane abanesifiso sokwazi kuka uswidi hepatitis C futhi kungaba yingozi ngomntwana ngokuvamile akudingekile.

Ngaphezu kwalokho, kungenzeka itheleleke ngesikhathi lokusebenza Tattoos emzimbeni noma ukubhoboza umzimba, ukutshopa, indlebe Ukubhoboza izinaliti engazinzile. Futhi u-40% eziguli Angazi noma ungakhumbuli ukuthi noma ngubani abe umthombo.

symptomatology

Ngaphambi kokucabangela umbuzo yini aphathe sokusha kwesibindi kohlobo C, kubalulekile ukuqonda lapho umuntu kufanele uqale sokukhathazeka, ulalele isimo sakhe ngokushesha ngangokunokwenzeka futhi bafune iseluleko wezokwelapha.

Isici esiyinhloko-hepatitis C virus - kuyinto simo esishubile yayo, ikhono kanye propensity ukuthi liguquke. Lesi sifo kungavuka amafomu amabili. Uma igciwane ziphindaphindwe ngokushesha, kuba imperceptible ukuba isibindi cell umonakalo wesintu, izinga le nqubo ebhubhisayo idlula siqu amakhono isibindi ukuvuselelwa. Kulokhu, inqubo esikhundleni hepatocytes (amaseli isibindi) isibanda (zezinzwa) izicubu. Esimweni esinjalo kuthinta isitho umsebenzi. Uma inqubo ukufanisana uyephuza, Lentulo isibindi ukubuyisela onakele.

Izimpawu eziyisixwayiso akuzona njalo samanje. Phakathi nenkathi bayashintshana ekufukameleni (cishe 50 izinsuku), umuntu angase evamile ukuzizwa futhi ufunde mayelana ukutheleleka ngengozi. Nokho, kukhona non-ethize izimpawu ka-hepatitis B, khona lapho kufanele afune usizo lodokotela. Lezi zihlanganisa ubuthakathaka, ukukhathala, asthenia (komzimba okungamahlalakhona).

izigaba inhlolovo

Njengoba umthetho, ngokuba iningi leziguli ukuphendula omuhle igciwane hepatitis C iba ukumangala ephelele. Nokho, ukukhathazeka futhi bayazibuza umbuzo sacramental, nokuthi ukuphathwa isifo sokusha kwesibindi kohlobo C avamileko, ingasi zinkulu. Isinyathelo esilandelayo kungaba ukudlula ukusihlola. Okokuqala, kubalulekile ukuba kabusha ukwenza ukuhlolwa igazi ukuqinisekisa ukuba khona igciwane, i-ejenti causative. Uma impendulo siyisikhuthazo, udokotela imithi eziningi izinqubo ezengeziwe.

Isibindi ultrasound (ultrasound) kuzokwenza udokotela kahle ukuhlola isakhiwo ijwabu isibindi isimo kwezitho engumakhelwane. Le nqubo kungenziwa kaningi ngaphandle umonakalo empilweni.

Fibroskanirovanie isibindi noma elastometry izobheka inkambo izinqubo okungalapheki isibindi kanye nasekuphumeleleni therapy (uma isivele kuyaqhubeka).

Ucwaningo ebaluleke kakhulu ukuthi uzokunika udokotela wakho njengoba ulwazi okuningi ngesimo kwesibindi - biopsy. Bathathwa ukuhlaziya, ihlolwe ngokuhlanganiswa esifundweni ngaphansi ngesibonakhulu amaseli isibindi ngeke uvumele odokotela ukuba bafinyelele iziphetho mayelana yini noma cha inqubo ungongapheliyo kakade, uma athuthukile ngesikhathi esifundweni kodwa inkinga ngokoma kwesibindi. Kwaba ngemva kwalokhu ukuhlaziywa, udokotela ngeke ukunquma ukuthi iyiphi indlela ukuba aphathe lesi nesineke ethile, imaphi amalungiselelo (aphathe hepatitis C nokusetshenziswa izinhlelo ezithile ezikhethekile kwemithi).

ngokuthatha inqubo biopsy ngokuvamile ulula futhi akusho abalona ingozi. Isiguli ungephansi kwemandla emhlane wakhe, okwenza izinzwa wendawo phezulu kwesokunxele ingxenye besisu, inaliti ekhethekile ibhoboze isikhumba futhi uthathe obuncane izicubu isibindi ucwaningo.

izinhlobo zemithi Standard

Ukuze anqume abakwisigaba ukwelashwa bese usetha imithi, imithamo yabo kanye nokuvama abaphathi, kuyoba kubalulekile ulwazi udokotela mayelana genotype ka-hepatitis C virus okwamanje yabo labelwe 6, futhi emhlabeni wonke ukuze abonise izinombolo zabo kusuka 1 ukuya ku-6 ukuvula, ngamunye genotype kukhona subtypes / subtypes, okuyinto ebekwe izincwadi futhi axhunyiwe enamadijithi genotype (1a, 3b nokunye. d.).

I genotypes lokuqala neyesine ilungiswe iziguli kuyinto evamile, kodwa ngesikhathi esifanayo zingabantu esitebeleni kunazo (lokungenani ihhafu yeli kuqhathaniswa nabanye) yokwelapha namagciwane, kungakhathaliseki ukuthi aphathe hepatitis C genotype 3, kanye bonke abanye, amenable ekwelashweni by izindlela eziningana evunywe umphakathi wezwe lonke.

Isifunda ukonga kakhulu ukuthola noma iyiphi interferon umjovo (CHA suppositories, amaphilisi, amathonsi nokunye okunjalo. D.) Encwadini ivolumu 3 IU (amayunithi million). PERIODICITY - hhayi ngaphansi kuka ngosuku olulodwa. Ngaphezu kwalokho eyabelwe ukwamukela noma ribavirin nsuku zonke. Umthamo incike isisindo lesiguli. Lapho isisindo umzimba 65 kg kufanele kuthathwe okungenani 800 mg ngelanga, isisindo xaxa - 1200 mg.

Isikimu elilungile kakhulu kuhilela ukwethulwa interferon e umthamo 6 IU nsuku zonke uma nje ALT evamile. Ezalandela amasonto 12 kuya ku-6 IU, kodwa njalo ngemva kosuku. Eceleni 3 IU kuze kube sekupheleni ukwelashwa. Ribavirin - kuyo ukuphathwa umthamo njengoba kuchaziwe ngenhla.

Kulabo abangakwazi ukukhokhela lwetimali, ngokuvamile akukho nokuncane ukungabaza mayelana ephumelela kunazo kuka ukwelapha sokusha kwesibindi sohlobo C. unamasu namagciwane yokwelapha kuleli cala - kuyinto ribavirin futhi "Peginterferon" 1 isikhathi ngesonto.

Njengoba isikhathi yokwelapha, igama elithi ejwayelekile - amasonto 24 at umthamo ribavirin 800 mg kungakhathaliseki isisindo. Uma genotyping wembula ukuthi genotype 1, isikhathi impatho isiguli kabili amasonto angu-48, futhi ribavirin uqokwa (futhi wamukela) ngokugcwele.

izindaba angaphandle

I ukuphathwa isifo sokusha kwesibindi kohlobo C eYurophu? Ngomqondo onabile, ukwelashwa interferon lubalulekile emhlabeni wonke. Nokho, lapho i-EU evunyiwe umuthi inhlanganisela entsha ekwelapheni uhlobo C. Le mithi abizwa ngokuthi "Vekiraks" futhi "Eksvera". Bobabili ukukhululwa ifomu imithi - amaphilisi (.. ie, akukho isidingo imijovo okuphindiwe interferon). Isakhiwo "Vekaraksa" kuhlanganisa ombitasvir, paritaprevir futhi ritonavir. The main ingxenye esebenzayo "Eksvera" - dasabuvir.

Ukwelashwa nokuvikelwa ezingamahlalakhona isifo sokusha kwesibindi kohlobo C genotype 1 evunyiwe usebenzisa inhlanganisela elisha lemithi uma lihambisana ribavirin noma ngaphandle kwalo. Le mithi futhi ngempumelelo iziguli isifo sokusha ihlawulelwa, iziguli replacement therapy kanye nalabo kwadingeka ukufakelwa isibindi. izifundo zokwelapha, okuyinto Sasiba ngabantu abangaba ngu ezingaphezu kuka 2,300, wabonisa ukuthi 95% kweziguli hepatitis C genotype 1 usulaphekile. Ngaphezu kwalokho, uhlelo esisha tolerability ezinhle (98% eziguli aqede izifundo egcwele ukwelashwa).

Alternative izindlela ukuze kwelashwe isifo sokusha kwesibindi kohlobo C: Phytotherapy

Ngaphansi izindlela yokwelapha isifo sokusha kwesibindi kohlobo C libhekisela kukho ezihlukahlukene self-ukwelashwa nge ezihlukahlukene izimpande, izithelo kanye namakhambi, zazo kwenzeka ngokuchichimayo. Nokho, ngaphambi kokucela ukuba umbuzo sendlela yokuphatha abanye sokusha kwesibindi kohlobo C, zokupheka zabantu, usadinga kudokotela-phytotherapeutist, kusukela eziningi izitshalo nezithelo zawo, amacembe nezimpande anobuthi.

Ngempumelelo kusho iziguli uthole izimpande of marsh calamus, okuyiqembu ukumnika ibhalwe. 1 isipuni impande ochotshoziwe athulule 1 inkomishi amanzi abilayo futhi bavunyelwe ukuba ume imizuzu 20. Thatha le ukumnika kane ngosuku for isigamu sehora ngaphambi kokudla isigamu inkomishi.

Impendulo yombuzo sendlela yokuphatha abanye hepatitis C ekhaya, iziguli eziningi ukuthola ithuluzi enjalo, njengoba mummy. 4 amagremu we ketshezi buhlanjululwe ku ubisi olufudumele, enezele futhi juice kwamagilebhisi noju. Lokhu Ukwakheka esithathwayo kabili ngosuku ngaphambi kokudla. Ukulandela Kunconywa ukudla okuluhlaza amaqanda ekhaya.

Kukhona inala ezihlukahlukene zokupheka kanye nezincomo azosiza uma ungenawo ukubhekana sokusha kwesibindi kohlobo C, okungenani-ke uzizwe ungcono.

Ayo kanye ne-hepatitis C

Enye impendulo ehlukile yombuzo indlela yokuphatha hepatitis C ekhaya, ukusetshenziswa juice.

nomphumela omuhle ukunika iklabishi juice (ingilazi 2-3 izikhathi ngosuku) noma inhlanganisela iklabishi beetroot juice (zinyanga - akukho kuka ingxenye yesine ka ingilazi). Okubalulekile: emva ecindezela ijusi kumele ake ume amahora okungenani 4-5.

Ngaphezu kwalokho, bathi ukuthi imiphumela emihle ingatholakala ngokuthatha ingxenye nsuku zonke ingilazi fresh ithanga juice. Thuthukisa isimo somuntu, futhi lapho ethola infusions amantongomane, amajikijolo, Jujube noshukela. Ngo amanzi (250 ml) abilayo elachithwa 50 g isithako ngamunye futhi abilisiwe imizuzu 30, ke selehlile. Kunconywa ukuthatha ngaphambi sokulala izinsuku ezingu-30.

Ngisho kuka uswidi hepatitis C? Yebo, i-dandelion elula. Othile upheka ujamu zezimbali, kuyilapho abanye bakholelwa ukuthi kuzosiza ukumnika we izimpande (nengulube okuluhlaza uthele amanzi abilayo futhi sokunika imizuzu engu-40). Thatha le imithi ngaphambi kokudla 1 isipuni.

Ukudla yokuphila kweziguli hepatitis C

Umuthi herbal, izithelo, ayo, futhi ukumnika izitshalo - konke kuka impendulo oluphelele yombuzo sendlela yokuphatha abanye hepatitis C ekhaya? It kuvela ukuthi kubalulekile ukuhambisana ukudla ukudla okuthile. Kuyadingeka ukuba andise isabelo imikhiqizo yobisi, okusanhlamvu kanye okusanhlamvu ekudleni jikelele. Ingabe kufanele kuncishiswe esiphansi ukusetshenziswa ezahlukene ayi, ushokoledi, isagcine kanye ukhukhamba, utshwala ukudla okuthosiwe. Ngaphezu kwalokho, kubalulekile ukuba udla ngaphambi kokulala aphuze ubuncane amalitha amathathu amanzi emini.

Nge zonke lezi izincomo futhi ngivumelana ochwepheshe bezokwelapha. A indima ekhethekile Ukuwohloka impilo odokotela kukhishelwa imikhuba. Kwakuphakathi kwezinqumo abalandeli utshwala avame buyaqina lapho inkinga ka isibindi sibe sesomile. Noma yini ungakwazi yokuyithenga isiguli - ingilazi yewayini noma ubhiya.

Uma isifo sokusha sesivele ukuqinisekisile, udokotela kungenzeka ukuthi bancome ongaphakeme yokudla usawoti, ukunciphisa nokugcinwa uketshezi emzimbeni.

Ngokuqondene yokuphila, khona-ke ngaphansi evamile contact yasendlini Amathuba ukudluliswa-hepatitis C virus cishe zero. Into eyinhloko ukuba banake ukusikeka, ukusha kanye nezinye umonakalo isikhumba, njengoba ukutheleleka kwenzeka kuphela ngegazi. A encane kakhulu ukhona phakathi ocansini. Ukuze ugweme izimo ukucindezeleka okungadingekile kanye nakho ezimweni ezinjalo, odokotela batusa i-condom.

Efingqa

Kusukela "umbulali ithenda" sonke sibhekana. Zonke sigula, esiphatha ngayo amazinyo, ukwenza ukuzimonyonga ukulungisa izinzipho zezandla nezezinyawo, vakashela izindawo zomphakathi nemivimbo kanye nezimboni. Kuzo zonke lezi zimo engase utheleleke nge-hepatitis C futhi awuboni ke (futhi uzibe eside ngokwanele). Uma lesi sifo - a fait accompli, akudingekile ukuba bafune ulwazi ngokwabo ngalokho futhi indlela yokuphatha sokusha kwesibindi sohlobo C. Isimiso izidakamizwa kanye nodokotela abakhethiwe ngamunye isiguli ngasinye kusekelwe imiphumela luhlolo emtholampilo. Yini ebaluleke ngempela - ukufuna usizo olufanelekile ngokushesha ngangokunokwenzeka. Phela, awukwazi unike acute ukuvuvukala siguqulwe ezingamahlalakhona.

Njengoba for ekwelapheni isifo sokusha kwesibindi kohlobo C ekhaya, ungakwazi Yiqiniso, ukwenza ngcono isimo sempilo ngamakhambi, infusions kusukela amacembe nezimpande izitshalo, izithelo kanye neziphuzo zezithelo. Nokho, akwaziwa icala elilodwa ukululama ephelele lapho ephathwa ngale ndlela. Yebo, futhi mhlawumbe been ososayensi kwaba emhlabeni wonke ukuba achithe iminyaka yezimpilo zabo, futhi izinkampane - izinkulungwane zezigidi zamaRandi ekucwaningeni nasekuthuthukeni kwemithi emisha, uma kuphela bekuyicala ukuthi elula - baphuza ngenyanga brandy (noma ngonyaka - igama elithi ayibalulekile) - futhi besusa-hepatitis C virus ?