Intsholongwane ye-Hepatitis C ibangelwa kukuvutha kwesibindi, kodwa ngamanye amaxesha intsholongwane ingabangela iingxaki zempilo ezichaphazela ezinye iinxalenye zomzimba. Xa oko kwenzeka, kwaziwa njengesifo se-extrahepatic. Izibonakaliso ze-extrahepatic zokusuleleka kwe- hepatitis C zingabangela isifo se-arthritis (ukutshatyalaliswa ngokubambisana), ubuhlungu besisu kunye nobuthathaka, kunye neengxube (isitya segazi).
Yintoni iArthralgia neArthritis?
I-Arthralgia iyintlungu edibeneyo, yinto apho amathambo ahlangana khona. I-arthritis ukuvuvukala kwesibambiso esiza kuthiwa ngamanye amaxesha kubandakanya ukuvuvukala, ubomvu, nentlungu. Kuqhelekileyo kwizigulane ezine-HCV ukuba zenze iimeko ezinxulumene ne-rheumatic ezifana neentlungu kumalungu, izihlunu kunye nezicubu ezixhumeneyo. Enyanisweni, ngokuqhelekileyo intlungu edibeneyo kunye nezihlunu kunye nokukhathala ziphakathi kweempawu zokuqala zesifo.
Ngaba Ndiya kuba nobuhlungu obudibeneyo?
Intlungu edibeneyo iyimpawu eziqhelekileyo ze-hepatitis (xa izibonakaliso zikhona) kunye ne-hepatitis engapheliyo. Kwakhona yinto echaphazelekayo yecala ye-hepatitis medication ezifana ne- peginterferon kunye ne- ribavirin . Ezinye iingcamango zibonisa ukuba phantse umntu wesithathu wabantu abane-hepatitis C baya kuba ne- arthritis .
Iimbangela zePlayment Join kwizigulane ngeHCV
Iingxaki zeRheumatic zeHCV zenzeka ngenxa yesistim somzimba sokulwa negciwane.
Kwizigulane ezine-HCV, ngenxa yokuba intsholongwane iqhubeka ngokuphindaphinda, i-immune system iqhubeka ilwa nentsholongwane, leyo ibangela ukuvuvukala kwenkqubo kunye neengxaki ezidibeneyo kunye nezihlunu ze-HCV.
Enyanisweni, izifo ezithintekayo zihlala zibangelwa iintlungu ezidibeneyo-nokuba ezo zingakhange zijolise ngqo kumalungu namathambo (njenge-hepatitis ejolise kwiiseli zesibindi).
Xa abantu bekhalaza ngentlungu edibeneyo ngaphandle kwesizathu esicacileyo, oogqirha maxa wambi bajonga izifo ezingabonakaliyo, phakathi kwamanye amathuba.
Yintoni Ndingayenza Ukuze Ndiyicime Ubunzima?
Ukulawula intlungu edibeneyo ye-HCV ingaba ikrele elihlangene kabini. Ezinye zezi ziyobisi zingenazo iziphumo ezinobungozi kwisibindi okanye zingangonakalisa intsholongwane yentsholongwane. Iingxaki ezidibeneyo ze-HCV ezinokudibana nazo zingabangela ukukhathazeka okukhulu kwaye kunzima ukwenza imisebenzi yemihla ngemihla. Ukuncedisa ukulawula imeko, kubalulekile ukubona i-rheumatologist kwaye uqinisekise ukuba kukho ukukhulumisana okuhle phakathi kogqirha olawula isifo sakho sesibindi kunye noogqirha abaphethe iimpawu zakho ze-extrahepatic.
Ngamanye amazwi, izigulane kufuneka zithotyelwe kwiqela lezintlu ezihlukeneyo zoogqirha abangazisebenzisana kunye nokufumana unyango olungcono kwiingozi eziphantsi. I-anti-tumor necrosis yeziyobisi, okanye iziyobisi ezichasene ne-TNF, zisetyenziswe ngempumelelo ekuncedeni izigulane ezine-rheumatoid arthritis, kwaye ziye zafunyanwa zi luncedo kwizigulane ezine-HCV, kubonakala zingabangeli nengozi eyongezelelweyo kwisibindi okanye ukwanda kwintsholongwane umthwalo. Esinye isilwanyana esisetyenziselwa unyango lwe-rheumatoid arthritis, rituximab, iphinda ihlolwe kwizigulane ezineHCV.
Amakhambi asekhaya angakunceda intlungu engeyiyo isifo se-arthritis, kubandakanywa ukusebenzisa i-pad yokufudumala okanye ukuthunga kwindawo yokuhlambela.
Ukunyusela okunyamekileyo kunye nokuzilolonga kunokukunceda.
Imithombo:
Xoxani. I-Paint Pain Patient Fact Sheet. Elsevier, Inc. 2009.
I-Sanzone AM, I-REgue RE. I-Hepatitis C kunye neArthritis: Isibuyekezo. Iiklinikhi zeeNtsholongwane eziseMntla eMerika, 20 (2006) 877-889.