Usulelo olubulalayo lweHepatic
I-Hepatitis B (i- Hep B okanye i-HBV ) kukuvuvukala kwesibindi esingakhokelela ekubhubeni kwesibindi, ukuhluleka kwesibindi, i-tumor ebulalayo ngaphakathi kwesibindi nokufa. Ukusuleleka kwe-Hepatitis B kubangelwa yi-HBV (intsholongwane ye-hepatitis B) emzimbeni kwaye kuqikelelwa ukuba abantu abangaphezu kwezigidi ezingama-300 basuleleke emhlabeni wonke.
I-CDC ibonisa ukuba inani labantu abathatywayo ngentsholongwane ye- hepatitis B ngonyaka liye lancipha kakhulu ukuya kuma-43,000 ngokomyinge ngo-2007 ukusuka kuma-200,000 kuma-1980.
Isantya sentsholongwane sitholakale siphezulu kwibala le-20 ukuya ku-49 ubudala ubudala. Usulelo luyakwazi ukudluliselwa ngamanzi omzimba afana nemfihlo yecala, isilwanyana, izilonda ezivulekileyo okanye igazi.
Esi Sifo singabangela njani ukulimala kwesibindi?
I-Hep B ikhiqiza kwiiseli zesibindi, kodwa intsholongwane yedwa ayinayo ingxaki - isistim somzimba. Impendulo ebangela intsholongwane ibangela ukuvuvukala kunye nokulimala kakhulu kwisibindi njengoko isistim somzimba sisebenzela ukukhupha intsholongwane. Kwiimeko ezininzi, kukho umonakalo omncinci kwaye umzimba womntu unako ukulwa nokusuleleka kwiinyanga ezimbalwa. Emva kokuba usulelekile nge-HBV, umzimba wakho uvelisa iintsholongwane eziza kugcina ubomi bakho ukuze ungaphinde utheleleke kwakhona.
Nangona ukulwa okulungileyo kuphakanyiswe ngamalungu ethu, kukho imeko apho umzimba ungakwazi ukukhupha isifo, kwaye nangona ungabonakali naziphi na izimpawu, intsholongwane ikhona.
Kule meko, uhlala ungumphathiswa kwaye igazi lakho kunye namanzi asemzimbeni angakwazi ukuchaphazela abanye abantu abadibana nawe ngokusebenzisa isondo esingakhuselekanga, izilonda ezivulekileyo, okanye nayiphi enye indlela. Okwangoku, kukho i-1.25 yezigidi zithuthi kwi-US
Ukuba ungumthwali, isifo sakho sinokulandela iindlela ezimbini eziphambili: mhlawumbi zihamba emva kwexesha (iyeza lingazange libonwe ukuba kutheni) okanye liguqulela kwisifo esingasisigxina.
Ukuba i-hepatitis iyaba yinto engapheliyo, ngoko imeko ibubi kakhulu kwesibindi, njengoko ingakhokelela kwisifo se-cirrhosis nesifo sesibindi, zombini izimo ezibulalayo.
Kuye kwaphawula ukuba malunga ne-5% ukuya kwi-10% yabantu abanesifo abasenokuba ngabantu abadala okanye abantwana abangaphantsi kweminyaka emi-5 bangaba ne-HIV. Enye into edidekayo kukuba le mivuzo iphakamileyo kakhulu (i-25% ukuya ku-50%) kwabantwana abangaphantsi kweminyaka emi-5 kunye neentsana ezithatha isifo njengoko zizalwe (90%).
I-Hepatitis B Infection Ibonisa njani?
Kuphela ama-30% ukuya kuma-50% abantu abanentsholongwane ye-HBV ibonisa iimpawu ukususela ekuqaleni. Iimpawu zokuqala zingadideka kunye nalawo okhuhlane: umkhuhlane kunye neentlungu ezihlangeneyo. Iimpawu ezibhekiselele kwi-Hepatitis B zilandelayo:
- Uluhlaza oluphuzi kunye nokuphuka kwendawo emhlophe yamehlo
- Umbala oMnxeba oMnxeba okanye we-Orange
- Ukukhathala okungachazwanga okuhlala ixesha elide
- Ukuphelelwa kwesidlo, isisongela, ukuhlanza
- Intlungu zesisu
- Fever
Sekunjalo, kubantu abaninzi, akukho nenye yale mpawu ibonisa kwaye isifo sifumaneka kuphela ngokuhlolwa kwegazi. Isigaba sokuqala sentsholongwane ye-HBV ibizwa ngokuba yi-hepatitis esichukumisayo kwaye kanqabile, ingaba yingozi kwisibindi. Kwakukho imeko ye-hepatitis enkulu xa isibindi sonakaliswe kabi kangangokuba isigulane sasiya kwi-coma ngenxa yokuhluleka kwesibindi.
Le meko ibizwa ngokuba yi-" hepatitis fulminant " kunye nezigulane ezifunekayo ukuba zihlolwe ukufakelwa kwesibindi.
Yintoni ecacisa iNqanaba leNyango yokuBala?
Isiqunto esiphezulu sesimo sesibindi sisistim somzimba sethu. Abantu abahlakulela iimpendulo ezikhuselekileyo zokuzivikela ngomzimba banokuthi banqande intsholongwane kwaye babuyiselwe kodwa banokuthi banokulimala kakhulu kwesibindi kunye neempawu ezinamandla. Impendulo eyimfutho ekhuselekileyo yomzimba ingakhusela isibindi ngethuba kwaye ivelise iimpawu ezimbalwa, kodwa kunomngcipheko ophezulu wokuhlakulela i-hepatitis engapheliyo. Ngenxa yoko, yidla impilo kwaye uphile ngendlela ecocekileyo yokugcina izifo ezinjalo.
Iingxelo:
Chen Y, Wei H, Sun R, Dong Z, Zhang J, Tian Z. Ukwandisa ukulimala kwesibindi kwintsholongwane ye-hepatitis B i-virus ye-transgenic iquka ukusebenzisana kwe-NKG2D-ligand kunye neeseli zokubulala zendalo. Hepatology. 2007 Sep; 46 (3): 706-15.
Liang TJ. Hepatology. 2009 ngoMeyi; 49 (5 i-Suppl): S13-21. Hepatology. 2009 ngoMeyi; 49 (5 i-Suppl): S13-21.