I-Hepatitis C ingaba esinye sezizathu zeRheumatic Diseases
Intsholongwane ye-Hepatitis C okanye i-HCV ngokuqhelekileyo yimbangela ebangela ukutshabalaliswa kwesibindi okubangelwa ukuhluleka kwesibindi, kwaye umntu unokuphelisa ukufakelwa kwesibindi njengendlela yokonyango. Sekunjalo, i-HCV ayivelisi ukuvuvukala kwesibindi nje. Kudibaniswa ne-hematologic, i-renal, i-dermatologic, i-rheumatic, kunye neengxaki zokuzimela. Ezinye zeempawu zokuqala ze-HCV izifo zibonakalisa iimpawu ze-arthritis ezifana nokuvuvukala kwamalungu, intlungu kwiimisipha kunye nobuthathaka bonke.
Ezi zibonakaliso zingabonakala kwangaphambi kokuba umntu azi nokuba unayo i-HCV. Kwakhona, ukuvuvukala kwamalungu kunye nemithambo yegazi (i-vasculitis) ingenzeka njengophawu lwe-HCV.
Iinkcukacha ngokukhawuleza ngeHCV kunye neRheumatic Diseases
- Iingxaki ezibonakalisa iintlungu zesifo samathambo kunye neentlungu zomzimba ziqhelekileyo kwisigulane esinentsholongwane yeHCV.
- Uninzi lwasulelo lwegciwane le-hepatitis alinalo iimpawu ezibonakalayo kwiinqanaba zokuqala.
- Le mihla umngcipheko wokufumana i-HCV ngokufakela igazi iphantsi kakhulu, kodwa ngaphambi ko-1990, le ndlela yayiyindlela ekhethekileyo yokusuleleka.
- Ngokuqhelekileyo i-HCV idluliselwa ukusuka komnye umntu ukuya komnye ngamanzi omzimba afana nesidoda, iimfihlo zesisu kunye negazi.
- Ukuba usebenzisa iziyobisi ezinokutsha okanye uzibandakanye kwisenzo sokuziphatha ngokwesondo esichengeni kakhulu (njengamaqabane amaninzi, ukulala ngokwesini, njalo njalo) ukwandisa amathuba okusuleleka. Yingakho abantu abane-HCV bafanele bafumane i-HIV. Abantu ababelana ngesisombululo sokurhoxisa i-cocaine nabo banokufakwa kwiqela elijongene nobungozi.
- Ukuba ufumanisa ukuba unesifo se-rheumatic ezifana ne-arthritis, kufuneka uthabathe uvavanyo lweHCV.
Kutheni iHCV ibangela iRheumatic Diseases?
Ngokuqhelekileyo, konke oku kwenzeka emzimbeni ngexesha losulelo lweHCV. Konke kuzo, yindlela indlela umzimba uphatha ngayo intsholongwane. Iintlungu ezidibeneyo kunye neentlungu zibangelwa kukuba i-immune system ivuselelwe ngokuqhubekayo ukulwa nentsholongwane.
Yingakho umzimba uqala ukubonakalisa iimpawu zesifo se-rheumatic ezingaba zivela kwi-cryoglobulinemia ukuya kwisiphumo esibi njengokwehluleka kwezintso. I-Cryoglobulins iiprotheni ezingabonakaliyo ngaphakathi kwegazi ezomelezwayo xa zibonakaliswe kumaqondo abandayo. Yile ndlela i-cryoglobulinemia eyenzeka ngayo.
Izifo ze-rheumatic ezihambelana ne-HCV zinokuchaphazela abantu abaye bafunyanwa yi-HCV engakhathaliseki ubudala okanye isini. Iyakwazi ukudluliselwa ukusuka kumama ukuya kwiintsana ngexesha lokuzalwa (kwiimeko ezingaqhelekanga).
Indlela yokuphila neHCV Rheumatic Diseases
Ezi ngxaki zinokucaphukisa ngokwenene kwaye zenza ukuba ubomi bakho bunzima kakhulu xa ungathathi inyathelo. Imisebenzi yakho yemihla ngemihla inokuthi ifumaneke kakubi. Kufuneka uhambe uye ubone i-rheumatologist enhle oza kukucebisa ngendlela kunye nokwenza ntoni kwimeko yakho ekhethekileyo. Sekunjalo, kufuneka ugcine uxhulumano oluqinileyo phakathi koogqirha ababini abaphathayo: ophethe isibindi sakho kunye nophatha amanxeba akho kunye neentlungu zomzimba. Unyango luyinkimbinkimbi kakhulu kwiimeko zombini kwaye awukwazi ukuba yiyiphi imithi inokusebenzisana nomnye. Ngokomzekelo, i-HCV iphathwa nge-interferons okanye iziyobisi ezinjenge-anti-virus ezifana ne-ribavirin. Ezi ziphumo zempembelelo ezinjengeentlungu zomzimba.
Kumele uthathe isinyathelo ngokukhawuleza xa uvavanywe kakuhle njengoko iingxaki zesibindi zingakhuthaza ngokukhawuleza ezibangelwa ukuhluleka okanye nokuba nomhlaza. Ukuba uziva uncedo, kukho amaqela enkxaso anokukunceda ekufundeni iindlela zokuphila ngesifo se-rheumatic. La maqela anokukunceda ukujamelana nale meko entsha.
Izinto Okumele Uzikhumbule Nge-Hepatitis Ne-Rheumatic Diseases
Ukusuleleka kwe-HCV akuthethi ukuba uthe une-hepatitis. Unokuba ngumqhubi kwaye usenokuba neengxaki zomxube kunye nezihlangeneyo. Ukuba ufumana ezi ngxaki kwaye uya kuvavanywa kungekudala. I-HCV ayifuni njengento echazwe ngokupheleleyo.
Ngaphandle kwezifo zesifo se-rheumatic, i-HCV ayibonisi nayiphi na impawu. Ukuba awuyihoyi i-arthritis, usenokungayinaki intsholongwane yeHCV .
Kukho unyango lwesifo se-rheumatic, kodwa kumanyathelo okuqala. Kwixesha elizayo, kunokubakho ukhetho oluninzi olunokubaluleka kwabo bahluphekayo ixesha elide. Kukho iindlela zokonyango ezikhoyo kwiingxaki ezifana neengxaki ze-rheumatic. Amayeza amasha ayenayo aphucule izimo zesigulane ngokuphucula unyango.
Iingxelo:
I-Buskila D. I-Hepatitis C echaphazelekayo neengxaki ze-rheumatic. I-Rheum Dis Clin North Am. 2009 Feb; 35 (1): 111-23.
Izumi Y, Komori A, Yasunaga Y, Hashimoto S, Miyashita T, Abiru S, Yatsuhashi H, Ishibashi H, Migita K. I-arthritis ye-rheumatoid elandela unyango nge-IFN-alpha / i-ribavirin ngokutheleleka kwe-HCV. Intern Med. 2011; 50 (9): 1065-8.