Funda ngeZimpawu, unyango kunye nokukhusela i-Hepatitis D
Intsholongwane ye-Hepatitis D, ebangelwa yi-virus ye-hepatitis D (i-HDV), isifo esibangela isibindi. Kufana nezinye i- virus ye-hepatotropic (A, B, C no-E) kuba ibangela ukuvuvukala kwesibindi kwaye ivelise iimpawu ezifanayo, kodwa i-HDV ayiqhelekanga. Ingakwazi kuphela ukusulela umntu one-hepatitis B. I-HDV ayikwazi ukuziphindaphinda ngokwayo, ukuze ujikeleze le ngxaki, i-HDV incike kwi-virus ye-hepatitis B (HBV) yokuphindaphinda (inkqubo yokwenza iikopi ngokwayo).
Yintoni i-Hepatitis D Infection Like?
I-Hepatitis D ibangela iintlobo ezimbini zentsholongwane: i-coinfection okanye i-superinfection. Ukufakelwa kwe-coinfection yilapho umntu ekhulelwe yi-HBV kunye ne-HDV ngexesha elinye. Ukungafihli komzimba xa umntu esele ene-hepatitis B aze ahlaselwe yi-HDV.
I-Coinfection isoloko ilukhuni, kwaye izakuzilungisa ngokwazo. I-Superinfection inokuthi ibe yinto enzulu. Ngama-superinfections, i- cirrhosis elula evela kwi-hepatitis B ingaba yingozi kunye ne-cirrhosis eqhubekayo (ukusila kwesibindi). Ezinye iziganeko ziya kukhokelela ekuzalweni kwe-hepatitis.
Ngaba Ndinayo I-Hepatitis D?
Indlela yodwa yokuxelela ukuba unesifo se-hepatitis D sinokuhlolwa kwegazi. Ngokuqhelekileyo, oogqirha bakhangele i-hepatitis D kubantu abanesifo esiphezulu okanye esiphuthumayo sokunyuka kwe-hepatitis B. Kule meko, oogqirha baya kuhlola igazi lakho ngeempawu ezahlukahlukeneyo ze-HDV.
Ngokusekelwe kwipatheni yesifo sakho kunye neziphumo zeemvavanyo zegazi kwi-HBV kunye ne-HDV, oogqirha banokuqikelela ukuba isifo sakho sisisigxina, sisigqirha okanye singagqithisi.
Ziziphi iimpawu?
Ngokuqhelekileyo, ukukhangela i-hepatitis D kwenzeka kuphela xa i-hepatitis yakho ikhulu okanye ihamba ngakumbi.
Naziphi na izimpawu zifana nezinye izifo zephilisi ye-virus ye-hepatitis, mhlawumbi ibe nzima kakhulu. Kungakhathaliseki, nge-hepatitis D, i-course ye-HIV isetyholwe yi-HBV. I-Hepatitis D ayikwazi ukuhlala ixesha elide kunokusuleleka kwe-hepatitis B.
I-Hepatitis D isasazeka njani?
I-hepatitis D isasazeka ngokufana ne-hepatitis B, ehamba ngokuxhamene ngqo kunye negalelo legazi. Akunqabile kwi-United States nakwamanye amazwe athuthukileyo. Kule mimandla, i-hepatitis D ifumaneka kakhulu kwi-IV abasebenzisi beziyobisi. Kukho umbutho kunye nococeko olungcolileyo. Amazwe anamazinga aphezulu okusuleleka kwe-hepatitis D phakathi kwabathwali be-HBV abandakanya abo bajikeleze uLwandle lweMeditera, iMiddle East kunye ne-Sub-Saharan Africa.
I-Hepatitis D ithathwa njani?
Unyango olungapheliyo lwe-hepatitis D ngokuqhelekileyo lubandakanya unyango lwe-interferon . Imishanguzo ye-anti-virus eyenziwa ekunakekeleni i-hepatitis B ayinakuphumelela kwisifo se-hepatitis D. Ukuba isifo esingapheliyo siphumelele ekubanjeni kwesibindi ukufakelwa kwesibindi kunokufuneka. Iziphumo zokufakelwa kwesifo se-hepatitis D zisoloko zibhetele kune-hepatitis B.
Nangona unyango lunokuba luyimfuneko, ngokuqhelekileyo lubiza kakhulu kwaye luya kuba nemiphumo emibi.
Ngenxa yoko, kukulungele ukuzama ukukhusela intsholongwane kwindawo yokuqala.
Ndingayilondoloza Njani I-Hepatitis D?
Akukho sitofu se-hepatitis D, kodwa unokuthintela usulelo lwe-HDV ngokugonywa nge-hepatitis B. Ngenxa yokuba i-HDV idinga i-HBV ukwenza iikopi ngokwayo, ngokuphepha isifo se-hepatitis B, uya kuphepha u-hepatitis D.
Kulabo abaneengxaki zokusuleleka kwe-hepatitis B ezingapheliyo (okanye abo abane-HBsAg egazini labo), akukho gonyo, kodwa ukuphepha ukuthintana ngqo kunye negazi elisulelekileyo kuya kuthintela ukungena kwi-hepatitis D. Oku kubandakanywa ukwabelana ngeenaliti ezingcolileyo, ukulala ngesondo esingakhuselekanga kunye nokwabelana ngesondo izinto ezinokuba negazi elinentsholongwane kubo njengama-razors kunye neentlobo zezinyo.
Iingxelo:
Amacandelo okuLawula nokuKhuselwa kwezifo. NgoJulayi 10, 2008. I-Viral Hepatitis.
Dienstag, JL. I-Hepatitis enobuGciwane. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), i-Principals of Medicine Internal, 17e. ENew York, kuMcGraw-Hill, ngo-2008.
I-Perrillo, R ne-Nair, S. Hepatitis B kunye no-D. Ku: M Feldman, uLS Friedman, uLJ Brandt (eds), izifo zesisu kunye nezifo zesifo, 8e . Philadelphia, Elsevier, 2006. 1647-1672.