Iimpendulo Zemibuzo Xa Umthandayo Uthi "Ndiyicine C"
Abo basondelene nathi badla ngokusebenzisana nangaphezulu. Ku-3.2 izigidi zabantu baseMerika kunye nabantu abayizigidi ezili-150 emhlabeni jikelele, oku kunokuthetha ukujongana nokuxilongwa kwe-hepatitis C. Abaninzi bethu bayazi umntu osondeleyo nge-hepatitis C kodwa abazi nge-diagnostic. Kwiimeko ezininzi, abantu abazi ukuba baxilongwe.
Njengoko sivavanya abantu abaninzi ukuba bafumane abo bangabonakaliyo, abaninzi bethu baya kubabathanda abantu abasanda kufumanisa ukuba bane-hepatitis C.
Bangabelana ngale ndaba kunye nawe, kwaye uyaqiniseka ukuba unokubuza imibuzo. Nazi ezinye ezimbalwa ezifunwa rhoqo.
1. Uphi uHep C kunye na Ngaba Uthandiweyo wam Uya kuba ngcono?
I-Hepatitis C yintsholongwane ebangela ukulimala kwesibindi. Ngencazelo, i-hepatitis ibangela ukuvuvukala kwe-hepatic, oku kuthetha ukuba inokutshabalalisa nokulimaza isibindi. Imiphumo iyahluka. Esi sifo sinokuba ngumnene kwaye singabonakali. Iyakwazi nokuba yingozi kwaye isongela ubomi.
I-Hepatitis C ibizwa ngokuba "nzima" xa ibangela ukugula kungekudala emva kokusuleleka. I-hepatitis C eqhelekileyo inokuhlala iiveki ezimbalwa kwiinyanga ezimbalwa kwiinyanga ezi-6 zokuqala emva kokusuleleka. Ngokuqhelekileyo iqalisa iiveki ezi-10 ukuya kwezi-14 emva kokusasazeka kokuqala kunye nosulelo. Uninzi lwabantu aluzi ukuba banentsholongwane okanye bayagula, ekuqaleni, kwaye abanakho okanye abazi naziphi na izimpawu.
Uninzi lwabantu abane-Acute Hepatitis C luya kuba nexesha elide lokugula, kubandakanywa nabangagula.
Abanye abantu bacima intsholongwane ngokupheleleyo. Kuzo zonke i-10 abantu abanesifo esiphelelekileyo, 1 okanye 2 iya kucima intsholongwane. Abo banako ukucima intsholongwane bancinci (abangaphantsi kwe-40), besetyhini, abanentsholongwane kaGawulayo, kwaye mhlawumbi banesistim esihle sokusebenza ngokuzikhusela komzimba. Labo abagulayo kwisigaba esichukumisayo kwaye bahlakulele i-jaundice (amehlo aphuzi, ulusu oluphuzi, okanye ophuzi ngaphantsi kolwimi) banokuthi basuse intsholongwane.
Ukugula kuyingxenye yempendulo yomzimba yokulwa nesifo sengculaza.
2. Ngaba ndinokufumana i-Hep C Too?
Awudingi ukukhathazeka ngokufumana intsholongwane kumntu othandekayo. Kukho kuphela inani elincinci leendlela u-hepatitis C onokusasazeka ngayo. Ukukhutshwa ngokukhuselekileyo kweenaliti kubalulekile. Ukuba uthandwayo uthatha i-insulin yesifo sikashukela okanye enye imithi ejoyiweyo, kubalulekile ukulahla naluphi na inaliti ngokuphepha. Uninzi lweziganeko zivela:
- Ukukwabelana ngamasilane okanye iisringana (unyango lwezokwelapha, ukujoba iziyobisi , okanye iittoti ezingavunyelwe okanye ubugcisa bomzimba)
- I-needlestick (njengeziko lokunakekelwa kwezempilo, ukusuka kwonyango lwezempilo ekhaya, okanye kwiinaliti ezisetyenziselwa ukujoba iziyobisi)
- Ukuzalwa (ukuba unina une-hepatitis C)
Iziganeko ezingaqhelekanga zivela kwi:
- Umsebenzi wesondo , ngokukodwa ngokusuleleka ngoGawulayo
- Ukusebenzisa izinto zomntu zomntu ezinegazi, njengama-razors okanye ama-brush teeth
- Ukumpontshelwa igazi okanye isilwanyana okanye ukutshintshwa kwezicuba ukuba ukuvavanya kungonelanelekanga okanye ukuhluleka ukufumanisa intsholongwane. Lo mngcipheko ophantsi kakhulu njengoko amaziko okunakekelwa kwezempilo kufuneka alandele iinkqubo zokukhusela kunye nokuhlolwa kwegazi / izitho.
Ukuba iqabane lakho linomdlavuza we-hepatitis C, unokukhathazeka ngomngcipheko wokudluliselwa ngesondo. Ngethamsanqa, i-hepatitis C ayifumaneki ngesondo . Ukuba wena okanye iqabane lakho unesi-hepatitis C kufuneka uthethe nodokotela wakho ngomngcipheko.
Ukuba unamaqabane amaninzi, kufuneka uxhomekeke kwisondo ekhuselekileyo ukukhusela kwi-HIV kunye nezinye ii-STD. Ngethamsanqa, amaninzi amaqabane angama-longogam ahlala kunye nalabo abane-hepatitis C abaze batheleleke. Apho omnye okanye amaqabane amaninzi anesifo sengculaza, kukho umngcipheko omkhulu wokuthumela i-hepatitis C kunye neikhondom zisadingeka nokuba ngaba babini abalingani abane-HIV.
3. Ziziphi iindlela zokwelapha ezifumanekayo?
Kwixesha elidlulileyo, unyango lwaluhlala lude kwaye lubuhlungu ngaphandle kokuphumelela. Unyango olusetyenziselwa ukufuna ijojo kwaye kaninzi lenza izigulana zizila, zixinezele okanye zithukuthele njengempembelelo yecala lenye yeyeza.
Unyango ngoku uye wafika ende. Kukho iipilisi ezinokuthi zithathwe nje ngeeveki ezili-12 ezingenza i-hepatitis C ihambe kwaye ingabuyi kwakhona.
Ithuba lokuphathwa ngokuphumelelayo lusetyenziswa ngokuxhomekeke kakhulu kwiyiphi intsholongwane (genotype) ye-hepatitis C yakho ethandekayo. Ngoku kukho iindlela zokonyango kwiintlobo ezi-6 esizibonayo.
Ezi rejimenti zinokuba zifutshane nje ngeeveki ezili-12, kuxhomekeke kwindlela ophilileyo ngayo kwaye unjani uhlobo lwe-hepatitis C onayo. Ezi rejimi ziquka kuphela iipilisi zomlomo kuphela kwaye akudingeki ukuba zibandakanye iziyobisi ezingakhokelela ekutshintsheni kwemizwelo.
Emva koko, ezininzi izigulane zicima intsholongwane. Bathiwa babe ne-SVR (Impendulo ye-Virologic). Oku kuthetha iiveki ezi-12 ukuya kuma-24 emva kokunyanga, abo baphathwa bengenayo intsholongwane kwigazi labo. Ukuphindaphinda kuyinto engavumelekanga (ngaphantsi kwe-1 kuya kuma-2 ekhulwini), nangona abanye abantu baphinde baphinde bagulelwe.
4. Ngaba ikhona ithuba lokuba umthandwa wam uya kudlula?
Hayizo zonke iintlobo zonyango ezonyango. Ukongezelela, njengoko i-hepatitis C iqhubela phambili, umonakalo obangelwayo unganakunqandwa kwisibindi, njenge- cirrhosis . Ingakhokelela kwakhona kumhlaza kwisibindi. Ukulimala kwesibindi kunokunxupha ngakumbi isifo sesifo, okukhokelela kwiingxaki zengxaki eziqhubekayo (njengokuba zidinga i-dialysis) kwezinye. Ngokubanzi, kukulungele ukuthetha kunye neengcali zezokwelapha malunga nokugxekwa, kuba oko kuyahlukahluka kwimeko.
5. Ngaba Umthandwa Wanga Unako Ukuphila Ngezempilo?
Ewe. Kubalulekile ukuba bafumane inkathalo abayidingayo ukuqinisekisa ukuba intsholongwane ayiqhubeki. Bamele bajonge ugqirha okanye omnye ugqirha wezokwelapha nangona baziva beziva kakuhle. Basenokukwazi ukuqala imishanguzo kwaye akufuneki bakhathazeke ngokugula.
6. Ngaba i-Hepatitis B kunye neC zihlobene?
I-Hepatitis C kunye ne-hepatitis B zihluke ngokupheleleyo kwiintsholongwane. Azinxulumani. Zibangele ukubangelwa kwesibindi kunye nomonakalo, kodwa iintsholongwane zihluke kakhulu (kwaye zisasazeka ngokuhlukeneyo, njengoko isifo se-hepatitis B sinako ukusabalalisa ngesondo).
Kubalulekile nangona kunjalo ukuba ugonywe nge-hepatitis B. Oku kubaluleke ngakumbi ukuba umhlobo wakho sele sele ene-hepatitis C njengoko engafuni ukubeka umngcipheko ukuba unomnye umonakalo kwisibindi sakho.
7. Ngaba i-Hepatitis B kunye neC zihlobene?
I-Hepatitis A nayo ibangela ukutshabalala kwesibindi kunye nomonakalo kodwa intsholongwane ihluke kakhulu kwi-hepatitis C. Itsasaza i-fecal-oral, ngokuqhelekileyo ngokutya, amanzi, kwaye ukuba izandla azihlambulukanga, ngokukodwa ngabaphathi bokutya.
Wena kunye nomthandayo kufuneka uphelelwe igciwane le-hepatitis A. Kungcono ukuba ugweme nayiphi na enye umonakalo kwisibindi sakho.
8. Uthando lwam luye lwafumana njani i-Cp C?
Abantu abaninzi emhlabeni jikelele bafumana i-hepatitis C ukusuka kwiinaliti ezisetyenziswayo. Oku kubangelwa ukuba baya esibhedlele esasebenzisa iisringana. Kungenzeka kuba emashumi eminyaka edlulileyo bajobile i-heroin.
Ngexesha elidlulileyo, igazi alizange lihlolwe i-hepatitis C. Intsholongwane ayifumananga kwaze kwaba ngo-1989. (Kwakubizwa ngokuba yi-Non-A, i-hepatitis engeyiyo-B). E-US, igazi lihlolwe i-hepatitis C ukususela ngo-1992, kodwa nawuphi na ukumpontshelwa ngaphambi kokuba kube ngumngcipheko we-hepatitis C.
Amanye amaziko ezempilo kumazwe aphesheya awanakuhluthwa ngokufanelekileyo kwiinaliti kunye neesirring emva kokusetyenziswa ngalunye. Ngamanye amaxesha izixhobo zonyango ziphinda zisetyenziswe ngaphandle kokucocwa kakuhle kwaye zifakwe inzalo. Ngenxa yoko, kwamanye amazwe, izinga le-hepatitis C liphezulu kwaye intsholongwane ifunyanwa ngokubanzi.
Ezinye zezinga eliphezulu kakhulu ze-hepatitis C ziye zabonakala eMbindi-mpuma, ikakhulukazi eYiputa (malunga neepesenti ezingama-15 zisuleleke). IiRhafu ziye zaphakama ePakistan. Ukongezelela, amanye amazwe nakweminye imimandla atholakala enamazinga aphakamileyo, afana ne-Italy ne-Indonesia.
Abantu bafuna ukuba bazi ukuba njani okanye kutheni umntu egula. Into eyenjalo, kaninzi ayinandaba nangakumbi njengoko sicinga. Ngamanye amaxesha sigxininisa ngakumbi ngendlela umntu ayenayo intsholongwane kunomntu ongaphambi kwethu nento abayidingayo ngoku.
9. Ndingamnceda Njani Umthandwa Wam?
I-Stigma kunye nokukhanyela esi sifo kaninzi kuvumela abantu ukuba bangaxubushe ngokuxilongwa kwabo. Kubalulekile ukuba umthandi wakho uzive ekhululekile ukuthetha nawe ngesi sifo. Ukuba kungenxa yokukhutshwa kakubi kweziyobisi, kunokubaluleka ukulungisa. Ukuba kubangelwa iklinikhi yokusebenzisa izilingo, kubalulekile ukwazi. Kodwa ke, sebenze kunye ukuphucula umgangatho wobomi ngokusemandleni akho.
> Imithombo:
> Umbutho WezeMpilo Wehlabathi. I-hepatitis C.