Funda into onokuyenza ukuze uzikhusele
Abantu abanesifo se-celiac kunye nabaye batyathwa nge-hepatitis B, intsholongwane yentsholongwane ehlaselwa isibindi, abanakho ukukhuselwa kakuhle kwimeko njengoko bacinga. Kungenxa yokuba amajoni abo omzimba awaphendulanga ngokufanelekileyo kwisitofu.
Ngamanye amazwi, ukuba unesifo se-celiac kwaye ugonywe ukulwa nesifo se- hepatitis B , isitofu sokugonya singenakusebenza.
Ungakhathazeki, nangona kunjalo: Ukuphindaphinda ngokuqhelekileyo kukukhuthaza ukuphendula ngokusesikweni komzimba kwaye ukhuphe ukhusele kwi-hepatitis B. Nantsi iinkcukacha.
Izifo zeCeliac kunye ne-Hepatitis B
Xa ufumana uchungechunge lokugonya lwe-hepatitis B, umzimba wakho wokhuseleko lomzimba kufuneka uphendule ngokuvelisa iintsholongwane kwi-virus ye-hepatitis B. Ezinye zezi-antibodies zimele zihlale zihlala zize zikhusele ukukhuselwa.
Nangona kunjalo, kubantu abanesifo esiqhwabalalayo, ukufumana isitofu sokugonywa akuyonto ihlale ikhusela isimiso somzimba sokuzivikela ukuba senze ngokwaneleyo kwezi zixhobo zokukhusela. Ucwaningo lwaseTurkey, umzekelo, lufumene ukugonya kwe-hepatitis B olwenziwe ngamanqanaba okukhusela umntu okhuselekileyo kuma-68% kuphela abantu abanezifo eziqhenqileyo, xa kuthelekiswa ne-100% yabangenayo imeko. E-US, abaphandi bafumanise ukuba abantu abayisithupha kuphela kwabangama-19 abanesifo esiqhekezayo besifo se-hepatitis B babenelungelo lokuphendula ngokusindiswa kwe-immune system.
Oku kungabonakali ukuba kwenzeke nezinye izitofu - nje nge-vaccine ye-hepatitis B. Ngokomzekelo, abaphandi bafunda iimpendulo zamagciwane ezingabantwana be-tetanus, i-rubella, kunye ne-Haemophilus influenza vaccine kunye nokugonya kwe-hepatitis B. Bafumana kuphela iingxaki nge-hepatitis B.
Kubonakala kubambelela ekudleni okungenayo i-gluten kunokwenza umehluko: ubuncinci olunye luye lwabonisa ukuba ukutya okungafaniyo kwe-gluten kunokuphucula ukuphumelela kokugonya kwe-hepatitis B kubantu abanezifo ezinqabileyo.
Abaphandi baseHungary bafumene ukuba ukugonya kwe-hepatitis B kwavelisa amanqanaba okhuselo olusakhulayo kuma-95% wabantwana abancinci kunye nabaselula ababenamaqhekeza, kodwa ngama-51% kuphela abo babengenalo i-gluten.
Yintoni Okufanele Uyenze Ngayo I-Hepatitis B?
I-Hepatitis B ayilona into oyibamba ekuthintana naye. Endaweni yoko, isasazeka ngokuthintana namanzi omzimba - njengegazi okanye isisu - kumntu osulelekileyo.
Unomngcipheko ophezulu kwimeko ukuba usebenzisa izidakamizwa ezinobungozi kunye nokwabelana ngezilonda, ukuba unesondo esingakhuselekanga nomntu osulelekileyo, okanye ukuba ungumntu ononophelo lwempilo. Ukuba uhamba rhoqo kwimimandla yehlabathi apho i-hepatitis B eqhelekileyo (kuquka i-Afrika kunye neengxenye ze-Asia), nawe kufuneka uthathe amanyathelo okukhusela kwimeko.
Ishedyuli yangoku yokugonya ifuna ukuba zonke iintsana zifumane izilingo ezintathu zokugonya kwe-hepatitis B ngelixesha elineminyaka eli-15 ubudala. Abantu abadala kufuneka bathathe amanani amathathu ezongezelelweyo ukuba basengozini yokuba ne-hepatitis B.
- Funda okunye: Ingaba Iimpawu Ezibangelwa Izifo ZamaCeliac?
UDkt. Kim Kim-Schluger, onguchwepheshe we-fover transplantation kwiNtaba yaseSinayi yeMpilo eNew York, uthi kukho amanqanaba amanyathelo angaphezulu abo abanesifo esiqhekezayo kufuneka bathathe ukuqinisekisa ukuba bavikelekile kwi-hepatitis B.
Okokuqala, buza ugqirha wakho ukuba ahlole amanqanaba akho omntu wokulwa nesifo sofuba. Ukuba ezi zinto ziqhelekileyo kumntu ophethe iichungechunge olupheleleyo lokugonya, uzimisele - akudingeki wenze nantoni na enye.
Ukuba, ngakolunye uhlangothi, ukuhlolwa kwegazi kubonisa ukuba awunayo i-antibodies ye-hepatitis B, kufuneka uxoxe nodokotela wakho malunga nokuphinda uphonywe. Kungenzeka ukuba enye i-booster eyongezelelweyo iyadla, kodwa ugqirha wakho mhlawumbi uya kukuphakamisa ukujonga ii-antibodies zakho emva kweenyanga ezimbalwa emva kokuba udutshulwa, ukuze uqinisekise ukuba akudingeki ukuba uthathe uluhlu olongezelelweyo lwe-hepatitis B.
(Ehleliwe nguJane Anderson)
Imithombo:
Udliwano-ndlebe noLeon Kim Schluger, MD, iNtaba yeNtaba yeSinayi, iNew York, NY
Ahishali E et al. Ukuphendula kwi-Hepatitis B yokugonya kwizigulane ezinezifo zeCeliac. Izifo kunye neSayensi ze-Digestive 2007 Dec 20. [Epub phambi kokuprinta]
Amacandelo okuLawula nokuKhuselwa kwezifo. Iphepha lokukhusela i-Hepatitis B. Ufikelele kuMeyi 23, 2016.
Noh KW et al. Isifo sokugonywa kwe-Hepatitis B ngaphandle kwesifo kunye nesifo se-celiac. I-American Journal ye-Gastroenterology 2003; 98: 2289-92.
Park SD et al. Ukungaphumeleli ukuphendula ukugonya kwe-hepatitis B kubantwana abanesifo se-celiac. Umbhalo we-Gastroenterology kunye nesondlo ka-2007; 44: 431-5.
Vitaliti G et al. Ukugonywa kwe-Hepatitis B kwisifo esiqinileyo: izolo, namhlanje nangomso. I-World Journal yeGastroenterology . 2013 Feb 14; 19 (6): 838-45.