Iinkonzo kunye neengxaki zemithi yeHBV
Izinyango zokwelapha ze- hepatitis B ezingapheliyo azizange zilunge njengoko zikhoyo namhlanje. Okwangoku, kukho ubuncinane izidakamizwa ezi-6 ezikhoyo, xa kuthelekiswa neminyaka eyi-10 edlulileyo xa kwakungekho nanye, oko kuthetha ukuba ugqirha wakho unokhetho ekufumaneni iziyobisi (okanye ukuhlanganiswa kweziyobisi) okusebenza kakuhle kuwe.
Nangona kukho iindlela ezininzi zokwenza unyango lwe-Hepatitis B , akukho sisifo esiluncedo kuloo sifo.
Injongo yonyango lonyango kukukhusela intsholongwane kwaye kugcinwe iimpawu ngexesha likhusela isibindi kwisiphumo esiyingozi. Kwakhona kubalulekile ukugcina engqondweni ukuba akukho zonke izigulane ze-hepatitis B ezifuna unyango. Kwaye nokuba uqala unyango lweziyobisi okanye awukho, kufuneka ube phantsi kwengqalelo yonyango onguchwepheshe wezilwanyana zesifo okanye owaziyo kwaye unamava ekupheni i-hepatitis B.
Okuhle nokubi
Uninzi lwamachiza lunenzuzo kunye nemiphumo emibi ekufuneka ilinganiswe ngayo, kwaye ukusebenza kunye nodokotela wakho kunokukunceda ukhethe isiza esinezibonelelo ezilindeleke ukuba zibe ngaphezu kweengozi. Ukukunceda uqonde le myeza ingcono kangcono, nantsi ezinye zezikhundla zabo kunye nobuthathaka.
| Amachiza | Iinkonzo | Umxhasi |
I-Interferon (i-interferon alpha-2b okanye i-interferon ye-pegylated) | - Ngokuqhelekileyo ukhetho olulungileyo kubantu abancinci abangenaso isifo esiqinileyo sesibindi (isifo esifanelekileyo sesibindi)
- Ukukhetha okulungileyo kwi-genotype Ukusuleleka
- Ixesha lokunyanga lifutshane (iiveki ezingama-24 ukuya kuma-48) xa kuthelekiswa nezinye i-hepatitis B zokwelapha.
| - Iziphumo ezibi kakhulu kwabanye abantu
- Ayifumaneki kubantu abanesibindi esingabhubhiyo (isifo sesibindi esixhaswe phantsi)
- Uninzi olubizayo (oluqhelekileyo okanye le-pegylated) lithelekiswa namanye amachiza
- I-intergyon ye-Pegylated ayivunyelwanga kubantwana
|
| - Ixabiso elibi kakhulu xa kuthelekiswa nezinye iziyobisi ze-hepatitis B
- Esinye sezidakamizwa ze-hepatitis B ezindala, ngoko kuyaziwa kakhulu ngokukhuseleko
- Kungaba luncedo ekuphatheni intsholongwane kaGawulayo kunye ne-tenofovir
- Uvunyelwe kubo bobabini nabantu abadala
| - Ngokuqhelekileyo ilahlekelwa ngempumelelo yayo kwi-virus ye-hepatitis B ngenxa yokunganyangeki kweziyobisi
- Ngenxa yokuchasana, kunokusebenza okungaphantsi kunezinto ezininzi ezitsha zonyango ze-hepatitis B
- Kudinga unyango lwexesha elide
|
Adefovir dipivoxil | - Ingasetyenziselwa kwizigulane ezinegciwane lesifo se-hepatitis B esine-lamivudine
| - Ingaba yinto enobuthi kwiimpso zakho kwiqondo eliphezulu
- Kudinga unyango lwexesha elide
|
| - Unomlinganiselo ophantsi kakhulu wokuchasana.
- Kungenokuba luncedo kwizigulane ezinesifo esingabhubhiyo (isifo sesibindi esixhaswe phantsi)
| - Isilwanyana esitsha, ngoko kuncinci uphando olutholakalayo malunga nokukhuseleko lwayo - ingakumbi kwiimeko ezithile
- Eyaziwayo ukudala umhlaza kumagundane xa unikezwa ngamanani aphezulu, kodwa akukho datha yenkxaso yoluntu eyongeziweyo ingozi kwizigulane
- Kudinga unyango lwexesha elide
|
Telbivudine | - Mhlawumbi ube sisisigxina esinamandla kunomdla we-antivirine kunye ne-adefovir
| - Kungenzeka ukuba i-lamivudine ukuba inganyangeki kwintsholongwane ye-hepatitis B
- Kudinga unyango lwexesha elide
- Akuvunyelwanga kubantwana
|
| - Ukugqwesa ekuphatheni iintsholongwane ezingapheliyo kunye neziyobisi ezingenakuxhatshazwa kwintsholongwane ye-hepatitis B
- Kungenzeka kube yindlela yokukhetha unyango xa adefovir ingasebenzi kakuhle
- Uphatha i-HIV kunye ne-virus ye-hepatitis B
| - Isilwanyana esitsha sokunyanga i-hepatitis B, ngoko kufuneka kuphinde kuzaliswe iziphumo ezininzi
- Akuvunyelwanga kubantwana
- Kudinga unyango lwexesha elide
- Ukubeka esweni rhoqo umsebenzi wezintso kuyimfuneko
|
Umthombo:
Isemgangathweno. Basow, DS (Ed), UpToDate, Waltham, MA, 2010.