Unokufuna ukuba iimpso zakho zihlolwe ukuba ufumene ukuba u-Hep C
Naphezu kwegama layo, isifo se-hepatitis C ("i-hepatitis" esibonisa ukuvuvukala kwesibindi), isifo esinjenge - multiorgan ezichaphazela izigqeba ezingaphezu kwesibindi. Intsholongwane engapheliyo ye-hepatitis C inokukwazi ukuphazamisa iinkqubo zegqeba ezibanzi, kubandakanywa nezintso, ulusu, inkqubo ye-hematological, kwaye ibenokubangela izifo ezizimele kunye nesifo sikashukela. Xa kuziwa ezintsheni, i-hepatitis C ihlala ithintela "inqakrazo" yeentso, (ebizwa ngokuthi "glomerulus") ngeendlela ezahlukeneyo, ukudala iinkqubo ezahlukeneyo zezifo.
Oku kuqonda ukuba i-hepatitis C ingaba nefuthe elikhulu kwi-kidney function kwaye ibangela ukuba isifo sesifo sibe ngumyalezo obalulekileyo wokuthatha ekhaya, zombini ugqirha olawula inkqubo yesifo se-hepatitis C, kunye nezigulane. Isitshela ukuba izigulane ezine-hepatitis C zifanele zihlolwe iingxaki ezinokuthi zibonise izifo zengqondo. Ngakolunye uhlangothi, izigulana ezinikezela kwi-nephrologist ezineempawu okanye iimpawu ezithile zingadinga ukuba zisebenze ngenxa ye-hepatitis C.
I-Hepatitis C kunye nokulimala kweeNtso
Esinye isizathu esichaza isizathu sokuba isifo se-hepatitis C sichaphazela iinjongo ngumbutho phakathi kwintsholongwane ye-hepatitis C kunye nokuthambekela kwawo ukukhuthaza ukuvuvukala emitanjeni yegazi (into ebizwa ngokuthi "vasculitis"). Olu kuvutha luya kuhlala luquka iinjongo kwaye lunako ukusetha ukuphendula okuvuthayo kwisilathisi seentso.
Ngamanye amazwi, kwiimeko ezininzi, akusiyo isifo esichengileyo se-hepatitis C esibuhlungu intsebenzo yesifo , kodwa ngokwenene impendulo yomzimba kwi-hepatitis C eyenza umonakalo.
Umsebenzi weezintso unokuthi ube "ngumonakalo wokubambisana" welifa elidityanisiweyo phakathi kwentsholongwane ye-hepatitis C kunye nesistim somzimba wethu, kunye nezigulane ezixinzekileyo ziye zahamba nezifo zesifo.
Yintoni i-Hepatitis C Yenza kwiiNtshontsho?
Emva kokuba iinkqubo ezingentla zifakwe, izintso ziqala ukulimaza.
Isiza esona siqhelo esona siqhelo sisilulisi seentso, esibizwa ngokuba yi-glomerulus (iinjongo nganye zinesigidi sezi ngunithi ezincinci). Isizathu sokuba oku kwenzeke kukuba le fayili ibaluleke kakhulu ibhola elincinci lemitshini yegazi. Njengoko kuchazwe ngentla, intsholongwane ye-hepatitis C inomdla wokubangela i-vasculitis, ukulimala komzimba kwimithambo yegazi. Ngenxa yoko, ukuhlanganiswa kwemithambo yegazi ngaphakathi kwe-glomerulus kulungele ukubetha okukhulu.
Oogqirha bahlula ngokuhlula isifo sesifo sengqondo se-hepatitis C kwezi zilandelayo:
- I-cryoglobulinemia edibeneyo - lo luhlobo oluthile lokuvuvukala kwemithambo yegazi / i-vasculitis. Imikhumbi yegazi ingatshatyalaliswa kwiindawo ezahlukeneyo, kungekhona nje ezintsheni. Ngenxa yoko, isigulane esichaphazelekayo sinokuba neempawu ezivela kwisifo seengtso, ukuya kwiintlungu ezihlanganyelweyo, ukukhawuleza. Ukuba iintsholongwane zichaphazelekayo, isigulane sinokuphawula igazi kwi-urine, kwaye ugqirha unokukwazi ukuthatha iprotheni (into ekufuneka ingaba khona) kwimifanekiso yomchamo ukuba i-glomerulus ibonakaliswe kakhulu.
- I-Polyarteritis nodosa - ngelixa ihlotshaniswa ne-hepatitis B , i-polyarteritis nodosa ixhaswa yi-hepatitis B. Olu luhlobo oluthile lokuvuvukala okukhulu kweentso 'iimithambo zegazi.
- I-nephropathy ye-membranous - i-hepatitis C yokubangela ukuba le nhlangano ingaqinisekanga ngokupheleleyo. Siyazi ukuba i-virus yesifo se-hepatitis B nayo inokubangela ukuba utshintsho olusezintsheni '.
Unokuthi Unomntu Oluphilileyo C Uyazi ukuba Unayo Izifo Zengqondo?
Akunakho! Ngaphandle kweempawu ze-hepatitis C, iimpawu ezithile zeentso zingase zibe okanye zingabi khona kwaye akuqhelekanga ukuba nesifo esicacileyo, engaziwayo isigulane. Njengoko kuchazwe ngasentla, izigulane zikwazi ukubona igazi kumchamo, kodwa oko akunakwenzeka njalo. Ngokufanayo, iiprotheyini kumchamo kungenzeka zingabonakali (okanye zibonakalise nje "ziphunga emlanjeni"), okanye zibangelwa ezinye izifo onokuthi ube nazo (njengegazi legazi okanye isifo sikashukela).
Akufuneki ukuthetha, akukho nanye kwezi ziphumo ezaneleyo ukuqinisekisa okanye ukuphikisa umonakalo we-kidney-hepatitis C. Nangona kunjalo, ugqirha omuhle uya kuyala iimvavanyo zeentso 'umsebenzi (njenge-serum creatinine, i-GFR, njl njl) kwisigulane nge-hepatitis C, ngelixa i-nephrologist elawula isigulane naliphi na into echazwe ngasentla kufuneka iqalise ukujonga i-hepatitis C njengento sizathu. Ngokukodwa, kukho ezinye iimvavanyo ezimbalwa ezinokuba luncedo:
- Ukuvavanya into ethiwa "i- cryoglobulins. "
- Uvavanyo lwezinto ezibonakalayo kwiRheumatoid
- Ukuvavanya amanqanaba okuQinisekisa
Ekubeni isifo senzeke kumgangatho omncinci kwaye singafika "ngamaqabunga" ahlukeneyo, i- kidney biopsy ihlala yodwa indlela yokuqinisekisa ukuba kwenzekani.
Izifo Zengqondo Ukusuka kuHep C Ukonyango
Ngokucacileyo, phatha isizathu . Ngenxa yoko, kulabo bafumene unobungozi obukhulu bezintso ezinokuthi zidibaniswe ne-hepatitis C, unyango kufuneka lujolise ekuphatheni i-hepatitis C. Nangona kunjalo, akusoloko kuthethwa ngqo. Akunabo bonke abagulayo abane-hepatitis C kuphela umgqatswa wokonyango kuba amaxabiso ompendulo ahluka kwaye iziphumo zonyango kufuneka zigcinwe engqondweni.
Ezinye izigulane zisenokudlulela "iphuzu lokungabuyi kubuya" xa kufikelelwe kokubambisa isibindi okanye umsebenzi wezintso. Iizintso zithatha kakhulu ukuba zingenakho ubuninzi bokuvuselela amandla. Ngenxa yoko, ukuba inqabileyo enzima sele yenzeke ezintsheni, akunakwenzeka ukuba isigulane siza kufumana umsebenzi wezintso nangona unyango lwe-hepatitis C. Kungakhathaliseki ukuba, kukho izizathu ezifanelekileyo (ngenxa yesibindi kunye nezinye izitho), ukuba uphathe i-hepatitis C.
Ingongoma ebalulekileyo ekufuneka uyikhumbule kukuba ukuvela kwesifo seengtso ngokwayo kukutshintsha ukhetho lwonyango lwe-hepatitis C. Oku kungenxa yokuba unyango luhlala luhluke ngokusekelwe kwinqanaba lomonakalo wezintso. Thetha ugqirha wakho malunga nendlela yokunyanga engcono.
> Imithombo:
> N Perico, D Cattaneo, B Bikbov, G Remuzzi. Usulelo lwe-Hepatitis C kunye neeNtsholongwane ezingapheliyo. CJASN uJanuwari 2009 vol. 4 akukho. 1 207-220.
> Patrice Cacoub, MD. Ukubonakaliswa kwe-extrahepatic yokusuleleka kwintsholongwane engapheliyo ye-hepatitis C. I-Adv Advance Dis. 2016 Feb; 3 (1): 3-14.
> Isikhokelo se-HCV: Iingcebiso zoVavanyo, ukuLawula nokuPhatha i-Hepatitis C. Umbutho waseMerika wokuFundisisa iSifo seNtsholongwane kunye ne-Infectious Diseases Society of America.