I-hepatitis A yomzimba i-immune globulin (IG) iqulethe izifo ezikhusela umzimba wakho kwi-hepatitis A. Kufana nesifo sokukhusela i-hepatitis A ekukhuseleni isifo ekubeni singaphuhlisi, kodwa sisebenza ngokuhlukileyo. I-IG inokuphatha umntu osandul 'ulwaphulo lwe-hepatitis A ukwenzela ukuba intsholongwane iya kubangela ukusuleleka kwintsholongwane, okanye ngokufanelekileyo, ukukhusela ngokupheleleyo eso sifo.
IG ingasetyenziselwa ukuthintela usulelo.
Ngubani Osemngciphekweni we-Hepatitis A?
I-IG Ngaphambi kokuba i-Hepatitis A iboneke
Ukuba awuzange ube nexesha lokufumana isitofu sokukhusela i-Hepatitis A, kwaye uceba ukuhamba kwilizwe apho i-hepatitis A ibhubhane okanye indawo apho kukho ukuqubuka kwe-hepatitis A, unokuthatha i-IG ukukhusela okwethutyana. Oku kubizwa ngokuthi i-preexposure immunoprophylaxis. Nangona kunjalo, ekubeni i-IG iya kukunika malunga neenyanga ezi-3 zokukhusela, isicwangciso esilungileyo kukusebenzisa i-IG kunye nesifo sokugonywa kwe-hepatitis A. Kubantu abangenazo iingxaki zezokwelapha eziphakathi kweminyaka engama-1 ubudala kunye neminyaka engama-40 ubudala, i-dose enye ye-hepatitis A nayiphi na ixesha ngaphambi kokuhamba isanele.
Kodwa kwiqela elilandelayo labantu, kufuneka ube nesigxina se-HAV sokuqala kunye ne-IG injection: abo baneminyaka engaphezulu kwe-40, abo bane-immune system, abanesifo esiphambili sesibindi okanye enye imeko engapheliyo. Kufuneka ufumane le ndlela yokukhusela kabini xa uhamba kwiiveki ezimbini zokutyelela ugqirha.
Inxalenye yesibini yokugonya kufuneka unikezwe ngokubuya kwakho ekuhambeni kohambo lwakho lokukhusela ixesha elide. Olu dibiswano luya kukunika ukhuselo olukhawulezayo oluhlala iminyaka engama-20.
I-dose ephakanyisiweyo yokupasa kwangaphambili i-0.02 mL ye-IG nganye yeekhigram yesisindo somzimba. Oku kuthetha ukuba umntu olinganisa iipounds eziyi-100 udinga malunga ne-0.9 mL ye-IG.
Ukuba uhambo olude, i-dose ephezulu ingafuneka.
I-IG Emva kwe-Expature ye-Hepatitis A
Ukuba uyazi ukuba uye wahlulwa kwi-hepatitis A, unokukunceda ngokukhusela i-IG okanye isifo sokukhusela i-hepatitis A. Olu unyango lubizwa ngokuba yi-postexposure immunoprophylaxis kwaye lunokunceda ukunciphisa isifo okanye ukuthintela ukuthintela ngokupheleleyo. Umdala wakho unquma ukuba kufuneka uthathe igonti okanye IG.
- Abantwana abangaphantsi komnyaka omnye bafanele basebenzise IG.
- Abantu abaneminyaka engaphezulu kweenyanga ezili-12, kodwa abaneminyaka engama-40 ubudala okanye abatsha (kwaye abanakho izifo zonyango ezingapheliyo) kufuneka bafumane ukugonya kwe-hepatitis A endaweni ye-IG.
- Abantu abaneminyaka engama-41 ubudala okanye ngaphezulu, iG ikhethwa.
- Abantu abaye banciphisa amayeza omzimba (ngenxa yokutsalwa komzimba okanye izifo ezifana nomhlaza okanye i-AIDS) okanye isifo esingasasigxina okanye isifo sokugonywa kufuneka sisebenzise IG.
Kubaluleke kakhulu ukuba uthathe i-IG kwisithuba seveki ezimbini nokuba naluphi na ukutyhila kwi-hepatitis A. Ukuba ithathwa ngeli xesha, i-IG inokuthintela iimpawu ezikhulayo ezingama-85% zexesha. I-immunoprophylaxis ye-postexposure yoku-postexposure ye-IG yingu-0.02 mL we-IG nganye yeekhigram yesisindo somzimba. Oku kuthetha ukuba umntu olinganisa iipounds eziyi-100 udinga malunga ne-0.9 mL ye-IG.
Kukho ezininzi iimeko apho ungabonakala khona kwi-Hepatitis A, njengale:
- Ukuphila nomntu one-hepatitis A
- Ukulala ngesondo nomntu one-hepatitis A
- Ukukwabelana ngezidakamizwa ezingekho mthethweni nomntu onesifo se-hepatitis A
- Ukusebenza kwiziko lokukhathalela abantwana elibandakanya iimeko ze-hepatitis A
- Ukutyhila kwi-hepatitis A ngokusebenzisa umthengisi wokutya
Ingaba iG for Hepatitis A Safe?
Ewe, iG i-hepatitis A ikhuselekile kakhulu. Iintlobo eziqhelekileyo ezichaphazelekayo zintlungu kwaye ziphazamisekile kwisayithi yejoyiki, i-fever-grade-grade, i-headache, chills kunye ne-nausea. Iingxaki ezibi kakhulu zinqabile kodwa zingabandakanya intlungu yesifuba, ukuphefumula ukuphefumula kunye ne-anaphylaxis. I-IG ikhuselekile ngokupheleleyo kubasetyhini abakhulelweyo okanye bancelisayo.
Imithombo:
> Amacandelo okuLawula nokuLawula izifo. NgoJuni 23, 2008. I-Hepatitis A.
> Pickering, LK (ed), Incwadi ebomvu: Ingxelo yeKomiti yeZifo ezithathelwanayo , ngomhla wama-26 e. I-American Academy ye-Pediatrics, 2003. 311-318.