I-Hepatitis C isifo sesibindi esibangelwa yi-virus ye-hepatitis C (i-HCV). Ngaphambi kokupheleni kweminyaka yama-1980, oogqirha babesazi nje ukuba lesi sifo "asiyi-A, asiyi-B hepatitis" kuba iimvavanyo zebhoratri ukuchonga i-HCV azizange zenziwe. Ngoku, ubuncinane ubuncinane beentlobo ezahlukeneyo zentsholongwane ye- hepatitis C. Ezi ntlobo ezahlukeneyo, ezibizwa ngokuthi i-genotypes, ziyizinto ezahlukileyo zemizimba kumxholo ofanayo onokubangela ukusuleleka kwe-hepatitis C.
Nangona i-genotype nganye ifunyaniswa njengesifo sokusuleleka kwe-hepatitis C, kubalulekile ukwazi ukuba ubani unayo ngenxa yokuba i-genotypes ethile inzima kakhulu ukuyiphatha.
Abantu ababalelwa kwizigidi ezine e-United States banesifo se-HCV. Ekubeni malunga nama-25% abo baye basusa intsholongwane, malunga nezigidi ezi-3 zabantu bathwala i-HCV kwaye banokusasaza intsholongwane kwabanye. Ehlabathini lonke, abantu abayi-170 yezigidi banesifo.
I-Hepatitis C eyiyo
Ngona nxalenye, i-hepatitis C ayitholakali kwisigaba esicacileyo ekubeni iimpawu zithe cwaka okanye zincinci (ngokungafani nesifo se-hepatitis A apho isigaba esichukumisayo singaba sikhulu kakhulu) kwaye ukuhluleka kwesibindi akunqabile. Kukho izihlandlo ezinqabileyo xa abantu bane-syndrome efana nengqondo, okanye ezinye iimpawu, ezenza ukuhlolwa kodwa ngokuqhelekileyo, ukusuleleka kwe-hepatitis C kuthathwa kuphela ngabantu abakholelwa ukuba basengozini.
I-Hepatitis C iqala ngokukhawuleza (acutely) emva kwexesha eliqhelekileyo lokutshala iiveki ezi-7.
Eli xesha, eli lixesha phakathi kokungcola kwi-HCV kunye nokuphuhlisa iimpawu kunye neempawu , kunokuba mfutshane nje malunga neveki ezimbini, kodwa ngeeyure ezingama-23. Xa umzimba wakho ubonakala kwiHCV, intsholongwane ihamba kwigazi lakho kwisibindi . Njengegciwane lesifo se-hepatotropic (iintsholongwane ezifana ne-hepatitis A, B, ne-E ezinokubambisana ngokusondeza isibindi), i-HCV ivakalelwa kakuhle kwikhaya yesibindi, ebizwa ngokuba yi-hepatocyte.
Xa i-hepatocytes eyaneleyo isulelekile, i-immune system yakho iya kuphendula ngokuthumela kwisibindi iseli ezikhethekileyo ze-virus, ezibizwa ngokuba yi-lymphocytes. Le mpendulo ye-immune ibangela ukutshaya kwesibindi, kwaziwa nangokuthi i-hepatitis.
Ukuvuvukala yinkemba ehlangene kabini. Ngakolunye uhlangothi, kuyimfuneko kuba kuthetha ukuba isistim somzimba sakho sisenza umsebenzi kwaye uzama ukususa i-hepatocytes yegciwane. Nangona kunjalo, ngakwelinye icala, ukuvuvukala kakhulu ixesha elide kubangela umonakalo. Ukuba i-immune system ayikwazi ukulahla intsholongwane malunga neenyanga ezintandathu, ngencazelo uye waba ne-hepatitis C. engapheliyo.
Intsholongwane ye-Virus Hepatitis C
I-Hepatitis C ithathwa njengesi sifo esingapheliyo . Ikhula kubantu abangama-80% abantu abaneentsholongwane ezinzulu kwaye ichazwa njengokuba abanako ukususa intsholongwane kwiinyanga ezintandathu. Njengoko isistim somzimba sakho sokuzivikela sisamazama ukuhlasela i-HCV, isibindi sinokulimala ngenxa yokuvuvukala okungapheliyo, okuvame ukuphumela kwi- fibrosis . Ukugqithisa i-fibrosis kwisibindi kuthiwa yi- cirrhosis . Ekubeni i-cirrhosis ayiguqukiyo, oogqirha abaninzi bacetyisa ukuba unyango olusandul
Ngenxa yokuba ezininzi izigulane ezine-viral hepatitis zi-asymptomatic (ezingenayo impawu), abantu abaninzi banesifo esingasisigxina se-hepatitis kodwa abazi ukuba banesifo.
Kuqhelekile ukuba abantu bafunde ngosulelo lwabo emva kokunikela ngegazi okanye kwezinye iimvavanyo zeebhanki ezingahambelaniyo.
Iimpawu
Iimpawu ze-hepatitis yentsholongwane ziphephe kakhulu, kwaye kwinqanaba lokuqala losulelo lufana nesimo somkhuhlane. Nangona kunjalo, abantu abaninzi abanesifo (ukuya kwi-70%) abayi kubonisa nayiphi na impawu kuwo onke kwaye kuthiwa bangabonakali.
Kwalabo abanezibonakaliso, ngokuqhelekileyo baqala ukukhathala, intlungu kunye kunye neentlungu, ukulahleka kwesidlo, isisulu somhlaza, kunye nesifo sohudo. Nangona i-jaundice yimiqondiso eyaziwayo kakhulu ye-hepatitis, abantu abaninzi abanakuze babe nakho! Kulabo abenzayo, abanye banokubona umchamo omnyama okanye iibumba ezinobumba ukuya kwiintsuku ezintlanu ngaphambi kokuba i-jaundice ikhule.
Kwiimeko ezininzi, zonke ezi mpawu zihamba zodwa. Kubantu abahlakulela i-hepatitis C engapheliyo, ukukhathala kakhulu (ukukhathala) kuyinkxalabo eqhelekileyo.
Ukuthunyelwa
Intsholongwane ye-hepatitis C isasazeka ngokuqhagamshelana ngqo kunye negalelo legazi. Phantse isiqingatha seemeko ezintsha ze-hepatitis C zisasazwa ngokusetyenziswa kweziyobisi. Kwixesha elidlulileyo (ngaphambi kowe-1992), abantu abafumana igazi kunye nokuguqulwa kwamalungu babesengozini enkulu yokungena kwiHCV. Nangona kunjalo, namhlanje, ochwepheshe belebhu yegazi bayakwazi ukukhenkca ngokucokisekileyo i-hepatitis C ukuze ukupontshelwa igazi kunye nokuguqulwa akusekho mngcipheko omkhulu wokutshatyalaliswa kwe-hepatitis C kunye nokusasazeka.
- Ndiyakwazi Ukufumana I-Hepatitis C Ngokusela Emva komntu?
- Ngaba Ndiyakwazi Ukusasaza I-Hepatitis C KuMntanami?
Ukuxilongwa
Oogqirha baxilonga i-virus ye-hepatitis C ngokujonga i- antibodies kwi-virus esebenzisa i-blood test ebizwa ngokuba yi-EIA, okanye i-enzyme immunoassay. U vavanyo lubuhlungu kakhulu, kodwa alukhethi ngokukhawuleza ukukhangela ama-antibodies, ngoko-ke i-EIA enokuthi ingenakulungile. Ngokuxhomekeke kwimingcipheko yakho, oogqirha bajonga umphumo wokuvavanya ngokusebenzisa olunye uvavanyo, olubizwa ngokuba yiRIBA (i-recombinant immunoblot test). I-RIBA enobungqina iqinisekisa ukuxilongwa kwe-hepatitis C.
Ekubeni ukuvavanywa kwamagciwane anesisodwa akunakukwazi ukubona ukuba isifo sisisigxina, esingasigxina okanye isifo esasigqithiseleyo esidlulileyo, oogqirha kufuneka basebenzise iimvavanyo ezahlukeneyo kunye neempawu kunye neempawu ukucacisa ukuba uyaxilongwa.