Ukulinganisa i-viral activity isitshela indlela okwenziwa ngayo unyango ngempumelelo
Umthamo wentsholongwane ngumane nje umlinganiselo wesifo segciwane kwigazi lakho. Imilinganiselo yentsholongwane ye-Viral isetyenziswa ngokubanzi ukujonga izifo ezinokugula ezingapheliyo ezifana ne- HIV , i- hepatitis B (HBV) , kunye ne-hepatitis C (i-HCV).
Kwimeko ye-HCV, uvavanyo olubizwa ngokuba yi -HCV ye-RNA yesayibrari yesilingo isetyenziselwa ukulinganisa i-virus ye-genetic (RNA) kwi-milliliter yegazi.
Olunye ubuchwephesha lungasetyenziselwa ukujonga umsebenzi we-virus, ininzi yawo eyenza oko ngokufumanisa i-DNA okanye i-RNA.
Kutheni kubalulekile ukuba uMthwalo weNtsholongwane ubaluleke?
Oogqirha basebenzisa umthamo wentsholongwane yakho ukuqinisekisa ukuba uphendule kakuhle kangakanani unyango olutsha. Ngokuqhelekileyo umthamo wakho wentsholongwane uya kuvavanywa ngaphambi kokuba uqale unyango (ngenxa yesifo se-hepatitis C) ngokuphindaphindiweyo ngokuphindaphindiweyo ukulinganisa indlela ophendula ngayo. Ubuncinane imiphumo emibili yentsholongwane yentsholongwane efunekayo ukuvavanya ukuphumelela kwonyango.
Ukunciphisa kakhulu umthamo wentsholongwane, njenge-100-fold ye-viral ye-viral, ngokuqhelekileyo kuthetha ukuba unyango lusebenza. Ngokufanelekileyo, umntu uza kufezekisa into ebizwa ngokuba "engabonakaliyo" umthamo wentsholongwane, oku kuthetha ukuba ubuchwephesha bokuhlola abakhoyo abakwazi ukufumana naluphi na ubungqina besifo sengculazi kwiisampuli zegazi.
Kubalulekile ukuqonda ukuba ngelixa uvavanyo luxabisekileyo ekuqikeleleni iziphumo zonyango, akutshiyo nantoni malunga nobukhulu besifo sakho sesibindi.
Ngokuqhelekileyo, ii-biopsies zesibindi kunye neemvavanyo zokucinga (umzekelo, i-ultrasound okanye i-MRI) zifunekayo.
Umthwalo ophezulu kunye neNtsholongwane ephantsi
Ngaphandle kwentsholongwane ye-virus ye-hepatitis C ixhalabele, umthwalo wentsholongwane ephezulu udla ngaphezu kwama-800,000 IU / L, ngelixa umthamo ophantsi we-viral load is under 800,000 IU / L. Olu luhlu lunokuhluka ngokubanzi, nangona kunjalo, ngokusekelwe kwinto ekuthethwa ngayo ephakathi kwendawo okanye abantu.
Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba umthamo wentsholongwane we-800,000 IU / L awuthetha ukuba unama-virus ayi-800,000 egazini lakho. Kunoko, ithetha ukuba ibhodi izimisele ukuba kukho iiyunithi zamazwe ngamazwe angama-800,000 (IU) kwilitha legazi. IU ngumlinganiselo osemgangathweni osetyenziswa ngabachwephesha ukuqinisekisa ukuhambelana kwilebhu kwibhanki kwaye ithathwa njengechanekileyo ngakumbi kunokuba "yintloko" elula ye-RNA.
Ngokuqhelekileyo, nangona kunjalo, i-800,000 i-IU / L ihambelana nezigidi ezigidi ezimbini ze-RNA.
Ziyintoni iindleko ezingenakulinganiswa eziNtsholongwane
Ixesha lokuxolelwa (umthwalo ongenakubonakalayo we-viral load) Iiveki ezingama-12 emva kokuzalisa i-hepatitis C yonyango iyaziwa njenge- virologic response (SVR) , okanye i-SVR12. Phantse bonke abantu abafezekisa i-SVR12 baqhube phambili ukufezekisa i-SVR24, oku kuthetha ukuba akukho nto eyenziwa yintsholongwane engama-24 emva kwonyango.
Umthwalo ongenakulinganiswa wentsholongwane awuthetha ukuba awukho ntsho longwane kwigazi lakho okanye ukuba uphumelele unyango. Nangona kunjalo, ukuba unako ukugcina umthwalo wentsholongwane engabonakaliyo kweeyure ezingama-24 (kwaye ngoku iingcali zicinga nje ngeeveki ezili-12 kuphela) ukuvela kwintsholongwane (ukuhlawulela) kubheka phantsi kakhulu. Enyanisweni, kulo mzekelo, umntu uthathwa njengesicatshulwa ngokunyanga.
Ngelixa iimvavanyo ziyakwazi ukuhluka ngokwempawu zentsholongwane, oko kuthetha ukuba banako ukufumana intsholongwane, amaninzi amanqanaba ekhoyo ngoku achanekileyo.
ILizwi
Nangona iimvavanyo ezibandakanyekayo ekuhloleni nasekupheni i-hepatitis C zingabonakala ziyinkimbinkimbi, zama ukungazitholi kwiinkcukacha. Ukuba unayo i-hepatitis C, qhubeka unomdla kwimpilo yakho yesibindi ngokubona ugqirha onamava aphatha abantu abane-hepatitis C.
Thatha amayeza akho njengoko ufundiswe kwaye uhlale udibene noogqirha wakho. Ngokunyamekela kakuhle, iindaba ezilungileyo kukuba unokususa intsholongwane emzimbeni wakho (kwaye ngokuqinisekileyo "uphilise").
> Imithombo:
Burgess SV, Hussaini T, Yoshida EM. Ukugqitywa kwempendulo ye-virologic eqhubekayo kwiiveki 4, 12 kunye no-24 emva kokunyanga kwe-hepatitis c ngexesha le-oral oral-acting antivirals: Ukuhlaziywa okufutshane. Ann Hepatol . 2016 ngoMar-Apr; 15 (2): 154-9.
> Gupta E., Bajpai M, Choudhary A. Intsholongwane ye-Hepatitis C: Ukuhlolwa, ukuxilongwa, nokuchazwa kwezilingo zebhubhoratri. Asia J Transfus Sci. 2014 Jan-Jun; 8 (1): 19-25.
> Yunivesithi yaseWashington. I-Hepatitis C I-Intanethi: Iinjongo zokonyango nokuphendula kwangaphambili.
Isebe leMerika yeeMfazwe. I-Viral Hepatitis: I-Hepatitis C i-RNA yokuvavanya.