Hepatitis D (wothandizira Delta)

Hepatitis D ndi matenda opatsirana chifukwa cha matenda a hepatitis D (omwe kale amatchedwa Delta agent). Zimayambitsa zizindikiro mwa anthu okha omwe ali ndi matenda a hepatitis B.

Vuto la Hepatitis D (HDV) limapezeka mwa anthu okha omwe amakhala ndi kachilombo ka hepatitis B. HDV imatha kukulitsa matenda a chiwindi mwa anthu omwe ali ndi hepatitis B. yaposachedwa (kapena yovuta) kapena yayitali (Ikhoza kuyambitsa ngakhale zizindikiro za anthu omwe ali ndi kachilombo ka hepatitis B koma omwe sanakhale ndi zizindikilo.

Hepatitis D imakhudza anthu pafupifupi 15 miliyoni padziko lonse lapansi. Amapezeka mwa anthu ochepa omwe amakhala ndi hepatitis B.

Zowopsa ndi izi:

• Kugwiritsa ntchito mankhwala osokoneza bongo (IV) kapena jakisoni
• Kutenga kachilombo ali ndi pakati (mayi amatha kupatsira mwanayo kachilomboka)
• Kutenga kachilombo ka hepatitis B.
• Amuna ogonana ndi amuna ena
• Kulandira magazi ambiri

Hepatitis D imatha kukulitsa zizindikilo za hepatitis B.

Zizindikiro zimaphatikizapo:

• Kupweteka m'mimba
• Mkodzo wamtundu wakuda
• Kutopa
• Jaundice
• Ululu wophatikizana
• Kutaya njala
• Nseru
• Kusanza

Mungafunike mayeso otsatirawa:

• Anti-hepatitis D antibody
• Chiwindi
• Mavitamini a chiwindi (kuyesa magazi)

Mankhwala ambiri omwe amachiza matenda a hepatitis B sathandiza pochiza matenda a chiwindi a D.

Mutha kulandira mankhwala otchedwa alpha interferon kwa miyezi 12 ngati muli ndi matenda a HDV a nthawi yayitali. Kuika chiwindi pamapeto a chiwindi cha hepatitis B kungakhale kotheka.

Anthu omwe ali ndi kachilombo koyambitsa matenda a HDV nthawi zambiri amakhala bwino pamasabata awiri kapena atatu. Mavitamini a chiwindi amabwerera mwakale mkati mwa milungu 16.

Pafupifupi 1 mwa 10 mwa omwe ali ndi kachilomboka amatha kudwala chiwindi (hepatitis).

Zovuta zingaphatikizepo:

• Matenda yogwira chiwindi
• Kulephera kwa chiwindi

Itanani odwala anu ngati muli ndi matenda a hepatitis B.

Njira zopewera vutoli ndi monga:

• Dziwani ndi kuchiza matenda a hepatitis B mwachangu kwambiri kuti muteteze matenda a chiwindi a D.
• Pewani kugwiritsa ntchito mankhwala osokoneza bongo (IV). Ngati mumagwiritsa ntchito mankhwala a IV, pewani kugawana singano.
• Pezani katemera wa hepatitis B.

Akuluakulu omwe ali pachiwopsezo chotenga matenda a chiwindi a B komanso ana onse ayenera kulandira katemerayu. Ngati simupeza Hepatitis B, simungapeze Hepatitis D.

Wothandizira Delta

• Vuto la hepatitis B

Alves VAF. Pachimake tizilombo chiwindi. Mu: Saxena R, mkonzi. Yothandiza Hepatic Pathology: Njira Yodziwitsa. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 13.

Landaverde C, Perrillo R. Hepatitis D. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 81.

Thio CL, Hawkins C. Vuto la Hepatitis B ndi kachilombo ka hepatitis delta. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 148.