Chiwindi

Chiwindi ndi kutupa ndi kutupa kwa chiwindi.

Hepatitis imatha kuyambitsidwa ndi:

• Maselo amthupi mthupi omwe akuukira chiwindi
• Matenda ochokera kuma virus (monga hepatitis A, hepatitis B, kapena hepatitis C), bacteria, kapena tiziromboti
• Chiwindi chikuwonongeka ndi mowa kapena poyizoni
• Mankhwala, monga bongo wa acetaminophen
• Chiwindi chamafuta

Matenda a chiwindi amathanso kuyambitsidwa ndi zovuta zobadwa nazo monga cystic fibrosis kapena hemochromatosis, vuto lomwe limaphatikizapo kukhala ndi chitsulo chochuluka mthupi lanu.

Zimayambitsa zina ndi matenda a Wilson, matenda omwe thupi limasunga mkuwa wambiri.

Chiwindi chimayamba ndikuchira mwachangu. Itha kukhala nyengo yayitali. Nthawi zina, matenda a chiwindi amatha kuwononga chiwindi, kufooka kwa chiwindi, kuwonongeka kwa chiwindi, kapenanso khansa ya chiwindi.

Pali zifukwa zingapo zomwe zingakhudze momwe vutoli lakhalira. Izi zitha kuphatikizira zomwe zimayambitsa chiwindi komanso matenda aliwonse omwe muli nawo. Mwachitsanzo, matenda a chiwindi a A, nthawi zambiri amakhala osakhalitsa ndipo samabweretsa mavuto aakulu a chiwindi.

Zizindikiro za hepatitis ndi izi:

• Zowawa kapena zotupa m'mimba
• Mkodzo wakuda ndi zotchira zotuwa kapena zadongo
• Kutopa
• Malungo ochepa
• Kuyabwa
• Jaundice (chikasu chachikopa kapena maso)
• Kutaya njala
• Nseru ndi kusanza
• Kuchepetsa thupi

Mwina simungakhale ndi zizindikilo mukayamba kudwala matenda a chiwindi a B kapena C. Mutha kukhalabe ndi chiwindi mtsogolo. Ngati muli ndi chiopsezo chilichonse cha mtundu wa hepatitis, muyenera kuyesedwa pafupipafupi.

Muyesedwa ndi thupi kuti muyang'ane:

• Kukulitsa komanso mtima chiwindi
• Madzimadzi m'mimba (ascites)
• Chikasu pakhungu

Mutha kukhala ndi mayeso a labu kuti muzindikire ndikuwunika momwe muliri, kuphatikiza:

• Ultrasound pamimba
• Zizindikiro zodziyimira zokha zamagazi
• Kuyesa magazi kuti mupeze Hepatitis A, B, kapena C
• Kuyesa kwa chiwindi
• Chiwindi cha chiwindi kuti chifufuze kuwonongeka kwa chiwindi (chitha kufunikira nthawi zina)
• Paracentesis (ngati madzi ali m'mimba mwanu)

Wothandizira zaumoyo wanu adzakuuzani za njira zamankhwala. Mankhwala amasiyana, kutengera zomwe zimayambitsa matenda a chiwindi. Mungafunike kudya zakudya zopatsa mphamvu kwambiri ngati mukuchepetsa thupi.

Pali magulu othandizira anthu omwe ali ndi mitundu yonse ya matenda a chiwindi. Maguluwa atha kukuthandizani kuphunzira zamankhwala aposachedwa komanso momwe mungapiririre matendawa.

Chiyembekezo cha matenda a chiwindi chimadalira zomwe zimawononga chiwindi.

Zovuta zingaphatikizepo:

• Kuwonongeka kosatha kwa chiwindi, kotchedwa cirrhosis
• Kulephera kwa chiwindi
• Khansa ya chiwindi

Funsani chisamaliro nthawi yomweyo ngati:

• Khalani ndi zizindikiro kuchokera ku acetaminophen wambiri kapena mankhwala ena. Mungafunike kupopera m'mimba
• Muzisanza magazi
• Khalani ndi mipando yamagazi kapena yodikira
• Osokonezeka kapena osokonezeka

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro zilizonse za matenda a chiwindi kapena mumakhulupirira kuti mwapezeka ndi matenda a hepatitis A, B, kapena C.
• Simungathe kuchepetsa chakudya chifukwa chokusanza kwambiri. Mungafunike kulandira zakudya kudzera mu mtsempha (kudzera m'mitsempha).
• Mukudwala ndipo mwapita ku Asia, Africa, South America, kapena Central America.

Lankhulani ndi omwe amakupatsani mwayi wokhala ndi katemera wopewera matenda a hepatitis A ndi hepatitis B.

Njira zopewera kufalikira kwa matenda a chiwindi a B ndi C kuchokera kwa munthu wina kupita kwina ndi awa:

• Pewani kugawana nawo zinthu zanu, monga malezala kapena misuwachi.
• MUSAMAGWIRITSE singano zamankhwala kapena zida zina zamankhwala (monga mapesi owotchera mankhwala).
• Tsukani magazi omwe mwatayika ndi gawo limodzi la bulitchi yakunyumba ndi magawo 9 amadzi.
• MUSAPE zolembalemba kapena kuboola thupi ndi zida zomwe sizinatsukidwe bwino.

Kuchepetsa chiopsezo chanu chofalitsa kapena kutenga matenda a chiwindi a A:

• Nthawi zonse muzisamba m'manja mutagwiritsa ntchito chimbudzi, ndipo mukakumana ndi magazi, chopondapo, kapena madzi ena amthupi a munthu wodwala.
• Pewani chakudya ndi madzi osayera.

• Vuto la hepatitis B
• Chiwindi C
• Matenda a chiwindi

Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Malangizo othandizira kuwunika kwa chiwindi ndi kuwunika kwamilandu. www.cdc.gov/hepatitis/statistics/surveillanceguidelines.htm. Idasinthidwa pa Meyi 31, 2015. Idapezeka pa Marichi 31, 2020.

Pawlotsky JM. Matenda a chiwindi ndi autoimmune. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 140.

Pezani nkhaniyi pa intaneti Takyar V, Ghany MG. Hepatitis A, B, D, ndi E. Mu: Kellerman RD, Rakel DP, eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier; 2020: 226-233.

Achichepere JA H, Ustun C. Matenda omwe amalandila ma cell a hematopoietic stem cell. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 307.