Chiwindi C - ana

Chiwindi C ana ndi kutupa minofu ya chiwindi. Zimachitika chifukwa chotenga kachilombo ka hepatitis C (HCV).

Matenda ena ofala a hepatitis ndi hepatitis A ndi hepatitis B.

Mwana atha kutenga HCV kuchokera kwa mayi yemwe ali ndi matenda a HCV, panthawi yobadwa.

Pafupifupi 6 mwa ana 100 aliwonse omwe amabadwa kwa amayi omwe ali ndi matenda a HCV ali ndi matenda a chiwindi a hepatitis C. Palibe mankhwala omwe angapewe matenda a chiwindi a C atabadwa.

Achinyamata ndi achinyamata amathanso kutenga matenda a HCV. Pali zifukwa zambiri zomwe zimayambitsa achinyamata a hepatitis C, kuphatikizapo:

• Kukakamira ndi singano mutagwiritsidwa ntchito ndi munthu yemwe ali ndi kachilombo ka HCV
• Kukumana ndi magazi a munthu yemwe ali ndi kachilombo
• Kugwiritsa ntchito mankhwala osokoneza bongo
• Kugonana mosadziteteza ndi munthu yemwe ali ndi HCV
• Kupeza ma tattoo kapena mankhwala otema mphini ndi masingano omwe ali ndi kachilombo

Chiwindi C sichimafalikira kuyambira kuyamwitsa, kukumbatira, kupsompsona, kutsokomola, kapena kuyetsemula.

Zizindikiro zimayamba mwa ana pafupifupi milungu 4 mpaka 12 mutadwala. Ngati thupi limatha kulimbana ndi HCV, zizindikirazo zimatha pakadutsa milungu ingapo mpaka miyezi 6. Matendawa amatchedwa pachimake matenda a chiwindi a C.

Komabe, ana ena samachotsa HCV. Matendawa amatchedwa matenda a hepatitis C osachiritsika.

Ana ambiri omwe ali ndi matenda a chiwindi a hepatitis C (pachimake kapena osatha) sawonetsa zizindikiritso mpaka kuwonongeka kwapadera kwa chiwindi kulipo. Ngati zizindikiro zikuchitika, zingaphatikizepo:

• Ululu pamimba yakumanja yakumanja
• Zojambula zofiira kapena zotumbululuka
• Mkodzo wakuda
• Kutopa
• Malungo
• Khungu lachikaso ndi maso (jaundice)
• Kutaya njala
• Nseru ndi kusanza

Wopereka chithandizo chaumoyo wa mwana wanu adzayesa magazi kuti azindikire HCV m'magazi. Mayeso awiri ofala kwambiri amwazi ndi awa:

• Enzyme immunoassay (EIA) kuti ipeze anti-hepatitis C antibody
• Hepatitis C RNA imayesa kuyeza kuchuluka kwa ma virus (kuchuluka kwa ma virus)

Makanda obadwa ndi amayi omwe ali ndi matenda a hepatitis C amayenera kukayezetsa ali ndi miyezi 18. Ino ndi nthawi yomwe ma antibodies ochokera kwa mayi amachepa. Panthawiyo, kuyezetsa kudzawonetsetsanso mawonekedwe a antibody a mwana.

Mayeso otsatirawa amawonetsa kuwonongeka kwa chiwindi kuchokera ku hepatitis C:

• Mulingo wa Albumin
• Kuyesa kwa chiwindi
• Nthawi ya Prothrombin
• Chiwindi
• M'mimba ultrasound

Mayesowa akuwonetsa momwe chithandizo cha mwana wanu chikugwirira ntchito.

Cholinga chachikulu cha chithandizo mwa ana ndi kuthetsa zizindikiro ndikuletsa matendawa kuti asafalikire. Ngati mwana wanu ali ndi zizindikiro, onetsetsani kuti mwana wanu:

• Amapeza mpumulo wochuluka
• Amamwa madzi ambiri
• Amadya chakudya chopatsa thanzi

Pachimake hepatitis C safuna chithandizo chilichonse chapadera. Komabe, mwana wanu amatha kupatsira ena kachilomboka. Muyenera kuchitapo kanthu popewa matendawa kuti asafalikire.

Matenda a hepatitis C osachiritsika amafunikira chithandizo. Cholinga cha chithandizo ndikuteteza zovuta.

Ngati palibe chizindikiro cha matenda a HCV pakatha miyezi 6, ndiye kuti mwana wanu wachira. Komabe, ngati mwana wanu ali ndi matenda otupa chiwindi a C, amatha kuyambitsa matenda a chiwindi mtsogolo.

Wopereka mwana wanu atha kulangiza mankhwala ochepetsa mphamvu ya HCV osachiritsika. Mankhwala awa:

• Khalani ndi zovuta zochepa
• Ndiosavuta kutenga
• Zimatengedwa pakamwa

Kusankha kaya kugwiritsa ntchito mankhwala kwa ana a chiwindi C sikukuwonekeratu. Mankhwala omwe agwiritsidwa ntchito, interferon ndi ribavirin, amakhala ndi zovuta zambiri komanso zoopsa zina. Mankhwala atsopano komanso otetezeka avomerezedwa kwa akulu, koma osati ana. Akatswiri ambiri amalimbikitsa kudikira chithandizo cha HCV mwa ana mpaka atalandira mankhwala atsopanowa kuti agwiritsidwe ntchito mwa ana.

Ana ochepera zaka zitatu sangasowe chithandizo chilichonse. Matenda am'badwo uno nthawi zambiri amatha popanda zovuta.

Zovuta zomwe zingachitike chifukwa cha hepatitis C ndi izi:

• Chiwindi matenda enaake
• Khansa ya chiwindi

Zovutazi zimachitika munthu akamakula.

Itanani omwe amakupatsani ngati mwana wanu ali ndi zizindikiro za matenda a chiwindi a C. Muyeneranso kulumikizana ndi omwe amakupatsani ngati muli ndi matenda a chiwindi a C ndipo mutakhala ndi pakati.

Palibe katemera wa hepatitis C. Chifukwa chake, kupewa kumatenga gawo lofunikira pakuwongolera matendawa.

M'banja momwe muli munthu yemwe ali ndi matenda a hepatitis C, tengani izi kuti muteteze kufalikira kwa matendawa:

• Pewani kukhudzana ndi magazi. Sambani magazi aliwonse otayika pogwiritsa ntchito bulitchi ndi madzi.
• Amayi omwe ali ndi HCV sayenera kuyamwa ngati nsonga zamabele zaphwanyika komanso zikutuluka magazi.
• Phimbani ndi zilonda kuti musagwirizane ndi madzi amthupi.
• Osagawana mabotolo a mano, malezala, kapena zinthu zina zilizonse zomwe zingatenge kachilomboka.

Matenda chete - ana a HCV; Mavairasi oyambitsa - chiwindi C ana; Ana a HCV; Mimba - chiwindi C - ana; Matenda a amayi - hepatitis C - ana

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Jhaveri R, El-Kamary SS. Vuto la hepatitis C. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 177.

Ward JW, Holtzman D. Epidemiology, mbiri yachilengedwe, ndikuzindikira matenda a chiwindi a C. Mu: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, eds. Zakim ndi Boyer's Hepatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 29.