Matenda Oopsa a Hepatitis C: Kumvetsetsa Zosankha Zanu

Zamkati

• Kuchiza kwa hepatitis C yovuta
• Chithandizo cha matenda otupa chiwindi a C
• Kuika chiwindi
• Lankhulani ndi dokotala wanu

Hepatitis C ndi matenda omwe amakhudza chiwindi. Kukhala ndi hepatitis C kwa nthawi yayitali kumatha kuwononga chiwindi mpaka kufika poti sichikugwira ntchito bwino. Kuchiritsidwa koyambirira kumatha kuteteza chiwindi komanso kuteteza moyo wanu.

Madokotala amagawa matenda a chiwindi a C m'magulu awiri kutengera kutalika kwa nthawi yomwe mwakhala mukudwala:

• Chiwindi cha hepatitis C ndi gawo loyambirira pomwe mudadwala matenda a chiwindi osakwana miyezi isanu ndi umodzi.
• Matenda a hepatitis C osakhalitsa ndi mtundu wautali, zomwe zikutanthauza kuti mwakhala mukudwala kwa miyezi isanu ndi umodzi. Kwa anthu omwe ali ndi matenda a chiwindi a C adzayamba kudwala matendawa.

Dokotala wanu amalangiza chithandizo kutengera mtundu wa hepatitis C womwe muli nawo. Kumvetsetsa zosankha zanu kungakuthandizeni kupanga zisankho zanzeru.

Kuchiza kwa hepatitis C yovuta

Ngati muli ndi matenda a chiwindi a pachimake a C, simuyenera kuwachiza nthawi yomweyo. Mwa anthu omwe ali ndi matendawa, amatha okha popanda chithandizo chilichonse.

Muyenera kuyang'aniridwa, komabe. Dokotala wanu akupatsani mayeso a magazi a HCV RNA milungu iwiri kapena isanu ndi itatu iliyonse kwa miyezi isanu ndi umodzi. Kuyesaku kukuwonetsa kuchuluka kwa kachilombo ka hepatitis C (HCV) kamene kali m'magazi anu.

Munthawi imeneyi, mutha kupatsirabe ena kachilomboka kudzera m'magazi mpaka magazi. Pewani kugawana kapena kugwiritsanso ntchito singano. Mwachitsanzo, izi zimaphatikizapo kujambula tattoo kapena kuboola pamalo osavomerezeka, kapena kubayira mankhwala osokoneza bongo. Mukamagonana, gwiritsani ntchito kondomu kapena njira ina yoletsa kupewa kubereka.

Ngati kachilomboka kadzatha miyezi isanu ndi umodzi, simudzafunika kuthandizidwa. Koma ndikofunika kusamala kuti mupewe kutenga kachilomboka mtsogolo.

Chithandizo cha matenda otupa chiwindi a C

Kuyezetsa magazi kwa HCV RNA pakatha miyezi isanu ndi umodzi kumatanthauza kuti muli ndi matenda a chiwindi a matenda a hepatitis C. Mufunika chithandizo kuti muchepetse kachilomboka kuti kasawononge chiwindi chanu.

Chithandizo chachikulu chimagwiritsa ntchito mankhwala ochepetsa ma virus kuchotsa kachilomboka m'magazi anu. Mankhwala atsopano opha mavairasi amatha kuchiritsa kuposa anthu omwe ali ndi matenda a chiwindi a hepatitis C.

Dokotala wanu adzakusankhirani mankhwala ochepetsa ma virus kapena kuphatikiza kwa mankhwala kutengera kuchuluka kwa kuwonongeka kwa chiwindi, mankhwala omwe mudakhala nawo m'mbuyomu, ndi mtundu wanji wa hepatitis C womwe muli nawo. Pali mitundu isanu ndi umodzi yobadwa nayo. Mtundu uliwonse umayankha mankhwala ena.

Mankhwala osokoneza bongo omwe amavomerezedwa ndi FDA kuti athetse matenda a chiwindi a C ndi awa:

• daclatasvir / sofosbuvir (Daklinza) - mitundu 1 ndi 3
• elbasvir / grazoprevir (Zepatier) - mitundu 1 ndi 4
• glecaprevir / pibrentasvir (Mavyret) - mitundu 1, 2, 5, 6
• ledipasvir / sofosburir (Harvoni) - mitundu 1, 4, 5, 6
• ombitasvir / paritaprevir / ritonavir (Technivie) - genotype 4
• ombitasvir / paritaprevir / ritonavir ndi dasabuvir (Viekira Pak) - genotypes 1a, 1b
• simeprevir (Olysio) - mtundu 1
• sofosbuvir / velpatasvir (Epclusa) - mitundu yonse yamtundu
• sofosbuvir (Sovaldi) - onse majini
• sofosbuvir / velpatasvir / voxilaprevir (Vosevi) - ma genotypes onse

Peginterferon alfa-2a (Pegasys), peginterferon alfa-2b (Pegintron), ndi ribavirin (Copegus, Rebetol, Ribasphere) anali mankhwala ochiritsira matenda a chiwindi osachiritsika a C. Komabe, amatenga nthawi yayitali kuti agwire ntchito ndipo nthawi zambiri samachita kuchiza kachilomboka. Amayambitsanso zovuta monga malungo, kuzizira, kusowa kwa njala, komanso zilonda zapakhosi.

Masiku ano, peginterferon alfa ndi ribavirin amagwiritsidwa ntchito pafupipafupi chifukwa mankhwala atsopano opha mavairasi ndi othandiza kwambiri ndipo amayambitsa zovuta zochepa. Koma kuphatikiza kwa peginterferon alfa, ribavirin, ndi sofosbuvir akadali chithandizo chofunikira kwa anthu omwe ali ndi matenda a hepatitis C 1 ndi 4.

Mukamwa mankhwala a hepatitis kwa masabata 8 mpaka 12. Mukamalandira chithandizo, dokotala wanu amakupatsani mayesero a magazi nthawi ndi nthawi kuti muone kuchuluka kwa kachilombo ka hepatitis C kamene kamatsalira m'magazi anu.

Cholinga ndikuti musakhale ndi kachilombo koyambitsa magazi m'magazi anu pakadutsa milungu 12 mutamaliza mankhwala. Izi zimatchedwa yankho la virologic, kapena SVR. Zikutanthauza kuti chithandizo chanu chidachita bwino.

Ngati mankhwala oyamba omwe mukuyesa sagwira ntchito, dokotala wanu akhoza kukupatsani mankhwala ena omwe angakhale ndi zotsatira zabwino.

Kuika chiwindi

Hepatitis C imawononga ndikuwononga chiwindi. Ngati mwakhala ndi matendawa kwa zaka zambiri, chiwindi chanu chitha kuwonongeka mpaka pomwe sichikugwiranso ntchito. Panthawi imeneyo, dokotala wanu angakulimbikitseni kuika chiwindi.

Kuika chiwindi kumachotsa chiwindi chanu chakale ndikuchikulitsa ndi chatsopano, chathanzi. Kawirikawiri chiwindi chimachokera kwa wopereka yemwe wamwalira, koma kuziika kwa operekera amoyo ndizotheka.

Kupeza chiwindi chatsopano kudzakuthandizani kuti mumve bwino, koma sikuchiritsa matenda anu a chiwindi a hepatitis C. Kuti mugwire ntchito yochiritsa kachilomboka ndikukwaniritsa SVR, mufunikirabe kumwa mankhwala ochepetsa mphamvu ya ma virus omwe amafanana ndi genotype yanu.

Lankhulani ndi dokotala wanu

Masiku ano, mankhwala atsopano ophera ma virus akuthandiza anthu ambiri omwe ali ndi hepatitis C kuposa zaka zapitazo. Ngati muli ndi hepatitis C kapena mutha kukhala pachiwopsezo, onetsetsani kuti mwaonana ndi dokotala wanu. Amatha kukuyesani kuti muwone ngati ali ndi kachilombo ka HIV ndikudziwitsani mtundu wa hepatitis C womwe mungakhale nawo. Ngati mukufuna chithandizo, dokotala wanu akhoza kukuthandizani kuti mupange njira yothandizira kuthana ndi matenda a chiwindi a C komanso kuyesetsa kuchira.