Cirrhosis ndi Hepatitis C: Kulumikizana Kwawo, Kulosera Kwawo, ndi Zambiri

Zamkati

• Matenda a chiwindi
• Hepatitis C ikhoza kukhala yosaoneka
• Zizindikiro za matenda enaake chifukwa cha hepatitis C
• Kupita patsogolo mpaka ku cirrhosis
• Matenda a chiwindi
• Mankhwala a HCV ndi matenda enaake
• Maganizo a matenda enaake

Hepatitis C imatha kubweretsa matenda enaake

Ena ku United States ali ndi kachilombo koyambitsa matenda a chiwindi a H (HCV). Komabe anthu ambiri omwe ali ndi kachilombo ka HCV sakudziwa kuti ali nawo.

Kwa zaka zambiri, matenda a HCV amatha kuwononga chiwindi. Kwa anthu 75 mpaka 85 aliwonse omwe ali ndi matenda opatsirana a HCV, pakati pawo adzadwala matenda enaake. Matenda a HCV ndi omwe amayambitsa matenda a chiwindi ndi khansa ya chiwindi.

Matenda a chiwindi

Chiwindi ndi chiwalo chomwe chimachotsera magazi ndikupanga michere yofunikira. Pali zinthu zambiri zomwe zingawononge chiwindi. Zina mwa izi ndi izi:

• kumwa mowa mopitirira muyeso
• tiziromboti
• matenda a chiwindi

Popita nthawi, kutupa pachiwindi kumayambitsa zipsera komanso kuwonongeka kwamuyaya (kotchedwa cirrhosis). Pakufooka kwa chiwindi, chiwindi chimalephera kudzichiritsa chokha. Cirrhosis itha kubweretsa ku:

• matenda omaliza a chiwindi
• khansa ya chiwindi
• chiwindi kulephera

Pali magawo awiri a chiwindi:

• Kulipidwa matenda enaake amatanthauza kuti thupi limagwirabe ntchito ngakhale kuchepa kwa chiwindi komanso mabala.
• Kutha kwa chiwindi zikutanthauza kuti ntchito za chiwindi zikutha. Zizindikiro zazikulu zitha kuchitika, monga impso kulephera, kutuluka kwa magazi kwamadzimadzi, komanso kutsekeka kwa chiwindi.

Hepatitis C ikhoza kukhala yosaoneka

Pakhoza kukhala zizindikiro zochepa pambuyo poti HCV yatenga kachilombo koyambirira. Anthu ambiri omwe ali ndi chiwindi cha C sanadziwe kuti ali ndi matenda owopsa.

HCV imayambitsa chiwindi. Anthu ambiri omwe amawululidwa amakhala ndi matenda opatsirana atangoyamba kumene kutenga HCV. Matenda opatsirana a HCV pang'onopang'ono amachititsa kutupa ndi kuwonongeka kwa chiwindi. Nthawi zina matendawa sangapezeke kwa zaka 20 kapena 30.

Zizindikiro za matenda enaake chifukwa cha hepatitis C

Mwina simungakhale ndi zizindikilo zilizonse za chiwindi mpaka chiwindi chanu chiwonongeke kwambiri. Mukakhala ndi zizindikiro, izi zingaphatikizepo izi:

• kutopa
• nseru
• kusowa chilakolako
• kuonda
• kutuluka magazi kapena kuphwanya mosavuta
• khungu loyabwa
• chikasu kutuluka m'maso ndi khungu (jaundice)
• kutupa miyendo
• madzimadzi pamimba (ascites)
• mayesero achilendo amwazi, monga bilirubin, albin, ndi magawo a coagulation
• mitsempha yotupa m'mimba ndi m'mimba yomwe imatha kutuluka (variceal hemorrhage)
• Kulephera kugwira bwino ntchito chifukwa cha poizoni (encephalopathy)
• matenda am'mimba ndi ascites (bakiteriya peritonitis)
• kuphatikiza impso ndi chiwindi kulephera (hepatorenal syndrome)

Chiwindi cha chiwindi chimawonetsa zipsera, zomwe zingatsimikizire kupezeka kwa matenda ena mwa anthu omwe ali ndi HCV.

Mayeso a labu ndi kuyezetsa thupi kungakhale kokwanira kuti dokotala wanu azindikire matenda opatsirana a chiwindi popanda biopsy.

Kupita patsogolo mpaka ku cirrhosis

Anthu ochepera kotala mwa anthu omwe ali ndi HCV amadwala matenda enaake. Koma, pali zinthu zina zomwe zingapangitse chiopsezo cha matenda enaake, kuphatikizapo:

• kumwa mowa
• matenda a HCV ndi kachilombo kena (monga HIV kapena hepatitis B)
• chitsulo chambiri m'magazi

Aliyense amene ali ndi matenda opatsirana a HCV ayenera kupewa mowa. Cirrhosis imathanso kufulumizitsa anthu azaka zopitilira 45 ngati fibrosis ndikuchulukirachulukira. Kuchiza mwankhanza matenda a HCV mwa achinyamata kumathandiza kupewa kupita ku chiwindi.

Matenda a chiwindi

Ndikofunika kukhala ndi thanzi labwino ngati mukudwala matenda enaake. Onetsetsani kuti katemera aliyense wapita patsogolo, kuphatikizapo:

• matenda a chiwindi B
• chiwindi A
• fuluwenza
• chibayo

Matenda enaake amatha kusintha momwe magazi amayendera mthupi lanu. Mafinya amatha kulepheretsa magazi kudutsa pachiwindi.

Magazi amatha kutuluka m'mitsuko ikuluikulu m'mimba ndi m'mimba. Mitsempha yamagazi iyi imatha kukulira ndikung'ambika, ndikupangitsa magazi kulowa m'mimba. Onetsetsani kuti mwayang'ana magazi osazolowereka.

Khansara ya chiwindi ndi vuto linanso lomwe lingachitike la matenda enaake. Dokotala wanu amatha kugwiritsa ntchito mayeso a magazi ndi mayeso ena am'magazi miyezi ingapo iliyonse kuti ayese khansa. Zovuta zina za matenda a chiwindi ndi izi:

• gingivitis (matenda a chingamu)
• matenda ashuga
• zosintha momwe mankhwala amathandizira mthupi lanu

Mankhwala a HCV ndi matenda enaake

Ma antivirals othandiza kwambiri, otsogolera komanso mankhwala ena a HCV amatha kuchiza matenda am'mimba msanga. Mankhwalawa amatha kuchepetsa kukula kwa matenda a chiwindi komanso kulephera kwa chiwindi.

Matenda a chiwindi akakula, chithandizo chimakhala chovuta kwambiri chifukwa cha zovuta monga:

• ascites
• kuchepa kwa magazi m'thupi
• matenda a ubongo

Zovuta izi zitha kupangitsa kukhala kosatetezeka kugwiritsa ntchito mankhwala. Kuika chiwindi ndiye njira yokhayo yothandizira.

Kuika chiwindi ndiye njira yokhayo yothanirana ndi matenda enaake owopsa. Anthu ambiri omwe amalandira chiwindi cha chiwindi cha hepatitis C amakhala ndi moyo kwa zaka zosachepera zisanu atamuika. Koma, matenda a HCV nthawi zambiri amabwerera. Ndicho chifukwa chofala kwambiri choika chiwindi ku United States.

Maganizo a matenda enaake

Anthu omwe ali ndi matenda a cirrhosis amatha kukhala ndi moyo kwazaka zambiri, makamaka ngati atapezeka msanga ndikuyang'aniridwa bwino.

Pafupifupi 5 mpaka 20 peresenti ya anthu omwe ali ndi matenda otupa chiwindi a mtundu wa C amatha kudwala matenda enaake. Poganizira izi, zimatenga pafupifupi zaka 20 mpaka 30 kuti matenda a cirrhosis adziwe.

Kugwiritsa ntchito ma antivirals achindunji kungathandize kuchepetsa kapena kuletsa kupita ku chiwindi. Cirrhosis ikapanda kuchiritsidwa imatha kubweretsa chiwindi.

Kuti mukhale ndi thanzi la chiwindi, yesani izi:

• kukhala ndi thanzi labwino
• pewani mowa
• pitani kuchipatala nthawi zonse
• thandizani matenda opatsirana a HCV

Muyeneranso kugwira ntchito ndi gastroenterologist kapena hepatologist kuti mupeze chithandizo chabwino ndikuwunika zovuta zilizonse.