Momwe Zizindikiro Za Hepatitis C Zikuwonekera

Zamkati

• Zizindikiro zake ndi ziti?
• Jaundice
• Kangaude angiomas
• Ascites
• Edema
• Kuvulaza kosavuta ndi magazi
• Ndere zamatsenga
• Porphyria cutanea tarda (PCT)
• Misomali ya Terry
• Matenda a Raynaud
• Masitepe otsatira

Kodi hepatitis C ndi chiyani?

Kuthetsa kachilombo ka hepatitis C (HCV) kumatha kudzetsa chiwindi cha C, chomwe ndi matenda opatsirana omwe amachititsa chiwindi chanu kuyaka. Hepatitis C imatha kukhala yayikulu (yayifupi), imatha milungu ingapo mpaka miyezi isanu ndi umodzi. Itha kukhala yanthawi yayitali (ya moyo wonse).

Matenda a hepatitis C osatha amatha kudwala chiwindi (cirrhosis), kuwonongeka kwa chiwindi, komanso khansa ya chiwindi.

Hepatitis C imafalikira kudzera pakukhudzana mwachindunji ndi magazi omwe ali ndi kachilomboka. Izi zitha kuchitika kudzera:

• kugawana masingano omwe ali ndi kachilombo, monga omwe amagwiritsira ntchito mankhwala osokoneza bongo kapena ma tattoo
• mwangozi zingano za singano pamalo azaumoyo
• kugawana malezala kapena mswachi, zomwe sizodziwika kwenikweni
• kugonana ndi munthu amene ali ndi matenda otupa chiwindi a mtundu wa C, omwe si ofala kwenikweni

Amayi apakati omwe ali ndi hepatitis C amathanso kupatsira ana awo kachilomboka.

Muyenera kutsuka kutayika kwa magazi ndi chisakanizo cha gawo limodzi la bulitchi mpaka magawo 10 amadzi. Mchitidwewu umadziwika kuti "zodzitetezera kwa onse."

Njira zodzitetezera ku chilengedwe chonse ndizofunikira chifukwa sungatsimikize kuti magazi alibe kachilombo ka hepatitis C, hepatitis B, kapena HIV. Hepatitis C imatha kukhalanso milungu itatu kutentha.

Zizindikiro zake ndi ziti?

Pafupifupi anthu mamiliyoni anayi ku United States ali ndi matenda otupa chiwindi a mtundu wa C. Ndipo mpaka anthu 80 pa 100 alionse sawonetsa zizindikiro zawo kumayambiriro.

Komabe, matenda a chiwindi a hepatitis C amatha kukhala osachiritsika pafupifupi 75 mpaka 85% ya anthu omwe amatenga kachilomboka, malinga ndi.

Zizindikiro zina za chiwindi cha chiwindi cha C ndi izi:

• malungo
• kutopa
• kusowa njala
• nseru ndi kusanza
• kupweteka m'mimba

Matenda a hepatitis C osachiritsika amayambitsa matenda a chiwindi ndipo amawonetsanso zizindikiro zofananira za chiwindi cha C, komanso zotsatirazi:

• kutupa m'mimba
• kutupa kwa malekezero
• kupuma movutikira
• jaundice
• kuvulaza kosavuta kapena kutuluka magazi
• kupweteka pamodzi
• kangaude angioma
• gynecomastia - kutupa kwa minofu ya m'mawere
• zotupa, khungu, ndi msomali zimasintha

Jaundice

Jaundice ndipamene khungu ndi azungu amaso (sclera) amasanduka achikasu. Izi zimachitika pakakhala bilirubin wochuluka (wachikasu wachikuda) m'magazi. Bilirubin ndi chinthu chomwe chimachokera m'maselo ofiira ofiira.

Nthawi zambiri bilirubin imaphwanyidwa m'chiwindi ndikumatulutsidwa mthupi momwe muli chopondapo. Koma ngati chiwindi chawonongeka, sichitha kukonza bwino bilirubin. Kenako imakhazikika m'magazi. Izi zimapangitsa khungu ndi maso kuwoneka achikaso.

Popeza jaundice ndi chizindikiro cha matenda a chiwindi a C ndi matenda enaake, dokotala wanu azikuthandizani. Matenda akulu a jaundice angafunike kuthiridwa magazi.

Kangaude angiomas

Kangaude angioma, yemwenso amadziwika kuti kangaude nevus kapena nevus araneus, ndi mitsempha yamagazi yomwe imawoneka pansi pa khungu. Amawoneka ngati kadontho kofiira kokhala ndi mizere yomwe imafalikira panja.

Kangaude angioma imalumikizidwa ndi kuchuluka kwa estrogen. Amatha kuwoneka paanthu athanzi, makamaka ana, komanso anthu omwe ali ndi matenda a hepatitis C.

Kwa anthu omwe ali ndi matenda a chiwindi a C, momwe chiwindi chimawonongeka, kuchuluka kwa estrogen kudzawonjezereka.

Kangaude angioma amapezeka makamaka pa:

• nkhope, pafupi ndi masaya
• manja
• patsogolo
• makutu
• khoma la chifuwa chapamwamba

Kangaude angioma amatha kuzimiririka pawokha kapena momwe zinthu zikuyendera bwino. Ndipo amatha kuthandizidwa ndi laser therapy ngati sangapite.

Ascites

Ascites ndimadzimadzi ochulukirachulukira m'mimba omwe amachititsa m'mimba kutupika, kofanana ndi buluni. Ascites ndi chizindikiro chomwe chitha kuwonekera m'magulu apamwamba a matenda a chiwindi.

Chiwindi chanu chikakhala ndi zipsera, chimachepa ndikugwira ntchito ndikupangitsa kukakamira kukulira m'mitsempha. Kupanikizika kotereku kumatchedwa portal hypertension. Zimayambitsa madzi amadzimadzi pamimba.

Anthu ambiri omwe ali ndi ascites adzawona kunenepa mwadzidzidzi, ndikuti m'mimba mwawo mumatuluka kuposa masiku onse. Ma Ascites amathanso kuyambitsa:

• kusapeza bwino
• kuvuta kupuma
• madzimadzi amadzipangira pachifuwa kulowera kumapapu
• malungo

Njira zina zomwe dokotala angakulimbikitseni kuti muchepetse kumwa mchere komanso kumwa diuretics, kapena mapiritsi amadzi, monga furosemide kapena Aldactone. Izi zimachitika limodzi.

Ngati muli ndi ascites, muyenera kuyang'ananso kulemera kwanu tsiku lililonse ndikulankhula ndi dokotala ngati mumapeza mapaundi opitilira 10, kapena mapaundi awiri patsiku masiku atatu motsatizana. Ngati dokotala watsimikiza kuti muli ndi ascites, angalimbikitsenso kuti muike chiwindi.

Edema

Mofanana ndi ascites, edema ndi kuchuluka kwa madzimadzi m'matumba amthupi. Izi zimachitika ma capillaries, kapena timitsempha tating'onoting'ono tamagazi, mthupi mwanu tikadontha madzimadzi, ndikukula munthawi yoyandikira.

Edema amapatsa dera lomwe lakhudzidwa kutupa kapena kudzitukumula. Anthu omwe ali ndi matenda otupa chiwindi a C nthawi zambiri amawona edema m'miyendo, akakolo, ndi mapazi.

Kukhala ndi khungu lotambasula kapena lowala, kapena khungu lopindika kapena lopindika, ndi zizindikiro zina za edema. Mutha kuwona ngati mukuphwanyaphwanya pakanikiza khungu kwa masekondi angapo ndikuwona ngati katsalira katsalira. Ngakhale edema yofatsa imatha yokha, dokotala akhoza kukupatsani mankhwala a furosemide kapena mapiritsi ena amadzi kuti athandize kutulutsa madzi owonjezera.

Kuvulaza kosavuta ndi magazi

Mukadutsa kwambiri matenda a chiwindi a C, mutha kuwona mikwingwirima yosavuta komanso kutaya magazi kwambiri popanda chifukwa. Kuvulaza kosazolowereka kumakhulupirira kuti kumachitika chifukwa cha chiwindi chomwe chimachedwetsa kupanga mapaleti, kapena mapuloteni ofunikira kuphimba magazi.

Pazovuta zazikulu, pakhoza kukhala kutuluka mwambiri kwa mphuno kapena nkhama, kapena magazi mkodzo.

Ndere zamatsenga

Lichen planus ndi vuto la khungu lomwe limayambitsa ziphuphu zazing'ono kapena ziphuphu m'malo omwe minofu yanu imalumikiza mafupa awiri pamodzi. Kubwereza kwa kachilombo ka hepatitis C m'maselo a khungu kumaganiziridwa kuti kumayambitsa ndere. Ziphuphu nthawi zambiri zimawoneka m'malo otsatirawa:

• mikono
• chifuwa
• maliseche
• misomali
• khungu

Khungu limamvanso kuti ndi losalala komanso loyabwa. Ndipo mutha kukhala ndi tsitsi, zotupa pakhungu, komanso ululu. Lankhulani ndi dokotala wanu za chithandizo ngati muwonetsa zizindikiro izi chifukwa cha matenda a chiwindi a hepatitis C.

Porphyria cutanea tarda (PCT)

PCT ndimatenda akhungu omwe amayambitsa izi:

• khungu
• kutayika tsitsi
• tsitsi la nkhope lowonjezeka
• khungu lokulirapo

Matuza nthawi zambiri amapangidwa m'malo omwe nthawi zambiri amakhala padzuwa, monga nkhope ndi manja. Chitsulo chambiri m'chiwindi, komanso kuchulukitsa kwa uroporphyrinogen, puloteni, m'magazi ndi mkodzo kumayambitsa PCT.

Kuchiza kwa PCT kumaphatikizapo chitsulo komanso kumwa mowa, kuteteza dzuwa, komanso kuchepetsa kuwonekera kwa estrogen.

Misomali ya Terry

Misomali ya Terry ndi chisonyezo pomwe mitundu yabwinobwino ya pinki yamatayala amatembenuza mtundu wa siliva woyera, ndipo ili ndi bandi lofiira lofiira, kapena mzere wopatukana, pafupi ndi nsonga zala.

American Family Physician inanena mu 2004 kuti 80 peresenti ya odwala matenda enaake adzapanga misomali ya Terry.

Matenda a Raynaud

Matenda a Raynaud amachititsa kuti mitsempha ya magazi m'thupi lanu ikhale yothinana kapena yopapatiza. Anthu ena omwe ali ndi chiwindi cha hepatitis C amatha kumva dzanzi ndi kuzizira m'minwe ndi zala zawo pamene kutentha kumasintha kapena akapanikizika.

Akamakhala otentha kapena kupsinjika, amatha kumva kupweteka kapena kubaya. Khungu lanu limakhalanso loyera kapena labuluu, kutengera magazi anu.

Kuti muthane ndi matenda a Raynaud, muyenera kuwonetsetsa kuti mukuvala motentha nyengo ikakhala yozizira. Ngakhale vutoli lilibe mankhwala, mutha kuthana ndi matendawa ndikuchotsa chomwe chimayambitsa matenda a hepatitis C.

Nthawi zina, adokotala amatha kukupatsani mankhwala olimbikitsa magazi.

Masitepe otsatira

Matenda a hepatitis C osachiritsika samangowonetsa zizindikiro kumayambiliro, koma amatha kuchiritsidwa ndikuchiritsidwa ngati atapezeka msanga. Zizindikiro zowoneka bwino zitha kukhala chizindikiro kuti vutoli lakula.

Ngati inu kapena munthu wina amene mumamudziwa akuwonetsa matenda a hepatitis C, funsani dokotala. Mukalandira chithandizo, dokotala wanu adzakuyesani magazi anu pakatha miyezi itatu kuti awone ngati kachilomboka katha.