Kukhululukidwa kwa Hepatitis C

Zamkati

• Zomwe SVR zikutanthauza
• Hepatitis C imatha kudziwonekera yokha
• Momwe matenda a hepatitis C amathandizidwira
• Zinthu zomwe zimaneneratu momwe mungayankhire
• Kuyambiranso kwa Hepatitis C
• Nthawi zonse malizitsani mankhwala anu

Kukhululukidwa kwa hepatitis C ndikotheka

Pakati pa anthu padziko lonse lapansi, kuphatikizapo kuyerekezera, ali ndi matenda a chiwindi a hepatitis C. Matendawa amafalikira makamaka chifukwa chogwiritsa ntchito mankhwala osokoneza bongo. Hepatitis C yosachiritsidwa imatha kubweretsa zovuta zazikulu za chiwindi, kuphatikizapo matenda a khansa ndi khansa.

Nkhani yabwino ndiyakuti kachilomboka kakhoza kukhululukidwa ndi chithandizo choyenera. Madokotala amatanthauza kukhululukidwa ngati yankho la virological (SVR).

Zomwe SVR zikutanthauza

SVR imatanthauza kuti kachilombo ka hepatitis C sikangapezeke m'magazi anu milungu 12 mutalandira mankhwala anu omaliza. Zitatha izi, ndizotheka kuti kachilomboka kapita kosatha. Dipatimenti ya Veterans Affairs ku United States inanena kuti 99 peresenti ya anthu omwe apeza SVR amakhalabe opanda kachilombo.

Anthu awa nawonso:

• Kukumana ndi kusintha kwa kutupa kwa chiwindi
• adachepetsa kapena kuyambiranso fibrosis
• ali ndi mwayi wowirikiza kawiri wokhala ndi zambiri zotupa
• achepetsa chiopsezo chawo pakufa, chiwindi, komanso khansa ya chiwindi
• achepetsa mwayi wawo wopeza matenda ena

Kutengera kuwonongeka kwa chiwindi, mufunika nthawi yotsatira ndi kukayezetsa magazi miyezi isanu ndi umodzi kapena 12 iliyonse. Odana ndi hepatitis C adzakhala ndi chiyembekezo chokhazikika, koma izi sizikutanthauza kuti mwayambiranso.

Hepatitis C imatha kudziwonekera yokha

Kwa anthu ena, matenda a chiwindi a hepatitis C amathanso kudziwonekera okha. Izi zimatchedwa kuchotsedwa kwadzidzidzi. Makanda komanso atsikana makamaka atha kukhala ndi mwayi woti kachilomboka kadziyeretse m'matupi awo. Izi ndizochepa pakati pa okalamba.

Matenda opatsirana (osakwana miyezi isanu ndi umodzi m'litali) amatha mwadzidzidzi mu 15 mpaka 50% ya milandu. Kukhululukidwa mwadzidzidzi kumachitika m'munsi mwa 5 peresenti ya matenda opatsirana a hepatitis C.

Momwe matenda a hepatitis C amathandizidwira

Mankhwala osokoneza bongo angakuthandizeni kuthana ndi kachilombo ka hepatitis C kuti mukhululukidwe. Ndondomeko yanu yamankhwala itengera:

• Mitundu: Matenda anu a hepatitis C kapena "mapulani" a kachilomboka amachokera ku RNA. Pali mitundu isanu ndi umodzi yobadwa nayo. Pafupifupi 75 peresenti ya anthu ku United States ali ndi genotype 1.
• Kuwonongeka kwa chiwindi: Kuwonongeka kwa chiwindi komwe kulipo, kaya kuli kofatsa kapena koopsa, kumatha kudziwa mankhwala anu.
• Chithandizo cham'mbuyomu: Ndi mankhwala ati omwe mwalandira kale nawonso amakhudza masitepe otsatira.
• Matenda ena: Matenda a ndalama amatha kupewa mankhwala enaake.

Mukayang'ana izi, wothandizira zaumoyo wanu amakupatsani mankhwala oti mutenge kwa milungu 12 kapena 24. Mungafunike kumwa mankhwalawa nthawi yayitali. Mankhwala a hepatitis C atha kuphatikizira:

• daclatasvir (Daklinza) ndi sofosbuvir (Sovaldi)
• sofosbuvir ndi velpatasvir (Epclusa)
• ledipasvir / sofosbuvir (Harvoni)
• simeprevir (Olysio)
• boceprevir (Wogulitsa)
• kutuloji
• Ribavirin (Ribatab)

Mutha kumva mankhwala ena atsopano omwe amatchedwa mankhwala oletsa ma virus (DAA). Izi zimakonda kubwereza kachilombo pamagulu ena a hepatitis C.

Dokotala wanu akhoza kukupatsani mankhwala ena osakaniza. Mutha kudziwa zamankhwala a hepatitis C pofunsa dokotala kapena pitani ku HEP C123. Nthawi zonse tsatirani ndikumaliza chithandizo chanu. Kuchita izi kumawonjezera mwayi wanu wokhululukidwa.

Zinthu zomwe zimaneneratu momwe mungayankhire

Zinthu zingapo zingakuthandizeni kudziwa momwe mungayankhire. Izi zikuphatikiza:

• Mpikisano: Poyerekeza ndi mafuko ena, anthu aku Africa-America kale amayankha osauka kuchipatala.
• Mtundu wa IL28B: Kukhala ndi genotype iyi kumathandizanso kuti muchepetse mayankho anu kuchipatala.
• Zaka: Kuchulukitsa kumachepetsa kusintha kwakukwaniritsa SVR, koma osati kwambiri.
• Fibrosis: Kupunduka kwapamwamba kwa minofu kumalumikizidwa ndi mayankho 10 mpaka 20 peresenti yotsika poyankha.

M'mbuyomu, genotype ndi ma RNA a matenda a hepatitis C amathandizanso kudziwa momwe mungayankhire. Koma ndi mankhwala amakono munthawi ya DAA, samasewera kwenikweni. Mankhwala a DAA achepetsanso mwayi wothandizidwa kulephera. Komabe, mtundu winawake wa kachilombo ka hepatitis C, mtundu wachitatu, umakhalabe wovuta kwambiri kuchiza.

Kuyambiranso kwa Hepatitis C

Ndikotheka kuti kachilomboka kabwererenso chifukwa chobwezeretsanso kapena kuyambiranso. Kuwunikanso kwaposachedwa kwakanthawi koopsa kwa chiwindi cha hepatitis C kuyambiranso kapena kuyambiranso kumayika kuchuluka kwa SVR yokhazikika pa 90 peresenti.

Kuchulukanso kumatha kukhala mpaka 8% kapena kupitilira apo, kutengera chiwopsezo.

Mitengo yobwereranso imadalira zinthu monga genotype, mankhwala osokoneza bongo, komanso ngati muli ndi zina zilizonse. Mwachitsanzo, kuchuluka kwa Harvoni akuti kuli pakati pa 1 ndi 6%. Harvoni imagwiritsidwa ntchito makamaka kwa anthu omwe ali ndi genotype 1, koma maphunziro ena amafunikira pa izi.

Mpata wobwezeretsanso umadalira chiopsezo chanu. Kuwunikaku kunawonetsa zovuta zomwe zingayambitsenso ngati:

• kugwiritsa ntchito kapena kugwiritsa ntchito mankhwala ojambulidwa
• kumangidwa
• amuna ogonana ndi amuna
• ndalama zachitsulo, makamaka zomwe zimasokoneza chitetezo chamthupi chanu

Muli pachiwopsezo chobwezerezedwanso ngati mulibe zoopsa. Kuopsa kwakukulu kumatanthauza kuti muli ndi chinthu chimodzi chodziwikiratu chomwe chingayambitsenso kachilombo. Chiwopsezo chanu chimakhala chachikulu ngati mulinso ndi kachilombo ka HIV, ngakhale mutakhala pachiwopsezo chotani.

Chiwopsezo chobwereranso kwa hepatitis C pasanathe zaka zisanu ndi ichi:

Mutha kupatsidwanso kachilomboka, kapena kukhala ndi kachilombo katsopano kuchokera kwa munthu wina yemwe ali ndi matenda a chiwindi a C. Komabe, mwina mukukhala kuti mulibe hepatitis C m'moyo wanu. Mutha kudziona kuti ndinu okhululukidwa kapena hepatitis C alibe.

Nthawi zonse malizitsani mankhwala anu

Nthawi zonse muzitsatira chithandizo chomwe dokotala wakupatsani. Izi zimawonjezera mwayi wanu wokhululukidwa. Lankhulani ndi dokotala wanu ngati mukukumana ndi zovuta kapena zovuta zina kuchokera ku mankhwala anu. Funsani chithandizo ngati mukumva kukhumudwa. Dokotala wanu akhoza kukhala ndi oleza mtima omwe angakuthandizeni kuti mumuthandize komanso kuti mukhale ndi matenda a hepatitis C.