Mankhwala a Hepatitis

Zamkati

• 1. Chiwindi A
• 2. Matenda a Chiwindi B
• Njira zodzitetezera mukatha kupezeka ndi kachilomboka
• Chithandizo cha chiwindi cha pachimake B
• Chithandizo cha matenda otupa chiwindi a mtundu wa B
• 3. Chiwindi C
• 4. Matenda a kutupa chiwindi
• 5. Matenda a chiwindi

Chithandizo cha matenda a chiwindi chimadalira mtundu wa matenda a chiwindi omwe munthuyo ali nawo, komanso zizindikilo, zisonyezo komanso kusinthika kwa matendawa, omwe atha kuchitika ndi mankhwala, kusintha kwa moyo kapena chisokonezo chowopsa, kungafune kuchita kumuika chiwindi.

Hepatitis ndikutupa kwa chiwindi, komwe kumatha kuyambitsidwa ndi ma virus, mankhwala kapena chifukwa chakukula kwa chitetezo chamthupi. Dziwani zonse za matenda a chiwindi.

1. Chiwindi A

Palibe mankhwala enieni a matenda a chiwindi a A. Nthawi zambiri, thupi limachotsa kachilombo koyambitsa matenda a chiwindi kokha osafunikira mankhwala.

Chifukwa chake, ndikofunikira kuti mupumule nthawi yayitali, chifukwa matendawa amasiya munthu atatopa kwambiri komanso alibe mphamvu, kuwongolera kunyansidwa ndi matendawa, kudya zakudya zambiri, koma pang'ono pamtundu uliwonse ndikumwa madzi ambiri kuti ateteze kuchepa kwa madzi m'thupi komwe kumatha kuchitika mukamasanza.

Kuphatikiza apo, kumwa mowa komanso mankhwala ayenera kupewedwa momwe zingathere, chifukwa zinthuzi zimachulukitsa chiwindi ndikulepheretsa kuchiza matendawa.

2. Matenda a Chiwindi B

Chithandizo cha matenda a chiwindi B chimadalira gawo la matendawa:

Njira zodzitetezera mukatha kupezeka ndi kachilomboka

Ngati munthuyo akudziwa kuti ali ndi kachilombo ka hepatitis B ndipo sakudziwa ngati atalandira katemera, ayenera kukaonana ndi dokotala posachedwa, kuti amupatse jakisoni wa ma immunoglobulins, omwe ayenera kuperekedwa pasanathe nthawi a maola 12 atagwidwa ndi kachilomboka, komwe kungathandize kupewa matendawa.

Kuphatikiza apo, ngati munthuyo sanalandire katemera wa hepatitis B, ayenera kuchita chimodzimodzi ndi jakisoni wa ma antibodies.

Chithandizo cha chiwindi cha pachimake B

Ngati dokotalayo apeza matenda a chiwindi a hepatitis B, ndiye kuti ndi a kanthawi kochepa ndipo amadzichiritsa pawokha motero palibe chithandizo chofunikira. Komabe, zikavuta kwambiri, adokotala amalangiza anthu kuti azitha kulandira mankhwala opatsirana pogwiritsa ntchito ma virus kapena nthawi zina kuchipatala kungalimbikitsidwe.

Kuphatikiza apo, ndikofunikira kuti munthuyo apumule, adye moyenera ndikumwa madzi ambiri.

Chithandizo cha matenda otupa chiwindi a mtundu wa B

Anthu ambiri omwe amapezeka kuti ali ndi matenda otupa chiwindi a mtundu wa B, amafunikira chithandizo chamoyo wonse, zomwe zingathandize kuchepetsa ngozi ya matenda a chiwindi komanso kupewa kufalitsa matendawa kwa ena.

Chithandizochi chimaphatikizapo mankhwala osokoneza bongo monga entecavir, tenofovir, lamivudine, adefovir ndi telbivudine, omwe amathandiza kulimbana ndi kachilomboka ndikuchepetsa kuthekera kwake kuwononga chiwindi, jakisoni wa interferon alfa 2A, yomwe imathandiza kuthana ndi matenda ndipo nthawi zina .

Dziwani zambiri za anthu interferon alfa 2A.

3. Chiwindi C

Matenda a hepatitis C amathanso kuchiritsidwa ndi mankhwala ochepetsa ma virus, monga ribavirin wokhudzana ndi munthu interferon alfa 2A, kuti athetse kachilomboka pamasabata osachepera 12 atamaliza mankhwala. Onani zambiri za ribavirin.

Mankhwala aposachedwa kwambiri akuphatikiza ma antivirals monga simeprevir, sofosbuvir kapena daclatasvir, omwe amatha kuphatikizidwa ndi mankhwala ena.

Ngati munthu atenga zovuta zazikulu kuchokera ku chiwindi cha hepatitis C chosatha, kumuwonjezera chiwindi kungafunike. Ngakhale zili choncho, kumuika sikumachiritsa matenda a chiwindi a C, chifukwa matendawa amatha kubwerera ndipo pachifukwa chake chithandizo chamankhwala ochepetsa ma virus chimayenera kuchitidwa, kuti tipewe kuwonongeka kwa chiwindi chatsopano.

4. Matenda a kutupa chiwindi

Pofuna kupewa kuwonongeka kwa chiwindi kapena kuchepa kwa chitetezo cha mthupi, mankhwala omwe amachepetsa ntchito yake ayenera kugwiritsidwa ntchito. Nthawi zambiri, mankhwala a prednisone amachitidwa kenako azathioprine amatha kuwonjezeredwa.

Ngati mankhwalawa sakukwanira kupewa kukula kwa matendawa, kapena munthu akamadwala matenda enaake kapena chiwindi kulephera, kungakhale kofunika kumuika chiwindi.

5. Matenda a chiwindi

Ngati munthuyo ali ndi vuto la chiwindi, ayenera kusiya nthawi yomweyo kumwa zakumwa zoledzeretsa ndipo asadzamwerenso. Kuphatikiza apo, adotolo amatha kulangiza zakudya zosinthidwa kuti akonze zovuta zamavuto zomwe zingayambidwe ndi matendawa.

Dokotala amathanso kulangiza mankhwala omwe amachepetsa kutupa kwa chiwindi monga corticosteroids ndi pentoxifylline. Zikakhala zovuta kwambiri, pangafunike kumuika chiwindi.

Onerani vidiyo yotsatirayi, zokambirana pakati pa katswiri wazakudya Tatiana Zanin ndi Dr. Drauzio Varella, za momwe kufalikira kumachitika komanso momwe mungapewere matenda a chiwindi: