Iimpawu sohlobo C kwabasetyhini. Hepatitis C: unyango. Hepatitis C: Iimpawu

"Umbulali Gentle" - yegama elinikwe hepatitis C ngoogqirha. uneempawu eziphakathi kunye kakhulu, phantse sibulala ukuvumela ukuba abize isifo ezintsonkothileyo isiqhulo impikiswano enjalo.

Njani na le ntsholongwane kakhulu yingozi?

Hepatitis C bemvelo wentsholongwane egazini. Ngembonakalo, iseli pathogen ngokumila ungqukuva kunye iqokobhe kwaye ibekwe ngaphakathi ulwazi yemfuza. Ufuzo ibandakanya gene enye kuphela (RNA umcu), nto leyo ufakwe neeproteni ze-9. Elula ngesakhiwo lula ukungena ngokukhawuleza intsholongwane kwizisele esibindini. Iyunithi ochaphazelekayo iyaqhubeka ukusebenza aze enze oko kuba ethobela ukuya viral iiseli iimfuno.

Hepatocyte nokulungelelanisa iiproteni wentsholongwane egazini kunye RNA. Amasuntswana asanda kwakhiwa lihamba ukuya kwiindawo esempilweni, bathelela kubo. iiseli umsebenzi elide virusonosnyh ekhokelela ekufeni esiqwini isibindi okanye ukuzalwa kwabo, zibe ngamathumba amabi.

Enye inkalo ihepatitis C kukuba layo ukwenza i "quasispecies" - amasuntswana iguqulwe kancinane. Ufuzo le ntsholongwane, kukho imimandla apho ukuziguqula kwenzeka rhoqo. Ngenxa nzima ukubona, "hepatitis C". Iimpawu kunye unyango ingxaki entsonkothileyo kakhulu, ngokuba zilityelwe ukuba kugqame, kwaye eyesibini buchazwa specialist kuphela ngamnye. Kulo mzekelo, isibindi waphula phantsi ngokuthe ngcembe, yaye iiseli wentsholongwane egazini bayaqhubeka ukungena kulo esikule zeminye imibutho, ebangela comorbidities.

Bosuleleka njani hepatitis C?

Ngenye eziphilayo nemazi, kohlobo lwe C iphindaphindeke isibindi ujikeleza igazi wonke umzimba. Kodwa njengokuba arhente causative esi sifo engena umzimba? Zonke iindlela usulelo ngandlela ithile edibene igazi, ngoko eyingozi zonke iimeko apho egazini kunye nomntu owosulelekileyo ungakwazi ukudibanisa nelakho. Elona nani likhulu lamatyala osulelo ezinxulumene nokusetyenziswa kweziyobisi efakwa. Amaxesha amaninzi ngesirinji zingcoliswe, esiza kusetyenziswa abantu abaliqela, intsholongwane komnye umntu onayo iye kwenye. Ngokutsho manani,-80% ye-abakhotyokiswe abagulayo kunye kohlobo C losuleleko leyo ke kaninzi kwenzeka inaliti yokuqala.

kwakhona ukungabi nasimilo ingozi. Ngokudibana uqalwe ngokwesondo kungenzeka ukuba ukuphuhlisa esi sifo (ukuba iqabane lakho inaso intsholongwane) yi-5-10%. Nakuba kunjalo, iimpawu ihepatitis C kwabasetyhini musa kubonakala kwangoko. Ekuzalweni ukusuka kumama onayo ukuba nokwenzeka yokosulela kwe isifo kwimveku ayidluli-5%.

Kude kube kamva nje, ukutofelwa igazi baye yingozi ngenxa yokuba oko zosulelwe hepatitis C. Ukususela ngowe-1999, izinto abaxhasi baqalisa ukukhangela ubukho antibodies sifo. Okwangoku, idatha angaba kuphela 4% amatyala. Musa ukulibala ukuba ingozi ukuze nilalele inani engeyongozi ngokupheleleyo xa uqala kuqala, le meko. Ngokomzekelo, xa utyelela lokucheba iinwele, unyango lwamazinyo rhoqo okanye ungenelelo ngotyando, kukho ingozi enkulu yosulelo.

Kwiimeko apho le nkqubo enxulumene wokunyhashwa ukuthembakala ulusu okanye inwebu yangaphakathi, cela indlela ephatha izixhobo. Kufuneka baqaphele ngumvambo, ukugqojozwa komzimba, owenza manicure (iinzipho). Usulelo zingenzeka ngenxa izixhobo ukusetyenziswa neprodezinfitsirovannyh ukuba angadlulisela igazi ezosulelayo ukusuka ngaphambili.

Ngenxa yokuba kumatyala 40 out of 100 akakwazi ukuseka unobangela omangalisayo usulelo, kucetyiswa ukuba ukuthintela iimeko apho igazi lakho ungakwazi ukudibanisa amasuntswana igazi kunye nomntu owosulelekileyo.

Iimpawu sohlobo C kwabasetyhini

Ke ngoku xelela indlela aziphatha ngayo esi sifo. Ukuba ngenxa yesizathu esithile kukho umbuzo malunga iimpawu hepatitis C, usoloko kufuneka udibane nge yincutshe. Esi sifo zimpawu iimpawu ezithile. Ukusuka ezinye iindidi ze intsholongwane hepatitis eyahlukileyo kakhulu C.

Iimpawu abafane avele kwiveki yokuqala yokugula, kwaye yellowness ulusu - a amila. Amaxesha amaninzi isigulane luhlangabezana ukudinwa, ediniwe ngokukhawuleza kwaye uziva nokudinwa. Ezi iimpawu eziphambili sohlobo C. Abafazi ngo-35-65% yamatyala kukudakumba. Ayifane kwi ikhosi nokoyika sifo iintlungu joint, ukungacoleki kokutya, ngokuqhelekileyo ngaphandle ukwandisa kakhulu lobushushu.

iimpawu ezifanayo sohlobo C kwabasetyhini indawo ingacaci ukuba isifo esiyingozi enjalo. Ukongeza, izigulane badla musani kufuna uncedo ngexesha, kubangele iingxaki. Ngaphandle ingqalelo eyiyo intsholongwane hepatitis B kunokukhokelela kwesibindi okanye umhlaza wesibindi. Xa ke nazimpawu sisifo umntu random ngokupheleleyo ukufunda sifo kusekwangoko. Amaxesha amaninzi, oku kwenzeka xa ufuna uvavanyo lwegazi, okanye wena ukunikela. Xa usebenzisa uguqulelo yokwanda ivolyum esiswini, kukho spider emithanjeni, nenyongo, ubuthathaka nodandatheko.

I "Swallows 'yokuqala sifo

Iimpawu zokuqala sohlobo C abafazi kubhidaniswe umkhuhlane. Ekuqaleni sifo soloko ilandelwa lutshintsho lwemithetho ukunxila kwaye ngethuba leeveki ezi-2 zokuqala okuphuma phantse akukho kubonakaliswa ebonakalayo. Kuphela kukwiimeko ezinqabileyo, kukho ukurhawuzelela, iintlungu kwamalungu kunye nezihlunu, umchamo, ukungabi namdla.

izikhalazo rhoqo, abo baphathwa izigulane zezi:

• silale, ukungakhathali, yaye ubuthathaka emzimbeni;
• kwanciphisa umsebenzi engqondweni;
• ezingemnandi imvakalelo eyendawo ikota yesangqa ephezulu ngasekunene;
• kukunqongophala okupheleleyo umnqweno ukutya ukutya okanye amanzi;
• ngesidlo ngasinye ebangela ubuhlungu.

Amaxesha amaninzi, hepatitis C (iimpawu kunye nonyango, njengoko sele kubonisiwe, sizimisele ngononophelo kwaye ngamnye) ikhutshelwa ngendlela elula, kodwa umyalelo we-10% ukuba lungakhuseleki kwi fulminant forms (ngokukhawuleza) isifo lunokubulala. Ngowe-80-90% amatyala, esi sifo kuba ezingapheliyo.

Ukuchonga isifo kuyimfuneko ukwenza uthotho, kubandakanywa nemvavanyo zaselaborathri mandatory zezi zilandelayo:

• uvavanyo igazi isiqulatho ALT, AST, yibilirubin;
• ukumisela anti-abanesifo ngegazi (antibodies hepatitis C virus);
• a test igazi PCR-abanesifo;
• SPL kunye biopsy wesibindi, esebenzisa leyo emiselwe nobungozi besi sifo;
• izigulana seswekile okanye lwegazi kuyimfuneko beya kulibhala lo fundus, apho retinopathy elibhaqiweyo.

Kwimeko nganye, iimpawu ziyahluka lokufunyaniswa "C". Ngoko ke, ugqirha maxa wambi u uluhlu yenze uphando okanye unciphisa oko, kuxhomekeke imeko okanye zaselebhu izixhobo yesigulane.

ezibonisa kwezonyango sifo

Kanye emzimbeni ngesikhumba okanye isifo, ndiyandise kwaziwe inokuqokelelana ngalo igazi izibilini. Umonakalo omkhulu bevakalise ukuya iiseli isibindi. Ukuthatha iingcambu kubo, intsholongwane "indawo" iiseli uphilile abachaphazelekayo. Ukongeza, iiseli yayintsholongwane eyosulela bangangenisa ikhowudi yazo yemfuza DNA yabantu, ebavumela ukuba bayabaleka bazimele ixesha elide yaye akazange kuwa phantsi kwempembelelo kolawulo omzimba. Le into sizathu percolation enkulu ngendlela ezingapheliyo zesi sifo. Ikwa negalelo kuphuhliso usulelo yentsholongwane umguli, nto leyo inokukhokelela sisibindi, ukuqina kwesibindi kunye ukubonakala yamathumba zomhlaza.

Xa siqwalasela inkqubo kwinqanaba zeselula, iimpawu zokuqala sohlobo C kubonakala ngenxa kwintshabalalo kweeseli zesibindi ezisebenzayo. Ukuba umonakalo ingqibelelo amaqokobhe yangaphakathi ngabona iinkqubo igcwala. Zomzimba benziwa "umngxuma" apho iiseli zivela enzyme ion K kwaye uqalisa sodium kunye calcium ion. Ukungalingani kukhokelela ekubeni ulwelo kungaveli kwaye ibangela iseli ukudumba. kubonakala ngokwezonyango ukwanda picture isakhiwo umzimba umkhondo kwi necrosis kwesibindi (iindawo iiseli kwabafileyo) iphazamisekile yibilirubin kwemali, nto leyo ebonakalisa uphuhliso senyongo.

Phase legciwane

Iingcali bachonga izigaba ezininzi sifo: etsolo, efukamileyo, ekuvuseleleni kunye elahlekile. Noko ke, wena iyakwazi ukuphawula ifomu etsolo kwaye ezingapheliyo, equka izigaba ezithathu yokugqibela. Makhe sihlolisise ngokweenkcukacha esi sifo "hepatitis" iimpawu kwabasetyhini, iifoto welungu achaphazelekayo.

Isigaba yayiyazi

Ukuba umntu une "hepatitis C etsolo", iimpawu zezi zilandelayo:

• kubonakaliswa ahlekise kwesibindi syndrome;
• ukwandisa transamina inombolo;
• ukubonakala anti-abanesifo IgM, kwaye anti-abanesifo IgG kwiimolekyuli iiprothini kungekho anti-abanesifo IgG;
• Efumanise abanesifo RNA egazini yesigulane.

Isigaba etsolo ithatha malunga neenyanga ezi-6.

isigaba ebhekiswe

Eli nyathelo kungenzeka phambi kwenzeka exacerbation sohlobo C. Iimpawu wabonakala kuqala emva kweenyanga ezi-6 okanye ngaphambili. Kulo mzekelo:

• obubonakala lwezonyango bangabi sathi;
• linyuke kancinane izinga transamina;
• anti-abanesifo imiselwa IG kwi imali ukususela malunga-1: 160 okanye ngaphezulu;
• engazimisele anti-abanesifo IgM;
• Oku sele kubonakele abanesifo RNA egazini.

Ngethuba lokuqhuba kwale sigaba umenzi imalunga ne-10 iminyaka.

ephinde

Zokunciphisa umsebenzi virus sikhatshwa ezi mpawu zilandelayo:

• ebonisa ntsalela kwesigaba ahlekise;
• Iimpawu zokuqala kohlobo;
• ukwandisa index transamina;
• efumanise anti-abanesifo IgM, anti-abanesifo IgG, RNA egazini;

Eli nyathelo ugqibe iminyaka 5-10 wabe zesibindi kwesibindi, unako zibonakaliswe njenge primary carcinoma hepatocellular.

ukululama

Ukuba uchaza lokufunyaniswa "C", iimpawu, unyango, iziphumo nazo axilongwe wachazela kwisigulana, unako qhuba uye kwinyathelo ukululama. Kweli nqanaba ngayo iinqobo zayo yokuqingqa imo yomntu. Zizo ezi:

• ukungabikho kweenkcukacha clinical;
• transamina kwinqanaba elamkelekileyo;
• efumanise anti-abanesifo IgG kunye anti-abanesifo IgG in titers eliphantsi Ukunyamalala yazo ngcembe;
• engekho IgM anti-abanesifo kunye abanesifo RNA egazini.

unyango Traditional kwesibindi C

Xa lokufunyaniswa unyango "C" amiselwe ngugqirha, isifo esosulelayo. Ngokufuthi, imiyalelo eziphambili izinto zasemsebenzini zezi:

• ukususwa ukudumba emzimbeni isibindi;
• uthintelo kwesibindi;
• ukunciphisa lwee- iiseli wentsholongwane egazini kunye intshabalalo yabo epheleleyo.

Unyango lwe amayeza imveliso nomonde - njengoko amachiza exabiso aseYurophu, yaye yedemokhrasi ngakumbi ixabiso noogxa zasekhaya. Kufuneka kuqatshelwe ukuba kufuneka kunye nothomalaliso ukuba babambelele yokudla kanye ecaleni ngokupheleleyo ukusetyenziswa kotywala kunye necuba iimveliso. Emsebenzini nazo amandla enkulu ngokomzimba. Isigulana kufuneka kuphumla.

amayeza emveli ekulweni hepatitis C

Abaninzi ubungozi okwetyeli kumayeza emveli. Xa hepatitis C abafazi bayacetyiswa ukuba bathathe iindlela ezifana:

• rhoqo (qho iiyure ezi-3) ukuze usele amacephe 2 nokubandakanywa yeentsika stigmas ingqolowa, kwaye kanye ngemini - ezimbalwa amacephe of Frechet horseradish;
• yonke imihla ungatyanga ukuba usele iglasi decoction of umyalezo (unako ngecephe ubusi); iikomityi ezimbini kwizintso umhluzi okanye amagqabi ezinde (yongeza uwathandabuze soda); kungenziwa mzuzu kunye iikomityi ezi-2 umhluzi kwesilumko, umhlonyane ingca kunye amaqunube konwele;
• kucetyiswa ukuba alungiselele decoction of Wort, iintyatyambo Helichrysum kunye sihlahla amaxolo eSt bakaYohane basele iiglasi eziliqela mihla;
• ngokufuthi kangangoko unako ukusela iti zetyeleba okanye decoction.
• Kakuhle izenzo anetyuwa ikhaphetshu zifakwa (kufuneka sisele ndandirhabula ezimbalwa ngemini), igalikhi kunye intlama yejusi yelamuni (akukho amacephe ngaphezu kwe-6 ngosuku.), Juice Potato (1.5 v ngosuku.), Yeekherothi, juice beet xa om-1: 1 (2-3 izibuko usuku), kukho decoction of Wort St. lukaYohane (kanye ngemini amacephe ama-2. amacephe), juice edandelion (exutywe ngamanzi 1:10).

Ukuhlambulula umzimba ngamaxhwele yokuqala bacebisa zonke iintsuku ezi-3 ukwenza enema kunye umhluzi chamomile sisityebi.

Zeziphi iindlela kohlobo C?

Ukuza kuthi ga ngoku, izazinzulu andifumananga laso elisebenzayo nxamnye hepatitis C, ngoko iindlela zothintelo zinxulumene kuphela ukunciphisa imingcipheko enxulumene kwii kunokwenzeka kwentsholongwane ngelilelakhe igazi. Ngamanye amazwi, ukunciphisa unxibelelwano nabantu abasemngciphekweni: ngamakhoboka eziyobisi, amafanasini. Isilumkiso kufuneka kwakhona ibe sadibana nabantu ngabantu abaye phantsi utyando okanye kwegazi. ingqalelo ekhethekileyo kufuneka ihlawulwe izixhobo eziyilelwe ukusetyenziswa ezininzi zoluntu (wamazinyo, manicure, izincedisi iinwele yakhe).

Xa kunjalo, xa intsapho yakho egulayo, kufuneka kwakhona mbo amanyathelo ezithile. ngabanye izincedisi essentials kufuneka anikezele (zokutya, ibhrashi yamazinyo, izixhobo, njl .., apho igazi ungasifumana na). Ukuba umonakalo ulusu kufuneka aphathwe ngayo inxeba. Handle zonke iindawo ukubetha igazi abantu abagulayo ngengozi. I onke amalungu entsapho nomonde kwaye kufuneka umana usiya rhoqo ukuze iyaluthintela uphuhliso sifo. Kumelwe prophylaxis yi ugonyo nxamnye hepatitis A and B, ekubeni ukosuleleka iintsholongwane ezininzi baphathwe inzima kakhulu ngakumbi.

Ukuba sithethe malunga kwinqanaba likazwelonke, unciphiso kunye nolawulo sohlobo negalelo:

• nokuphucula imigangatho yokuphila kunye nenkcubeko yabantu;
• Ngaphandle inkqubo nangenkathalo yezempilo, ukuqaliswa kwenkqubo uxanduva amanyathelo unyango eziphosakeleyo;
• ukuqaliswa inshorensi yezempilo.