Isibindi

I-hepatitis ukuvuvukala nokuvuvukala kwesibindi.

I-hepatitis ingabangelwa:

• Amaseli omzimba emzimbeni ahlasela isibindi
• Ukutheleleka okuvela kuma-virus (njenge-hepatitis A, hepatitis B, noma i-hepatitis C), amabhaktheriya noma ama-parasites
• Ukulimala kwesibindi ngotshwala noma ubuthi
• Imithi, efana nokudlula ngokweqile kwe-acetaminophen
• Isibindi esinamafutha

Isifo sesibindi singadalwa futhi yizinkinga ezizuzwe njenge-cystic fibrosis noma i-hemochromatosis, isimo esibandakanya ukuba nensimbi eningi kakhulu emzimbeni wakho.

Ezinye izimbangela zibandakanya isifo seWilson, isifo lapho umzimba ugcina khona ithusi eliningi kakhulu.

I-hepatitis ingaqala futhi ilulame ngokushesha. Kungaba futhi yisimo sesikhathi eside. Kwezinye izimo, i-hepatitis ingaholela ekulimaleni kwesibindi, ukwehluleka kwesibindi, ukuqina kwesibindi, noma umdlavuza wesibindi.

Kunezici eziningana ezingathinta ukuthi isimo sinzima kangakanani. Lokhu kungafaka imbangela yokulimala kwesibindi nanoma yikuphi ukugula onakho. I-hepatitis A, ngokwesibonelo, ivame ukuba yesikhashana futhi ayiholeli ezinkingeni ezingapheli zesibindi.

Izimpawu zesifo sokusha kwesibindi zihlanganisa:

• Ubuhlungu noma ukuqunjelwa endaweni yesisu
• Umchamo omnyama kanye nezitulo ezinombala okhanyayo noma onobumba
• Ukukhathala
• Umkhuhlane webanga eliphansi
• Ukulunywa
• I-jaundice (ukuphuzi kwesikhumba noma kwamehlo)
• Ukuphelelwa isifiso sokudla
• Isicanucanu nokuhlanza
• Ukwehla kwesisindo

Ungahle ungabi nazimpawu lapho uqala ukungenwa yi-hepatitis B noma u-C. Usengakhula ukuhluleka kwesibindi ngokuhamba kwesikhathi. Uma unezici ezinobungozi kunoma yiluphi uhlobo lwe-hepatitis, kufanele uhlolwe kaningi.

Uzoba nokuhlolwa ngokomzimba okufanele ukufune:

• Isibindi esandisiwe nesethenda
• Uketshezi esiswini (ascites)
• Ukuphuzi kwesikhumba

Ungahle ube nokuhlolwa kwelebhu ukuthola nokuqapha isimo sakho, kufaka phakathi:

• I-Ultrasound yesisu
• Omaka igazi ngokuzenzakalela
• Ukuhlolwa kwegazi ukuthola i-Hepatitis A, B, noma u-C
• Ukuhlolwa kokusebenza kwesibindi
• Isibindi sokuhlola ukulimala kwesibindi (kungadingeka kwezinye izimo)
• I-Paracentesis (uma uketshezi kusesiswini sakho)

Umhlinzeki wakho wezokunakekelwa kwempilo uzokhuluma nawe mayelana nezindlela zokwelashwa. Ukwelashwa kuzohluka, kuya ngesizathu sesifo sakho sesibindi. Ungadinga ukudla ukudla okunekhalori eliphezulu uma wehlisa isisindo.

Kunamaqembu okusekela abantu abanezinhlobo zonke zesifo sokusha kwesibindi. La maqembu angakusiza ufunde ngezindlela zokwelashwa zakamuva nokuthi ungabhekana kanjani nokuba nalesi sifo.

Umbono we-hepatitis uzoncika kulokho okubangela ukulimala kwesibindi.

Izinkinga zingafaka:

• Ukulimala kwesibindi unomphela, okubizwa ngokuthi i-cirrhosis
• Ukuhluleka kwesibindi
• Umdlavuza wesibindi

Funa ukunakekelwa ngokushesha uma:

• Yiba nezimpawu ezivela ku-acetaminophen eningi noma eminye imithi. Ungadinga ukuthi isisu sakho sikhishwe
• Hlanza igazi
• Yiba nezihlalo ezinegazi noma zokulinda
• Badidekile noma bayadideka

Shayela umhlinzeki wakho uma:

• Unayo noma yiziphi izimpawu zesifo sokusha kwesibindi noma ukholelwa ukuthi usuchayeke ku-hepatitis A, B, noma ku-C.
• Awukwazi ukugcina ukudla phansi ngenxa yokuhlanza ngokweqile. Ungadinga ukuthola umsoco ngomthambo (ngemithambo yegazi).
• Uzizwa ugula futhi uye e-Asia, e-Afrika, eNingizimu Melika, noma eMelika Ephakathi.

Khuluma nomhlinzeki wakho mayelana nomuthi wokugoma ukuvimbela i-hepatitis A ne-hepatitis B.

Izinyathelo zokuvimbela ukusabalala kwesifo sokusha kwesibindi kohlobo B no-C zisuka komunye umuntu ziye komunye zifaka:

• Gwema ukwabelana ngezinto zakho siqu, ezifana nezinsingo noma isixubho.
• UNGABE wabelana ngezinaliti zezidakamizwa noma enye imishini yezidakamizwa (njengotshani bokuthimula izidakamizwa).
• Hlanza ukuchitheka kwegazi ngenhlanganisela yengxenye eyodwa yebhlitshi yasendlini kuya ezingxenyeni eziyi-9 zamanzi.
• UNGAYITHOI imidwebo emzimbeni noma ukubhoboza umzimba ngezinsimbi ezingakhuculwanga kahle.

Ukunciphisa ingozi yokusabalalisa noma yokubamba i-hepatitis A:

• Hlanza izandla zakho njalo ngemuva kokusebenzisa indlu yangasese, nalapho uhlangana negazi lomuntu, onezihlalo, noma olunye uketshezi lomzimba.
• Gwema ukudla namanzi okungcolile.

• Igciwane le-Hepatitis B
• I-Hepatitis C
• I-anatomy yesibindi

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Imihlahlandlela yokubhekwa kwe-hepatitis yegciwane kanye nokuphathwa kwamacala. www.cdc.gov/hepatitis/statistics/surveillanceguidelines.htm. Kubuyekezwe uMeyi 31, 2015. Kufinyelelwe ngoMashi 31, 2020.

UPawlotsky JM. I-hepatitis engapheli yegciwane kanye ne-autoimmune. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 140.

UTakyar V, uGhany MG. I-Hepatitis A, B, D, no-E. Ku: Kellerman RD, Rakel DP, eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier; 2020: 226-233.

U-JA A osemncane, u-Ustun C. Ukutheleleka kulabo abathola ukufakelwa kwe-hematopoietic stem cell. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 307.