I-Cocktail eyingozi: Utshwala ne-Hepatitis C

-Delile

• Utshwala nesifo sesibindi
• I-Hepatitis C nesifo sesibindi
• Imiphumela yokuhlanganisa utshwala nokutheleleka nge-HCV
• Ukwelashwa kotshwala ne-HCV
• Ukugwema utshwala kuyisinqumo esihlakaniphile

Ukubuka konke

Igciwane le-hepatitis C (HCV) lidala ukuvuvukala futhi lilimaze amaseli wesibindi. Ngokuhamba kwamashumi eminyaka, lo monakalo uyanqwabelana. Ukuhlanganiswa kokusetshenziswa kotshwala ngokweqile nokutheleleka okuvela ku-HCV kungadala ukulimala kwesibindi okukhulu. Kungaholela ekulimaleni unomphela kwesibindi, okwaziwa ngokuthi i-cirrhosis. Uma uthola ukuthi unesifo esingelapheki se-HCV, kufanele uyeke ukuphuza utshwala.

Utshwala nesifo sesibindi

Isibindi senza imisebenzi eminingi ebalulekile, kufaka phakathi ukukhipha ubuthi egazini nokwenza izakhi zomzimba eziningi ezibalulekile ezidingwa ngumzimba. Uma uphuza utshwala, isibindi siyabuhlephula ukuze bususwe emzimbeni wakho. Ukuphuza kakhulu kungalimaza noma kubulale amaseli wesibindi.

Ukuvuvukala nokulimala kwesikhathi eside kumaseli akho wesibindi kungaholela ku:

• isifo sesibindi esinamafutha
• i-hepatitis yotshwala
• i-cirrhosis yotshwala

Isifo esinamafutha sesibindi kanye nesifo sokuqala sokusha kwesibindi esinotshwala singaguqulwa uma uyeka ukuphuza. Kodwa-ke, ukulimala kwesibindi sokudakwa ngokweqile kanye nokuqina kwesibindi kungunaphakade, futhi kungaholela ezinkingeni ezinkulu noma nasekufeni.

I-Hepatitis C nesifo sesibindi

Ukuchayeka egazini lomuntu one-HCV kungadlulisa igciwane. Ngokusho kuka, abantu abangaphezu kwezigidi ezintathu e-United States bane-HCV. Iningi alazi ukuthi linegciwane, ikakhulu ngoba ukutheleleka kokuqala kungadala izimpawu ezimbalwa kakhulu. Cishe amaphesenti angama-20 abantu abadalulwe yigciwane bayakwazi ukulwa ne-hepatitis C futhi bayisuse emzimbeni yabo.

Kodwa-ke, abanye baba nokutheleleka okungamahlalakhona kwe-HCV. Kulinganiselwa ukuthi amaphesenti angama-60 kuya kwangu-70 alabo abane-HCV bazoba nesifo esingalapheki sesibindi. Amaphesenti amahlanu kuya kwangu-20 abantu abane-HCV bazoba nesifo sokuqina kwesibindi.

Imiphumela yokuhlanganisa utshwala nokutheleleka nge-HCV

Ucwaningo lukhombisa ukuthi ukuphuza kakhulu utshwala nokutheleleka nge-HCV kuyingozi empilweni. A kukhombisile ukuthi ukuphuza utshwala okungaphezu kwama-gramu angama-50 ngosuku (cishe iziphuzo eziyi-3.5 ngosuku) kuholela engcupheni eyandayo ye-fibrosis ne-cirrhosis yokugcina.

Olunye ucwaningo lukuqinisekisile ukuthi ukusetshenziswa ngokweqile kotshwala kwandisa ubungozi bokuqina kwesibindi. Iziguli ezingama-6,600 ze-HCV zaphetha ngokuthi ukuqina kwesibindi kwenzeka emaphesentini angama-35 eziguli ezaziphuza ngokweqile. I-Cirrhosis yenzeka ngamaphesenti ayi-18 eziguli ezazingabaphuzi ngokweqile.

Ucwaningo lwe-2000 lwe-JAMA lubonise ukuthi iziphuzo ezintathu noma ngaphezulu kuphela zansuku zonke ezingakhuphula ubungozi bokuqina kwesifo sokuqina kwesifo kanye nesifo sesibindi esithuthukile.

Ukwelashwa kotshwala ne-HCV

Ukwelashwa okuqondile kwe-antiviral ukwelapha ukutheleleka kwe-HCV kungaholela engcupheni encishisiwe yesifo sesibindi. Kodwa-ke, ukusetshenziswa kotshwala kungaphazamisa ikhono lokuhlala uphuza umuthi. Kwesinye isikhathi, odokotela noma izinkampani zomshuwalense bangangabaza ukuhlinzeka ngemithi ye-HCV uma usaphuza ngokweqile.

Ukugwema utshwala kuyisinqumo esihlakaniphile

Kukonke, ubufakazi bukhombisa ukuthi ukuphuza utshwala kuyingozi enkulu kubantu abane-HCV. Utshwala budala umonakalo ohlanganisa ukulimala kwesibindi. Ngisho notshwala obuncane bungandisa ingozi yokulimala kwesibindi kanye nezifo zesibindi esezithuthukile.

Kubalulekile kulabo abane-HCV ukuthi bathathe izinyathelo zokunciphisa ubungozi bokuhlaselwa yisifo sesibindi esithuthukile. Hlela ukuhlela ukuhlolwa njalo, vakashela udokotela wamazinyo, futhi uthathe imishanguzo efanele.

Ukugwema izinto ezinobuthi esibindini kubalulekile. Imiphumela yotshwala esibindini nokuvuvukala okubangelwa yi-HCV kungaba kubi kakhulu. Labo abanesifo se-HCV kufanele bayeke ngokuphelele utshwala.