Yazi izingozi zesifo sokusha kwesibindi kohlobo C lapho ukhulelwe

-Delile

• Yikuphi ukuhlolwa okufanele kwenziwe ngumama
• Ukwelashwa kwe-hepatitis C ekukhulelweni
• Ungasho kanjani ukuthi ingane yakho ithelelekile
• Kungenzeka yini ukuncelisa ngenkathi une-hepatitis C?

I-Hepatitis C ekukhulelweni ingadluliselwa enganeni ngesikhathi sokubeletha okujwayelekile, kepha akuvamile kakhulu ukuthi lokhu kwenzeke. Noma kunjalo, inhloso ukuthi abesifazane abahlose ukukhulelwa bakhulume nodokotela ukuze benze, ngesikhathi esifanele, izivivinyo ezidingekayo ukukhuthaza ukukhulelwa okungenangozi.

Ngaphezu kwalokho, udokotela angayalela owesifazane okhulelwe ukuthi aqaphele kakhulu ukondla ukuze azame ukuqinisa amasosha akhe omzimba ukuze umthamo wegciwane egazini wehle futhi nengozi yokudluliselwa kwengane ibe phansi kakhulu. Bona ukuthi uzodlani ukufeza le nhloso.

Yikuphi ukuhlolwa okufanele kwenziwe ngumama

Ukunakekelwa ngaphambi kokubeletha kufanele kuqale cishe ezinyangeni eziyisithupha ngaphambi kokuba owesifazane akhulelwe futhi kufanele kwenziwe ngudokotela onolwazi ngokulandela abesifazane abakhulelwe abane-hepatitis C nezinye izifo ezithathelwanayo. Udokotela kufanele ahlole umlando womtholampilo, umlando wangaphambilini wezokwelapha kanye nezokubelethisa futhi kufanele enze ukuhlolwa okuphelele ngokomzimba, ukuze azi isigaba kanye nesigaba sesifo noma ukuqonda ukuthi kunezimpawu nezimpawu zokuhluleka kwesibindi.

Udokotela kufanele futhi aluleke ngokungaphuzi imishanguzo enobuthi esibindini, noma ngabe ingokwemvelo, yeluleka owesifazane ngokulawulwa kwesisindo futhi angahlanganyeli ngamabhulashi wamazinyo, izinsingo noma eminye imikhiqizo yenhlanzeko engaba negazi futhi azise ngengozi yokudluliswa kocansi , noma ngabe iphansi.

Abesifazane abanesifo se-hepatitis C sokutheleleka kufanele futhi bagonywe i-hepatitis A no-B, futhi kufanele bayeke ukwelashwa nge-interferon ne-ribavirin, okungenani izinyanga eziyisithupha ngaphambi kokuzama ukukhulelwa, ngenxa yesifo se-ribavirin. Abesifazane abane-hepatitis C engamahlalakhona ngokuvamile banokukhulelwa okungenankinga, inqobo nje uma isifo sesibindi sizinzile futhi singakaqhubeki sibe yi-cirrhosis.

Ngaphezu kokuhlolwa okujwayelekile kokukhulelwa, izivivinyo ezithile kufanele futhi zenziwe ku-trimester yokuqala, njengokulinganisa ama-transaminases, i-albumin, i-bilirubin, i-coagulation Study, i-anti-Hepatitis B antibody, i-anti-Hepatitis A antibody ephelele kanye ne-PCR ye-RNA ye igciwane lesifo sokusha kwesibindi kohlobo B. Ngesikhathi sokukhulelwa, izivivinyo zomsebenzi wesibindi kufanele zenziwe njalo kwi-trimester.

Ukwelashwa kwe-hepatitis C ekukhulelweni

Akukho ukwelashwa okuphephile kokutheleleka ngegciwane le-hepatitis C ngesikhathi sokukhulelwa. Ukwelashwa ngemithi efana ne-interferon ne-ribavirin akukwazi ukwenziwa ngesikhathi sokukhulelwa noma ezinyangeni eziyisithupha ngaphambi kokukhulelwa.

Ungasho kanjani ukuthi ingane yakho ithelelekile

Imvamisa, imiphumela yokuhlolwa iba mibi ezinyangeni zokuqala zokuphila ngenxa yama-antibody ingane eyathole kumama futhi, ngakho-ke, phakathi kwezinyanga eziyi-15 nengama-24 zokuphila udokotela wezingane angacela ukuhlolwa ukuze kubhekwe ukuthi ingane ingenwe yini. Amazinga e-ALT aphakeme eminyakeni emibili yokuqala yokuphila futhi ancipha ngokuhamba kwesikhathi, aze avuke futhi phakathi kweminyaka yobudala engama-20 nengama-30.

Imvamisa, izingane ezitheleleke ngegciwane lesifo sokusha kwesibindi kohlobo C azinazimpawu futhi zikhula kahle, kepha zinengozi enkulu yokuba nezinkinga zesibindi ngesikhathi sezikhulile ngakho-ke kufanele zivivinywe igazi njalo ukuhlola ukusebenza kwesibindi nokuvimbela ukusetshenziswa kweziphuzo ezidakayo impilo yonke.

Kungenzeka yini ukuncelisa ngenkathi une-hepatitis C?

Akukho ukuphikisana kokuncelisa ibele, ngaphandle kwezimo ze-HIV co-infection. Kodwa-ke, uma izingono ziqhekekile futhi zikhulula igazi, kufanele kunakekelwe ngoba kulezi zimo kunengozi yokungcola, ngakho-ke kufanele kukhuthazwe ubuqotho bengono. Bona amathiphu okuqinisekisa ukubambelela okuhle kwengane futhi ugweme izingono eziqhekekile.