Zibukeka Kanjani Izimpawu Ze-Hepatitis C

-Delile

• Ziyini izimpawu?
• I-jaundice
• Isicabucabu angiomas
• Ama-Ascites
• I-Edema
• Ukulimala okulula nokopha
• I-lichen planus
• I-Porphyria cutanea tarda (PCT)
• Izipikili zikaTerry
• Isifo sikaRaynaud
• Izinyathelo ezilandelayo

Siyini isifo sokusha kwesibindi kohlobo C?

Ukuvimbela igciwane le-hepatitis C (HCV) kungaholela ekwakheni i-hepatitis C, okuyisifo esithathelwanayo esibangela ukuvuvukala kwesibindi sakho. I-Hepatitis C ingaba bukhali (yesikhashana), ithathe kusuka emavikini ambalwa kuye ezinyangeni eziyisithupha. Kungabuye kube okungapheli (impilo yonke).

I-hepatitis C engapheli ingaholela ekuqhekekeni kwesibindi okungaphenduki (i-cirrhosis), ukulimala kwesibindi nomdlavuza wesibindi.

I-Hepatitis C isakazeka ngokuthintana ngqo negazi elinegciwane. Lokhu kungenzeka nge:

• ukwabelana ngezinaliti ezinegciwane, njengalezo ezisetshenziselwa izidakamizwa noma ama-tattoo
• ukubhoboza inaliti ngengozi endaweni yokunakekelwa kwezempilo
• ukwabelana ngezinsingo noma isixubho, okungajwayelekile kakhulu
• ukuxhumana ngokocansi nomuntu onesifo sokusha kwesibindi kohlobo C, esingajwayelekile kakhulu

Abesifazane abakhulelwe abane-hepatitis C nabo bangadlulisela leli gciwane ezinganeni zabo.

Kufanele uhlanze ukuchitheka kwegazi ngengxube yengxenye eyodwa yebhlitshi ibe izingxenye eziyishumi zamanzi. Lo mkhuba waziwa ngokuthi “izindlela zokuqapha zomhlaba wonke.”

Izinyathelo zokuqapha zomhlaba wonke ziyadingeka ngoba awusoze waqiniseka ukuthi igazi alitheleleki ngamagciwane afana ne-hepatitis C, hepatitis B, noma i-HIV. I-Hepatitis C nayo ingahlala amasonto amathathu ekamelweni lokushisa.

Ziyini izimpawu?

Cishe abantu abayizigidi ezine e-United States banesifo sokusha kwesibindi kohlobo C. Futhi abangafika emaphesentini angama-80 abazibonisi izimpawu ezigabeni zokuqala.

Kodwa-ke, isifo sokusha kwesibindi kohlobo C singakhula sibe yisimo esingalapheki kubantu abangamaphesenti angama-75 kuya kwangama-85 abathola igciwane, ngokusho kwe

Ezinye izimpawu zesifo sokusha kwesibindi kohlobo C yizi:

• imfiva
• ukukhathala
• ukungabi nesifiso sokudla
• isicanucanu nokuhlanza
• ubuhlungu besisu

I-hepatitis C engapheli ibangela ukuqina kwesibindi futhi iveze izimpawu ezifanayo zesifo sokusha kwesibindi kohlobo C, kanye nokulandelayo:

• ukuvuvukala kwesisu
• ukuvuvukala kwemikhawulo
• ukuphelelwa umoya
• i-jaundice
• ukulinyazwa okulula noma ukopha
• ubuhlungu obuhlangene
• isicabucabu angioma
• gynecomastia - ukuvuvukala kwezicubu zesifuba
• ukuqubuka, isikhumba, nezipikili kuyashintsha

I-jaundice

I-jaundice yilapho isikhumba nabamhlophe bamehlo (sclera) bephenduka baphuzi. Lokhu kwenzeka uma kune-bilirubin eningi kakhulu (i-pigment ephuzi) egazini. I-Bilirubin ingumkhiqizo wamangqamuzana egazi abomvu aphukile.

Imvamisa i-bilirubin iyahlehla esibindini bese idedelwa emzimbeni esitulweni. Kodwa uma isibindi sonakele, asikwazi ukucubungula kahle i-bilirubin. Ngemuva kwalokho izokwakha egazini. Lokhu kuholela ekutheni isikhumba namehlo abukeke ephuzi.

Njengoba i-jaundice iyisibonakaliso se-hepatitis C ne-cirrhosis, udokotela wakho uzokwelapha lezo zimo. Amacala abucayi we-jaundice angadinga ukumpontshelwa igazi.

Isicabucabu angiomas

I-Spider angioma, eyaziwa nangokuthi i-spider nevus noma i-nevus araneus, iyimithambo yegazi efana nesicabucabu ebonakala ngaphansi kwesikhumba. Zibonakala njengechashazi elibomvu elinolayini abadlulela ngaphandle.

I-Spider angioma ihlotshaniswa namazinga akhuphukile e-estrogen. Bangabonakala kubantu abaphilile, ikakhulukazi izingane, kanye nabantu abane-hepatitis C.

Kubantu abane-hepatitis C, njengoba isibindi sonakala, amazinga e-estrogen azokhula.

I-Spider angioma ivela kakhulu ku:

• ubuso, eduze kwamathambo ezihlathi
• izandla
• izingalo zangaphambili
• izindlebe
• udonga lwesifuba esingenhla

I-Spider angioma ijwayele ukuphela yodwa noma njengoba isimo sithuthuka. Futhi zingelashwa nge-laser therapy uma zingapheli.

Ama-Ascites

I-Ascites ukwakheka okweqile koketshezi esiswini okwenza isisu sithathe ukuvuvukala, okufana nokubukeka kwebhaluni. I-Ascites iyisifo esingavela ezigabeni eziphambili zesifo sesibindi.

Lapho isibindi sakho sinesibazi, siyehla ekusebenzeni futhi sidale ingcindezi yokwakha emithanjeni. Le ngcindezi eyeqile ibizwa nge-portal hypertension. Kubangela uketshezi lokuzungeza isisu.

Iningi labantu abane-ascites bazobona ukukhuluphala okungazelelwe, nokuthi isisu sabo sinamathela ngaphezu kokujwayelekile. Ama-Ascites nawo angadala:

• ukungakhululeki
• ukuphefumula kanzima
• uketshezi okwakhekayo esifubeni kuya emaphashini
• umkhuhlane

Ezinye izinyathelo ezisheshayo udokotela wakho angazincoma ukunciphisa uketshezi lwakho lokudla usawoti nokuthatha isisu, noma amaphilisi amanzi, njenge-furosemide noma i-Aldactone. Lezi zinyathelo zithathwa ndawonye.

Uma une-ascites, kufanele futhi uhlole isisindo sakho nsuku zonke futhi uxhumane nodokotela wakho uma uzuza ngaphezu kwamakhilogremu ayi-10, noma amakhilogremu amabili ngosuku izinsuku ezintathu zilandelana.Uma udokotela wakho enqume ukuthi une-ascites, bangaphinde bancome ukufakelwa kwesibindi.

I-Edema

Ngokufana nama-ascites, i-edema iyinqwaba yoketshezi ezicutshini zomzimba. Lokhu kwenzeka lapho ama-capillaries, noma imithambo yegazi emincane, emzimbeni wakho ivuza uketshezi, futhi yakha ezicutshini ezizungezile.

I-Edema inika indawo ethintekile ukuvuvukala noma ukukhukhumala. Abantu abane-hepatitis C engapheli bavame ukubona i-edema emilenzeni, emaqakaleni nasezinyaweni.

Ukuba nesikhumba eseluliwe noma esicwebezelayo, noma isikhumba esimpintshisiwe noma esishayekile, ngezinye zezimpawu ze-edema. Ungahlola ukuncipha ngokucindezela isikhumba imizuzwana eminingana bese ubona ukuthi isifaca sihlala yini. Ngenkathi i-edema emnene ihamba yodwa, udokotela wakho angahle anikeze i-furosemide noma amanye amaphilisi amanzi ukusiza ukukhipha uketshezi oluningi.

Ukulimala okulula nokopha

Ezigabeni ezithuthukile zesifo sokusha kwesibindi kohlobo C, ungabona ukulimaza okulula nokopha ngokweqile ngaphandle kwesizathu. Ukulimazeka okungajwayelekile kukholakala ukuthi kungumphumela wesibindi obambezela ukukhiqizwa kwama-platelets, noma amaprotheni adingekayo ukuvimba igazi.

Ezimweni ezibucayi kakhulu, kungaba nokuphuma ngokweqile kwekhala noma izinsini, noma igazi emchameni.

I-lichen planus

I-lichen planus yisifo sesikhumba esidala amaqhubu amancane noma izinduna ezindaweni lapho imisipha yakho ihlanganisa khona amathambo amabili. Ukuphindaphindeka kwegciwane le-hepatitis C kumaseli esikhumba kucatshangwa ukuthi kubanga i-lichen planus. Ama-bumps ngokuvamile avela kulezi zindawo ezilandelayo:

• izingalo
• isidumbu
• izitho zangasese
• izinzipho
• isikhumba sekhanda

Isikhumba singazizwa sine-scaly futhi siluma. Futhi ungahle ulahlekelwe yizinwele, izilonda zesikhumba, nobuhlungu. Khuluma nodokotela wakho mayelana nokwelashwa uma ubonisa noma iyiphi yalezi zimpawu ngenxa yesifo sokusha kwesibindi kohlobo C.

I-Porphyria cutanea tarda (PCT)

I-PCT yisifo sesikhumba esidala lezi zimpawu ezilandelayo:

• ukuguqulwa kwesikhumba
• ukulahleka kwezinwele
• izinwele zobuso ezandisiwe
• isikhumba esijiyile

Ama-blisters avame ukwakha ezindaweni ezivame ukuvezwa yilanga, njengobuso nezandla. Ukwakhiwa kwensimbi esibindini, nokukhiqizwa ngokweqile kwe-uroporphyrinogen, iphrotheni, egazini nasemchameni kubangela i-PCT.

Ukwelashwa kwe-PCT kufaka ukuvinjelwa kwensimbi notshwala, ukuvikelwa kwelanga, nokunciphisa ukuvezwa kwe-estrogen.

Izipikili zikaTerry

Izipikili zikaTerry ziwuphawu lapho umbala o-pinkish ojwayelekile wamapuleti ezipikili uphendulela umbala omhlophe-oyisiliva, futhi unebhande eli-pink elibomvu elinqamulelayo, noma ulayini wokwahlukanisa, eduze kwamathiphu eminwe.

I-American Family Physician yabika ngo-2004 ukuthi amaphesenti angama-80 eziguli ezine-cirrhosis azothuthukisa izipikili zikaTerry.

Isifo sikaRaynaud

I-Raynaud's syndrome ibangela ukuthi imithambo yegazi emzimbeni wakho icindezeleke noma inciphe. Abanye abantu abane-hepatitis C bangazizwa bebandaka futhi bebanda eminweni nasezinzwaneni zabo lapho izinga lokushisa lishintsha noma lapho becindezelekile.

Njengoba befudumala noma bexineka, bangase bezwe ubuhlungu obubuhlungu noma obuhlabayo. Isikhumba sakho singashintsha futhi sibe mhlophe noma siluhlaza okwesibhakabhaka, kuya ngokujikeleza kwegazi lakho.

Ukuphatha i-Raynaud's syndrome, kufanele uqiniseke ukuthi ugqoka ngokufudumele lapho isimo sezulu sibanda. Yize lesi simo okwamanje singelona ikhambi, ungaphatha izimpawu futhi welaphe imbangela eyimbangela efana ne-hepatitis C.

Kwezinye izimo, udokotela wakho angakunikeza imithi yokwengeza ukugeleza kwegazi.

Izinyathelo ezilandelayo

I-hepatitis C engamahlalakhona ayikhombisi izimpawu ezinyathelweni zokuqala, kepha ingelashwa futhi yelapheke uma itholwe kusenesikhathi. Izimpawu ezibonakalayo zingaba uphawu lokuthi isimo sesithuthukile.

Uma wena noma umuntu omaziyo akhombisa izimpawu zesifo sokusha kwesibindi kohlobo C, xhumana nodokotela. Ngemuva kokwelashwa kwakho, udokotela wakho uzohlola igazi lakho ngemuva kwezinyanga ezintathu ukubona ukuthi ngabe leli gciwane seliphelile yini.