Izixazululo ze-Hepatitis

-Delile

• 1. I-Hepatitis A
• 2. I-Hepatitis B
• Ukwelashwa kokuvimbela ngemuva kokuchayeka ku-virus
• Ukwelashwa kwe-hepatitis B enamandla
• Ukwelashwa kwe-hepatitis B engapheli
• 3. I-Hepatitis C
• 4. I-hepatitis ezenzakalelayo
• 5. Isifo sokusha kwesibindi esidakayo

Ukwelashwa kwe-hepatitis kuncike ohlotsheni lwe-hepatitis umuntu analo, kanye nezimpawu, izimpawu nokuvela kwalesi sifo, okungenziwa ngemithi, ukushintsha kwendlela yokuphila noma ezinxushunxushwini ezinzima kakhulu, kungadingeka ukwenza ukufakelwa isibindi.

I-hepatitis ukuvuvukala kwesibindi, okungabangelwa amagciwane, imishanguzo noma ngenxa yokusabela okweqile kwesistimu yomzimba. Funda konke nge-hepatitis.

1. I-Hepatitis A

Alukho uhlobo oluthile lokwelashwa kwesifo sokusha kwesibindi kohlobo A. Ngokuvamile, umzimba uqeda igciwane elibanga isifo sokusha kwesibindi sodwa ngaphandle kwesidingo semithi.

Ngakho-ke, kubaluleke kakhulu ukuphumula isikhathi eside ngangokunokwenzeka, ngoba lesi sifo sishiya umuntu ediniwe futhi enamandla amancane, silawule isicanucanu isici salolu hlobo lokutheleleka, sidle ukudla okuningi, kodwa ngemali encane kulowo nalowo futhi siphuze amanzi amaningi ukuvimbela ukuphelelwa amandla kwamanzi okungenzeka ngezikhathi zokuhlanza.

Ngaphezu kwalokho, ukusetshenziswa kotshwala nemithi kufanele kugwenywe ngangokunokwenzeka, ngoba lezi zinto zigcwala isibindi futhi zivimba ukwelashwa kwalesi sifo.

2. I-Hepatitis B

Ukwelashwa kwe-hepatitis B kuncike esigabeni sesifo:

Ukwelashwa kokuvimbela ngemuva kokuchayeka ku-virus

Uma lo muntu azi ukuthi usengozini yegciwane lesifo sokusha kwesibindi kohlobo B futhi engaqiniseki ukuthi ugonyiwe yini, kufanele abonane nodokotela ngokushesha okukhulu, ukuze anikeze umjovo wama-immunoglobulin, okumele afakwe kungakapheli isikhathi kwamahora ayi-12 ngemuva kokuchayeka kuleligciwane, okungasiza ekuvikeleni ukuthi isifo singakhuli.

Ngaphezu kwalokho, uma umuntu engakawutholi umuthi wokugoma i-hepatitis B, kufanele bakwenze ngasikhathi sinye nomjovo wama-antibodies.

Ukwelashwa kwe-hepatitis B enamandla

Uma udokotela ehlonza isifo sokusha kwesibindi kohlobo B, kusho ukuthi siphila isikhathi esifushane nokuthi siyazelapha sodwa ngakho-ke akukho ukwelashwa okungadingeka. Kodwa-ke, ezimweni ezinzima, udokotela angaluleka ukwelashwa ngemithi elwa namagciwane noma kungaba nezimo lapho kunconywa ukulaliswa esibhedlela.

Ngaphezu kwalokho, kubalulekile ukuthi umuntu aphumule, adle kahle futhi aphuze uketshezi oluningi.

Ukwelashwa kwe-hepatitis B engapheli

Iningi labantu okutholakala ukuthi line-hepatitis B elingapheli, lidinga ukwelashwa impilo yonke, okuzosiza ekwehliseni ubungozi besifo sesibindi nokuvimbela ukudluliselwa kwalesi sifo kwabanye.

Ukwelashwa kufaka phakathi imishanguzo efana ne-entecavir, i-tenofovir, i-lamivudine, i-adefovir ne-telbivudine, esiza ukulwa negciwane futhi yehlise ikhono layo lokulimaza isibindi, imijovo ye-interferon alfa 2A, esiza ukulwa nokutheleleka futhi ezimweni eziningi Ukufakwa kwesibindi okuqinile kungadingeka .

Funda kabanzi nge-interferon alfa 2A yomuntu.

3. I-Hepatitis C

I-Hepatitis C nayo ingalashwa ngemithi elwa namagciwane, njenge-ribavirin ehlotshaniswa ne-human interferon alfa 2A, ukuze kuqedwe leli gciwane ngokuphelele kungapheli amasonto ayi-12 ngemuva kokuqeda ukwelashwa. Bona okuningi nge-ribavirin.

Imithi yokwelashwa yakamuva kakhulu ifaka imishanguzo efana ne-simeprevir, sofosbuvir noma i-daclatasvir, engahlotshaniswa neminye imithi.

Uma umuntu eba nezinkinga ezinkulu ezivela ku-hepatitis C engapheli, ukufakelwa kwesibindi kungadingeka. Noma kunjalo, ukufakelwa akusilaphi isifo sokusha kwesibindi kohlobo C, ngoba ukutheleleka kungabuya futhi ngenxa yalesi sizathu ukwelashwa ngemithi elwa namagciwane kufanele kwenziwe, ukugwema ukulimala kwesibindi esisha.

4. I-hepatitis ezenzakalelayo

Ukuvimbela ukulimala kwesibindi noma ukunciphisa ukusebenza kwamasosha omzimba kuso, kufanele kusetshenziswe izidakamizwa ezinciphisa ukusebenza kwazo. Ngokuvamile, ukwelashwa nge-prednisone kuyenziwa bese kungezwa i-azathioprine.

Lapho izidakamizwa zinganele ukuvimbela ukukhula kwesifo, noma lapho umuntu ehlushwa ukuqina kwesibindi noma ukwehluleka kwesibindi, kungadingeka ukufakelwa kwesibindi.

5. Isifo sokusha kwesibindi esidakayo

Uma lo muntu enesifo sokusha kwesibindi, kufanele ayeke ngokushesha ukuphuza utshwala futhi angaphinde aphuze. Ngaphezu kwalokho, udokotela angaluleka ukwelashwa okushintshiwe ukulungisa izinkinga zokudla okunempilo ezingabangelwa yilesi sifo.

Udokotela futhi angancoma imishanguzo eyehlisa ukuvuvukala kwesibindi njenge-corticosteroids ne-pentoxifylline. Ezimweni ezinzima kakhulu, kungadingeka ukuthi kube nokufakelwa kwesibindi.

Buka le vidiyo elandelayo, ingxoxo phakathi kwesazi sokudla uTatiana Zanin noDkt. Drauzio Varella, mayelana nokuthi ukudluliseka kwenzeka kanjani nokuthi kungavikelwa kanjani i-hepatitis: