Ukwelashwa kwe-Hepatitis C: Yiziphi Izinketho Zami?

-Delile

• Sitholakala kanjani isifo sokusha kwesibindi kohlobo C?
• Ukwelashwa kwe-hepatitis C enamandla
• Ukwelashwa kwe-hepatitis C engapheli
• Imithi
• Ama-antivirals asebenza ngqo (ama-DAAs)
• I-Ribavirin
• Ukufakelwa kwesibindi
• Ukuhlolelwa umdlavuza wesibindi
• Ingabe zikhona ezinye izindlela zokwelapha?
• Amathiphu anempilo wokuphila ne-hepatitis C
• Khuluma nodokotela wakho

Siyini isifo sokusha kwesibindi kohlobo C?

I-Hepatitis C yigciwane elibi kakhulu elingaholela ekulimaleni kwesibindi. Ungahle ungazi nokuthi unegciwane elibangela ukusha kwesibindi kohlobo C ngoba isimo kaningi asinazimpawu.

Ukwelashwa kusenesikhathi kungenza umehluko. Funda ukuze uthole mayelana nezinketho zakho zokwelashwa zokutheleleka ngegciwane le-hepatitis C (HCV).

Sitholakala kanjani isifo sokusha kwesibindi kohlobo C?

Ukuthola ukuthi unesifo sokusha kwesibindi kohlobo C, udokotela wakho uzohlola igazi. Esetshenziswa kakhulu kubizwa ngokuthi yi-HCV antibody test. Ihlola ama-antibody e-HCV. Ama-antibody amaphrotheni asiza umzimba wakho ukulwa nezifo.

Uma kutholakala ukuthi une-antibody ye-HCV, lokhu kusho ukuthi usuthole igciwane. Noma kunjalo, ungahle ungabi nokutheleleka okusebenzayo.

Isinyathelo esilandelayo ukuthi ube nokuhlolwa kwekhwalithi ye-HCV RNA. Lokhu kuhlolwa kuzotshela udokotela wakho ukuthi lingakanani igciwane onalo emzimbeni wakho, okuzokhombisa ukuthi unalo yini igciwane elisebenzayo.

Uma lezi zivivinyo zibonisa ukuthi unesifo esisebenzayo se-HCV, udokotela wakho cishe uzokwenza olunye uvivinyo olubizwa nge-viral genotyping. Lokhu kuhlolwa kungatshela udokotela wakho ukuthi unhloboni ye-HCV. Ukwelashwa okutholayo kuzoya ngohlobo lwe-HCV olukuhlelo lwakho.

Ukwelashwa kwe-hepatitis C enamandla

Kunezigaba ezimbili eziyinhloko zokutheleleka kwesifo sohlobo lwe-hepatitis C: ezibucayi nezingapheli. Ukutheleleka okungamahlalakhona kwe-HCV kuyisimo sesikhathi eside, kuyilapho ifomu elibi lingukutheleleka kwesikhashana. Ukutheleleka okunamandla kwe-HCV kwenzeka ezinyangeni eziyisithupha zokuqala kokuchayeka kugciwane le-hepatitis C.

Ngokusho kwe-, cishe amaphesenti angama-75 abantu abane-HCV ebukhali bazothuthukela ku-HCV engalapheki. Lokho kusho ukuthi kuze kufike kumaphesenti angama-25 abantu abane-hepatitis C enamandla abazolulama kuyo ngaphandle kokwelashwa.

Ngalesi sizathu, futhi ngoba ukwelashwa kwe-HCV kungabiza, odokotela imvamisa abayiphathi i-HCV ebukhali. Bavame ukuqapha ukutheleleka okunamandla ukubona ukuthi kuqhubekela kufomu elingapheli yini. Uma ifomu elingapheliyo liyakhula, ukwelashwa kungangeniswa ngaleso sikhathi.

Ukwelashwa kwe-hepatitis C engapheli

Ngaphandle kokwelashwa, i-hepatitis C engamahlalakhona ingaholela ekulimaleni kwesibindi nakwezinye izinkinga ezinkulu. Ukwelashwa kuqukethe imishanguzo ye-HCV noma ukuhlinzwa.

Imithi

Namuhla, imishanguzo eyinhloko esetshenziselwa ukwelapha ukutheleleka kwe-hepatitis C ibizwa ngama-antivirals asebenza ngqo (ama-DAAs). Le mithi kwesinye isikhathi ingasetshenziswa ngokuhlangana ne-ribavirin yezidakamizwa.

Ama-antivirals asebenza ngqo (ama-DAAs)

Ama-DAA yizinga lokunakekelwa kokutheleleka okungamahlalakhona kwe-HCV. Le mishanguzo yomlomo ingene emakethe kusukela ngo-2011 futhi itholakale yelapha abantu abaphethwe ngayo. Ngaphezu kwalokho, uma kuqhathaniswa nokwelashwa okudala okufana nama-interferon, kungadala imiphumela emibi embalwa kakhulu.

Amanye ama-DAA atholakala njengezidakamizwa ngazinye, futhi amaningi ayatholakala njengemithi ehlanganisiwe. Lezi zindlela zokuhlanganiswa zikuvumela ukuthi uphuze amaphilisi ambalwa usuku ngalunye. Imishanguzo yokuhlanganiswa etholakalayo njengamanje yile:

• I-Epclusa (sofosbuvir / velpatasvir)
• I-Harvoni (ledipasvir / sofosbuvir)
• I-Mavyret (glecaprevir / pibrentasvir)
• I-Technivie (ombitasvir / paritaprevir / ritonavir)
• IViekira Pak (dasabuvir + ombitasvir / paritaprevir / ritonavir)
• I-Vosevi (sofosbuvir / velpatasvir / voxilaprevir)
• I-Zepatier (elbasvir / grazoprevir)

Le mithi ilapha izinhlobo ezahlukene zesifo sokusha kwesibindi kohlobo C. Udokotela wakho uzokweluleka ngemithi engcono kakhulu yohlobo lwakho lwe-HCV.

I-Ribavirin

I-Ribavirin yisidakamizwa esidala esisasetshenziswa kwesinye isikhathi. Ngaphambi kokuba ama-DAA atholakale, i-ribavirin yayijwayele ukunikezwa ukusetshenziswa nama-interferon. Namuhla, isetshenziswa kakhulu ngokuhlanganiswa nama-DAA athile ukwelapha ukutheleleka kwe-HCV okungazweli (ukutheleleka okunzima ukuselapha). La ma-DAA angamaZepatier, iViekira Pak, iHarvoni, neTechnivie.

I-Ribavirin iza njenge-capsule, ithebhulethi, noma isisombululo. Izinhlobo zamagama e-ribavirin zifaka:

• ICopegus
• UModeriba
• Ukuvuselela
• I-Ribasphere
• Ribasphere RibaPak

Ukufakelwa kwesibindi

Ezimweni ezibucayi zesifo sokusha kwesibindi kohlobo C kanye nasezigabeni zakamuva zesimo, kungadingeka ukufakelwa kwesibindi. Le ndlela yokwelashwa isetshenziswa kuphela uma igciwane selidale ukulimala kwesibindi okungadala okwehlule isibindi.

Ngesikhathi sokufakelwa kabusha, odokotela abahlinzayo bazosusa isibindi sakho esilimele bese befaka isitho esinempilo esivela kumnikeli. Ngemuva kokufakelwa kabusha, uzonikezwa imithi yesikhathi eside ukusiza ukuqinisekisa impumelelo yokufakelwa.

Ukuhlolelwa umdlavuza wesibindi

Ukuba ne-hepatitis C kukubeka engcupheni enkulu yomdlavuza wesibindi. Ngakho-ke, njengengxenye yokwelashwa kwakho kwesifo sokusha kwesibindi kohlobo C, kungadingeka ukuthi uhlolelwe umdlavuza wesibindi.

Ngokwenza ukuhlolwa kwe-ultrasound esibindini sakho unyaka nonyaka, noma kwesinye isikhathi kaningi njalo ezinyangeni eziyisithupha, udokotela wakho uzokwazi kangcono ukuthola umdlavuza wesibindi.

Ingabe zikhona ezinye izindlela zokwelapha?

Ngenkathi abanye abantu bekholelwa ukuthi amakhambi athile angasiza impilo yesibindi, kusho ukuthi azikho ezinye izengezo ezifakazelwe noma izindlela zokwelapha zokwelapha i-hepatitis C.

I-milk thistle (silymarin) kwesinye isikhathi kunconywa ukwelapha izinkinga zesibindi. Kodwa-ke, ngikuqinisekisile ukuthi ubisi lwamakhakhasi alukhonjiswanga lusebenza kangcono kune-placebo ekwelapheni i-hepatitis C. Lokhu kuyiqiniso noma ngabe imbiza ithathwa njengamaphilisi noma izithako.

Amathiphu anempilo wokuphila ne-hepatitis C

Umtholampilo iMayo ukhombe izinguquko ezithile empilweni ongazenza ukusiza ukuthuthukisa impilo yakho ngesikhathi welashwa i-hepatitis C. Basikisela ukuthi:

• Qaphela imithi yakho. Eminye imishanguzo, ngisho naleyo ebekwe ngudokotela wakho, ingaba nomthelela ohlangothini odala ukulimala kwesibindi. Lokhu kuyingozi enkulu kubantu abane-hepatitis C. Khuluma nodokotela wakho mayelana nokuthi kufanele ugweme imishanguzo ethile kadokotela noma ongayisebenzisi.
• Gwema utshwala. Ukuphuza utshwala kungenza isifo sesibindi sithuthuke ngokushesha okukhulu. Ngakho-ke, kungcono ukugwema utshwala uma une-hepatitis C.

Khuluma nodokotela wakho

Ukwelashwa nokubukwa kwesifo sokusha kwesibindi kohlobo C kuhluke kakhulu namuhla kunaseminyakeni edlule. Abantu abaningi bayelapheka ngenxa yamaDAA amasha atholakalayo.

Uma une-hepatitis C noma kungenzeka ube sengozini yalokho, into engcono kakhulu ongayenza ukubona udokotela wakho. Ukuqala, bangakuhlolela igciwane. Uma udinga ukwelashwa, bangakutshela ngemithi emisha etholakalayo enamanani amahle kakhulu okwelapha i-hepatitis C.

Ukusebenza nodokotela wakho, ungakha uhlelo lokwelashwa olungakusiza ukuphatha, noma ukwelapha i-hepatitis C yakho.