I-virus ye-Hepatitis C ibangela ukuvuvukala kwesibindi, kodwa ngezinye izikhathi igciwane lingabangela nezinkinga zezempilo ezithinta ezinye izingxenye zomzimba. Uma lokhu kwenzeka, kwaziwa njengesifo se-extrahepatic. Izimpawu ezingaphezu kwesibindi sokutheleleka kwesibindi se- hepatitis C zingabangela i-arthritis (ukuvuvukala okuhlangene), ubuhlungu be-muscle nobuthakathaka, nezinkinga ze-vascular (blood vessel).
Yini Arthralgia and Arthritis?
I-Arthralgia iyisifo esihlangene, okuyinto lapho amathambo ahlangana khona. I-arthritis ukuvuvukala okuhlangene ngezinye izikhathi kufaka ukuvuvukala, ubomvu, nobuhlungu. Kuvamile ukuthi iziguli ezine-HCV zizwe izimo eziphathelene ne-rheumatic ezifana nobuhlungu emajoyini, imisipha kanye nezicubu ezixhunyiwe. Eqinisweni, ngokuvamile ubuhlungu emajoyini nasemisipha kanye nokukhathala kungenye yezimpawu zokuqala zesifo.
Ingabe Nginayo Inhlungu Eyodwa?
Ubuhlungu obuhlangene buyisifo esivamile sokushisa kwesifo sofuba (uma izimpawu zikhona) nesifo sofuba esingapheli. Kubuye kube nomphumela ovamile ohlangothini lwemizimba ye-hepatitis efana ne- peginterferon ne- ribavirin . Ucwaningo oluthile lubonisa ukuthi cishe ingxenye eyodwa kwezintathu zabantu abane-hepatitis C bazoba ne- arthritis .
Izimbangela Zezinhlungu Ezihlangene Ezigulini Nge-HCV
Izinkinga zeRheumatic ze-HCV zenzeka ngenxa yesimiso somzimba sokuzivikela komzimba ukulwa negciwane.
Ezigulini ezine-HCV, ngoba igciwane liqhubeka landa, amasosha omzimba aqhubeka elwa negciwane, okwenza kube nokuvuvukala kwesistimu kanye nezinkinga ezihlangene nezisisindo ze-HCV.
Eqinisweni, izifo ezingezansi zivame ukubangelwa ubuhlungu obuhlangene - ngisho nalabo abangahlose ngokuqondile amalunga namathambo (njenge-hepatitis ehlose amaseli wesibindi).
Lapho abantu bekhalaza ngobuhlungu obuhlangene ngaphandle kwesizathu esizwakalayo, odokotela ngezinye izikhathi babheka izifo ezingatholakali, phakathi kwamanye amathuba.
Yini engingayenza ukuze nginciphise ubuhlungu?
Ukuphatha ubuhlungu obuhlangene obuhlobene ne-HCV kungaba inkemba enezinhlangothi ezimbili. Ezinye zalezi zidakamizwa zingaba nemiphumela yazo eyingozi kwi-isibindi noma zingase zibe nzima ukutheleleka ngegciwane. Izinkinga ezihlanganisiwe ezihlobene ne-HCV zingabangela ukukhathazeka okukhulu futhi kube nzima ukwenza imisebenzi yansuku zonke. Ukuze usize ukuphatha lesi simo, kubalulekile ukubona i-rheumatologist futhi uqinisekise ukuthi kukhona ukuxhumana okuhle phakathi kodokotela olawula isifo sakho sesibindi nodokotela abaphethe izimpawu zakho ze-extrahepatic.
Ngamanye amazwi, iziguli kufanele zithole ukunakekelwa eqenjini lezinkampani eziningi labafundisi abangasebenza ndawonye ukuze bathole ukwelashwa okungcono kakhulu ngezingozi eziphansi kakhulu. Izidakamizwa ze-anti-tumor necrosis, noma izidakamizwa ezilwa ne-TNF, zisetshenziswe ngempumelelo ukusiza iziguli ezine-arthritis ye-rheumatoid, futhi zitholakale ziwusizo ezigulini ezinama-HCV, okubonakala zingabangeli ukulimaza okwengeziwe esibindi noma ukwanda kwegciwane umthwalo. Esinye isisetshenziswa esasetshenziswa ekwelapheni isifo samathambo, i-rituximab, ibuye ihlolwe ezigulini ezine-HCV.
Amakhambi asekhaya angasiza ebuhlungu obubambisene non-arthritis, kuhlanganise nokusebenzisa i-pad yokushisa noma ukungena ebhodini elifudumele.
Ukusikhipha okuncane nokuzilolonga kungase kusize.
Imithombo:
MD Xhumana. I-Sheet Join Pain Fact Sheet Sheet. Elsevier, Inc. 2009.
I-Sanzone AM, Begue RE. I-Hepatitis C ne-Arthritis: Isibuyekezo. Imitholampilo yezifo ezithathelwanayo eNyakatho Melika, 20 (2006) 877-889.