I-Hepatitis C ingaba yisinye sezizathu zezifo ze-Rheumatic Diseases
I-virus ye-Hepatitis C noma i-HCV ngokuvamile iyimbangela eyinhloko yokuvuvukala kwesibindi okungabangela ukwehluleka kwesibindi, futhi umuntu angagcina nokufakelwa kwesibindi njengendlela yokwelashwa. Noma kunjalo, i-HCV ayikhiqizi ukuvuvukala kwesibindi nje. Iphinde ihlobene ne-hematologic, i-renal, i-dermatologic, i-rheumatic, ne-autoimmune disorders. Ezinye zezimpawu zokuqala zokutheleleka kwe-HCV ziyizimpawu ze-arthritis ezifana nokuvuvukala kwamalungu, ubuhlungu emisipha, kanye nobuthakathaka obukhulu.
Lezi zimpawu zingabonakala kusenesikhathi ngaphambi kokuba umuntu azi ukuthi unayo i-HCV. Futhi, ukuvuvukala kwamajoyini nemithambo yegazi (i-vasculitis) ingenzeka njengesibonakaliso sokutheleleka kwe-HCV.
Amaqiniso Okusheshayo nge-HCV ne-Rheumatic Diseases
- Izinkinga ezibonisa ubuhlungu obufana namagciwane kanye nezinhlungu zomzimba zivamile kakhulu esigulini esinokutheleleka kwe-HCV.
- Ukutheleleka okuningi ngegciwane lesandulela ngculazi alikho izimpawu ezibonakalayo ezigabeni zokuqala.
- Lezi zinsuku ingozi yokuthola i-HCV ngokusebenzisa ukumpontshelwa igazi iphansi kakhulu, kodwa ngaphambi kuka-1990, lena yindlela engcono kakhulu yokutheleleka.
- Ngokuvamile i-HCV idluliselwa kusuka komuntu oyedwa kuya komunye ngamanzi asemzimbeni njengesidoda, ukufihla kwesisu, negazi.
- Uma usebenzisa izidakamizwa ezijova noma uzibandakanye ekuziphatheni ngokobulili okuyingozi kakhulu (njengabalingani abaningi, ubulili bobulili obufanayo, nokunye) ukwandisa amathuba okuthola igciwane. Yingakho abantu abane-HCV abafanele futhi bahlolwe i-HIV. Abantu ababelana ngemishini yokukhipha i-cocaine nabo bangafaka phakathi eqenjini elibeka ingozi.
- Uma uthola ukuthi unesifo se-rheumatic njenge-arthritis, kufanele uthathe ukutheleleka kwe-HCV.
Kungani i-HCV ibangela izifo ze-Rheumatic?
Ngokuvamile, konke lokhu kwenzeka emzimbeni ngesikhathi sokutheleleka kwe-HCV. Konke kukho, yindlela umzimba ophendula ngayo egciwane. Izinhlungu ezihlangene nezisisu ngenxa yokuthi isimiso somzimba sokuzivikela sishukumiswa ngokuqhubekayo ukulwa negciwane.
Yingakho umzimba uqala ukukhombisa izimpawu zesifo se-rheumatic ezingaba zivela ku-cryoglobulinemia kuya ekubambeni okunzima njengokuphelelwa kwezinso. I-Cryoglobulins yi-amaprotheni anomonakalo ngaphakathi kwegazi okuthola amandla lapho evezwa amazinga okushisa abandayo. Yile ndlela okwenzeka ngayo i-cryoglobulinemia.
Izifo ze-rheumatic ezihlobene ne-HCV zingathinta abantu abaye bathola i-HCV enhle kungakhathaliseki ukuthi bayini noma ubulili. Kungathathwa ngisho nokudluliselwa kusuka kumama kuya kwengane ngesikhathi sokuzalwa (ezimweni ezingavamile).
Indlela Yokuphila NamaHCV Rheumatic Diseases
Lezi zinkinga zingabacasula kakhulu futhi zingenza impilo yakho ibe nzima kakhulu uma ungenzi lutho. Imisebenzi yakho evamile yansuku zonke ingahle ifinyeleleke kabi. Udinga ukuyobona u-rheumatologist omuhle oyokukwazisa ukuthi ungakwenza kanjani nokuthi yini okufanele uyenze esimweni sakho esiyingqayizivele. Noma kunjalo, kufanele ugcine uxhumano oluqinile phakathi kwala odokotela ababili abakuphathayo: lowo ophatha isibindi sakho futhi ophethe amalunga akho nezinhlungu zomzimba. Imithi yokwelashwa ingaba yinkimbinkimbi kakhulu kuzo zombili izimo futhi awukwazi ukuthi yimiphi imithi engakwazi ukuxhumana nomunye. Ngokwesibonelo, i-HCV iphathwa nge-interferons noma izidakamizwa ze-antiviral ezifana ne-ribavirin. Lezi zinemiphumela emibi njengobuhlungu obuhlangene.
Kumele uthathe isinyathelo masinyane uma uhlolwe kahle ngoba izinkinga zesibindi zingathuthukisa kakhulu okubangelwa ukwehluleka noma ngisho nomdlavuza. Uma uzizwa isidingo, kunamaqembu okusekela okusiza ekufundeni izindlela zokuphila ngesifo se-rheumatic. La maqembu angakusiza ukuba ubhekane nesimo esisha.
Izinto Okufanele Zizikhumbule Nge-Hepatitis Ne-Rheumatic Diseases
Ukutheleleka kwe-HCV akusho ukuthi une-hepatitis. Ungaba umthwali wezinkampani futhi usenayo izinkinga zemisipha nezokuhlanganyela. Uma uthola lezi zinkinga uhambe futhi uhlolwe ngokushesha ngangokunokwenzeka. I-HCV ayizizwa sengathi ikhona into echazwe ngokuphelele.
Ngaphandle kwezifo ze-rheumatic, i-HCV ayibonisi ezinye izimpawu zakuqala. Uma ungayinaki i-arthritis, ungase uyishaye indiva ukutheleleka kwe-HCV .
Kukhona ukwelashwa kwesifo se-rheumatic, kodwa ngezigaba zokuqala. Esikhathini esizayo, kungase kube nokukhethwa okunye okunokwenzeka kulabo abahluphekayo kuso isikhathi eside. Kukhona izinketho zokwelashwa ezitholakalayo ezinkingeni ezinjalo ze-rheumatic. Imithi emisha ikhuphuke eyathuthukise izimo zesiguli ngokuthuthukisa ukwelashwa.
Izinkomba:
I-Buskila D. I-Hepatitis C-ehambisana nokukhathazeka kwesifo se-rheumatic. I-Rheum Dis Clin North Am. 2009 Feb; 35 (1): 111-23.
Izumi Y, Komori A, Yasunaga Y, Hashimoto S, Miyashita T, Abiru S, Yatsuhashi H, Ishibashi H, Migita K. Isifo samathambo esilandelayo ukwelashwa ne-IFN-alpha / i-ribavirin ngokutheleleka kwe-HCV. I-Intern Med. 2011; 50 (9): 1065-8.