I-Hepatitis C kanye nokusetshenziswa kwezidakamizwa zokusetshenziswa kwezidakamizwa

I-Hepatitis C (i-HCV) igciwane lesandulela ngculazi elihlasela kakhulu isibindi. Phakathi nezinyanga eziyisithupha zokuqala ngemuva kokuvezwa, abantu babhekwa ukuthi banesifo esiphezulu se-hepatitis C. Iningi labantu abanesifo esibucayi, endaweni ethile phakathi kwamaphesenti angama-75 no-85, sizoqhubeka nokuthola igciwane lesandulela ngculaza. Iningi lezifo ezintsha ze-hepatitis C zisakazwa yizinsiza zesinaki.

Ukudluliswa kwesifo sofuba esine-needle ngokuvamile kubangelwa ukuhlanganyela kwesineke phakathi kwabantu abasebenzisa izidakamizwa, noma izingozi ezisekelweni zokunakekelwa kwezempilo. I-Hepatitis C ingasakazeka ngokuhlanganyela izinto zasendlini ezingahle zibe negazi, njengezinambuzane zamazinyo nama-razors. Kungasakazeka ngezocansi ezingavimbelwe, nakuba lezi zithutha zingavamile.

Ukungaphenduliwe, i-hepatitis C ingase iholele ekutheni i-cirrhosis, umdlavuza wesibindi, nezinye izinkinga ezinkulu zempilo. Ngokomlando, ukushisa kwesibindi C kuye kwaphathwa nge-interferon ye-pegylated ne-ribavirin. Lezi zokwelapha aziphumelelanga ngamaphesenti angu-100, futhi zingaba nemiphumela emibi kakhulu. Ubunzima bokuthola ukwelashwa kanye nalawo miphumela emibi kwenza ukunakekelwa kokwelashwa kuyinkinga yangempela yeziguli ze-hepatitis C. Lokho kuyanciphisa ikhono le-PEG interferon ne-ribavirin ukulawula igciwane.

Ngenhlanhla, ososayensi basanda kuthuthukisa iklasi elisha lokulwa namagciwane okulwa ngokuqondile, noma ama-DAA, ukuphatha isifo sofuba esibhedlela C.

Lezi zidakamizwa ziphumelela kakhulu kunezokwelapha zangaphambilini futhi zinemiphumela emibi embalwa. Noma kunjalo, kungenzeka ukuthi ayitholakali kubo bonke abagulayo noma kuzo zonke izindawo zezwe.

Ingabe Bewazi: I-Hepatitis C ihlobene ne-hepatitis A (HAV) ne- hepatitis B (HBV) amagciwane. Nokho, ngokungafani ne-hepatitis A no-B, okwamanje akusiyo umgomo wokushisa kwesibindi C.

I-Hepatitis C kanye nokusetshenziswa kwezidakamizwa zokusetshenziswa kwezidakamizwa

Ukusetshenziswa kwezidakamizwa ezingenalutho njengamanje kuyindlela evamile kakhulu yokudluliselwa kwe-hepatitis C. Ngokusho kwamaCentral for Disease Control, cishe abasebenzisi abangaphansi kwezingu-30 abasebenzisa izidakamizwa abakhulelwe abanesifo sofuba esibhedlela. kube ngaphezulu kakhulu. Ukwengeza, igciwane lingase libe khona cishe kubantu abaningi asebekhulile abasebenzisa izidakamizwa zamanje nabangaphambili. I-CDC ichaza ukuthi kulinganiselwa ukuthi amaphesenti angama-70-90 alabo bantu abanjwe yi-hepatitis C. Ngokwengxenye, lezi zinombolo ziphakeme kakhulu ngoba zidalulwe futhi zithole igciwane ngaphambi kokuqwashisa kabanzi mayelana nezingozi zokuhlanganyela kwesineke.

Izifo eziningana ezithathelwanayo zingadluliselwa ngenduku yenaliti. Izinaliti ezingcolisiwe zinikeza indlela elula yezifo ezithathelwana ngegazi ukuhamba ukusuka komuntu oyedwa kuya kwesinye. Ngisho ngisho negazi elincinci kanye nemigqa engavimba, kungakho ukuhlanza izinaliti akwanele ukuqeda ingozi. Uma kunokwenzeka, izinaliti akufanele ziphinde zisetshenziswe. Amadolobha amaningi kanye nezinhlelo zinezinhlelo zokushintshanisa izinaliti ezinganikeza abasebenzisi bezidakamizwa ezijova ngezinaliti eziyinyumba ukunciphisa ingozi yokutheleleka. Lezi zinhlelo zingase zinikeze ukuhlolwa kwezifo nokululekwa kwezidakamizwa kubantu abalwa nokujola.

Ubufakazi buveze ngokucacile ukuthi izinhlelo zokushintshanisa izinaliti azikhulisi ukusetshenziswa kwezidakamizwa. Kodwa-ke, zinganciphisa ngempumelelo ukusabalala kwezifo.

Ukwelashwa kwe-HIV ne-HCV

I-Hepatitis C ne-HIV zingama-virus amabili lapho kukhona ukukhathazeka okuningi kubantu abasebenzisa izidakamizwa. Eqinisweni, i- coinfection nezobili amagciwane ayivamile kule ndawo. Phakathi kwamaphesenti angu-50 kuya kwangu-90 abantu abane-HIV abafaka izidakamizwa basuke benesifo sengculaza. Lokhu kungenza izinqumo zokwelapha zinkimbinkimbi nakakhulu, nakuba ochwepheshe abaningi banolwazi olunzulu lokusebenza neziguli ezinama-coinfected.

Izinguquko embonweni womphakathi ngegciwane lesandulela ngculazi kungenzeka ukuthi zanikezele ekwandeni kwezifo ezithathelwana nge-hepatitis C ezitholakala e-United States kusukela ekuqaleni kwawo-2000.

Njengoba i-HIV ishintshwe ekubonweni njengesigwebo sokufa ukuze kubonakale njengesifo esingelapheki, abantu bangase bangakhathazeki kakhulu ngegazi elingenalo igciwane. Ngaphandle kwalokho, bangakholelwa ukuthi ukuhlanza okucatshangelwayo ngokuphumelelayo ne-HIV nakho kuyasebenza ngokumelene nesifo sofuzo esibhedlela C. Ngeshwa, kanti i-HIV igciwane lesibindi, isifo sofuba asisilo. Ukuhlanza imishini yezidakamizwa noma "imisebenzi" ngezindlela ezingavimbela ukudluliselwa kwe-HIV akusebenzi ngendlela efanayo nokulwa nesifo sofuba C.

Indlela Ukusetshenziswa Kwedakamizwa Ye-Injection Kuthinta Indlela Yokutheleleka Kwesifo Se-Hepatitis C

Kunobunye ubufakazi bokuthi i-Hepatitis C ingase iphathe ngokuhlukile kubasebenzisi bezidakamizwa ezijova kunabantu abayitholayo ngokocansi. Abantu abafaka izidakamizwa bangase babe nesikhathi esinzima sokuqeda lezi zifo. Kungase kube namathuba amaningi okuphinde afinyelele izifo ngemuva kokwelashwa okuphumelelayo. Kuze kube manje, izizathu zalokhu azicacile. Omunye umehluko kungenzeka ngenxa yezinhlobo ezithile ze-hepatitis C lapho abantu abafaka izidakamizwa bavezwa khona. Kungenzeka ngenxa yokuchayeka okuqhubekayo phakathi kwabantu abaqhubeka bejoza izidakamizwa noma ababuyela emuva ngemuva kokwelashwa okuphumelelayo. Kukhona futhi okungenzeka kube nezinye izici ezihilelekile ezingakaqondakali.

Izwi elivela

Uma usulelekile nge-hepatitis C, kungaba yinto enzima ukukhuluma ngayo. Abacwaningi bakhombisile ukuthi abantu abaningi abaxoxani ngesimo sabo nabalingani babo. Lokho kubandakanya kokubili abalingani bocansi nabantu ababelana nabo ngezinaliti. Bangase bangabonakali ukutheleleka kwabo ngisho namalungu omndeni asondelene.

Kwabanye abantu, kunzima ukukhuluma nge-hepatitis C ngenxa yokuhlangana kwayo nomjovo wokusetshenziswa kwezidakamizwa. Ikakhulukazi uma ungasasetshenziswa izidakamizwa, kungesabeka ukuletha leyo ngxenye yesikhathi esidlule. Kwabanye abantu, kungeke kwenzeke kubo ukuba bakhulume nge-hepatitis C. Kungenzeka ukuthi baye bathola igciwane isikhathi eside bengenayo izimpawu. Futhi abaningi abazi ukuthi igciwane lingadluliselwa kanjani noma uma amalungu omndeni asengozini.

Ngokuvamile, i-hepatitis C ayikwazi ukusakazwa ngokuxhumana okuvamile. Noma kunjalo, akugcini kuphela ukusakazwa ngokusebenzisa ukwabelana kwezingane. Kungabuye isakazwe ngezocansi ezingalondekile kanye nokusetshenziswa kwezinto ezingcolile zegazi. Ngakho-ke, uma ubelana nomunye umuntu, kuyasiza ukuba bazi kahle ngokusebenzisa i- toothbrush noma i-razor yakho . Lokhu kuyiqiniso futhi uma wabelana ngokushelela ngokuqondile-ngokusebenzisa ucansi noma ngezinaliti. Abantu abakwazi ukuphatha ingozi uma bengazi ukuthi kukhona.

> Imithombo:

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> Seaberg EC, Witt MD, Jacobson LP, Detels R, Rinaldo CR, Young S, Phair JP, Thio CL. Ukuhlukana kokusakazeka kwegciwane lesandulela-ngculazi nesifo se-hepatitis C ngemodi yokuthola phakathi kwabantu abesilisa nabesifazane. I-J Viral Hepat. 2014 Oct; 21 (10): 696-705. i-doi: 10.1111 / jvh.12198.

> Young J, Rossi C, Gill J, Walmsley S, Cooper C, Cox J, Martel-Laferriere V, Conway B, Pick N, Vachon ML, Klein MB; Abaphenyi baseCanada abathintekayo. Izingozi Zengozi Ye-Hepatitis C I-Virus Reinfection Ngemuva Kwempendulo Yokuxhaswa Nge-Virologic Kwabeziguli Abathintekayo Nge-HIV. I-Dis Infect Dis. 2017 Meyi 1; 64 (9): 1154-1162. doi: 10.1093 / cid / cix126.