Funda Ngezibonakaliso, Ukwelashwa Nokuvinjelwa Kwe-Hepatitis D
Isifo se-Hepatitis D esibangelwa igciwane le-hepatitis D (i-HDV), yisifo esibangela isibindi. Kufana nezinye i- virus ye-hepatotropic (A, B, C no-E) ngoba ibangela ukuvuvukala kwesibindi futhi ikhiqize izimpawu ezifanayo, kodwa i-HDV ayiyona engavamile. Kungenza kuphela umuntu ophethe isifo sofuba esibhedlela i-HDV engakwazi ukuziphindaphinda, ngakho-ke ukuze ukwazi ukuzungeze le nkinga, i-HDV incike ku-virus ye-hepatitis B (HBV) yokuphindaphinda (inqubo yokwenza amakhophi ngokwawo).
Yini i-Hepatitis D Infection Like?
I-Hepatitis D ibangele izinhlobo ezimbili zokutheleleka: ukukhonjiswa kwe-coinfection noma i-superinfection. Ukwenqatshelwa kwe-coinfection ngukuthi umuntu otheleleke nge-HBV ne-HDV ngesikhathi esifanayo. Ukwehluleka ukukhipha isifo lapho umuntu esele ene-hepatitis B bese enesifo se-HDV.
Ukushiswa kwe-coinfection kuvamile, futhi kuzozixazulula ngokwayo. Ukwehluleka ukungafani nakho kunethuba lokuba lubi kakhulu. Ngama-superinfections, i- cirrhosis encane evela ku-hepatitis B ingaba yi-cirrhosis eqinile futhi eqhubekayo (ukubhuka kwesibindi). Ezinye izimo zizoholela esibhedlela esiphezulu.
Ingabe Ngine-Hepatitis D?
Indlela kuphela yokutshela ukuthi une-hepatitis D ingukuhlolwa kwegazi. Ngokujwayelekile, odokotela babheka isifo sofuba D kubantu abanesifo esibucayi esibandayo noma esiphuthumayo esibhedlela. Kulezi zimo, odokotela bazohlola igazi lakho ngezimbonakaliso ezihlukahlukene ze-HDV yokutheleleka.
Ngokusekelwe esibonelweni sesifo sakho kanye nemiphumela yokuhlolwa kwegazi nge-HBV ne-HDV, odokotela bangalinganisa ukuthi ukutheleleka kwakho kuyingozi yini, okungapheli noma okungahambi kahle.
Ziyini izimpawu?
Ngokuvamile, ukusesha kwe-hepatitis D kwenzeka kuphela lapho i-hepatitis yakho inzima noma ihamba kakhulu.
Noma yiziphi izimpawu zifana nezinye izifo ezithathelwana nge-virus ye-hepatitis, cishe nje kakhulu. Kungakhathaliseki, nge-hepatitis D, inkambo yokutheleleka inqunywa ukutheleleka kwe-HBV. I-Hepatitis D ayikwazi ukuhlala isikhathi eside kunokutheleleka kwe-hepatitis B.
I-Hepatitis D isakazeka kanjani?
I-hepatitis D isakazeka esifana ne-hepatitis B, ehambisana nokuxhumana okuqondile negazi eligciwane. Kuyinto engavamile e-United States nakwamanye amazwe athuthukile. Kulezi zindawo, ukushisa kwesifo sofuba D kutholakala kakhulu kubasebenzisi bezidakamizwa abane. Kukhona futhi ubudlelwane obuhlanzekile obuhlanzekile. Amazwe anezinga eliphakeme lokutheleleka kwe-hepatitis D phakathi kwabathwali be-HBV kuhlanganisa nalabo abakuMfula iMedithera, eMpumalanga Ephakathi nase-Afrika engaphansi kweSahara.
I-Hepatitis D ithathwa kanjani?
Ukwelashwa okungapheli kwe-hepatitis D ngokuvamile kuhilela ukwelashwa kwe-interferon . Imishanguzo ye-antiviral esetshenziselwa ukwelashwa kwesifo sofuba (B) ayiphumelelanga isifo sofuba (isibindi) uma isifo esingapheli sifinyelela esibindi ukuhluleka kwesibindi ukufakelwa kwesibindi kungadingeka. Imiphumela yokufakelwa isifo se-hepatitis D ngokuvamile ingcono kune-hepatitis B.
Nakuba ukwelashwa kungadingeka, ngokuvamile kuyabiza futhi kuzoba nemiphumela emibi.
Ngenxa yalokhu, kungcono ukuzama ukuvimbela ukutheleleka endaweni yokuqala.
Ngingakuvimbela Kanjani Ukushisa Isifo?
Ayikho imithi yokuvikela i-hepatitis D, kodwa ungavimbela ukutheleleka kwe-HDV ngokuthola igciwane lesifo sofuba esibhedlela. Ngenxa yokuthi i-HDV idinga i-HBV ukwenza amakhophi ngokwayo, ngokugwema ukushisa kwesibindi B, uzogwema i-hepatitis D.
Kulabo abanesifo sengculaza esingapheli (isifo sohlobo lwe-hepatitis B) (noma labo abane-HBsAg egazini labo), ayikho imithi yokugoma, kodwa ukugwema ukuthintana ngqo negazi elithathelwanayo kuzovimbela ukutholakala kwesifo sofuba. Lokhu kuzobandakanya ukuhlanganyela izinaliti ezingcolile, ubulili obungavimbelwe, nokwabelana ngomuntu siqu izinto okungenzeka zinegazi elithathelwanayo kubo njengama-razors nama-brushes ofoth.
- Ukuvimbela I-Viral Hepatitis
- Isikhathi Esingakanani Isifo Esithathelwana Ngayo Isifo Esiphilayo Esingaba Ngaphandle Kwomzimba?
Izinkomba:
Amasevisi Okulawula Nokuvimbela Izifo. NgoJulayi 10, 2008. I-Viral Hepatitis.
Dienstag, JL. I-Hepatitis Eyingozi Yama-Virus. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Izimiso zikaHarrison zika-Internal Medicine, 17e. ENew York, eMcGraw-Hill, ngo-2008.
I-Perrillo, i-R ne-Nair, i-S. Hepatitis B no-D. Ku: M Feldman, uLS Friedman, uLJ Brandt (eds), Izifo zesisu kanye nezifo, 8e . Philadelphia, Elsevier, 2006. 1647-1672.