Ukulinganisa umsebenzi we-viral usitshela indlela ukwelashwa okusebenza ngayo ngempumelelo
Umthamo wegciwane umane nje ukukala kwesilinganiso segciwane egazini lakho. Izindinganiso zomthamo wendiza zivame ukusetshenziselwa ukuqapha izifo ezingenasifo sengculazi , njenge- HIV , i- hepatitis B (HBV) , ne-hepatitis C (HCV).
Endabeni ye-HCV, ukuhlolwa okubizwa ngokuthi i- HCV ye-RNA ye- quantitative test RNA isetshenziselwa ukukala izinto eziphathelene ne-genetic virus (RNA) ezitholakalayo ku-milliliter yegazi.
Okunye ubuchwepheshe bungasetshenziselwa ukuqapha umsebenzi we-viral, iningi lalo lokwenza kanjalo ngokubona i-DNA noma i-RNA egazini.
Kungani Umthwalo We-Viral Kubalulekile?
Odokotela basebenzisa umthamo wegciwane lesandulela ngculazi ukuze banqume ukuthi uphendula kahle kangakanani ukwelashwa okulwa negciwane. Ngokuvamile umthamo wakho wegciwane uzohlolwa ngaphambi kokuba uqale ukwelashwa (ngesifo sofuba C, isibonelo) bese uphinda ngezikhathi ezithile ukuze uhlole ukuthi uphendula kanjani. Okungenani imiphumela emibili yegciwane lesandulela ngculazi iyadingeka ukuze kuhlolwe ukusebenza kahle kwezokwelapha.
Umthamo wegciwane owenziwe kakhulu, njengokunciphisa ngamaphesenti angu-100 nge-viral ngenkuthalo, ngokuvamile kusho ukuthi ukwelashwa kusebenza. Ngokufanelekile, umuntu uzothola lokho okubizwa ngokuthi "okungabonakali" kwegciwane lesandulela ngculaza, okusho ukuthi ubuchwepheshe bokuhlola abakhona abakwazi ukuthola noma yibuphi ubufakazi begciwane kuma-sampuli egazi.
Kubalulekile ukuqonda ukuthi ngenkathi ukuhlolwa kuqakathekile ekubikezelweni kwemiphumela yokwelashwa, akutsheli lutho mayelana nobuhlungu besifo sakho sebindi.
Ngokuvamile, izivivinyo zesibindi kanye nokuhlolwa kwe-imaging (isibonelo, i-ultrasound noma i-MRI) kuyadingeka kulokho.
Umthwalo ophezulu we-Versus and Low Viral
Ngokuqondene nesifo sofuba esibandayo se-hepatitis C, isisindo esikhulu segciwane lesandulela ngculazi ngokuvamile singaphezu kuka-800,000 IU / L, kanti umthamo wegciwane ophansi ungaphansi kuka-800,000 IU / L. Lolu hlu luyahlukahluka kakhulu, noma kunjalo, ngokusekelwe kulokho okubhekwa njengesilinganiso esifundeni esithile noma kubantu.
Kubalulekile ukuqaphela, noma kunjalo, ukuthi umthamo wegciwane we-800,000 IU / L awusho ukuthi unama-virus angama-800,000 egazini lakho. Esikhundleni salokho, kusho ukuthi lebhu isinqume ukuthi kunezinyunyana zamazwe angama-800,000 (IU) ezingeni elilodwa legazi. IU isilinganiso esilinganiselwe esisetshenziswe ngabahlengikazi ukuqinisekisa ukuvumelana kwebhulebhu ebhodini futhi kubhekwa njengelungile kunokuba "ukubalwa kwenhloko" elula ye-RNA egazini.
Nokho, ngokuvamile, ama-800,000 i-IU / L ahambelana namakhophi angu-2 million we-RNA egazini.
Lokho Okushoyo Okungenakutholakali Okuthwala Umthamo
Isikhathi sokuxoxwa (umthamo wegciwane elingenakulinganiswa) amasonto angu-12 emva kokuqeda i-hepatitis C therapy iyayaziwa ngokuthi impendulo ye-virologic eqhubekayo (SVR) , noma i-SVR12. Cishe bonke abantu abafeza i-SVR12 bayaqhubeka ukuze bafinyelele i-SVR24, okusho ukuthi akuzange kube khona umsebenzi we-viral otholwe amasonto angu-24 ngemuva kokwelashwa.
Umthamo wegciwane elingenakutholakali akusho ukuthi awunawo igciwane egazini lakho noma ukuthi ufeze ukwelashwa. Kodwa-ke, uma ukwazi ukugcina umthamo wegciwane elingenakutholakali isikhathi esingamaviki angu-24 (futhi manje ochwepheshe bacabanga ngisho namaviki angu-12 kuphela) amathuba okuthi igciwane libuyele (ukuphindaphinda) libheke phansi kakhulu. Eqinisweni, kulokhu, umuntu ubhekwa njengokwelashwa.
Ngesikhathi izivivinyo zingahluka ngokwemvelo, okusho ukuthi ikhono labo lokuthola igciwane, izivivinyo eziningi zamanje zinembile kakhulu.
Izwi elivela
Nakuba izivivinyo ezihilelekile ekuxilongweni nasekuphatheni i-hepatitis C zingase zibukeke ziyinkimbinkimbi, zama ukungazitholi eminye imininingwane. Uma une-hepatitis C, qhubeka uphephile empilweni yakho yesibindi ngokubona udokotela onolwazi ophulukisa abantu abane-hepatitis C.
Thatha imithi yakho njengoba uyalwe futhi uhlale usondelene kakhulu nodokotela wakho. Ngokunakekelwa okufanele, izindaba ezinhle ukuthi ungakwazi ukususa igciwane emzimbeni wakho (futhi ngokuyisisekelo "uphulukiswe").
> Imithombo:
I-Burgess SV, u-Hussaini T, i-Yoshida EM. Ukuphikisana kwempendulo ye-virologic eqhubekayo emasontweni 4, 12 no-24 emva kokwelashwa kwesifo sofuba c esikhathini sokushaywa kwemithi esisha ngokuqondile: Ukubuyekezwa okufishane. Ann Hepatol . 2016 Mar-Apr; 15 (2): 154-9.
> I-Gupta E., Bajpai M, i-Choudhary A. I-virus ye-Hepatitis C: Ukuhlolwa, ukuxilongwa, nokuchazwa kwezinqubo zokuhlola i-laboratory. I-Asian J Transfus Sci. 2014 Jan-Jun; 8 (1): 19-25.
> University of Washington. I-Hepatitis C Online: Izinhloso zokwelapha nokuphendula kwangaphambili.
Umnyango we-US of Veterans Affairs. I-Viral Hepatitis: I-Hepatitis C i-RNA yokuhlolwa okulinganiselwe.