Izinzuzo nempilo yemithi ye-HBV
Izinketho zokwelashwa zesifo sofuba esingapheli B nesibindi esingakaze sibe ngcono njengoba zikhona namuhla. Okwamanje, kukhona okungenani izidakamizwa eziyisithupha ezitholakalayo, uma kuqhathaniswa neminyaka engu-10 edlule lapho kungekho, okusho ukuthi udokotela wakho unakho okukhethwa kukho ekutholeni isidakamizwa (noma ukuhlanganiswa kwezidakamizwa) okusebenza kangcono kuwe.
Naphezu kwezinketho eziningi zokwelashwa eziphumelelayo ze-Hepatitis B , akusekho ukwelashwa kwalesi sifo.
Umgomo wokwelashwa kwezokwelapha ukuvimbela igciwane nokugcina izibonakaliso ngesikhathi sokuvikela isibindi emiphumeleni yesifo. Futhi, kubalulekile ukukhumbula ukuthi akuzona zonke iziguli ze-hepatitis B zidinga imithi. Futhi noma ngabe uqala ukwelapha izidakamizwa noma cha, kufanele ube ngaphansi kwelashwa odokotela abangaba yizifo ezifweni zesibindi noma abanolwazi kakhulu futhi abanolwazi ekwelapheni isifo sofuba esibhedlela B.
Ubuhle nobubi
Imithi eminingi inezinzuzo nemiphumela emibi okufanele ilinganiselwe, futhi ukusebenza nodokotela wakho kungakusiza ukhethe umuthi onenzuzo okulindeleke ukuthi uwedlule izingozi. Ukuze sikusize uqonde le mithi kangcono kangcono, nansi amanye amandla abo nobuthakathaka.
| Imithi | Izinzuzo | I-Cons |
I-Interferon (i-interferon alpha-2b noma i-interferon ye-pegylated) | - Ngokujwayelekile ukukhetha okuhle kubantu abasha ngaphandle kwesifo esibindile sesibindi (isifo esiqhathaniswa nesibindi)
- Ukukhetha okuhle nge-genotype A isifo
- Isikhathi sokwelapha sincane (amasonto angu-24 kuya kwangu-48) uma kuqhathaniswa nezinye izifo zokwelashwa kwe-hepatitis B.
| - Imiphumela emibi kakhulu kwabanye abantu
- Ayitholakali kubantu abanesibindi esingekho (isifo sesifo sesibindi)
- Ebizayo kakhulu (ejwayelekile noma e-pegylated) eqhathaniswa nezinye izidakamizwa
- I-interferon ye-pegylated ayivunyelwe izingane
|
| - Okubi kakhulu okuqhathaniswa nezinye izidakamizwa ze-hepatitis B
- Esinye sezidakamizwa ezindala ze-hepatitis B, ngakho-ke kwaziwa okuningi ngokuphepha kwawo
- Kungaba usizo ekuphatheni ukutheleleka nge-HIV ngokuhambisana ne-tenofovir
- Kuvunyelwe kokubili izingane kanye nabantu abadala
| - Kuvame ukulahlekelwa ukusebenza kwayo ngokumelene nengculaza ye-hepatitis B ngenxa yokuphikisa izidakamizwa
- Ngenxa yokuphikiswa, kungase kusebenze kangcono kunezinye eziningi zezidakamizwa ezintsha zesifo sofuba
- Kudinga ukwelashwa isikhathi eside
|
I-Adefovir dipivoxil | - Kungasetshenziselwa iziguli ezine-lamivudine-resistant virus ye-hepatitis B
| - Kungaba yingozi kunezinso zakho kumazinga aphezulu
- Kudinga ukwelashwa isikhathi eside
|
| - Unesilinganiso esiphansi kakhulu sokumelana.
- Kungaba usizo ezigulini ezinezinkinga ezingasebenzi (isifo sesibindi esicindezelekile)
| - Isidakamizwa esisha, ngakho-ke sinokucwaninga okuncane okutholakala ngokuphepha kwayo - ikakhulukazi ezimweni ezithile
- Kuyaziwa ukuthi ubangele umdlavuza emagundeni uma kunikezwa ngamazinga aphezulu, kodwa akukho datha yenkampani yomuntu eyongela ingozi ezigulini
- Kudinga ukwelashwa isikhathi eside
|
I-Telbivudine | - Kungenzeka kube yizidakamizwa ezinamandla kakhulu kune-lamivudine ne-adefovir
| - Kungenzeka ukuthi i-lamivudine ikwazi ukumelana nesifo se-hepatitis B
- Kudinga ukwelashwa isikhathi eside
- Akuvunyelwe izingane
|
| - Kuhle kakhulu ekunakekeleni izinhlobo ezijwayelekile zokulwa nezidakamizwa zegciwane lesifo sofuba
- Kungenzeka kube ukukhetha okuhle kokwelapha lapho i-adefovir ingasebenzi kahle
- Uphatha kokubili igciwane lesandulela ngculazi nesifo sofuba
| - Isidakamizwa esisha kakhulu sokwelapha isifo sokushisa kwesibindi B, ngakho-ke izifundo eziningi kudingeka zigcwaliswe
- Akuvunyelwe izingane
- Kudinga ukwelashwa isikhathi eside
- Ukuqapha ngokugcwele umsebenzi wezinso kuyadingeka
|
Umthombo:
Kusesikhathini. I-Basow, i-DS (Ed), i-UpToDate, i-Waltham, MA, 2010.