Chiropa: kupatsanura, zviratidzo, kurapwa uye migumisiro

Hepatitis, mumwe kupatsanura riri munyaya ino, iri inopisa zvikuru nyaya iri kwemazuva ano, sezvo chirwere pakati vanhu vakapararira nevakawanda zvikuru. Kazhinji, chirwere hakuiti unooneka uye anovandudza Isimba rakadini rinogona kubudiswa. Pane matunhu mukana wokutapukirwa. Izvi zvinoshanda rwarisa chimiro. Uyezve, zvirwere-refu kuerera kukwanisa zvakatsamwisa kusingarapiki fibrotic kuchinja chiropa uye varehwa hepatic insufficiency, izvo kazhinji chisingarapiki.

Mhando dzakasiyana-siyana nehepatitis

Chii chiropa? Kupatsanura kunosanganisira zvinotevera mhando zvirwere: zvirwere kana nemavhairasi hunhu. Medicine dzinounzwa mhando dzacho shanu dzinokosha A, B, C, D, E, izvo zvinogona kukonzera chiropa kuzvimba. Uyezve, hepatitis kunogona kuomesa kwakaita zvirwere zvinotapuriranwa hunhu, zvakadai cytomegalovirus, mumps, rubella, uye vamwe.

Chii chiropa chepfu mavambo? chikamu ichi chinofanira kusanganisira zvokurwara, kukura pasi nemadhiragi, doro uye inobaya. Pakati zvinodhaka nhaka yakakwirira toxicity zvinodhaka inoshandiswa pakurapa tibhii, mishonga antiviral, sulfonamides, nemishonga pfungwa kuora mwoyo, Anti nepfari uye kenza anomera. Autoimmune siyana nehepatitis kazhinji harinyatsozivikanwa etiology. The rokuzvidzivirira anotanga kurwisa chiropa pachake masero ayo. Zvichienderana weboka chirwere tsika kusiyanisa kaviri chirwere:

1. Hepatitis ari rikwanise chimiro. Agozviratidza pakarepo uye runoratidzwa kudhaka, fivha, jaundice ganda, asi kwete nguva dzose. Muchiitiko ichi chinonyanya nemavhairasi kuzvimba chiropa uye muchetura hunhu. Kana murwere nenguva netsika kuonana nyanzvi, pashure kusachengeteka kukuru muchimiro kakawanda pane kunaya zvakakwana.
2. The chirwere chimiro. Zvinogona migumisiro rikwanise kukuvara, autoimmune urongwa, mugumisiro doro uye kushandisa zvinodhaka, uyewo kurapwa kwenguva refu hepatotoxic nevamiririri. Uyezve, nemavhairasi kuzvimba chiropa B uye C angatanga pakarepo sechinhu chikuru chirwere. Nokuti chirwere dzinoratidzwa zviratidzo zvapera. Naizvozvo, chirwere kazhinji kunouya nguva yapera, apo chiropa zvakaipisisa kukuvara.

Huru hutachiwana migero

Chinotapukira utachiwana anongova chimiro. Kana chirwere ichi chinopfuudzwa munzira dzakasiyana:

• nemaoko akasviba;
• kuburikidza midziyo utachiona uye zvokudya.

In saizvozvi kunosvika kuzvimba chiropa A uye E. Uyewo, kuchinjwa kunoitika kuonana neropa munhu ane HIV. Panyaya iyi, dambudziko Itai manicure, pedicure, nyora, kuboora muviri, kushandiswa kwezvinodhaka nokuda jekiseni, uye zvichingodaro. D. Uyu mhando yedzimudzangara tinoberekwa nemavhairasi chiropa B, C, D. Sexual hutachiwana kunogona kuwedzera nemavhairasi B, C, D.

symptomatology chiropa

nehepatitis B sei? Huru zviratidzo zvinosanganisira:

• yakakwirira muviri tembiricha;
• marwadzo chokumusoro quadrant kurutivi rworudyi;
• jaundiced ganda uye meso;
• Hauoneki mutsvina yadzo;
• itchy ganda;
• svoto;
• rima weti;
• asthenia.

Zvisinei, zvinofanira kucherechedzwa kuti zviratidzo izvi hazvisi pachena nguva dzose. Mune zvimwe zviitiko, chirwere vovanda, uye panoonekwa murume sezvo zvishoma indisposition.

chiropa A

Kana munhu anonyunyuta kuti kunzwa kurwara, akanga yakawedzera muviri tembiricha, uye weti anova rima (ruvara hwakafanana simba bika), zvinokwanisika kufungidzira kuvapo kwezvirwere zvakadai chiropa A. Uyu mhando fivha, achiperekedzwa wenyonganyonga of nemudumbu basa zvingaitika, kuda kurutsa , kurutsa, kufundumwara mudumbu uye hypochondria zvakanaka. Papera kanguva, rima weti, ganda uye sclera kuva jaundiced, mutsvina yadzo kunova Hauoneki. Pashure nechitarisiko jaundice, munhu mutowo munhu ari nani.

kutaipa B

Nemavhairasi nehepatitis B ane zvirwere zvinotapukira. pakuonekwa Its chinokurwadzai utachiona. Iye kwakapararira uye zvinogona kukanganisa munhu. Hepatitis B Utachiona dzinowanzotsigi- akatakurirwa neropa. The chirwere chimiro chirwere kunogona kukonzera zvakakomba yematambudziko uye kurufu. Saka zviri zvikuru nenguva chirwere uye kurapwa zvirwere. Zviratidzo nehepatitis B kunogona kuitika munyika 12-vhiki incubation nguva. Against utachiwana, pane kunyange yokudzivirira kuti vanokwanisa yakavimbika kudzivirira zvirwere kukura.

Zviratidzo zviri chirwere

Ndezvipi zviratidzo nehepatitis B? The latency nguva zvirwere rinovapo kusvika mwedzi mitanhatu. Zviratidzo zvokutanga kuoneka mune rechi12 vhiki. Varwere chokunyunyuta pamusoro asthenia, neanorexia, kuda kurutsa, kufundumwara zvakarurama hypochondrium. Weti kwasviba uye furo, mutsvina yadzo Chinojeka. Pane vane marwadzo majoini, havachanyatsogoni gastrointestinal basa. tembiricha muviri inowedzerwa.

hepatitis C

How ngozi ndiyo hepatitis C? It chinhu pazvirwere chirwere chiropa kuti anokonzerwa utachiona. Munhu anogona kuva utachiona. Kazhinji kunoitika muvarwere vaduku. kuitika zvazvingava kwave kuchiita kuwedzera mumakore gumi apfuura. Hepatitis C Utachiona iri kuburikidza neropa. Pane zviratidzo zvakajeka hepatitis C? Muzviitiko zvizhinji nehosha hwapedyo zvishoma uye anova refu. Panguva iyoyo ndiye asymptomatic.

Chii chiri zvirwere zvakadai hepatitis C uye migumisiro? The chirwere chinogona kukanganisa zvomudumbu turakiti uye chiropa uye kwaramba. Zviri, sezvinei, zvakakwana nomushonga Pharmaceuticals ano. How ngozi ndiyo hepatitis C? Kunogona kukonzera chiropa cirrhosis. Uyewo, huripo yokudzivirira kurwisa chirwere usati yagadzirwa asi utachiona zvinogona kudziviswa.

kwakadai chirwere sei?

Ndezvipi zviratidzo hepatitis C? Kazhinji, chirwere chinogona semhosva asymptomatic. It Kunoratidzwa netsaona. Kakawanda, varwere chokunyunyuta pamusoro asthenia, asi vaneta hunhu zviratidzo. Pachena kurwadziwa mapfundo. Nemuumbi kuwedzera chiropa uye chirwatata saizi. Chii chinogona kuoma nokuda hepatitis C? Migumisiro yacho zvakakura. Chimwe chezvinhu zvikuru ndiyo cirrhosis. Kana zvikaonekwa jaundiced ganda uye meso, dumbu rukazara rinooneka dandemutande mutsinga, anowedzera kuneta.

kushanduka D

chirwere ichi kunokonzerwa nehepatitis D. The causative muviri havagoni kuva mumuviri chete. Kuti aite izvi, zvinoda kuti kutora chikamu kwe ainzi mubatsiri. Ndizvo nehepatitis B utachiona symbiosis pamusoro nemavhairasi maviri anogona kukonzera zvirwere, iyo inobudisa rinorema chokubuda. Chirwere kazhinji kunoitika kuburikidza kuwedzerwa ropa uye kuburikidza zvinodhaka syringes. Not warambidzwa pabonde nenzira, uyewo pakuparadzirwa utachiwana kubva amai mudumbu. Varwere All sei utachiwana B, vane susceptibility kuna nehepatitis D.

zviratidzo

nehepatitis D sei? Patient zvinokunetsa Fivha. Nemuumbi kurwadziwa chiropa, mumabvi uye mamwe mapfundo makuru. Kwave Zvichemo svoto. Muvanhu, hakuna kudya. Iye lethargic uye vakaneta.

chiropa E

Kare, kuziva hosha dzemarudzi ichi zvisiri boka A kana boka B. The mashandiro pamusoro yedzimudzangara - fecal murwere kwevanhu. Utachiona anopinda muviri kuburikidza nemvura utachiona kanenge - kuburikidza nemaoko asina kushambwa. kuti nehepatitis kurwara mhando iyi, vechiduku vane makore makore 15-29. Zvikurukuru, chimiro ichi chapararira munyika inopisa mumamirire ekunze uye murombo mvura yaunodya. Achatanda chirwere zvakanaka. Kunze iri vakadzi vari okupedzisira mitatu akazvitakura.

The chikuru zviri

Hosha kunooneka pacharo matanho. Nguva anotangira jaundice, kunoratidzwa kurukutika, dzungu, ungaderedza kudya. Kashoma akacherekedza svoto uye kurutsa. Hepatitis E anogona kuratidza giravhiti zvakarurama hypochondrium pamusoro kana dumbu. Marwadzo anogona kunge vanyoro kana chakasimba. tembiricha muviri anoramba mukati mitemo. Incubation kunotora 9 mazuva.

Zvinonzi rakawedzera atadze kushanda zvakanaka pamusoro pechiropa, iyo chinoratidza kutanga icteric chokutambudzika. Weti anodzima, kwokunzwira Cal. Skin uye sclera maziso kutendeukira tsvuku. Complete ropa count inoratidza kwakawedzera bilirubin. Patient kunokuvadza itchy ganda. Kuneta uye svoto zvakachengetwa. The chiropa yakawanda kukura. Ya hosha iri vhiki 1-3.

chiropa G

Ichi chimiro chirwere kwakanga kwakapararira. MuRussia, kuti exciter kakawanda akaenzana 2%, muguta guru Russia, ndiyo 8%. Sezvo vanachiremba funga, hepatitis G ndiye muduku mukoma nehepatitis C. Zvinonzi chinopfuudzwa zvakafanana sezvo yokupedzisira - kuburikidza neropa. chirwere Yakapararira pakati vanhu vanoshandisa zvinodhaka. Dziripowo uye zvepabonde kwemashoko chirwere, uyewo kuchinjwa utachiwana kubva amai mudumbu.

symptomatology

Murwere anonyunyuta yokushaya kudya, marwadzo zvakarurama hypochondrium. Weti anodzima uye kwokunzwira Cal. Chinowanzoonekwa anoratidza svoto uye kurutsa. Rinotanga kuratidza jaundice. Yellow muromo uye maziso. Skin anopawo yellowness. Inosimudzira mwero bilirubin muropa. The chiropa yakawanda kukura. Dzimwe nguva, ndiye muitiro kunoitika pamwe chirwatata. The chirwere unogona kwaramba. Kana kunosanganisira hepatitis C chirwere kungamutsawo kukura cirrhosis.

Botkin chirwere

Uyu ndiwo mumwe munhu munyoro siyana nehepatitis A. The ya incubation chirwere ndeimwe uye mwedzi nehafu. WoMunhu nyore kubatwa nezvirwere ichi. Abatwa muviri wake hutachiwana hunokonzera chirwere zvairayirwa. chirwere ichi ndiyo 20% yevanhu vakuru. The chirwere kazhinji inobata vanhu mumatsutso. Panguva ino gore ikasawira hafu kutapukirwa zvose.

autoimmune chiropa

Hepatitis, unosanganisira kupatsanura pakati pemarudzi makuru mashanu, kunewo imwe autoimmune. We nezvazvo zvizere. Autoimmune chiropa - kunoramba muchimiro chiropa kuzvimba. The chirwere kunoratidzwa yakakwirira kwevari antibodies muropa uye hypergammaglobulinemia. periportal chiropa chinogona chirwere Histological kudzidza chiropa tishu. It kunoratidzwa danho kana kukwana necrosis. chiropa uku zvisingazivikanwi etiology. Chirwere mberi nokukurumidza zvikuru. Kunogona kukonzera kenza chiropa, portal neBP, chiropa kukundikana uye kunyange rufu.

Sezvo pathognomonic Zviratidzo zvinochengetwa in autumn, apo Pfungwa yakadaro nechirwere sezvo autoimmune chiropa, zvakakodzera asava chisingaperi nemavhairasi chiropa, chirwere Wilson kuti, hemochromatosis, zvinodhaka uye chidhakwa chiropa, chiropa dystrophy asiri chidhakwa hunhu masoja kwakabva chirwere, kuvapo biliary cirrhosis uye chikuru chinonzi sclerosing cholangitis .

The chirwere munogona varwere dzakasiyana zera: kubva 9 months uye nekuguma makore 77. Asi kakawanda zvinonzi chirwere Varwere vaduku pane makore 40. Autoimmune chiropa chinogona chirwere nepasipo. Mumwe pavatatu varwere vane concomitant chirwere. Pakati pavo thyroiditis ari Hashimoto wacho, maronda colitis, synovitis, thyrotoxicosis. Zvinosuruvarisa autoimmune muchimiro nehepatitis iri chirwere muna 25% nyaya pa Papera matanho, kana chirwere ndiye cirrhosis.

The kupatsanura zvirwere ICD

Sezvo mukurapa yakakamurwa marudzi zvirwere zvakadai chiropa? Kupatsanura ICD anotora zvinotevera zvawanyora zvimiso bumbiro wako:

1. B15 - kusachengeteka kukuru muchimiro nehepatitis A.
2. B16 - kusachengeteka kukuru muchimiro nehepatitis B.
3. B17 - dzimwe mhando chakasimba nemavhairasi nehepatitis hunhu.
4. B18 - nemavhairasi chiropa mune chirwere chimiro.
5. B19 - nemavhairasi chiropa kubva zvisingazivikanwi mavambo.

Zvii zvinoguma zvaitika kunogona chiropa?

Chirwere nehepatitis kunosanganisira incubation nguva: nguva kubva pakutanga kupinda kweutachiwana muropa pamberi zviratidzo chirwere wokutanga. Izvi dzinosanganisira degeneration kuti chiropa masero. In chiropa nezvimiro A, B, C ya iyi inogona anosiyana kubva pamazuva 10-20 kusvika 100-200, zvakatemwa nokuda zvinhu zvakawanda.

Kukura nehepatitis rikaitika rikwanise chokutambudzika. The kuratidzwa chirwere wokutanga inogona chakakomba uye kuchioneka. Dzimwe nguva pane mheni-kutsanya budiriro inogona kutungamirira murwere kurufu. Zvinogona kuitika, uye kupora. Izvi zvinoitika kana utachiona mumuviri, uye chiropa masero kudzokera dzose.

Ndezvipi zvinhu nehepatitis? Recovery kunoitika nguva dzose, maronda muviri rikwanise kuzvimba chiropa A uye ruzhinji Muzviitiko nehepatitis B. Kana asingadi, ipapo chirwere chimiro hwapedyo. Chikonzero kuti rikwanise muchimiro degenerating kuva chirwere, - simba rokuzvidzivirira. Zvisinei, mashoko inonzwisisika tsanangudzo avo vauya yavaipora, asingaiti - zvakaoma chaizvo.

The chirwere chimiro ikabuda 20% chirwere chokuzvimba chiropa hepatitis B utachiona hweHIV, uye vanenge mukuru chikamu Muzviitiko nehepatitis C. To kuumba zvirwere ngozi anorondedzera fulminant chimiro. Zviri apo neapo (1% chirwere chokuzvimba chiropa hepatitis A kana B). Kunogona kukonzera rufu.

By migumisiro chisingaperi nehepatitis B muchimiro ngozi zvinosanganisira hepatic cirrhosis uye kenza (hepatocellular carcinoma). kuomesa akadai cirrhosis, munyaya 20% nyaya echirwere kuzvimba chiropa hepatitis B uye C nemavhairasi chimiro chirwere kazhinji vanotsamwisa kenza uye kuva chikonzero chikuru chiropa transplantation.

Ngozi rufu pamberi chisingaperi chiropa ndiyo 15-I 50%. Chiropa cirrhosis 50% wevarwere vaitambudzwa chisingaperi fomu kufa mukati 5 years. chirwere ichi mumwe zvinokonzera gumi kutungamirira rufu hono Vagari ari kusimukira.

Panyaya kurapwa, kuti rikwanise chimiro hakurevi kurapwa pamwe mishonga antiviral. Panguva iyoyo zvinoita anogadzwa pamwe chirwere. Combined kurapwa unotora yachengetwa murwere mainterferon, izvo pachiyero masero hunowedzera muviri kurwisa hutachiwana, uye nucleosides kuti kutsiva morekuru nemavhairasi magene zvinhu.

Pane kubaya pamusoro chirwere?

Panguva iyoyo kuRussia, sezvo dzimwe nyika dzokuMadokero, anowanzonzi kuzivikanwa anonakidzwa kutapata ekudzivirira rikurumidze. Nemamwe mashoko - kubaya. Rinopa muviri womunhu kutapata kuti chirwere kunyange neVadzidzi kunobva chirwere. Vanhu vazhinji vanoshamisika kana zvichibvira kuti baya pamusoro nehepatitis B? To musi, yokudzivirira zvakatangwa pamusoro mhando A. The mushonga ine mukuru mwero kunyatsoshanda.

Vaccination pamusoro nehepatitis A anoratidzwa kuti vose vana nevakuru vasina kare aitambura nechirwere ichi, uye akapotsa vose vakaona siyana zvirwere chiropa. mushonga uyu haasi kukonzera marwadzo uye hakuna pangozi. mushonga uyu chinotarisirwa kaviri pa penguva mwedzi mitanhatu kana gore. Antibodies kuonekwa mushure yokutanga dose anenge 14 days. Nokuda kwaizvozvi munhu anogona kuchengetedzwa kubva chirwere chakadaro kwemakore 10.

Hepatitis B mushonga zvinoberekwa magene mapurani. Rine immunogenic mapuroteni. Izvi zvinoitwa intramuscular inoculation kwevacheche katatu chete penguva mwedzi mumwe pashure yokutanga kubaya kuitwa muchipatara, uye mwedzi mishanu mushure rechipiri kubaya. Muchiitiko ichi pane vamwe antibodies izvo tunodzivisa kukura chirwere muna 99%. mushonga uyu rakavimbika kudzivirira kwemakore 8 uye pamusoro. Dzimwe nguva anodzivirira muviri upenyu.

Majekiseni kuzorwa Hepatitis B rinofanira kuitwa kuti vanhu vose, kunyanya avo vari pangozi. basa ravo chokuita neropa (vanachiremba vanovhiya, vanachiremba, mumarabhoritari wevanamakanika). Kusonanidzwa pamusoro Form A uye B inokurudzirwa nachiremba. Haina kurongwa. Vazhinji vanhu vose kubva kwaari marara. Kunyange zvazvo mushonga uyu nevana zvarayirwa Russian Ministry of Health kwave fanira kubva 2002.

Kubva C chiropa, zvinosuruvarisa kuti mushonga haisati tega. Masayendisiti kugona kuwana mudanga mapuroteni kweutachiwana, izvo zvinogona kukudziridzwa neutralizing antibody. Masayendisiti akawanda vari kutsvaka nzira rakasikwa munhu mushonga wakadaro, ongororo inoshanda munharaunda iyi. MuEurope, nguva dzose basa miedzo zvekuchipatara.

Kupiko kwakaedzwa nokuda nehepatitis?

Vanhu vazhinji vanoshamisika kupi kuti vape ropa kuitira nehepatitis. The assays zvinogona kuitwa chero peguta kana dunhu pamwero. Kana uchifungidzira pamberi zvirwere chiremba anotungamirira munhu murabhoritari. Rokuongorora maperembudzi, kazhinji kushandisa nemuedzo ropa. For nemavhairasi marudzi zvirwere kutsunga nehepatitis D antigen kana antibodies kuna C. Utachiona uyewo anosarudza vamwe mhando HCV antibodies.

Nokuti siyana kuti vari dzisiri kutapuriranwa etiology, Council kuti rwevanhu uye nokukanganisika kuongorora ropa uye chiropa ivhu. Varwere, ongororo iri kuitwa pachena uye akabhadhara MHI itsika. Result ndiye chiremba uyo akapa mirayiridzo kuna murabhoritari. Anovaudza murwere.

Kazhinji, miedzo vakatakudzwa muruwa makiriniki kana utano nzvimbo izvo chibvumirano iri kuita manipulations yakadaro. Uyewo, rabhoritari nemiedzo nokuti nehepatitis B kana C, unogona zvakaitika chaiyo mumakirasi kuripo mumaguta makuru. Kunowanzosanganisira anoshanda pavanoparidza Center kuzorwa AIDS. Kazhinji anoratidza kuongororwa HIV. nzvimbo idzi aite Diagnostics pamusoro vakasununguka uye kusazivikanwa hwaro.

Zvinoitika kuti kukurumidza pachisara kunodiwa. Muchiitiko chino, kuongorora akatakurwa ari mumarabhoritari edzimba makiriniki uye chirwere nzvimbo. The Analyses Zvaiitirwa kwemazuva 1-2, mhedziso rakapiwa murwere kwaswedera. Kana kuwana zvakanaka mugumisiro apo vakasununguka kuongorora kujekesa chirwere chinogona kuitwa yechipiri iri kubhadhara tichitenderera. Uyewo, nokufamba quantitative miedzo inogona kupiwa. Private makiriniki uyewo inosimbiswa zvakarurama, kusazivana uye kukurumidza kutsvakurudza.

Sei kuongorora?

Kuti ongororo aiva kunonyanyisa zvakarurama, ropa rinotorwa kubva tsinga. The nzira zvinoitwa mangwanani usina chawadya. Wokupedzisira kudya inofanira kuva papera pane 8-10 maawa asati kupa ropa. Masikati, vanofanira kumisa kudyiwa mafuta zvokudya, Spicy zvokudya, uye doro. The ongororo iri kuitwa murabhoritari. Muchiitiko chino, achiita zvaidiwa mitemo yose utsanana. Kazhinji, 10 ml ropa yatorwa. mashoko inogona raanotaura murabhoritari kuti kana zvichiita kuti vawane mhinduro.

mhedziso

Hepatitis, mumwe kupatsanura iyo yave munyaya iyi, haisi chiropa chirwere. Kunogona kukonzera matambudziko uye kwaramba kana kukurumidza kurapwa. Mune zvimwe zviitiko, unogona kunyange kurufu.