Zviratidzo hepatitis C vakadzi. Hepatitis C: kurapwa. Hepatitis C: Zviratidzo

"Munyoro mhondi" - zita rakapiwa hepatitis C kuvarapi. Munyoro zviratidzo uye zvakakomba, anenge ngozi unotipa kuzodana kunzwisisa chirwere gakava remadunhu- kwakadaro yakadaro.

Izvi Utachiona zvikuru ngozi?

Hepatitis C chinhu nemavhairasi hunhu. Chitarisiko, nayo utachiona sero ine idenderedzwa chimiro ine goko uye riri mukati majini ruzivo. The genome ine Gene mumwe chete (RNA beach), iyo encoded 9 mapurotini. Kujeka sechivako hwezvekukurukurirana nokukurumidza kupinda kweutachiwana kupinda chiropa masero. The zvakakanganisa chikwata kuramba ishande uye anoita kudaro mukuteerera nemavhairasi masero zvido.

Hepatocyte synthesize nemavhairasi mapurotini uye RNA. RekuUnited nezvimedu vari kutamira utano dzoga, yekutapurira pavo. masero refu basa virusonosnyh inotungamirira kurufu chiropa rinenge kana ravo kuberekwazve, ndura nyanyisa anomera.

Chimwe chinhu hepatitis C kukwanisa kwayo kuumba "quasispecies" - dzakachinjwa inoramba. The genome kweutachiwana, pane kumatunhu umo kunotouraya kuitika kakawanda. Somugumisiro kunetsa kuziva, "hepatitis C". Zviratidzo uye kurapwa vari dambudziko nekaupenyu kunzwisisa, nekuti aimbova havasi nomuromo, uye yechipiri kunorondedzerwa evasingatombonamati nomumwe nyanzvi. Panyaya iyi, chiropa kwatanga pasi zvishoma, uye masero nemavhairasi kuramba kupinda munzvimbo zvinyama dzimwe nhengo, zvichiita comorbidities.

Sei utachiwana hepatitis C?

Kamwe ari munhukadzi muviri, utachiona kuzvimba chiropa pamusoro C anowedzera zviri chiropa uye circulates neropa rose muviri. Asi sezvo causative mutumwa chirwere anopinda muviri? All nzira chirwere neimwe nzira chokuita neropa, saka ngozi dzose nyaya umo ropa munhu ane HIV anogona batanidza neako. Nhamba huru Muzviitiko chirwere chokuita intravenous kushandiswa kwezvinodhaka. Kazhinji munhu yakasviba sirinji, iro rinoshandiswa nevanhu vanoverengeka, hutachiwana kubva munhu utachiona mumwe. Maererano nenhamba, 80% of muropa varwere vane chirwere kuzvimba chiropa hepatitis C chirwere iyo rinowanzoberekera pakutanga jekiseni.

Zvakaipira uyewo unzenza. Kuburikidza kudzivirirwa zvepabonde kuonana zvichida kutanga chirwere ichi (kana mudiwa wako ari mutakuri utachiona) ndiyo 5-10%. Zvisinei, zviratidzo hepatitis C vakadzi haamo pakarepo. Pakuzvarwa kubva amai utachiona kuti mukana wokuti kwemashoko chirwere kuti mudumbu hazvirevi kupfuudza 5%.

Kutozosvikira munguva ichangopfuura, kuisira ropa kunge ngozi nokuti raigona chirwere Kubvira 1999 nehepatitis C., anyatsoronga zvinhu vakatanga kuongorora kuvapo antibodies kuti chirwere. Pari, mashoko anogona chete utachiona 4% nyaya. Usakanganwa kuti ngozi anogona kuvandira ari dzinoverengeka zvachose sezvisingakuvadzi Pakutanga, zvinhu. Somuenzaniso, kana iwe shanyira kunoguririrwa chitoro, nguva dzose mazino kurapwa kana kuvhiya kupindira, pane chinokosha mukana wokutapukirwa.

Muzviitiko apo izvi zviri chokuita kutyora kuvimbika ganda kana mucous membranes, bvunza kuti mano zvagadziriswa. Unofanira kungwarira uye nyora, kuboora muviri, kuita manicure (pedicure). Chirwere kunogona kuitika nokuda pakushandisa neprodezinfitsirovannyh maturusi anogona fambisa kutapuriranwa ropa kubva yapfuura vashanyi.

Nekuti muna 40 nyaya kubva 100 havagoni kumisa munhu chakavimbika mhaka chirwere, Zvinokurudzirwa kudzivisa mamiriro ezvinhu apo ropa rako vanogona batanidza kuti tudonhwe ropa munhu ane HIV.

Zviratidzo hepatitis C vakadzi

Zvino udza sei haazvibati chirwere ichi. Kana iwe hameno pane mubvunzo pamusoro chii zviratidzo hepatitis C, nguva dzose unofanira kubvunza nyanzvi. chirwere ichi haisi dzinoratidzwa chaicho zviratidzo. Nemamwe akasiyana utachiwana yakasiyana nehepatitis C.

Zviratidzo kashoma kuoneka muvhiki yokutanga yokurwara, uye yellowness ganda - isingawanzowanikwi chinoshamisa. Kazhinji murwere kukurumidza kuona kuneta, akaneta uye anonzwa kuneta. Ndivo zviratidzo mikuru nehepatitis C. The vakadzi 35-65% nyaya mwoyo. Kashoma pagungano rikwanise mukurwara tinganetseka kurwadza kwemajoini, fufune, kazhinji pasina yekudyidzana kuwedzera tembiricha.

Similar zviratidzo hepatitis C vakadzi zvakawanda pfungwa nechirwere kwakadaro ngozi. Uyezve, varwere vasingawanzotauri kutsvaka kubatsirwa nguva, zvichiguma matambudziko. Pasina zvakakodzera kuteerera nehepatitis B utachiwana kungaita kuti cirrhosis kana kenza chiropa. In asymptomatic mukurwara munhu anogona zvachose chero kudzidza pamusoro chirwere yekare kare yemagwaro. Kazhinji, izvi zvinoitika kana uchida nemuedzo ropa, kana iwe uri anyatsoronga. Kana kumhanya shanduro nokuwedzera bhuku mudumbu, pane dandemutande mutsinga, jaundice, utera sabvumika.

Rokutanga "Inomedza" chirwere

Zviratidzo hepatitis C vakadzi vokutanga vanogona kuvhiringidzwa besa. Kutanga chirwere kazhinji achiperekedzwa kudhaka uye mumakore 2 weeks wokutanga anobuda chepakarepo hapana kuratidzwa zvinoonekwa. Chete zvisingawanzoitiki zviitiko, pane kuvaviwa, marwadzo ari majoini uye tsandanyama, rima weti, kurasikirwa kudya.

Kakawanda zvichemo, vari kubatwa varwere vari:

• lethargy, nokusakendenga, uye mumuviri;
• akaderedza basa kwepfungwa;
• hachifadzi kudhonza manzwiro zvakarurama yokumusoro quadrant;
• vasina chido kudya zvokudya kana mvura;
• mumwe kudya kunokonzera kusanzwa.

Kazhinji, hepatitis C (zviratidzo uye kurapwa, sezvo isu kare zvaratidzwa, takatsunga chaizvo kunyatsofunga uye mumwe nomumwe) iri Kutamiswa nenzira nyore nenzira, asi murayiro 10% anogona vachibatwa fulminant (nokukurumidza) siyana chirwere chinogona kuuraya. Muna 80-90% nyaya, chirwere kunova chisingaperi.

Kuziva chirwere zvakakodzera kuita dzakatevedzana, kusanganisira mutemo unoti rabhoritari nemiedzo ndeinotevera:

• kuongororwa ropa kuti zviri alt, AST, bilirubin;
• Pakusarudza Anti-HCV muropa (antibodies kuti hepatitis C utachiona);
• kuongororwa ropa PCR-HCV;
• SPL uye chiropa biopsy, achishandisa zvakatemwa nokuda kwokuomerwa hosha;
• varwere vane chirwere cheshuga kana neBP zvakafanira kundorondedzera nyika fundus, sezvamakaropafadzwa dzakaonekwa retinopathy.

Muchiitiko chimwe nechimwe, zviratidzo anogona dzinosiyana nechirwere kuti "hepatitis C". Naizvozvo, chiremba dzimwe nguva anowedzera mazita kutsvakurudza nzira kana zvinoderedza izvozvo, zvichienderana murwere mamiriro kana rabhoritari zvokushandisa.

Clinical zvinoratidza chirwere

Kamwe mumuviri kuburikidza ganda kana mucosa, majemusi muwande uye uchingounganidza kuburikidza neropa iri zvomukati. Mukuru kukuvara vanovakonzera kuti chiropa masero. Kutora mudzi mavari, utachiona "unotsiva" masero utano sei. Uyewo, pathogenic masero anogona kutaura majini remitemo yavo DNA kwevanhu, achivabvumira kupinda yokuvanda kwenguva refu uye haana kuwira pasi pokudzora masoja kuzvidzora. chinhu ichi chikuru chikonzero percolation mune chirwere chimiro chirwere. It kunoitawo kuti kukura utachiona hweHIV mune murwere, izvo zvinozoita kungaita kuti rikwanise chiropa kutadza, cirrhosis chiropa uye chitarisiko kenza anomera.

Kana tikafunga muitiro panguva cellular pachiyero, zviratidzo hepatitis C rokutanga kuonekwa nokuda kuparadzwa dzichipfekeka chiropa masero. Kana kuzotadzira yomukati anoshongwa kuvimbika vakawanda oxidation pezvakaitwa. In munyama akaumba "mugomba" kuburikidza iyo masero zvinobviswa makemikari uye ions K uye anopinda yavaibvisa uye calcium yakawanda ions. The kusaenzana kunotungamirira ndechokuti mvura haina kuratidzwa uye anoita muchitokisi kuzvimba. Akaora pachena kuwedzera mufananidzo muviri mamiriro kurondwa ari chiropa necrosis (nzvimbo masero akafa) iri kwakakanganiswa Exchange bilirubin iri richiratidzwa kukura jaundice.

Danho chirwere

Nyanzvi anozivisa maitikiro inoverengeka chirwere: chenjera, Isimba rakadini rinogona kubudiswa, reactivation uye kupora kwacho. Zvisinei, unogona kusimbisa chakasimba uye chisingaperi chimiro, izvo zvinosanganisira okupedzisira zvikamu zvitatu. Ngatikurukurei muudzame chirwere "chiropa" Zviratidzo vakadzi, mapikicha njodzi nenyere.

The chenjera danho

Kana murwere chirwere "rikwanise hepatitis C", zviratidzo ndeinotevera:

• kuratidza chenjera nehepatitis chirwere;
• kuwedzera nhamba transamina;
• pakuonekwa Anti-HCV IgM, uye kuvenga HCV IgG kuti mapuroteni mamorekuru pasina Anti-HCV IgG;
• Kuonekwa kuti HCV RNA muropa murwere.

The chenjera danho rinovapo inenge 6 mwedzi.

Isimba rakadini rinogona kubudiswa danho

danho iri zvinogona kuitika pamberi kuitika exacerbation pamusoro nehepatitis C. Zviratidzo kutanga kuonekwa pashure pemwedzi 6 kana yapfuura. Muchiitiko ichi:

• kurapwa kuratidzwa vasina kuchengetwa;
• yakawedzera chechetere transamina zvishoma;
• Anti-HCV akatsunga IG mune imwe mari kubva munenge 1: 160 kana kumusoro;
• haana kutsunga Anti-HCV IgM;
• Chinogona kare kuonekwa HCV RNA muropa.

Ya kuyaruka kazhinji makore anenge 10.

reactivation

Tava kuderera utachiwana basa iri pamwe anotevera unhu:

• residual chinoratidza rikwanise chokutambudzika;
• zviratidzo wokutanga chisingaperi chiropa;
• kuwedzera indekisi transamina;
• kuziva miedzo Anti-HCV IgM, Anti-HCV IgG, RNA muropa;

danho iri tsunga kwemakore 5-10 uye anopfuuura kuti chiropa cirrhosis, kungaratidzwa sechinhu chikuru hepatocellular carcinoma.

kupora

Kana chaunoti zvokuongorora kuti "hepatitis C", zviratidzo, kurapwa, migumisiro vari amutsvaka uye akatsanangura kuti murwere, unogona mberi kuti ambomira convalescence. Panguva iyi ine yayo dzekuziva kuti kuziva mamiriro munhu. Ava:

• kusavapo zvekuchipatara mashoko;
• transamina chinogamuchirika chechetere;
• kuziva miedzo Anti-HCV IgG uye Anti-HCV IgG mu pasi titers uye avo zvishoma nezvishoma kunyangarika;
• kusavapo IgM Anti-HCV uye HCV RNA muropa.

Traditional Mabatirwo hepatitis C

Apo chirwere kuti "hepatitis C" kurapwa ushandiswe nachiremba, zvirwere zvinotapukira. Kazhinji, chikuru zvataurwa nenyanzvi basa vari:

• nokubviswa kuzvimba chiropa munyama;
• kudzivirira cirrhosis chiropa;
• kuderedza wevasungwa masero nemavhairasi uye kuparadzwa kwavo zvizere.

Treatment murwere zvibereko mishonga - sezvo European anodhura zvinodhaka, uye zvakawanda democratic panguva mutengo mudzimba dzomuzana. Zvinofanira kucherechedzwa kuti pamwe kurapa unofanira kuomerera zvokudya uye kubvisa zvachose kushandisa doro uye mufodya. Wandisa zvakare yakawanda mumuviri nesimba. Murwere anofanira kuva pa zororo.

Traditional mushonga mukurwisa hepatitis C

Vazhinji njodzi uye kuita mishonga yechivanhu. In hepatitis C vakadzi zano kutora nzira dzakadaro:

• dzimwe nguva (3 maawa ose) kunwa 2 spoon pakati aizomupa mbiru zvezviyo stigmas, uye kamwe pazuva - vaviri spoon ose Frechet horseradish;
• ose zuva usina chawadya kunwa girazi decoction pamusoro somuzivi (zvaunogona ane nendiro uchi); mbiya mbiri itsvo muto kana Birch mashizha (kuwedzera kwekushinywa kubikira pasoda); inogona alternated pamwe 2 mikombe muto somuzivi, unovava uswa uye michero omujunipa;
• Zvinokurudzirwa kuti kugadzirira decoction St. vaJohani mhanga, maruva Helichrysum uye buckthorn omuti nokunwa magirazi akawanda pazuva;
• nguva sezvo unogona kunwa chemindi tii kana decoction.
• Zvakanaka anoita brine pickled makabheji (vanofanira kunwa sips mashoma pazuva), gariki uye ndimu muto (haufaniri kupfuura 6 spoon pazuva.), Potato muto (1.5 vs. pazuva.), Carrot, bhiti muto ari nhamba 1: 1 (2-3 magirazi rimwe zuva), mumwe decoction St. raJohani sana (kamwe pazuva 2 spoon. zvipunu), dandelions muto (rakasanganiswa nemvura 1:10).

Kuchenesa muviri mangwanani Nyanzvi dzemishonga yemakwenzi vanokurudzira ose 3 mazuva aite enema ane mupfumi muto chamomil.

Ndedzipi nzira kudzivirira hepatitis C?

To musi, masayendisiti haana kuwana chinhu chinobudirira mushonga pamusoro hepatitis C, saka nzira ekudzivirira kurondedzera chete kurerutsa ngozi chokuita zvichibvira kupinda kweutachiwana kuburikidza neropa. Nemamwe mashoko, kuchiderera kutaurirana nevanhu vari pangozi: muropa nezvinodhaka, ngochani. Kungwarira kunofanirawo nevanhu vanhu vave pasi kuvhiyiwa kana ropa. Cherechedzai inofanira kubhadharwa kuti maturusi zvakagadzirirwa vakawanda ruzhinji kushandiswa (mazino, manicure, mugeri kuti zvimwewo).

Pakadaro, kana mhuri yako ine achirwara, unofanirawo vanoomerera chaicho matanho. nomumwe zvishongedzo zvinokosha zvaunofanira govera (Forogo, Banga Nechipunu, chikwesheso, maturusi, etc .., iro ropa anogona kuwana). Kana kuzotadzira ganda anofanira kubatwa ronda. Bata zvose nzvimbo dzakasvikwa netsaona yarova ropa varwere dzevanhu. Murwere uye zvose vomumhuri vanofanira firimu nguva kudzivirira kukura chirwere. A vanofanira nokuti prophylaxis ndiko kubaya pamusoro nehepatitis A uye B, sezvo chirwere nemavhairasi akawanda kubatwa zvikuru kuoma.

Kana isu kutaura pamusoro senyika, iyo rutapudzo uye kudzora nehepatitis chinowedzera:

• kunatsiridza mararamiro uye tsika vokuparidzira;
• Dzakakudzingai Hurongwa kuregeredza muna zveutano, munhanganyaya wegadziriro pachavo nomutoro yakakanganiswa yokurapa matanho;
• pakatanga inishuwarenzi yeutano.