Zviratidzo uye mabatiro zvinodhaka Kutemeswa nehepatitis A. Hepatitis: Zviratidzo neMarapirwo

Chenjera nehepatitis A - chiropa chirwere kuti kunoitika nokuda chirwere ne munhu utachiona zvakafanana zita. Mukuita chirwere ichi pane kushoma munyika neutachiona chiropa, hunobata mamiriro muviri wayo yose.

Nyaya ino ichapindura mibvunzo yakadai seyokuti:

• Zvinokonzera nehepatitis A.
• Zviratidzo uye Mabatirwo nehepatitis A.
• Vaccination nokuti nehepatitis A.
• The incubation Nguva chirwere.
• Drug Kutemeswa kuzvimba chiropa (Zviratidzo neMarapirwo).
• Muchetura chiropa.
• Doro chiropa (zviratidzo, kurapwa).
• Zvaifungidzirwa chiropa.

Zvinokonzera nehepatitis A

Chirwere chinogona kuitika nokuda kutyorwa zvepakutanga nemitemo utsanana. Kunwa utachiona mvura, asina kushambwa michero nemiriwo kungaita kuti chirwere chirwere chacho. Uyewo, Kutarisirwa anofanira kutorwa zvakananga nevanhu hosha munhu, sezvo nehepatitis A iri kuburikidza nezuva.

Utachiona angawanika maoko kwakasvibiswa kuti maawa mashoma. On residues chikafu sezvo zvikaramba kwenguva refu. Kana musha wako achirwara nehepatitis A, zviri akarambidza kushandiswa zvakajairika midziyo uye utsanana zvinhu, sezvo izvi zvingaita kuti chirwere ose dzemhuri.

Route chirwere chirwere - the fecal-waiita saka kuburikidza ungochani (zvepabonde nevarume uyewo nevakadzi) varume vokukurukura zvinogona kutapurira nzira dzakadai pabonde. Hepatitis A haina kuburikidza kwomurume kuonana.

The incubation nguva pashure chirwere nehepatitis A

The incubation Nguva hosha kunoitika Paavhareji mumwedzi. Panguva ino, utachiona replicates murwere ropa yokusvika kubaya nhengo (chiropa) munhu, apo kurasikirwa kunotanga masero ayo uye munyama.

Clinical kuratidzwa nehepatitis A kutanga chete pashure nhengo dysfunction kunoitika nokuda rwakakwana nokushanda njodzi nenyere.

The incubation nguva anoda kubva 10 kusvika 50 mazuva uye zvinoenderana zvinoverengeka on:

• Virulence, uyewo hunhu utachiwana, ari causative pomutumwa.
• On chitsama utachiwana anenge apinda muviri womunhu.
• Mamiriro masoja emuviri uye / kana compensating ehupfumi kwegadziriro kurwara.
• The kwadzinoita chirwere (kuburikidza kuwedzerwa ropa, iro incubation nguva ipfupi).

Zviratidzo uye Mabatirwo nehepatitis A

Mumwe zviratidzo nehepatitis A chokutanga - chiratidzo kuzvimba ari pechiropa pavarwere. Nokuda kwaizvozvi, pakutanga vakacherechedza:

1. Kuwedzera muviri tembiricha (kubvira 4 kusvika 10 Mazuva).
2. Kuneta uye zvakawanda zvive.
3. Kurwadziwa netsandanyama.
4. Svoto uye kurutsa.
5. Kurasikirwa kudya.

Inotevera pavaipfuura chirwere, pokuuya mazuva mashoma pashure okutanga zviratidzo, dzinoratidzwa anotevera zviratidzo:

1. Dark-mavara weti.
2. Kujekeswa mutsvina yadzo.
3. Yellowness ganda uye sclera ziso.

Mune zvimwe zviitiko, chirwere chacho asymptomatic, kazhinji chinoitika muvana. Hepatitis A haasi chirwere chakakomba uye kazhinji inotsidza mumwoyo pamusoro wayo. Kuti zviite zviratidzo chiremba wako anogona mishonga zvinokosha kurapwa zvainanga kubviswa kudhaka uye kuvandudza anoshivirira utano. Kuwedzera muviri kuramba chirwere kunogonawo ndishandise mavhitaminzi.

Kuchenesa ropa muchetura uye yokuzvinatsa chiropa akagadza intravenous inoramba shuga kana sesaline. Uyezve, kana hosha inokurudzirwa kugamuchirwa hepatic zvainanga kuramba chiropa masero uye kukurumidza kupora kwayo anokosha.

Zviratidzo uye vabatwe nehepatitis A akafanana zviratidzo uye vabatwe nemavhairasi chiropa mamwe marudzi. Zvisinei, zvinofanira kucherechedzwa kuti chirwere chakadai pakati vamwe unonyanya "hakukuvadzi" uye nyore rinorapika.

Diagnosing nehepatitis A

Early chirwere kuti nehepatitis A hazvibviri nokuda kwokushayiwa iziviswe zviratidzo. Nokuti yakarurama zvokuongorora zvakakodzera kuti ajekese epidemiological nhoroondo murwere vavesa kuongorora murwere.

On kuongororwa, chiremba anoona zviratidzo chirwere, uye rinoenzanisa navo migumisiro nemakemikari uye zvayo miedzo ropa. Uyewo Anoongorora murwere mutsvina yadzo uye weti nemiedzo.

Ongororo akadai ropa nehepatitis A, rine mashoko pamusoro mamiriro chiropa, ukuru kukuvara. The yokupedzisira nokusimbisa chirwere ndiyo kuvapo antibodies kuti utachiona uhwu.

Zvaifungidzirwa

Sezvambotaurwa, zviratidzo uye vabatwe nehepatitis A akafanana nedzimwe mhando nemavhairasi chiropa. Pasinei nokuti chirwere idukusa zvimwe upenyu zvose kutyisidzira rikwanise chiropa kukundikana kunogona kuitika munguva zvisingawanzoitiki chaizvo nguva nokuda asina chaanoziva uye rufu. Uyezve, zvingaitika biliary turakiti lesion kuti ari kuomesa chirwere chacho. Asi izvozvo migumisiro ve- nehepatitis A hadziwanzowaniki.

Kazhinji, chirwere fungidziro. Subject kune vanachiremba vanorumbidza chirwere kazhinji kunokonzera matambudziko. Chiropa Hepatitis iyi nyaya inoitika pasina anokonzera mutsekwende nhengo. Mushure kupora, nhengo basa iri zvakazara yakadzorerwa, kunyange hosha huru.

Uyewo, zviri nemavhairasi nehepatitis mhando iyi rikasauya kupinda chirwere usimbe muchimiro. Kana munhu anowana vachirwara achiporesa kwoupenyu hwose kutapata kuti nehepatitis A.

Chii vemumhuri neVadzidzi murwere

Hepatitis Utachiona wakapiwa kubudikidza fecal-nomumukanwa nzira. All nhengo dzemhuri, uyewo pabonde neutachiona munhu anofanira kushandisa veko kuchipatara. Pakadaro, vanachiremba vanokurudzira kupatsanura varwere vose pedyo kumurwere. Pashure kupora, zvakakodzera disinfect pachavo Zvinhu vanorwara uye zvinhu avo, izvo aifarira.

Nokuti prophylaxis, pakatanga immunoglobulin jekiseni ari dose pamusoro 0.02 Rine mamiririta / makirogiramu muviri uremu. Kana kunyorerana murwere akanga kuroorwa, dziviriro zvinodhaka hakuna kuitwa.

Kuti tidzivise chirwere, hepatitis A zvakakwana zvinoenderana dzinokosha mitemo yokushandisa nomumwe Forogo, Banga Nechipunu uye utsanana zvinhu. Zvakakodzera kugara kwazvo maoko ako disinfectant.

Vaccination pamusoro nehepatitis A

Vaccination pamusoro nehepatitis A iri chinoitirwa jekiseni intramuscularly majekiseni ane akafa utachiwana. At ngozi mapoka kunge fanira kubaya, izvo zvinoita anenge 100% kudzivirira chirwere kwemakore anosvika 20. The mushonga zvakare efficacious apo panomuka kuti dambudziko nemavhairasi chirwere.

Side kunoita kubaya vari dererei. Zvikuru kakawanda chichemo - ichi marwadzo uye akatsvuka panguva jekiseni nzvimbo uye nomusoro.

Rokumanikidzirwa kubaya pamusoro nehepatitis A unoratidzwa pedyo pamazita vagari:

• Persons kuenda endemic dzine ngozi.
• Vashandi nemvura sewerage mabasa, uyewo scavengers.
• Military.
• Kubayiwawo jekiseni zvinodhaka vanozvishandisa.
• Vashandi kutarisira mwana chero nzvimbo.
• Varwere chirwere (kusanganisira nemavhairasi) chiropa chirwere.
• Gay uye / kana varume vane zvepabonde nevarume uyewo nevakadzi nemunhu.
• Varwere vakagamuchira zvinodhaka pakugwamba zvinhu.
• Vashandi kuti Eenhede uye zvokudya muzvitoro munzvimbo endemic munzvimbo.

Contraindications nokuti kubaya vari:

• Chenjera SARS.
• Kusembura chero chirwere.
• An chisimbwa mushonga zvinoriumba.

Drug Kutemeswa kuzvimba chiropa: Zviratidzo neMarapirwo

Kana kutora vamwe mishonga zvingamuka chirwere ichi rinogara, kufanana nehepatitis zvinodhaka Kutemeswa. Zvinonzi chirwere ne nokukanganisika Kuongororwa kweropa.

zvinodhaka zhinji vachipinda muviri womunhu, ndiwo goho nomukombiyuta chiropa, iro rinobvisa ose mutoro chokubvisa zvine chepfu kugadzirira somushonga. Saka zvinodhaka kazhinji kukonzera kunoparadza muridze muviri zvokuti pane zviratidzo chakatodzana zviratidzo nehepatitis.

Zvinhu zvakawanda zviri mishonga vane contraindications nokuda kwavo kushandiswa iri zvisingadiwi vanhu vane chero kukanganisa chiropa. Kana zvakakodzera, kwokubatsira maviri kana kupfuura kugadzirira zvakawedzera ngozi kukuvara nenyere.

Zviratidzo nehepatitis zvinodhaka Kutemeswa

Drug Kutemeswa nehepatitis chiropa pamwe chete zviratidzo sezvo mimwe mhando chirwere: ungaderedza kudya, kuda kurutsa uye kurutsa, eructation zvinovava, zvomudumbu matambudziko, kurwadziwa uye kunzwa waziya zvakarurama hypochondrium, jaundice, weti achiipa uye kwokungoderedza chetsoka. Self-chirwere hazvibviri, saka, chimiro zviratidzo izvi vanofanira kutsvaka kurapwa nokukurumidza.

Mabatirwo nehepatitis zvinodhaka Kutemeswa

Drug Kutemeswa chiropa pasina nenguva kurapwa kunogona kufamba mune chirwere wakadaro chakakomba akadai cirrhosis. Treatment anofanira kuzviita mushure chiremba rabhoritari zvawanikwa. The ARV inobva zvinotaurwa:

• Kukanzurwa (yokutsiva) zvinodhaka kuti akaita chiropa chirwere.
• Detoxification mushonga - zvikuru nokukurumidza kubviswa kubva ropa murwere residues ane zvinhu kuti zvinokuvadza chiropa.
• Kugamuchira gepatoprotektorov - zvinodhaka zvakagadzirirwa nokukurumidza kuzoita chiropa masero (rinoreva "Essentiale forte", "Geptral" and said.).

chepfu chiropa

Somugumisiro kunyorerana womunhu muviri zvakasiyana zvine chepfu anogona kuva chirwere chakakomba akadai chisingaperi chiropa. Zviratidzo, kurapa chirwere ichi akafanana zviratidzo uye zvinodhaka marapirwo mhando.

Chepfu Kusvibisa ropa romunhu, Nokumukira kuparadzwa uye rufu chiropa masero, izvo rinobatanidza zvinokonzerwa kunosiyana nekuomarara. In chiropa ezvinhu sei maindasitiri chepfu akadai:

• Arsenic;
• mishonga yezvipembenene;
• phosphorus;
• phenols;
• aldehydes uye nezvimwe.

Uyewo tigume inokosha nhengo unoitwa kunyanyisa uye chisingaperi doro uye vamwe mishonga yemakwenzi (ragwort, bitterling, uyewo vamwe notumwe chepfu).

chisingaperi chiropa

Group chiropa zvirwere zvinobva siyana zvinhu dzinonzi chisingaperi chiropa. Maperembudzi dzinoratidzwa kuzvimba mazhinji chiropa rinenge yokuvamba mwedzi dzinenge mitanhatu.

Chirwere gapetit kakawanda vanotsamwisa causative mavhairasi mhando B, C, D. Uyewo, mhando nevakawanda zvirwere zvakadai:

• Autoimmune chiropa.
• Drug Kutemeswa chiropa.
• Doro chiropa chirwere.

Zvakadaro chirwere sezvo chirwere hepatitis uye kurapwa zviratidzo zvakafanana ivavo kare. Musiyano mukuru pakurapa siyana zvinokonzerwa nemavhairasi chiropa ndechokuti vamwe pane kugamuchira hepatic yakatarwa mishonga zvinodhura uye simba antiviral (rinoreva "ribavirin" "PegIntron" uye t. D.).

mhedziso

"Hepatitis" muchiLatin rinoreva "chiropa". Mukurapa, musoro zvinoverengeka zvirwere kuti kukonzera kuzvimba uye / kana zvinyama kukuvara kana chiropa masero. The etiology chirwere ichi-siyana, zvisinei kune vakawanda yakafanana features, tichibatanidza siyana ayo siyana. Mumwe mukuru zvinhu ndiyo symptomatology whistleblower chakaipa chiropa chaitika.

The inonyanya chirwere munguva yedu chinhu nemavhairasi chiropa. The nzira itsva kurapa chirwere ichi ndicho kukura uye nokushandisa yepamusoro zvinodhaka experimental. Kune mhando nemavhairasi chiropa (semuenzaniso, hepatitis C), zvisingagone kurapwa zvakakwana, saka masayendisiti, vashandi zvokurapa tsvakurudzo nemasangano achitsvaka kuva itsva zvishandiso zvainanga mushonga zvirwere izvi.

Nokuti kudzivirira-siyana nehepatitis harifaniri chete kuongorora mamiriro zvaunodya, asi nokungwarira otnositya kune utsanana. Uyewo, ita usazvidza kuti kutyorwa kuvimbika ganda, sezvo dzimwe nguva izvi kungaita kuti utachiwana hweHIV.