Kuyera basa rehutachiona rinotitaurira kuti zvakadini kurapwa kuri kushanda
Utachiwana hwehutachiwana hunongorori huwandu hwehuwandu hwehutachiwana muropa rako. Zvirwere zvepachivha zvinowanzoshandiswa kuongorora zvirwere zvisingaperi zvehutachiona zvakaita seHIV , hepatitis B (HBV) , uye hepatitis C (HCV).
Muchiitiko cheHCV, chiyero chinonzi kuwanda kweHCV RNA testay rinoshandiswa kuyera hutachiona hwemajini (RNA) inowanikwa mu milliliter yeropa.
Dzimwe mishonga inogona kushandiswawo kutarisa utachiona hwehutachiona, huzhinji hwahwo hunoita saizvozvo nokuona kana chirwere cheDNA kana RNA.
Sei Chirwere Chetachiona Chikosha?
Vanachiremba vanoshandisa hutachiona hwehutano hwako kuti vaone kuti uri kutarisana sei nehutachiona hwehutachiona. Kazhinji uwandu hwehutachiona hwako huchaongororwa usati watanga kurapa (nekuda kwehupatachi C, somuenzaniso) uye unowedzera nguva nenguva kuti uone kuti uri kupindura sei. Zvinenge zviviri zvinokonzerwa nehutachiona hwehutachiona hunodiwa kuti uongorore kurapa kwehutano.
Kuwedzerwa kwehutachiona hwehutachiona hwehutachiona, sekuderera kwemazana zana muhutachiona, zvinoreva kuti kurapa kuri kushanda. Zvinotarisirwa, munhu aizowana zvinonzi "zvisingaoneki" zvehutachiona hunorema, zvinoreva kuti magetsi ekuongorora ikozvino haakwanisi kuwana humwe uchapupu hwehutachiona muropa samples.
Zvakakosha kunzwisisa kuti kunyange chiyero ichikosha pakufanotaura zviitiko zvekurapa, hazvikuudzi chero chinhu pamusoro pekuoma kwechiropa chako chechiropa.
Kazhinji, chiropa chinonzi chiopu uye zviratidzo zvekufungidzira (somuenzaniso, ultrasound kana MRI) zvinodiwa.
High Versus Low Viral Mutoro
Maererano nehutachiona hwehutachipatachi C hunofunganya, hutachiona hwehutachiona hwakanyanya hunopfuura 800,000 IU / L, asi hutachiona hwehutachiwana huri pasi pe 800,000 IU / L. Izvi zvinogona kusiyanisa zvakanyanya, zvisinei, zvichienderana nezvinoonekwa sevheji mune imwe nzvimbo kana huwandu hwevanhu.
Zvakakosha kucherechedza, zvisinei, kuti hutachiona hwe 800,000 IU / L hahurevi kuti une 800 000 mavairasi chaiwo muropa rako. Pane kudaro, zvinoreva kuti laborato yakasarudza kune 800,000 maundi emarudzi akawanda (IU) mune rimwe ropa. IU isiriyano yakashandiswa inoshandiswa nevatorigist kuti vave nechokwadi chekusagadzikana kubva kubasa kuenda kubhuku uye inofungidzirwa yakarurama kupfuura "nyore" musoro wevirarasi RNA.
Kunyanya kutaura, kunyange zvakadaro, 800 000 IU / L inopindirana kusvika mamiriyoni maviri emakopi eVRA.
Izvo Zvisingagoni Kuonekwa Zvirwere Zvitsva
Nguva yekuregererwa (kusingaoneki kwehutachiona hutachiwana) masvondo gumi nemaviri mushure mekuzadza hepatitis C therapy inonzi inochengetedza virologic response (SVR) , kana SVR12. Vanenge vanhu vose vanowana SVR12 vanoenda kunopedza SVR24, zvinoreva kuti hakuna kumbove nehutachiwana hunoonekwa masvondo makumi mana mushure mekurapa.
Izvo zvisingaoneki hutachiona hwehutachiwana hazvireve kuti hauna hutachiwana muropa rako kana kuti wakagadzirisa mushonga. Zvisinei, kana iwe uchikwanisa kuchengetedza utachiona husingaoneki hwehutachiona kwemavhiki makumi maviri nemana (uye zvino nyanzvi dzinofunga kunyange kwevhiki gumi chete) mukana wehutachiona huchidzoka (kuwedzera) unofunga zvakanyanya. Muzvokwadi, munyaya iyi, munhu anonyatsoonekwa seanoreswa.
Kunyange zvazvo miedzo inogona kusiyanisa maererano nekunzwisisa, zvinoreva kuti vanogona kuona chirwere ichi, maitiro epanguva ino anonyatsotsvaga.
Shoko Rinobva
Kunyange zvazvo miedzo inobatanidzwa mukuongorora nekurapa hepatitis C inogona kuoneka yakaoma, edza kuti urege kuvharwa zvakare mumashoko acho. Kana iwe uine hepatitis C, ramba uchishingaira muhutano hwako hwechiropa nekuona chiremba ane ruzivo rwekubata vanhu vane hepatitis C.
Tora mishonga yako sezvaunorayirwa uye ugare uri pedyo nechiremba wako. Nekutarisirwa kwakanaka, mashoko akanaka ndeokuti iwe unokwanisa kubvisa utachiona kubva mumuviri wako (uye kunyanya "kuporeswa").
> Sources:
Burgess SV, Hussaini T, Yoshida EM. Kugadzirisa kwekusimbisa virologic pamasvondo 4, 12 uye 24 mushure mekurapa kwehepatitis c munguva yezvinyorwa zvitsva-kutora mishonga yekudzivirira: Kuongorora kwakananga. Ann Hepatol . 2016 Mar-Apr; 15 (2): 154-9.
> Gupta E., Bajpai M, Choudhary A. Hepatitis C virusi: Kuongorora, kuongororwa, uye kududzirwa kwezviyero zve laboratori. Asia J Transfus Sci. 2014 Jan-Jun; 8 (1): 19-25.
> University of Washington. Hepatitis C Online: Zvinangwa zvekurapa uye kufanotaura kupindura.
US Department of Veterans Affairs. Viral Hepatitis: Hepatitis C RNA yakawanda yekuedzwa.