Pros uye kurapa kwemishonga yeHBV
Kurapa kwekugara kwenguva refu hepatitis B hakuna kumbove kwakanaka sezvavari nhasi. Parizvino, pane zvinenge zvitanhatu zvinodhaka zvinowanika, zvichienzaniswa nemakore gumi apfuura apo pakanga pasina, izvo zvinoreva chiremba wako ane maitiro ekuwana mishonga (kana kusanganiswa kwemishonga) iyo inoshanda zvakakunakira iwe.
Pasinei nemishonga yakawanda yekurapa yeHepatitis B , hapine mushonga wechirwere ichi.
Chinangwa cherapi yekurapa ndechekudzivisa hutachiona uye kuchengetedza zviratidzo zviripo apo uchichengetedza chiropa kubva pane zvinokonzera zvirwere. Uyezve, zvakakosha kuchengeta mupfungwa kuti havasi vose vane hepatitis B varwere vanoda mishonga. Uye kana iwe uchitanga kurapwa kwemishonga kana kwete, unofanirwa kuva pasi pekuchengetwa kwechiremba anove ari nyanzvi mune zvirwere zveropa uye ane ruzivo uye ane ruzivo mukurapa hepatitis B.
Pros uye Cons
Mishonga yakawanda inobatsira uye migumisiro inofanira kuyerwa, uye kushanda nachiremba wako kunogona kukubatsira kusarudza mushonga unobatsira unotarisirwa kuwedzera kupfuura zviitiko. Kuti ikubatsire kunzwisisa iyi mishonga zvishoma zviri nani, heano mamwe emasimba avo uye kusava nesimba.
| Mishonga | Pros | Cons |
Interferon (interferon alpha-2b kana pegylated interferon) | - Kazhinji chisarudzo chakanaka kune vechidiki vasina chirwere chakakomba chechiropa (zvakakwana kubhadhara chirwere chechiropa)
- Sarudzo yakanaka ye genotype A utachiona
- Kurapa kwenguva yakareba (masikati makumi maviri nemana makumi mana nemaviri) zvichienzanisa nedzimwewo hepatitis B kurapwa.
| - Mwoyo miviri yakakomba kune vamwe vanhu
- Hazviwanikwi kune vanhu vane zvinokanganisa (chibharo chechiropa)
- Yakawanda inodhura (nguva dzose kana pegylated) inofananidzwa nemimwe mishonga
- Pegylated interferon isina kubvumirwa vana
|
| - Zvinodhura zvinodhura zvichienzaniswa nedzimwewo hepatitis B zvinodhaka
- Imwe yevakwegura vane hepatitis B zvinodhaka, saka zvakawanda zvinonyatsozivikanwa nezvekuchengetedzwa kwayo
- Zvinogona kubatsira pakuchengetedza hutachiwana hwehutachiona hwehutachiona pamwe neTenofovir
- Yakagamuchirwa nevana nevakuru
| - Kazhinji inorasikirwa nekubudirira kwayo pakurwara kwehepatitis B nekuda kwemishonga inopikisa
- Nemhaka yekumanikidzana, inogona kunge isiri yakapfurikidza kupfuura yakawanda yevatsva hepatitis B zvinodhaka
- Zvinoda kurapwa kwenguva refu
|
Adefovir dipivoxil | - Inogona kushandiswa kune varwere vane lamivudine-resistant hepatitis B virus
| - Inogona kunge ine chepfu kusvika kune itsvo dzako pamadhora akawanda
- Zvinoda kurapwa kwenguva refu
|
| - Ane uwandu hwakanyanya kuderedzwa.
- Zvingave zvinobatsira kune varwere vane chirwere chisina kukwana (decompensed disease fover)
| - Imishonga mitsva, saka ine zvishoma zvitsvakurudzo zvinowanika pamusoro pekuchengetedzwa kwayo - kunyanya mune mamwe mamiriro
- Inozivikanwa kuti inokonzera kenza mumarangi kana ichipiwa muhope yakakura, asi hapana munhu anotsigira dambudziko rinowedzera ngozi kune varwere
- Zvinoda kurapwa kwenguva refu
|
Telbivudine | - Zvinogona kunge zvine simba rinodhaka remishonga rinodhaka kupfuura lamivudine uye adefovir
| - Sezvichida se lamivudine kuti irege kudzivirirwa nehutachiona hweH hepatitis B
- Zvinoda kurapwa kwenguva refu
- Kwete kubvumirwa vana
|
| - Zvakanaka pakurapa nguva dzose uye zvinodhaka zvinorwisa zvinokonzera utachiona hwe hepatitis B
- Zvinogona kuva sarudzo yakanaka yekurapa kana adefovir isingashande zvakanaka
- Anobata zvose zveHIV nehutachiona hweH hepatitis B
| - Ndiyo mishonga mitsva yekurapa hepatitis B, saka zvimwe zvidzidzo zvinoda kupedzerwa
- Kwete kubvumirwa vana
- Zvinoda kurapwa kwenguva refu
- Nguva dzose kuongororwa kweiyo mafungiro kunokosha
|
Kunobva:
Kusvika pari zvino. Basow, DS (Ed), UpToDate, Waltham, MA, 2010.