Hepatitis B chirwere chinokonzerwa nehutachiona hweH hepatitis B , uye inogona kuva yakaoma kana isingaperi. Kutapukirwa nehutachiona hweH hepatitis B ndicho chinokonzera kukanganisa chirwere chepachipatara chepasi rose uye vanhu vane chirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepabonde. Mukuwedzera, chirwere che hepatitis B ndicho chinokonzera kukanganisa kwepasi.
MuUnited States, anenge mamiriyoni 1.5 vanhu vanotapukirwa nehutachiona hweH hepatitis B. Zvisinei, munyika yose, vanenge mamirioni 400 vanhu vane utachiona, uye vazhinji vevanhu ava vanogara muAsia. Zviri pachena, ichi chinhu chinonyanya kukosha kwehutano nehutano.
Mushure mekunge vaona hepatitis B, vanopinda zvinonzi nguva yekudzivirira . Munguva ino, iyo inogona kugara pakati pemwedzi 45 kusvika kumwedzi 6, munhu ane utachiona kazhinji haaone zviratidzo. Mushure mekunge nguva ino yapera, chirwere chinokonzerwa nehepatitis B chinowedzera uye zviratidzo nezviratidzo zvehutachiona hwehutachiona zvinoonekwa. Kune vanhu vakawanda hutachiwana huno huchaita kuti usanyanya kunyatsonaka uye hunoita kuti uwedzere huri huno asi huchaenda huri pachako nekuda kwekubudirira kwemuviri mukurwisa utachiona. Kunyange zvisingawanzoitiki, vamwe vanhu vanogona kuva nezvinetso zvakakomba zvakadai se fulminant chiropa chisakundikana.
Kurwara kwehupatachi B kunoitika apo munhu ane hutachiona hwehutachiona haakwanisi kubvisa chirwere chacho.
Pasinei nokuti chirwere chacho chinogara chisingaperi kana kuti chisarudzo chakakwana chinoenderana zvikuru nezera remunhu ane utachiona. Vanenge 90 kubva muzana yevana vanotapukirwa pavanenge vazvarwa vachabva vachienda kune zvirwere zvisingaperi. Zvisinei, somunhu ane makore, njodzi yehutachiona husingaperi inoderera zvakadai sekuti pakati pe20 ne50 muzana yevana uye pasi pe10 muzana yevana vakwegura kana kuti vanhu vakuru vachabva kubva pakuremara kusvika kuhutachiona husingaperi.
Hepatitis B Zviratidzo
Pakati pese, zviratidzo zvekushaya hepatitis B zvakafanana kune zvose zvinokonzerwa nehutachipatachi hepatitis . Kazhinji chiratidzo chekutanga ndiko kurasikirwa kwechido (chinonzi anorexia), chinoteverwa neusea, uye zvichida, kurutsa. Mune vamwe vanhu zviratidzo izvi zvinogona kuva zvakakomba, zvichitora vhiki dzinoverengeka uye zvinoda kurapwa. Zvimwe zviratidzo ndezvekunyanya kuneta, kuora-kurasikirwa, aches uye kurwadziwa kwemisungo nemasangano, misoro, kuchena kwepfungwa, kurwadziwa kwehuro, kukonzera, uye runny pua.
Jaundice, iyo kuunganidza kwemakemikari bilirubin mumuviri wemishonga, chimwe chiratidzo chinogona kuitika . Izvi zvinoratidzika semucheka mutsvuku paganda uye zvakakomberedza vatsvene vemaziso. Kunyange zvazvo ichi ndicho chinonyanya kuzivikanwa nehutachiona hwehupatachi hepatitis, jaundice inongowanikwa inenge 30 muzana yevanhu vane hepatitis B - vazhinji vevanhu vane hepatitis B yakajeka havazovi nejerice.
Hazvisi zvisiri izvo kuvanhu vane acute hepatitis B vasina zviratidzo. Vanhu ava vanonzi vanozvidzivirira uye vangave vasingazivi kunyange nezvehutachiona hwavo. Zvizhinji zviratidzo zvinowanzotora mushure memwedzi 1 kusvika ku3, asi vanhu vazhinji vanocherechedza vakaramba vachidini kwenguva yakareba.
Hepatitis B Kutengesa
Hutachiona hweH hepatitis B inonyanya kupararira nehutachiona hwemutachiona hutachiwana huchibatana nehuyu mucous membrane kana ropa. Muviri wemvura inonyanya kuzivikanwa sehutachiona huri ropa, salivha, mbeu uye zvepabonde. Kune vashandi vehutano, mazhinji akawanda emvura inoonekwa seanogona kutapurirwa uye kutarisirwa anodiwa.
Nzira dzakajairika dzehutachiona hweH hepatitis B dzinopararira kuburikidza nekuita zvepabonde kana kunyatsozivana nemumwe munhu ane utachiona, kugovana nheyo nemishonga nemumwe munhu ane utachiona, uye kubvumira kubva kuna amai vane utachiwana kuenda kumwana.
Kutaura zvazviri, rudzi urwu rwekupedzisira rwakapararira, rwakatumidzwa kutenderera mberi, rwakanga rwakawanda zvokuti hurumende vakuru vakuru vehurumende vakatanga kukurudzira kurarama kwenguva refu nehutachiona hwehupatachi B. Mamwe magwaro anotaura kuti vazhinji veyemunhu wechitatu wevaAmerica vane chirwere chisingaperi chisingatauri hepatitis B vakatapukirwa sevana kana vana vaduku.
Hepatitis B Kuziva
Vanachiremba vanoongorora hupatitis B kuburikidza nekuedza ropa rako nokuda kwekuvapo kwezvirwere kune rumwe rutivi rwehutachiona hweHepatitis B. Chikamu ichocho chinonzi HBsAG, uye chinomirira hepatitis B surface antigen. Iyi antigen inowanzoita mapuroteni ehutachiwana ayo muviri uchaona sechinhu chisingafaniri kunge chiripo uye uchatanga kukudzivirira maitiro ezvirwere pamusoro payo.
Imwe mishonga inorapa iyo madharensi muropa rako, inonzi IgM anti-HBc, inosvika pakuedza kwakanyanya kujekesa kutapukira kwehepatitis B. Izvi zvinoderedza chirwere cheG IgM chakagadzirwa nemuviri wechirwere chemuviri wako kune imwe yakapuroteni yehutachiona inonzi core antigen .
Muviri wemuviri wechirwere nehutachiona hunowanzobudirira nokuti vanhu vazhinji vachabvisa zvachose chirwere. Zvichienderana nekushanda kwakadini kwemuviri wekuzvidzivirira kwezvirwere , uye yehutachiona hwehutachiwana, ungasatomboziva kuti iwe unorwara!
Zvisinei, vamwe vanhu havanzwisisi hutachiona uye vanokura kusingaperi kwehepatitis B. Vanachiremba vanoongorora chirwere ichi kuburikidza nekuyera zvose HBsAg uye anti-anti-protein, iyo inonzi anti-HBc. Vanhu vane chirwere chekushaya chipatara B chisingaperi chine zvose izvi zvinopararira muropa ravo.
Management
Inenge munhu wese anowedzera chirwere chepachipatara B (95% -99% yevanhu vakuru vakukuvara) vachawana zviri nani ivo pachavo, saka vanachiremba havangakurudziri kurapa kupi zvako. Izvi zvinoreva kuti muviri wako wechirwere chemuviri unokwanisa kushanda zvakaoma kukurumidza kukuparadza hutachiona hweH hepatitis B kubva pachiropa zvisati zvaitika matambudziko akakomba anotanga. Nokuda kwematambudziko akakura ehepatitis B, dzimwe nyanzvi dzinokurudzira kurapa nemushonga unonzi lamivudine.
Kune vanhu vanofambira mberi kuhutachiona hweH hepatitis B, vanachiremba vanogona kusarudza kubva pamishonga mashanu iyo interferon alpha, pegylated interferon, lamivudine, adefovir dipivoxil uye entecavir. Dzimwe nguva vanachiremba vanobata nemushonga umwe chete pachavo, asi kazhinji, kurapwa kunosanganiswa kwemishonga mbiri, dzakadai sa pegylated interferon uye lamivudine. Chinangwa chekurapa ndechokuwana mazinga ehutachiwana muropa (kunyanya kudzokorora kwehutachiwana) kusingaoneki mazinga ekuongorora ropa.
Zvinosuruvarisa, kurapwa kunodhura uye kunonetsa. Uyezve, vamwe vanhu vane chirwere chekushaya chipatara B chisingaperi havatauri zvakanaka kumushonga zvachose. Nokuda kwezvikonzero izvi, nzira yakanakisisa ndeyekudzivirira kutapukira kwehepatitis B.
Kudzivirira
Utachiona hweHepatitis B hunorambidzwa nyore nyore nekudzivirira. Hemukisi yose yakachengeteka uye haina mari shoma uye mune zvirwere zviviri zviripo muUnited States.
Vamwe vanhu vari pangozi yakawanda yekubatwa nehutachiona hweH hepatitis B uye vanofanirwa kupora vachevedze nekukurumidza. Ava vose vashandi vezvoutano, vashandisi vezvinodhaka, vanhu vari mujeri kana majeri uye vanhu vane vanopfuura vanongodanana nevarume. Nemhaka yehuwandu hwekuwedzera hutachiwana hwehutachiona, vose vana vari pasi pemakore gumi nemasere vanofanirawo kugamuchira chirwere cheHpatitis B.
> Kwakabva:
> Fauci AS, Braunwald E, Kasper DL, Hauser SL, Long DL, Jameson JL, Loscalzo J. Harrison's Online. "Viral Viral Hepatitis". Harrison's Online