Dzidza Nezviratidzo, Zvirongwa uye Kudzivirira kweHepatitis D
Utachiona hweH hepatitis D, hunokonzerwa nehutachiona hweH hepatitis D (HDV), chirwere chinokonzera chiropa. Izvozvo zvakafanana nedzimwe mishonga inonzi hepatotropic (A, B, C uye E) nokuti inokonzera kupisa kwechiropa uye inobereka zviratidzo zvakafanana, asi HDV haina kujairika. Inogona kungoparidzira mumwe munhu ane chirwere chehupatitis B. HDV haigone kuzvirondedzera, kuitira kuti tive pedyo nechinetso ichi, HDV inofanirwa nehutachiona hweH hepatitis B (HBV) yekudzokorora (nzira yekugadzira ma kopi ayo).
Chii chinonzi Hepatitis D Infection Like?
Hepatitis D inokonzera marudzi maviri ehutachiona: coinfection kana superinfection. Coinfection apo mumwe munhu ane HIV neHVV panguva imwe chete. Kuda kufanana kunenge apo mumwe munhu atova nechipatara B uye zvino ane HIVV.
Coinfection inowanzova yakaoma, uye ichagadzirisa pachayo. Kusatendeseka kunogona kuve kwakanyanya. Ne-superinfections, kurwara kweprhosis kubva ku hepatitis B kunogona kuva yakasimba uye inopfuurira kuve nechirwere chechiropa. Zvimwe zviitiko zvinotungamirira pakuzara kwehepatitis.
Ndine Hepatitis D?
Nzira chete yekuudza kana iwe une hepatitis D ndeye kuongorora ropa. Kazhinji, vanachiremba vanotsvaga hepatitis D kune vanhu vane chirwere chakakura kana chichikurumidza kufambira mberi hepatitis B. Muchiitiko ichi, vanachiremba vachaedza ropa renyu nekuda kwezviratidzo zvakasiyana-siyana zvehutachiona hweHIV.
Kubva pane muenzaniso wehutachiona hwako uye migumisiro yeropa rako kuongororwa neHBV neHDV, vanachiremba vanofungidzira kana chirwere chako chiri chakanyanya, chisingagumi kana kuti chinotyisa.
Ndezvipi zviratidzo?
Kazhinji, kutsvaga hepatitis D kunongoitika chete apo hepatitis yako yakaoma kana iri kuwedzera.
Zvimwe zviratidzo zvakafanana nezvimwe zvinokonzerwa nehutachiona hwehepatitis zvirwere, zvichida zvakanyanya kuoma. Pasinei, ne hepatitis D, chirwere chetachiona chinotarirwa neHBV utachiona. Hepatitis D haikwanise kupera kwenguva yakareba kudarika chirwere cheH hepatitis B.
Hepatitis D Inoparadzira Sei?
Hepatitis D inopararira yakafanana nehepatitis B, iyo inosangana zvakananga neropa rakatapukirwa. Izvo zvisingawanzoitiki muUnited States nedzimwe nyika dzakabudirira. Mune dzimwe nzvimbo, hepatitis D inowanikwa kazhinji mune vashandisi vezvinodhaka veVV. Kunewo kushamwaridzana nehutano hwakachena. Nyika dzine mitero yakakwirira ye hepatitis D hutachiona pakati pevatakuri veHBV inosanganisira avo vari pedyo neGungwa reMediterranean, kuMiddle East nekuSouth Africa.
Hepatitis D Inotarirwa Sei?
Kurapa kusingaperi kwehepatitis D kazhinji kunosanganisira interferon therapy . Mishonga yemishonga inoshandiswa mukurapa hepatitis B haisi yakakosha yehepatitis D. Kana chirwere chisingaperi chisingaiti kuchiropa chinokonzerwa nechiropa chinokonzerwa chinogona kudiwa. Migumisiro yekugadziriswa kwehepatitis D inowanzova nani kudarika hepatitis B.
Kunyange zvazvo kurapwa kunogona kudikanwa, kazhinji kacho kunodhura uye kuchava nemigumisiro.
Nemhaka yeizvi, zvakanakisisa kuedza nekudzivirira utachiona munzvimbo yekutanga.
Ndingadzivirira Sei Hepatitis D?
Hakuchina mushonga wehepatitis D, asi iwe unogona kudzivirira utachiona hwaHVV nekuwana vachakemerwa hepatitis B. Nokuti HDV inoda HBV kuti iite makopi ega, nokudzivirira hepatitis B, iwe uchadzivisa hepatitis D.
Kune avo vane chirwere chepachipatara chechipatara B chisingagumi (kana avo vane HBsAg muropa ravo), hapana chirwere, asi kudzivisa kusangana zvakananga neropa rakatapukirwa kunodzivirira kutarisana nehepatitis D. Izvi zvinosanganisira kugovana zvidzitiro zvakasviba, kuita zvepabonde zvisina kudzivirira, uye kugoverana nevamwe zvinhu zvingave zvakakonzerwa neropa pamusoro pavo zvakadai semaranzi uye mazino emazino.
References:
Nzvimbo dzeDaase Control uye Kudzivirira. July 10, 2008. Viral Hepatitis.
Dienstag, JL. Acute Viral Hepatitis. Mune: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine, 17e. New York, McGraw-Hill, 2008.
Perrillo, R naNair, S. Hepatitis B uye D. Mu: M Feldman, LS Friedman, LJ Brandt (eds), Maviri uye Chiropa Chirwere, 8e . Philadelphia, Elsevier, 2006. 1647-1672.