Overview
Hepatitis chirwere chinosanganisira chero rudzi rwekuputika kwechiropa, chikonzero chegadziriro yakaoma inowanikwa apo chiropa chinotambura nekukuvara. Izvi zvinogona kuvhiringidza kana iwe uine chirwere chehepatitis iyo haisi chirwere chinotapukira. Izwi rokuti hepatitis rinogona kungoputsika mumashoko okuti "hepa" anoreva chiropa, uye "itis" iyo inoreva kurwiswa.
Aina
Mhemberero vs. Chronic Hepatitis
Mashoko aya akaoma uye asingagumi haatauri kune chero ipi zvayo yehupatitis asi anongorarama chete panguva yezviratidzo (kana utachiona.) Vanachiremba kuvhiringidza kunopedza mwedzi inopfuura mitanhatu achirwara hepatitis nekuputika kunogara kwenguva refu kwemwedzi mitanhatu, isingaverengeki hepatitis.
Zvirwere zvinotapukira vs Zvisingatapuriki Hepatitis
Kunyange zvazvo pane zvikonzero zvakawanda zvechiropa chokuputika, vanachiremba vanozviparadzanisa muzvikamu zviviri zvakakura: viral hepatitis uye isina-infectious hepatitis.
Kunewo zvikonzero zvakasiyana siyana zvehutachiona hwehutachiona hwehutachiona uye husina kupararira hepatitis. Ngatitarisei zvimwe zveizvi
Viral Hepatitis (Infectious Hepatitis)
Apo vanhu vazhinji vanofunga nezvehupatitis, ivo vanowanzofunga nezvehutachiona hwehupatitis. Sezvo mavairasi aya akapararira kubva kumunhu kusvika kune mumwe munhu, vanachiremba vanoshevedza hutachiona hwehutachiona hwehutachiona hutachiona hutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachi Kune mavharusi mashanu ayo anowanzopedza chiropa, mazita achishandisa tsamba dzealfabheti kubva A kuburikidza neE.
Chinoita kuti hutachiona hwe hepatitis huvhiringidze ndechekuti rimwe nerimwe remavarusi aya rinokonzera chirwere chakasiyana uye rine nzira yakasiyana yekupararira. Zvimwe zvezvirwere izvi zvinokonzerwa nehutachiona zvinogona kuita kuti zvive zvakanyanya, zvisingagumi, kana kuti zvose zviri mahepatitis.
Hepatotropic viruses A kusvika E dzinosanganisira:
- Hepatitis A
- Hepatitis B
- Hepatitis C
Zvimwe zvirwere kunze kwehutachiona hwehutachiona hunogona kukonzera kupisa kwechiropa, kana hepatitis. Izvi zvinosanganisira:
- Cytomegalovirus (CMV)
- Epstein-Barr HIV (EBV) - Inowanzozivikanwa se "infectious mononucleosis" kana "mono"
Kwete-Inotapukisa Hepatitis
Hakusi zvikonzero zvose zve hepatitis zvinotapukira. Makemikari akadai soro kana mishonga inogona kukuvadza chiropa uye inogona kukonzera kupisa. Mukuwedzera, mamwe matambudziko ehutano akafanana nehutachiona uye hutachiona hwehutachiona, kukuvadzwa kwehutachiona hwehutachiona uye hutete hwakanyanya, zvinogona kukuvadza chiropa uye zvinotungamirira mukuputika. Sezvo izvi zvirwere zvehepatitis zvisingagoni kupararira kubva kune mumwe munhu kuenda kune imwe, vanachiremba vanoriidza kwete yehutachiona hwehupatachi. Ichokwadi, chero "kushorwa" kuchiropa chinoguma nekuputika kunonzi hepatitis. Zvimwe zvisingaiti zvehutachiona zve hepatitis zvinosanganisira:
- Autoimmune hepatitis - Zvirwere zvekuzvidzivirira ndezviya izvo muviri unoita zvirwere uye zvinorwisa pachako
- Kunwa doro rehuputi (kunwa doro kunogona kukonzera zvirwere zvitatu zvakasiyana siyana zvinosanganisira doro rehepatitis, mafuta echiropa, uye cirrhosis yechiropa)
- Zvinodhaka-induced hepatitis (kune mishonga yakawanda inogona kukonzera kutuka kwechiropa chinogona kusiyana kubva kune unyoro kusvika kuhupenyu hunotyisa)
- Mikemikari uye zvinokonzera tsvina (sezvo chiropa chinoshanda zvisiri nyore se "detoxification" system, hazvishamisi kuti makemikari akawanda uye chepfu mumhepo zvinogona kutungamirira pakuputika)
- NASH kana kuti haisi doro steatohepatitis ( isina kunyanya kunwa doro chirwere chechiropa chirwere chinowanzoitika kakawanda kune avo vane kuwandisa kana kupfuura)
Other Forms
Zvakakosha kucherechedza kuti hazvisi zvisizvo kuti vanhu vave nehuwandu hwemhando imwe yehupatitis, uye chaizvoizvo, hepatitis D inongowanikwa kune vanhu avo kana kuti vakambotapukirwa nehutachiona hweH hepatitis B.
Mukuwedzera kune zvakasununguka pamusoro apa, zvakadai sewaini, kune huwandu hutachiona hunoita kuti huve nechirwere chechiropa, uye kuwedzera kuoma kwehutachiona kana husina kupararira hepatitis kana zvichiitika. Imwe yeiyi hemochromatosis , iyo iyo yakawanda yakawanda yakachengeterwa muchiropa, uye imwe inonzi alpha-1-antitrypsin inoshaiwa , maitiro ehutachiona anokonzera kushushikana kwechiropa uye emphysema.
Zviratidzo
Zviratidzo zvakasiyana-siyana zvinogona kuitika mumamiriro ezvinhu ekuremara kwechiropa kana kusingaperi. Nokuti chiropa chinopindira nenzira dzakasiyana zvichienderana nechinokonzera uye nguva yekuputika, uye vamwe vanhu vane zviratidzo uye vamwe havasi (mamiriro ezvinhu anozivikanwa seasymptomatic), ndiye chiremba anogona kukuudza kana iwe une hepatitis.
Zviratidzo zvehutachiona hwehutachipatachi kazhinji hunosanganisira kuneta, fivha, kushungurudza, uye kurutsa, asi izvi zvinowanzoonekwa kune zvirwere zvakawanda.
Kunyange zvazvo vanhu vakawanda vachibatanidza hepatitis ne jaundice , kuchena kwehombodo uye machena emaziso, izvi zvinowanzoitika mushure mokunge utachiona hwave huchienderera kwechinguva. Zvimwe zviratidzo zvakajairika zvakadai sehupatitis kufambira mberi kuneta, musuru uye kubatana aches, uye kurasikirwa kwechido.
Kune humwe zviratidzo zvakawanda zvehupatachi izvo zvisinganyanyozivikanwi asi zvisingaiti zvishoma.
Kuziva
Zvimwe zvinokonzera hepatitis zvinogadzira nzira dzakawanda dzekuedza chirwere ichi . Chimwe chekuedza chekuedza ndechokunzwa nezvechiropa chakawedzerwa, chinonzi hepatomegaly. Chiremba wako achaita izvi kuongororwa panguva yekliniki yekuongorora; kana akawana chiropa chakawedzerwa, ivo vachatarisa zvikonzero uye vanogona kuronga kuongorora ropa.
Mimwe miedzo yeropa inotarisa mazinga e enzyme uye mamwe mapuroteni anogona kunetseka kana pane chiropa chinokanganisa. Kureba kwechiropa chechiropa (ALT neAlt) kunogona kuonekwa neine kuongororwa kweropa nyore, uye mamwe mimwe miedzo inogona kutarisa zviratidzo zvekudzivirira kwehupatitis uye zvimwe zvakawanda.
Kunyange zvakadaro, dzimwe kuongororwa ropa kunotsvaka humwe hutachiona hwehutachiona, huwandu hwehupfu hwakadai sewaini kana Tylenol kana zvimwe zviratidzo zvezvirwere zveteneti sesimbi kana alpha-1 antitrypsin.
Kazhinji, kuongororwa kwehepatitis kunoshandiswa kushandiswa kusangana kwezviedzo. Mimwe miedzo yakanyanyisa inogona kusanganisira kushandisa imaging teknolojia yakadai sa ultrasound, kombiyuta inonzi axial tomography (CT) inoongorora kana maginiti resonance imaging (MRI).
Chiropa chinonyangadza, apo chiremba anobvisa chikamu chiduku chechiropa uye achichiendesa ku laboratori kuti awedzere kuedzwa, zvingave zvakakosha kana chikonzero chakajeka chekuvhiringidza chisingagoni kuonekwa kana kana vanachiremba vachida kurondedzera kuti chiropa chinorevei zvakabatanidzwa. Sezvo kuvhiringidza kwechiropa kunogona kutungamirira kumatambudziko anopa ropa, chiropa chinonzi biopsy hachiwanzoitwa kunze kwekuti mavambo ehepatitis asingagoni kuwanikwa zvichienderana nemimwe miedzo.
Kutsungirira
Kunyange zvazvo mamwe maitiro ehupatitis achikurumidza kukurumidza, mamwe maitiro anoguma kwemakumi emakore uye achada kutarisirwa pedyo nechiremba wako. Kurarama nemhando ipi neipi ye hepatitis kunoda kuva nemabasa ekurapa nguva dzose uye kutevera chirongwa chako chekurapa.
Mukuwedzera kumishonga, chirongwa chako chekurapa chingasanganisira kushandura mararamiro ako, akadai sokudzivisa doro nekuchengetedza hutano hwehutano hwakanaka, hunobatsira kuti chirwere chacho chisanyanya kuipa. Mamwe mararamiro emararamire angave akadikanwa kudzivirira kuparadzira chirwere chacho, kana chinotapukira, kune vamwe.
Pakupedzisira, tsvaka vamwe vanogara nehepatitis. Mapoka akawanda ekutsigira ariko kubatsira kubatsira kudzidzisa nekubatsira vanhu nemhuri dzavo. Nekudzidzisa zvishoma uye kutsigirwa, vanhu vane hepatitis vanogona kurarama hupenyu huzere uye hwakakwana.
Sources:
Nzvimbo dzeDaase Control uye Kudzivirira. Viral Hepatitis. Updated 12/09/16. https://www.cdc.gov/hepatitis/
Kasper, Dennis L .., Anthony S. Fauci, naStephen L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.