Hepatitis A uye Hepatitis B: Yakangofanana kana Yakasiyana?
Mumwe angatenda kuti hepatitis A uye B zvinowanzofanana. Zvisinei, vakawanda havazivi kuti hepatitis chii uye inoita. Dzidza zvakawanda pamusoro pehupatachi, zvakadai semhando dzakasiyana uye kusiyana pakati pavo nekuverenga zvakanyanya. Paunonzwa izwi rokuti hepatitis, rinongoreva chinhu chimwe chete: kuvhiringidza kwechiropa chako. Pane nzira dzakawanda dzokuti iwe unogona kusimbisa hutano huno.
Doro nemimwe mishonga ndeimwe yezvikonzero. Inowanzopararira kuburikidza nemavirusi emarudzi akasiyana; izvi zvakanzi A, B, uye C. Kuita kuti zvinhu zvose zvive nyore kwauri, pano zvakatsanangurwa zvakajeka pakati pezvinokonzerwa nehepatitis A, hepatitis A (HAV) uye hepatitis B (HBV).
Medium Transmission
Utachiona hweH hepatitis A (HAV) hunogona kuwanikwa mumhuka dzomumwe munhu anotambura nehepatitis A. Kazhinji, inopararira kuburikidza nehukama hwepedyo pakati pevanhu. Izvi zvinogona kuva kuburikidza nekuita zvepabonde kana kungogara muimba imwe chete. Imwe nzira iri nyore iyo inoparidzirwa iri kugoverana kudya nemvura zvakasvibiswa nemunhu anotumira chirwere ichi. Uyezve, kana ukaenda kune imwe nzvimbo iyo utachiona huri kupera, pane ngozi yakawanda yekuwana iwe pachako.
Hepatitis A inotungamirira kuchiremera chechiropa chokuputika, uye inogona kupora kana kuporesa pachayo. Kana iwe wakwegura, ichi chiitiko chakanyanya kuoma.
Sezvakataurwa, hepatitis A inogona kutapudzwa nyore nyore kubva kune mumwe munhu kune imwe kuburikidza nemvura uye zvokudya uye kushamwaridzana kwepedyo nevanhu vane utachiona.
Kune rumwe rutivi, hepatitis B inonyanya kuwanikwa mumvura yemuviri yakafanana neropa. Ichi ndicho chikonzero, kana munhu ane hutachiwana kana kuti muviri wemvura inopinda mumuviri weumwe, iye anogona kubvumirana nechirwere chacho.
Hepatitis B inopararira zvikuru kuburikidza nekuita zvepabonde zvisina kudzivirirwa neHBV carrier kana kushandiswa kwesirinho ine utachiona (kunyanya kana vanhu vakapamura masero pakati pavo).
Zvinoda Kuvhara
Kuchengetedza kukanganisa kana kukura kwehepatitis A, vanhu vanotevera vanofanira kuva nechokwadi chokuti vachoreswa:
- Vana vane makore 1-2
- Varume vanoita zvepabonde nevamwe varume
- Vanhu vanoshandisa zvinodhaka mumigwagwa
- Vashandi vanoshanda munzvimbo dzakasiyana-siyana dzepasi, kunze kwenyika dzakadai saCanada, US, uye Japan
- Vanhu vane hukama hwepedyo kana hwepedyo nevanhu vanobva kunyika dzine hutachiona hweHIV
Kune rumwe rutivi, zvinotevera ndezvevanhu vanoda kupemerwa nehepatitis B:
- Vana nevechidiki vane makore 0-18
- Vanhu vane zvepabonde
- Varwere vari kuitika dialysis kana pre-dialysis
- Ruzhinji, masununu, kana vashandi vanochengeteka vanowanzosangana neropa uye mvura yemvura
- Vanhu vane makore makumi matanhatu nemakumi matanhatu vane chirwere cheshuga
- Vanhu vane utachiona hweHIV
- Vashandi vezvinodhaka kuburikidza nemakisi
- Vashandi uye vagari vezvivako vanobatsira vanhu vakaremara
Zviratidzo
Kunyange zvazvo kune marudzi akasiyana-siyana ehepatitis, ivo vose vane zviratidzo zvakafanana. Izvi zvinotevera mamwe mazano anoratidza kuti iwe ungave wakaita sarudzo iyi:
- Kuchengeta kweganda rako
- Kupenya kwechikamu chakachena chemaziso ako
- Appetite kurasikirwa
- Fever
- Mvura yakasviba
- Nausea
- Kudzora
- Marwadzo emudumbu
- Kuneta
Kurwara
Hapana hutachiwana husingaperi mu hepatitis A, asi mu hepatitis B, pane. Paunenge wawana hepatitis A kamwechete, iwe hauchazove zvakare. Kune rumwe rutivi, nokuda kwehupatitis B, kune hutachiona hwehutachiona hwepamusoro kunyange kutanga kubva pakuberekwa. MuUnited States, vanenge 2000 kusvika 4000 vanhu vanofa nemamiriro aya gore negore. Kune misiyano, zvisinei, pakati pokuti maitiro maviri aya anobata sei chiropa chako.
The Treatment
Hakuchina kurapwa kwakakwana kweva mavhairasi. Mushonga unoshandiswa wehepatitis A inowanzochengetedza.
Izvi zvinosanganisira kurega kunwa doro nekuti zvinogona kuwedzera kukura kwechiropa chokuputika. Kune avo vane chirwere chisingaperi chine hepatitis B, kutsvaga rubatsiro rwekurapa ndicho chinofanira. Izvi zvinosanganisira kurapwa kwehutachiona hwechiropa chako mwedzi yese kusvika pamwedzi 6-12. Iwe unogona kushandisa mishonga yakasiyana-siyana yakarambidzwa nemishonga inorwarisa semishonga yeHBV. Pane zvakasiyana-siyana mukurapa kwezviviri sezvo HBV inonyatsoda rubatsiro rwekurapa kuzorapwa. Ita ruzivo rwako rwehupatitis uye ita zvose zvaunogona kuti uzvidzivirire. Kunyange zvazvo hepatitis A neB vanogovana nepognomi, vasati vaine maonero avo anokosha.
Sources:
Cuthbert JA. Hepatitis A: yekare uye itsva. Clin Microbiol Rev. 2001 Jan; 14 (1): 38-58.
Liang TJ. Hepatitis B: hutachiona uye chirwere. Hepatology. 2009 May; 49 (5 Suppl): S13-21.