Kubvunza Kwakawanda Doro Rinodzivirirwa Sei?
Zvinonyatsobvumirwa kuti munhu ane chirwere chisingaperi chehepatitis C uye nhoroondo yekudhakwa zvinodhakwa zvinodhaka ane mikana yakawanda yekuwedzera chirwere chepamusoro chechiropa, kusanganisira cirrhosis uye hepatocellular carcinoma (chimiro chekenza yeropa). Zvose izvi zvinoshanda pamwe chete kuti zvikurudzire kukura, kufambira mberi, uye kuoma kwechiropa chirwere .
Pamusoro payo, kudhakwa kunwa doro kunogona kutungamirira kune imwe yomuviri usina-viral hepatitis inonzi dorosi hepatitis. Kana akabatana nehutachiona hwehutachipatachi (nenzira yehepatitis B kana hepatitis C), zvinokonzera pachiropa zvinogona kuwedzera kuwedzera.
Hepatitis C yave iwanikawo kwandiri yakajairika kune vanhu vane nhoroondo yekudhakwa zvisina kufanira kupfuura kune vasiri vasiri. Kunyange zvazvo zvikonzero izvi zvisiri pachena, tinoziva zvinhu zviviri:
- Iro doro uye kushandiswa kwezvinodhaka zvinodhaka zvakanyatsobatanidzwa, uye;
- Ikoko kushandiswa kwekushandisa mushonga kunoramba iri nzira inotyisa yekutapurirana kwehepatitis C muUnited States
Shamwari idzi dzinosimbisa kukosha kwekugadzirisa doro kunowanikwa kune vanhu vose vane chirwere chekushaya chipatara C chisingaverengeki, chingava chiratidzo kana kwete; uye kugadzirisa kushandiswa kwezvinodhaka chero nguva paunotanga urongwa hwekudzivirira HCV, kunyanya pakati pekuvhiringidza vashandisi vezvinodhaka nemamwe mapoka makuru.
Pakati pezvipingamupinyi zvinosanganisira kunwa doro uye hepatitis C:
Kuwedzera Kwengozi yeCirrhosis
Pane kusava nekupokana kwakanyanya kuti vanhu vane chirwere chisingaperi chine hepatitis C vanonwa doro vane mikana yakawanda yekukura kwechirrisis . Kubva pane chirwere chepachirwere chepfungwa, vazhinji vanodarika 90% yevanwiwa zvinodhaka (zvinotsanangurwa sevakadzi vane zvimwe zvinwiwa zviviri pazuva uye varume vane zvinwiwa zvitatu pazuva) huchava nehutachiona hwechiropa , iyo inenge 20% ichakura chiropa chinonzi cirrhosis mukati memakore 10-20.
Utachiona hweHepatitis C hunofamba nenzira yakadaro, ine 75% yevanhu vane utachiona huri kuwedzera zvirwere zvisingaperi, asi 15-20% ichafambira mberi kune zvirwere zvakanyanya mumakore gumi nemakumi matatu nemashanu.
Kubatanidzwa kwezvinhu izvi zviviri kunongomhanya chete nenzira inoshamisa, pamwe nekuwedzera kuoma kwekukuvadza kwechiropa-nekumwe kuongororwa, nekusvika 200-300%. Uyezve, kunwisa doro vanoshandisa HCV vane ngozi inenge inokwana gumi nematanhatu yekuwedzera chirwere chendrhosis kupfuura vasiri vasiri neHCV.
Inowedzera Ngozi yeHepatocellular Carcinoma
Hepatocellular carcinoma (HCC) ndiyo inonyanyozivikanwa yekenza yeropa mukati meU.S. uye imwe yezvinetso zvakajairika zvehutachiona hwehutachiona hweH hepatitis C. Kunyanya kudarika chiropa chinonzi cirrhosis, sangano iri pakati pekudhakwa neHCC rakasimba, uye 80% yeHCC mamiriro ezvinhu anoonekwa sewaini doro vanoshandisa.
Ngozi inowonekwa kuwedzera pamwe nemari munhu anonwa. Imwe yedzidzo yeItaly yakaratidza kuti mikana yeHCC yakawedzera kaviri apo munhu anonwa pakati pe 3.4 uye 6.7 zvinwiwa pazuva. Saizvozvowo, zvidzidzo zvakaratidza kunwisa kwakanyanya kunogona kukurumidza kufambisa kweHCC nemakore akawanda semashanu, zvichiita kwete kwete zviremara zvakakura chete asi kwenguva shoma shoma yekupona.
Kubudirira Kubudirira kwePeginterferon-based Therapies
Kunyange zvazvo mishonga peginterferon inoshandiswa zvidiki zvikuru mumazuva ano maHCV therapy, inenge ichiri kuitika mumamiriro ezvinhu apo pane zvakambosakirwa kurapwa uye / kana kuongororwa kwechirwere chinokonzera chiropa.
Zvinoshamisa, inowanzova varwere vane nhoroondo yekudhakwa doro zvinoda peginterferon-based the
Doro inopindira nehutano hwe peginterferon, zvichiita kuti 300% pangozi yehutachiona rebound (kureva, kudzoka kwehutachiona) mushure mokunge wapedza kurapwa. Zvinotoshamisa kuti njodzi yekukundikana yakaratidzwa yakafanana pakati pevanyoro uye vanonwa doro kana vachienzaniswa nevasina kunwa neHCV.
Kunwa Doro Kwakachengeteka Sei?
Kusvika pari zvino hazvizivikanwi kuti nguva yakareba sei murwere anofanira kurega doro zvisati zvaitika zvinosvibisa zvinodhaka zvekudhakwa zvinoshandurwa. Ndechikonzero chechikonzero ichi kupera doro (pamwe chete nehurongwa hwekushandisa doro, kana zvichidiwa) kuongororwa sechikamu cherongwa hwehutano hwevanhu vane hutachiona hutachiona hweHCV, kunyanya avo vakawanikwa vane chikwereti chakabhadharwa kana chakabhadharwa .
Uyezve, varwere vanoda peginterferon vanokurudzirwa kuti vasiye kwemwedzi mitanhatu vasati vatanga kurapwa uye vanofanira kurayirwa kuti varege kunwa doro kwenguva refu kwemwedzi mitanhatu mushure mokupera kwerapi.
Sources:
Mueller, S ;; Millonig, G ;; uye Seitz, H. "Chirwere chinokonzera doro, uye hepatitis C: Anowanzorambidzwa kusanganiswa." World Journal of Gastroenterology. July 28, 2009; 15 (28): 3462-3471.
National Institutes of Health (NIH). "Hepatitis C uye Alcohol." Bethesda, Maryland; yakabudiswa musi waSeptember 29, 2004.