Utachiona hweHepatitis C (HCV) hunowanzoonekwa huine kuongorora ropa. An antibody test test anogona kuziva kana muviri wako waifanira kurwisana neHCV chirwere. Kuongororwa kweropa kunotanidza hutachiwana muropa rako kunosimbisa kuongororwa, asi zvinoguma zvinotora nguva yakareba. Dzimwe nguva, chiropa chinoshanda chekuedza, zvidzidzo zvekufungidzira kana chigadzirwa chinogona kusimbisa kana kusimbisa kufungidzirwa zvakare.
Kudzika-Cheki / Pamba-Kuedzwa
Kana iwe uchifunga kuti unogona kuva neHCV, pane zviratidzo zvishomanana zvaungaedza kuzvitsvaga iwe pachako. Dambudziko, zvisinei, nekuzviongorora kweHCV, ndezvokuti zvizhinji zvezviratidzo zvaunogona kuona zvinowanzoonekwa kune dzakawanda zvirwere. Zvimwe zvezviratidzo zvaunogona kutarisa zvinoratidza zvirwere zvechiropa, asi hazvisi zvakananga kuHCV.
Ganda uye Maziso
Chiratidzo chinonyanya kukosha cheHCV ndeche jaundice, ruvara rwechivara rweganda nemaziso. Jaundice inokanganisa muviri wose uye chikamu chemaziso. Muvara uyu unogona kuonekwa seine unyoro wenyoro, unenge wakaita sezuva, kana, kana hutachiona hwave hwakakonzera simba rechiropa basa, maziso ako uye ganda zvinogona kunge zvakanyanyisa ruvara rwehuzha.
Jaundice inoratidza chiropa kusakundikana kana chiropa chisina kumira, saka hachisi chaicho kune HCV.
Abdominal Distension
Kuwedzerwa kwemuviri wepamuviri, kana kuti pasina kusagadzikana, kunowanzoitika pakupedzisira kweHCV.
Vanhu vazhinji havana zviratidzo zveHCV mumatanho ekutanga ehutachiona, uye kusununguka kwemuviri kunogona kuva chizivo chokutanga chaunacho cheHCV.
Flu-Sezviratidzo
Kana uine hutachiona hweHCV, iwe unogona kunge une fever ine simba, kuneta, musimba aches, kurasikirwa kwechido, kuora mwoyo uye kusagadzikana kwepamu. Iwe unogona kuwana izvi nechokuita chero hutachiona hwehutachiona, naizvozvo hausi chizivo chakasimba chauna hepatitis.
Gastrointestinal Symptoms
Kana iwe uine hutachiona hweHCV huripo, iwe unogona kunge uchinzwa kugumburwa mudumbu, kushungurudza, kusuruvara kana kurambana. Sezvakaita zviratidzo zvinotonhora, iyi haisi chiratidzo chakasimba cheHCV chirwere, sezvo chinogona kuitika kune dzimwe zvirwere pamwe chete.
Risk Factors
Kazhinji yenguva, hauzombozivi pakarepo kana wakabatwa neHCV. Kunyatsofunga pamusoro pekuti iwe une chero njodzi yezviitiko ndiyo nzira yakanakisisa yekuongorora kana iwe ungave neHCV.
Kana uine zvinhu zvinopisa mungozi kana chimwe chezviratidzo zveHCV, zvinokurudzirwa kuti uongorore utachiona.
Labs uye Miedzo
Pane hutachiwana hutachiwana hunogona kuongorora hutachiona hweHCV, sarudza nzira yakanakisisa yekurapa, uye chengetedza kufambira mberi kwako. Ropa rekuongorora rinogona kutarisa HCV antibody, neHCV pachayo, uye nokuda kwechiropa basa rinochinja.
HCV Antibody Blood Test
Apo utachiona hweH hepatitis C hutapukira maawa ako eropa, muviri wako wekuzvidzivirira unopindura uchishandisa ma antibodies kuti uone mavirusi sevanokuvadza. Izvozvo zvinoratidzika kuti zvinoreva HCV, saka kuvapo kwavo kunoratidza kuti iwe wakanga uine HCV pane imwe nguva muupenyu hwako. Antibody test can not distinguish between epidemic or current infections, so clinical information such as medical history, signs, symptoms or other tests can determine whether you have an infection or active infection.
Muzvokwadi, chirwere chakachengetedza maitiro chinogona kunge chinoreva kuti wakave nehutachiona hwakakunda, uye kuti iwe unofanirwa kuvharirwa neHCV.
- Ropa Rokuyeresa: Enzyme-Linked ImmunoSorbent Assay (ELISA) miedzo inogona kuona zvirwere muropa rako. Kune zvakawanda zvakasiyana-siyana zve ELISA. Nyanzvi yeE ELISA yeHCV inotsvaga sveru yeropa kumunhu weHCV. Kana zvirwere zvinowanikwa, izvi zvinoreva kuti unogona kuva neHCV chirwere. IEEISA test is very sensitive, uye inofadza 95% yenguva iyo iwe une HCV maviri. Uku kunzwisiswa kwepamusoro kunoreva kuti kana chirongwa che ELISA chiri chakaipa, unogona kunzwa uine chivimbo chekuti hauna HCV. Zvisinei, inonyatsoratidza kuti inogona kunge isina kujekesa maHCV, uye pane zvingangoita kuti chiitiko chakanaka chisakanganisika. Nokuda kwechiitiko chechikonzero chakanaka chenhema, chiitiko chechipiri chinogona kudikanwa kuti chionekwe mhinduro dzepakutanga.
- Kurumidza Kuedzwa: Kuedza kwakakurumidza kunogona kuona HCV muropa rako kana samapira ne 89% senzwi uye 100% zvakananga. Izvi zvinoreva kuti hazvirevi senzwi sekuedza kwe ELISA, uye inogona kusava nehupo hweHCV dzimwe nguva. Asi kana kuedza kuri kwakanaka, ipapo unogona kuva nechokwadi kuti wakambova neHCV mumuviri wako pane imwe nguva.
Hepatitis C RNA
Kuonekwa kweHCV RNA, iyo inoshandiswa nehutachiona hwehutachiona, inoratidza kuti utachiona pachahwo huripo mumuviri wako. Iyi miedzo ine simba inobvumira vanachiremba kuti vaone kuti uri kupindura sei kurapwa nokuti inogona kuisa huwandu hwehutachiwana muropa rako, iyo inowanzozivikanwa sehutachiona hwehutachiona . Iyo inoona hutachiona kuburikidza nekushandisa PCR teknolojia (polymerase chain reaction), iyo ndiyo nzira yekucherechedza mazai ezvepabonde.
Shandisa ELISA uye HCV RNA miedzo pamwe chete:
- Negative ELISA = Hapana hepatitis C mishonga inowanikwa muropa. Iwe pachako hauna kutapukirwa neHCV.
- Positive ELISA = Unogona kuva neHCV chirwere. Zvisinei, zvinokwanisika izvi ichokwadi-inhema. Kunyanya kuedzwa kunodiwa.
- Hative HCV RNA = Hapana hutachiona hweHCV.
- Positive HCV RNA = Active HCV chirwere.
Hepatitis C Virus Genotyping
Utachiona hweHepatitis C hahuna hwakafanana. Zvechokwadi, zvose zvinoratidzika sevirusi yeA hepatitis C uye zvose zvinogona kukonzera chirwere chakanyanya uye chisingaperi chekushaya hepatitis C, asi hachisi chaiyo chaiyo. Vane kusiyana kwakasiyana-siyana kwemashoko, uye vanobatanidzwa mujenotype dzakasiyana-siyana (genetic types). Kuziva kuti genotype yako inogona kuderedza zvakanyanya nguva yekurapa kwako nokuti chiremba wako anogona kusarudza kurapa kwakanaka kwemarudzi eHCV une.
Zvinyorwa zvakakosha nokuti hutachiona hweH hepatitis C dzakasiyana-siyana hunoda kusiyana kwekurapa. Vanachiremba vanoona HCV yako genotype ne test laboratory inoshandisa nzira inonzi reverse transcription polymerase chain reaction (RT-PCR). Uyu muedzo unoongorora mazita ehutachiona hwehutachiona kuti atarise mararamiro ayo, anoratidza hutachiona 'genotype.
Chiropa Basa Rinoedzwa (LFTs)
Chiropa chekuita zvirwere zvinogona kunge zvisingaiti kana hutachiona uye kuputika kuchikonzera chiropa chechiropa. Iyi miedzo inowanzotarisirwa kuva isina kujairika kusvika panguva dzekupedzisira. Uye, kurapa kweHCV kunogonawo kuchinja mazinga eLFT.
I-LFTs iyo inoshandurwa kana iwe uine chiremera chechiropa inosanganisira:
- Albumin
- Bilirubin
- Prothrombin Time (PT)
- International Normalized Ratio (INR)
LFTs iyo inogona kuchinjwa kana iwe uine kuputika kwechiropa kunosanganisira:
- Alanine aminotransaminase (ALT)
- Aspartate aminotransferase (AST)
- Gamma-glutamyl transaminase (GGT)
Imaging
Kuenzanisa miedzo kunogona kuratidza kuvhiringidza kwechiropa, kuwedzera kwechiropa, kupera kwechiropa kana mvere muropa. Kufananidza migumisiro hakugoni kunyatsoratidza hutachiona hweHCV. Chero yemigumisiro iyi inogona kuitika semugumisiro weHVV utachiona, kunyange zvazvo inogona kuitika kune chero chirwere chechiropa pamwe chete. Iwe unogona kuve nekufungidzira zviyero kana uine kushungurudzwa kwemimba, chirwere chakanyanya jaundice kana zviratidzo zvinoratidza kuti unogona kuva nekenza. Iwe unogonawo kudikanwa nekufungidzirwa zvirwere kana chiremba wako ane hanya nezvimwe zvinogona kuongororwa zvinogona kuonekwa pamakamu ekufungidzira kwemuviri, zvakadai se appendicitis kana gallstones.
- Muchiedza Ultrasound: Muedzo uyu unogona kuongorora kusakanganiswa muropa uye mudumbu, uye unogonawo kuona kuti mvura inowedzera mudumbu, inogona kuitika nechiropa kusakundikana.
- Computerized Axial Tomography (CT) inoongorora: Mucheche CT scan inogona kuona kuchinja kwehukuru nekuwanda kwechiropa uye inogona kufungidzira mashoma kana zviratidzo zvekenza yekare.
- Magnetic Resonance Imaging (MRI): MRI inogona kukonzera kusakanganisika kunoratidza chiropa chisingaiti kana kenza.
- Chiropa Chirwere: Chiropa chinoputika chikamu chezviviri zvakatorwa pachiropa uye kuongororwa pasi pekroscope kuti utsvake zviratidzo zvezvirwere. iyo nzira inowanzotungamirirwa nezvisungo zvisina kujairika zvakataurwa pamusoro pezvidzidzo zvekufungidzira.
Kusiyanisa Kuongorora
Zvinetso zvakasiyana-siyana zvehutano zvinogona kukonzera LFTs dzisina kukwana uye kubudisa zviratidzo zvakafanana neaHCV chirwere. Zvisinei, hapana chimwe chezviitiko izvi chinogona kuita kuti uve nechirwere cheHCV chekudzivirira ropa kana kuti HCV yakanaka RNA test.
- Zvinodhaka Hepatitis: Kunwa doro kunogona kukonzera zvinetso zvakakomba muropa, kusanganisira mafuta echiropa, cirrhosis uye kenza. Kubudirira kwechirwere chechirwere chinodhaka kunoitika zvishoma nezvishoma pane nguva, uye zvidzidzo zvekufungidzira zvinogona kuratidza maitiro akasiyana pane izvo zvaizotarisirwa neHCV.
- Hepatitis B (HBV): Chirwere chekurwara neHBV chakanyanya kukurira kudarika cheHCV, kunyange zvazvo kune zvingave zvakafanana nokuti zvose zviri mavairasi anokonzera chiropa.
- Hepatitis A (HAV, hep A) : Rimwe hutachiona hunokonzera hepatitis, kufanana neHCV, hep A, inogona kukonzera chirwere chepfungwa sezviratidzo. Iyi hutachiona inoendeswa kuburikidza nekudya kusvibiswa. Inopararira nokuti hutachiona huri muhangu (poop) uye hunogona kupararira kubva kumunhu kusvika kumunhu nekuda kwekuswa maoko kusina kunaka.
- Cholecystitis (kuvhiringidzwa kweguruvladder) kana Coledocholithiasis (mabwe emhangura): Gall mabwe kana mukuputika kwegorovladder kunogona kukonzera jaundice, nekunyuka, kurutsa uye fever. Cholecystitis uye choledocholithiasis zvinogona kurwadza zvakare.
- Appendicitis: Kurwiswa kana kutapurirwa kwezvinyorwa kunokonzera kurwadziwa kwepamuviri uye fever, uye zvinokurumidza kukurumidza. Dzimwe nguva, kuwedzera kwemaitiro kunogona kukanganisa neHCV hutachiona kana kurwadziwa kwekuwedzera kwechikwata kunenge chiri nyore. HCV chirwere chinogona kukanganisa kuwedzera kwependika kana kurwadziwa uye kusuruvara kwemuviri zvakanyanya kudarika zvinowanzoitwa zviratidzo zveHCV.
- Hepatocellular Carcinoma: Kanzera yechiropa inogona kukonzera mimba kudzivirira, jaundice uye zvisina kukwana LFTs. Kanzira yechiropa inogonawo kukura semugumisiro wekupedzisira kweHCV. Zvakakosha kuziva kana HCV yaiva chikonzero chekenza nokuti hutachiona uye kenza pamwe chete zvinoda kutarisirwa.
> Sources:
> Deterding K, Höner Zu Siederdissen C, Port K, et al. Kuvandudza kwechiropa mapiramita muhutano hwakakosha hweHCV-yakabatana nechirwere chepirhosis neFNN-pasina remishonga inorapwa. Aliment Pharmacol Ther. 2015 Nha.; 42 (7): 889-901. doi: 10.1111 / apt.13343. Epub 2015 Aug 6.
> Lee SJ, Cho YK, Na SY, et al. Kudzvinyirira kweesophageal varices uye splenomegaly muvarwere vaviri vane hepatitis-C-yakabatana nechiropa chinonzi cirrhosis mushure mekunge interferon uye ribavirin inodhaka. Clinic Mol Hepatol. 2016 Sep; 22 (3): 390-395. Epub 2016 Aug 30
> Pallarés C, Carvalho-Gomes Â, Hontangas V, et al. Kuitwa kwehutachiona hweAraQuick Hepatitis C inoshandiswa mumuromo wemvura uye fingerstick ropa uye mushure mekunge kurapwa-kuwedzerwa kwemhepo. J Clinic Virol. 2018 May; 102: 77-83. doi: 10.1016 / j.jcv.2018.02.016. Epub 2018 Feb 24.