Chirwere chetachiona, chikwata chepamuviri, kuwirirana kwehutachiona kunokonzera ngozi
Hepatitis C chirwere chinokonzerwa nehutachiona hunobata chiropa chinowanzopararira kuburikidza nekushandiswa kwakaitwa neshandi nemasero. Asi haisi iyo chete nzira iyo vanhu vanogona kutapukirwa nayo. Gore roga roga kuU.S., vakadzi vanenge 40 000 vane hepatitis C vanoberekwa, uye vana 4 000 vevana vavo vanoedza kuve nehutano hwehutachiona hweH hepatitis C (HCV).
Kunyange zvazvo vashomanana ne10 kubva muzana vachamhanya vachienda kuhutachiona husingaperi , izvo zvichiri kukonzera kukonzera-zvikurukuru sezvo kune vashomanana, kana pane, izvo zvinowedzera kana kuderedza dambudziko rekuparidzirwa kubva kuna amai kusvika kumwana.
Uyezve, kusavapo kwechirwere cheHCV , pamwe nekushaikwa kwemashoko maererano nekushandiswa kwemishonga yeHepatitis C panguva yekuzvitakura, zvinoreva kuti nzira dzokudzivirira dzinowanzowanikwa.
Asi izvi hazvirevi kuti hakuna zvinhu izvo vabereki vanogona kuita-kana mibvunzo inogona kukumbira-kana mumwe kana vose vane hepatitis C uye vari kutarisira (kana kuronga kuva) mwana.
Hepatitis C Kubatwa neChato chekuberekwa
Kunyange zvazvo ichiri kuwanzana mumashoko ekusimudzira eHCV kuti aparadzwe kubva kuna amai kuenda kune mucheche kuburikidza nehutano husina kuitika, muUnited States uye nedzimwe nyika dzakasimudzirwa HCV kutapudza zvinowanzoitika kana muchibereko kana munguva yebasa.
Zvimwe zvidzidzo zvinoratidza kuti njodzi inowedzera munguva dzekupedzisira dzekudzivirira.
Izvi zvingave zvakakodzera, muchidimbu, kuwedzera muhuwandu hwehutachiwana panguva yechipiri uye chechitatu vatatu, izvo zvinowedzera kudonha mumavhiki mashure ekuberekwa.
Kazhinji kutaura, amniotic fluid pachayo haingavi nehutachiona. Zvinowanzoitika kuti kutapurika kunowanikwa apo hutachiona hunopinda mu-placenta uye / kana masero epithelial anowedzera chibereko.
Hatisati tine chokwadi zvachose kuti nei izvi zvichiitika kune vamwe vakadzi uye kwete mune vamwe, kana kuti zvipi zvepanyama zvinokonzera kutumira.
Kunyange utachiona hunogona kuitika panguva yekubereka semugumisiro wekutsvaga ropa rekuberekwa uye muviri wemvura, njodzi inowanzosiyana zvikuru maererano nekukura kwehutachiwana muamai.
Hepatitis C Dambudziko rekuita pamuviri
Chimwe chikonzero chinonyanyobatanidzwa nehutachiona hwehutachiwana hweHCV ndihuwandu hwehutachiwana muropa raamai uye mumvura. Izvi zvinotaridzwa nemuedzo unonzi HCV utachiona huwandu, hunoverenga huwandu hwehutachiona hwemavhiri mu millilita yeropa. Kukosha kunogona kubva kune zvishoma zvishoma sezviuru zvuru zvemaviral particles kune mamiriyoni akawanda, ane hutsika hukuru hunobatanidza nepamusoro dambudziko.
Chimwe chinhu chinobatanidzwa nehuwandu hwehutachiwana hwehutachiwana hutachiwana hutachiona hweHIV . Izvi zvinonyanya kukosha zvakapiwa kuti hutachiwana hweHCV / HIV hutachiwana hunogona kukwira zvakakwirira se20 muzana mune dzimwe nyika.
Panguva yekuzvitakura, chirwere cheHIV chisingadzorwi chinogona kuwedzera mukana wekutapurirwa kweHCV ne20 muzana, maererano nekutsvakurudza kubva kuNational Institutes of Health. Uyezve, vanaamai vane hutachiwana neHCV neHIV vanopfuura kaviri vanokwanisa kutumira HCV kumwana wavo asati aberekwa kana vari ikozvino vashandisi vezvinodhaka.
Hepatitis C uye Kesariya Chikamu
Zvinoshamisa, kwete. Kuongorora kwakasiyana-siyana hakuna kuratidza huwandu hwehuwandu hwehuwandu hwekutapurirwa kana amai vanopa vaginha kana neC-chikamu. Asi izvi hazvirevi kuratidza kuti pane zvisiri izvo zvingaitwa pakugadzirisa maitiro uye nguva yekuendesa.
Chimwe chikonzero chinozivikanwa pakuwedzera ngozi yekutengesa ndeye kupera kwenguva refu kwemuviri panguva yekubereka. Kuputika kwenguva refu kupfuura maawa matanhatu kunosangana ne30 muzana kunowedzera ngozi, zvichiratidza kuti zvose zvinoshanda zvinofanira kuitwa kuitira kuti chikwata chechipiri chebasa chiite shoma sezvinogona. Izvi zvinonyanya kuitika kana mai vane HCV yakakura yehutachiona.
Saizvozvowo, chero nzira ipi zvayo yezvokurapa inopesana iyo inoita kuti ropa-ku-kuwedzerwa ropa kunowedzera mikana yekuparidzirwa. Izvi zvinosanganisira amniocentesis, iyo inotakura pangozi yakawandisa yekutapurirana, uye mukati memafupa ekuongorora, iyo inofanira kudziviswa munguva yebasa.
Hepatitis C uye Breastfeeding
Hapana zvachose uchapupu hunoratidza kuti kunyamwa kunogona kuwedzera mukana wekutapurirwa kweHCV kubva kuna amai kusvika kumwana. Ndicho chikonzero ichi kuti Centers for Disease Control uye Prevention (CDC) uye American Congress of Obstetrics uye Gynecologists (ACOG) inotsigira kunwisa vanaamai vane HCV. Nezvo izvo zvichitaurirwa, vanaamai vane mapundu anoputsika kana anopa ropa vanofanira kufunga nezvevamwe nzira, kunyanya kana vane utachiona hwakakura hwehutachiona.
Amai vane hutachiwana neHCV neHIV havafanire kunwisa sezvo kune imwe nguva inogona kuisa HIV kune mwana . Izvi ndezvechokwadi kunyanya kune vanaamai vasati vasvika pakushandiswa kwetachirwere chetachiona kana vasingakwanisi kuwana zvisingaoneki zvehutachiwana hweHIV.
Chii Chinoitika Kana Mwana Achiedza Anoita Zvakanaka
Vanenge vose vana vanoberekerwa vanaamai vane HCV vacharatidza zvirwere zvehutachiwana. Izvi hazvirevi kuti mwana wacho ane utachiona. Zvirwere zvirwere zvinongova maune mapuloteni anokonzerwa nemuviri mukurwisa zvirwere-zvinokonzera zvirwere seHCV.
Muzvitsva, maHCV anowanzogara nhaka (zvinoreva kuti anobudiswa naamai uye akapfuudzwa kumwana). Sezvo zvakadaro, kuvapo kwavo hakurevi kuti mwana ane utachiona. Muzviitiko zvakawanda, nhamba yezvirwisana inopera nekufamba kwenguva, uye chero ipi zvayo kubva pa90 kusvika ku 96 muzana yevana vachirasira chirwere ichi pakati pezera remwedzi 18 ne24.
Sezvo zvakadaro, zvinokurudzirwa kuti vana vaongororwe neHCV mushure memwedzi gumi nemana. Kana kuedzwa kwepakutanga kuchidiwa, chiyero chinonzi HCV RNA test mayo inogona kuitwa mushure mezera remwedzi 1-2 uye rinodzokorora pane rimwe zuva rinotevera kuti riongorore kana kune hutano hwehutachiona hwehutachiona. Apo kunyanya kuongororwa hakuzogadziri nzira yekurapa kwemwana, zvinogona kubatsira kuderedza kuzvidya mwoyo kwevabereki.
Kana mwana akanyatsoongororwa ane hepatitis C, izvozvo hazvirevi kuti mwana acharwara. Hepatitis C inowanzofambira mberi zvakaderera kune vana kudarika vanhu vakuru, uye inopfuura makumi mapfumbamwe kubva muzana inoratidza kusakwana kwechivande chechiropa (ne-fibrosis) nezera remakore gumi nemasere.
Uyezve, vana nevechiri kuyaruka vane HCV vanofarira kupindura hepatitis C therapy, kana zvichidikanwa, kubudirira kuzorapwa zvirwere uye nezvishoma zvisingabatsiri pane vanhu vakuru.
Kudzivirira Hepatitis C mukudzivirira
Kana uine chirwere chekushaya chipatara C uye uchitarisira kuva nepamuviri, taura nachiremba wako pamusoro pezvinodiwa kurapwa. Nhasi, kurongedza maitiro ekurapa (DAAs) vari kuwana mushonga wehutano huwandu hunopfuura 95 muzana kune vamwe vanhu, pamwe nekurapwa kwenguva dzisingagumi semavhiki 12 kusvika ku16.
Izvozvo zvinoshanda kana iwe usina HCV, asi wako wako. Kunyange zvazvo pasina nzira yekuti murume ave nehutachiona hwehutachiwana, pane hutachiwana hwehutachiwana kune mukadzikadzi. (Pasinei nemari yakakura yeHCV chirwere, kupindira kuri kuwedzera sevayori vehurumende vanocherechedza kuchengetedza kwenguva yakareba kunobatanidzwa nekudzivirira kenza yeropa uye kuburitswa kweprhosis .)
Zvakakosha kucherechedza, zvisinei, kuti chirwere cheHCV hachiwanzobvunzwa kana kusina chero chimwe chinoratidza kurapwa. Kana chiropa chinonzi fibrosis chiri chiduku kuti chisipo uye kuti utachiona huri pasi, zvichida hazvizodi kutanga kutanga kurapwa. Chimwe chete chinogona kunge chave chichivhiringidza vashandisi vezvinodhaka vanobvuma kushandiswa kwekuberekwa kusvikira chirwere chapera.
Kune rumwe rutivi, kana uine hepatitis C uye uchitova nepamuviri, iva nechokwadi chokuti unosangana nemunhu anonzi hepatologist kana gastroenterologist kuti uve nechokwadi chekuti iwe usadzivirire zvinhu zvakawanda zvinowanzobatanidza nehutachiwana hwemwana kusvika kumwana.
Zvakakosha ndeyekurumidza kurapwa kwehutachiona hweHIV , pasinei nokuti uri pamuviri kana kuti kwete. Nokudzivisa hutachiona hweHIV kune zvisingagoni kuonekwa, iwe unoderedza zvikuru kuparara kusingaperi kunobatanidza nehutachiona. Izvi, zvakare, zvinogona kuderedza hutachiona hweHCV panguva yekusununguka uye zvakare mushure mokuberekwa.
Zvidzidzo zvenguva pfupi zvakaratidza kuti vanaamai pamishonga inorwisa mabhakitiriya nemishonga isingaoneki yehutachiwana vane njodzi imwechete yekutapurirwa kweHCV sevana vasina HIV.
Kuchechera Kubata Kunobata My Hepatitis C?
Zvichida kwete. Zvisinei, nhoroondo yezvino inowanzopikisana, nedzimwe dzidzo dzinofunga kuti pamuviri unofambira mberi kwechiropa fibrosis kuvakadzi vane HCV apo vamwe vanotaura kuderera kwekuwedzera kwezvirwere.
Nezvo zvichitaurirwa, vakadzi vane HCV vangave vari pangozi yakakura yekudzivirira kubata pamuviri. Chimwe chidzidzo chekugarisa vanhu kuWashington chakaratidza kuti vacheche vakaberekerwa neHCV-vakanaka vanaamai vaiwanzova nehotera shoma, asi vanaamai vaive nehuwandu hwehutachiwana hunokonzera chirwere cheshuga (kazhinji huchibatana nehuwandu hwekuwanda kwehutano).
Asi izvi zvinoratidzika sezvakawanda kunze kwekutonga. Kuwanda kwevanaamai vane HCV, kutora mimba hakuzove kwakaoma pasina kuwedzera kwechirwere cheropa uye hapana mamiriro ekuvadza kumwana.
> Sources:
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> Pergam, S ;; Wang, C .; Gardella, C .; et al. "Kubata pamuviri kunobatanidza ne hepatitis C: data kubva muna 2003-2005 Washington state birth cohort." American Journal of Obstetrics. 2008; 199: 38 (e 1-9).
> Dhipatimendi reUnited Health yeHurumende neHuman Services. "Kufungidzirwa kweAnterretroviral Kushandiswa Muvarwere Vanokwereta: Hepatitis C (HCV) / HIV Coinfections." Bethesda, Maryland; yakagadziriswa July 14, 2016.
> Dhipatimendi reUnited Health yeHurumende neHuman Services. "Zvirongwa zveKushandisa Antiretroviral Zvinodhaka Madzimai Akaberekwa neHIV-1-Akabatwa neHana hweMadzimai uye Matongerwo Ekuita Kuti Kuderedza Kuparara kweAIDS kuPininatal kuUnited States." Rockville, Maryland; yakarongwa musi waMay 21, 2013.
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