Kunyange zvazvo zvisizvo zvisingagoneki kudzivirira kenza yeropa, unogona kuderedza ngozi yako nekuporwa nehepatitis B, kuongororwa nehepatitis C, kuita zvepabonde rakachengeteka, nekudzivirira kudhakwa kwako. Zvimwe zviyero zvingaderedza dambudziko rako kunyanya. Pamwe chete, hepatitis B uye hepatitis C zvirwere zvinokonzera 85 muzana kusvika 90 muzana yekenza yeropa, saka kutora matanho ekudzivirira zvirwere izvi, uye kutsvaga kurapwa kwavari kana zviripo, inzira yakanakisisa yokusaderedza ngozi yako yekenza yeropa asi zvimwe zvirwere zvakabatana.
Vaccination
Zvinosuruvarisa, hapana chirwere chehepatitis C. Chirwere chehepatitis B , zvisinei, chinokurudzirwa kuvana vose muUnited States uye inotarisirwa nezvikoro zvekugamuchira.
Kana iwe uri munhu mukuru, rongorora zvinyorwa zvako zvezvechiremba kuti uone kuti iwe wakanyatsorapwa. Kana iwe usiri iwo marekodhi, taura nachiremba wako pamusoro pekunge kuwana chirwere che hepatitis B chakakunakira iwe. Vamwe vanhu vakuru vasina kupiwa zvirwere vangada kufunga kuti vachakororwawo, kunyanya kana vane dambudziko rekuwana chirwere chacho.
Ikozvino yakakurudzirwa kuti vese vashandi vehutano vanogamuchira chirwere, pamwe chete nemumwe munhu angave aine hutano neropa.
Zvinokonzerwa nehutachiona hweH hepatitis B zvinosanganisira kuva nemishonga yakawanda yepabonde, kushandisa injectable (hamisi) zvinodhaka, vane zvirwere zvepabonde (kusanganisira chirwere cheHIV), vane chirwere chechirwere chisingagumi, uye vane chirwere cheshuga pasi pezera remakore makumi matanhatu. Kubva kuwanda kwehepatitis B kunze kwe United States, vanhu vakuru vakaberekerwa kune dzimwe nyika vari pangozi sezvo utachiona hunogona kutamirwa kubva kuna amai kuenda kumucheche panguva yekuberekwa kana kunwisa, kazhinji kunoguma nehutachiona husingaperi.
Iko vanhu vakawanda vasinganzwisisi ndeyekuti zviri nyore kugadzirisa chirwere che hepatitis B , kusiyana nemavaraira akaita seHIV. Kungobatanidza mazino ezino kana kuva nezviduku zvishoma paruoko rwako uye kugunzva bharuti rinoshandiswa nehuwandu hweropa kubva kune mumwe munhu ane hepatitis B zvakakwana kuti abvumirane nehutachiona.
Vanenge 95 kubva muzana yevanhu vanotapukirwa nehutachiona hweH hepatitis B vanojekesa hutachiona, kunyange vachigona kurwara zvikuru. Izvo zvikamu 5 kubva muzana zvinotakura zvigaro zvisingaperi zvechirwere. Vanowanzosarwara pavanenge vakazviwana uye vangave vasingazivi nezvehutachiona kusvikira huchikuvadza zvikuru (kusanganisira izvo zvinotungamirira kuchirwere chechiropa).
Kuedzwa
Kuongororwa kwezvirwere zvinogona kukonzera kenza yeropa kunogona kufamba nenzira yakareba mukubata zvinhu izvi zvinotanga kuedza mukuedza kuvadzivisa kuti vafambire nenzira iyi.
Hepatitis B uye C Kuedza
Kana iwe wakaberekwa pakati pa1945 na1955, ivai neropa renyu rakaedzwa nekuda kwehepatitis C. Vamwe vanhu vane zvipingamupinyi, zvakadai sezvakakurukurwa nehupatitis B, inofanira kuongororwa zvakare.
Hepatitis C ndiyo inokonzera kukonzera chiropa muUnited States, Europe, uye Japan. Iyo inogadziriswa nenzira yakafanana ne hepatitis B, asi makumi mana kubva muzana yevanhu vanotakura chirwere havakwanisi kuisa njodzi dzechirwere ichi.
Vanhu vane utachiona hweH hepatitis C vane mikana yakawanda yekuve vatakuri kune avo vanotapukirwa nehepatitis B, uye 10 muzana kusvika 30 kubva muzana yevanhu vanotapukirwa nehutachiona vacharamba vachikudziridza chirwere chendrhosis.
Chirwere chehepatitis C chakangowanikwa muna 1989, uye kuedza kweropa kunoshandiswa kuwedzerwa kwehepatitis C kwave kungoitwa kubva kuma 1990. Izvi zvinorevei, ndeyekuti ani zvake aive nekuwedzerwa ropa kare iyeyo asati ava pangozi, saka mazano ekuedzwa.
Kana zvakatemwa kuti munhu anotakura hepatitis C, mishonga inowanika inokwanisa kubudisa hutachiwana mu 99 kusvika kuzana muzana yevanhu. Izvi zvinoreva kuti kunyange kana iwe uine chokwadi, unogona kukwanisa kudzivirira chirwere chepirhosis uye kuderedza dambudziko rako rekenza yeropa.
Kana zvakatemwa kuti mumwe munhu anotakura chirwere cheH hepatitis B, kune mishonga inogona kuderedza dambudziko rekuwedzera chirwere chendrhosis (pamwe pamwe nekenza yeropa) zvakare.
Asi kuitira kuti uonekwe, unoda kuziva kuti iwe unotakura utachiona.
Hemochromatosis Testing
Kuva nhengo yemhuri iyo ane kana kana ane kenza yemukondombera inowedzera dambudziko rako, asi zvakadaro ine kuva nehuwandu hwezvirwere zvakasiyana-siyana zvehutano, zvimwe zvausingazivi kuti iwe unotakura. Hemochromatosis- kunyanya kuwedzerwa uye kuchengetedzwa kwesimbi kunotungamirira ku-cirrhosis uye, munguva inenge, kanzera yechiropa-imwe yeiyo.
Kana uine mhuri yevanhu vane chirwere chechiropa (kwete kungova nekenza yemuropa) asi avo vakanga vasina kunyanya kunwa doro, taurai nachiremba wenyu nezvekuedzwa kwechirwere. Dzimwe nhengo dzemhuri dzinogona kukuvongai zvakare, sezvo mamiriro ezvinhu ari kunyanya kuongororwa.
Kune dzimwe hutachiona hwehutachiona, zvisinei nezvishoma zvishoma, zvinokonzera njodzi yekenza yeropa. Zvakakosha kuziva ruzivo rwemajini yako kuitira kuti chiremba wako anogona kukuedza zvakakwana kune vamwe zvingangodaro zvine chokuita nekenza yeropa kana zvimwe zvirwere zvehutano.
Zvepabonde Zvakachengeteka
Zvose hepatitis B uye hepatitis C zvinogona kuderedzwa zvepabonde. Kushandiswa kwekondomu nguva dzose kunogona kuderedza zvikuru njodzi yako yekugadzirisa kwete hepatitis chete asi dzimwe zvirwere zvepabonde, kusanganisira HIV.
Kana iwe uine hepatitis B, iwe unofanirwa kukurudzira shamwari yako kuitira kuti awane chirwere. Kunyangwe mushure mekudzivirira, kondomu dzinofanirwa kushandiswa. Waunofambidzana wako anogona kuongororwa kuti aone kana iye asina kudzivirirwa mwedzi mitanhatu mushure mekupedzisira.
Kana iwe usina hepatitis B, iwe unogona kuderedza dambudziko rako nekuderedza nhamba yako yevanhu vanoita zvepabonde.
Kana uine hepatitis C, unofanira kushandisa kondomu. Kana iwe ukabatwa, uye pakupedzisira ujekesa hutachiona, unogona kukwanisa (kunyange izvi zvinongorayirwa chete kana uri muukama humwechete). Hepatitis C haigoni kupararira zvepabonde pane hepatitis B, asi ichiri kugoneka.
Kuderedza Doro Kubatwa
Kunwa doro rakawandisa doro kunogona kukonzera kupfuurira kunowedzera kwechiropa, chiitiko chinonzi cirrhosis. Kana kunwa kuchienderera mberi, chirwere chacho chinogona kufambira mberi kubva pakuvharidzirwa kwepirhosis (zvinoreva kuti chiropa chinogona kushanda kune imwe nzvimbo) kubhadhara chirwere chepirhosis (uko chiropa chisisashandi).
Chinokosha ndeichi: Cirrhosis inowedzera ngozi yako yekushaya chiropa, uye kwenguva yakareba doro rinodhaka rinoshandisa (zvinodarika zvinwiwa zvinodhaka zuva nezuva) zvinogona kuwedzera mungozi yekenza yeropa. Kana iwe usingakwanisi kumira, taura nemutano wako wehutano pamusoro pezvokurapa kana kushandiswa kutsigira mapoka akaita seAlcoholics Anonymous.
Kusvuta Kupedza
Kana iwe uri kusvuta, ino ndiyo nguva yekurega. Mukuwedzera pakuwedzera ngozi yako yehutano hwepfungwa, kurohwa, uye dzimwe kenza, kusvuta kunogona kuwedzera njodzi yekenza yeropa.
Chidzidzo che 2018 chakawana kuti apo kusvuta kwakakonzera njodzi yekenza yeropa nechikamu chinenge 25 kubva muzana, kusanganiswa kwekusvuta uye kuva mutakuri weirwere ye hepatitis B yakanga yakawanda kudarika kuwedzerwa maererano nehuwandu hwekuwedzera kwehuwandu. Vaya vaitakura hepatitis B asi vakanga vasati vambosvuta vaiva 7.6 nguva yakawanda yekuwedzera kenza yechiropa, asi kune avo vaiva nechipatara B uye vakambosvuta, dambudziko racho raiva 15.68 kanopfuura rakakura.
Kana iwe uri bhizimisi, hutano hwako hwehutano huchakwanisa kubhadhara mari yekuda imwe yekuedza kusvuta kuedza gore negore. Dhipatimendi rehutano hwenyu hwemunharaunda inogona kupawo kusununguka kusvuta fodya kubatsira.
Kuchengetedza Nyore Kushandisa
Nhamba huru yehutachiona hweH hepatitis (pamwe chete nehutachiona hweH hepatitis B) dzinokonzerwa nekushandisa injirisi (IDU). Pasina chirwere chekudzivirirwa nehepatitis C (kana kuti HIV), nzira chete yechokwadi yekudzivirira utachiona hweDUU ndeyekuti usaisa mishonga yemishonga kana kuti usarega kugovana masero netsvimbo. Izvi zvinosanganisira kushandiswa kwakashandiswa kwezvinhu zvinodhaka, zvakadai sekotoni, spoons, nezvimwe zviyo zvokubika.
Kana ukasarudza kupfuurira kuvhara zvinodhaka, unofanirwa kuwana mahara ekugadzirisa kushandiswa kwezenziso zvirongwa zvakapiwa nehurumende dzakawanda dzehurumende nehurumende. Funga, zvisinei, kuti mushonga wemishonga inoshandiswa hausi kungowedzera ngozi yako yekuwana hepatitis asi inogona kukurumidza kuwedzera zvirwere zvechiropa-zvinoreva kuti njodzi yako yevirus cirrhosis nekenza yakanyanya kunyanya.
Dambudziko rekenza yechiropa rine chokuita neDUU haisi kuenda. Chimwe chidzidzo 2018 chakawana kuti pakati pe1990 ne2016, nhamba yepasi rose yekenza yeropa yakagadziriswa nejisi rekushandisa zvinodhaka yakawedzera kupfuura katatu.
Kugovana zviyero zvekutora zviyeuchidzo zvekare zvinogona kuita kuti utachiona (pamwe nehutachiona hwehupatachi nehutachiona hweHIV). Kana iwe ukawana tattoo, iva nechokwadi chokuti unyanzvi wepa tattoo anoshandisa zvishandiso zvitsva. Kunyange zvazvo ari mutemo muUnited States kuti itsva nendira dzinofanira kushandiswa, kuchenjera kutarisa kana zvakadaro.
Water Checks
Mvura yakanaka inogona kuve iyo inokonzera arsenic, chirwere chekemikari chinozivikanwa kuti chinokonzera kenza yeropa. Arsenic inogona kukonzera kuora kwepvo, chirwere chemwoyo, uye matambudziko nehutano hwehupi muvana. Inogona kupinda mumvura pasi pano kuburikidza nemasikirwo emasikirwo munharaunda, asiwo sekusvibiswa kubva kune zvinouraya mishonga uye kushandiswa kwemagetsi.
Arsenic mumvura isina kunyatsocherechedza yakawanikwa munzvimbo dzose dzeUnited States.
Zvechokwadi arsenic mumvura yakanaka yakaderera pane zvinokonzera kukonzera kenza yechiropa, asi, kunze kweimwe matambudziko ane chokuita ne arsenic, pane zvimwe zvikonzero iwe unofanira kuedza mvura yako yakanaka. Zvimwe zvinosvibisa zvinogona kusanganisira zvimwe zvinorema zvesimbi, makemikari evanhu, nitrates uye nitrites, uye microorganisms, izvo zvinogona kubatsira kune zvimwe zvinetso zveutano.
Kubasa Kushanda
Vamwe vanhu vari pangozi yakawanda yekurwisana nemakemikari anokonzera kenza yechiropa nekuda kwechimiro chebasa ravo kana kubasa.
Makemikari anonetseka pamusoro pekenza yeropa anosanganisira:
- Perfluorooctanoic acid (PFOA)
- Yakagadziriswa makemikari (PFCs)
- Polychlorinated biphenyls (PCBs)
- Benzo (a) pyrene (BaP)
- Acrylamide
- Vinyl chloride (zvinokonzera angiosarcoma yechiropa)
- Trichlorethylene
Zvimwe zvebasa rinogona kusanganisira izvi zvinosanganisira kuchenesa kwakachena, mutengesi wemotokari, mushandi wezvigadzirwa zvePVC, uye chero basa iro rinosanganisira kushanda pedyo neAsphalt kana kusvuta mafesi.
Vashandi vanofanirwa kugovera Material Safety Data Sheets (MSDSs) chero ipi zvayo yemakemikari inogona kubudiswa kune kubasa. Zvakakosha kuverenga nekutevera chero zvidziviriro, zvakadai sekushandiswa kwegorofu, kuputira, nezvimwewo. Sangano reNational Institute for Occupational Safety and Health rine chinyorwa chakanyanya chehomwe chemakemikari zvinogona kupa mamwe mashoko.
Kana uchinetseka pamusoro pebasa rako, unogona kutaura neNational Institute for Occupational Safety and Health (OSHA).
Weight Reduction
Kuwedzera muviri (kana kuti kuwandisa) hauna kuwirirana zvakananga nekenza yeropa, asi iyo inogona kukonzerwa nemamiriro mashomanana ayo, zvakare, zvinokonzera ngozi yekenza yeropa.
Kwete-doro mafuta ane chirwere chechiropa chirwere chinowanzobatanidzwa nekuwedzerwa. Mamiriro acho akabatanidzwa neane-kane yakawedzerwa njodzi yekuve nekenza yeropa.
Rudzi rwechipiri chirwere cheshuga chinewo ngozi yekenza yeropa. Vanhu vane chirwere cheshuga chechipiri vane katatu mukana wekudzidzira kenza yeropa. Sezvo rudzi rwechipiri chirwere cheshuga chakanyanyobatanidzwa nekuve kudarika, iyi ndeimwe chikonzero chekutarisa uremu hwako.
Kana kurasikirwa kwemazwi kunotyisa, ramba uchifunga mupfungwa kuti kurasika kunyange mapaundi mashanu kusvika ku10 zvakawanikwa kuti zviite mutsauko kana zvichiuya kune hutano hwakawanda. Kurasikirwa ne7 muzana yehutatu hwemuviri kunogadzirisa nzira iyo muviri wako unoshandisa insulin uye inoderedza insulini kusagadzikana.
Pane kungoderedza kuwanda kwezvokudya zvaunodya (apo izvo zvinokosha), tora nguva yekudzidza pamusoro pezvinodiwa kuti utore kuderedza uremu uye uzvichengetedze kuti uwedzere mikana yako yekubudirira.
> Sources:
> Environmental Protection Agency. Zvichida Mvura Yakasvibiswa Zvakanaka uye Zvavakaita. https://www.epa.gov/privatewells/potential-well-water-contaminants-and-their- zvinokonzerwa
> Erkekoglu, P., Oral, D., Chao, M., naB. Kocer-Gumusel. Hepatocellular Carcinoma uye Zvichida Chimiro uye Biological Zvinokonzera: Kuongorora. Zvinyorwa zveAvironment Pathology, Toxicology, uye Oncology . 2017. 36 (2): 171-190.
> Liu, X., Baecker, A., uye M. Wu. Kukurukurirana Pakati Pechifodya Kusvuta uye Hepatitis Virus Kubatwa neDambudziko reChiropa Cancer muChinese Population. International Journal of Cancer . 2018. 142 (8): 1560-1567.
> National Cancer Institute. Primary Liver Cancer Treatment (PDQ) -Health Professional Version. Updated -2/06/18. https://www.cancer.gov/types/liver/hp/adult-liver-treatment-pdq
> Yang, J., Zhang, Y., Luo, L., Meng, R., uye C. Yu. Kufa Kwepasi Munyika Kutakurwa kweCyrhosis uye Chiropa Cancer Inokonzerwa Nokusagadzikana Kwezvinodhaka Zvinodhaka, 1990-2016: Kuchengeta Kwemakore-Nharaunda uye Kudengenyeka Kwezvakaitika Pakati Pakati. International Journal of Environmental Research Nehutano Hwevanhu . 2018. 15 (1): 170.