Nā symptoms a me ka hana o ka hepatitis C mea hoʻomaʻi genotypes o hepatitis C. HCV lāʻau

A nei i ka hepatitis C mea hoʻomaʻi i noʻonoʻo i ka waleʻano o ka mea hoʻomaʻi Hepacivirus. Akā, e huli mai i ka lio, ilio, rodents a me ka opeapea mea i susceptible i kēia maʻi. E ho'āʻo i maopopo pehea mea pepehi hepatitis C i kekahi kanaka e like me ia, e huai ae, a hana, e like me ka 'eleuʻike, o ka maʻi nui simplifies ka Inc. Eia hou kekahi, maʻi susceptible i na kamalii uuku, a me ka mua ka mea, ua 'akomi i, ka mea i oi aku ka pomaikai o ka maikaʻi hoʻokūkū.

He aha ka hepatitis C mea hoʻomaʻi

A i kekahi kanaka kuhikuhi i kēia maʻi, ia koke hoʻomaka e hana eha mai ia i na ninau e pili ana i Hepatitis C: He aha ka mea, o (Hawaii photo hoike o ka maʻi), pili i kekahi kauka no ka kōkua, a no laila, ma luna o. Jaundice a hepatitis mea hoʻomaʻi mea he huna iloko olaila o aaiaoe mea (RNA) i loko o ka Kora naʻEsau, ua puni i ka icosahedral kumuʻiʻo iwi a me ka aiiay encased i loko o ka lipid (a momona) aeea-loko wahī.

Hepatitis C mea kekahi o kekahi mau nā mea hoʻomaʻi mea i loa li nui o ke akepaʻa eiei. Up i ka 85% o kanaka, ka poe i i ka huʻi ano o ka maʻi, i chronically iho mailoko o me ke koena o kona ola. Maʻiʻaʻai ka hapanui ia lŘlŘ Via koko (intravenous ka pahu kui o ka ole-sterile paipu, scratches, hahau). Ka pilikia o ka maʻiʻaʻai ma moe hui 'ana me keia mea hoʻomaʻi ua noʻonoʻo haʻahaʻa, akā, i no he wahi.

Kumu o Hepatitis B i loko o nā mākua

Hepatitis C - he maʻi, kena ae la ia e kekahi mea hoʻomaʻi e iho mailoko o ke akepaʻa. Ke ake hana dute nā wehe 'ana i nā palapala Nine Inch waiwai, mai ke kino, ka hoʻoikaika' ana digestion, lapaau nā wikamina a me nā māhuaola mai ka ai, e like me ka pono me ia ma ka keʻano o ka hanaʻana o ke koko clots ma naʻoki a me ka palapū. Hepatitis C i ka wahine mea nui ka mea no na kamalii uuku, no ka kamaiki hiki ke iho mailoko mai maʻi makuahine i hānau. Ia mea ke kumu ia mea nui, e kiai no ka moku'āina o kona ola kino ka wā hoʻolala i ka hāpai keiki.

jaundice mea hoʻomaʻi i loko o kekahi kanaka makua hiki e māhele aku i loko o ke kēia hihia.

1. I ka hoʻohana 'ana i' ole-sterile ka pahu kui intravenous ole intramuscular nā mea palahēhē (me ai ').
2. Tattooing, kino e hou ana i, acupuncture malama ana i 'ole-sterile paipu kaʻina hana.
3. Ma unprotected anal me ka iho mailoko o hoalawepu, ina i keia manawa, aia ka hui 'ma ke koko (ulcers,ʻoki, na mai hehe ma ka wahine paha i menstruation). Kēia papa hana pili i ka hana? Ooia o ka waiū.
4. A hiki i ke koko transfusion ina hana.
5. Ma lapaʻau ma kahua niho nā keʻena lāʻau lapaʻau.

Kiheʻana, me ka puʻu, kaʻana i ka palaoa, e loaa hou mai cutlery 'ole' ē aʻe huikau ka tactile hui ' hepatitis ua i ho'īli.

Nā kumu o ka hepatitis i keiki

Symptoms a me ka lapaʻau o hepatitis C i na keiki i kekahi mau mea okoa mai ka maʻi symptoms i loko o nā mākua. Child hepatitis kŰlń ao i loko o nāʻaoʻao: mai ka makuwahine i ke keiki (vertical aoao o ka maʻiʻaʻai) a ma ka hui 'ana me ka iho mailoko o kanaka i ka ke koko (ka parenteral ala hele o ka maʻiʻaʻai). Ka mea hoʻomaʻi hiki ke pū i hiki mai i iho mailoko makuahine e keiki i hānau, i ke alapine (frequency) o ia mau hihia nei ma kahi o 4-5%. Inā ia he kulana aicieeaao, ka wahine i kaumaha aku i ka hana i ka caesarean pauku, a iki ho'ēmi i kā ka pilikia o ka EYI o hepatitis B mea hoʻomaʻi i ke keiki. Maʻiʻaʻai keiki lua o ka alanui nui ia lŘlŘ i loko o nā 'inikua uao ai', kahua niho lapaʻau, hooko ana o ka ai 'Via sterile mea, hemodialysis, koko transfusion a me nā' inikua kaʻina hana.

Ma adolescents, like i loko o nā mākua, ka mea maoli wale o ka noho hepatitis lāʻau hoʻohana. Eia hou, i ka pilikia o ka maʻiʻaʻai ma adolescent keiki mahuahua ma ka 'aʻe ana i na rula o kou niho o ka ili tattooing, kino e hou ana i a me nā mea a pau. I ka wa i kahiiaʻi mau kou niho me nā huahana maʻoki a me abrasions ma luna o kaʻili i loko o ke kino hiki i komo iloko nā mea hoʻomaʻi.

Symptoms o hepatitis B i loko o nā mākua

Pinepine na kanaka me ka hepatitis C e ole i symptoms ano o ka maʻi. Symptoms o ka maʻi maʻiʻaʻai, aole ia e ana a hiki i ke akepaʻa ua,ʻaʻole i hanaʻia scarring (cirrhosis). Ma keia maʻi ua ana pu ma kekahi mau nawaliwali, excessive luhi, a ua nonspecific symptoms a hiki i ka wa e kaawale aku o ka cirrhosis.

Nā symptoms pele hoike nui ma hope maʻiʻaʻai like hepatitis incubation au mea mai ka 15 a hiki i 150 mau lā. Iho mailoko o kanaka me symptoms o ka maʻi o ka hoʻoweliweli 'ana i na mea e ae, e like me ka hana i ka lawe ana o ka mea hoʻomaʻi, a hiki ke hoʻouna i ka mea i' ē aʻe ma luna o kāu kiʻina hana. I ka papa kuhikuhiE symptoms o ka maʻi nā ka penei:

- kahe o ka ikaika loa ka makemake;

- malaise, nawaliwali;

- nausea, ka luaʻi;

- diarrhea;

- māmā hana keaka kaupaona poho noʻaʻohe'ē aʻe kumu;

- yellowing o kaʻili, sclera'ōnohi a (no laila, i kapaʻia maʻi popularly jaundice);

- he loli ma ka mimi kala (i ka pouli eleele) a me ka noho (faeces whitish).

Symptoms o hepatitis i keiki

Ka awelika incubation manawa no ka hepatitis keiki hiki mau mai 15 mau lā a hiki i 6 mahina. Symptoms o jaundice i na keiki ana i emi o ka 50% o ka hihia a me ka hoʻohikiʻiaʻano nui ma yellowing o ka ili a me ka 'oiaʻiʻo ma loko o ka maka. Icteric manawa ana mau mai i 3 pule. No ka mea, hepatitis wehewehe aku ma ka li nui o ke akepaa, ke keiki huina intoxication i, i ua pu ma ka nausea, ka luaʻi, diarrhea. Ka huʻi ano o ka maʻi hoʻomaka lohi, symptoms hoomahuahua i nā, oiai e haule ana o ka ulu o dyspeptic kāna hana a me ka astenovegetativnogo maʻi pale. Symptoms o jaundice i loko o nā keiki i ke ukali ma ke kuni, headache. Discolored feces, mimi, ma ka mea ku ole, lilo ae la ia i ka pouli eleele waihoʻoluʻu.

Hōʻike 'symptoms a me ka hana o ka hepatitis C i pili loa aku, mai ka weuweuʻike, a me ka wa e kaawale aku o ka pono lapaʻau i loko o 10-20% o nā hihia o ka huʻi palapala jaundice maʻi i maʻi. Maʻi jaundice mea IeAUPIIe, IAa IO asymptomatic, a ua ana ia akulla ma huikau ka nana ana o ke keiki, i ka wa o ka manawa, ua lilo, a me ka maʻi mea nō me ia no ke ola. Mau keiki i ka mahuahua luhi, asthenia, extrahepatic symptoms (telangiectasia, kapillyarity).

lapaʻau '

Aie i ka mea i ka huʻi HCV maʻiʻaʻai mea IeAUPIIe, IAa IO asymptomatic, loa nui kakahiakaʻike, o ka mea maʻi. I ka hele maʻi hiki wale mai o ka maʻiʻaʻai ka loaʻaʻana hoemi maʻi noho undiagnosed, a i hoʻomōhala complications nui e like me cirrhosis a ake maʻi 'aʻai.

Ka loaʻaʻana o ka mea hoʻomaʻi i loko o ke kino ia lŘlŘ ma ka hoomaopopo ana pae ana o nā mea'aʻaʻa i loko o ke koko, a laila, lanakila ma nā ho'āʻo ma, e hooholo i ka mea hoʻomaʻi RNA. I ka nui o ka RNA i loko o ke koko (mea hoʻomaʻi haawe anakahi) ua ole correlated me ka maʻi oolea, akā, hiki ke hoʻohana 'ia kanaka hoʻoponopono i ka naoh o ka meaola i ka lapaau ana. Ake biopsy ua hoʻohana 'ia e Loiloi i ka nui o kona pio maʻi (hui, poino a me ka scarring o aeee), i ka nui o ka i mea nui no ka Inc hoʻolālā.

ʻike, ua lawe mai i loko o 2 kahua o ka hoʻonaʻauao.

- loiloi 'ana no nā mea'aʻaʻa i ka mea hoʻomaʻi jaundice ke ike ai i ko ke kanaka ua iho mailoko o ia me ka mea hoʻomaʻi;

- me ka maikaʻi hoao no nā mea'aʻaʻa ua lawe mai ma ka nukeleaʻakika mea o loko no ka HCV RNA, e hooholo i ke ano o ka maʻi (huʻi paha maʻi).

A laila, me ka 'oluʻolu o Kaoleioku, ke kahuna lapaau pono e loiloi i ka degere o ka pōʻino o ke akepaʻa (fibrosis ole cirrhosis). Ua hiki ke hana ma ka biopsy a ma kela hale-invasive hōʻike. A, i ke ahonui e hoopakele i ke keʻena hoʻokolohua ho'āʻo e hooholo i ka genotype o ke kanana nei o hepatitis C. ke degere o ka ake poino a me ka genotype e hoʻohana no ka hana ana i hoʻoholo ma ka lapaau a me ka hooponopono ana o ka maʻi.

Nā genotypes o hepatitis C

I mea e hoola i ka maʻi i e pono, e mea pono e hoakaka mea e pili ana i genotype i ka mea hoʻomaʻi. Genotypes HCV maheleia i eonoʻokoʻa? Ueo. E like me ka rula, hoʻomanawanui iki mai mailoko o ia me ka mea hoʻomaʻi me wale kekahi genotype, akā, mea nae i kela a me keia o ia i ka läÿau, o ka pili loa nā mea hoʻomaʻi kapa quasi-? Ueo. Ka mea, i ka welelau o ke mutate, a lilo hoʻopale i kaʻikena kūlana kanaka. Kēia ka mea wehewehe i ka pilikia ma ka iapaau ana o ka maʻi jaundice.

Aia ma lalo o ka papa inoa o okoa genotypes o ka maʻi hepatitis C:

1. Genotype 1a.
2. Genotype 1b.
3. Genotype 2a, 2b, 2c, 2D.
4. Genotype 3a, 3b, 3c, 3d, 3e, 3f.
5. Genotype 4a, 4b, 4c, 4d, 4e, 4f, 4g, 4h, 4i, 4j.
6. Genotype 5a.
7. Genotype 6a.

Nā genotypes o HCV e nui no ka poe kumu, i ka wa ka hoopuka ana pākōlea koi. No ka paha, genotype 1 o ka loa hiki ole i ka hana, a me nā mea maʻi me ka HCV genotype 2 a me 3 i pane koke oi aku i ka iapaau ana me ka hui malu pu ana o ka Alpha-interferon me ka ribavirin. Eia kekahi, i ka wa a ka hoʻohana 'ana me ka hui pu Inc, ka paipai lōʻihi like' ole o ka lapaau hilinaʻi nui ma luna o ka genotype.

Lapaʻau o Hepatitis C

Symptoms a me ka lapaʻau o hepatitis C i pili loa aku, no ka mea, Inc ua ma muli a me ma ka symptoms o ka maʻi. Ma mua o lapaʻau Pono e lawelawe 'ia ka hoʻokolokolo pono ninaninau i ka mea e hooholo i ka pono e hoʻokokoke i ke ahonui, a me kona maʻi. Eia hou, ma ke kumu o PalekanaEND_LINK 'ike i ke kauka ke hoʻoholo mea Hepatitis C i ka loa mana no kela a me keia kanaka hihia. Hoikehonua, maʻamau lapaʻau o ka jaundice mea he huihui 'ana o antiviral Inc me "interferon" a me ka "Ribavirin", i mea mana ma luna o nā mea a pau genotypes. Eia naʻe, "Interferon" uaʻaʻole i lohe nui ia ma ka oihana lapaau, i mea he ino ia ma luna o ka moku'āina o ka hapa nui o nā mea maʻi, a ma ka mea o ka hoʻohui pū 'ia o ka ribavirin me keia k mea, paha, i ka mea maikaʻi lapaau no ka hepatitis C i ka lā.

ʻepekema E hana 'ia i alakai aku ai i ka hooulu ana o ka hou antiviral ai' mai ka jaundice, i mea nui ka hoʻokō, lua pele a me ka aho ma mua o ka na poʻe. Ua antivirals pololei kekahi hana naʻaupō (PDP), i ka poe hiki ke Nohie ole wale i ka lapaau ana i ka maʻi, akā, no hoi, e hoomahuahua i ka pakeneka o nā mea maʻi vyzdoravlivaemosti. Eia naʻe, antiviral ai 'i kaumahaʻaoʻao waiwai, a me ka pinepine i kēia mau maʻi puʻuwai i loko o nā mea maʻi:

- headaches;

- maʻi palū-e like symptoms;

- nausea;

- luhi;

- kino aches;

- kaumaha;

- ili rashes, allergic reactions.

Inā diagnosed ke keiki me ka hepatitis C, lapaʻau E e nona ma pale i ke hoʻololi o ka huʻi ano o ka maʻi i loko o ka maʻi. Inc i holo nōhie mea eiiieaena a me nā hui pu ana e like me interferon hoomakaukau ana o ka recombinant, reaferon ma parenteral palapala viferona a me rectal suppositories. Lapaʻau regimens i wae pākahi no kēlā me kēia keiki.

No na keiki mai ka 7 makahiki a me ka adolescence ke haawi i kekahi hui malu pu ana o ka ai ', "interferon" a me ka "Ribavirin". I koho inductors ( "TSikloferon") a me immunomodulators ( "Taktivin"). Duration o ka hana maikaʻiʻole o ka jaundice i keiki hilinaʻi nui ma luna o na mea he nui aʻe, HEN, mai 24 a hiki i 48 pule. Inā diagnosed me ka hepatitis C, lapaʻau e e ukali ma kaʻai, ke ola iʻai a me ka I Aloha Hawaii, pūnuku puhi cessation a me ka waiʻona. He nui ke malama pono i ka moe koena, a pakele lawe hoʻokali kūpono 'ai'.

Aia i kuʻuna ano o ka lapaʻau o jaundice, akā, io ia ia, eʻoiaʻiʻo, e kukakuka pu me kou kauka, no laila, i ole e hanaʻino i ka kino, aʻaʻole e aggravate i ka maʻi.

Nā wānana waiwai a me ka hopena

Ka wā e hoomanawanui i huai ae hepatitis C, pehea oe e noho me ia, paha i kekahi o ka mea nui na mea hoopaapaa a lakou i noi aku ai i ke kauka. Koke ia E e hoʻomaopopo i ka Time] e hilinaʻi ma luna o ka 'eleu ka loaʻaʻana o ka maʻi a me ka laulā o ka hoakaka Inc. Manawa hōʻike 'na symptoms a me ka hana o ka hepatitis C, huli i ka pono - ke ki i ka pomaikai. Inc mea maikai no ka mau ana o ke ahonui, ka mea i hāʻawi mai i ka maikaʻi au a maoli he i ka manawa o ka maikaʻi hoʻokūkū. Wahi a ka 'ikepili helu, ma kahi o 20% o ka hoʻomanawanui iki mai ka poe i ano hepatitis, paʻa ho'ōlaʻia, eia nae keia aʻole i manaʻo' ia e hoomaluia ka mea, mai ka wā e hiki mai maʻiʻaʻai. Ke koe 80% o nā mea maʻi hoʻomōhala maʻi maʻiʻaʻai (i ka helehelena o ke ano symptoms a asymptomatic). Mau kanaka koe infectious i na mea e ae no ke ola, e like me nā nā moku halihali mokulele o ka mea hoʻomaʻi.

A hiki aku i ke kauka e hōʻike ana i ka hoʻomanawanui Hepatitis C (symptoms), lapaau a me ka hopena o ka maʻi - ka 'ike e pono e hōʻike aku ai i ka hoʻomanawanui i hikiwawe e loaa ana, a ma ka ho'āmana i palapala. Inā he kanaka e noho ana me ka hepatitis C no ka helu o nā makahiki,ʻo ia i hookuu hoʻomōhala i nā kēia complications:

- maʻi hepatitis;

- cirrhosis;

- ake maʻi 'aʻai.

maʻi Kāohi

Eia naʻe,ʻaʻohe mea a ianoiyuaa aʻaʻohe laʻau koʻokoʻo ma luna o jaundice. E hoomanawanui i ka poe i loaa hepatitis C, haʻalele manaʻo e pili ana i ka mea maikaʻi, e pale maʻi ma mua o ka hana ia. No laila, e mālama i ka laha o ka maʻi a me nā koko-hanau maʻi, kanaka e malama pono i ka kēia mau koi:

1. Pakele kaʻana like ka 'ikamu i komo ai a me ka hoʻohana' ikamu i hiki e ua hoʻohaumiaʻia i ke koko (e like, pahi kahi, toothbrushes, etc.).
2. Pale pepeiao e hou ana i, ke kino e hou ana i, acupuncture kūlana kanaka, tattooing ma wahi me ka questionable sterility a me ka nele o kou niho.
3. People me ka hepatitis C mea hoʻomaʻi ka wā kipa i ke kahua niho? Aaieou, a i ka pilikia i kekahi'ē aʻe ola kino kulanui, e hai aku i ke kauka i ka mea, e lawe ana i ka mea hoʻomaʻi. Ole e hana ai jeopardizes ka nui malihini i ke kahua niho? Aaieou.
4. Kekahiʻoki a abrasions e e akahele lawelawe disinfectant pāʻoihana a me ka uhi ia mau mea ma luna o ke kūpono lole wili.
5. Poe me mau 'īnea i na hoalawehana, hana ke'ākeʻakeʻa mai ki ina hana like o ka contraception, e like me condoms, e kali i ka pilikia o ka maʻiʻaʻai ma ka hepatitis C mea hoʻomaʻi a me nā maʻi i pū i hiki ma moe ihe.
6. He nui ke lawe mai kāohi ana nona ma ka palekana ano o ka hoʻohana 'ana i na mea paahana no ka pahu kui, injections, tattooing a me nā mea a pau.

Ma ka hoʻomaopopo aku i ka hepatitis C mea hoʻomaʻi ua ole pū i hiki maʻaʻahuʻoluʻolu ihe. Handshake, honi a me nā pali i pakele, ma ka a ina aole he pono e hoʻohana kūikawā hoʻokaʻawale hana e hana ana me ka iho mailoko o hoʻomanawanui iki mai ka wā. Hoʻokaʻaʻike, a hoomahuahua i ka pilikia o ka EYI, mau pu ma ke kala o ke koko.