Vuto lalikulu pakupanga katemera ndi mankhwala ndikuti kachilombo ka hepatitis C kamakhala ndi zochita zambiri zokhudzana ndi matenda a chiwindi, ndipo chifukwa chake, matenda obadwa mwa chiberekero. Izi zikutanthauza kuti, mumtundu wa kachilombo ka HIV muli malo osakhazikika omwe amasinthika nthawi zonse. Chotsatira chake, mitundu yosiyanasiyana yosiyanasiyana ya kachilombo ka HIV kamadziwika tsopano, ndipo mtundu uliwonse wa genotype umaphatikizapo mitundu khumi. Mwachidule, "banja" la mavairasi a hepatitis C akukula mosalekeza. Ndi chifukwa chake sizingatheke kupanga katemera kapena mankhwala omwe amatha kulimbana ndi kachilomboka. Ngakhale m'thupi la munthu mmodzi, kuyamba kuchulukitsa, kachilombo kamene kamapatsa ana kusiyana kwambiri ndi maonekedwe a makolo kuti amatha kuthawa "kuchoka kwa mphamvu zowonongeka za ma antibodies zomwe zimapangidwa ndi chitetezo cha mthupi ndi mankhwala omwe amagwira ntchito. Izi zikutanthawuza kubwezeretsanso kwa chiwindi cha C chiwindi mwa odwala ochiritsidwa.
Wothandizira matenda a hepatitis C akufalitsidwa kudzera mwazi. Gulu la chiopsezo chotenga kachilombo ka HIV makamaka ndi mankhwala osokoneza bongo. Malingana ndi chiwerengero cha Russian m'zaka zaposachedwapa, vuto lililonse lachiwiri la matenda opatsirana ndi chiwindi chotchedwa hepatitis likugwiritsidwa ntchito ndi mankhwala osokoneza bongo. Otsala 50% akugwa pa odwala a hemophilia, odwala a hemodialysis, anamwino, opaleshoni, madokotala a mano, okonza tsitsi - ndi mawu a onse amene amakumana ndi magazi a anthu odwala. Komanso, matenda opatsirana pogonana ndi kupyola, kujambula zojambulajambula, manicure ndi pedicure sizodziwika ndi zida zosagwiritsidwa ntchito. Koma kuchokera kwa mayi kupita kwa mwanayo kachilomboka kamapita kawirikawiri.
Malinga ndi bungwe la World Health Organization, pafupifupi 3 peresenti ya anthu padziko lonse ndi omwe amanyamula kachilombo ka hepatitis C, i.e. pafupifupi anthu mamiliyoni 300. Koma ngati mukuganiza kuti m'mayiko ambiri mawonetseredwe owonekera kwambiri a chiwindi cha chiwindi a C analembetsa, ndipo m'mayiko ena mulibe chiwerengero cha mavairasi a chiwindi, ndizomveka kuganiza kuti chiwerengero cha chiwopsezo cha chiwopsezo ndi chachikulu kwambiri. Mwachibadwa, chiwerengero cha matenda a anthu chimasiyana kwambiri ndi dera (kuyambira 0,6-1.4% ku USA mpaka 4-5% m'mayiko a ku Africa).
Nthawi yopuma ya hepatitis C ikupitirira masiku 40-50. Kukula kwa matendawa kungagawidwe mu magawo atatu: ovuta, osapitirira (odwala) ndi gawo lokhalanso (matenda atsopano).
Gawo lachimake ndilokhazikika kwa miyezi isanu ndi umodzi. Kaŵirikaŵiri zimachitika mwachizoloŵezi, choncho matendawa sapezeka pachiyambi pomwe. Odwala omwe ali ndi mawonekedwe apadera ndi ochepa (osaposa 20%). Mawonetseredwe a matendawa akuphatikizapo kufooka kwathunthu, kutopa mofulumira, kuchepetsa chilakolako ndi zochitika zathupi. Kuzindikira kumakhala kosavuta poyerekeza ndi maonekedwe a icteric sclera ndi kudetsa khungu, koma zizindikiro za jaundice sizodziwika - mu 8-10% za milandu.
Ambiri mwa odwala, gawo lachimake limasinthidwa ndi gawo lachilendo, ndi kukula kwa kachilombo kameneka m'thupi, ndipo kumatha zaka 10-20. Nthawi yonseyi anthu omwe ali ndi kachilombo amawona kuti ali ndi thanzi labwino. Kudandaula kokha kungakhale kulemera kwa hypochondrium yoyenera ndi zochitika zolimbitsa thupi kapena zakudya. Kwa odwala panthawiyi, kuwonjezeka pang'ono ndi kuphatikiza chiwindi ndi nthenda kumapezeka, ndipo kuyesa kwa magazi kumasonyeza kuwonjezeka pang'ono kwa mlingo wa enzyme alanine aminotransferase (ALAT) ndipo nthawi zonse amasonyeza RNA ya kachilombo ka hepatitis C.
Kubwezeretsa kumachitika patatha zaka 14 ndipo kumayambitsa chiwindi cha chiwindi ndi hepatocellular carcinoma. Vutoli lingayambitse matenda ena ndi ziwalo zina zambiri ndipo zingachititse kutupa kwa impso glomeruli, matenda a shuga, maselo a mitsempha, maselo amanjenje ndi kuwonongeka kwa mtima, matenda a khungu, nyamakazi, kusagonana, ndipo mndandandawu ukhoza kupitilizidwa.
Njira yothetsera matenda a chiwindi (C hepatitis C) iyenera kukhala yabwino. Mankhwala omwe alipo (interferon, virazol, ndi zina zotero) sagwira ntchito. Malingana ndi zipatala zosiyanasiyana, zotsatira zothandizira zimapezeka mu 40-45% mwa odwala. Kuwonjezera apo, mankhwalawa ndi okwera mtengo, ndipo ntchito yawo imakhala ndi zotsatira zoopsa. Pachifukwa ichi, kufunika kwa njira zothandizira zomwe zili zofanana ndi zomwe zingathandize kupewa HIV: kulimbana ndi mankhwala osokoneza bongo, kuyendetsa magazi ndi katundu wake, kudziletsa payekha komanso maphunziro a zaumoyo.
Samalani thanzi lanu lamtengo wapatali!