Chiwindi C: amayembekeza kukhala ndi moyo. Yoyenera matenda ndi chithandizo cha odwala matenda a chiwindi C

Chiwindi C ndi matenda a chiwindi. Malinga ndi kafukufuku, matenda amakhudza anthu oposa 170 padziko lonse. Chaka chilichonse amawapeza odwala miliyoni 3-4, ndi matenda zoopsa zambiri kumva achinyamata zisakuyenda bwino. Taonani chifukwa chake pali chiwindi C, ndi amayembekezeka moyo matenda ndi njira zotheka mankhwala.

Akamanena za matenda

Ozama mu chiwindi, ndi matenda a chiwindi C HIV mofulumira wachulukitsa. Kuwononga maselo kuchititsa imfa yawo, amakwiya chitukuko cha unapangitsa yotupa ndondomeko. M'malo wathanzi maselo chiwindi ndi minofu connective, chiwindi C HIV amakwiya matenda enaake, kulephera chiwindi ndi ngakhale chotupa chija.

kufala njira

Infection kumachitika makamaka mwa mwazi. Pakati pa zomwe zimakonda HIV kulowa m'thupi la munthu akhoza anati:

· Mobwerezabwereza ndi ntchito masingano osokoneza bongo;

· Magazi a wodwala matenda a chiwindi C munthu wathanzi;

· Ntchito ya madokotala ndi madzi a m'thupi kachilombo.

Iwo imatsimikizirika kuti pali kuthekera kwa matenda kudzera mu kugonana, koma zimachitika kawirikawiri ndithu (zosaposa 5% milandu). A kuchuluka chimodzimodzi Mwina kukhala chonyamulira cha HIV zidzachitika kupita kwa mwana kudzera m'njira kubadwa. Pakali pano, pali umboni wokwanira pa kufala kwa HIV kudzera mu mkaka wa m'mawere pamene kudyetsa. Pamene ojambula banja matenda si opatsirana.

genotypes kachilombo

Pamene matenda a "chiwindi C" moyo amayembekezeka zimadalira genotype HIV, ndi chamoyo kachilombo. Mu masiku ano tinapeza 6 genotypes ndi subtypes osiyana. Choncho, ambiri mavairasi wapezeka mwazi wa odwala genotypes 1, 2, 3. lililonse kwambiri Inde choopsa cha chiwindi C, omwe chifukwa cha HIV 1b-genotype.

symptomatology

Mosiyana ndi njira zina za matenda aakulu tizilombo, matenda a chiwindi C Ndi mmene kwa nthawi yaitali ndi opepuka mtsinje. The makulitsidwe nyengo ya matenda zimasiyanasiyana masiku 20 140. Nthawi zambiri matenda a kwa nthawi yaitali kwathunthu kwina, kupanga n'zosatheka matenda yake. Kukayikirana za matenda C mu koyamba gawo la matenda lizisunga pamaso pa mbali monga:

· Kutopa, kusowa mphamvu, kufooka;

· Nseru, kusanza, kuunikira mpando, belching ndi ya ndulu;

· Yaitali malungo, molumikizana mafupa, kuzizira;

· Icteric kudetsa khungu ndipo zimagwira ntchito zosiyanasiyana mucous;

· Ululu mu chiwindi.

Odwala ena akudandaula kuti kuwonjezera pa mutu ndi khungu kuyabwa. matenda kudya kuoneka ndi chitukuko cha matenda. Nthawi zambiri, matenda a chiwindi kenako akufotokozera mu mawonekedwe aakulu. Komabe, pafupifupi 20% ya odwala amalowerera kukwaniritsa kuchira bwino. Zizindikiro za aakulu chiwindi C ndi:

· Kufooka, kutopa ndi tulo. Wodwala n'kudzuka m'mawa mwakhama ndi wakonda nthawi yaitali popanda kudzuka, pogona pa bedi.

· Kusintha mode tulo. Kwa odwala yodziwika ndi tulo usiku ndi tulo masana. Zizindikiro zimenezi kungasonyeze chitukuko cha encephalopathy kwa chiwindi.

· The kukula mofulumira matenda dyspeptic: nseru, kusanza, kusowa chilakolako.

Matenda mu mawonekedwe aakulu amatha lolimba kwa zaka zambiri. anthu ambiri amene ali ndi matenda a chiwindi C, ngakhale podziwa kuti matupi awo nakantha HIV lalikulu.

diagnostics

Kudziwa chiwindi C angathe wodwala ayenera anabwerera ku puloteni-zogwirizana immunosorbent zofufuza (Elisa mayeso) kuti amalola kuti azindikire pamaso pa chitetezo yeniyeni magazi (odana ndi matendawa). Komabe, mu phunziroli ndi opondapo Mwina yodalirika onyenga zabwino (pamene munthu kwenikweni wathanzi, koma mayeso limanena kuti iye akudwala). Pofuna kutsimikizira chotsatirachi amanena kusanthula wochitidwa ndi immunoblot zophatikizananso. Koma pa nthawi yomweyo chifukwa chake zabwino anasonyeza pamaso pa chitetezo m'thupi, koma osati pamaso pa HIV izo.

Mu magawo oyambirira a matenda, pamene sunayambe chitetezo chokwanira, zophatikizananso immunoblot ndi Elisa akhoza matenda a chiwindi C zoipa, pamene Ndipotu kachilombo kale anakakhala ku thupi. Pachifukwa ichi, njira yodalirika ya kafukufuku kuthandiza PCR diagnostics (polymerase unyolo anachita), amene amalola kudziwa osati kukhalapo mu magazi a chiwindi C HIV, komanso kudziwa mlingo wa katundu tizilombo.

Chithandizo cha matenda a chiwindi C

Reviews madokotala akusonyeza kuti matenda ndi curable, koma ambiri Chofunika - yake kudziwa kupezeka kwake ndipo pitani kuchipatala. Kusankha chithandizo nthawi zonse munthu ndipo zimadalira kugonana wodwala, ndi genotype ya chiwindi C HIV, mlingo wa kuwonongeka chiwindi. Nthawi zambiri zotchulidwa mankhwala mavairasi oyambitsa, komanso mankhwala amene kanthu amachitira utithandize chitetezo cha mthupi. Ikani osakaniza mankhwala awiri: interferon-Alpha ndi ribavirin. Interferon - mapuloteni kuti poyankha kwa chiwindi B Kachiromboka m'thupi la mwachibadwa. Mankhwala kumalimbitsa chitetezo cha m'thupi kulimbana ndi matenda. Ribavirin ndi mankhwala, kumabwezera mmbuyo HIV kugawanika. Zochizira odwala ndi zovuta kwambiri kapena matenda zambiri komanso Kwalamulidwa protease zoletsa ( "Boceprevir" "Insivek"). Malinga ndi khalidwe la ntchito mavairasi oyambitsa mankhwala, amene kwambiri kumalepheretsa HIV kugawanika ndondomeko.

Chimodzi mwa zochitika atsopano m'munda wa mankhwala mavairasi oyambitsa za matenda C imatengedwa sofosbuvir woimira ndi woletsa wa RNA polymerase, zomwe zimachititsa kuti zosatheka kubalana wa HIV maselo chiwindi. mayesero achire asonyeza mkulu efficacy ndipo anatsimikizira chitetezo cha ntchito zake.

zotsatira za mankhwala

Ambiri, chithandizo ndi pafupifupi 100% odwala matenda a genotypes 2 ndi 3 Wamaliza kuchira kwathunthu. Pamene mphamvu ya polimbana chiwindi C HIV genotype 1 ndi 50 okha%. Mwina kuchira zimadalira makhalidwe munthu wa matenda, wodwalayo ndi luso la ntchito za katswiri amachitira.

The moyo amayembekezeka odwala matenda a chiwindi C

HIV payokha si ndiwo pangozi, icho amalimbikitsa moyo wa wodwalayo kumachepetsa anthu njira pathological. Sikutheka kudziwa chimodzimodzi kwa anthu onse ndi kachilombo nthawi imeneyi yeniyeni, pamene kunachitika thupi kuwonongedwa imfa. Mu matenda amenewa, monga chiwindi C, nthawi ya moyo kumatengera zifukwa zambiri, monga:

· Akafuna kufala kwa HIV;

· Wodwala msinkhu ndi kugonana

· Udindo wa chitetezo chokwanira;

· Kutalika kwa matenda a AIDS;

· Pa nthawi yake chithandizo;

· Kukhala ndi moyo wathanzi;

· Kupezeka kapena kusapezeka kwa matenda pansiyi aakulu (kunenepa, matenda a shuga).

Mu 30% odwala ndi Kukula kwa matenda kumachitika zaka 50 pambuyo matenda, koma chifukwa anthu amenewa mwayi uliwonse moyo nthawi yaitali. Komanso, 30% ya matenda a chiwindi nthawi imeneyi pambuyo siteji koyamba isanafike chitukuko cha matenda enaake chiwindi ndi zosakwana zaka 20. Anthu amene amamwa mowa mwauchidakwa kukhala ndi matenda enaake pambuyo zaka 5-8 yokha. Komanso, zovuta kuti abereke ana ndi matenda okalamba.

Moyo wa odwala matenda a chiwindi C

Odwala matenda a chiwindi C ayenera njira zonse zofunika kuti kupatsira athanzi. Komanso, odwala amafunika kusintha moyo wanu kuchepetsa kapena bwino komabe, kwathunthu kusiya kumwa mowa, osati kwa katundu okha yakalavulagaga thupi, kuthetsa ku chakudya zakudya zokometsera ndi yokazinga.

Imathandiza kuchita masewera, kudya, zipatso ndi ndiwo zamasamba ambiri. Kodi kuchitiridwa mosamala kulandira zowonjezera chakudya ndi mavitamini kuti akhoza kusokoneza chiwindi. Analimbikitsa kuyeletsa ndi kusamalila gepatoprotektory chiwindi, mwanjira azitsamba. nkhani zonse Kafukufuku poonetsetsa katundu tizilombo. Nkofunika kulimbikitsa chitetezo cha m'thupi ndi mphamvu chitetezo odana ndi HIV. Pamene matenda a "chiwindi C" moyo amayembekezeka kuonjezera mphamvu ya munthu aliyense, pamafunika njira kwambiri kwa chithandizo cha matenda ndi kugwiritsa ntchito malangizo onse a katswiri.