Hepatitis C Hōʻea hou: He aha nā pilikia?

Anter

• Hōʻike Overview
• Lapaʻau no HCV
• ʻO ka hoʻi hou ʻana o ka maʻi hepitis C
• Nā kumu weliweli no ka hoʻopili hou ʻana
• Kāohi
• Lawe aku

Hōʻike Overview

Hepatitis C hiki e huʻi a maʻi paha. I ka hihia hope, noho ka maʻi hepatitis C (HCV) i loko o ke kino a alakaʻi i nā maʻi i hiki ke hala ma hope o ke ola holoʻokoʻa.

Wahi a nā Centers for Disease Control and Prevention (CDC), ma waena o nā poʻe i ʻaelike i ka HCV e hoʻomohala i ka maʻi hepitis maʻi mau.

ʻO ka nūhou maikaʻi ʻoi aku ka maikaʻi o ka mālama ʻana o ka HCV i kēia manawa ma mua o ka wā ma mua, e wehewehe nei i ka helu o ka hoʻōla kiʻekiʻe. I ka ʻoiaʻiʻo, ke noʻonoʻo ʻia ʻoe e hoʻōla ʻia, ʻo ka awelika o ka hoʻihoʻi hou ʻana ma lalo o hoʻokahi pākēneka.

ʻOiai ʻoi aku ka maikaʻi o nā mālama ʻana, hiki nō naʻe ke hoʻopaʻa i kahi maʻi hou i ka wā e hiki mai ana. Inā he moʻolelo kou no ka hep C ʻaʻole paha, he mea nui e mālama i nā pale e pale aku iā HCV.

Lapaʻau no HCV

Mālama ʻia ʻo Hepatitis C me nā lāʻau antiviral i kapa ʻia ʻo protease inhibitor lāʻau. Lawe waha ʻia, ua hele mai kahi lōʻihi o kēia mau lāʻau i ka hopena o ka pono a me ka maʻalahi o ka hoʻohana.

Hana nā lāʻau Hepatitis C ma ka pale ʻana i ka HCV mai ka hana hou ʻana i loko o ke kino. Ma ka hala ʻana o ka manawa, a laila holo ka maʻi iā ia iho a ma hope e holoi ʻia ka maʻi.

ʻO ka papa maʻamau o ka mālama ʻana no ka maʻi hepa C he lāʻau antiviral waha i lawe ʻia no ka liʻiliʻi. I kekahi manawa hiki ke mālama i nā mahina 6. Ma hope o kēia kiko, e holo kāu kauka i nā hoʻokolohua kūmau e hōʻoia ua hala loa ka HCV.

No kāu kauka e noʻonoʻo iā ʻoe "ua hoʻōla" ʻo ka hepatitis C, pono ʻoe e hoʻokō i kahi kūlana immunological i ʻike ʻia ma ke ʻano he pane virologic paʻa (SVR). Kuhi kēia i ka nui o ka HCV i kāu ʻōnaehana.

Pono ka virus e hōʻea i nā pae haʻahaʻa i hiki ʻole ke hōʻoia iā ia i loko o kou koko no 12 mau pule ma hope o kou hoʻopau ʻana i kāu lāʻau. Ke hiki kēia, manaʻo ʻia ʻoe ma SVR, a i ʻole hoʻōla ʻia.

Ke hoʻoholo ke kauka ua hōʻea ʻoe i SVR, e hoʻomau lākou e kiaʻi i kou koko no hoʻokahi makahiki. Hana ʻia kēia e hōʻoia i ka hoʻi ʻole o ka maʻi. Hiki i nā hoʻokolohua koko maʻamau ke nānā no ka hōʻino ʻia o ke ake.

ʻO ka hoʻi hou ʻana o ka maʻi hepitis C

Ma kahi o 99 pākēneka o ka poʻe i loaʻa ka SVR i hoʻōla ʻia e ka maʻi hepatitis C no ke ola. ʻO ka hopena o ka maʻi hepitis C e hoʻi ana ma hope o ka SVR he mea nui loa ia. Eia kekahi, ke hiki aku ʻoe iā SVR, ʻaʻole ʻoe makaʻu i ka hāʻawi ʻana aku iā HCV i kekahi poʻe ʻē aʻe.

I kekahi mau hihia, lele hou kāu mau maʻi hepatitis C ma mua o kou hiki ʻana i SVR. Akā ʻaʻole kēia i manaʻo ʻia he hoʻi hou no ka mea ʻaʻole i hoola ʻia ka maʻi e hoʻomaka. ʻO kahi wehewehe hou aʻe no ka hoʻi hou ʻana he maʻi hou loa ia.

Nā kumu weliweli no ka hoʻopili hou ʻana

ʻOiai inā ua hoʻōla ʻia ʻoe, a ua komo paha i ka SVR mai ka mālama mua ʻana i ka maʻi hepatitis C, ʻaʻole ia he manaʻo pale aku ʻoe i nā maʻi hou i ka wā e hiki mai ana. Kōkua nā Antivirals i ka hemo ʻana i nā maʻi HCV e kū nei. ʻAʻole like me kekahi mau ʻano virus ʻē aʻe, ʻo ka loaʻa ʻana i ka maʻi hepitis C i ka wā ma mua ʻaʻole ia he ʻano pale aku iā HCV no ke koena o kou ola.

Hiki paha iā ʻoe ke hoʻonui i ka makaʻu o ka loaʻa ʻana o ka HCV inā ʻoe:

• ua hānau ʻia ma waena o 1945 a me 1965
• loaʻa i kahi transfusion o ke koko a i ʻole kahi transplant organ ma mua o 1992
• ua hānau ʻia i ka makuahine me ka maʻi hepatitis C
• loaʻa iā HIV
• hana i kahi hoʻonohonoho olakino kahi e hōʻike ai ʻoe i ke koko o haʻi
• he moʻolelo o ka paʻahao
• ua hoʻohana, a i ʻole ke hoʻohana nei i kēia manawa, i nā lāʻau i pāpā ʻole ʻia

Kāohi

I kēia manawa, ʻaʻohe lāʻau lapaʻau i loaʻa no ka hepatitis C. ʻO ke ala wale nō e hiki ai iā ʻoe ke hōʻalo i ka hana kuʻuna HCV ma o nā hana pale.

Hiki iā ʻoe ke kōkua i ka pale ʻana i nā maʻi hepatitis C hou ma ka hōʻalo ʻana i kēia mau mea:

• loaʻa ka moekolohe me ka ʻole o ka condom a i ʻole ke ʻano hana pale
• kaʻana like ʻana i nā nila
• e hoʻohana ana i nā lāʻau i injected
• ke kiʻi ʻana i nā kāmeʻa homemade a i ʻole ka ʻoki ʻana
• kaʻana like ʻana i nā pahi a me nā palaki niho
• nā hōʻeha needlestick ma nā keʻena kauka a me nā haukapila

Hiki i ka HCV ke hana i kekahi mau hōʻailona. Akā ʻaʻole hiki ke ʻike ʻia ka hapa nui o nā maʻi hepitis C a hiki i ka hōʻea ʻana o ka maʻi i kahi pae holomua a hoʻomaka e hoʻopili i ke ake.

Hiki iā ia ke lawe no kahi hōʻoia antibody HCV e lilo i mea maikaʻi ma hope o kāu hōʻike mua ʻana. ʻO kēia ka hiki iā ʻoe ke lawe me ka ʻike ʻole i ka HCV i nā poʻe ʻē aʻe ma mua o kou ʻike ʻana i kāu maʻi ponoʻī.

E hoʻomanaʻo ʻaʻole mālama ʻo SVR iā ʻoe mai nā hōʻino ate āu e kākoʻo ai ma muli o kāu maʻi HCV mua. Inā loaʻa iā ʻoe kahi cirrhosis ma lalo (scarring o ke ake), pono paha i kāu kauka e nānā i kāu hana ate no nā hōʻailona hou aʻe o ka maʻi. ʻAʻole hiki i kahi transplant ke akepaʻa ke pale aku i nā maʻi o ka wā e hiki mai ana.

Lawe aku

ʻO nā lāʻau Hepatitis C a nā kānaka noiʻi i hoʻomohala ai i loko o nā makahiki he 10 i hala aku nei ua ʻoi aku ka maikaʻi ma mua o ka wā ma mua. Hiki i ka hapa nui o ka poʻe ke hoʻōla ʻia i ko lākou ʻano i loko o kekahi mau mahina. Eia kekahi, ʻaʻohe laha ka makaʻu o ka hoʻi hou ʻana ma hope o kou hiki ʻana iā SVR.

Akā hiki nō naʻe ke hoʻopaʻa i kahi maʻi HCV hou i ka wā e hiki mai ana. ʻO kēia ke kumu he mea nui e kōkua i ka hōʻemi ʻana i kou makaʻu no ka ʻaelike ʻana i ka maʻi. Inā loaʻa iā ʻoe kekahi o nā pilikia i luna aʻe, e kamaʻilio me kāu kauka e pili ana i kāu mea e hiki ai ke pale aku i ka maʻi hepitis C i kou wā e hiki mai ana.