Hoʻomaʻemaʻe Hepatitis C: He aha kaʻu mau koho?

Anter

• Pehea e ʻike ʻia ai ka maʻi hepitis C?
• Hoʻomaʻo no ka maʻi hepatitis C
• ʻO ka mālama ʻana no ka maʻi hepitis C maʻi mau
• Nā Lapaʻau
• Nā antivirals hana pololei (DAA)
• Ribavirin
• Ka hoʻoliʻiliʻi ate
• ʻO ka hoʻāʻo ʻana no ka maʻi ʻaʻai ate
• Aia kekahi mau hoʻoponopono ʻokoʻa?
• Nā ʻōlelo aʻoaʻo olakino no ka noho ʻana me ka hepatitis C
• E kamaʻilio me kāu kauka

He aha ka maʻi hepa C?

ʻO Hepatitis C kahi maʻi viral koʻikoʻi i hiki ke alakaʻi i ka hōʻino o ke ake. ʻAʻole paha ʻoe e ʻike he maʻi ʻino kāu e loaʻa ai i ka maʻi hepitis C no ka mea ʻaʻohe o nā ʻano o ke ʻano.

Hiki i ka lapaʻau mua ke hoʻololi. E heluhelu e ʻike e pili ana i kāu koho koho no ka maʻi me ka maʻi hepatitis C (HCV).

Pehea e ʻike ʻia ai ka maʻi hepitis C?

E hoʻoholo inā loaʻa ʻoe i ka maʻi hepa C, e hana ke kauka i kahi hōʻike koko. Kāhea ʻia kahi mea e hoʻohana mau ʻia ai ka hoʻāʻo antibody HCV. Nānā ia no nā mea ʻino no HCV. ʻO nā Antibodies nā protein i kōkua i kou kino e hakakā i nā maʻi.

Inā hōʻoia ʻoe i ka maikaʻi no nā mea ʻino HCV, ʻo ia hoʻi ua hōʻike ʻia ʻoe i ka maʻi. Eia nō naʻe, ʻaʻohe ou maʻi maʻi paha.

ʻO ka hana hou e loaʻa i kahi hōʻike qualitative HCV RNA. E haʻi kēia hōʻike i kāu kauka i ka nui o kāu maʻi i loaʻa i kou kino, e hōʻike ana inā he maʻi ʻino kāu.

Inā hōʻike kēia mau hoʻokolohua loaʻa iā ʻoe kahi maʻi HCV e hana ana, e hana paha kāu kauka i kahi hōʻike ʻē aʻe i kapa ʻia he genotyping viral. Hiki i kēia hōʻike ke haʻi i kāu kauka i ke ʻano o ka HCV iā ʻoe. E pili ka lāʻau āu e loaʻa ai ma ka ʻano o ka HCV i loko o kāu ʻōnaehana.

Hoʻomaʻo no ka maʻi hepatitis C

Aia ʻelua mahele nui o ka maʻi hepatitis C: koʻikoʻi a mau. ʻO ka maʻi HCV maʻi ka wā lōʻihi, ʻoiai ʻo ka maʻi ākea kahi maʻi maʻi wā pōkole. Kū ka maʻi HCV koʻikoʻi i loko o nā mahina ʻeono mua o ka loaʻa ʻana i ka maʻi hepatitis C.

Wahi a ka, ma kahi o 75 pākēneka o ka poʻe me ka HCV koʻikoʻi e holomua i ka HCV mau. ʻO ia hoʻi a hiki i ka 25 pākēneka o ka poʻe me ka maʻi hepitis C e hoʻōla hou mai me ka ʻole o ka lāʻau.

No kēia kumu, a no ka mea he pipiʻi ka mālama ʻana no ka HCV, ʻaʻole mālama kauka i ka HCV koʻikoʻi. E nānā pinepine lākou i kahi maʻi ʻino e ʻike inā e holomua i ka hana mau. Inā hoʻomohala ka palapala maʻamau, hiki ke hoʻolauna ʻia i kēlā manawa.

ʻO ka mālama ʻana no ka maʻi hepitis C maʻi mau

Me ka mālama ʻole ʻia, hiki i ka hepatitis C mau loa ke alakaʻi i ka hōʻino o ke ake a me nā pilikia koʻikoʻi ʻē aʻe. Hoʻomaʻo ʻia nā lāʻau HCV a i ʻole ke ʻoki kino.

Nā Lapaʻau

I kēia lā, ʻo nā lāʻau lapaʻau mua i hoʻohana ʻia e mālama i ka maʻi hepatitis C i kapa ʻia nā antivirals pololei (DAAs). Hoʻohana ʻia kēia mau lāʻau i kekahi manawa me ka lāʻau ribavirin.

Nā antivirals hana pololei (DAA)

ʻO nā DAA ke kūlana o ka mālama no ka maʻi HCV mau. Ua hele mai kēia mau lāʻau lapaʻau waha i ka makeke mai ka makahiki 2011 a ua ʻike ʻia e hoʻōla i ka poʻe i mālama ʻia me lākou. Hoʻohui ʻia, hoʻohālikelike ʻia i nā mālama kahiko e like me interferons, hiki iā lākou ke hōʻemi i nā hopena ʻē aʻe.

Loaʻa kekahi mau DAA ma ke ʻano he mau lāʻau, a loaʻa ka hapa nui e like me nā lāʻau hoʻohui. ʻO kēia mau hana hoʻohui e ʻae iā ʻoe e lawe i nā pila liʻiliʻi i kēlā me kēia lā. Loaʻa nā ʻano hoʻohui i loaʻa i kēia manawa:

• Epclusa (sofosbuvir / velpatasvir)
• Harvoni (ledipasvir / sofosbuvir)
• Mavyret (glecaprevir / pibrentasvir)
• Technivie (ombitasvir / paritaprevir / ritonavir)
• ʻO Viekira Pak (dasabuvir + ombitasvir / paritaprevir / ritonavir)
• ʻO Vosevi (sofosbuvir / velpatasvir / voxilaprevir)
• Zepatier (elbasvir / grazoprevir)

Mālama kēia mau lāʻau i nā ʻano like ʻole o ka hepatitis C. E aʻo aku kāu kauka iā ʻoe no nā lāʻau maikaʻi loa no kāu ʻano HCV.

Ribavirin

ʻO Ribavirin kahi lāʻau kahiko i hoʻohana ʻia i kekahi manawa. Ma mua o ka loaʻa ʻana o nā DAA, ua kuhikuhi ʻia ʻo ribavirin no ka hoʻohana me nā interferons. I kēia lā, hoʻohana pinepine ʻia me ka hoʻohui pū me kekahi mau DAA e mālama i ka maʻi HCV kūʻē (maʻi paʻakikī e mālama). ʻO kēia mau DAA ʻo Zepatier, Viekira Pak, Harvoni, a me Technivie.

Hele mai ʻo Ribavirin ma ke ʻano he capsule, pākaukau, a i ʻole kahi haʻina. ʻO nā mana inoa inoa o ribavirin e:

• Copegus
• Moderiba
• Rebetol
• Ribasphere
• ʻO Ribasphere RibaPak

Ka hoʻoliʻiliʻi ate

I nā hihia ʻoi loa o ka maʻi hepatitis C mau loa a i nā wā ma hope o ke ʻano, pono ʻia kahi transplant ate. Hoʻohana wale ʻia kēia ʻano lapaʻau inā ua hōʻeha ʻia ka maʻi ma ke ake e hiki ai i ke kūleʻa ʻole o ke ake.

I ka wā o kahi transplant, e hoʻoneʻe nā mea lapaʻau i kou ake ʻeha a hoʻololi iā ia me kahi lālā olakino mai kahi mea hāʻawi. Ma hope o kahi transplant, e kuhikuhi ʻia ʻoe i nā lā lōʻihi e kōkua ai i ka kūleʻa o ke transplant.

ʻO ka hoʻāʻo ʻana no ka maʻi ʻaʻai ate

Ke loaʻa nei i ka maʻi hepitis C iā ʻoe i ka nui o ka makaʻu no ka maʻi ʻaʻai ate. No laila, ma ke ʻano he ʻāpana o kāu lapaʻau ʻana no ka maʻi hepa C, pono ʻoe e hoʻāʻo ʻia no ka maʻi ʻaʻai ate.

Ma ka hana ʻana i kahi hōʻike ultrasound ma kou ake i kēlā me kēia makahiki, a i ʻole i kekahi manawa i kēlā me kēia ʻeono mau mahina, hiki i kāu kauka ke ʻike i ka maʻi ʻaʻai.

Aia kekahi mau hoʻoponopono ʻokoʻa?

ʻOiai manaʻo kekahi poʻe hiki i kekahi mau mea kanu ke kōkua i ke olakino ate, nā mokuʻāina ʻaʻohe hōʻoia ʻia a i ʻole nā ​​therapies no ka mālama ʻana i ka maʻi hepitis C.

Paipai ʻia ka waiū ʻokū (silymarin) no ka mālama ʻana i nā pilikia o ke ake. Eia nō naʻe, ua hoʻokūpaʻa ʻia ʻaʻole i hōʻike ʻia ka hopena o ka waiū ʻoi aku ka maikaʻi ma mua o ka placebo no ka mālama ʻana i ka maʻi hepitis C. He ʻoiaʻiʻo kēia inā lawe ʻia ka mea kanu e like me nā capsule a i ʻole nā ​​unuhi.

Nā ʻōlelo aʻoaʻo olakino no ka noho ʻana me ka hepatitis C

Ua hoʻomaopopo ka Mayo Clinic i kekahi mau loli olakino hiki iā ʻoe ke hana e kōkua i ka hoʻomaikaʻi ʻana i kou olakino i kou wā e mālama ai no ka maʻi hepa C. Kuhi lākou iā ʻoe:

• E akahele me kāu mau lāʻau. ʻO kekahi mau lāʻau, ʻo ia hoʻi nā mea i kau ʻia e kāu kauka, i loaʻa i ka hopena o ka hōʻeha ʻana i ke ake. ʻO kēia kahi pilikia nui aʻe no ka poʻe me ka maʻi hepitis C. E kamaʻilio me kāu kauka e pili ana inā pono ʻoe e hōʻalo i kekahi mau lāʻau i kuhikuhi ʻia a i ʻole ka lāʻau e pono ai.
• Hōʻalo i ka ʻalekohola. ʻO ka inu ʻana i nā mea inu ʻona hiki ke holomua me ka wikiwiki i ka maʻi maʻi. No laila, ʻoi aku ka maikaʻi o ka hōʻalo ʻana i ka wai ʻona inā loaʻa he hepatitis C iā ʻoe.

E kamaʻilio me kāu kauka

ʻOkoʻa loa nā mālama ʻana a me ka nānā ʻana no ka maʻi hepa C i kēia mau lā ma mua o nā makahiki i hala. Nui nā poʻe e hoʻōla nei i ka mahalo i nā DAA hou i loaʻa.

Inā loaʻa iā ʻoe ka hepatitis C a i ʻole makaʻu paha ia no ia, ʻo ka mea maikaʻi e hana ai ke ʻike aku i kāu kauka. E hoʻomaka, hiki iā lākou ke hoʻāʻo iā ʻoe no ka maʻi maʻi. Inā makemake ʻoe i ka lāʻau, hiki iā lākou ke haʻi iā ʻoe e pili ana i nā lāʻau hou i loaʻa i loaʻa nā helu maikaʻi loa no ka hoʻōla ʻana i ka maʻi hepitis C.

Ke hana pū nei me kāu kauka, hiki iā ʻoe ke kūkulu i kahi hoʻolālā lapaʻau e hiki ke kōkua iā ʻoe e hoʻokele, a i ʻole hoʻōla, i kou hepatitis C.