Dambudziko guru mukugadzira chirwere uye zvinodhaka ndezvekuti chirwere che hepatitis C chinonyanya kushanduka mumitambo uye, naizvozvo, chibereko chekushaya hutano. Ikozvino, mujenome yehutachiona pane nzvimbo dzakawanda dzisina kugadzikana umo kushanduka kwezvinhu kunowanzoitika. Somugumisiro, zvakasiyana-siyana zvakasiyana-siyana zvejenotype yehutachiona zvino zvinozivikanwa, uye chimwe nechimwe chejenotype chinosanganisira mbeu gumi. Mumashoko ari nyore, "mhuri" yehutachiona hweH hepatitis C inoramba ichikura. Ndicho chikonzero ichi kuti hazvibviri kuita chirongwa kana mishonga inogona kubudirira kurwisana nehutachiona. Kunyange mumuviri wemunhu mumwe chete, kutanga kuwedzera, hutachiona hunopa vana vakasiyana zvakasiyana nehuwandu hwemubereki kuti hunova nekwanisi "kupukunyuka" kubva pakusagadzikana kwezvirwere zvinokonzerwa nemasimba emuviri uye muviri unoshanda wemishonga. Izvi zvinotsanangura kushandiswa kwehepatitis C mukuita sevanorapa varwere.
Iyo causative agent we hepatitis C inoparidzirwa kuburikidza neropa. Iboka rehutachiwana hwehutachiona hunonyanya kuiswa muropa nezvinodhaka. Maererano nehurumende dzeRussia mumakore achangobva kupfuura, chiitiko chechipiri chechipiri chetachiona nehuyu chimiro chehepatitis chinosanganiswa nekushandiswa kwemishonga inopinza. Zvasara 50% zvinowira kune vane hemophilia varwere, hemodialysis varwere, vanachiremba, vanachiremba, vanachiremba vemazino, vashandi vemaoko - neshoko revaya vose vanosangana neropa revanhu vane utachiona. Uyewo, zviitiko zvekutapukirwa kwehutachiona nekurova, kutora mifananidzo, manicure uye pedicure hazvishamisi nezviridzwa zvisingagadziriswi. Asi kubva kuna amai kusvika kumwana hutachiona hunoenda kazhinji.
Maererano neWorld Health Organization, inenge 3 muzana yevanhu vepasi rose vanotakura chirwere cheHepatitis C, i.e. vanenge mamiriyoni 300 vanhu. Asi kana iwe uchifunga kuti munyika dzakawanda chete zviratidzo zvakajeka zvehepatitis C zvakanyoreswa, uye mune dzimwe nyika hapana mazamu ehutachiona hwehutachipatachi, zvine musoro kufunga kuti zviitiko zvomutengo chaiyo zvakanyanya kwazvo. Zvinonzwisisika, uwandu hwehutachiona hwehuwandu hwevanhu hunosiyana zvikuru nenharaunda (kubva ku 0.6-1.4% muU.SA kusvika 4-5% munyika dzeAfrica).
Nguva yekubatwa kwehepatitis C inoenderera mberi pamusana wemazuva 40-50. Kubudirira kwechirwere chacho pachako kunogona kugoverwa muzvikamu zvitatu: acute, latent (chisingararami) uye chikamu chekuita zvakare (chirwere chitsva chechirwere).
Chikamu chakaoma chinowanzosara kumwedzi mitanhatu. Inowanzoitika nenzira yakaderera, saka chirwere chacho hachiwanzowaniki pachigamba chekutanga. Varwere vane chimiro chinoshingaira chechikamu chakakomba vashoma (kwete kupfuura 20%). Zviratidzo zvechirwere zvinosanganisira kushaya simba, kukurumidza kuneta, kuderedza chido uye kuita basa. Kuongororwa kunonyatsoshandiswa nekuonekwa kweacteric sclera uye kushatisa kweganda, asi zviratidzo zve jaundice hazviwanzovi - mune 8-10% yematambudziko.
Muzhinji rwevarwere, chikamu chakaoma chinotsiviwa nechikamu chekupedzisira, nechinangwa chekugara kwenguva refu chechirwere mumuviri, uye chinogona kupera kusvika makore gumi nemakumi maviri nemashanu. Nguva yose iyi vanhu vane utachiona vanofunga kuti vane utano hwakanaka. Kunyunyuta chete kunogona kuve kukuremera mu hypogondrium yakarurama nemabasa ekuita muviri kana kushungurudzwa kwekudya. Mune varwere panguva iyi, kuwedzera kwechidiki uye kuwirirana kwechiropa uye spleen kunogona kuonekwa, uye kuongorora kweropa kunoratidza kuwedzera kuduku muzinga re enzyme alanine aminotransferase (ALAT) uye nguva nenguva zvinoratidza RNA yehutachiona hweHepatitis C.
Kuitazve kuitika kunowanikwa pamwero wakapera mushure memakore gumi nemana uye kunotungamirira kuchirwere chechiropa uye hepatocellular carcinoma. Utachiona hunogona kukonzera hutachiona uye dzimwe nhengo dzakawanda uye zvinogona kukonzera kuputika kwetsvo glomeruli, chirwere cheshuga, lymph nodes, nervous system nemoyo kunokanganisa, zvirwere zveganda, arthritis, kusagadzikana kwepabonde, uye urongwa urwu hunogona kupfuurirwa.
Imwe nzira iripo yekurapa hepatitis C inoda kuvandudzwa. Zvirwere zvinoshandiswa (interferon, virazol, nezvimwewo) hazvina kubudirira. Maererano nemakiriniki akasiyana-siyana, chirwere chekurapa chinowanikwa chete mu40-45% yevarwere. Mukuwedzera, mishonga iyi inodhura, uye kushandiswa kwavo kunoenderana nemigumisiro yakakomba. Munyaya iyi, kukosha kwezvidziviriro zvakafanana nezviyero zvekudzivirira AIDS: kurwisana nemishonga yekushandisa zvinodhaka, kutonga kweropa uye zvigadzirwa zvayo, zvidziviriro zvemunhu uye dzidzo yehutano.
Ngwarira utano hwako husina kukosha!