Kuongororwa kwe "viral hepatitis" hakusi kuwanikwa munyika yedu uye kumativi ose enyika, uye zvinogona kunge zvisingatarisirwi kune murwere asingafungi. Izvi zvinokonzerwa nekuti chirwere ichi chinokwanisa kuvapo kwenguva yakareba mumuviri, kuparadza chiropa, kunze kwete kuzviratidza pachako.
Urongwa hwehutachiona hwehupatachi
Viral hepatitis haisi chirwere chimwe chete, asi boka rose rezvirwere, zvinokonzera kukonzera iyo maitiro akasiyana ezvirwere, zvakasiyana mumasikirini uye biochemical maitiro. Zvinoparidzirwa nenzira dzakasiyana, hadzina chiyero chakafanana chechisimba. Zvinowanzoenderana nezvipembenene izvi ndezvokuti zvose zvinokonzera kuvhiringidza kwechiropa chechiropa, kuchivhiringidza kushanda kwayo.
Parizvino, anenge gumi nemaviri emirwere inozivikanwa, iyo inotapukirwa iyo hepatitis inokura. Havasi vose vakanyatsodzidza. Mukuwedzera, kune zvimwe zvisingazivikanwi nezvehutachiona hwehupatachi. Viral hepatitis inorongedzerwa kwete chete nehutachiona, asiwo nedzimwe nzira:
1. Pamakiriniki:
- accclic (kusvika kune mazuva 90);
- kumira kwenguva refu (kusvika kumwedzi 6);
- asingagumi (mwedzi mitanhatu).
2. Pamusoro pematambudziko ezvino:
- chiedza chechiedza;
- average;
- nzara.
3. Pachimiro chemakiriniki:
- Manifist (icteric yakafanana, icteric atypical, isina jaundice);
- rakanyarara (subclinical, inna-parental).
Viral hepatitis A
Chirwere ichi, chinokonzerwa nehutachiona hweA, chirwere chetachiona hepatitis, chinoratidzirwa nehutachiona nekupararira uye kuwedzerwa kwehutachiona. Iyo inokonzera causative yehutachiona inozivikanwawo se enterovirus-72, uye chirwere ichocho chinonzi Botkin's disease. Kutapurirwa nefecal-muromo nzira, munhu wezera chero ripi zvaro anogona kurwara, mushure mokunge aita chirwere chisingaperi.
Nguva yekudzivirira nguva yeutachiona inopesana pakati pemazuva manomwe nemakumi mashanu. Utachiona hunopinda mukati memukati mucosa hunounganidza mu epithelium yayo uye huchienda kuchiropa, uko hunotanga kuparadza zvivako zvemagetsi. Sezvo mutemo, chirwere ichi chinowedzera muhumu hwakanyorova, uye kana chinyorwa chemakiriniki ichiratidzwa, chinoonekwa:
- manzwiro ekurwadziwa mumudumbu inobatanidza nekuwedzera muropa;
- nausea;
- chido chokurutsa;
- kurima kwemuti;
- kutsanangurwa kwemarara, ivhu rayo;
- kukwirira kwomuviri wepamusoro (mumazuva maviri);
- kurwadziwa musoro uye kurwadziwa kwemisonda;
- akaoma muromo;
- ruvara rweganda nesarura;
- kanda kuchenesa uye yakafanana
Viral hepatitis B
Zvirwere zvechirudzi ichi zvinogona kuitika mumatambudziko akaoma, asingagumi, asingagumi. Iyo pathogen, iyo inofadza chirwere ichi, inoratidzwa nekupona kwakanyanya pakuvhenekera, kuvira, kuonekwa kwechidimbu, kwenguva yakareba inogona kunge yakashanda mumamiriro ekunze. Mune varwere vane chirwere chekushaya chirwere cheHpatitis B, zvirwere zvinotapukira zvinowanikwa muropa uye zvimwe zvinokonzerwa nehupenyu - saliva, urini, kubuda kwevakadzi, nezvimwewo. Nokudaro, iwe unogona kutapukirwa nekutaurirana-imba, parenteral, zvepabonde nedzimwe nzira.
Viral hepatitis yemhando iyi inoratidzirwa nekuputirwa kwemazuva makumi maviri kusvika kumwedzi matanhatu. Panguva ino, akapinda mishonga inopinda kuburikidza neropa ichipinda muropa, pavanowedzera nekuunganidza. Mushure mokunge kuunganidza imwe chikwata, zviratidzo zvekutanga zvekliniki zvinogona kuoneka:
- kushaya simba uye malaise (pasina fever);
- kugara uchinzwa kusuruvara mudumbu, kuve kwakanyanya mushure mekudya;
- nausea;
- kuchinja kwemavara emuti;
- kurwadziwa muzvibatanidzwa, nezvimwewo.
Uyezve, hutachiona hwehupatachi hunopinda muchikamu cheicteric, umo zviratidzo zvose zvinowedzera, uye zvitsva zvinoonekwa zvakare:
- discoloration of stool;
- ruvara rweganda nesarura;
- kuderedza urine yakabuda;
- kukanganisa kudya;
- kurara kunetseka, nezvimwewo.
Nzira yakaoma iyo inoguma nekugadzirisa uye kusara yakasimba musingagumi (uye chiropa chinoshandazve chinotanga mumwedzi mishomanana, uye zvigadziriswa zviitiko zvinogona kunge zviripo muhupenyu hwose), kana kuti zvinopinda muhupenyu husingagumi nemafungiro akafanana-ezvo uye kufanana nekudzivirira kwezvirwere zvevamwe nhengo.
Viral hepatitis C
Chirwere ichi chinotanga nehutano hwekuita, iyo inowanzosingaperi. Utachiona hunowanikwa kubva kuvanhu vanorwara kana vane utachiona hune hutano mukusangana neropa ravo, zvepabonde, kubva kuna amai kumwana akarerwa. Nemhaka yekuti chirwere chisingaperi chine hepatitis C kakawanda chinowedzera pachivande uye chinoonekwa kunyange kana chironda ichi chisingareviki, chinonzi "gentle killer."
Paavhareji, nguva yekudzivirira inotora mazuva 60. Nezverudzi urwu rwechirwere zvakafanana nehepatitis B uye inokwanisa kuratidzirwa nezviratidzo zvinotevera:
- general weak;
- joint pain;
- indigestion disorder;
- nausea;
- kurima kwemuti;
- kuchena kweganda, nezvimwewo.
Viral hepatitis C inofambidzana nezviratidzo zvakawanda zvekuwedzera, kuvhara chirwere chepachiviri chemuviri: chirwere cheganda, vitiligo, anemia, utano hwepvo, chirwere chetachiona, nezvimwewo. Mushure mechikamu chakaoma, murwere anogona kupora, kana chirwere chacho chinopinda pane imwe nguva isingaperi. Ruzhinji, mukushayikwa kwekurapa kwenguva yakakodzera, richiri kuwedzera chirwere chisingaperi chisingaratidzi kuratidza kwemakumi makumi emakore. Kukuvara kwechiropa zvishoma zvishoma nezvishoma zvinoshanduka kune mafuta uye fiber, dzimwe nguva zvinenge zvichinyangadza.
Viral hepatitis D
Ichi chirwere chinotumidzwawo se delta zvirwere. Hepatitis D inoratidzirwa nechimiro chakadai sekudiwa kwekuchengetedza utachiona hwechiB muzvikamu zvekuberekwa nekuvandudza kwayo. Nokudaro, zvirwere zve delta zvinowanikwa kunze kwechimiro chekusingaperi chinokura hepatitis B uye chinowana zvakafanana kliniki zviratidzo, chete mune zvakanyanya kufanana. Mukuwedzera, kuoma kwakanyanya kwezvipembenene kunowedzera mukana wezvinetso zvakakomba. Utachiwana hunoitika kuburikidza neropa.
Viral hepatitis E
Iyo pathogen inokonzera hepatitis E yakafanana ne rotavirus uye inoparidzirwa nefecal-oral nzira. Iri hutachiona harina kugadzikana mukati memamiriro ekunze, nekukurumidza inouraya nekubikira uye pasi pesimba revanodhakisa, asi rinogona kuramba kwenguva refu mumvura yakachena. Chirwere chemakliniki chinoratidzika seboka re nyore reBotkin's disease, kazhinji kacho rinoguma nekudzikinura. Zvakaipa zvinokonzerwa neizvi pathogen pavakadzi vane pamuviri: pamuviri anowanzoguma pakupererwa pamuviri, mukadzi anogona kukurumidza kukura kusakundikana kwechiropa.
Viral hepatitis F
Izvo zvinokonzera kukanganisa kwechimiro ichi, zvakafanana mune zvayo kune adenovirus, zvakawanikwa munguva pfupi uye zvisingadzidziswe zvishoma. Inoparidzirwa nefecal-oral nzira kana neropa, kubva kuna amai kuenda kumabere. Hepatitis F ine zviratidzo zvikuru zvinotevera:
- general weak;
- nyore kukura kwekushisa;
- headache;
- kurwadziwa muropa;
- jaundice ;
- stool disorder;
- nausea;
- kubuda ropa.
Ko utachiona hwehutachipatachi hunoparadzirwa sei?
Nzira dzakakosha dzekutapira kwehutachiona hwehutachiita ndezvekuti:
- Fecal-oral (enteral) - nemvura uye zvokudya nekuda kwehutano hwakachena, hutsika hwakachena).
- Mukubatana neropa uye nezvimwe zvinokonzerwa nehupenyu hwemunhu ane hutachiona (parenterally) - nehutano uye hutachiona hunoshandiswa, kuburikidza nemagetsi ekushandisa, mazino, manicure instruments, nekubaya, kutora mifananidzo, nezvimwewo);
- Pavanoita zvepabonde.
- Panguva yekuzvitakura kubva kuna amai kusvika kumwana.
Kuita zvirwere zvekurwara zvinotakura subspecies A uye E. Zvimwe ngozi parenteral viral hepatitis-B, C, D, F, inopisa upenyu. Mhedzisiro yakakosha yehutachiona ndeyevanhu vane zviratidzo zvehutachiona uye zvechirwere zvinoratidzirwa maitiro ehutachiona. Kuti atapukisa dorosikiki yakasvibiswa yezvisikwa zvakasvibiswa zvinokonzerwa nehutachiona, husingaoneki kune ziso rakashama.
Viral Hepatitis - Kuziva
Izvo zvakaitwa kuongororwa kwehutachiona hwehutachipatachi, pamwe nekuongororwa kwechiremba, zvinosanganisira kuonekwa kwechirwere chepathogen, chimiro chechirwere, chiyero chekushaya simba kwemuviri wehupi uye kuvapo kwezvinetso. Nokuda kweizvi, ma laboratori uye maitiro ekugadzira anoshandiswa. Saka, ultrasound inogoverwa kuti iite morphological change mumatenda ehepatic. Mune zvimwe zviitiko, kuitira kuti uwane mufananidzo wakakwana wekuvhiringidza kwehutano, kuongorora kwechirevo chake chemuenzaniso wehutachiona hwakakanganiswa kunodiwa.
Anotsvakurudza kuhutachiona hwehupachipatara
Imwe nzira inokosha yekuongororwa ndeye kuongorora ropa kweropa reviral hepatitis. Pane nzira mbiri dzekuona zvirwere zvepachigoni:
- Immunological - tsanangudzo yezvirwere zvinokonzerwa mumuviri zvichienderana nekupinda kwezvirwere, kana zvikamu zvehutachiwana pachahwo.
- Genetic inonzi polymerase chain reaction method iyo mavairusi anoonekwa neDNA kana RNA muropa.
Zviratidzo zvehutachiona hwehutachiona zvinoratidzwa, kuwedzera, kuburikidza nekuedzwa kwakanyanyisa:
- kutsunga kwehutano hwemakemikari ehepatic;
- kutsunga kwebilirubin fractions.
Viral hepatitis - zviratidzo uye kurapa
Sezvo ane chirwere che "viral hepatitis" zviratidzo hazviwanzozviratidzira pachedu pakutanga, kugadzirisa zvizere hakusi nguva dzose inorimbidzwa. Muzviitiko zvizhinji, sezvakataurwa pamusoro apa, chirwere chinowedzera chisingaperi nezviratidzo zvakacheneswa zvinogona kuitika mune zvimwe zvirwere zvakawanda:
- lethargy;
- headaches;
- kurwadziwa kwepamuviri;
- nausea;
- zvinetso zvekudya, nezvimwewo.
Zvinonyanya kuipa ndezvokuti mheni inowanikwa ikozvino, iyo yakawanda kufa kwechiropa tisukisi inoonekwa. Sezvo mutemo, chimiro chakadaro chinokonzerwa nehepatitis A. Muchiitiko ichi, zviratidzo zvinotaurwa zvakajeka uye kukanganisa kunobva pakati penheyo system inotanga kuiswa, iyo inobatanidza nekuunganidza kwezvinhu zvinotyisa. Nokudaro, varwere vangave vane nyonganyonga, kushungurudzika kwegadziriro, kushungurudzika, nezvimwewo. Izvi zvinoda kupindira kwenguva pfupi mune zvehutano
Kurapa kwehutachiona hepatitis C, A, B nemamwe marudzi ehepatitis ane zvakawanda zvakafanana uye zvinosanganisira:
- kunamatira pamubhedha kana kuti hafu yemubhedha, kurambidzwa kwekuita muviri;
- kudya kwekudya;
- kutora mishonga (chaiyo yemishonga yemishonga, detoxification agents, interferons, enterosorbents, maitiro enzyme, hepatoprotectors, antispasmodics, nezvimwe);
- dzimwe nguva - chirwere chinopikisa (chimiro chekugadzira).
Varwere vanoratidzwa kakawandisa chikamu chiduku chekudya kunze kwezvinhu zvinokurudzira kugadzirwa kwemakumbo emukuchi uye kuita basa reropa. Zvakakosha kunwa mvura yakawanda, kuderedza kushandiswa kwemunyu. Miti yaunogona kushandisa:
- nyama yakaderera-mafuta, hove;
- midziyo yekaka yakaderera;
- evha yakachena;
- boiled mhizha;
- porridge;
- biscuit cookies, chingwa chezuro.
Kurambidzwa:
- nyama yakakora, zvishongo zvinopfungaira, zvokudya zvekudya;
- marinades, pickles;
- fresh baking;
- fried food;
- yai eaii, garlic, radish, radish, kabichi;
- chocolate.
Mumakore achangobva kupfuura, madhiragi ane maitiro ekudzivirira immunomodulating kubva muboka re thiopoetin, iro rinosarudza masero ehepatic, anoshandiswa sechikamu chemishonga yehutachiona hepatitis. Mishonga yakadaro inosanganisira Glutoxim. Interferon inductors uye immunomodulator zvakanyanya kukurudzirwa kuti zvive nyore. Aya ndiwo mishonga yakadai se:
- Cycloferon;
- Immunophane;
- Polyoxidonium;
- Amiksin nevamwe.
Kudzivirira kwehutachiona hepatitis
Pasinei nehuwandu hwehutachiona hwehupachipatara, kudzivirira kunobva pamitemo yakawanda, kutevedza izvo zvinoderedza ngozi yehutachiona:
- Kunwa mvura yakabikwa, yakashambwa michero nemiriwo, zvokudya zvinoshandiswa zvakanyanya.
- Dzivisa kubatana nemamwe muviri wemvura mvura (uchishandisa chete zvinhu zvehutsanana, sirusi inoshandiswa, zvigadziriswa zvinoshandiswa pakugadzira manicure, kurova, nezvimwewo).
- Kudzivisa kushamwaridzana nevamwe vanhu, kushandiswa kwezvinodzivirira.
- Huchivhara hepatitis A uye B.