Kodi ndi zimene kuchiza matenda a chiwindi C? Kodi kuchiza matenda a chiwindi C panyumba?

Tsiku la kubadwa nduna ya chiwindi C HIV tinganene kuti mu 1989. palibe yeniyeni machitidwe matenda kuzindikira izo sizinali anayamba mpaka nthawi imeneyo. Kamodzi mu thupi, matenda a chiwindi C HIV, mawu osavuta, amakwiya kutupa mu chiwindi. matenda padziko lonse izo tsopano ndi vuto lalikulu kwambiri. Kumvetsa ndi njira ndi chimene kukonzekera kuchiza matenda a chiwindi C, m'pofunika kuti ayanjane ndi vuto mwatsatanetsatane.

Ndi ndani amene

The causative nthumwi za mitundu chiwindi A ndi B akhala anazindikiritsidwa mu 70 ntchentche za zana la 20. Komabe, panali maganizo pambuyo sayansi kuti pali mitundu ina ya matenda ( "kapena A kapena B"). Mfundo kukayika onse anakhazikitsidwa mu 1989, m'kupita kwa zoyesa magazi a anthu anaulula yeniyeni wothandizila wina tizilombo, amene anapatsidwa dzina la "chiwindi C kachilombo". Pomwepo panali mafunso ambiri osiyana zimene n'koopsa chiwindi C, mmene tiyenera kuchitira, kodi mankhwala ntchito.

Mtokoma wa asayansi ndi akatswiri a zachipatala mu umodzi wina ndi mnzake mu lingaliro lakuti mawonekedwe matenda ndi owopsa kwa onse amene akudziwika. Ndi mawonekedwe colloquially amatchedwa "wachifundo wakupha", monga matenda mwina kuonekera kwa zaka, titero, kuchita zinthu "ofatsa ngati mwana wa nkhosa," koma kwambiri amakhudza maselo chiwindi ndi zoyambitsa mavuto aakulu. Munthu mu nthawi iyi si chinachake chimene sichiri chidwi kuposa kuchiza matenda a chiwindi C, koma sankatikayikira kuti ali ndi matenda loipalo.

zodutsa zotheka kukhudzana

Limagwirira matenda a chiwindi C HIV - parenteral hematogenous (.. Ie matenda kumachitika mwa magazi). N'zotheka akukuvutitsani. Choyamba, kuika olandira magazi. Malinga ndi kafukufuku, mpaka 2% ya othandizira ndalama padziko lonse ali ndi HIV. Chifukwa cha zimenezi, patsogolo magazi, izo anayesedwa pamaso pa tizilomboto mmenemo (ndi mtengo kuposa ndiye kuchitira munthu). Ndipo, koma, za 4% milandu onse a matenda zimachitika mu ndondomeko ya magazi.

Kachiwiri ntchito njira zachipatala ndi jekeseni wa singano m'modzi anthu osiyana. Ambiri mwa matenda amenewa mwa mankhwala osokoneza bongo ndi anthu akulandira mankhwala kudzera m'mitsempha. Kodi mankhwala kuchiza matenda a chiwindi C, adzakhululukidwa pansipa.

Chachitatu, Mwina ukuwonjezeka matenda anthu amene ali pa udindo kulankhulana ndi mankhwala magazi (tikulankhula madokotala).

Komanso, n'zotheka 'tizidzuka "matenda kudzera mu kugonana. Zikuoneka kuti matenda m'banja ndi kugona ndi bwenzi azilandira ndi negligible. Komabe, pamene nthawi ojambula chosaneneka ambiri kumaonjezera ngozi ya matenda ndi kachilombo za matenda C, T. Kwa. The kuchigwiritsa pafupifupi 3% khalidweli, 6% ya akazi a ukoma zosavuta, ndi 4% nthawi zonse "makasitomala" dokotala matenda venereal.

Mayi ndi mwana kachilombo kufalikira yosowa kwambiri. Infection kudzera mu mkaka wa m'mawere sadzafika nthawi mkaka wa m'mawere, kotero lactating akazi chidwi funso kuposa azichitira chiwindi C ndipo kaya ndi owopsa kwa mwana zambiri Sikuti.

Komanso, zikuoneka matenda pa ntchito ku mphini thupi kapena kuboola thupi, kutema mphini, makutu kuboola masingano osakhazikika. Ndipo 40% odwala sadziwa kapena sindikukumbukira zomwe kapena amene akanatha kukhala gwero.

symptomatology

Musanawerenge funso la chimene kuchiza matenda a chiwindi C, m'pofunika kumvetsa pamene munthu ayenera kuyamba kudandaula, mverani chikhalidwe chake posachedwapa ndipo pitani kuchipatala.

Mbali yaikulu ya chiwindi C HIV - ndi osakhalitsa ake, luso ndi propensity kwa mutate. matenda angayambe m'njira ziwiri. Ngati kachilombo chitidwe mofulumira, ndi imperceptible kwa anthu kuwonongeka chiwindi selo mlingo wa ndondomeko izi zowononga kuposa mwini mphamvu chiwindi kusinthika. Pankhaniyi, ndondomeko kuchotsa hepatocytes (maselo chiwindi) chilonda (connective) minofu. Zikatere amakhudza limba ntchito. Ngati ndondomeko kugawanika wosakwiya, limatha kudzichiritsa chiwindi kubwezeretsa zosayenera.

Machenjezo si zopezeka. Pa nthawi makulitsidwe (pafupifupi 50 masiku), munthu akhoza bwinobwino amaona ndi kuphunzira za matenda mwangozi. Komabe, pali si yeniyeni zizindikiro za matenda B, pamaso pa zomwe ayenera pitani kuchipatala. Zikuphatikizapo kufooka, kutopa, asthenia (kutopa matenda).

masiteji kafukufuku

Monga ulamuliro, kwa ambiri odwala zabwino anachita kwa chiwindi C HIV amakhala anadabwa wathunthu. Komabe, kutaya mtima ndi ndikudabwa funso sacramental, ndipo ngati azichitira chiwindi C ambiri, sikuthandiza. Chotsatira adzakhala Ndime ya kupenda. Choyamba, m'pofunika kuti adzathe kuchita atayezetsa kutsimikiza kukhalapo kwa HIV, nthumwi causative. Ngati yankho ndi wosangalatsa, dokotala mankhwala angapo njira zina.

Chiwindi ultrasound (ultrasound) zidzathandiza dokotala bwinobwino kufufuza kapangidwe ka minofu chiwindi ndi chikhalidwe cha ziwalo wapafupi. ndondomeko izi zikhoza kutheka mobwerezabwereza popanda vuto lililonse thanzi.

Fibroskanirovanie chiwindi kapena elastometry adzakhala kuunikira njira zako aakulu mu chiwindi ndi mphamvu ya chithandizocho (ngati kale yofuna).

The kafukufuku zofunika kwambiri kuti adzakupatsani dokotala anu monga mudziwe zambiri za mmene chiwindi - biopsy. Amapita kwa kusanthula ndi imawunikidwa pansi pa maso maselo chiwindi adzalola kuti madokotala kutengapo maganizo ngati kapena ayi ndondomeko ndi kale aakulu, ngati sunayambe pa nthawi ya phunziro monga vuto la matenda enaake. Zinali pambuyo kusanthula izi, adokotala kusankha njira kuchitira ichi mtima kwambiri, bwanji kukonzekera (kuchiza matenda a chiwindi C ndi ntchito zina kachitidwe wapadera mankhwala).

potenga ndondomeko biopsy zambiri wosavuta ndipo si angabweretse choopsa chilichonse. The wodwala atagona pa nsana wake, kupanga mankhwala oletsa ululu pamalopo mu chapamwamba pomwe gawo m'mimba, singano wapadera kubaya khungu ndi kutenga chidutswa ka minofu chiwindi kafukufuku.

regimens Standard

Kusankha mankhwala kamwedwe ndipo anapereka mankhwala Mlingo wawo ndi pafupipafupi makonzedwe, adzakhala zofunika kuti mumve dokotala za genotype za matenda C HIV panopa awo allocated 6, komanso padziko lonse kutanthauza manambala awo kuchokera 1 mpaka 6. kutembenuka, aliyense genotype ndi subtypes / subtypes, amene anasankhidwa ndi makalata ndi olumikiza manambala genotype (1a, 3 ndi zina zotero. d.).

The choyamba ndi wachinayi genotypes anakonza odwala ndi osowa kwambiri, koma pa nthawi yomweyo ali wolimba kwambiri (pafupifupi theka poyerekeza ndi ena) mankhwala mavairasi oyambitsa, mosasamala chimene kuchiza matenda a chiwindi C genotype 3, komanso ena onse, amenable mankhwala ndi njira zingapo ovomerezedwa ndi anthu padziko lonse.

Dera kwambiri ndalama ndi kulandira chilichonse interferon jekeseni (suppositories NO, makapisozi, madontho ndi zina zotero. D.) Mu buku la 3 IU (miliyoni mayunitsi). Periodicity - osachepera tsiku lina. Komanso anatumizidwa kulandira kapena ribavirin tsiku. Mlingo zimadalira kulemera kwa wodwalayo. Pamene thupi la makilogalamu 65 ayenera kumwedwa osachepera 800 mg wa pa tsiku, linali ndi kulemera kwakukulu - 1200 mg.

Chiwembu kwambiri mulingo woyenera ikukhudza oyamba interferon mu mlingo wa 6 IU tsiku kwa nthawi yaitali alt yachibadwa. Pa milungu 12 mpaka 6 IU, koma tsiku lililonse. Pafupi 3 IU mpaka mapeto a mankhwala. Ribavirin - mu mankhwala pa mlingo monga tafotokozazi.

Kwa amene angakwanitse njira zopezera ndalama, zambiri palibe funso za yabwino kwambiri kuposa kuchiza matenda a chiwindi C. Kukonzekera The mavairasi oyambitsa mankhwala Pankhaniyi - ndi ribavirin ndi "Peginterferon" 1 nthawi pasabata.

Koma nthawi ya mankhwala muyezo akuti - masabata 24 pa mlingo wa ribavirin 800 mg wa mosasamala kulemera. Ngati genotyping anasonyeza kuti wodwalayo genotype 1, nthawi chithandizocho kawiri kwa masabata 48, ndipo ribavirin Amasankhidwa (ndipo analandira) yonse.

nkhani yachilendo

Azichitira chiwindi C mu Europe? Mfundo interferon mankhwala ndi zogwirizana lonse. Komabe, EU wavomereza mankhwala atsopano kuphatikiza zochizira mtundu C. mankhwala awa akutchedwa "Vekiraks" ndi "Eksvera". Onse mankhwala kumasulidwa mawonekedwe - mapiritsi (.. ie, palibe kufunika kwa jekeseni mobwerezabwereza interferon). Kapangidwe ka "Vekaraksa" zikuphatikizapo ombitasvir, paritaprevir ndi ritonavir. Waukulu yogwira chigawo "Eksvera" - dasabuvir.

Chithandizo cha matenda a chiwindi C genotype 1 ovomerezeka ntchito mitundu yatsopano ya mankhwala osakaniza ribavirin kapena popanda izo. Mankhwalawa Zimathandizanso kuti odwala matenda enaake kulipidwa, odwala pa mankhwala m'malo ndi amene anali ndi kumuika chiwindi. Chipatala maphunziro, amene anapezeka ndi anthu oposa 2,300, anasonyeza kuti 95% ya odwala matenda a chiwindi C genotype 1 ndi kudzachiritsidwa. Komanso, chiwembu watsopano tolerability zabwino (98% odwala anamaliza kwathunthu chithandizo).

njira zina zochizira matenda a chiwindi C: phytotherapy

Mu njira zina za mankhwala a matenda a chiwindi C amatanthauza njira zosiyanasiyana kudziletsa thandizo zosiyanasiyana mizu, zipatso ndi zitsamba, amene akupezeka wochuluka. Komabe, musanapemphe funso la mmene tiyenera kuchitira chiwindi C, maphikidwe anthu, mukufunabe kuti dokotala-phytotherapeutist, popeza kuti anthu ambiri zomera ndi zipatso zawo, masamba ndi mizu ndi poizoni.

Kugwiritsa zikutanthauza odwala kupeza mizu ya chithaphwi calamus, amene kulowetsedwa ndi wokonzeka. 1 supuni ya tiyi ya muzu wosweka kutsanulira 1 chikho madzi otentha ndipo analoledwa kuima Mphindi 20. Tengani kulowetsedwa izi kanayi pa tsiku kwa theka la ola asanadye theka chikho.

Yankho la funso la mmene tiyenera kuchitira chiwindi C mu kunyumba, odwala ambiri kupeza chida amenewa, monga Malemu a. magalamu 4 wa thunthu ndiye kuti sitimadzipereka mu mkaka ofunda, kuwonjezera kwa iwo madzi mphesa ndi uchi. Mapangidwe awa anatengedwa kawiri pa tsiku pamaso chakudya. Potsatira bwino kudya yaiwisi dzira kunyumba.

Pali zosiyanasiyana maphikidwe ndi malangizo amene angathandize ngati inu samachita ndi chiwindi C, ndiye osachepera kumva bwino.

Timadziti ndi chiwindi C

yankho lina zina funso mmene tiyenera kuchitira chiwindi C mu nyumba, ndi ntchito madzi.

umapangitsa amapereka kabichi madzi (a galasi 2-3 pa tsiku) kapena osakaniza a kabichi ndi madzi Beet (otsiriza - zosaposa kotala magalasi). Zofunika: pambuyo kufinya madzi ayenera tiyeni tiyime maola osachepera 4-5.

Komanso, iwo amati zotsatira zabwino chingapezeke potenga theka tsiku kapu ya madzi atsopano dzungu. Kusintha umunthu, ndi pamene kulandira infusions wa mtedza, zipatso, jujube ndi shuga. Mu madzi (250 ml) otentha unatsanuliridwa 50 g aliyense pophika ndi yophika kwa mphindi 30, ndiye utakhazikika. Ndi bwino kutenga pamaso yogona kwa masiku 30.

Ngakhale kuposa azichitira chiwindi C? Inde, losavuta dandelion. Wina akamaphika kupanikizana wa maluwa, pamene ena amakhulupirira kuti adzathandiza kulowetsedwa a mizu (minced yaiwisi kuthira madzi otentha ndi kumva kwa mphindi 40). Kumwa mankhwalawa pamaso chakudya ndi 1 supuni.

Zakudya ndi moyo odwala matenda a chiwindi C

Mankhwala a zitsamba, zipatso, timadziti, ndi kulowetsedwa a zomera - izo zonse kuposa yankho zochuluka kwa funso la mmene tiyenera kuchitira chiwindi C panyumba? Iwo likukhalira kuti n'kofunika kwambiri kutsatira zakudya zina. M'pofunika kuonjezera gawo la mkaka, mbewu ndi mbewu monga chimanga mu zakudya wonse. Kodi ndi kuchepetsa yochepa kumwa osiyanasiyana sausages, chocolate, umatetezera ndi Nkhaka, mowa ndi zakudya yokazinga. Komanso, n'kofunika kuti asamadye asanagone ndi kumwa osachepera malita atatu a madzimadzi masana.

Ndi malangizo awa ndi kugwirizana madokotala. A udindo wapadera mu kuwonongeka kwa thanzi la madokotala akatulutsidwa makhalidwe. Zinali mwa mafani mowa zambiri umakula vuto la matenda enaake chiwindi. Chirichonse chimene angathe kugula wodwala - chikho cha vinyo kapena mowa.

Ngati matenda enaake kale anatsimikizira, dokotala zikuoneka amalangiza zakudya otsika mu mchere, kuchepetsa posungira madzi m'thupi.

Koma khalidwe, ndiye pansi yachibadwa banja kukhudzana Mwina kufala kwa matenda a chiwindi C HIV ndi pafupifupi ziro. Chinthu chachikulu ndi kulabadira mabala, zilonda zamoto ndi khungu kuwonongeka zina, monga matenda amapezeka kokha kupyolera mu magazi. A chiopsezo ochepa alipo panthawi yogonana. Kupewa zinthu zosafunika nkhawa ndipo zinachitikadi Zikatero, madokotala kulengeza ntchito makondomu.

Polongosola mwachidule

Kwa "wakupha wachifundo" palibe amene sangayesedwe. Onse timadwala, timachitira mano, kuchita manicures ndi pedicures, pitani malo onse ndi mikwingwirima ndi mabala. Mu zonse zimene akanatha zingakhale zovuta ndi chiwindi C ndi osaganizira izo (ndi kukana motalika kokwanira). Ngati matenda - ndi fait accompli, si koyenera kufunafuna mudziwe okha zimene ndi mmene angakhalire chiwindi C. Malamulo mankhwala ndi dokotala osankhidwa munthu mmodzi wodwala aliyense potengera zotsatira kulipenda matenda. Chofunika kwambiri - kupempha thandizo oyenerera posachedwapa. Ndipotu, inu simungakhoze kuwupatsa pachimake yotupa ndondomeko lidzasanduke aakulu.

Monga zochizira chiwindi C mu kunyumba, mukhoza, ndithudi, kwambiri kusintha ukupeza ndi therere, infusions masamba ndi mizu ya zomera, zipatso ndi zipatso timadziti. Komabe, samadziwika ndi chochitika chimodzi cha kuchira kwathunthu ku chithandizo chotere. Inde, ndipo mwina zikanakhala asayansi padziko lonse kuthera zaka za moyo wawo, ndi mabungwe - mabiliyoni ambiri kafukufuku wa mankhwala atsopano, ngati izo zinali zophweka - kumwa mwezi burande (kapena chaka - mawuwa si zofunika) - ndipo anamuchotsa ya chiwindi C kachilombo ?