Kutarisira chiropa. Kuongororwa nekukurumidza uye kuzorora nekukurumidza

Zvichienderana nehuwandu hweWorld Health Organization (WHO), vanhu vanopfuura miriyoni imwe chete vanofa nezvirwere zvechiropa gore rega rega pasi rose. China inyika ine chirwere chechiropa chikuru, ine vanhu vakawanda vane zvirwere zvakasiyana-siyana zvechiropa zvakaita sehepatitis B, hepatitis C, chiropa chine mafuta akawanda uye chisina doro, chirwere chechiropa chinokonzerwa nemishonga, uye chirwere chechiropa che autoimmune.

1. Mamiriro ehepatitis ekuChina

Chiropa chinotapukira ndicho chimwe chezvinhu zvikuru zvinokonzera zvirwere pasi rose uye dambudziko guru rehutano hwevanhu muChina. Kune mhando shanu huru dzehutachiona hwehepatitis, dzinoti A, B (HBV), C (HCV), D naE. Sekureva kwe "Chinese Journal of Cancer Research" muna 2020, pakati pezvikonzero zvinokonzera kenza yechiropa muChina, hutachiona hwehepatitis B nehutachiona hwehepatitis C zvichiri zvikonzero zvikuru, zvichikonzera 53.2% ne17% zvichiteerana. Chiropa chinotapukira chinokonzera kufa kwevanhu vanosvika 380,000 gore rega rega, kunyanya nekuda kwechirwere chechiropa nekenza yechiropa chinokonzerwa nehepatitis.

2. Zviratidzo zvechirwere chehepatitis

Hepatitis A neE zvinowanzova chirwere chinotanga nekukurumidza uye kazhinji zvine fungidziro yakanaka. Nzira yechirwere chehepatitis B neC yakaoma, uye inogona kukura kuita cirrhosis kana kenza yechiropa mushure mekurwara kwenguva refu.

Zviratidzo zvechirwere chehepatitis yakasiyana-siyana zvakafanana. Zviratidzo zvehepatitis isingaperi zvinonyanya kuneta, kushaya chido chekudya, hepatomegaly, kusashanda zvakanaka kwechiropa, uye jaundice mune dzimwe nguva. Vanhu vane hutachiona husingaperi vanogona kuva nezviratidzo zvishoma kana kutoshaya zviratidzo.

3. Nzira yekudzivirira nekurapa chirwere chehepatitis?

Nzira yekutapurirana chirwere ichi uye nzira yekurapa nayo mushure mekutapukirwa nehepatitis inokonzerwa nemavhairasi akasiyana zvakasiyana. Hepatitis A neE zvirwere zvemudumbu zvinogona kupararira kuburikidza nemaoko, chikafu kana mvura yakasviba. Hepatitis B, C neD zvinonyanya kutapuriranwa kubva kuna amai kuenda kumwana, pabonde uye kuwedzerwa ropa.

Saka, hutachiona hwehepatitis hunofanira kuonekwa, kuongororwa, kuparadzaniswa, kutaurwa, uye kurapwa nekukurumidza sezvinobvira.

4. Mhinduro

Macro & Micro-Test yakagadzira michina yekuongorora hutachiona hwehepatitis B (HBV) nehutachiona hwehepatitis C (HCV). Chigadzirwa chedu chinopa mhinduro yakazara yekuongorora, kutarisa kurapwa uye kufambira mberi kwehutachiona hwehepatitis.

01

Kiti yekuongorora huwandu hwehutachiona hweHepatitis B (HBV): Inogona kuongorora huwandu hwehutachiona hwevarwere vane HBV. Ichi chiratidzo chakakosha chekusarudza zviratidzo zvekurapa mavhairasi uye kuona kuti mushonga unorapa sei. Munguva yekurapa mavhairasi, kuwana mhinduro inogara iripo yehutachiona kunogona kudzora zvakanyanya kufambira mberi kwechirwere chechiropa uye kuderedza njodzi yeHCC.

Zvakanakira: Inogona kuona huwandu hweHBV DNA muropa, muganho wekuona huwandu hushoma i10IU/mL, uye muganho wekuona hushoma i5IU/mL.

02

Kuongororwa kwehutachiona hweHepatitis B (HBV): Mhando dzakasiyana dzehutachiona hweHBV dzine musiyano mu epidemiology, kusiyana kwehutachiona, kuratidzwa kwezvirwere, uye mhinduro dzekurapa. Kusvika pamwero wakati, zvinokanganisa HBeAg seroconversion rate, kuoma kwemaronda echiropa, kuwanda kwekenza yechiropa, nezvimwewo, uye zvinokanganisawo fungidziro yehutachiona hweHBV uye mhedzisiro yemishonga inorwisa mavhairasi.

Zvakanakira: Chubhu imwe chete yemhinduro yemhinduro inogona kunyorwa kuti ione mhando B, C, naD, uye muganho wekuona mudiki i100IU/mL.

03

Kuyerwa kwehutachiona hweHepatitis C (HCV) RNA: Kuonekwa kweHCV RNA ndicho chiratidzo chakavimbika chehutachiona hunotapukira uye hunoberekana. Ichi chiratidzo chakakosha chinoratidza mamiriro ehutachiona hwehepatitis C uye mhedzisiro yekurapa.

Zvakanakira: Inogona kuona huwandu hweHCV RNA muropa kana plasma, muganho wekuona huwandu hushoma i100IU/mL, uye muganho wekuona hushoma i50IU/mL.

04

Kuongororwa kwehutachiona hweHepatitis C (HCV): Nekuda kwehunhu hwehutachiona hweHCV-RNA polymerase, jini rayo rinoshanduka-shanduka zviri nyore, uye kuongororwa kwehutachiona kwaro kwakabatana zvakanyanya nehuwandu hwekukuvadzwa kwechiropa uye mhedzisiro yekurapa.

Zvakanakira: Chubhu imwe chete yemhinduro yemhinduro inogona kushandiswa kunyora nekuona mhando dze1b, 2a, 3a, 3b, uye 6a, uye muganho wekuona mudiki i200IU/mL.