Xanuun daran iyo Cagaarshowga Cagaarshowga C: Fahmitaanka Fursadaha Daaweyntaada

Qanacsan

• Daaweynta cagaarshowga ba'an ee C
• Daaweynta cagaarshowga C ee joogtada ah
• Beerka beerka
• La hadal dhakhtarkaaga

Cagaarshowga C waa cudur ku dhaca beerka. La noolaanshaha cagaarshowga C muddo dheer wuxuu dhaawici karaa beerkaaga illaa heer uusan si fiican u shaqeyn. Daaweynta hore waxay kaa caawin kartaa inaad ilaaliso beerkaaga oo aad ilaaliso tayada noloshaada.

Dhakhaatiirtu waxay u kala qaybiyaan cagaarshowga C laba nooc oo ku saleysan muddada aad cudurka qabay:

• Cagaarshowga Cagaarshowga C waa marxaladda ugu horreysa ee aad cagaarshowga ku dhacday wax ka yar lix bilood.
• Cagaarshowga Cagaarshowga C waa nooca muddada-dheer, oo macnaheedu yahay inaad ugu yaraan xaaladda haysatay ugu yaraan lix bilood. Ilaa iyo dadka qaba cagaarshowga C ayaa aakhirka horumarin doona cudurka daba dheeraaday.

Dhakhtarkaaga ayaa kugula talin doona daaweyn ku saleysan nooca cagaarshowga C ee aad qabtid. Fahamka xulashooyinkaaga daaweynta ayaa kaa caawin doona inaad gaarto go'aanno xog-ogaal ah.

Daaweynta cagaarshowga ba'an ee C

Haddii aad qabtid cagaarshowga C ee daran, uma baahnid inaad isla markiiba daweyso. Dadka qaba cudurkaan, kaligiis ayaa ka bixi doona daaweyn la'aan.

Waxaad u baahan doontaa in lagu kormeero, si kastaba ha noqotee. Dhakhtarkaagu wuxuu ku siin doonaa baaritaanka dhiigga ee HCV RNA afartii ilaa siddeed toddobaad kasta illaa lix bilood. Tijaabadani waxay muujineysaa inta jeermiga cagaarshowga C (HCV) uu ku jiro dhiiggaaga.

Inta lagu jiro waqtigan, wali waad u gudbin kartaa fayraska dadka kale adoo u maraya taabashada dhiig-ka-dhiig. Ka fogow wadaagista ama dib u isticmaalida cirbadaha. Tusaale ahaan, tan waxaa ka mid ah marka la samaynayo tattoo ama daloolin meel aan sharciyeysnayn, ama lagugu durayo daroogo. Inta lagu guda jiro galmada, isticmaal kondhom ama qaab kale oo xakameynta dhalmada si aad uga fogaato u gudbinta fayraska kuwa kale.

Haddii fayrasku nadiifiyo lix bilood, uma baahnid in lagu daaweeyo. Laakiin waxaa muhiim ah in laga taxadaro si looga fogaado in markale virusku ku dhaco mustaqbalka.

Daaweynta cagaarshowga C ee joogtada ah

Tijaabada dhiigga ee HCV RNA lix bilood kadib waxay ka dhigan tahay inaad qabtid infakshanka cagaarshowga C ee joogtada ah. Waxaad u baahan doontaa daaweyn si looga hortago in fayrasku waxyeelo u geysto beerkaaga.

Daaweynta ugu weyni waxay isticmaashaa daawooyinka fayraska looga nadiifiyo fayraska dhiigaaga. Daawooyinka cusub ee ka hortagga fayrasku waxay daaweyn karaan in ka badan dadka qaba cagaarshowga C ee joogtada ah.

Dhakhtarkaagu wuxuu dooran doonaa daawada fayraska kahortagta ama isku darka daawooyinka iyadoo lagu saleynayo qadarka waxyeelada beerka aad qabtid, daaweynta aad horey u qaadatay, iyo nooca hepatitis C genotype ee aad qabtid. Waxaa jira lix nooc oo genotypes ah. Nooca genotype kasta wuxuu ka jawaabaa daawooyinka qaarkood.

Daawooyinka fayraska ka hortaga ee loo yaqaan 'FDA-ansixiyay in lagu daaweeyo cagaarshowga C ee joogtada ah waxaa ka mid ah:

• daclatasvir / sofosbuvir (Daklinza) - genotypes 1 iyo 3
• elbasvir / grazoprevir (Zepatier) - genotypes 1 iyo 4
• glecaprevir / pibrentasvir (Mavyret) - hiddo-wadayaasha 1, 2, 5, 6
• ledipasvir / sofosburir (Harvoni) - genotypes 1, 4, 5, 6
• ombitasvir / paritaprevir / ritonavir (Technivie) - genotype 4
• ombitasvir / paritaprevir / ritonavir iyo dasabuvir (Viekira Pak) - genotypes 1a, 1b
• simeprevir (Olysio) - nooca 1
• sofosbuvir / velpatasvir (Epclusa) - dhammaan genotypes
• sofosbuvir (Sovaldi) - dhammaan genotypes
• sofosbuvir / velpatasvir / voxilaprevir (Vosevi) - dhammaan genotypes

Peginterferon alfa-2a (Pegasys), peginterferon alfa-2b (Pegintron), iyo ribavirin (Copegus, Rebetol, Ribasphere) waxay ahaan jireen daaweynta caadiga ah ee hepatitis C. daawo viruska. Waxay sidoo kale keeneen waxyeelo sida qandho, dhaxan, cunto xumo, iyo cuna xanuun.

Maanta, peginterferon alfa iyo ribavirin ayaa badanaa la isticmaalaa maxaa yeelay daawooyinka cusub ee ka hortagga fayrasku way waxtar badan yihiin waxayna keenaan waxyeellooyin yar. Laakiin isku darka peginterferon alfa, ribavirin, iyo sofosbuvir ayaa wali ah daaweynta caadiga ah ee loogu talagalay dadka qaba hepatitis C genotypes 1 iyo 4.

Waxaad qaadan doontaa daawooyinka cagaarshowga 8 ilaa 12 toddobaad. Inta lagu jiro daaweynta, dhakhtarkaagu wuxuu ku siin doonaa baaritaanno dhiig oo xilliyo ah si loo cabbiro xaddiga fayraska cagaarshow C ee ku haray socodka dhiiggaaga.

Ujeeddadu waa in aan raad lagag helin fayraska dhiigaaga ugu yaraan 12 toddobaad kadib markaad dhameysato daaweynta. Tan waxaa loogu yeeraa jawaab-celin joogto ah, ama SVR. Waxay ka dhigan tahay in daaweyntaadu guuleysatay.

Haddii daaweynta ugu horeysa ee aad isku daydo aysan shaqeyn, dhakhtarkaagu wuxuu kuu qori karaa daawo ka duwan tii hore oo laga yaabo inuu yeesho natiijooyin wanaagsan.

Beerka beerka

Cagaarshowga C wuxuu waxyeeleeyaa oo uu nabar ku yeeshaa beerka. Haddii aad la noolayd cudurka sannado badan, beerkaagu wuu dhaawici karaa illaa heer aanu sii shaqeyn karin. Waqtigaas, dhakhtarkaagu wuxuu kugula talin karaa beerka xubin kale oo beerka ah.

Beerka beerka ayaa kaa qaadaya beerkaagii hore wuxuuna ku beddelayaa mid cusub oo caafimaad qaba. Badanaa beerku wuxuu ka yimaadaa deeq bixiye dhintay, laakiin ku-beddelashada deeq-bixiyeyaasha nool ayaa sidoo kale suuragal ah.

Helitaanka beer cusub ayaa kaa caawin doonta inaad dareento fiicnaan, laakiin ma daaweyn doonto cagaarshowgaaga C. Si aad uga shaqeyso daaweynta fayraska iyo gaarista SVR, waxaad weli u baahan doontaa inaad qaadato daawada fayraska ee u dhiganta cudurkaaga genotype.

La hadal dhakhtarkaaga

Maanta, daaweynta cusub ee fayraska ayaa ka caawineysa in lagu daaweeyo dad badan oo qaba cagaarshowga C marka loo eego sanadihii la soo dhaafay. Haddii aad qabtid cagaarshowga C ama aad qatar ugu jirto, hubi inaad u tagto dhakhtarkaaga. Waxay kaa baari karaan fayraska waxayna go'aamin karaan nooca cagaarshowga C ee aad yeelan karto. Haddii aad u baahan tahay daaweyn, dhakhtarkaaga ayaa kaa caawin kara inaad abuurto qorshe daaweyn ah oo loogu talagalay maareynta cagaarshowga C iyo ka shaqeynta daaweynta.