Hepatitis B utachiwana - chii? How kubata nehepatitis B?

Hepatitis B utachiwana - chii? Hosha iri nemavhairasi anthroponotic, t. E. Inogona parasitize nayo utachiona chete muvanhu. Hepatitis B Utachiona ane simba hepatotropic basa. Cirrhosis uye chiropa oncology kazhinji chinokurwadzai ino chaiyo utachiona hwakakura.

Maererano nenhamba, muRussia nerimwe gore zviuru 50 chirwere zviitiko nehepatitis B uye chirwere vatakuri -. Vanopfuura mamiriyoni 5 vanhu. Kuwanda chirwere ichi munyika iri guru chaizvo - kune vanopfuura mamiriyoni 350 vatakuri utachiona, uyo 250,000 vanofa gore negore kubva siyana chiropa pathologies.

Hepatitis B utachiwana: characterization

Kupararira uku chirwere ichiwanika kune incredible kutsiga utachiona hwakakura kusvika siyana zvinokonzera kuti makemikari uye mumuviri nemigumisiro. Hepatitis B Utachiona husingakwanisi yakaderera tembiricha zvinokonzerwa, uye kunyange akadzokorora nechando uye thawing hazvirevi kumuuraya. Achibika kuna HBV (rokuti mumabhuku) haana maturo.

Yakaoma Donhwe ropa panguva mukamuri tembiricha, utachiona inochengeterwa kuti mwedzi kana kupfuura, riri inochengeterwa yakaoma serum 25, uye chando (pa -20 madhigirii) - makore 15.

Neutralize (inactivate) inogona autoclaved kwemaminitsi 30, kana sterilized mune imwe mhepo inopisa muovheni kweawa panguva imwe tembiricha zvakawanda 180 inegumi.

The mhando nehepatitis B

How ngozi ndiyo nehepatitis B? Chii uye sei kuratidza chirwere? Zvinotevera achaedza vaviri mibvunzo iyi inogona akapindura zvakazara.

Hepatitis B anogona kuva chakasimba kana chirwere. Chenjera anovandudza zvakananga pashure neutachiona uye kuguma incubation nguva. It hunogara kubva mavhiki mwedzi mitanhatu. Muchiitiko chino, zviratidzo zvakajeka kuratidzwa chete nehafu nyaya:

• marwadzo mudumbu kurudyi, muna costal chematenga;
• svoto uye kurutsa;
• kuwedzera muviri tembiricha (fivhiri);
• kurwadziwa nemusoro;
• simba;
• kurwadza kwemajoini;
• yellowness ganda kana meso;
• rima weti (ruvara doro);
• rakabuda ruvara mutsvina yadzo.

Chenjera (icteric) muchimiro Hepatitis B Kazhinji 80% kuguma kuzoita murwere.

Children uye dzimwe nguva vakuru vanogona kuva asymptomatic muchimiro nehepatitis B. In ichi chakakomba weboka chirwere zviratidzo zvinochengetwa. Pangave zvishomanana zvakawanda zvive uye kuneta, kuti izvo varwere kakawanda haazivi. Panyaya iyi, kazhinji pamberi nehepatitis B utachiona muropa akawanikwa chose netsaona Somuenzaniso, unotevera kuongorora zvokurapa. Akadaro munyoro nzira chirwere kazhinji inova chisingaperi. Chirwere ane utachiona mwana panguva yokuberekwa kubva mai vanorwara kakawanda chinoguma mune chirwere chimiro.

Mune zvimwe zviitiko anovandudza fulminant (kenza) chiropa - ichi chirwere kwazvo, izvo zvingaita kuti cirrhosis kana kenza chiropa.

Unopinda sei utachiwana?

Kupararira nehepatitis B anogona kuitika nenzira dzakasiyana. Panobva chirwere muri vanhu vanorwara, kana - asiri zvaidiwa zvimwe mitemo - vezvenhau. Pacharwo mutakuri nehepatitis B kubva chirwere ichi havatamburi (pasina zviratidzo), asi pane utachiwana muropa rake.

Nzira vakawanda nechirwere ichi - kuburikidza neropa. Somuenzaniso, kuraswa syringes kuburikidza tsono pakati vanoshandisa zvinodhaka panguva kushandisa kwavo chesekondari, kuburikidza havaratidzi sterilized zviridzwa chipikiri kana bvudzi Salons. Nokuti chirwere zvikuru shoma ropa, ine antigen ndiko kuzvimba chiropa B. Kunyange nemaziso dose akaenzana 0,00004 Rine mamiririta, zvingakonzera chirwere. Takatodzidza kutaurwa kuti utachiwana akatsiga zvikuru, uye kunyange rakaoma ropa donhwe pa nzvimbo tembiricha iri vakaramba kuti inopfuura mwedzi.

Uyezve, hepatitis B iri pabonde. It zvirimowo chose zvose zvipenyu zvinhu, kusanganisira vaya vari dzisingaoneki.

Uyewo kunge, uye intrauterine hweHIV azvarwa (kubva mai vanorwara). Asi pano zvakafanira kujekesa kuti perinatal utachiona, t. E. asati kutanga basa, zvikuru neapo. Kakawanda, utachiona mwana kunoitika munguva pakuzvarwa, kureva. E. Intrapartum. Pashure chimiro mafufu ari chiedza zvinoita noutachiona kuburikidza achiyamwa.

Chii chinoitika pashure chirwere?

Mushure nehepatitis B utachiona muropa achiri utano munhu, wasvika muropa kuti hepatocytes (chiropa masero). Zvaitika kuberekana (kubereka) kweutachiwana, hunobata kuwedzera nhamba masero matsva, nezvimwe zvikamu nemavhairasi DNA revatema kupinda DNA pakati hepatocytes. The rokuzvidzivirira haadi kuziva dzakachinjwa masero uye anoona pavo dzavatorwa. Rwunotanga kubereka antibodies kuparadza dzakachinjwa hepatocytes. Saka, chiropa raparadzwa, zvinoita kuti kushoma uye kuzvimba chiropa.

Diagnostics

Nokuti nechirwere zvirwere asi zvatinosiita nokukanganisika kuongorora alt uye bilirubin, kushandisa dzakananga zvezvinangwa pamusoro nehepatitis B:

• HBsAg antigen;
• HBeAG antigen.

Mukuwedzera, chaiyo kushandiswa chirwere pamusoro antibodies kune maantigen izvi uye akananga mapuroteni HBcore, kunoitika apo rikwanise nehepatitis B:

• Anti-HBcore;
• Anti-HBe.

maantigen izvi uye antibodies dzakasiyana nguva hosha inowanikwa zvimwe ratios. kudzidza nzwisisika anobatsira kuona padariro HBV, izvo anobvumira kufanotaura mberi weboka chirwere uye kuvaka kurapwa zvaiitwa.

Zvii kuwedzera mukana wokutapukirwa?

Nhamba dzinoratidza kuti inonyanya utachiona hweHIV kunoitika pakati pemakore 15 kusvika 30 makore. Ndiani sei chirwere chakadai chiropa B? Chii - isu kare kunzwisiswa, ticharamba zvino kukurukura Zvii Zvinoita Kuti chirwere. Saka, pangozi vanosanganisira:

• Vanaamai mazino kuvhiya;
• vanhu vanoshandisa kuminamato manicure uye Hairdressing Salons;
• vatengi kuboora uye nyora Salons;
• muropa;
• vanhu vanorwara vane kurapwa kunosanganisira kakawanda kuwedzerwa ropa kana kushandiswa hemodialysis (midziyo "chakagadzirwa itsvo") ;
• ngochani;
• vanhu kakawanda kuchinja pabonde.

Kuderedza mukana hosha kunobatsira mushonga pamusoro nehepatitis B. Inogona kuitwa muhofisi upi kubaya yekuongororwa.

How kurapa nehepatitis B utachiwana?

Zvipatara anokanda pa kudzivisa kukura cirrhosis uye kenza chiropa. Izvi zvinoitwa kudzvanyirira utachiona kuberekana ari chiropa masero uye normalization kuti transaminase siyana.

Chisarudzo sei kurapa utachiona nehepatitis B anotora ane zvirwere chiremba. Recovery - yakareba kwacho. Pakusarudza marapirwo kunoenderana basa utachiona uye mukana necirrhosis uye chiropa kenza.

Kazhinji chenjera nemavhairasi chiropa inotsidza mumwoyo pamusoro wayo, kunouya kunaya zvakakwana murwere. Kunze kwakakomba fulminant chimiro nehepatitis B, asi sezvinei zvinoitika chaizvo kashoma. Therapies kutaurirwa kusachengeteka kukuru HBV excretion kuti muchetura (detoxification) uye reconstitution kuti hepatocytes.

Nokuti kurapa echirwere HBV antivirals anoshandiswa. Somuenzaniso, mashoko medicament "Interferon Alfa-2a" rinoshandiswa 1 nguva pavhiki kwegore rimwe (mukuru dose ndiro 180 MG). nucleoside analogues anodzivirira anoshandiswa nevakawanda: "Entecavir", "Lamuvidin", "Adefovir". zvinodhaka izvi kumisa kuparadzirwa hutachiwana chiropa masero uye pave hwokuponesa.

Yokuzvigadzirisa mushonga kushandisa gepatoprotektory uye immunomodulators, semuenzaniso, mushonga "Zadaxin" (jekiseni).

Mukurapa utachiona nehepatitis B inowanzopiwa basa zvokudya nhamba 5. Ndicho kurambwa upi zara mafuta, Spicy, wakawanda uye zvomumagaba chikafu. Semi-dzapedza zvinhu uye Sausages, zvakare, Kwabviswa nani kubva zvokudya.

Kana chisingaperi nehepatitis B anotora wakaomarara Chokwadi, uye pane chakakomba pangozi necirrhosis kana chiropa kenza, anogona akasarudza ndinobvisa ari nhengo.

dziviriro

Zvinoita kudzivirira muviri zvimwe kubva utachiona zvakadai chiropa B utachiwana? Chii, takazoziva. Ndiyo nguva yokutaura pamusoro kudzivirira. Rakakamurwa yakananga uye non-yakananga. Wokutanga zvinoitwa kubaya. Kubva chirwere vanodzivirirwa chete immunized vanhu pakurwara nehepatitis B uye non-yakananga kudzivirira kunosanganisira dungwerungwe pose epidemiological matanho kuti yekudzivirira kutapurirana utachiona nehepatitis B. Somuenzaniso, mutemo unoti kuidzwa anyatsoronga ropa rayo kugadzirira HBV zvezvinangwa, kuurayiwa purogiramu Anti-mushonga nzwisisika, pakupedzisira banal utsanana. Izvi ichakurukurwa pazasi. Zvino, tinoona chete kuti kudzivisa Hepatitis B Zvinokosha pakurwisa kupararira chirwere.

Dzakananga kudzivirira nehepatitis B

Vaccination pamusoro nehepatitis B iri fanira:

• vose vana makore 0-1-6 mwedzi (yokungoitawo kubaya);
• nhengo dzemhuri dzose varwere chisingaperi nehepatitis B;
• vanachiremba;
• zvokurapa vadzidzi;
• vanhu vanoshanda zvinogadzirwa neropa;
• varwere zvakanyatsorongwa kumanikidzwa zvakaitika hemodialysis;
• Varwere kugamuchira zvinogadzirwa neropa.

kubaya kwakadaro kunogona kuita chero mukuru. Kare, zvakanga zvisiri kwenhamba fanira. Kuti nhomba, zvakakwana kushandisa kukiriniki kuti ruwa rwake. vana vose vakuru kusvika makore 55 okuberekwa anogona kugamuchira kubaya pachena. Vanhu vakura vanogona nhomba mari yazvo.

The nzira inowanika chero zuva sarudzo yako. Mushure wokutanga kubaya vanofanira kuita mamwe maviri. Mumwe - mwedzi, wechipiri - mwedzi mitanhatu gare gare. Vaccination ndiyo chakavimbika kupfuura nzira kudzivirira nehepatitis B utachiwana.

Non-dzakananga kudzivirira nehepatitis B

For nonspecific kudzivirira HBV zvinosanganisira kwazvo utsanana:

• kushandisa chikwesheso chete ake, mbambo maturusi chisvo, mizinga, etc .;
• kunyange zvimwe zvinhu (zvakafanana manicure yakatarwa) kuva nenguva inofanira disinfected;
• kushandisa zvinobudirira mishonga yokuuraya utachiona;
• nzeve kubayiwa, ita nyora uye kuboora parlors chete kuongororwa vane mukurumbira wakanaka;
• kuzvidzivirira pabonde, kunyange zvazvo 100% zvinovimbisa hazvina (nemate, ziya uye zvose zvinwiwa ndiwo svikiro kweutachiwana Data), saka haufaniri kutakura unzenza;
• kushandisa kuraswa syringes chete kana Kubayiwawo jekiseni.

Tichakurukura newe chii ngozi hutachiwana kuti nehepatitis B. Chiiko - zvino pachena. Kufanana chimwe chirwere, zviri nyore kudzivirira pane kutora refu yawapiwa. Zvaidiwa nyore kudzivirira matanho achabatsira pamusoro nehepatitis B. Iva utano!