Kuru >> Dzidzo Yehutano >> Unofanirwa here kuwana chirwere chehepatitis B?

Unofanirwa here kuwana chirwere chehepatitis B?

Dzidzo yehutano

Hepatitis B chirwere chinogona kukonzera kukuvadza kwakakomba kuchiropa, kusanganisira vanga rekusingaperi (cirrhosis), gomarara rechiropa , kukundikana kwechiropa, chirwere chisingaperi chechiropa, uye kunyange rufu. Inokonzerwa nehutachiona hwehepatitis B (HBV), iyo inogona kuwanikwa muropa, urume, uye zvimwe zvinwiwa zvemuviri.

Zvinoenderana ne Nzvimbo dzeDziviriro Kudzora uye Kudzivirira (CDC) , vanhu vangangosvika zviuru makumi maviri nezviviri munyika ino vari kurarama nechirwere chakakomba cheHBV (chirwere chenguva pfupi), nepo vangasvika miriyoni imwe vane hepatitis B. chisingaperi - kutapukirwa — uko kunogona kuburitsa zviratidzo zvisina kujeka sekuneta, fivhiri, uye mudumbu. kudzivirirwa nemushonga wekudzivirira, asi havazi vese vanowana jekiseni. Mushonga wehepatitis B unowanzo kurudzirwa kune vacheche / vana uye vakuru mune mamwe mapoka ane njodzi zvakanyanya. Asi sezvo hepatitis B iri chirwere ichocho asymptomatic in kusvika kune chetatu chematambudziko uye nekupararira kuburikidza nemvura inogona kuoma kunzvenga zvachose, unogona kushamisika kana munhu wese achifanira kubayiwa nhomba. Pano, izvo zvaunofanira kuziva.

Ndiani anoda chirwere che hepatitis B?

Zvinoenderana ne Hepatitis B Nheyo , Vanhu zviuru makumi masere vekuAmerica vanoita hepatitis B gore rega rega. Pasi rese, vanhu vaviri vanofa kubva kuhutachiona miniti yega yega.

Kubva 1991 , zvakakurudzirwa kuti vacheche vese vane hutano vagamuchire nhomba yehepatitis B inotanga nguva pfupi vachangoberekwa. IAmerican Academy yePediatrics (AAP) inoti vana vachangoberekwa vakagwinya vanofanirwa kugamuchira mushonga wekutanga wekudzivirira mukati memaawa makumi maviri nemana ekuberekwa, nedosi rechipiri pamwedzi mumwe kusvika pamiviri, uye wechitatu newekupedzisira pakati pemwedzi mitanhatu negumi nemasere. Kana amai vekubereka amai vakaedza kuongorora hepatitis B panguva yekuzvitakura (uye vakadzi vane nhumbu vanoedzwa nguva dzose), iwo maratidziro anogona kusimudzwa kumusoro, sezvo hepatitis B inogona kutapuriranwa panguva yekuzvarwa.

Sei vacheche vachida mushonga we hep B, kunyanya kana vachigara pakati pevakuru vasiri muboka rine njodzi? Nekuti vanhu vazhinji vane hutachiona hwehepatitis B vane hutachiona, uye hutachiona hunogona kupararira kuburikidza nechimwe chinhu chisina mhaka sebrashi rezino kana shave yekuveura yemunhu ane hutachiona. Sekureva kweVana Chipatara chePhiladelphia (CHOP), hepatitis B inotapukira zvakapetwa ka100 kupfuura HIV . Zvikamu makumi mapfumbamwe nemashanu kubva muzana zvevana vanogamuchira mishonga mitatu yeHep B vachadzivirirwa kubva kumatambudziko anokonzerwa nehutachiona, inodaro AAP.

Chimwe chikonzero chekudzivirira majaya? IAAP inotaura zvakare kuti inopfuura hafu yevakuru zviuru zvishanu vanofa nechirwere chehepatitis B munyika ino gore rega rega vakawana hutachiona sevana. Kana iwe uri munhu mukuru asina chokwadi kana iwe kana iwe wakambobayiwa majekiseni, iwe unogona kuwana kuongororwa kweropa kunoongorora hutachiona - asi hazvina kukodzera kune wese munhu; iwe unofanirwa kutarisa nemupi wako kuti uone kana kuyedza kwakakodzera.

Kana iwe uchitova immune, iwe unogona kudzivirira kuwana mamwe mapfuti uye kuita zvisina kufanira kukiriniki kushanya, kunyanya mune ino nguva yeCOVID, manotsi Amon Asgharpour , MD, mutevedzeri wapurofesa muDanho reRopa Zvirwere kuIcahn Chikoro cheMishonga paGomo reSinai muNew York City. Nekudaro, kumisikidza imwe dosi yeiyo imwechete-antigen hepatitis B yekudzivirira haina kukuvadza.

Vamwe vanofanirwa kubayiwa nhomba, taura iyo CDC , inosanganisira:

Varume vanoita bonde kana kusangana pabonde nevamwe varume.
Vanhu vasiri muhukama hwepabonde hwehukama mumwe chete.
Vanhu vari kurapwa kana kuongororwa nezvezvirwere zvepabonde (STDs).
Jekiseni vanoshandisa zvinodhaka kana vamwe vanogovana kana kushandisa tsono.
Vashandi vezvehutano, vashandi vekuchengetedza ruzhinji, vanhu vakasungwa, uye avo vanoshanda kana vanogara munzvimbo dzevanhu vakaremara njere.
Vanhu vari vekutaurirana mudzimba yeavo vanoongorora kuti vane hepatitis B.
Ivo vanofamba kuenda kunzvimbo dzepasi (semuenzaniso, zvimwe zvikamu zveEastern neCentral Europe, Africa, neSouth neCentral America) vane huwandu hwehepatitis B yakakwira.
Vanhu vane zvimwe zvirwere zvisingaperi, zvakadai sechirwere chechiropa (kusanganisira hepatitis C ), chirwere cheshuga, hosha yeitsvo, uye hutachiona hweHIV.
Hemodialysis varwere (hemodialysis inzira inogadzirwa nayo marara kubva muropa; inoshandiswa nevanhu vane itsvo dzisingashande mushe).
Vakadzi vane pamuviri vane vakawanda vanoita zvepabonde, vashandisi vevashandisi vezvinodhaka, vane kana vari kuongororwa kweSTD, kana vane hepatitis B yakanaka mudikani. Mukuwirirana newe CDC, vakadzi vane nhumbu vanogona kugamuchira zvakanaka mushonga pasina chakaipa kuvacheche vasati vaberekwa.

Ko kana ukawira kunze kwezvikamu zvese izvi- unofanirwa kuramba uchibaiwa jekiseni? Kunyange hazvo njodzi yekuwana hutachiona ichisiyana zvakanyanya muhuwandu hwevanhu, mushonga unochengeteka wakachengeteka uye uri nyore kuwana zvekuti vanhu vakuru vese vanofanirwa kuuwana, zvisinei nenjodzi yavo, anodaro Christine Traxler, MD, chiremba pamudyandigere wemhuri, munyori we Ndiri kuve nemwana: Chii manje?

Kuchengetedzwa kwejekiseni uye kugona

Nekuda kwekudzivirira kwakazara kwevacheche kubva kutanga kwema1990, kupararira kwehutachiona B kwakaderera zvakanyanya munyika ino. Zvisinei, kutapukirwa neHBV kwave kuri kuwedzera mumakore mashoma apfuura pakati pemamwe mapoka, kunyanya iwo makore makumi matatu kusvika makumi mana nemapfumbamwe ekuberekwa, inodaro United States Dhipatimendi Rehutano neHuman Services (HHS) . Sangano rinonongedzera kuzvivhariso zvisina kukwana zvekudzivirira (iyo hepatitis B yekudzivirira inowanzo kupihwa mujekiseni rekudzivirira kwepfuti) pakati pezera iri pamwe nekuwedzera kwekushandisa zvinodhaka, kunyanya opioid zvinodhaka. Muna 2015, hutachiona hwehutachiona hweH hepatitis B hwakawedzera 20.7% , kuwedzera kwekutanga mumakore angangoita gumi kunoti HHS.

Mishonga yakawanda yeHep B inopihwa panguva yekudzivirira iyo inosanganisira matatu madosi, akapatsanurwa kwemwedzi mishoma yakaparadzaniswa. Muna 2017, Kudya neDrug Administration (FDA) yakabvumidza jekiseni rekudzivirira maviri (anonzi Heplisav-B ) yakapihwa mazuva makumi matatu akapatsanurwa kuti ishandiswe muvakuru. Iwe unowana yakanyanya immune immune mhinduro uye kutevedzera zviri nani chirongwa chedhi-maviri, manotsi Robert G. Gish , MD, director wezvehutano weHepatitis B Foundation.

Mushonga we hep B (kuwedzera kuna Heplisav-B, mamwe mazita ezita anosanganisira Engerix-B uye Recombivax HB anga aripo kwemakumi emakore. Kunyange pasina munhu anoziva zvechokwadi kuti mushonga unopa hutachiona kwenguva yakareba zvakadii kudzidza kumwe chete kubva 2016 inoratidza kuti inogona kuve ingangoita makore makumi matatu. Booster shots kazhinji haina kukurudzirwa kune vanhu vane hutano vakabaiwa jekiseni.

Mushonga weHep B hausi mushonga wekurarama, saka wakachengeteka kune vachangozvarwa, vacheche, vakadzi vane nhumbu kana vanomwisa, uye vanhu vasina masimba.

Hep B majekiseni

Mushonga uyu haushandise ropa kana zvigadzirwa zveropa uye wakaratidzirwa kuva wakachengeteka. Rakajairika divi mhedzisiro kushushikana pane jekiseni saiti.Zvikasadaro, 1 kusvika ku3% [yeavo vari kubayiwa jekiseni] vanotaura nezve musoro, kurwadziwa kwemajoini, fivhiri yepasi, myalgia, kana malaise, akadaro Dr. Asgharpour. Nenjodzi yakaderera yemhedzisiro, zvinonyatso kuita kuti jekiseni rinyanye kukwezva kuna vanachiremba nevarwere.

Kuwedzera kweanogadzirisa maitiro hakuwanzoitika, asi zvirokwazvo tora rubatsiro rwekurapa nekukurumidza kubva kune wehutano kana iwe ukawana chero yeanotevera mhedzisiro.

Mikoko
Kumeso kuzvimba
Matambudziko kufema
Kurumidza kurova kwemoyo
Dzungu

Zvinogona kuve zviratidzo zvekuita zvine njodzi.

Inishuwarenzi kufukidza uye mutengo

Zvinoenderana ne CDC , ese einishuwarenzi ehutano pamusika marongero uye vazhinji veinishuwarenzi vega vanozobhadharira mutengo wechirwere che hepatitis B kana iwe ukashandisa in-network Provider. Medicare Chikamu B chichavhara mushonga we hepB kana iwe uri muboka rine njodzi huru. Mutengo unosiyana nezvakawanda zvinhu, kusanganisira nemushonga wekudzivirira wakashandiswa uye kana uri wekushandisa kwevana kana wevakuru, asi kazhinji mushonga unogona kutangira mumutengo kubva pasi pe $ 13 kusvika kumusoro kwe $ 150 . Unogona gamuchira mushonga kuhofisi yemubatsiri wako wehutano kana kuburikidza nemamwe madhipatimendi ezvehutano. Yako nharaunda chemishonga inogona zvakare kukwanisa kuitisa. For great kuchengetedza pane hepatitis B uye mamwe majekiseni inowanikwa kukhemisi yako, shandisa kadhi rako reSingleCare.

Nzira yekuzvidzivirira kubva kune hepatitis B

Nepo paine antiviral zvinodhaka zvinogona kubatsira kudzikamisa uye kudzikamisa kukuvara kwechiropa hepatitis B inokonzeresa, hapana mushonga. Kudzivirira kwakakosha. Pamusoro pekubaiwa jekiseni, unogona kubatsira kuzvidzivirira kubva kuhutachiona nemazano aya kubva ku Hepatitis B Nheyo :

Shamba maoko ako zvakakwana nesipo nemvura mushure mekusangana neropa kana imwe mvura yemumuviri.
Shandisa zvinodzivirira (makondomu) kana muchiita bonde.
Usagovane mabhurosi emazino, reza, mhete, kana zvipikiri zvipikiri.
Dzivisa kushandiswa kwemishonga inopinza.
Chenesa madonhwe eropa pamusoro penzvimbo mushure mekukuvadzwa nemhinduro yechimwe chikamu bhuregi kusvika kune mapfumbamwe zvikamu zvemvura.
Ita shuwa kuti nyowani, chena tsono uye inki zvinoshandiswa chero iwe paunowana kuboora, nyora, kana kugadzirwa uye kugashira aya masevhisi chete kubva kune marezinesi zvitoro.
Gara uchikwanisa kufambidzana nezvirwere zvese, kunyanya hepatitis A.
Kana iwe uri kuyedza kuve nepamuviri kana kuve nepamuviri, taura nemupi wako wezvehutano nezve kutanga kwehepatitis B kuyedza uye kupora.
Kana iwe uri mupi wezvehutano kana mushandi akafumurwa, gara uchishandisa zvinokurudzirwa zvekudzivirira kwese.
Kana iwe uchifunga kuti une hepatitis B, uri panjodzi yekuzvimba chiropa B, kana kuburitswa pachena, bata wako mupi nekukurumidza sezvazvinogona.