Alamar da bayyanar cututtuka na cutar hepatitis C (HCV) ya bambanta bisa tsari na kamuwa da cuta. Mafi yawan bayyanar cututtuka sun hada da gajiya, jaundice, (launin launin fata da fata), zazzabi da tashin hankali . A cikin matakai masu ci gaba na kamuwa da cutar, rashin hanta na hanta zai iya haifar da matsalolin jini ko ƙwaƙwalwar ƙwayar cuta (rikice rikice). Wani lokaci ciwon daji na hanta zai iya bunkasa, sau da yawa yana nuna cewa ba shi da kyau.
Yanayin rashin lafiya
Halin HCV a cikin jiki yana canzawa bayan lokaci bayan kamuwa da farko. Wannan shi ne yafi yawa saboda yaduwar kwayar cuta, wanda zai iya haifuwa a cikin jikinsa, yana yin yawan kwafin kansa. Har ila yau, cigaba yana da nasaba da tasirin cutar da cutar a kan hanta.
Matakai na kamuwa da HCV:
- Lokacin haɓakawa: A wannan lokacin, ana iya cutar da ku, amma ba za ku sami alamun bayyanar ba. Idan kuna da alamun bayyanar cututtuka, zasu iya haɗawa da zazzabi, gajiya, ko ciki. Game da 1 cikin 5 mutane sunyi nasarar yaki da cutar a lokacin wannan mataki, kada ka yi rashin lafiya tare da kamuwa da HCV, kuma za su zama mai cutar da cutar.
- Magungun ƙwayar cuta mai sauƙi: Bayan kimanin watanni 2-12 bayan kwayar cutar ta mamaye jiki, HCV zai iya haifar da rashin lafiya. An gano cututtuka na kamuwa da cuta mai tsanani a cikin kimanin 15 zuwa 20 bisa dari na mutanen da suka kamu da kwayar cutar, sau da yawa yawan kamuwa da cutar a cikin gabatarwa tare da kananan shaida na cutar hanta.
- Hepatitis na yau da kullum: Fiye da wadanda suka kamu da HCV sun ci gaba da samun ciwon hepatitis, musamman ma idan aka bar rashin lafiya. Kamuwa na yau da kullum yana faruwa a yayin da cutar ta hepatitis C (HCV) ba ta bayyana ba tare da bata lokaci ba. Wasu mutane suna ci gaba da bayyanar cututtuka na shekaru masu kamuwa da cuta kullum bayan kamuwa da kwayar cutar, ba tare da samun ciwo mai tsanani ba.
- Ƙarshen Mataki Harshen Yasuwa: Wata cuta da ta fi rikitarwa ta nuna tare da hanta da hanta da kuma matsaloli masu yawa wanda zai iya haɗawa da gazawar koda da cutar ciwon hanta.
Kwayoyin cututtuka na yau da kullum
Sakamakon cututtuka hanta sun hada da halayen kamuwa da kwayoyin halitta, da kuma alamun ƙididdigar halayyar hanta saboda cutar ta kai ga hanta. Kwayoyin cuta masu yawa da ke faruwa a cikin lokaci mai tsanani da na ciwo na kamuwa da HCV kullum sun fi tsayi kuma sun fi tsanani a lokacin ci gaba na kamuwa da cuta.
Mafi yawan bayyanar cututtuka na HCV sun haɗa da bayyanar cututtuka waɗanda ba su dace da cutar rashin ciwon ciwon haifa ba kuma suna faruwa da mafi yawan cututtuka. Wadannan bayyanar cututtuka sun fi mayar da hankali ne saboda aikin jiki na jiki ba tare da amfani da shi ba yayin da yake yaki da cutar. Mafi yawan bayyanar cututtuka na ƙwayar cuta mai tsanani da kuma HCV na yau da kullum sun hada da:
- Wulo
- Fever
- Jaundice
- Nuna da zubar
- Rage ci
- Abun ciki na ciki
- Diarrhea
- Haɗin gwiwa
- Muscle Pain
Wasu daga cikin alamun bayyanar cututtuka na HCV mai tsanani da na yau da kullum suna kama da alamun cututtuka na kowane ciwon hanta.
- Bleeding da Bruising: Hanta yana taka muhimmiyar rawa wajen samar da sunadaran da ke taimakon jini, wanda yake cikin warkarwa daga rauni. Tsai da ƙuntatawa zai iya zama alamun cutar rashin hanta, sakamakon sakamakon ciwon hoto na hanta, da kuma maganin ƙwayar cutar ta jiki.
- Darkine mai launin ruwan duhu: Tsarin bilirubin, wadda aka haifar lokacin da hanta ke cutar ko rashin lafiya, zai iya haifar da jaundice, da kuma launin ruwan duhu na fitsari (choluria), da kuma kodadde ko launi.
- Ƙunƙarar launi ko ƙumshi
A ciwon hepatitis mai tsanani, waɗannan bayyanar cututtuka sunyi maganin kansu, ko da yake mafi yawan lokuta masu tsanani da suka shafi jaundice da choluria na iya ɗaukar wata guda ko fiye. A cikin hepatitis na kullum, wadannan bayyanar cututtukan sun kasance mafi mahimmanci fiye da yadda suke cikin ciwo mai tsanani.
Ƙananan cututtuka
Yawancin bayyanar cututtuka na kamuwa da HCV zai iya faruwa a lokacin ƙananan ko matakai. Yawancin wadannan bayyanar cututtuka suna haifar da rashin ciwon hanta ko kuma daga cutar mai cutarwa ta jiki don maganin cutar.
- Rushewar Kuskure: Wannan na iya faruwa saboda yawancin halayen HCV. Rashin ciwo, jure, da kuma gajiya zai iya rage yawan ciwonku, yana haifar da ku rage yawan abincin da kuke so ku ci. Kuma, kamar yadda hanta ya ɓace, zai iya ba da dama da sunadaran sunadarai da ƙwayoyin da za su taimaka maka kawo da kuma shayar da abincin da kake ci, wanda zai haifar da cututtuka da mahimmanci, rashin abinci mai gina jiki har ma lokacin da kake cin abinci.
- Tingling ko haushi mai mahimmanci
- Abin da ba shi da tausayawa da "ƙwaƙwalwa"
- Itchy fata
- Ƙaddara, wurare masu zafi na rash
- Dry eyes tare da bushe baki
- Magungunan rheumatic: Rushewar hadin gwiwa da tsoka da tsoka da damuwa zai iya fara kafin ka san cewa an nuna ka a HCV, kuma yana iya faruwa a kowane mataki na kamuwa da cuta. Abun haɗin gwiwa da tsoka sune saboda gaskiyar cewa tsarin na rigakafin yana cigaba da yakar cutar.
- Vasculitis (kumburi da jini) yana da sauƙi aukuwa kuma yana iya haifar da tasiri, ciki har da ciwo, jini, da kullun ko kullun zuciya, ko da yake wannan abu ne mai wuya.
- Cryoglobulinemia: Cryoglobulins sunadarai ne a cikin jini wanda za'a karfafa idan an bayyana shi zuwa yanayin sanyi, haddasa matsaloli da wurare dabam dabam.
Matsaloli
Ci gaba na ciwon hepatitis C zai iya ci gaba har tsawon shekaru. A wannan lokaci, yin gyaran ƙwayar fats steatosis (cin gashin ƙwayoyin cuta) da fibrosis (cigaba da ƙwayar nama) zai iya haifar da lalacewar hanta. Dukkanin yanayi sau da yawa sukan ci gaba da rikici, tare da yawancin mutane 60 zuwa 80 na mutanen da ke fama da rashin lafiya ko kaɗan.
Cutar ciwon hanta na ƙarshe yana nufin maɗaukaki inda hanta ya lalace kuma ya kasa aiki. Kwayar cututtuka yawanci yawanci ne a wannan matakin, sau da yawa yakan shafi tsarin kwayoyin halitta, ciki har da kwakwalwa, koda, da kuma magungunan digiri.
Cirrhosis: Daga cikin mutanen da ke fama da ciwon hawan Ciwon C da ci gaba, kashi 10 zuwa 15 cikin dari zasu cigaba da yanayin da ba'a iya ba da shi wanda ake kira cirrhosis , wanda lalacewar fibrosis ya cika sosai da yaduwar jini da kuma daga hanta. An tsara Cirrhosis ta hanyar rashin daidaituwa kuma an classified shi ko dai:
- Ƙungiyar cirrhosis
- Cirrhosis da yawa
Hanyoyin cirrhosis da aka ƙaddara yana nufin hanta yana aiki sosai da kyau, kuma, saboda haka, zai iya haifar da ƙananan alamu. Yayin da ake gabatarwa, alamun bayyanar zai iya haɗa da rikitarwa da ke shafi fatar jiki, tsokoki, da kuma kayan aiki kamar yadda jini ya haifar da haɓakawa da karuwar cutar jini, wanda aka sani da hauhawar jini da kuma gina ƙwayar bile da sauran gubobi.
Daga cikin yiwuwar bayyanar cututtuka na cirrhosis:
- Zangon gizo-gizo, musamman a kan akwati da fuska
- Itchy fata
- Redness a hannuwan hannu
- Rawanci mai sauki ko rashin jini
- Ginin ruwa a cikin idon kafa da ƙafa
- Ƙananan taro da ƙwaƙwalwa
- Rashin ci
- Asarar nauyi
- Gwaran da aka sha
- Dama aiki na Erectile ko asarar libido
- Rashin barasa
Matsalar ƙarshe na rikitarwa na kamuwa da cutar hepatitis C shine:
- Cirrhosis da yawa
- Hepatocellular carcinoma (HCC)
- Ƙarshen ƙananan ƙwayar cutar (ESRD)
Hanyoyin cirrhosis da yawa sune mummunar yanayin da yunkurin ciwon hanta ya bar shi mai tsanani kuma ya kasa aiki. Kwayoyin cututtuka suna amfani da su da kuma ci gaba kuma suna iya gabatarwa a hanyoyi da dama, ciki har da:
- Rashin gajiya
- Jaundice
- Turawa ko jini
- Tsarin ruwa a cikin rami na ciki, haifar da kumburi da damuwa
- A bambanta "mai dadi-musty" zuwa "tsirrai kwai" numfashi numfashi
- Girma mai tsanani ko zub da jini
- Abnormally rage fitsari fitarwa
- Canje-canje na mutum, rikice-rikice, ko fargaba
- Ƙara barci
- Muscle yana ɓata
- Binciken fari ko "madogara madara" a kan kusoshi
- Yau da jini
- Jigilar cututtuka ta yaduwa - karuwan jini na esophagus wanda zai iya zub da jini
Kwayarcin karamin hepatocellular (HCC) wani nau'i ne na ciwon hanta wanda ya taso ne kawai a cikin haɗin gwiwa tare da cirrhosis a cikin mutanen da ke ɗauke da hepatitis C. Wadannan cututtuka na HCC sunyi kama da wadanda suka haɗu da cirrhosis kuma zasu iya hada da:
- Rashin gajiya
- Jaundice
- Ginin ruwa a cikin rami na ciki
- Abun mawuyacin rauni da zub da jini
- Ba zato ba tsammani, asarar nauyi mai nauyi
- Rashin ci
- Jin dadin cike bayan cin ƙananan adadi
- Dama, rikicewa, ko kuma haɗari na "hawaye" ƙwayoyin muscle
- Raunin rashin tausayi na musamman, musamman a cikin mafi girma a cikin ƙasa a ƙasa ko kawai a ƙarƙashin haƙarƙarin
Ƙarshen ƙananan ƙwayar cutar (ESRD), wadda ke ci gaba da rashin gazawar koda , za a iya haifar da rikitarwa ta hanyar kamuwa da cutar kuturta C. Kwayoyin cututtuka na ESRD sun bambanta da sun hada da:
- Rashin gajiya
- Nawa zafi na ciki
- Abnormally rage fitsari fitarwa
- Samun damar zuwa urinate
- Urine numfashi numfashi
- Mottled ko maras kyau, ganowa fata discoloration
- Muscle yana ɓata
- Kusar kafafu da ƙafa, ko kusa da idanu
- Nuna ko zubar, musamman a safiya da bayan abinci
- Ƙara barci
- Sakamakon juyi na kafafu
- Rawancin numfashi ko wahalar numfashi
- Raunin tunani, rikice-rikice
Sakamakon cutar cututtuka na ƙarshe ya zama matalauta, tare da tsawon rayuwar shekaru biyar na kashi 50 cikin mutanen da ke da nauyin cirrhosis da kashi 30 cikin wadanda ke tare da HCC.
Lokacin da za a ga likitan
Saboda bayyanar cututtuka na HCV bazai faru ba a farkon matakan, kuma saboda ba su da matukar damuwa, ko da a cikin matakai mai zurfi da na kwarai, zaka iya buƙatar ganin likita ko da ba ka da alamar bayyanar cututtuka.
Ya kamata ku ga likitanku idan an bayyana ku ga cutar, ko dai kwanan nan ko a kowane lokaci a baya. Idan kun samu wani daga cikin wadannan, kuna iya bayyanar da HCV:
- Idan ka yi jima'i ba tare da wani wanda ke da ko kuma wanda zai iya samun HCV ba
- Idan ka raba maciji tare da kowa
- Idan kuna da yanke ko karya a cikin fata daga wani allura, gilashi ko wani abu wanda ya kasance ko an iya gurbata shi da jini mai cutar HCV
Idan ka ci gaba da bayyanar cututtuka na rashin hanta ko ƙwayar cuta mai tsanani, ya kamata ka ga likitanka, saboda dalilin zai iya zama HCV ko wani yanayin tsanani wanda ya buƙaci kula da lafiya. Alamomi da bayyanar cututtuka don dubawa sun hada da:
- Mawuyacin hali
- Jaundice
- Canja cikin launi na fitsari
- Nisa, vomiting ko zawo wanda ya wuce kima ko yana dawwama har tsawon mako guda
- Ƙarfin lalacewa marar iyaka ba zai wuce tsawon mako guda ba
- Kusawa daga ciki
> Sources:
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> Bazerbachi F, Leise MD, Watt KD, Murad MH, LJ, Haffar S. Hulɗar Tsaro na ƙwayoyin cryoglobulinemia da ke haɗuwa da ciwon haɗari na cutar hepatitis E: ƙungiya ko haɗari? Gastroenterol Rep (Oxf). 2017 Aug; 5 (3): 178-184. Doi: 10.1093 / gastro / gox021. Afub 2017 Mayu 19.
> Bush H, Golabi P, Muddin M, Rafiq N, Venkatesan C, Younossi ZM. Fatty Liver ba ta ba da gudummawa wajen ƙara yawan cututtuka na cutar cututtuka a ma'aikatar gaggawa na Amurka. J Jarin Gastroenterol. 2018 Mar 30. Doi: 10.1097 / MCG.0000000000001026. [Epub gaba] aya