Hepatite Yihuye ni Iki? Ibimenyetso, Impamvu, n’Uburyo bwo Kuvura

Hepatite Yihuye ni Iki?

Hepatite yihuye ni uburwayi aho ubudahangarwa bw’umubiri bugaba igitero ku mitsi y’umwijima, bigatera ububabare buhoraho. Tekereza ko ubwirinzi bw’umubiri bwavogereye bugatera igitero ku mubiri muzima w’umwijima aho kugaba igitero ku banditsi.

Ubu burwayi burambye bugera ku bantu b’imyaka yose ariko bukunda kugaragara ku bagore kurusha abagabo. Ubwandu burakura buhoro buhoro mu mezi cyangwa imyaka, bishobora gutuma utabona ibimenyetso ako kanya. Umwijima wawe ukora cyane mu gusukura uburozi no gukora poroteyine z’ingenzi, bityo iyo ubwandu bubangamiye ibyo bikorwa, bishobora kugira ingaruka ku buzima bwawe muri rusange.

Inkuru nziza ni uko hepatite yihuye ivurwa neza mu bihe byinshi. Hamwe no kwitabwaho kwa muganga, abantu benshi babaho ubuzima busanzwe kandi bwiza mu gihe bayigenzura. Kumenya hakiri kare no kuvura birashobora gukumira ingaruka zikomeye kandi bigafasha kurinda imikorere y’umwijima igihe kirekire.

Ibimenyetso bya Hepatite Yihuye ni ibihe?

Abantu benshi bafite hepatite yihuye bagira umunaniro nk’ikimenyetso cyabo cya mbere kandi kiramba. Ushobora kumva unaniwe cyane nubwo waruhuke bihagije, kandi uwo munaniro ushobora kubangamira ibikorwa byawe bya buri munsi.

Ibimenyetso bishobora gutandukana cyane ukurikije umuntu, kandi bamwe bashobora kutagira ibimenyetso na gato mu ntangiriro. Dore ibimenyetso umubiri wawe ushobora kugaragaza iyo uhura n’ubwandu bw’umwijima:

• Umunaniro udashira n’intege nke bidakira nubwo waruhuke
• Kubabara mu nda cyangwa mu gice cyo hejuru iburyo
• Kubura ubushake bwo kurya no kugabanya ibiro bitateganijwe
• Isesemi no kuruka rimwe na rimwe
• Ibara ry’uruhu n’amaso (jaundice)
• Inkari z’ijisho ry’umukara
• Inkari zera cyangwa zimeze nk’ibumba
• Kubabara mu ngingo n’imikaya
• Uruhu rw’uburwayi cyangwa gukorora

Mu bihe bimwe na bimwe, abantu bashobora kugira ibimenyetso bikomeye bisaba ubufasha bw’ihutirwa. Ibyo bishobora kuba harimo kwibagirwa, kubyimbagira mu nda cyane, cyangwa kwiyongera kw’ibara ry’amaso. Ibuka ko ibimenyetso bishobora kuza no kugenda, kandi kugira ibimenyetso bito ntibisobanura ko uburwayi bwawe budakomeye.

Ubwoko bwa Hepatite Yihuye ni ubuhe?

Abaganga bagabanya hepatite yihuye mu bwoko bubiri bushingiye ku maraso runaka aboneka mu maraso yawe. Ubwoko bwa mbere ni bwo bugaragara cyane, bugera kuri 80% by’ibibazo byose.

Hepatite yihuye yo mu bwoko bwa mbere ikunda kwibasira abantu bakuru kandi ishobora kugaragara mu myaka yose. Irangwa no kubaho kw’antikorora za antinuclear (ANA) cyangwa antikorora z’imikaya yoroheje (SMA) mu maraso yawe. Ubu bwoko busanzwe buvurwa neza kandi rimwe na rimwe bushobora kugaruka mu buzima busanzwe hakoreshejwe ubufasha bukwiye.

Hepatite yihuye yo mu bwoko bwa kabiri ntisobanutse kandi ikunda kwibasira abana n’urubyiruko. Imenyekana n’antikorora z’umwijima-impyiko (LKM-1) mu maraso. Ubu bwoko busanzwe burakaze kandi bushobora gutera imbere vuba kurusha ubwoko bwa mbere, ariko buracyavurwa iyo bimenyekanye hakiri kare.

Ubu bwoko bubiri bushobora gutera ibimenyetso n’ubwangizi bw’umwijima bisa, bityo itandukaniro rifasha muganga wawe guhitamo uburyo bwiza bwo kuvura. Ubwoko ufite ntibuvuga uko uburwayi bwawe buzaba bukomeye cyangwa uko uzavurwa neza.

Impamvu za Hepatite Yihuye ni izihe?

Impamvu nyamukuru ya hepatite yihuye ntirasobanutse, ariko abashakashatsi bemeza ko iterwa no kudakora neza kw’ubudahangarwa bw’umubiri kubera ibintu byinshi. Imiterere yawe ya gene ifite uruhare mu kugutera ubwoba bwo kurwara ubu burwayi.

Ibintu byinshi bishobora gufatanya gutera hepatite yihuye mu bantu bafite ubwoba bwo kuyirwara:

• Indwara ziterwa na virusi nka hepatite A, B, cyangwa C zishobora guhungabanya ubudahangarwa bw’umubiri
• Imiti imwe nka antibiyotike zimwe na zimwe n’imiti igabanya ububabare
• Uburozi bw’ibidukikije cyangwa ibintu bishobora gutera ubudahangarwa bw’umubiri
• Izindi ndwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri
• Ihinduka ry’imisemburo, ibyo bishobora gusobanura impamvu abagore barwara cyane

Mu bihe bidasanzwe, hepatite yihuye ishobora kugaragara hamwe n’izindi ndwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri nka rhumatoïde, indwara y’umwijima, cyangwa indwara y’amara. Ibi bigaragaza ko bamwe bafite ubudahangarwa bw’umubiri bushobora kwibasira imyanya y’umubiri muzima.

Ni ngombwa kumva ko hepatite yihuye idakwirakwira kandi idashobora kwandura umuntu ku wundi. Ntushobora kuyikumira gusa uhinduranya imibereho yawe, nubwo kugira ubuzima bwiza muri rusange bishobora kugufasha kuyigenzura iyo imaze kumenyekana.

Ni ryari ukwiye kubona muganga kubera Hepatite Yihuye?

Ukwiye kuvugana na muganga wawe niba ufite umunaniro udashira utakiza nubwo waruhuke, cyane cyane iyo uhujwe n’ibindi bimenyetso. Kwitabwaho kwa muganga hakiri kare bishobora kugira uruhare runini mu gucunga neza ubu burwayi.

Tegura gahunda yo kubonana n’umuganga wawe niba ubona ibara ry’uruhu cyangwa amaso, kuko bigaragaza ko umwijima wawe ukeneye isuzuma ryihuse. Inkari z’ijisho ry’umukara cyangwa inkari zera ni ibimenyetso by’ingenzi bisaba ubufasha bw’abaganga, nubwo waba wumva umeze neza.

Shaka ubufasha bw’abaganga vuba niba ufite ibimenyetso bikomeye nko kubabara mu nda cyane, kuruka bidashira, kwibagirwa, cyangwa kubyimbagira mu maguru cyangwa mu nda. Ibyo bimenyetso bishobora kugaragaza ingaruka zikomeye zisaba ubuvuzi bw’ihutirwa.

Ntugatege amatwi niba ufite amateka y’uburwayi mu muryango wawe bw’indwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri kandi ukagira ibimenyetso bifitanye isano n’umwijima. Nubwo ibimenyetso bito bikwiye kwitabwaho kuko hepatite yihuye ishobora gutera imbere nta kimenyetso, kandi kuvurwa hakiri kare bikarinda ingaruka zikomeye mu gihe kizaza.

Ibyago byo kurwara Hepatite Yihuye ni ibihe?

Kuba umugore byongera cyane ibyago byo kurwara hepatite yihuye, kuko abagore bafite ibyago bine byo kurwara ubu burwayi kurusha abagabo. Icyo kintu cy’igitsina kigaragaza ko imisemburo ishobora kugira uruhare mu gutera kudakora neza kw’ubudahangarwa bw’umubiri.

Ibintu byinshi bishobora kukugira mu kaga ko kurwara hepatite yihuye:

• Amateka y’uburwayi mu muryango wawe bw’indwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri nka lupus, rhumatoïde, cyangwa indwara y’umwijima
• Indwara za hepatite ziterwa na virusi zasanzwe zikubasira zishobora kuba zarahungabanyije ubudahangarwa bwawe
• Kunywa imiti imwe, cyane cyane antibiyotike zimwe na zimwe cyangwa imiti ivura indwara zifata ubwonko
• Kugira izindi ndwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri
• Imyaka-Ubwoko bwa mbere busanzwe bugera ku bantu bafite imyaka iri hagati ya 15 na 40
• Impinduka za gene zitera ubudahangarwa bw’umubiri gukora cyane

Mu bihe bidasanzwe, kwibasirwa n’uburozi bw’ibidukikije cyangwa ibintu bishobora kongera ibyago byawe, nubwo ubwo buhunganizi budasobanuwe neza. Bamwe barwara hepatite yihuye nyuma yo guhura n’umunaniro ukomeye w’umubiri cyangwa umutima, ariko abashakashatsi baracyiga icyo kintu gishobora gutera ubu burwayi.

Kugira ibyago ntibisobanura ko uzahita urwara hepatite yihuye, kandi abantu benshi bafite ibyago byinshi ntibarwara ubu burwayi. Kumva ibyago byawe bigufasha kuba maso ku bimenyetso no gushaka ubufasha bw’abaganga vuba iyo bikenewe.

Ingaruka zishoboka za Hepatite Yihuye ni izihe?

Utabonye ubuvuzi bukwiye, hepatite yihuye ishobora gutera uburwayi bw’umwijima, bizwi nka cirrhose. Ubwo burwayi bubangamira ubushobozi bw’umwijima wawe bwo gukora neza kandi bushobora gutera imbere buhoro buhoro mu myaka myinshi.

Ubwandu buhoraho bushobora gutera ingaruka zikomeye zigira ingaruka ku buzima bwawe muri rusange n’imibereho yawe:

• Cirrhose y’umwijima, aho imyanya y’umubiri muzima ihindurwa n’imikaya
• Umuvuduko ukabije mu mitsi y’amaraso y’umwijima
• Uruhago rw’umwijima rushobora kugira ingaruka ku mubare w’uturemangingo tw’amaraso
• Kwinjira kw’amazi mu nda (ascites)
• Kubyimbagira mu maguru no mu birenge kubera amazi
• Ibyago byo kurwara kanseri y’umwijima mu bihe bikomeye
• Kuva amaraso mu mitsi y’amaraso yagutse mu munwa

Mu bihe bidasanzwe, hepatite yihuye ishobora gutera gucika intege kw’umwijima, ibyo bikaba ari ubutabazi bw’ihutirwa busaba ubuvuzi bw’ihutirwa. Iyo ngaruka ikunda kubaho iyo uburwayi budamenyekanye igihe kirekire cyangwa iyo ubuvuzi budakurikizwa neza.

Inkuru nziza ni uko hakiri kare kuvurwa no kuvurwa neza, ingaruka nyinshi zishobora gukumirwa cyangwa gutinda cyane. Gukurikirana buri gihe hamwe n’itsinda ryawe ry’ubuvuzi bigufasha kumenya impinduka hakiri kare no guhindura ubuvuzi uko bikenewe.

Hepatite Yihuye imenya gute?

Kumenya hepatite yihuye bisaba ibizamini byinshi kuko nta kizami kimwe gishobora kwemeza ubu burwayi. Muganga wawe azatangira akora ibizamini by’amaraso kugira ngo arebe imikorere y’umwijima wawe kandi arebe antikorora runaka zigaragaza imikorere y’ubudahangarwa bw’umubiri.

Uburyo bwo kumenya ubu burwayi busanzwe burimo gusuzuma imisemburo y’umwijima, izamuka iyo umwijima wawe wanduye. Muganga wawe azasuzumisha kandi antikorora runaka nka ANA, SMA, cyangwa LKM-1 zifasha kumenya ubwoko bwa hepatite yihuye ushobora kuba ufite.

Gucukura umwijima bikunda kuba ngombwa kugira ngo hameze uburwayi kandi harebwe ubwangizi bw’umwijima. Muri uwo muhango, igice gito cy’umwijima gikurwaho kandi kirebwa kuri mikoroskopi. Nubwo ibyo bishobora gutera impungenge, bikunda gukorwa nk’ubuvuzi bw’inyuma nta bimenyetso byinshi.

Muganga wawe azakurinda izindi mpamvu z’uburwayi bw’umwijima nka hepatite iterwa na virusi, ubwangizi buterwa n’inzoga, cyangwa ingaruka z’imiti. Uwo muhango ugaragaza ko ubonye ubuvuzi bukwiye kuburwayi bwawe. Rimwe na rimwe, ibizamini by’amashusho nka ultrasound cyangwa CT scan bifasha gusuzuma ingano n’imiterere y’umwijima wawe.

Uburyo bwo kuvura Hepatite Yihuye ni ubuhe?

Uburyo nyamukuru bwo kuvura hepatite yihuye burimo imiti igabanya ubudahangarwa bw’umubiri bukabije. Corticoïdes nka prednisone ni imiti ikunda gukoreshwa mbere kandi ishobora kugabanya ubwandu bw’umwijima mu bantu benshi.

Gahunda yawe yo kuvurwa ishobora kuba irimo imwe muri iyi mibare:

• Corticoïdes (prednisone) kugira ngo bagabanye ubwandu vuba
• Imiti igabanya ubudahangarwa bw’umubiri nka azathioprine yo gucunga igihe kirekire
• Ubuvuzi buhuza ubwoko bubiri bw’imiti hamwe
• Imiti igabanya ubudahangarwa bw’umubiri itandukanye niba ubuvuzi busanzwe budakora
• Gukurikirana buri gihe kugira ngo bahindure imiti uko bikenewe

Abantu benshi batangira kubona impinduka mu bimenyetso byabo n’ibizamini by’amaraso mu byumweru bike batangiye kuvurwa. Ariko, kugera ku buzima busanzwe bishobora gutwara amezi menshi cyangwa imyaka myinshi yo gukoresha imiti buri gihe.

Mu bihe bidasanzwe aho umwijima wangiritse cyane, gushimura umwijima bishobora kuba ngombwa. Ibyo bikunda gufatwaho gusa iyo ubundi buvuzi budakora kandi imikorere y’umwijima ikaba yangiritse cyane. Inkuru nziza ni uko hepatite yihuye idasubira mu mwijima washimuwe.

Muganga wawe azakorana nawe kugira ngo abone imiti ikwiye igenzura uburwayi bwawe mu gihe agabanya ingaruka mbi. Gukurikirana buri gihe ni ingenzi mu gukurikirana amajyambere yawe no gukora impinduka zikenewe ku gahunda yawe yo kuvurwa.

Uburyo bwo gucunga Hepatite Yihuye mu rugo ni ubuhe?

Kunywa imiti yawe ukurikije amabwiriza ni ikintu cy’ingenzi cyane ushobora gukora kugira ngo ugenzure hepatite yihuye mu rugo. Ntuzigere uhagarika cyangwa uhindura imiti yawe utabanje kuvugana na muganga wawe, nubwo waba wumva umeze neza.

Gushyigikira ubuzima bw’umwijima binyuze mu mibereho myiza bishobora kugufasha kuvurwa neza. Kwirinda inzoga ni ingenzi kuko bishobora kongera ubwandu bw’umwijima kandi bikabangamira imiti yawe. Nubwo inzoga nke zishobora kugira ingaruka mbi iyo ufite uburwayi bw’umwijima.

Kurya indyo yuzuye kandi ifite intungamubiri bifasha umwijima wawe gukora neza mu gihe uri gukira. Fata imbuto, imboga, poroteyine zoroheje, n’ibinyampeke byuzuye mu gihe ugabanya ibiryo byakozwe n’ibindi n’umunyu mwinshi. Niba ufite amazi menshi, muganga wawe ashobora kugusaba kugabanya umunyu.

Kora inkingo, cyane cyane hepatite A na B, kuko imiti yawe igabanya ubudahangarwa bw’umubiri ikugira mu kaga cyo kwandura. Vugana na muganga wawe ku nkingo zikukwiriye mu gihe unywa imiti igabanya ubudahangarwa bw’umubiri.

Imikino yoroheje ishobora kugufasha kurwanya umunaniro no kugumana ubuzima bwiza muri rusange, ariko utega amatwi umubiri wawe kandi uruhuke iyo bikenewe. Gucunga umunaniro binyuze mu buryo bwo kuruhuka, gusinzira bihagije, n’ubufasha bwo mu mutwe bishobora kandi kugira akamaro ku mibereho yawe muri rusange.

Uko wakwitegura kubonana na muganga wawe

Mbere yo kubonana na muganga, andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko bigira ingaruka ku buzima bwawe bwa buri munsi. Fata amakuru yerekeye umunaniro, ububabare, n’impinduka zose mu bushake bwawe bwo kurya cyangwa ibiro.

Zana urutonde rwuzuye rw’imiti yose, ibinyobwa, n’ibimera byose unywa, harimo n’umwanya wabyo. Fata kandi imiti yose ukoresha buri gihe, kuko imwe ishobora kugira ingaruka ku mikorere y’umwijima cyangwa ikabangamira imiti yawe.

Tegura amateka y’ubuzima bw’umuryango wawe, cyane cyane ugaragaza indwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri, ibibazo by’umwijima, cyangwa izindi ndwara zirambye mu muryango wawe. Ayo makuru afasha muganga wawe kumva ibyago byawe n’isano ya gene.

Andika ibibazo ushaka kubabaza muganga wawe, nko kuvura, igihe cyitezwe cyo gukira, guhindura imibereho, n’ingaruka mbi zishoboka z’imiti. Ntugatinye kubabaza icyakubangamiye cyangwa icyo utahamya.

Niba bishoboka, zana inshuti cyangwa umuryango wawe wizewe mu nama yawe. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugufasha mu gihe uganira ku burwayi bwawe n’uburyo bwo kuvurwa.

Icyo ugomba kumenya cyane kuri Hepatite Yihuye

Hepatite yihuye ni uburwayi bushobora kuvurwa iyo bimenyekanye hakiri kare kandi bukavurwa neza. Nubwo bisaba kwitabwaho kwa muganga buri gihe no guhindura imibereho, abantu benshi bafite ubu burwayi bashobora kubaho ubuzima buhamye kandi buhamye hakoreshejwe ubuvuzi bukwiye.

Ikintu cy’ingenzi cyo kwibuka ni uko ubu burwayi buvurwa neza mu bihe byinshi. Hamwe no gukoresha imiti buri gihe no gukurikirana kwa muganga buri gihe, ushobora gukumira ingaruka zikomeye no kugumana imikorere myiza y’umwijima imyaka myinshi.

Nturetse ubwoba cyangwa kutagira icyizere bikubuza gushaka ubufasha niba ufite ibimenyetso. Kugira ubufasha hakiri kare bigira uruhare runini mu bizava mu burwayi, kandi itsinda ryawe ry’ubuvuzi riri aho kugufasha mu ntambwe zose zo kumenya uburwayi n’uburyo bwo kuvurwa.

Ibuka ko kugira hepatite yihuye ntibigutandukanya cyangwa ntibigabanye ubushobozi bwawe bwo kugira ubuzima bwiza kandi buhamye. Hamwe no kwitabwaho neza, abantu benshi basanga ibimenyetso byabo bigengwa neza, bibafasha kwibanda ku bintu bakunda cyane.

Ibibazo byakunda kubaza kuri Hepatite Yihuye

Hepatite yihuye irashobora gukira burundu?

Nubwo nta muti urakura hepatite yihuye, abantu benshi bagera ku buzima busanzwe hakoreshejwe ubuvuzi bukwiye. Ubuzima busanzwe bisobanura ko ibimenyetso byawe bihita bigenda kandi ibizamini by’amaraso bigasubira mu buryo busanzwe, nubwo ushobora gukomeza kunywa imiti kugira ngo ugume muri ubwo buzima. Bamwe bashobora kugabanya umwanya w’imiti cyangwa gufata ikiruhuko mu buvuzi bari munsi y’ubuvuzi bukomeye.

Hepatite yihuye irandura?

Hepatite yihuye ntirandura nk’izindi ndwara ziterwa na gene, ariko kugira abagize umuryango bafite indwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri byongera ibyago byawe. Ibintu bya gene bigira uruhare mu gutera ubwoba bwo kurwara indwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri bishobora kuba mu muryango. Ariko, abantu benshi bafite amateka y’uburwayi mu muryango wabo bw’indwara ziterwa no kudakora neza kw’ubudahangarwa bw’umubiri ntibarwara hepatite yihuye.

Nshobora kubyara niba mfite hepatite yihuye?

Abagore benshi bafite hepatite yihuye bashobora kubyara abana bazima, ariko bisaba kubitegura neza no gukurikiranwa n’itsinda ryawe ry’ubuvuzi. Imiti imwe ikoreshwa mu kuvura hepatite yihuye ishobora gukenera guhinduka mbere y’inda n’igihe utwite. Abaganga bawe bazakorana nawe kugira ngo bagenzure uburwayi bwawe neza mu gihe barinda ubuzima bwawe n’ubw’umwana wawe.

Nzagomba kunywa imiti ubuzima bwanjye bwose?

Abantu benshi bafite hepatite yihuye bakeneye imiti igihe kirekire kugira ngo bagumane ubuzima bwiza, ariko ibyo ntibisobanura ko buri wese azayinywa ubuzima bwe bwose. Bamwe bashobora kugabanya imiti buhoro buhoro cyangwa gufata ikiruhuko mu buvuzi nyuma yo kugera ku buzima busanzwe. Muganga wawe azakurikirana uburwayi bwawe neza kandi ahindura gahunda yawe yo kuvurwa ukurikije uko ugendera neza igihe kinini.

Umunaniro ushobora kongera hepatite yihuye?

Nubwo umunaniro utatera hepatite yihuye, ushobora gutera imbaraga mu bantu bamwe cyangwa ukagira ingaruka mbi ku bimenyetso. Gucunga umunaniro binyuze mu buryo bwo kuruhuka, gusinzira bihagije, imikino yoroheje, n’ubufasha bwo mu mutwe bishobora kugira akamaro ku buzima bwawe muri rusange kandi bishobora kugufasha gucunga ibimenyetso. Ariko, gucunga umunaniro bigomba gufasha, bitasimbuza, ubuvuzi bwawe bwategetswe.