Kev tu lub siab.Kev tshuaj xyuas ntxov thiab kev so thaum ntxov

Raws li kev txheeb cais ntawm World Health Organization (WHO), ntau dua 1 lab tus tib neeg tuag los ntawm kab mob siab txhua xyoo hauv ntiaj teb.Tuam Tshoj yog "lub teb chaws kab mob siab loj", nrog cov neeg coob coob uas muaj ntau yam kab mob siab xws li kab mob siab B, kab mob siab C, haus dej cawv thiab tsis haus cawv, daim siab mob siab, thiab kab mob siab autoimmune.

1. Suav kab mob siab

Viral kab mob siab yog ib qho ntawm cov ua rau muaj kab mob thoob ntiaj teb thiab yog ib qho kev sib tw tseem ceeb rau pej xeem kev noj qab haus huv hauv Suav teb.Muaj tsib hom kab mob siab kab mob siab, xws li A, B (HBV), C (HCV), D thiab E. Raws li cov ntaub ntawv ntawm "Suav Phau Ntawv Qhia Txog Kev Tshawb Fawb Txog Kev Tshawb Fawb" xyoo 2020, ntawm cov kab mob ua rau mob qog noj ntshav hauv Suav teb. , kab mob siab B thiab kab mob siab C tseem yog cov laj thawj tseem ceeb, suav txog 53.2% thiab 17% feem.Kab mob siab kab mob ntev ua rau muaj li 380,000 tus neeg tuag txhua xyoo, feem ntau yog vim mob cirrhosis thiab mob qog noj ntshav los ntawm kab mob siab.

2. Kev kho mob tshwm sim ntawm kab mob siab

Kab mob siab A thiab E feem ntau yog mob hnyav heev thiab feem ntau muaj qhov tshwm sim zoo.Cov kab mob kab mob siab B thiab C yog qhov nyuaj, thiab tuaj yeem ua rau cirrhosis lossis mob qog noj ntshav tom qab mob ntev.

Cov kev kho mob tshwm sim ntawm ntau hom kab mob siab viral zoo sib xws.Cov tsos mob ntawm tus mob hepatitis feem ntau yog qaug zog, tsis qab los noj mov, hepatomegaly, lub siab ua haujlwm tsis zoo, thiab daj ntseg hauv qee kis.Cov neeg uas muaj tus kab mob ntev yuav muaj cov tsos mob me me lossis txawm tias tsis muaj tsos mob tshwm sim.

3. Yuav tiv thaiv thiab kho kab mob siab li cas?

Txoj kev sib kis thiab chav kho mob tom qab kis kab mob siab los ntawm cov kab mob sib txawv txawv.Kab mob siab A thiab E yog kab mob plab uas tuaj yeem kis tau los ntawm cov kab mob sib kis, zaub mov lossis dej.Kab mob siab B, C thiab D yog kis los ntawm leej niam mus rau tus menyuam, kev sib deev thiab kev hloov ntshav.

Yog li, tus kab mob siab viral yuav tsum raug kuaj pom, kuaj pom, cais tawm, tshaj tawm, thiab kho sai li sai tau.

4. Kev daws teeb meem

Macro & Micro-Test tau tsim cov khoom siv kuaj xyuas kab mob siab B (HBV) thiab kab mob siab C (HCV).Peb cov khoom muab kev daws teeb meem tag nrho rau kev kuaj mob, kev saib xyuas kev kho mob thiab kev kuaj mob ntawm tus kab mob siab viral.

01

Tus kab mob siab B (HBV) DNA quantitative detection kit: Nws tuaj yeem ntsuas tus kab mob sib kis ntawm cov neeg mob HBV.Nws yog ib qho tseem ceeb qhia rau kev xaiv ntawm indications rau kev kho mob antiviral thiab kev txiav txim ntawm curative nyhuv.Thaum siv tshuaj tua kab mob, tau txais cov lus teb tiv thaiv kab mob tuaj yeem tswj tau qhov kev loj hlob ntawm daim siab cirrhosis thiab txo qhov kev pheej hmoo ntawm HCC.

Qhov zoo: Nws tuaj yeem kuaj pom cov ntsiab lus ntawm HBV DNA hauv cov ntshav, qhov ntsuas qhov tsawg kawg nkaus yog 10IU / mL, thiab qhov ntsuas qhov tsawg kawg nkaus yog 5IU / mL.

02

Tus kab mob siab B (HBV) genotyping: Cov kab mob sib txawv ntawm HBV muaj qhov sib txawv hauv kev sib kis, kab mob sib txawv, kab mob tshwm sim, thiab cov lus teb kho mob.Rau qee qhov, nws cuam tshuam rau HBeAg seroconversion tus nqi, qhov mob ntawm daim siab mob, qhov tshwm sim ntawm daim siab mob qog noj ntshav, thiab lwm yam, thiab tseem cuam tshuam rau kev kuaj mob ntawm tus kab mob HBV thiab cov nyhuv curative ntawm cov tshuaj tiv thaiv kab mob.

Qhov zoo: 1 lub raj ntawm cov tshuaj tiv thaiv tuaj yeem raug ntaus los kuaj xyuas hom B, C, thiab D, thiab qhov ntsuas qhov tsawg kawg nkaus yog 100IU / mL.

03

Tus kab mob siab C (HCV) RNA quantification: HCV RNA detection yog qhov qhia tau tseeb tshaj plaws ntawm kev kis tus kab mob thiab rov ua dua.Nws yog ib qho tseem ceeb qhia txog qhov xwm txheej ntawm tus kab mob siab C thiab cov txiaj ntsig ntawm kev kho mob.

Qhov zoo: Nws tuaj yeem kuaj pom cov ntsiab lus ntawm HCV RNA hauv cov ntshav ntshav lossis ntshav, qhov ntsuas qhov tsawg kawg nkaus yog 100IU / mL, thiab qhov ntsuas qhov tsawg kawg nkaus yog 50IU / mL.

04

Tus kab mob siab C (HCV) genotyping: Vim yog cov yam ntxwv ntawm HCV-RNA virus polymerase, nws tus kheej cov noob tau hloov pauv tau yooj yim, thiab nws cov genotyping zoo sib xws rau qib siab ntawm daim siab puas thiab kev kho mob.

Qhov zoo: 1 lub raj ntawm cov tshuaj tiv thaiv tuaj yeem siv los ntaus thiab ntes hom 1b, 2a, 3a, 3b, thiab 6a, thiab qhov ntsuas qhov tsawg kawg nkaus yog 200IU / mL.