Faa'iidooyinka iyo khasaarooyinka daawooyinka loogu talagalay HBV
Fursadaha daaweynta ee cagaarshowga B ee joogtada ah weligood ma fiicnayn siday yihiin maanta. Waqtigan xaadirka ah, waxaa jira ugu yaraan lix daawo oo la heli karo, marka la barbardhigo 10 sano ka hor markii aysan jirin, taasoo macnaheedu yahay in dhakhtarkaagu uu leeyahay fursado helitaanka daroogada (ama daroogo isku dhafan) oo adiga kuu fiican.
Inkastoo ay jiraan fursado badan oo daaweyn ah oo loogu talagalay Cagaarshowga B , haddana weli ma jirto daawo cudur.
Hadafka daaweynta caafimaadka waa in la joojiyo fayruska oo uu ku hayo calaamadaha barkada marka uu beerka ka ilaalinayo saameynta waxyeelada cudurka. Sidoo kale, waa muhiim inaad maskaxda ku hayso in dhammaan dadka qaba cagaarshowga B aysan u baahnayn daawo. Iyo haddii aad bilowdo daaweynta maandooriyaha ama aadan ahayn, waa inaad ku hoos jirtaa daryeelka dhakhtarka ee takhasus u leh cudurada beerka ama aad u yaqaan oo khibrad u leh daaweynta cagaarshow B.
Dhibaatooyinka iyo Culaysyada
Daawooyinka intooda badan waxay leeyihiin faa'iidooyin iyo waxyeelooyin kale oo ay tahay in la miisaamo, iyo la shaqeynta dhakhtarkaaga ayaa kaa caawin kara inaad doorato daroogada faa'iidooyinka laga filayo inay ka culus yihiin halista. Si lagugu caawiyo inaad fahamto daawooyinkan waxoogaa ka sii wanaagsan, halkan waa qaar ka mid ah xoogooda iyo daciifnimada.
| Dawo | Faa'iido | Ogolaansho |
Interferon (interferon alpha-2b ama interferon pegylated) | - Caadi ahaan doorasho wanaagsan oo loogu talagalay dadka dhalinyarada ah ee aan lahayn cudur halis ah oo cudur beerka ah (cudur ku dhaca beerka si fiican)
- Doorasho wanaagsan oo loogu talagalay jeermiska 'A'
- Muddada daaweynta waa mid gaaban (24 illaa 48 toddobaad) marka la barbar dhigo daaweynta cagaarshow B kale.
| - Dhibaatooyinka aadka u daran ee dadka qaarkood
- Looma helin dadka qaba cirbid la'aan (qallajin cudur beerka ah)
- Qiimaha qaaliga ah (kan caadiga ah ama qallalan) marka loo eego daroogooyinka kale
- Interferon pegylated aan loo oggolaan carruurta
|
| - Qiimaha ugu yaryar marka loo eego daawooyinka cagaarshow B kale
- Mid ka mid ah daawooyinka cagaarshow B-da ee waawayn, sidaas darteed wax badan ayaa loo yaqaanaa nabadgelyadiisa
- Waxaa laga yaabaa in uu ku caawiyo daawaynta cudurka HIV-ga ee isku-dhafan oo lagu daray tenofovir
- Waxaa loo ogolaaday carruurta iyo dadka waaweyn
| - Badanaa waxay lumisaa waxtarkeeda fayraska cagaarshow B sababta oo ah isbaarada daroogada
- Sababtoo ah iska caabin awgeed, waxay noqon kartaa mid waxtar leh marka loo eego daawooyinka cagaarshow B cusub
- Wuxuu u baahan yahay daaweyn muddada dheer
|
Adefovir dipivoxil | - Waxaa loo isticmaali karaa bukaanka qaba fayraska cagaarshowga B ee lamivudine
| - Waxay noqon karaan sunta kelyahaaga qadar sare
- Wuxuu u baahan yahay daaweyn muddada dheer
|
| - Wuxuu leeyahay heer aad u hooseeya oo iska caabin ah.
- Waxaa laga yaabaa in ay ku caawiso bukaanada qaba cirbadaha cilladaysan (qallajinta cudurka beerka)
| - Maandooriye cusub, sidaa daraadeed waxay leedahay baaritaan yar oo la heli karo oo ku saabsan nabadgelyadiisa - gaar ahaan xaaladaha qaarkood
- La garanayo kansarka qashinka marka la siiyay qiyaaso sarreeya, laakiin ma jirto xogta bani'aadamku ay ku taageereyso khatarta sii kordheysa ee bukaannada
- Wuxuu u baahan yahay daaweyn muddada dheer
|
Telbivudine | - Waxaa laga yaabaa in ay noqoto daawo ka hortagta fayraska oo ka badan lamivudine iyo adefovir
| - Laga yaabee sida lamivudine inuu u adkaysto fayraska cagaarshow B
- Wuxuu u baahan yahay daaweyn muddada dheer
- Aan loo ogolaan carruurta
|
| - Ku fiican daaweynta noocyada joogtada ah iyo kuwa daroogada u adkaysta ee fayraska cagaarshow B
- Miyuu noqon karaa doorasho daaweyn wanaagsan marka adefovir si fiican u shaqeynin
- Daaweynta HIV iyo fayraska cagaarshow B
| - Waa daroogo cusub oo loogu talagalay daaweynta cagaarshowga B, sidaa daraadeedna daraasado badan ayaa u baahan in la dhammaystiro
- Aan loo ogolaan carruurta
- Wuxuu u baahan yahay daaweyn muddada dheer
- Kormeer joogto ah oo ku saabsan hawlaha kelyaha ayaa lagama maarmaan ah
|
Xigasho:
UpToDate. Basow, DS (Ed), UpToDate, Waltham, MA, 2010.