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^numer 12/2006

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Nasze artyku=B3y, informacje i porady nie = zast=B1pi=B1=20 lekarza. Je=B6li co=B6 zaniepokoi ci=EA w funkcjonowaniu = organizmu,=20 zasi=EAgnij porady specjalisty. =

PROFILAKTYKA

podst=EApne wirusy=20

Wirusowe zapalenie = w=B1troby to=20 nie wyrok =B6mierci. Teraz w walce z wirusem B = medycyna=20 dysponuje nowym lekiem. Ale nadal wa=BFne jest wczesne = wykrycie=20 zaka=BFenia. Nie tra=E6 czasu, przebadaj si=EA! =
Zaatakowana=20 wirusem w=B1troba zwykle nie boli. Dlatego tysi=B1ce = ludzi nawet=20 nie zdaje sobie sprawy, =BFe choruj=B1 na wirusowe = zapalenie=20 w=B1troby (WZW), potocznie nazywane =BF=F3=B3taczk=B1. =

- Wirusy=20 dzia=B3aj=B1 podst=EApnie. Czasami sygna=B3em choroby = jest jedynie=20 uporczywe zm=EAczenie - m=F3wi prof. Anna = Boro=F1-Kaczmarska,=20 kierownik Katedry i Kliniki Chor=F3b Zaka=BCnych i = Hepatologii AM=20 w Szczecinie.

-=20 Tymczasem niezauwa=BFone wirusy niszcz=B1 w=B1trob=EA. = Doprowadzaj=B1 do=20 jej marsko=B6ci, a nawet raka. Wczesne postawienie = diagnozy jest=20 bardzo wa=BFne, bo zwi=EAksza szans=EA na ich = pokonanie - dodaje=20 prof. Boro=F1-Kaczmarska. Dlatego nie zdawaj si=EA na = przypadek i=20 jak najszybciej wykonaj pr=F3by w=B1trobowe. =

Wirusy=20 wywo=B3uj=B1ce zapalenie w=B1troby to ca=B3y = pocz=B1tek alfabetu, od A=20 a=BF do G. Na szcz=EA=B6cie tylko dwa z nich: B (HBV) = i C (HCV) s=B1=20 na tyle gro=BCne, =BFe mog=B1 rodzi=E6 obawy. = Najwi=EAkszy strach budzi=20 wirus typu C. Jest wyj=B1tkowo sprytny, = wci=B1=BF zmienia=20 swoj=B1 budow=EA, co utrudnia opracowanie szczepionki. = Wirusem=20 typu C mo=BFna zakazi=E6 si=EA jedynie przez kontakt z = krwi=B1. W=20 Polsce oko=B3o 60% zaka=BFe=F1 tym wirusem zdarza = si=EA w szpitalach.=20 Najcz=EA=B6ciej podczas bada=F1 oraz drobnych = zabieg=F3w, takich jak=20 endoskopia czy dializa. Wystarczy, by piel=EAgniarka = nie=20 wymieni=B3a rurki w aparacie do dializy. Wybuchaj=B1ce = co jaki=B6=20 czas afery zwi=B1zane z zaka=BFeniem wirusem C = kolejnych pacjent=F3w=20 w plac=F3wkach medycznych pot=EAguj=B1 l=EAk przed = nim. Tymczasem na=20 mi=EAdzynarodowym sympozjum dotycz=B1cym chor=F3b = w=B1troby ,,Hope for=20 Hepatitis B" (Nadzieja dla Wirusowego Zapalenia = W=B1troby typu=20 B), kt=F3re odby=B3o si=EA w lipcu tego roku w = Pary=BFu, naukowcy=20 przekonywali, =BFe cho=E6 g=B3o=B6no jest teraz o = wirusie C, nie wolno=20 zapomina=E6 o nadal gro=BCnym wirusie B. - HBV jest = mniej=20 niebezpieczny od HCV tylko dla tych, kt=F3rzy s=B1 = zaszczepieni -=20 uwa=BFa prof. Patrick Marcellin ze Szpitala Beaujon w = Clichy we=20 Francji. - Wszyscy inni powinni si=EA ba=E6 raczej = wirusa typu B.=20 Na =B6wiecie =BFyj=B1 ponad 2 miliardy os=F3b, kt=F3re = mia=B3y styczno=B6=E6 z=20 HBV - to co trzeci cz=B3owiek na Ziemi. Natomiast = wirusem C=20 zaka=BFonych jest oko=B3o 170 milion=F3w os=F3b. =

WZW typu=20 B mo=BFe mie=E6 r=F3wnie gro=BCne skutki jak typu = C. W dodatku=20 wirusa B trudno zniszczy=E6, bo odznacza si=EA = odporno=B6ci=B1 na=20 wysok=B1 temperatur=EA. Wirus B wyst=EApuje nie tylko = we krwi, ale=20 tak=BFe w spermie i wydzielinie pochwy. =A3atwo si=EA = nim zakazi=E6,=20 uprawiaj=B1c seks bez prezerwatywy z osob=B1, kt=F3ra = jest=20 nosicielem wirusa. - Wirus HBV wnika do organizmu 10 = razy=20 =B3atwiej ni=BF wirus HCV i a=BF 100 razy =B3atwiej = ni=BF wirus HIV -=20 t=B3umaczy Charles Gore, przewodnicz=B1cy = Europejskiego=20 Stowarzyszenia Pacjent=F3w Chorych na WZW. - Aby wirus = typu B=20 trafi=B3 do organizmu, wystarczy 0,00001 ml krwi. O = tym nale=BFy=20 pami=EAta=E6 na przyk=B3ad wybieraj=B1c si=EA do = salonu tatua=BFu. W=20 takich miejscach najcz=EA=B6ciej wirusem zaka=BFaj=B1 = si=EA ludzie=20 m=B3odzi. A im m=B3odsza jest osoba, kt=F3ra zostaje = zainfekowana=20 HBV, tym wi=EAksze ryzyko, =BFe zaka=BFenie przejdzie = w faz=EA=20 przewlek=B3=B1 - przestrzega Charles Gore. =

=AF=F3=B3taczka typu=20 C lub B to nie wyrok =B6mierci. U oko=B3o 20% chorych = organizm sam=20 potrafi zwalczy=E6 wirusy. Mo=BFna te=BF zastosowa=E6 = przeciw nim=20 leki. Niestety, nie udaje si=EA jeszcze ca=B3kowicie = wyeliminowa=E6=20 wirus=F3w z organizmu, ale mo=BFliwe jest znaczne = zmniejszenie ich=20 st=EA=BFenia we krwi. - Nasze badania udowodni=B3y, = =BFe istnieje=20 zale=BFno=B6=E6 mi=EAdzy liczb=B1 wykrywanych w = organizmie wirus=F3w a=20 gro=BCnymi konsekwencjami przewlek=B3ego zapalenia = w=B1troby - m=F3wi=20 prof. Alfredo Alberti z uniwersytetu w Padwie we = W=B3oszech. -=20 Je=BFeli uda nam si=EA znacznie obni=BFy=E6 = st=EA=BFenie wirus=F3w we krwi,=20 to ryzyko pojawienia si=EA marsko=B6ci w=B1troby = b=EAdzie znacznie=20 mniejsze - podsumowuje prof. Alberti.

Do = niedawna=20 istnia=B3y tylko dwie metody leczenia wirusowego = zapalenia=20 w=B1troby typu B. Pacjenci mieli do wyboru kuracj=EA = interferonem=20 wywo=B3uj=B1cym cz=EAsto efekty uboczne (depresja, = zak=B3=F3cenie pracy=20 tarczycy, zaostrzenie schorze=F1 kardiologicznych, = wypadanie=20 w=B3os=F3w) lub leczenie lamiwudyn=B1, na kt=F3r=B1 = niestety wirusy=20 bardzo szybko si=EA uodparnia=B3y. Na sympozjum w = Pary=BFu og=B3oszono=20 zarejestrowanie w krajach Unii Europejskiej kolejnego = leku.=20 Nowym preparatem jest entecavir, kt=F3ry blokuj=B1c = polimeraz=EA,=20 jeden z enzym=F3w wirusa, hamuje jego mno=BFenie = si=EA. Badania=20 kliniczne wykaza=B3y skuteczno=B6=E6 leku u ponad 80% = pacjent=F3w.=20 Entecavir jest dobrze akceptowany przez organizm i nie = wywo=B3uje lekooporno=B6ci u wirus=F3w. W Polsce ma = si=EA pojawi=E6 pod=20 koniec tego roku, w tej chwili jest dost=EApny tylko w = tzw.=20 imporcie docelowym. Oznacza to, =BFe osoba chora = mo=BFe stara=E6 si=EA=20 o sprowadzenie dla niej leku z zagranicy. =

NIE DAJ=20 SI=CA Z=A3APA=C6

WIRUSOWE ZAPALENIE = W=A1TROBY TYPU=20 B

• w jaki spos=F3b si=EA rozpowszechnia? = W krajach=20 zachodnich g=B3=F3wnie przez seks bez prezerwatywy. W = Polsce=20 najcz=EA=B6ciej w szpitalu podczas zabieg=F3w, w = kt=F3rych dochodzi do=20 kontakt=F3w z krwi=B1. Mo=BFesz si=EA r=F3wnie=BF = zarazi=E6 u dentysty czy=20 kosmetyczki. Ale nie przez podanie = r=EAki.

• jakie=20 objawy? Cz=EAsto podobne do grypy. U niewielu chorych = za=BF=F3=B3cenie=20 sk=F3ry. Czasem nie powoduje =BFadnych = dolegliwo=B6ci.

• jak=20 si=EA chroni=E6? Ca=B3kowite uodpornienie na wirusa = daje szczepionka=20 w trzech dawkach. Miesi=B1c po pierwszym szczepieniu = trzeba=20 wzi=B1=E6 drug=B1 dawk=EA, a trzeci=B1 po sze=B6ciu=20 miesi=B1cach.

WIRUSOWE ZAPALENIE W=A1TROBY TYPU = C

•=20 w jaki spos=F3b si=EA rozpowszechnia? Tylko przez = krew. 5% zaka=BFe=F1=20 nast=EApuje podczas stosunku p=B3ciowego z osob=B1 = zaka=BFon=B1. Gro=BCny=20 jest seks, podczas kt=F3rego dochodzi do drobnych = uraz=F3w.=20

• jakie objawy? Najcz=EA=B6ciej bez = =BFadnych objaw=F3w.=20 Za=BF=F3=B3cenie sk=F3ry wyst=EApuje zaledwie u 10% = chorych. Czasem=20 towarzyszy mu brak apetytu, zm=EAczenie i = apatia.

• jak=20 si=EA chroni=E6? Nie dziel si=EA z nikim szczoteczk=B1 = do z=EAb=F3w czy=20 golark=B1. Zawsze domagaj si=EA jednorazowych igie=B3 = i nowej pary=20 gumowych r=EAkawiczek. To wa=BFne w gabinecie = zabiegowym, u=20 dentysty czy podczas robienia tatua=BFu lub seansu = akupunktury.=20

Samo Zdrowie 10.2006

Ewa = Zych

Wasze=20 komentarze [2]

dodaj=20 komentarz

Poka=BF=20 wi=EAcej: =20 chronologicznie wed=B3ug=20 temat=F3w

Najnowsze:
•	wzw=20 typ B Jolanta=20 K. /06.12.2006=20 19:40/ Mam w rodzinie osob=EA = zaka=BFon=B1=20 wirusem typu B kt=F3ra jest no=B6icielem od kilku lat = mam pytanie=20 ile [...]
•	wirus=20 typu B Joanna /02.12.2006 19:25/ A = ja si=EA=20 wyleczy=B3am z wirusa typu "B", kt=F3rego mi = wszczepiono w=20 szpitalu! Sprawdzone [...]

Poka=BF=20 wi=EAcej: =20 chronologicznie wed=B3ug=20 temat=F3w

«=20 powr=F3t

przed = podr=F3=BF=B1,
na=20 dzieci=EAce choroby, na=20 gryp=EA

Szczepienia

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Twoja codzienna = dawka

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Czy wszystko dobrze = dzia=B3a?

Karnet ginekologiczny

Zbadaj sw=F3j=20 wzrok

Karnet okulistyczny

Czy masz idealn=B1=20 wag=EA?

Karnet dietetyczny

Zsynchronizuj si=EA = z up=B3ywaj=B1cym=20 czasem

Wiek i kobieta

Raz w miesi=B1cu = zbadaj=20 piersi

To wa=BFne!

To nie jest=20 = antykoncepcja

Uwa=BFaj!

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