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Monday 19 November 2012

Hepatitis C


Hepatitis C

Hepatitis C: Hepatitis C is a viral infection in which virus infects liver and if undiagnosed it can be lethal  and untreatable in late stages. In this disease virus infects liver and cause damage to liver cells and ultimately results in liver shrinkage, due to destruction of liver cells. Patient remain asymptomatic for years and suddenly symptoms start due to liver failure.there is no treatment of Hepatitis C except liver transplantation in end stage liver disease or liver failure. in early stages if infection diagnosed  mainly  there is supportive treatment according to symptoms. In this page, we are going to discuss about Hepatitis C and its clinical features, symptoms, diagnosis and treatment in Urdu and Roman Hindi for the people of Pakistan and India.

    

Hepatitis C Ki Alamat Aur Ilaj In Urdu
Function Of The Liver
Hepatitis C, Hepatitic B say milta julta marz hai, Iss ka pata 1988 mein howa.
HBV virus kay check karnay say pata chala kah 70 - 90% mareezoo mein khoon ki muntaqli say phaela.

Sehat mund khoon denay waloon mein taqreban 0.02% kay viruses mojude thaiy. Yai vains kay injection ya daw'aon say hota hai. Is kay illawa mushhiyat kay bazeryai  vains isteemal bhi HCV ka sabeb benta hai jo 90% tak hai nai tehkikeek say pata chala keh is ki infection high risk group jaisa hum jensi taluqat aawarah aurton aur clinic main kam karnay walon main hoti hai aur in say dosray logon tak pohanchti hai

Doran zancha bacha maaan say bachay ko iss ki infection hoskti hai laikin bohat kem. Ek andazay kay mutabiq taqreeben 240 million afraad dunya main is hepatitics say mutaser hotay hain.

Hepatitis C Ki Alamaat Aur Tashkhees
HCVki infection zaher nahe hoti. Almost 10% mereezn ko nezlah, halka yarqan aur scrim main Amine ki mamoli ziadti hoti hai bohat sare meerizon main is ki tashkis naeh hoskti jb tak in ki History aur liver old bimarion vaghairah ki test na milay. Suger ki bimari kay ziada imkanat hosktay hain.

High risk logon main HBV ,HAV ko negative maarkez kay saath alaidha kernay say dignose ki jaskti hai Anti HCV Infection kay 6 weak baad hojati hai.

Khoon ki muntaqili Blood trasfussion ka 50% mereezon ko keraanic hepatitics hojata hai aur in main say 20% kay lung shrink hojatay hain jin ko baad main lung cancer hoja ta hai. Yeh halat dengrous hoti hai. Is kay liay lungs ka test kia jana chahyai. Her teen maah baad review kia jai.

Hepatitis Chrionic C
Choronic Hepatitis C ki alaamat almost vahe hain jo Hepatitic B ki hain zaher is ki koi alamat nahe. Lung main raisha daar Fibrosis berh jati hain. Lung shink hojata hai aur is ka baad cencer bhe hoskta hai.

Bimari main ALT almost normal rehta hai. Jin mereez ko shaded bimari ho inko thakawat mehsoos hoti hai.

Chronic Heptitis C ki tuskheesh serum main Antibody paida ker kay ker sktay hain. HCV RNA ager negative ho tu HCV RNA ko PCR Techniques kay tarikay say test ki jai. Viremia different hota hai jo keh kem hoga 2*10 ml / Genome Equivalents hai.

Liver biopsy ki jai lung main bohat bari tebdilian hogi baaz wqt mamoli sozish hogi. Baaz cases main CH mojjud hoji beriberi nalion main Lympholdfollies mojud honjay. Aur mayday main fatty changes nazer aai gi.

Hepatitis C Ka Ilaj
Chronic Hepatitis valay oun mereezon kay kay liay ilaj munasib hoga jin kay Serum main HCV RNA mujood ho aur jin ka nemkiyat ka level pechlay 6 month sasy berha ho jin merozon main lung raish daar baaftoon say berhjin in ko Transplantation kay liay tasleem kia jai is treatment kay 6 month kay baad tak HCV RNA munfi rehta hai aur is kay dubara muvaaqa hain.

............ Updated by desiclinic doctor ..............
Hepatitis C Ki Alamat:
Hepatitis C ki alamat ko ham two types mein describe ker saktay hai

1. Acute infection of Hepatitis C: generally jab koi person Hepatitis C virus se infected hota hai tu os main bazahir koi hepatitis c ki alamaat nazar nahi aati hai. yani approximately 80% newly infected patiend beghair kisi hepatitis c ki alamat ke hotay hain jab keh baqya 20% newly infected patient ke darj zail hepatitis c ki alamat hoti hai:

fatigue, abdominal pain, nausea, loss of appetite, or a condition known as yellow jaundice. hepatitis c ke mareezo ko jaundice os waqt hota hai jab mareez ke body mai yellow-colored compound jisay bilirubin kehtay hai ban jati hai. jis ki wajah se os ka skin aur whites of eyes ka color yellow ho jaata hai. osi waqt Urine ka color dark brown 'cola' color aur stools ka color gray ya light tan ho jata hai.

      yeh tamam alamat HCV ke exposure ke 4-12 weeks ke baad hota hai. kuch mareez flu-like alamat ki shikayat kertay hai

2. Chronic Infection of Hepatitis C: Hepatitis C ke acute mareezo ki aksaryat ka body  immune system hepatitis c infection ko cure kerne mai nakam ho jaata hai. lehaza HCV ke shikar 75% se 85% mareez apne body se hepatitis c virus ko clear kerne mai nakam ho jaatay hai. aur on ki infection chronic ho jaati hai. ziadah-ter chronic hepatitis c ke mareezo'n mein koi alamat nahi hoti. ya phir on mai vague symptoms maslan fatigue hoti hai. bahar-hal hepatitis c ki alamat ho ya na ho; hepatitis c ke mareezo ka active ya progressive liver damage hone lagta hai.

Chronic hepatitis C ki wajah se liver mein scarring ya 'cirrhosis' ho jaati hai. cirhosish mai liver ki healthy tissue, fibrous tissue mein tabdeel ho jaati hai. jis ke baad scar like hardening ho jaati hai. jab aisa hota hai tu liver aahista aahista fail ho jaata hai. aur liver ke andar normal function ki slahiat khatam ho jaati hai. chronically infected mareezo mai sy 15% se 30% ko cirrhosis ho jata hai. yeh amal initial infection ke 20 se 30 years ke baad hota hai. Cirrhosis ki alamat darj zail hain
  • Fluid retention: jis ki wajah se swelling of belly (ascites), leg (edema) ya whole body (anasarca)
  • Persistant jaundice (yarqan)
  • Fatigue (Thakawat)
  • Disturbances in sleeping
  • Kharish (Itchy skin)
  • bhook khatam ho jana, wazan kam ho jana (Loss of appetite, weight loss, wasting)
  • khoon ki ulti (Vomiting with blood in the vomit)
  • Mental disturbances maslan confusion, lethargy, extreme sleepiness ya hallucination jis ko hepatic encephalopathy kehtay hain.

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