Chronic hepatitis C
Hepatitis C - "the tender murderer"
in most cases it goes unnoticed and gradually leads to replacement of the bulk of the liver cells (hepatocytes) by connective tissue cells, i.e. to the development of cirrhosis. Liver cirrhosis gradually loses its function, resulting in the poisoning of the body with toxic metabolic products.
Chronic hepatitis C - What are the characteristics of its pathogen
Hepatitis C - is an acute or chronic infectious-inflammatory disease of the liver that is caused by the hepatitis C virus (HCV). A feature of HCV is a constant mutation, ie a change of the genetic structure. Currently we identified several HCV genotypes, each of which has its subtypes. In Russia, the most common 1, 2 and 3 genotypes of HCV. In the same patient's blood may be present as one or more HCV genotypes with different degrees of virulence (aggressiveness), which greatly complicates the treatment. Because of the constant mutations HCV is difficult to create a vaccine against hepatitis C.
How is chronic hepatitis C
Chronic viral hepatitis
Hepatitis - the scourge of our time
C refers to diseases that are transmitted by the parenteral (bypassing the gastrointestinal tract) in a manner that is in the blood. HCV can get into the blood of a healthy person in his blood transfusion hepatitis C patients during medical procedures or in the dentist's office (if properly handled tool) during manicure, pedicure, tattoo and so on. But most people are infected with hepatitis C, injecting drug abusers who use a syringe.
Not excluded and sexual transmission, and HCV transmission from mother's milk, but in this case one of the conditions of infection is the presence of micro-traumas of the genitals or nipples. Transmission from mother to fetus is also possible, but is more common in the injury of a further example, if the woman is held amniocentesis (puncture of the fetal membranes to take on the study of amniotic fluid). Real risk of infection from a sick child with hepatitis C the mother during labor and caesarean section does not eliminate this risk.
After the introduction of the organism HCV enters the liver cells (hepatocytes), multiplies and destroys them. Furthermore, under the structure is changed several HCV proteins hepatocytes, this leads to the fact that the immune system begins to perceive them as foreign and produces antibodies directed to their destruction. It is another mechanism of destruction of liver cells.
Symptoms of chronic hepatitis C
The disease is often asymptomatic and many patients are unaware of its presence. However, chronic hepatitis
Chronic hepatitis - a diagnosis for life
C may also occur in waves, with periods of remission followed by periods of exacerbation.
Symptoms of acute exacerbations of chronic hepatitis C - a weakness, malaise, a significant reduction in capacity, lack of appetite. During an exacerbation of these symptoms may increase, they are joined by low-grade (with a slight increase) the temperature, sometimes pain in the right hypochondrium, nausea, vomiting, and violations of the chair. Sometimes there icteric staining of the skin and sclera, dark urine and feces discolored.
Beyond acute patients consider themselves healthy, however, some loss of appetite and weakness remain.
Treatment of chronic hepatitis C.
Treatment should begin at the beginning - so it is possible to prevent the development of chronic hepatitis. To do this, the patient must be hospitalized. He was appointed bed or polupostelny (depending on the state) mode, and health food (table number 5 or 5A). Drug treatment - this is primarily disintoxication therapy, i.e. administration of large volumes of drug solution to maximize excretion of hepatitis C viruses, their toxins and decomposition products of tissue.
Of great importance in the treatment of hepatitis C.
Treatment of hepatitis C - not an easy task
given interferon - a medication containing a special protein produced by cells of the same tissue that is affected by the virus. Interferon is able to prevent the transition of the acute form of the disease into a chronic and significantly reduce the risk of developing cirrhosis of the liver.
Assign also drugs that protect the liver cells from any influences (hepatoprotectors) - Essentiale, Kars, and so on.
Prognosis of chronic hepatitis C is ambiguous, the disease often progresses to cirrhosis of the liver. The destruction of the liver slowly and after about 20-30 years formed cirrhosis, liver failure and death of the patient, if it is not performed a liver transplant. One indication of the formation of cirrhosis of the liver is the increase in stomach due to accumulation of fluid therein (ascites). Quite often, hepatitis C enters liver cancer.
Galina Romanenko