Chronic hepatitis - a group of liver diseases that develop after a previous viral hepatitis,
taking certain medications, with alcohol abuse and with the duration of the inflammatory process
more than 6 months. In addition, it occurs in patients with chronic diseases of the abdominal organs -
gastritis, enterocolitis, pancreatitis, peptic ulcer and cholelithiasis, after resection of the stomach,
as well as for diseases that are not related to the gastrointestinal tract: various infectious,
collagenoses. All chronic hepatitis can be divided into the following forms: chronic persistent
hepatitis, chronic active hepatitis, chronic cholestatic hepatitis.
The term "Chronic hepatitis" refers to diffuse inflammatory liver diseases in which
clinical, laboratory and morphological changes persist for 6 months or more.
According to the etiology and pathogenesis, the following forms of chronic hepatitis are distinguished:
chronic viral hepatitis B,
chronic viral hepatitis C,
chronic viral hepatitis D,
cryptogenic chronic hepatitis.
Biochemical blood test: an increase in bilirubin and liver enzymes is characteristic.
Liver ultrasound: signs of inflammation.
For a more accurate diagnosis, a liver biopsy is performed, which makes it possible to assess the severity of inflammation, to determine the presence of fibrosis or cirrhosis, and sometimes to find out the cause of hepatitis.
Serological blood test: detection of antibodies to hepatitis B, C viruses.
Virological research: identification of the corresponding virus.
Immunological examination: detection of antibodies to the components of liver cells.
Basic principles of chronic hepatitis treatment
First of all, for the treatment of chronic hepatitis of the liver, it is necessary to follow the rules of conduct prescribed by the doctor. The main thing is to ensure peace, bed rest is recommended. Due to the fact that with strict adherence to bed rest, metabolic processes in the liver improve, liver cells are restored faster.
One of the basic principles of chronic hepatitis treatment is diet. Food should be rich in proteins, carbohydrates and vitamins, limit fats, and some exclude altogether. Meals should be frequent, fractional, in small portions. Of course, alcohol is strictly prohibited!
Drug therapy must be agreed with the attending physician. In severe chronic hepatitis, the patient is usually hospitalized in the specialized department of the hospital, where he is prescribed a combination treatment.
Hepatitis B virus (HBV) and hepatitis C virus (HCV) are common causes of chronic hepatitis; 5 to 10% of HBV infections with or without coinfection with hepatitis D virus (HDV), and about 75% of HCV infections become chronic. Children are more likely to be infected with HBV (eg, up to 90% of infected newborns and 25 to 50% of young children). Although the mechanisms of chronicity are not well understood, liver damage is mainly related to the immune response of patients to infection.
The genotype 3 hepatitis E virus rarely progresses to chronic hepatitis.
The hepatitis A virus does not cause chronic hepatitis.
Nevertheless, it is possible to cure chronic viral hepatitis B - to stop the inflammatory process caused by the hepatitis B virus. To do this, you need to reduce the activity of the causative agent of the disease. Unfortunately, due to the nature of the hepatitis B virus, it is impossible to completely remove it from the body.
How do you know if you have hepatitis?
weakness and fatigue
loss of appetite
heaviness or discomfort in the abdomen (on the right, where the liver is located)
darkening of urine
discoloration of stool (becomes light)
Signs of chronic hepatitis
For chronic hepatitis B and C, mild symptoms and even their prolonged absence are characteristic. The most typical are prolonged weakness and fatigue, asthenic syndrome.
Sometimes chronic hepatitis is noticed only when its irreversible outcomes have already developed.
A terrible consequence of chronic viral hepatitis - cirrhosis of the liver can be manifested by a worsening of the patient's condition, the development of jaundice and the appearance of ascites (enlarged abdomen).
Hepatic encephalopathy may develop - damage to the brain with a violation of its activity.
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!