Chronic hepatitis usually lasts> 6 months. The most common causes are hepatitis B and C viruses, autoimmune liver disease (autoimmune hepatitis), and steatohepatitis (non-alcoholic steatohepatitis or alcoholic hepatitis). Many patients do not have a history of acute hepatitis, and the first sign of illness is the detection of asymptomatic elevations in serum aminotransferases. Some patients present with liver cirrhosis or complications (eg, portal hypertension). A liver biopsy is needed to confirm the diagnosis, severity, and stage of the disease. Treatment is directed at relieving complications and underlying disease (eg, corticosteroids for autoimmune hepatitis, antiviral therapy for viral hepatitis). Liver transplantation is often indicated for decompensated cirrhosis.
Chronic hepatitis is a group of liver diseases that develop after a viral hepatitis, taking certain medications, with alcohol abuse and with a duration of the inflammatory process for 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 in diseases 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.
Treatment goals for chronic hepatitis include treating the cause and, if cirrhosis and portal hypertension develops, treating complications (eg, ascites, encephalopathy). Medicines that have caused liver damage must be stopped. Acetaminophen is contraindicated in patients with severe hepatic impairment or severe active liver disease. NSAIDs should also be avoided in patients with severe liver damage.
Treatment of chronic hepatitis primarily includes medication (antiviral drugs) and vitamin therapy. In addition, a special complete diet is important, excluding fried, fatty and smoked foods. To achieve the best effect from the treatment, bed rest is also necessary (physical activity can lead to an increase in intra-abdominal pressure, which, during periods of exacerbation of hepatitis, is fraught with serious complications). Spa treatment is one of the most effective ways to maintain liver health during periods of remission (improving health). For patients, special therapeutic meals are prepared, bed rest is guaranteed, and procedures are performed.
You can safely begin 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!