- Hepatitis C treatment - not an easy task
Hepatitis C treatment - no easy task, as the causative agent of the infection is constantly changing( mutating).In total there are 6 types and many subtypes of this virus, in Russia, mainly hepatitis C viruses of 1, 2, and 3 types predominate. The main task of treating hepatitis C is persistent suppression of the activity of the virus, that is, its ability to reproduce( replicate).In the early stages of the disease, complete cure is also possible-removal of the hepatitis C virus from the body.
As hepatitis C is treated
Hepatitis may be acute( early disease) and chronic( usually six months after the onset) during the approach to which most often different treatment. If acute hepatitis Acute hepatitis - always serious proceeds not hard, the appointment of active treatment is sometimes delayed( but not more than three months) in order to allow the body to cope with the infection. Self-treatment with hepatitis C in the acute phase i
In chronic hepatitis C, there is no single standard of treatment and the treatment is selected individually, taking into account the genotype of the virus, the general condition of the patient, the condition of his liver and the response of the body to previous treatment.
When a hepatitis C outcome occurs in liver cirrhosis with hepatic insufficiency, the patient may need a liver transplant. Moreover, drug treatment should continue, as usually after surgery, hepatitis C Hepatitis C - "affectionate killer" returns.
Can hepatitis C be cured?Yes, it is quite. At the same time, the earlier treatment begins, the more chances for a full recovery: more than half of the patients recover. But sometimes the patient's body does not provide an adequate response to ongoing treatment. In such cases, alternative treatment for hepatitis C is prescribed. Unfortunately, alternative treatment methods are currently under development. If as a result of the inflammatory process in the liver irreversible changes occurred, they can not be completely eliminated even after removal of the hepatitis C virus from the body.
The cost of treating hepatitis C is also a problem, mainly the cost of antiviral drugs. In some cases, the cost of treatment for hepatitis C comes to several tens of thousands of dollars.
Where is it best to treat hepatitis Hepatitis is a scourge of our time C?Of course, it is best to treat this disease in specialized hepatology centers, which are often located on the basis of infectious hospitals.
liver Treatment of hepatitis C in the acute phase of the disease
course of hepatitis C is considered acute when disease duration not exceeding six months. How is hepatitis C treated in the acute phase?If the patient's condition is stable and there are no significant violations of liver function, the patient is assigned a semi-fasting regime, diet number 5, copious drink and medications - hepatoprotectors.
If the acute phase of the disease occurs with severe intoxication, fever, nausea, vomiting, increasing jaundice, then the patient is assigned bed rest, diet № 5A( very severe patients assigned parenteral nutrition of nutrient mixtures that are administered intravenously) and medication. The latter should be aimed at the maximum removal of pathogens and various toxins from the body( detoxification therapy), as well as protecting liver cells from any harmful effects( hepatoprotectors) and preventing possible complications from other organs.
detoxification therapy is the intravenous drip administration of various drug solutions: 5% glucose, saline solutions, gemodeza, volume and frequency of administration which, as well as the duration of treatment are determined by the severity of the patient's condition.
To improve the outflow of bile patients designate ursosan( ursodeoxycholic acid), which also has the hepatoprotective action. As hepatoprotectors, essential oils and carpsilum are also prescribed.
Since at hepatitis always there is a disturbance of digestion, preventive maintenance of development of bacterial complications antibiotics of a wide spectrum of action are applied. It should be strictly monitored that the patient had a chair on a daily basis, and if he does not, clean the bowels with an enema. In severe acute hepatitis C, when hepatic coma and hepatic encephalopathy develop, the question of an emergency liver transplantation should be resolved.
With a significant reduction of blood clotting, occurrence of bleeding and bleeding designate transfusion of fresh frozen plasma to inhibit fibrinolysis( the dissolution of blood clots to prevent bleeding) prescribe drugs from the group of protease inhibitors( gordoks, trasilol, contrycal), which also reduce the risk ofAutolysis( self-disintegration) of liver cells.
How to cure hepatitis C completely?Antiviral therapy for acute hepatitis C can not be prescribed immediately. If the patient's condition allows, then it is prescribed three months after the onset of the disease, if the body could not independently remove the causative agent of the infection. But in recent years, most specialists are inclined to the fact that, in the absence of contraindications, antiviral therapy should be prescribed as early as possible - this significantly reduces the risk of the transition of acute hepatitis C to chronic. Indication for antiviral therapy is the detection of hepatitis C virus( viremia) viruses in the blood of diseased particles. Treatment, begun after the first three months of the disease, leads to complete removal from the body or persistent suppression of replication( reproduction) of hepatitis C viruses in more than 80% of patients.
Standard treatment of hepatitis Hepatitis treatment - a difficult task C in the acute phase includes prescription drugs from the group of alfa-interferons( interferon - a protein which is produced by human cells in the body in response to the introduction therein of a viral infection).Effective use as short-acting interferons( e.g., reaferon) and long-acting pegylated interferon( Peg-IFN, e.g., Pegasys, PegIntron).
The course of treatment for hepatitis C in the acute phase of antiviral drugs and their dosage is selected individually. On average, the course of treatment with interferons should last from 12 to 24 weeks. If persistent suppression of the activity of hepatitis C viruses is not achieved, the question of the appointment of a second antiviral drug belonging to another group of drugs is individually decided. Most often, this drug is ribavirin.
regeneration after treatment of hepatitis C requires limitation of physical and neuropsychiatric stress, diet № 5, receiving vitamin and mineral supplements and medicines, facilitate the discharge of bile( infusion corn stigmas, flowers immortelle, holosas et al.).Also prescribed courses of therapeutic gymnastics. To be held regularly. After the treatment of hepatitis C patient should regularly( 1-2 times per year, depending on the state) to be screened: blood analysis for the presence of HCV RNA