Treatment and observation of acute viral hepatitis

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Acute viral hepatitis, hepatitis B, hepatitis C, including influenza and hepatitis D.Almost all acute hepatitis A and E is a self limiting h

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Acute viral hepatitis, hepatitis B, hepatitis C, including influenza and hepatitis D.

Almost all acute hepatitis A and E is a self limiting hepatitis, "self limiting" means self recovery is not persistent. The majority of acute hepatitis B and hepatitis B is a self limiting, about 5%-10% of these patients will develop persistent hepatitis, "persistent" means not self recovery and long-term repeated attacks. Some patients with acute hepatitis C are self limited hepatitis, and about 50%-80% of patients will develop persistent hepatitis.

The treatment of acute viral hepatitis should be alert to two special cases: the evolution of persistent hepatitis and the occurrence of severe hepatitis. Severe hepatitis is a group of patients with liver failure or with a tendency to life.

Acute hepatitis treatment measures including the elements of diet (diet, eating varieties "genzhaoganjiaozou", but not too much), avoid overwork (including physical and mental fatigue stress fatigue, is not equal to rest), general hepatoprotective drugs and jaundice drugs, immunomodulatory drugs etc..

In the alert to persistent hepatitis, for acute hepatitis B and hepatitis if 3 months after the onset of disease does not appear within the HBsAg disappear, should consider the use of interferon -alfa treatment; for acute hepatitis, the early stage of the disease should be considered interferon -alfa treatment.

On the alert of severe hepatitis, should observe the two groups of symptoms, if progressive weakness or progressive loss of appetite, nausea, or vomiting, more than two weeks; if the jaundice was deepening, more than 3 weeks, should be alert for severe hepatitis.

A variety of acute viral hepatitis are hospitalized, the reason is not only to prevent the continuation of hepatitis and heavy, but also the need for isolation, because viral hepatitis is an infectious disease, there may be spread to others.

 

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