For example, chronic hepatitis B is a disease,which is characterized by inflammation and necrosis of liver tissue, continuing for six months or more. In most cases, lung disease usually does not progress or if progresses, it slowly enough. In severe cases, the disease can lead to gradual compaction of the liver of connective tissue and Development cirrhosis.
The main reasons for the development of chronic hepatitis include the transferred hepatitis B, hepatitis C, Autoimmune hepatitis. And most often it is due to improper treatment of acute viral hepatitis C. So, often, many patients in the medical record is no information that the man suffered acute hepatitis. Therefore, your doctor may not always timely to establish the correct diagnosis. Moreover, the first sign of chronic forms of hepatitis became liver transaminase elevations that usually occurs without any symptoms. It is even more difficult to diagnose the disease.
Furthermore, the liver disease provokingIt may be taking certain medications. Thus, chronic hepatitis can cause tetracycline antibiotics, antihypertensives, sedatives, narcotic drugs, antituberculosis agents, and cytostatic agents. Often the cause of the formation of chronic hepatitis B is a long-term impact of various toxic substances. Such substances, such as alcohol and benzene.
If there is a suspicion of a chronic lesionthe liver, the doctor will usually first inspects the abdominal cavity by means of probing. In particular, the physician determines the size of the liver and spleen. In addition, a patient survey. In this case the doctor usually asks what medication the patient received and clarifies the existence of other factors that can trigger the onset of disease. After that, usually assigned tests to determine the presence of viral hepatitis. Furthermore, detailed appointed blood chemistry, Liver function values are determined, andalso conducted analysis on autoantibodies. liver function test study include determining the level of enzymes AST and ALT, alkaline phosphatase, determination, and determination of bilirubin. The most characteristic sign of the presence of chronic hepatitis B patient is improving aminotransferases. However, if the disease is stable, the aminotransferase levels may be normal.
Regarding alkaline phosphatase, it isusually it remains within normal limits, or may be slightly raised. Meaning of bilirubin is usually well within the normal range, but this only applies to mild cases of the disease.
In general, it should be noted that changes in suchlaboratory tests are not something definitive. The fact that the deviation of these parameters can be related to other pathologies. In particular, it refers to diseases such a relapse of acute viral hepatitis, alcoholic disease and primary biliary cirrhosis. To assess the severity of liver biopsy is performed. Also be sure to prescribe to patients holding ultrasound of the abdominal cavity. And if the doctor considers it necessary, is carried out computer tomography of the liver.
In some cases, chronic hepatitis canappear only in the form of small hepatic cell necrosis or infiltration of inflammatory cells, which normally occurs in the portal vein. For such cases, you need to carry out a liver biopsy. The fact that clinically these cases are rare, and usually does not develop to hepatic cirrhosis.
In order to evaluate the severity of the processes,conducted a study of albumin serum. Thus, low levels of albumin are usually indicative of liver failure. Sometimes it assigned a study cryoglobulin level, as well as determining the value of rheumatoid factor. This is especially true for chronic hepatitis C.
The primary goal of treatment is toproviding remission. With this treatment of chronic hepatitis usually depends on the embodiment. Thus, the treatment of viral hepatitis drugs used steroids, alpha-interferons, cytostatics. In this case, often used and symptomatic therapy.
In autoimmune hepatitis is usually given cytostatic and hormonal therapy. If necessary, held a liver transplant.
For the treatment of toxic hepatitis, especiallyterminated effect of toxic factors in the patient's liver. It is necessary, first of all, to the liver itself was able to restore its full operation. In addition to the termination of exposure to toxins and prescribers gepatoprotektorov group. The latter is usually used in order to increase liver resistance to pathogens and to enhance liver regeneration. The best of them are considered to complex preparations which consist of amino acids, vitamins and plant extracts that are complementary to the preparation. Also, do not re-take the drugs that have toxic effects on the liver. Please be aware that hepatitis is a very serious disease. Therefore, to ensure that treatment has brought good results, you need to comply strictly with all the doctor's orders.
Of particular importance in the treatment of chronic hepatitisIt has the power. It is often the patient is assigned to food on a diet №5. This power system is intended to exclude from the diet smoked, alcohol, fried, salty, high-melting fats. The rest of the fats should make up about 35% of the human diet. They are useful, ie. To. Are cholagogue. In this case it is recommended to replace animal fats in the plant.
In general, the success of the treatment depends on the diseaseon many factors. In particular, it depends on the duration of the disease, individual features of the human body and the presence of concomitant diseases.