That hepatitis is a disease caused by several types of virus that attacks and causes inflammation and damage to cells of the human liver. Hepatitis diketegorikan in several groups, including hepetitis A, B, C, D, E, F and G. In Indonesia hepatitis patients are generally more likely to have hepatitis type B and hepatitis C. but here we will discuss the focus of the article that hepatitis A, B and C.
Disease Hepatitis A
Hepatitis A is a group of mild hepatitis and rarely causes death, the virus of hepatitis A (VHA = Hepatitis A virus) spread through the droppings / faeces of patients transmitted through food and beverages terkomtaminasi, not through sexual activity or through blood. For example, fish or shellfish from contaminated water area of human waste sufferers.
Hepatitis A disease has an incubation period of 2 to 6 weeks since the transmission occurs, then later the patient showed some signs and symptoms of disease Hepatitis A.
1. Symptoms of Hepatitis A
In the first week, the individual will experience pain plagued like yellow, fatigue, fever, loss of appetite, vomiting, dizziness and urinary colored black. Fever is happening is a constant fever, unlike the rest of fever in dengue fever, tuberculosis, thypus, etc..
2. Handling and treatment Hepatitis A
Patients who develop symptoms of hepatitis A as the first week of the emergence of the so-called jaundice, fatigue and so on, are expected to not much activity and the waiter immediately visit the nearest health facility for treatment of symptoms that arise such as paracetamol for reducing fever and dizziness, vitamins to increase immune system and appetite as well as drugs that reduce nausea and vomiting.
Sedangkah steps that can be taken as a preventive effort is to wash hands thoroughly, and immunization shots recommended for someone who was around the patient.
Disease Hepatitis B
Hepatitis B is one of infectious diseases that are categorized as dangerous in the world, disease is caused by hepatitis B virus (HBV) that attacks the liver and causes inflammation of acute or chronic liver. As things Hepatitis C, both diseases can become chronic and eventually liver cancer. The process of transmission of Hepatitis B is through the exchange of body fluids or contact with blood from an infected person Hepatitis B.
As for some of the other patterns of transmission of infection from mother to baby during childbirth, sexual intercourse, blood transfusions, needles, and use of personal hygiene (toothbrushes, towels) together. Hepatitis B can affect anyone, but usually for those aged would be more productive at risk for this disease.
1. Symptoms of Hepatitis B
In particular terserangnya signs and symptoms of acute hepatitis B are fever, abdominal pain and yellow (especially in the areas of white eye / sklera). But for patients with chronic hepatitis B will likely not look the signs are, so that transmission to others becomes more risky.
2. Handling and treatment Hepatitis B
Patients with suspected Hepatitis B, for diagnostic certainty that it will be enforced blood examination. After the diagnosis is established as Hepatitis B, then there is a way of treatment for hepatitis B, the treatment of swallowing (oral) and the injection.
a. Oral medication is famous;
- Giving the drug lamivudine nucleoside analogue of the group, known as 3TC. These drugs are used for adults and children, use of these drugs tends to increase the liver enzyme (ALT) for the patient will receive ongoing monitoring by a doctor.
- Giving the drug adefovir dipivoxil (Hepsera). Giving an oral will be more effective, but giving a high dose would adversely affect kidney function.
- Giving the drug Baraclude (Entecavir). The drug is given to patients with chronic hepatitis B, the side effects of these drugs are headache, dizziness, fatigue, nausea and liver enzyme increase. Keoptimalan level and stability of this administration has not said to be stable.
b. Treatment with injection / injection is;
Giving Microsphere injection of radioactive particles containing ß radiant that will destroy liver cancer cells without damaging surrounding healthy tissue. Injection of Interferon Alfa (with a branch of intron A, INFERGEN, ROFERON) subcutan given the scale of provision of 3 times a week for 12-16 weeks or more. Side effects of this medication is depression, particularly in patients who have the history of previous depression. Another effect is a pain in the muscles, tired and a little faster cause of this fever can be relieved by giving paracetamol.
Preventive measures to avoid the disease is hepatitis B vaccine, especially in people at high risk of this virus, like those who behave bad sex (exchange-partners / homosexual), health workers (nurses and doctors) and their who are vulnerable areas many cases Hepatitis B.
Disease Hepatitis C
Hepatitis C is a liver disease caused by hepatitis C virus (VHC). The process of transmission through blood contact (transfusions, hypodermic needles (contaminated), insect bite menggiti patients and other people around). Hepatitis C sufferers sometimes do not show obvious symptoms, but in patients with chronic hepatitis C cause damage / death of liver cells and detected as cancer (cancer) heart. Some 85% of cases, hepatitis C infection becomes chronic and slowly damages the liver for years.
1. Symptoms of Hepatitis C
Hepatitis C sufferers often people who suffer from Hepatitis C have no symptoms, although infection has occurred for years. However, some of which symptoms are vague; Exhausted, lost appetite, abdominal pain, dark urine, and skin or eyes turn yellow, called "jaundice" (rarely happens). In some cases can be found in the liver enzyme increased urine examination, however, in people with hepatitis C liver enzyme actually sometimes even normal fluctuations.
2. Handling and Treatment Hepatitis C
Current hepatitis C treatment is done by the administration of drugs such as interferon alfa, pegylated interferon alpha and Ribavirin. The aim of the Hepatitis C treatment is to eliminate the virus from your body as early as possible to prevent the development and worsening of end-stage liver disease. Treatment of hepatitis C sufferers need a long time even on this particular patient can not be helped, for it needs to handle the initial stage.
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