hepatitis - a diffuse inflammation of the liver, and the disease arises due to various reasons.It may occur in the acute or chronic form.For example, it may be chronic at various poisoning (ethyl alcohol) or occur against the background of acute viral hepatitis.Moreover, it can be the result of chronic diseases of the abdominal cavity or arise as a reaction to a drug.
Symptoms of hepatitis
The most common symptoms of chronic hepatitis B:
- sometimes nausea;
- rare muscle pain;
- anorexia in some cases;
However, in most cases, the disease is no apparent clinical signs.The liver is increased in size, and a person can not eat fatty foods, as there is a constant aching pain in the right upper quadrant.Therefore, at the slightest suspicion of hepatitis, it is sure to get a complete study of the liver.In addition, the chronic form requires more time and effort to the treatment than acute.
inflammatory process in the liver, which lasts more than six months, leads to chronic h
Today known six main types of viral hepatitis, including hepatitis A and E do not appear in the chronic form.The most severe form is considered to be C, which over the years can not be felt.Many patients with an acute form of hepatitis C gradually becomes chronic.
There is the so-called cryptogenic chronic hepatitis of unknown etiology.He is accompanied by destructive inflammatory process in the liver and lasts more than 6 months.In 15-20% of cases the main cause of cryptogenic chronic hepatitis and can not figure out.The peculiarity of its course is a tendency to progression to the gradual transformation into cirrhosis of the liver, possibly even in primary liver cancer.Pathogenesis of chronic cryptogenic hepatitis and it is not clear, given the complete lack of identification of the factors of its development.
diet in chronic hepatitis
Nutritional care for hepatitis include benign liver conditions.The purpose of diet - reduction of inflammatory, degenerative and destructive changes in a sick body, but also the prevention of transition to cirrhosis of the liver, improvement of liver function and correction of metabolic disorders.
Power pancreatitis is made on the basis of a diet №5.The food should contain a sufficient amount of protein (1.5-2, Sr), fats (1,2-1,8g) and carbohydrates (4-6g), calculated per kg body weight.This importance are full of animal protein (yogurt, milk, yoghurt, cheese, lean beef, fish, low-fat varieties, egg white).
Carbohydrates should be easily digestible: honey, sugar, marmalade, jam).The body's need for fats should be filled by vegetable oils, such as sunflower, olive, or corn oil, and butter.
Valuable ration must be provided in B vitamins, bioflavonoids, ascorbic acid.
Hepatitis usually limit salt intake (6-8 GW per day).Plus, in the diet should be sufficient amount of calcium, potassium, phosphorus, magnesium, zinc, cobalt and other minerals.
Limit liquid is not recommended.Patients are recommended berry, fruit and vegetable juices, broth hips, compotes.Diet - 5-6 times a day,
patients forbidden to use: fats (lard, beef, goose or mutton), fatty meats (duck, goose, pork, lamb) and fish (salmon), extractive substances (mushroom, fish and meat broths), foods high in cholesterol (cod liver oil, egg yolks, liver, brain, heart, kidneys), serves fried, canned, smoked, spicy seasonings (mustard, onion, garlic, pepper, strong vinegar)salty foods, alcohol, cream cakes, ice cream and other drinks and cold dishes.
Treatment and Diagnosis
therapy of chronic hepatitis B is to virological examination in order to determine the etiology of the disease.For the diagnosis of the chronic form of the appropriate conduct biochemical analysis of blood, liver biopsy, the study of viral markers, patients are assigned a special laboratory tests, as well as a variety of hardware study of the abdominal cavity.Chronic hepatitis of unknown etiology requires a more thorough examination to determine the cause.
The effectiveness of treatment depends on correct diagnosis.There is no single scheme for its treatment, it all depends on the stage and severity of the disease.
The average stage of chronic hepatitis B is overcome somewhere after 3 months after initiation of treatment.Several times a year, including the period of treatment and remission, conducted follow-up examinations.Then, in the next year or two, a maintenance complex therapy.
Chronic kind of difficult to cure, but it is possible.The guarantee of success of course is the early diagnosis and the right treatment, diet, strict adherence to all the instructions of the doctor and regular visits to the hospital for complete control and the necessary correction treatment.
Treatment of chronic hepatitis C
Chronic hepatitis C - a diffuse liver disease that lasts for more than six months.The reason for its occurrence is the hepatitis C virus
aim of therapy in chronic hepatitis C:
- eradication of the virus;
- improvement in liver histology;
- slowing of disease progression;
- reduction in the risk of HCC;
- improving living conditions associated with health status.
All patients with chronic hepatitis C require antiviral therapy.Especially recommended for treatment of patients with a high risk of disease progression in liver cirrhosis.It has been established that the indication for etiopathogenic therapy is moderate or severe necrotic inflammation and fibrosis of the liver under certain HCV DNA levels in the blood.Some patients are not fully identified risk factors and the efficiency of the therapy, and this requires additional laboratory tests.
How to cure chronic hepatitis B
Hepatitis B - a viral disease of the liver.The causative agent is the hepatitis B virus from the family of gepadnavirusov.
Treatment of Hepatitis B - symptomatic relief to the patient, correcting the immune system, detoxification and anti-viral.Patients in severe exacerbation needs rest for a few months.It is necessary to rule out any physical activity.It requires compliance with therapeutic diet.Treatment is based on the use of prolonged courses of therapy, interferon or nucleoside analogs.
chronic persistent hepatitis: treatment
Treatment depends on the stage of the disease.The remission is usually no special treatment is needed.Requires, first of all, adherence to nutrition and diet.The patient must restrict physical overload, alcohol.Food must be increased from the normal protein and carbohydrate levels, the amount of animal fat should be minimized.
The relapse stage requires patient hospitalization in compliance with bed rest.Diet - table number 5. Detoxification terapiyavklyuchaet an intravenous saline glucose, sodium chloride and gemodeza.
chronic cryptogenic hepatitis: a popular treatment
In folk medicine for the treatment of cryptogenic hepatitis apply:
- Cranberry infusion. 1 Art.a spoonful of lingonberry leaves pour 200-300 ml of boiling water.Give it brew and take 2 tbsp.Spoon 4 times per day.
- Watermelon juice, which take 5 times a day for 200 ml, and then eat 1 teaspoon of honey.
- juice from red beets, which take 200 ml.twice a day.
- Drinking birch sap, at least 2 cups a day.