Pages

Sunday, November 3, 2013

Hepatitis

Hepatitis

Hepatitis is a disease forerunner of liver cancer . Hepatitis can impair liver function and the liver as a neutralizing toxins and digestive system in the body that break down food in nutrients to be distributed across a very important organ for humans .

Hepatitis is an inflammation of the liver disease due to various reasons . The cause is some type of virus that attacks and causes inflammation and damage to the cells and liver function . Hepatitis has a very close relationship with liver function disorders . Hepatitis is widely used as a disease that goes into all kinds of inflammatory diseases of the liver ( liver ) . Many things can happen that cause hepatitis are not only due to the viral infection from a particular source . Causes of hepatitis can also come from certain types of medications , certain foods or even on one sexual relationship of the couple having hepatitis.

Hepatitis disease can affect anyone not of age . Jugat hepatitis can occur in infants , children , adults and the elderly . Hepatitis is also a lot of hit in infants 0-12 months of age , the child is expected to occur from the age of 2-15 years , 15-20 years and adults older people over the age of 40 years and above .

But a lot happened and hepatitis experienced by the population of Indonesia is hepatitis B.


Picture : from the type of hepatitis virus that destroyed liver function

The following are the modes of transmission of hepatitis B virus is a lot going on and experienced particularly if it occurs in children .

1 . Transmission of hepatitis B in infants and children

- If a mother who has a history of liver disease when it is possible to contain the fetus or the baby also contracted the same strain of hepatitis , even greater risk in infants than mothers .

- Also can occur through direct contact with a family member suffering from hepatitis B.

2 . Effect of Hepatitis B Virus Infection

- Hepatitis B virus ( HBV ) can cause acute inflammation or chronic is one of the initial causes of liver cancer .

- If the infection occurs in infants before the baby is 1 year old ari kurangd have a higher risk of approximately 90 % suffer from acute or chronic hepatitis , but otherwise if hepatitis B infection in infants after 2-5 years of age , the risk of hepatitis B disease will be reduced approximately 50 % even if infection occurs over the age of 5 years the risk of hepatitis disease is only 5-10 % .

- An estimated 25 % of children who identified the disease becoming chronic hepatitis can progress and develop into cirrhosis ( damage to liver and heart contraction ) and or liver cancer in adults , and only 15 % who progress to cirrhosis or liver cancer .

Treatment For Hepatitis

Treatment for hepatitis diseases that can be done one of them is by using drugs antiferon . The injection is usually recommended antiferon for about four months . The success of this treatment depends on several factors including the duration of your infection . Approximately 50 % oran with chronic hepatitis B infection at least get a partial benefit over interferon treatment of hepatitis disease . Benefits of the hepatitis drug can include reduction in the number of total virus in the blood and also slowing liver damage .

While doing the treatment for hepatitis disease using drugs antiferon , blood tests done regularly to measure the levels of liver enzymes in the blood often recommended . These tests indicate whether the liver is inflamed or if the virus is still present in the blood . The important thing to remember is that the test for hepatitis B surface antigen may be positive for a few weeks or several years after treatment usainya . This is because the hepatitis B virus may persist in the blood in small amounts . Pentinga also to keep in mind is that even after the infection is under control , the liver still needs time to grow healthy cells to replace cells that are damaged or destroyed due to hepatitis infection .

Treatment for chronic hepatitis C is done using interferon is likely to last longer than the infection of hepatitis B. For chronic hepatitis C infection , interferon is usually recommended three times a week for the duration of approximately between 12 months samoai 2 years . As well as for the treatment of prevalent infections .

Treatment for the disease to a chronic hepatitis with interferon can reduce the risk of occurrence of cirrhosis or liver cancer . That is why . It is important for you to follow your doctor's advice accurately .

Each drug definitely give side effects, to overcome the side effects of the drug antiferon can be done by drinking large amounts of water each day . Drink painkillers are recommended by your doctor , if the pain at the injection site on the body is very severe .

Hepatitis pain

Liver disease problem is very large , one of 10 Indonesian society hepatitis B. Approximately 20 million people in Indonesia suffer from hepatitis , 15 million of whom suffer from hepatitis B and hepatitis C. 5 million Unfortunately , this high number is not followed by the awareness of the public . Even before the government also did not pay much attention . Hepatitis B as the iceberg appeared just a small part , which is only about 30 % . Meanwhile, according to Health Ministry records about 5-10 % . While the remaining 70 % are not touched or detected by health workers .

difference - hepatitis

Hepatitis B and C if left will become the embryo of liver cancer . And treatment can only be done with the transplant . Penyait hepatitis is not a new disease . But for many other diseases , hepatitis as if ter - masking or closed head of government attention or provider .

Hepatitis is a disease that does not give symptoms and complaints on penderitannya . Therefore it is called killer sillent . Liver is the organ which is strong and not " whiny " is different from flu viruses that cause symptoms such entry . While not the same as hepatitis virus entry , the body gives no reaction until 15-20 years later . However, when going to the doctor have occurred in liver cirrhosis . Shape is berenjolan and even liver cancer has reached . Only people who ' frail ' which will ccepat hepatitis virus detected .

Figures spread of hepatitis virus in Indonesia, which ranges from 3-15 % . Slain , the high rate of spread of viral hepatitis are also related degan sanitary conditions and overcrowding that facilitate transmission . The high cost of treatment remains a major obstacle . Especially in the case of hepatitis B and C. For blood tests only about 2 million . Moreover, treatment of hepatitis . On hepatitis C , the cure rates are very expensive , can be up to hundreds of millions . For one injection every 9 million .

In fact, if the service to diagnosisi Indonesia is not too far behind with its neighbors that is, science that is being developed abroad today are followed by Indonesia . Except , some technical such as Indonesia itself can not liver transplantation . But that does not mean the ability of Indonesian doctors are not qualified. Even for ability , very famous doctor premises " prigel " in action treatment . However , liver transplantation is an action or procedure which is very difficult . So it takes a special skill and preparation is very complex in liver transplantation pass . While the cost of a given government is very small .

Infectious hepatitis or Not

Disorders of the liver may occur for example due to infection . Hepatitis is one example of liver disease caused by a virus . This virus can be transmitted through food , beverages , syringes and blood transfusion .

Hepatitis patients suffered damage to his cell so that the bile pigments circulating through the body . As a result , the body becomes yellowish color . Therefore , hepatitis disease commonly known as jaundice .

Hepatitis means inflammation or swelling of the liver . Hepatitis can be caused by a virus of alcohol , drugs , drug - 0batan ( including prescription drugs ) or toxins . Hepatitis is a very common disease , can occur even in people whose immune system is good . Hepatitis can also cause scratches / hardening of the liver ( cirrhosis ) so that the function of the liver to fail and result in death .

Many other diseases are much more easily transmitted through social keagiatan , such as pulmonary tuberculosis . Many are now significantly resistant virus is outside the human body so it is more easily transmitted , Mass hepatitis B. Many other viruses that can cause suffering and death and have not found an effective drug such as hepatitis C.

Acute fulminant hepatitis

The term acute fulminant hepatitis is more widely known as fulminant hepatic failure , which is a rare condition , caused by the destruction and death of liver cells are massive .

Ability of liver synthetic function is reduced ( prothrombin time lengthening after administration of vitamin K ) , failure of excretion of bilirubin ( serum bilirubin > 20mg/100ml ) , gluconeogenesis decreased ( hypoglycemia ) , decreased consciousness ( prekoma or coma ) and the balance of water and electrolyte disturbance ( serum sodium and decreased potassium ) .

Fulminant hepatic failure is characterized by encephalopathy occurring within 8 weeks after the first symptoms of liver disease is found . Encephalopathy signs began to appear after a period of 8-24 weeks of the attack , the state formerly known as liver failure resulting in further phases .

Disease fulminant hepatic failure can occur in the newborn period or after the neonatal period ( childhood ) is usually caused by viruses , toxins , metabolic disorders , drugs etc. as mentioned below :

1 . Viral hepatitis A , B , C ( NANB post- transfusion ) , D and E ( NANB transmitted through water )

2 . Epstein - Barr virus and cytomegalovirus as well as Yellow Fever disease (yellow fever ) , and Adenovirus Ekovirus

3 . leptospirosis

4 . Metabolic ( wilson disease , tirosinemia , intolerans fructose , galactosemia , alpha 1 - antiripsin deficiency and Zellweger syndrome ) .

5 . Toxin ( Amanita phalloides , pyrrolizidine alkaloids , aflatoxins , carbon tetrachloride and phosphorus )

6 . Drugs ( halothane , paracetamol , INH , rifampin , sistotoksik , sodium valporat , methyldopa , tetracycline and amiodarone ) .

7 . Vascular ( Budd - Chairi syndrome , post cardiac bypass and vein obstruction ) , ischemia / hypotension , leukemia / lymphoma .

Hepatitis Disease In Children

Viral hepatitis is a liver disease that seirng found . Acute fulminant hepatitis with severe symptoms usually so had to stay in bed during the acute stage , depending on the food menu appetite , fat is allowed if the patient is not nauseated or vomiting . Usually contains enough calories to improve weight decreased during illness .

Chronic liver disease who require a diet plan so that children achieve the sufficient energy , food does not contain a lot of fat and limit the amount of protein in isrosis incoming .

Viral hepatitis is a systemic infection that an adverse effect on the normal functioning of the liver cells . Peneybab of acute viral hepatitis are hepatitis A , B , C or Non A Non B ( water borne epidemic and post- transfusion ) and D ( delta virus ) . Some other viruses can cause hepatitis such as cytomegalovirus , herpes virus , Epstein - Barr virus , rubella virus and virus koksaki etc. .

Acute hepatitis often causes nausea and appetite is reduced , the food is given in stages according to their appetite and frequent small meals . When a child does not want / can not eat well need ditpertimbangkan feeding through the stomach sonde .

Hepatitis that occurs in children can also be caused by a decrease in parental genes that have a risk of hepatitis or hepatitis patients . Hepatitis in children can be caused by abnormalities during pregnancy , to mothers who have hepatitis or certain disorders that affect the fetus or infant . To prevent hepatitis disease, the child will be given vaccines against hepatitis are held every 3-6 months .

Hepatitis



Hepatitis is an inflammation of the liver disease ( liver ) can cause various, ranging from virus to drugs . There are several types of hepatitis are hepatitis A , B , C , D , E , F , and G. Manifestations of the disease can be acute viral hepatitis ( hepatitis A ) may krnonis ( hepatitis B and C ) Atua can also later be liver cancer .

The virus that causes the disease is present in body fluids at any time DAPT transmitted to others . Most people infected with this virus can be cured by itself . However , the virus remains in the body for life .

Hepatitis comes from two words namely HEPA ( liver / heart ) and itis ( inflammation ) . Hepatitis is an inflammation that occurs in the liver . Because nearly all of the patient's body yellowish in society then known as jaundice (jaundice ) . However , the actual term jaundice can cause confusion because not all jaundice caused by inflammation of the liver .

Can also occur due to bile duct disorders so that there can not be mepedu fluid into the intestine into the blood instead . Yellow symptoms can also occur due to breakdown of red blood cells that are too excessive that substances spread bilirubin in the blood . Disturbances in certain organs , such as tumors of the pancreas and gall bladder or blood transfusion mismatches can cause yellow.

Hepatitis C

Hepatitis C is a liver disease caused by hepatitis C virus ( HCV = hepatitis C virus ) . Hepatitis C virus entry into liver cells , using the genetic machinery of the cell to duplicate the Hepatitis C virus , and infect many other cells .

15 % of cases of Hepatitis C infection is acute , meaning that the body automatically clean and there are no consequences . Unfortunately 85 % of cases , hepatitis C infection becomes chronic and slowly damages the liver for years . In that time , the liver can be broken into cirrhosis ( hardening of the liver ) , end-stage liver disease and liver cancer .

Hepatitis C is an infectious disease affecting the liver , caused by the hepatitis C virus ( HCV ) . The infection is often asymptomatic , but once established , chronic infection can progress to scarring of the liver ( fibrosis ) , and advanced scarring ( cirrhosis ) which is generally seen after many years .

Specific symptoms suggestive of liver disease are usually present until substantial scarring of the liver has occurred . However , hepatitis C is a systemic disease and patients may experience a wide spectrum of clinical manifestations ranging from asymptomatic to symptomatic disease prior to the development of more advanced liver disease . Common signs and symptoms associated with chronic hepatitis C include fatigue , flu-like symptoms , joint pain , itching , sleep disturbances , changes in appetite , nausea , and depression .

Once chronic hepatitis C has progressed to cirrhosis , signs and symptoms may appear that are generally caused by either decreased liver function or increased pressure in the liver circulation , a condition known as portal hypertension . Possible signs and symptoms of liver cirrhosis include ascites ( accumulation of fluid in the abdomen ) , bruising and bleeding tendency , varices ( enlarged veins , especially in the stomach and esophagus ) , jaundice , and a syndrome of cognitive impairment known as hepatic encephalopathy . Hepatic encephalopathy is due to the accumulation of ammonia and other substances normally cleared by a healthy liver .

Hepatitis B

Indonesia is an endemic area of hepatitis B virus infection , certain areas in every 100 residents met 8 people with hepatitis virus B.

A person is said to suffer from hepatitis B virus infection in the examination if found positive HBsAg . Source of transmission of hepatitis B virus in Indonesia mainly through pregnant mothers to their babies so that every pregnant mother is recommended to screen for HBsAg .
Pregnant Women with HBsAg and HBeAg positive hepatitis virus will transmit with probability more than 90 % . In such circumstances the baby should get vaccinated and immunoglobulin administration .

On them that are infected with acute HBV , 90 % in children and 70 % in adults did not show any symptoms at all . Only a third of complaints infected show , especially yellow eyes .

HBV infection acquired in infancy will lead to 95 % of infants in whom a chronic hepatitis patients . While groups of adults infected with this virus, 95 % will be cured and only 5 % were hepatitis B develops into chronic .

Hepatitis A


Diseases will increasingly recognize when a big impact , both related to socio-economic aspects as well as the risk of morbidity and mortality or very high because of the number of events . Hepatitis A , a disease that attacks the liver caused by the hepatitis A virus , although it does not result in substantial risk of death , but the risk of causing tremendous event or outbreak . Hence , the disease received great attention from both the government and the public health and the public in general .

Someone into a panic because of hepatitis A , usually because they do not know the characteristics and course of the disease . When attacking people with hepatitis A or the next of kin of the disease typically know the anxiety and panic does not need to happen . Basically the disease is self-limited disease ( can heal itself ) .

Hepatitis A can be divided into 3 stages :

- Introduction ( prodromal ) with symptoms of fatigue , lethargy , fever , loss of appetite and nausea ;

- Stadium with symptoms of yellow ( jaundice stage ) , and

- Stadium healing ( konvalesensi ) . Yellow symptoms are not always found . Examination to confirm the diagnosis of liver enzymes , SGPT , SGOT . Because the hepatitis A can also occur inflammation of the bile duct , the examination of gamma - GT and alkaline phosphatase can be done in addition to levels of bilirubin .

Signs and symptoms of Hepatitis A are:

- Fatigue
- Nausea and vomiting
- Abdominal pain or discomfort , especially in the liver ( on the right side below the ribs )
- Loss of appetite
- Fever
- Urine dark
- Muscle pain
- Yellowing of the skin and eyes (jaundice ) .

How to Prevent Hepatitis
Generally , people often assume that the jaundice is due to the onset of hepatitis yellow color of the skin , nails , and the whites of the eyes . This condition is just one symptom of hepatitis . This inflammation can cause damage to cells , tissues , and even all parts of the liver . Hepatitis may occur because the disease is attacking the liver cells or other disease that causes complications in the liver . Understanding hepatitis ore can be easy if we knew in advance about the liver .

Hepatitis may be short-lived ( acute ) and then cured or even develop into chronic ( chronic ) . Levels of severity of hepatitis varies , ranging from self-limiting conditions ( self-limited ) with a total healing , life-threatening condition , a chronic disease , until liver condition that does not work anymore ( the so-called liver failure ) . If this happens then the last condition for its handling requires transplantasu or liver transplant .
Acute hepatitis attack can occur suddenly or gradually beginning asymptomatic . Generally , acute hepatitis lasts for a period of 1-2 months . Liver damage that occurs in the acute heoatitis usually only a small part of the network only. But in rare cases , such as when the patient's immune system is too low , acute hepatitis can be life-threatening .

While chronic hepatitis occurs when the liver is affected in part may be dormant or growing very slowly , but some others may also be active and continue to deteriorate in a matter of years . Complications of chronic hepatitis worsening cirrhosis or liver cancer . Both of these complications often lead to death .

Below is healthy tips to prevent hepatitis disease are :

    Avoid consumption of alcohol
    Avoid drugs that can damage the liver , such as acetaminophen
    Healthy and balanced diet
    Multiply the fruits , vegetables , whole grains , and fat -free protein
    Regular physical exercise
    adequate rest


No comments:

Post a Comment