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Jeddah: Dr. Abdul Hafiz Yahya Khoja
– Hepatitis
Your health met with a specialist in this field, Dr. Ashwaq Hamed Al-Sahafi, Consultant in Internal Medicine, Liver, Gastroenterology and Endoscopy at King Fahd Hospital In Jeddah, On October 1, 2004, many European and Middle Eastern companies held the inaugural inaugural event of World Hepatitis Awareness Day, limited to year C. In 2010, global efforts were united to unite in one day on July 28, and today marks the anniversary of Baruch Samuel Bloomberg, Nobel laureate for the discovery of hepatitis B.
The World Day of Hepatitis East the opportunity to integrate the implementation of the first global strategy on hepatitis for the period 2016-2021, adopted by the World Assembly of Health in May 2016. The objectives of the project include a 30% reduction in the amount of incidence of hepatitis B and C Mortality rate of 10% by 2020.
How does hepatitis manifest? The liver is a vital organ that treats nutrients, filters blood and fights infections. In case of inflammation or liver damage, the function may be affected. This can cause the consumption of alcoholic substances, toxins, certain medications and certain medical conditions. However, viral hepatitis is the leading cause of hepatitis in the Kingdom and in the world.
Viral hepatitis is one of the biggest threats to the global health of our time, it is a leading cause of death in two and 1.34 million deaths. Every year, about 300 million people around the world are infected with the virus and do not know it.
– Types of Virus
Dr. Ashwaq explained that, until today, there are five types of viral hepatitis: "A", "A" and "B", C, D and E (A, B, C, D, E). The viruses "A", "B" and "C" are the most prevalent in the world, as well as in the Kingdom
> Hepatitis A virus: causes temporary lesions up to six months . It is transmitted by eating food, or by using contaminated feces or certain secretions of the person who is pregnant. The infection can occur without any symptoms in the most affected children, or accompanied by simple symptoms, such as high temperature and lethargy. In adults, the symptoms may be more severe: high fever accompanied by nausea and vomiting and may be severe in some cases and requires hypnosis to compensate for loss of fluid and salt. In other cases, the patient may complain of corneal discoloration, yellowing of the urine or pain in the right abdomen upwards . In all cases, hepatic enzymes are to varying degrees. In very rare cases, less than 1% occurs in the liver and the patient has to develop a liver. Hepatitis A does not require any treatment, but it must make sure to drink enough fluid and use an antihypertensive, as directed by the doctor. If the symptoms persist or worsen or if new symptoms appear, the patient should consult a doctor. There is an effective vaccine against the hepatitis A virus that has been included in the National Immunization Program.
Hepatic B Virus: Dr. Ashwaq explained that hepatic viruses B and C are among the most common viruses, the two main types of morbidity and mortality that can be caused by viral hepatitis, because both of these can cause chronic damage and inflammation of the liver at long intervals, leading to liver damage during the onset of fibrosis.
– Transmission
Human infection can occur at different stages of age: the earlier the infection, the higher the rate of virus transmission to the chronic type, reflecting the development of the immune system. At the stage where the infection has been transmitted. Most infections that occur in the early stages of pregnancy and childhood can turn into chronic inflammation. While most infections are cured and a small proportion of them become chronic infections.
The virus is transmitted by blood and some body fluids during stitching, sharing needles with a pregnant patient and sexual transmission; The mother of the disease is a major cause of transmission during pregnancy and delivery if the virus is active. The infection can accompany simple symptoms such as fever, nausea, vomiting or abdominal pain, but most cases show little or no symptoms.The virus is discovered by chance during 39, analyzes for other purposes, such as a marriage check. [B] Among people born in China and in other Asian countries, children born to a pregnant mother, an infected person at home and liver dysfunction.
Treatment of the B Virus
The HIV infection can result in an acute infection that lasts for a period not exceeding six months, or a chronic injury that lasts for many years.
In chronic cases, the virus goes through five different stages in the human body and the activity of the virus varies and our immune system responds at each stage.
In acute cases, the patient needs special treatment only in rare cases. 90% of cases end without complications and the virus disappears completely and the body creates antibodies against the virus that can prevent a new infection.
If the infection becomes acute to chronic, the patient should be evaluated continuously every 3 to 6 months Condition, in order to track the regularity of liver enzymes and the proportion of viruses in the blood. The virus is not treated unless it is in a state of continuous activity. The activity of the virus is determined by the increase in the number of viruses in the blood or the height of liver enzymes: the higher the number of viruses and liver enzymes, the more active the virus is and requires treatment.
The presence of cirrhosis is one of the main reasons for treatment. The presence of cirrhosis is determined using either television or phytoprânique radiation, which is more accurate than television and is closer to the accuracy of the liver biopsy.
To date, the hepatitis B virus never heals; Most cases control the ability of the virus to multiply, but it does not completely eliminate it.
In most cases requiring treatment, the treatment may take a long time and last indefinitely. If the patient stops taking the drug, this will cause a recurrence of the virus and expose the patient to a risk of acute infections or drug resistance.The patient no longer responds to the desired method.
The regularity of treatment limits the ability of the virus (liver cirrhosis) and prevents the formation of cancerous cells in the liver, which are the two main factors of morbidity and mortality of hepatitis B virus.
Although there is no cure for the virus, there is an effective vaccine that helps the body to be immunized against infection in case of exposure to the virus. Vaccination has been taken at 3 separate doses since birth.
Treatment of C Virus
Dr. Ashwaq reported that it was one of the most common hepatitis viruses in the Kingdom and in the world. It is also a major cause of liver transplantation in the Kingdom and in the world. The virus is characterized by several different types: 1 – 2 – 3 – 4, and these patterns vary in their ability to cause liver damage and response to available treatments. This virus has the potential to cause an acute or chronic infection as opposed to the hepatitis B virus, and most infections become chronic.
Acute infection can range from severe illness to a very mild illness with few or no symptoms, to severe symptoms and, in rare cases, requiring hospitalization. For unknown reasons, about 20% of people are able to eliminate or eliminate the virus without treatment in the first six months.
How do you contract the infection? Hepatitis C usually spreads when the blood of a person infected with hepatitis C enters an uninfected person, usually by sharing needles and instruments contaminated with the blood of the infected person. Before the start of the large-scale laboratory test in 1991, the virus also spread through blood transfusion and organ transplantation. At present, blood donors and members of all known viruses, including hepatitis B and C, have become mandatory, which limits the spread of infection. The virus can transmit 6% of the infected mother to the baby. To date, there are still many cases where the cause of the infection can not be determined.
In most cases, a person with an acute infection has little to no symptoms and often simple symptoms such as fever, lethargy, nausea, and in rare cases may be accompanied by jaundice (yellowing of the cornea and change of color from urine to dark color).
In the case of a chronic infection can appear on the patient no symptoms and the virus is detected only by chance. , Or the patient may experience liver cirrhosis symptoms after the discovery of an unknown viral infection. The vaccine against hepatitis C should be tested on people born between 1945 and 1965, who have chronic liver disease or HIV / AIDS, chronic renal failure, kidney failure, dysfunction hepatic, all births in pregnant women
> Treatment: Several years ago, the treatment of hepatitis C virus was difficult for the patient, the response rate to the treatment was only 40 or 60 percent at best. The shape of the needles taken intramuscularly with oral pills.
In recent years, I have explored treatments that have the ability to permanently get rid of the hepatitis C virus are among the most revolutionary discoveries in the medical field.
Treatment consists of pills taken orally for 8 to 6 months depending on the patient's condition, other health problems, the type of virus and the number in the blood. In most cases, recovery rates exceed 90% with currently available treatment, and the virus is completely eliminated with antibodies remaining positive in the indication of an earlier infection.
There is still no effective vaccine to prevent hepatitis C virus,
– Avoid sharing or reusing needles, syringes or other devices for the preparation and injection of drugs, stimulants, hormones or other substances
– Do not use personal tools that may have touched the blood of a person infected. Very small quantities that can not be seen, such as razors, nail clippers, toothbrushes or
– Do not make tattoos or punctures in an unauthorized facility or in an informal environment [19659003] – Consultant in Community Medicine
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