The different types and their treatments



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  Viral hepatitis: the different types and their treatments

Every July 28 is the World Day Against Viral Hepatitis that aims to raise awareness about the different types of viruses, their treatments and forms of prevention.

Saturday, July 28 will be the World Day of Hepatitis. Data from the World Health Organization (WHO) indicate that around 325 million people worldwide are suffering from chronic hepatitis B or C.

In addition, in 2015, the l & # 39; Viral hepatitis caused 1.34 million deaths, comparable "We call the inflammation of hepatitis that occurs in the liver of any cause, detected by the rise of enzymes called" transaminases ". , clinical symptoms may appear as fatigue, yellowish color on the skin -catericia-, dark urine -coluria- among others. "explains Dr. Paula Rodríguez Iantorno (MN 95422), doctor in infectious medicine at Helios Salud

The word hepatitis is commonly associated with certain viral infections that directly affect the liver, they are viruses called "primary hepatotropic". Of these, the most common are the viruses of hepatitis A, B and C. But it is not uncommon to find hepatitis, caused by other nonspecific viruses, called " Hepatotropic secondary ", such as Cytomegalovirus or Epstein Barr in mononucleosis Another common situation is toxic hepatitis, that caused by drugs, herbs and other substances.

– How to prevent viral hepatitis?
Each virus has its specific transmission pathway, with the common end to affect the liver with appropriate behavior in the body. That's why hepatitis A, B and C are three different entities.

And even after years and scientific progress, these can come as a surprise.
Just as popular belief reports that hepatitis A is the most innocent. It may not be so acquired in adulthood, being one of the most common causes of liver transplantation for fulminant hepatitis.

HEPATITIS A
Hepatitis A (HAV), is transmitted by ingestion of water and food contaminated with the excrement of infected persons. It is common in childhood when hygiene habits are not well established. The virus can remain on a surface for hours and days – spigots, faucets. These are removed from the surfaces with a solution of bleach and boiling water for a few minutes.

Children have mostly asymptomatic and benign infections, so they behave like imperceptible disseminators of the virus. On the other hand, the adult who acquires HAV has a higher risk of manifesting it clinically and presenting with serious complications. Once the HAV has passed, it is definitely healed, it's an acute infection that never becomes chronic.

HEPATITIS B
"With regard to hepatitis B (HBV), transmission is through blood and genital fluids, the route of sexual acquisition without protection against the HBV is very effective, 10 times more common than HIV Condoms are the recommended barrier method for the prevention of this disease and all STDs ("Sexual Transmission") "insured Dr. Paula Rodriguez Iantorno (MN95422).

Therefore, it is known as hepatitis in adult life, although children can acquire it through vertical transmission – from mother to child during pregnancy and childbirth –

Adults who acquire HBV in more than 90% resolve it spontaneously, with or without clinical manifestations. About 10% will not resolve it and will suffer from chronic hepatitis B virus. This state of chronic hepatitis can result in varying degrees of liver damage, cirrhosis and hepatocellular carcinoma.

ABOUT HEPATITIS C
hepatitis C (HCV), is a virus that became relevant in the last time as it became an agent of the United States. chronic infection and difficult to eradicate, to be a curable infection in more than 95% of cases. [1965900Sheismainlytransmittedbysmallnumbersofshort-termwoundsbysharingnon-sterilizedelementsofsexualabuseinmenwhohavesexualrelationswithothermen(MSM)
The behavior of this virus, unlike the other two, produces in more than 70% of cases a chronic, silent infection, which gradually leads to cirrhosis and cancer. liver.
What to do if you have hepatitis B or C
The diagnosis should minimize or reduce the progression of liver disease and prevent transmission of the virus to other people.

It is recommended:
– Abstinence from alcohol and potentially hepatotoxic substances (some drugs, herbs, etc.)
– Followed by the health team to discuss evaluate other conditions that accelerate fibrosis like Co infection with another hepatitis, HIV among others
– Vaccination against other preventable hepatitis

What role do vaccines?
Vaccines play a fundamental role in the prevention of hepatitis A and B, when others can prevent prevention, being vaccinated is the best shield. Therefore, all persons born before the years of the beginning of universal vaccination in Argentina should consult for vaccination.

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