CureFactor for Viral hepatitis

Viral hepatitis:
Viral hepatitis is infection caused due to hepatitis viruses,which affects the liver(hepatocytes) causing jaundice.
Viral hepatis is characterised by anorexia,nausea,vomiting,fever followed by jaundice. Different species of hepatitis virus are hepatitis A virus(HAV),hepatitis B virus(HBV),hepatitis C virus(HCV),hepatitis D virus(HDV),hepatitis E virus(HEV).

ETIOLOGY:
Viral hepatitis caused due to hepatitis viruses(HAV,HBV,HCV,HDV,HEV).
Spread of Viral hepatitis depends on the type of virus

  • HAV-faeco-oral route
  • HBV-Sexually transmitted,blood,saliva,breast milk. high risk factors for HBV are health care workers,laboratory technicians,blood transfusion recipients,homosexuals,prostitutes,IV drug abusers,tattooing.
  • HCV-blood,saliva.
  • HDV-blood
  • HEV-faeco-oral route.

Incubation period of Viral hepatitis depends on the type of virus

  • HAV:2-4 weeks
  • HBV:4-24 weeks.
  • HCV:2-26 weeks.
  • HDV:6-9 weeks.
  • HEV:3-8 weeks.
  • Age group-HAV & HEV-is common in young adults and childrens.

CLINICAL FEATURES:
The onset of Viral hepatitis symptoms depends on the type of virus

  • HAV:sudden
  • HBV:insidious
  • HCV:sub-acute
  • HDV:insidious
  • HEV:acute

Clinically,Viral hepatitis is characterised by three stages

  1. Pre-icteric stage(duration:7 days).
  2. Icteric stage(duration:7 days).
  3. Convalescent stage(duration:7 days).

In pre-icteric stage,symptoms like low grade fever,arthralgia,myalgia,anorexia,nausea,vomiting,diarrhea,weakness,malaise,easy fatiguability,headache,dull,aching pain in the upper abdomen.
In icteric stage symtoms like anorexia,nausea,vomiting persists,fever subsides,dark yellow urine,light coloured stools,loss of weight.
In convalescent stage,patients feels better,appetite normal,jaundice disappears.

COMPLICATIONS:
Post hepatitis syndrome,haemorrhage,secondary infection,acute hepatic failure,recurrent hepatitis.

GENERAL MANAGEMENT:

  • Therapeutic aim is to promote natural recovery,prevent complications,provide symtomatic medical treatment..
  • Adequate intake of fluids,bed rest until symtoms and signs disappear.
  • Diet-nutritious diet,high protein,high carbohydrate diet.

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