Friday, 11 August 2017

what is viral hepatitis .provention treatment and dignosis

hepatitis 

inflammation of liver due to viral invasion is called viral hepatitis ..



Etiology 

       }  type [A] virus 
       } type [b] virus 
       }type [c] virus [ non A NOn B virus] 
       } type [d] virus 
       } type [e] virus 
       } cytomegalo virus 
       } epstain bar EB virus 
    

types of hepatitis 

  
         common types of hepatitis are following 


}  hepatitis A    [HAV ]   due ti invasion of hepatitis A virus 
}  hepatitis B   [HBV }   due to invasion of hepatitis b virus 
} hepatitis C  [HCV]  due to invasion of hepatitis c virus 





incubation period 

   A  is 15 to 45 dayas 
   B is 30 to 120 days 
  c is   more then 2 month 




mode of spread 

      } hepatitis A spread through oro faeacal route 
      } HEPATITIS B spread through blood transfusion 
     } hepatitis   C spread through is blood transfusion 



  signs and symptom    

} frist few day patient has flu like symptom 
} fever 
} malaisa 
} Aches /pain 
} chills 
} anorexia 
} distasts specially cigarate 
} nausia and vomiting 
} discomfort /pain in R>H>C
} indigestion 
} diarrhoia 
} mild jaundice 
} hepatomegaly 
} tender R>H>C 
} spelenomegaly 
} clay coloured stool 
] dark colorured urine 
} abdominal discomfort 
] aneamia 
} After 1,2 weeks the signs of improvement  appear 
} withen 3 to 6 weeks most patient become alright 



diagnosis 

} L F Ts 
} complete blood count with ESR 
|} URINE FOR bile salt /pegments 
} prothrombin time test [ptt] N> V 11   15 second 
} A IGM           IGg antibodies 
] HBS 
} HCV 
} abdominal U/S 
} endoscopy 
} liver scan chronic case 
} liver biopsy if needed 
} stool r/e 
] PCR 



treatment 

   there is no specific therapy 

 general measures are carried out 

 bed rest as for as symptom are marked 

 patient are encouraged to eat any diet 

 juices and glucose should be taken 

 i v drip  in case of sever anorexia and vomiting 

 vitiman e should be start 

 avoid smoking and alcohlisim 

treat hypoglycaemia 
treat electrolyte imbalancy 

trat bleeding problims i f  present 

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