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Laboratory diagnosis of chronic viral hepatitis is the most accurate. Its result is indisputable evidence of the presence or absence of the disease. A laboratory test for viral hepatitis is a set of studies that includes:
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Only according to the results of a blood test for viral hepatitis, the doctor will be able to determine which type of hepatitis the patient has, and, accordingly, prescribe the correct treatment. Instrumental methods for diagnosing viral hepatitis. Changes in the liver can also reveal other methods of studying the body, which will complement the overall clinical picture:
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Ultrasound of the liver. Hepatitis will not determine, but it will allow you to assess the condition of the liver itself and the biliary tract, see if there are external signs of inflammation, and also help to exclude oncology as one of the reasons for the poor functioning of this organ. In addition, ultrasound will show a change in the size of the liver at the initial stage of the disease and cirrhosis at a late stage. Liver biopsy. The method also allows you to determine the stage of online pharmacy.
It can take several months from infection with the virus to the onset of most trusted canadian online pharmacy - the length of this period depends on the type of viral hepatitis. It is very difficult to identify the disease in the initial stages, but delayed treatment can lead to complications and even death. That is why the correct diagnosis of viral hepatitis at its earliest stages is so important.
Therapeutic tactics is determined by the type of disease. For hepatitis A and E in mild cases, treatment is carried out on an outpatient basis, hospitalization is carried out according to epidemiological indications and in severe cases. Therapeutic measures include bed rest, a sparing diet, plentiful alkaline drinking, and symptomatic drugs. During the recovery period, cholagogues, antispasmodics are indicated.
With hepatitis B and D, observation in an infectious diseases hospital is necessary. The basic therapeutic measures, as in the previous case, are table number 5 and bed rest. Moderate course is considered as an indication for infusion therapy. In severe cases, hormonal agents, diuretics and other drugs are added to online pharmacy usa. Intensive therapy, extracorporeal methods of blood purification (hemosorption, plasmapheresis) are recommended for patients with renal insufficiency and signs of encephalopathy. After discharge from the hospital, patients for 6-12 or more months are on dispensary records.
The basic treatment of hepatitis C is carried out according to the standard scheme. Specific therapy involves the appointment of online pharmacy usa in combination with an antiviral drug for 25 days. If necessary, the duration of the course is increased to 48 days. According to indications, oral detoxification is carried out, symptomatic agents are used. Patients with a severe course are recommended intravenous infusions of solutions, sometimes plasmapheresis. Preventive measures are also selected according to the type of disease. With hepatitis E and A, standard anti-epidemic and sanitary-hygienic measures developed for cases of intestinal infections are carried out.
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Exclude the use of unboiled drinking water, potentially contaminated products. Contact persons are examined once a week for 35 days and take a biochemical blood test. Donor immunoglobulin is administered to children and pregnant women who have been in contact with the patient. Prevention of hepatitis B, C and D involves the use of barrier means of protection during sexual intercourse, the use of reliable methods of disinfection of medical instruments, equipment of cosmetologists and manicurists. The most important role is played by examinations of blood, sperm and organs donors, testing of blood and its preparations.
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Elimination of cholestasis. For prophylactic purposes, bile acid adsorbents, enterosorbents and ursodeoxycholic acid preparations are used. After the onset of a gall crisis, hydrocholeretics and other drugs with a choleretic effect are indicated. antiviral therapy. If there are indications, it is performed for hepatitis B, C and D. Antiviral agents are selected taking into account the characteristics of the course of the disease, supplemented with herbal preparations with an antiviral effect.