Hepatitis (liver inflammation) – Symptoms, Causes, Treatment
At a hepatitis (liver inflammation) can cause various symptoms. At the start but show up at all hepatitis types usually more general symptoms such as:
In connection because the liver inflammation is evidenced by the typical symptoms, such as:
Hepatitis (liver inflammation) can have various causes. are among the most common causes Infections with viruses. In medicine, for the virus-induced liver inflammation There are two forms:
Other possible causes next to infections with viruses are:
distinguished physicians five forms of viral hepatitis:
* Coinfection (simultaneous infection) = Infection with hepatitis B and D takes place simultaneously, in this case extends the hepatitis D such as hepatitis B.
** superinfection = Infection with hepatitis D is carried out at existing hepatitis B.
trigger a accompanying hepatitis For example, be the following viruses:
In Germany saw the incidence of hepatitis infections in the years 2015 and 2016 as follows:
There is a suspicion of hepatitis (liver inflammation), can the quickly confirm by appropriate laboratory values. Usually the doctor to take a blood sample and orders a blood test. Can be in the blood specific antibodies to the respective hepatitis virus or virus components (antigens) to prove the diagnosis hepatitis considered to be assured. In chronic hepatitis further investigation may be necessary, such as a tissue sample of the liver (liver biopsy).
Each viral hepatitis type A, B, C, D or E is loud Infektionsschutzgesetz a notifiable disease. If there is suspicion that the person concerned a hepatitis virus present or have tests this by, the treating physician must report the disease and provide the name of the person concerned. This also applies in case of death of the patient. The reporting requirement also exists if no signs of disease occur in a hepatitis A, hepatitis B or hepatitis C.
Depending on which form of hepatitis (liver inflammation) is present, are different treatment options.
Hepatitis A, hepatitis D and hepatitis E, there are no effective drugs, they usually heal on its own out. Therefore, the therapy focuses primarily on the Treating the symptoms (E.g., vomiting, or flu-like symptoms).
In case of a hepatitis A it is important for the healing process that the person waives alcohol. Even drugs with hepatotoxic properties, such as acetaminophen or active ingredients from the group of cytotoxic drugs are initially not recommended.
To support the healing process, may initially a diet low in fats and carbohydrates lot can be useful. Unless the patient through the liver inflammation tired feeling and has a general malaise is to recommend a temporary bed rest.
For the treatment of chronic hepatitis B puts you one especially following medications:
At a acute hepatitis C prevented in most cases, a 24-week treatment with the active ingredient peginterferon alfa-2a in transition to a chronic inflammation of the liver.
A chronic hepatitis C is treated with a combination of the active ingredient peginterferon alfa-2a and the virus-inhibiting agent ribavirin.
Recently, a lot has happened in the field of hepatitis C research. Meanwhile, several new drugs for hepatitis C therapy approved as among other Simeprivir, Ombitasvir or sofosbuvir.
The top priority in an alcoholic hepatitis is the absence of alcohol. Without alcohol, the liver itself can recover from the harmful effects of alcohol.
For the treatment of rare autoimmune hepatitis are drugs used, which suppress the immune system.
Is the result of another disease hepatitis, these pieces usually by itself once it has healed or is treated.
Hepatitis (liver inflammation) may take an acute or chronic course. A acute hepatitis suddenly occurs and disappears within a few weeks or months off.
A chronic hepatitis however, lasts longer than six months on. With a favorable course of liver inflammation, liver lobules remain functional (so-called. Chronic persistent form). In the worst case, early cirrhosis of the liver (cirrhosis of the liver called.) Developed in the course of hepatitis. Here, the liver tissue shrinks, hardens and scarred, so that the liver lobules lose their ability to function.
Hepatitis (liver inflammation) of type A, B, C, D or E you can prevent a variety of measures.
In front Hepatitis A or B You can best protect themselves by vaccination:
The hepatitis B vaccine protects you also simultaneously against hepatitis D. against hepatitis C and hepatitis E contrast, still exist in Europe so far no vaccines. In China, however, vaccination against hepatitis E is now approved.
You can also protect yourself with general precautions against hepatitis infection:
To transfer hepatitis A it comes through especially smear infections. The pathogen enters this out of the chair to objects or food and the water and can therefore infect other people. especially at to travel in regions with poor hygiene, such as some areas in Asia or Africa, you should so some hygiene rules adhere to protect themselves from infection:
www.leberhilfe.orgDeutsche Leberhilfe e.V.
www.deutsche-leberstiftung.deDeutsche Liver Foundation