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DOLLEE BELICAN
Hepatitis is an inflammation of the liver, most commonly caused by a viral infection. There are five main hepatitis viruses, referred to as types A, B, C, D and E. These five types are of greatest concern because of the burden of illness and death they cause and the potential for outbreaks and epidemic spread. In particular, types B and C lead to chronic disease ,the most common cause of liver cirrhosis and cancer.
Hepatitis
Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of parenteral contact with infected body fluids. Common modes of transmission for these viruses include receipt of contaminated blood or blood products, invasive medical procedures using contaminated equipment and for hepatitis B transmission from mother to baby at birth, from family member to child, and also by sexual contact.
Hepatietis A (HAV) *common in young children and young adult, lack of toilet training *mood of transmission: fecal-oral route, poor sanitation, person-toperson, waterborne, foodborne, oral-anal contact during se
Anti-HAV IgM
Hepatitis B (HBV) *common in health care workers, hemodialysis, IV/injection drug use, close contact with person, multiple sex partner, blood products *mood of transmission: Parenteral: blood,, exposed blood through equipments and drugs, saliva, semen, vaginal secretions HBsaG, Anti-HBs, HBeAG, anti-Hbe, HBcAg, ant-HBc
Hepatitis C (HCV) *common in IV/injection drug users, multiple partner, frequent transfusions, blood transfusion, health care personnel *mood of transmission: blood transfusion, sharing in contaminated needles by IV/injection, sexual contact
Anti-HCV
Hepatitis D (HDV) Common in hepatitis B pts, requires hepa B surface antigen for replication, IV/injection drug users, hemodialysis pts, multiple blood transfusion, *mood of transmission: sexual contact with hepa B pt.
Hepatitis E (HEV) *common in areas with poor sanitation, resembles hepatitis A *mood of transmission: fecal-oral primarily to contaminated water
HDAg, anti-HDV
Susceptible host
anxiety
-interferon Antivirals.
Imbalance nutrition: less than body requirement r/t anorexia, nausea and reduce metabolism of nutrients
Hepatitis panel Liver profile aspartate transaminase (AST, SGOT), alanine transaminase (ALT, SGPT), alkaline phosphatase (alk phos), gammaglutamyltransferase (GGT), and bilirubin. Hyperthermia r/t presence of endogenous pyrogens
immune responses against viral antigens Cell become inflammation and necrosis
convalescent phase is increased sense of well-being, return of appetite, and disappearance of jaundice.
Icteric phase pruritus, dark urine, bilirubinuria, clay-colored stool, fatigue, weight loss, hepatomegaly, RUQ tenderness, jaundice(most common)
Post-ecteric phase malaise, early fatigability, symptoms subsiding when jaundice abates
-Perform conscientious hand washing, even after removing gloves, after bowel movement and before eating
-Avoid placing fingers and handheld objects in mouth.
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