Over a million suffering from hepatitis C in Romania
Newspaper article published in light of 22.10.2007.
Hepatitis is an epidemic of liver disease, with inflammatory, infectious and contagious, which sometimes occurs spontaneously in the form of epidemics or even pandemics. The disease is caused by a filterable virus specific (hepatitis virus), which is placed in the body for parenteral (through blood) or accidental.
In the liver parenchyma is decreased blood irrigation, reducing the intake of oxygen, which causes a loss of functional capacity of liver cells. By cronicizare, lesions appear first and breaks intralobulare channel, allowing a portion of bilirubină to pass from blood capillaries Hepatobiliary.
Symptoms of infection and disease development depends on the type of virus that does. At present there are at least 6 known types of viruses liver (A, B, C, D, E, G), there is evidence to suggest other and yet unidentified. These types of virus, triggering the most dangerous viral hepatitis C and B, which can only evolve to liver cirrhosis and liver cancer.
Viral Hepatitis C (HVC) is a serious infectious disease, particularly contagious, widely spread among the world population and rapid expansion once the passage of time. It is caused by a virus embedded in the family Flaviviridae, which was identified only in 1989, although it is suspected the existence of long before.
The virus is transmitted by blood from people already infected before.
Routes of transmission of virus
Trasmiterea virus is possible through:
- Transfusion of blood by injection of infected persons with this virus;
- Organ transplant;
- Body tattooing, body piercing and Acupuncture;
- Dental procedures;
- Performing dialysis in people with renal failure;
- Vaccination nesterilizate instruments;
- Injections chimioterapeutice against cancer;
- Consumption of cocaine administered intranasally infected with instruments;
- Cuts with knives or bisturie or other medical procedures;
- Sharing of razor blades and razor to shave, a periuţelor tooth and instruments manicure and pedicure.
It seems that by taking drugs intravenously injected, there is a high risk factor, which represents about 30-40% of all cases of hepatitis C. There is negligible risk of any medical personnel, which can easily puncture with needles infected by syringe virus.
If the mother was infected with C virus during pregnancy, there is a possibility that the baby be infected at birth, especially when the mother was infected simultaneously with both hepatitis C and AIDS. Immediately after birth, antibodies from the mother may be present for several months in the blood of baby, then disappear, so that one year can be tested for proper child anti-HCV antibodies.
Can occur and other risk factors in people with multiple sexual partners or those affected by various infectious diseases, chemical poisoning, abuse of synthetic drugs, especially alcohol abuse.
It appears that this virus is not transmitted through sharing of delight (cutlery, glasses), of swimming pools, public toilets, or by coughing, sneezing, kissing or înbrăţişări.
Decades without specific events
In early stages there are no specific events that indicate the presence of virus and serum liver enzyme levels in blood (TGO, TGP) may be relatively normal. Therefore, the diagnosis of the disease can not be only in very advanced stages.
From the moment of infection until the appearance of lesions in the liver, incubation duration may be very long (10-20 years). For this reason, viral hepatitis C is called "blind infection.
A typical case, discussed in the specialized press, is that of Ms Anita Roddick, a famous business woman in Britain, who departed from life at the age of 64 years of liver cirrhosis after infection with the virus HVC made by 36 years ago, without feeling the presence of the body.
It is believed that worldwide there are over 200 million people infected with hepatitis C, of which over one million are in Romania.
What are the signs of disease
Symptoms characteristic of the virus become infected while conclusive. The liver is congested, its volume increases (hepatomegalie and steatoză liver), liver cells and presents tumefieri lesions of degenerative or necrotic. Fat does not "burn" in full and deposited in the liver. Thus the fat or liver sclerosis, liver cirrhosis specifically, dry or wet (ascites).
Encouraging the emergence and evolution of hepatitis C may be related to age (more severe in the elderly) and obesity (in people with excess food, which choke the liver fat and therefore a weak resistance to disease). Are the role and hardly digestible food (cans, animal fats, prăjeli, sauces, condiments mend).
Patient shows signs of nausea, vomiting, bloating, loss of appetite, abdominal pain, constipation, urine brown color, due to high content bilirubină, îngălbenirea skin and eyes, red spots on hands (web erythema), swelling on face, Skin allergies, purpura, or vasculitis urticariene swelling on the skin, lichen plan.
Occur in parallel symptoms of insomnia, mental depression, anxiety, headache, fever, loss of blood on the nose or gums, swelling of joints, pain in liver area or at the joints and muscles. Is a drastic reduction in capacity for physical work and intellectual, with a decrease in body weight.
Most often show symptoms of fatigue is severe, which appears at the lowest physical and intellectual effort.
The hepatitis C disease consisting of long-term sequelae many years after convalescence period is required hospitalization.
HVC can croniciza in association with other hepatic viruses
In proportion of 50-75% of cases it is possible cronicizarea disease, contamination with mixed virus type A or B, which hurry degradation and evolution of liver to liver cirrhosis, liver failure, jaundice and even mechanical carcinoma and liver cancer. If the virus has passed blood, may affect other organs (stomach, duodenum, pancreas, myocardial, lung, spleen and ganglions).
From this moment may occur pancreatitis, diabetes mellitus, melene, blockage and respiratory failure, biliary dischinezii, painful spasms of the bladder biliary, endocrine disorders and skin diseases (lichen plan, purpura, vasculitis).
Medical statistics show that HVC is about 20% of acute hepatitis, 60-70% of chronic hepatitis and 30% of the causes that trigger cirozele and liver cancers in a range of 10-20 years from the onset of infection.
In Italy, Spain and Japan at least half of liver cancers are caused by hepatitis C virus, especially in men older than 40 years, consumers in excess of strong alcoholic beverages, in patients who consumed more drugs and synthetic from people who were infected with HIV.
Therefore, it can be concluded that hepatitis C is one of the biggest threats to public health worldwide because morbidity in this disease is rising in an alarming. Unfortunately, it was not yet discovered a vaccine or immunoglobulins produced against this ruthless virus.
Treatments fitoterapeutice
It is currently known arsenal of a large species with medicinal properties antibiotics, anti-inflammatory, depurative, spasmolitice and regeneration of liver cells. Medicinal Teas increasing oxygenation and blood circulation through the liver, restore normal relations between liver cells and blood capillaries and diminishes the cronicizare disease.
In recipes with a single herbs are effective decocturile infusions or multiple actions:
- Armurariu with effects hepatoprotectoare if remaining sequelae after chronic hepatitis C due to high content silimarină to rebuild damaged tissues;
- Artichokes and Sulfina, sweetened with honey, has role in boosting business secretorie, tonifierea liver cell function and enhancing antitoxice, with the phasing out of toxins from the body;
- Celandine, a powerful decongestiv liver;
- Sunătoarea effects of antiseptics, antispastice, anti-inflammatory and biliary disorders mobility avenues, encouraging the healing of damaged liver cells;
- Milfoil with diuretic effects, coleretice, antispastice and anti-inflammatory;
- Chicory, and downy Lavanda the effective evolutionary chronic hepatitis;
- Hyssop by blocking role in inflamării liver and promoting the elimination of water from tissues;
- Cătina white beneficial effects due to high content of vitamins B1, B2, C and folic acid.
Combined Recipes
In recent decades they have developed different formulas combined with several species.
A first mixture contains artichokes, armurariu, milfoil, chamomile, celandine, siminoc, chicory, dandelion and cătină white in various proportions, in which an infusion is prepared, having a cup, 10-15 minutes before main meals .
Other mixtures containing: milfoil in combination with rattle, artichokes, Sulfina, peppermint and cimbrişor or in combination with dandelion and chicory (sticks) or celandine, sage and white cătină fruit, with good results in hepatitis C viral disease complicated with the pancreas, gall bladder and spleen.
Effects are good and tincture of Angel (10 drops 3 times a day for tea armurariu) and tincture of celandine (20 tablespoons dry powder of plant and ground to 1 liter alcohol 700, the maceration time of 10 days).
On the hepato-gastric area shall comprese and with mush poultice of horsetail and plant debris after strecurarea bitter tea and Swedish.
The recipe author: Cynara, Silybum, Hypericum, Chelidonium, Achillea, Cichorium, Melilotus, Calendula, Melissa, Taraxacum.
Remedies for apiterapie
- Honey bee (100-120 g daily), taken with the spoon in half more before meals;
- Cura pollen (10-20 g), taken the morning on an empty stomach or before the main meal for 30 days, after a break of two months to resume treatment two times a year;
- 500 g of comb honey mixed with 10 g of powder dill seed and 70 ml of juice extracted from leaves of dill. After homogenization kept refrigerated and take one teaspoon 2-3 times daily 30 minutes before meals;
- Propolis hepatoprotectoare action due to decreased blood glucose in the blood, increased glycogen content and direct antioxidant properties.
Diet
Has a very important role in preventing and combating viral hepatitis C, providing increased general resistance of the organism and avoid disease evolution to cronicizare.
In the first days of crisis, the patient has no appetite and recommended a restoration of liver lezat. At first it will manage for two months, a course of dietary vegetable juices (carrot, beetroot, celery, radish, parsnip, parsley, tomatoes), unfermented juice of fruits (apples, plums, grapes, oranges, lemons, cătină white strawberries, agri, blueberries), consumed immediately after cooking and medicinal tea sweetened with honey.
At 2-3 days after the crisis and after the occurrence of appetite, are entered in the dairy food: fresh milk, yoghurt, fresh cow cheese (250 g / day), where sweet, urdă, telemea desărată (100 g / day ) cream (2 tablespoons per day) brânzoaice of potato dough with cow cheese, margarine, apple vinegar and raw oil (40-50 g / day).
Are easily supported soups garden (with potato, carrot, cabbage, parsley), soups tatters with egg and flour, cooked green vegetables, vegetable salatele (chicory, spinach, capsicum, cabbage, parsley, dill, tomato), potato Baked or boiled, meat, fish weak (trout, pike, tench, perch, Salau, cod), boiled beef or weak bird glair of omelette or cauliflower.
Meal is served to toast bread, hominy, macaroni, rice, soft eggs, puddings, Papanasi and oatmeal. The evening is advisable to prepare an infusion of 3 lemons, cut in a liter of boiled water; infuzează are covered by the second day when drinking the rare drink before breakfast.
Fruits improve the liver
Consumed for dessert fresh fruit (cherries, sour cherries, watermelon, grapes, plums, quince, lemon, strawberry, AGRI) which, by the sugar content, increase the reserve of glycogen in the liver, remove excess sodium ion and improve functional status of protect the liver against toxins. Mg salts of fruit stimulates secretion and discharge ball in the duodenum to ensure digestion.
It adds to the desert, various sweets in moderate amounts (sherbet, peltea, sweets, jams, prompter, cakes, syrups, compotes). To these are added yeast (80 g / day), vitamins A, B6 and B5 (pantotenic acid), C, K, P, which helps to regenerate liver cells and mineral salts with Mg, S, Mn.
By adherence to these medications will be a poor in animal fats (rich in cholesterol), but with enough carbohydrates, proteins, vitamins and minerals. Daily caloric needs will be provided by 2500 - 3000 calorie (40-45 calories / kg) that will enter 300-350 g carbohydrate, 75-120 g protein and less vegetable fat (20-50 g).
Cronicizată to hepatitis C, with duration of more than one year from the start, the diet is indicated above. To exclude liver sparing prăjirea food, but accepts boiling, baking and înăbuşirea them. Requirements will increase the calories per day 3.000-3.500.
Do not consume fats, meat and spices!
Are prohibited meat fat (pig, sheep, ducks, geese, game, poor, pelagic fish), animal fat (lard, bacon), with rântaşi sauces, prăjeli, pastrami, sausages, afumături, canned, brain, kidney, eggs, sardines, lamb block, soups bone, fat cheese, salted and fermented, dried vegetables (beans, peas, lentils), dried fruit with high cellulose content and with hard core (walnuts, hazelnuts, almonds), black bread, salt excess mend spices (pepper, paprika, mustard, horseradish, pepper).
Also exclude coffee, cocoa, chocolate, cream, butter creams, fat cakes, beverages and some countries soft drinks (Coca-Cola, Pepsi-Cola).
Patient will follow that food should be chewed well, reducing the effort to feed and digerare activity secretorie liver. Fruit will be washed well, and will be permanently hands clean by washing with soap and water, considering that on unwashed hands, moving between 10,000 and 100 million microbes / cm.p.
Daily food requirements will be divided into 5-6 meals at regular hours, avoiding the heavy meals, especially those served the evening before bedtime.
The life
It requires great attention from the family, knowing that the hepatitis virus is a catch. Patient will be isolated in separate room and will be interned in a hospital for contagious diseases. Required during the crisis, an absolute rest in bed to reduce energy consumption and oxygen. Avoid physical and intellectual effort, and stress the body externally polluted environment.
Measures to prevent and combat disease
- The compulsory use of syringes for single use, especially when injecting intravenous drugs;
- Using instruments sterilized in organ transplantation, vaccinations, dialysis, extracts teeth, tattoos and Acupuncture;
- Avoid sexual relations during the menstrual cycle;
- Use separate single-use items (toothbrush, razor, slate nail, tweezers, etc.);
- Washing hands after using toilet;
- Keeping a strict household cleaning, including the destruction of flies and the Bug;
- Preservation of fruit and vegetables hygienically and washing them before consumption;
- Consumption of drinking water and boiling water controlled in cases of suspicion;
- Boiling milk that has not been sterilized.
In painful phases will apply pillows or warm bottles and hot fomentation fomentation with paraffin or corms with three, four layers of cabbage, 250 g bran and possibly black radish and horseradish, held 1-2 hours per area of liver, for depletion liver and unlock the kidneys. People with hepatitis will not donate blood.
Treatment includes antiviral drugs
In viral hepatitis C is useful with antiviral therapy (Peginterferon - subcutaneous injection once a week and ribavirin - taken daily). They decrease the mass of active viruses and mechanisms of the immune self.
Treatment with interferon, however, gives unsatisfactory results, since only 40-45% of patients presenting favorable viral response. In addition, the use of Interferon has some restrictions due to many side effects on platelets caused.
Treatment Spas
Is alkaline mineral water, carbonated and oligominerale Olăneşti of resorts, Călimăneşti, Căciulata, Lipova, Malnaş, Tinca, Sangeorz-Bai. Home will consume bottled mineral water to Bodoc, Covasna, and Tinca Malnaş.
Take daily doses of 200-300 ml water after which the patient will lie on the right side for 20-30 minutes in a course of 4 weeks. After a break of 6 weeks resume cure, depending on individual tolerance and the effect produced.
