Hepatitis C: Governance and dead are two different worlds!
People with hepatitis C (referred to as “HCV”) is far from knowing the extent of hepatitis B (referred to as “HBV”) that high.
Infected with hepatitis C virus, symptoms of infection are mostly very light, unlike hepatitis B, as there are more obvious fatigue, loss of appetite and other symptoms, and even some patients and no significant change in ALT, so they are not easily found in infected persons are infected.
From the medical point of view, detection of hepatitis C virus has not yet been included in the scope of routine testing.
For these reasons a longer period makes the hepatitis C is not familiar, making it a kind of hidden hazards.
How to confirm whether the infection of hepatitis C virus
To confirm whether the body is infected with the hepatitis C virus, the best way is to check hepatitis C virus gene, which is the hepatitis C virus replication in the body is a sign.
The HCV antibody, alanine aminotransferase (ALT), B can not confirm the body super-whether it is susceptible of hepatitis C virus.
Infected with HCV antibody only said that hepatitis C virus, may have the virus removed the body (with 20% of people infected are free to remove the virus) may also still in the body the virus replication.
Even after the formal treatment of an effective anti-HCV people, after the end of treatment, the body is also life-long existence of hepatitis C antibodies, hepatitis C antibody positive does not mean that the body must have hepatitis C virus replication.
Rule! The exact course of treatment, efficacy significantly
As long as the hepatitis C virus genetic testing to prove existence of hepatitis C virus replication in vivo (in addition to cirrhosis has taken place outside), regardless of whether the abnormal ALT, should be treated with this principle of treatment of hepatitis B virus is very different.
Treatment programs: At present, the most classic of anti-HCV treatment is interferon-α combined with ribavirin, in which interferon-α Youyi most precise efficacy of pegylated interferon.
Treatment: If the hepatitis C virus gene as a type, they should be treated for 1 year.
If the hepatitis C virus type 2 gene, then treated for 24 weeks (six months).
Regardless of the interferon α, ribavirin therapy need to 1 year.
If the use of PEG-interferon α-2a (Pegasys), and in the treatment of 12 weeks (3 months), the hepatitis C virus titer dropped more than two pairs of the number of units, but still be able to detect, then the proposed to extend the treatment to 1 year and a half, that would achieve a better effect.
Efficacy: the development of interferon therapy for hepatitis C and outcomes is important, at the end of interferon treatment, and withdrawal for 24 weeks (six months), the still undetectable hepatitis C virus gene, few develop liver cirrhosis or liver cancer.
Reminder: interferon combined with ribavirin treatment of fever, myalgia, leukopenia and other adverse reactions, more than acceptable, and should maintain close contact and doctors to monitor the effects of treatment to deal with adverse reactions.
Dead! Outcome is cirrhosis of the liver or liver cancer
Hepatitis B virus infection in the “hepatitis B virus carriers,” one said they were those who despite viral replication in vivo, but the extremely low level of replication of the people, not a temporary treatment.
Infected with hepatitis C virus is no “carrier” one said, or 20% of the people can rid themselves hepatitis C virus, or 80% of the human body, “host” hepatitis C virus, hepatitis C virus replication in the body continually, and the have intensified the trend, continue to cause liver damage.
This feature makes the hepatitis C virus infection if not treated or irregular treatment, the outcome is to cirrhosis or liver cancer, and hepatitis B is higher than the probability of occurrence.
Hepatitis C patients with cirrhosis of the liver occurs annually in about 1% to 7% of patients developed into liver cancer.
Therefore, the high-risk groups should be detected as early as possible whether it is infected with hepatitis C virus, if infected, it would take an early formal treatment.