How to treat chronic viral hepatitis?
summary
Chronic viral hepatitis is a kind of liver disease, so there are many underlying causes of this disease. After the occurrence of this disease, treatment needs a process. In the process of treatment, patients should not only cooperate with doctors for drug treatment, but also do a good job in daily nursing, especially in diet, Today let me learn how to treat chronic viral hepatitis with you?.
How to treat chronic viral hepatitis?
First: ursodeoxycholic acid (UDCA): it can relieve fatigue, diarrhea, pruritus and other symptoms of patients, maintain the stability of cell membrane, reduce inflammation of hepatocytes, improve liver function, increase carbonate secretion of bile capillaries, promote bile secretion, increase bile flow, and promote jaundice regression. 500 mg per day, divided oral, no obvious side effects. Recently, it has been suggested that UDCA can be used as an additional treatment for chronic hepatitis C with IFN.
Second: phenobarbital: as an enzyme inducer, it can induce the production of Y protein, enhance its activity, promote the transformation of bilirubin from non binding to binding, improve the enzyme activity of hepatic smooth endoplasmic reticulum and Na-K-ATPase activity on bile capillary membrane, promote bile acid secretion, increase bile flow, so as to promote cholangitis and jaundice. 90-180 mg per day. This medicine has certain damage to the liver. If the liver function changes obviously, it should be used with caution. If there are side effects such as fatigue, drowsiness and rash, it should be observed.
Third: adrenocortical hormone: with non-specific anti-inflammatory effect, can increase bile flow, promote bile excretion, thus has the effect of jaundice. The dosage of prednisolone was 40 mg per day. The dosage was gradually reduced after 5-7 days. The course of treatment was about 1 month. We should pay close attention to the occurrence of adverse reactions and use them cautiously.
matters needing attention
High protein food should be avoided in the diet of patients with hepatitis. The liver function metabolism of patients with hepatitis is weak. A large amount of high protein food will increase blood ammonia, and the liver is unable to quickly convert blood ammonia into urea, which is easy to induce toxic reactions such as liver coma. Therefore, high protein food such as beef, shrimp, sea cucumber, black chicken and sheep liver should be avoided in the diet of patients with hepatitis.
