Everyone knows that China is a big country with hepatitis B, but we don't know that there are many people with hepatitis C! Many people don't know about hepatitis C, but it's not uncommon. Hepatitis C is a contagious disease, so we need to understand the infection route and pathogenesis characteristics of hepatitis C, so as to consciously prevent it and seek medical attention in time after the onset of the disease.
▶ What is hepatitis C
Hepatitis C is the abbreviation of viral hepatitis C, which is an infectious disease with liver damage caused by hepatitis C virus (HCV) infection, and belongs to category B infectious diseases. It is mainly transmitted through the blood-to-blood route and is still present
There is also a lack of effective preventive vaccines.
Image source: Tencent Medical Codex
▶ History of Epidemiology
- Has a history of sharing needles to inject drugs.
- Have a history of previous paid blood donation.
- History of occupational exposure.
- Have a history of daily life contact such as sharing toothbrushes and razors with others.
- He was born to a mother with HCV infection.
- Has a history of unprotected sexual contact with someone with HCV infection.
- History of hemodialysis, unsafe injections, or other invasive procedures, such as surgery, oral diagnosis and treatment, acupuncture, cosmetology, tattooing, pedicure, etc.
- Previous treatment with blood, blood products, or other human tissues, cellular components, or organ transplantation.
Image source: Tencent Medical Codex
▶ Clinical presentation
Most patients have no obvious symptoms and signs, and some have fatigue, anorexia, nausea, abdominal distension, and discomfort or pain in the right hypochondrium.
Some patients with acute hepatitis C may have mild hepatosplenomegaly, a few may have low-grade fever or jaundice, and some may have extrahepatic manifestations such as joint pain.
Image source: Tencent Medical Codex
Some patients with chronic hepatitis C have liver disease facial, jaundice, palmar erythema, spider angiomata, and mild hepatic and splenomegaly.
Image source: Zhonghui Health
Spider angiomas
▶ Principles of diagnosis
Clinical diagnosis is made based on epidemiological history, clinical manifestations, biochemical tests, and positive anti-HCV results. Confirmation is based on a positive HCV RNA result. Confirmed cases can be distinguished into acute, chronic, and hepatitis C cirrhosis based on the definite time of exposure, the chronological sequence of HCV RNA, anti-HCV positive results, and liver histology and imaging and other ancillary tests.
Image source: Shanghai Pharmaceutical News
▶Treat.
The focus is on early antiviral treatment, and the first choice is Epclusa (sofosbuvir velpatasvir), and traditional Chinese medicine also has great advantages in protecting the liver.
Image source: Shanghai Pharmaceutical News
Health Jun reminds
Diagnosis and treatment of hepatitis C are important
Partners, if necessary
You can come to our hospital for a consultation
Image source: Internet
In May 2023, the Municipal Health Commission issued a document confirming that our hospital is the first batch of designated medical institutions for hepatitis C in our city, and the Department of Infectious Diseases is the designated department.
Liver disease consultation and treatment telephone number of the whole hospital: 0755-83549960
Contact Number: 17818313586
▶ Department of Infectious Diseases
The Division of Infectious Diseases was established in early 2016. In accordance with the requirements of the "Guidelines for the Construction and Management of the Department of Infectious Diseases in Traditional Chinese Medicine Hospitals (Trial)" issued by the state, the department is established, highlighting the characteristics of traditional Chinese medicine diagnosis and treatment, and is committed to building a first-line clinical medical department integrating medicine, teaching and research. The department is located on the first floor of the inpatient building of the hospital, with independent diagnosis and treatment areas, and the layout of each area is reasonable and the partition is clear. At present, the department has set up liver disease clinic, intestinal clinic, fever clinic and infection clinic. The interior building is nearly 500 square meters, which meets the construction design specifications (design of the combination of epidemic prevention and the hospital plan). It is equipped with an isolation observation room, a rescue room, a traditional Chinese medicine treatment room, a fully automatic registration and payment machine, a self-service medicine dispensing machine, a treatment room, a disposal room, an ECG monitor, a defibrillator, a non-invasive ventilator and a special toilet, and is preparing for the construction of the ward.
Department features:
1. Diagnosis and treatment and screening of various infectious diseases (viral hepatitis, influenza, chickenpox, dengue fever, etc.);
2. Diagnosis and treatment of liver diseases and their complications (autoimmune liver disease, hereditary liver disease, fatty liver, alcoholic liver, decompensated cirrhosis with ascites, peritonitis, hepatic encephalopathy, hepatorenal syndrome, early screening and combination of Chinese and Western diagnosis and treatment of liver cancer);
3. Diagnosis and treatment of intestinal diseases (infectious diarrhea, norovirus, dysentery, food poisoning, etc.);
4. Responsible for the diagnosis, treatment and management of infectious diseases in our hospital;
5. Regularly organize training on public health emergencies such as hepatitis, new crown pneumonia, influenza A (H1N1), and human infection with highly pathogenic avian influenza, so as to achieve early detection, early reporting, and early treatment of infectious diseases;
6. Assist in the prevention and treatment of infectious diseases in Futian District.
The department has 12 professional and technical personnel. There are 6 medical echelons, including 1 chief physician, 3 attending physicians, 2 physicians, and 5 master's degrees, and 6 nursing echelons, including 1 chief nurse, 5 nurses, and 5 bachelor's degrees.
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