Boli infectioase
Boli infectioase
Boli infectioase
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
4.CUANTIFICAREA INCARCATURII VIRALE<br />
*AND-HVB;AND-HVD;ARN-HCV;<br />
5.PUNCTIE BIOPSIE HEPATICA-PBH<br />
II.TRATAMENT<br />
1.Igieno-dietetic-evitarea eforturilor fizice mari;<br />
-repaus fizic prelungit;<br />
-regim alimentar de protectie hepatica;<br />
2.Simptomatic-antiemetice,antispastice,antialgice,antiflatulente<br />
-calmante prurit (anti H1,colestiramina )<br />
3.Patogenic-PEV cu-solutii energetice-Glucoza 10%,5%;vitamine B1,B6,C,<br />
-aminoacizi-Infesol,Aminosteril,Aminoven<br />
-hepatoprotectoare-iv-Aspatofort,Arginina-Sorbitol<br />
-hepatoprotectoare orale<br />
metaspar,hepatonplus,sargenor,LIV52,silimarina,farcovit,essentiale,acid<br />
orotic,antioxidant,polivitamine –Pharmaton,Supradyn<br />
-coleretice-colebil,bilichol,metoclopramid<br />
-vitamina K-in formele cu IQ→,trombocitopenii,sangerari<br />
-antisecretorii-anti H2-arnetin,quamatel,axid;IPPomeprazol,pantoprazol;<br />
4.Formele colestatice-Ursofalk,Bilichol,Fenobarbital,Colestiramina;Ampicilina<br />
III.Durata medie de spitalizare-10 zile<br />
HEPATITA VIRALA ACUTA<br />
I .DIAGNOSTIC PARACLINIC<br />
1.DIAGNOSTIC NESPECIFIC (INVESTIGATII UZUALE)<br />
*citoliza hepatica-TGP,TGO<br />
*retentie biliara-BT,BD,FA,δGT;<br />
*pigmenti biliari prezenti in urina (urobilinogen→,BC+)<br />
*sdr.hepatopriv-albumina,colinesteraza,factorii de coagulare –Fibrinogen;<br />
-IQ-Activitatea de protrombina;<br />
*sdr. de hiperactivitate mezenchimala-electroforeza proteinelor serice;<br />
*uree,creatinina,RA,amoniemie,ionograma-in formele severe<br />
2.DIAGNOSTIC ETIOLOGIC-MARKERI VIRALI SEROLOGICI<br />
*Hepatita virala acuta cu virus A-IgM anti HAV<br />
*Hepatita virala acuta cu virus B-IgM anti HBc<br />
-AgHBs<br />
-AgHBe<br />
*Hepatita virala acuta cu virus B+D-coinfectie-IgM anti HVD<br />
-AgHVD<br />
-IgM anti HBc<br />
-AgHBs<br />
-suprainfectie-IgM anti HVD<br />
-Ac anti HVD totali<br />
-AgHVD<br />
-AgHBs<br />
18
Change language