Hepatitis
Hepatitis is the inflammatory condition of liver. The
condition is usually caused by bacteria, virus or toxic injury to the liver.
Type of
Hepatitis:
a.Toxic
Hepatitis
b.Viral
Hepatitis eg. Hepatitis ‘A’, Hepatitis ‘B’, Hepatitis ‘C’ etc.
c. Bacterial
Hepatitis.
Among all these viral Hepatitis is common one.
Case:
- Drugs like sulfonamide, isoniaxid etc.
- Alcohol
- Industrial toxins (hepato toxin) eg. Phosphorus chloroform etc.
- Plant poisons eg.poisonous mushrooms.
Clinical Features:
- Anorexia
- Nausea and vomiting.
- Icterus
- Hepatomegaly ( Progressing symptoms).
- Tenderness of liver.
- Hepatic failure ( in case of plant toxin).
- Dark urine.
- Elevated serum bilirubin and urine bilirubin level.
Diagnostic test:
- History and physical examination.
- Radiologic, test.
- X-ray abdomen.
- Barium X-ray.
Laboratory test:
- Routine blood-HB-ESR-total count.
- Blood serum enzyme (SGPT, SGOT, Alkaline, Phosphorous).
- Urine routine and specific test.
- Liver function test.
Management:
Observation:-
- Color of skin, conjunctiva
- Lethargy
- Feeding
- Fluid and electrolyte balance.
- Color and consistency of urine.
- Tenderness of liver.
Preventive measure:
- Health education for the prevention of toxic hepatitis about dangerous or unwise use of drugs and material.
- Avoid sexual contact with multiple partner.
- Avoid using bloodly substance un-necessarily.
- · Use of toilet.
Health education for hepatitis patient. :
- Complete rest.
- Avoid using oily and fatty substance.
- Proper hand washing and clean toilet after use if possible use separate toilet.
- Use of boil water.
- Take adequate fluid and electrolyte.
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