Viral hepatitis is what kind of inflammation?

Written by Xiong Hong Hai
Infectious Disease
Updated on January 03, 2025
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Viral hepatitis is caused by infection with hepatitis viruses, resulting in liver damage and is somewhat contagious, commonly including types A, B, C, D, and E, totaling five types. In fact, the hepatitis virus itself may not cause liver damage directly, rather it is the immune responses triggered by the infection that lead to immunological damage. Thus, viral hepatitis is essentially an immune-mediated inflammation. Different types of viral hepatitis have different outcomes and prognoses. The transmission routes of viral hepatitis mainly fall into two categories: hepatitis A and E are primarily transmitted via the fecal-oral route, while hepatitis B, C, and D are mainly spread through blood and other body fluids. Treatment should be tailored according to the specific circumstances.

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Is viral hepatitis serious?

The onset of viral hepatitis is fast or sudden, and it depends on the type of hepatitis. Viral hepatitis can be categorized into acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and cirrhotic hepatitis. Acute hepatitis and liver failure typically have a rapid onset, with common pathogens like Hepatitis A and Hepatitis E, which can cause acute hepatitis and may lead to symptoms such as significant fatigue, poor appetite, and dark urine in a short period. However, chronic hepatitis caused by Hepatitis B and Hepatitis C, which can even lead to cirrhosis, tends to progress slowly. After infection with the virus, the body may carry the virus for a long time without any symptoms. It may take 10-20 years or even longer for symptoms like fatigue and poor appetite to appear.

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What medicine to take for viral hepatitis?

In the treatment and management of viral hepatitis, it is necessary to handle it based on the actual situation, as different types of viral hepatitis have different treatment methods and strategies. For Hepatitis A and Hepatitis E, there are no specific antiviral drugs targeting the virus; the main approach is symptomatic treatment. If liver function is abnormal, it is advisable to choose some liver-protecting and enzyme-lowering drugs. For significantly high levels of bilirubin, one can opt for drugs that reduce jaundice and ensure adequate rest. In the treatment of Hepatitis B and Hepatitis C, if there are candidates suitable for antiviral treatment, active antiviral therapy should be undertaken. The treatment strategy should be based on the actual situation.

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How to prevent viral hepatitis

Viral hepatitis is a class of diseases that specifically includes five types: hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. Each type has a different mode of transmission, hence the prevention methods vary for each. Specifically, hepatitis A and E are transmitted via the fecal-oral route, meaning the disease is mainly spread through consuming water and cold foods contaminated with the viruses, and foods that have not been fully cooked, leading to infection. Hepatitis B and C, on the other hand, are mainly transmitted through blood and sexual contact. Prevention of hepatitis B and C involves avoiding contact with blood products from infected individuals and unsafe sexual practices.

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Infectious Disease
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Do you need a blood transfusion for viral hepatitis?

Viral hepatitis, especially in cases where the condition is particularly severe, bilirubin levels are particularly high, and coagulation function is particularly poor, may require plasma treatment. This involves the administration of plasma and nutritional support as symptomatic supportive therapy. Some patients may also need plasma exchange and artificial liver treatment. The treatment of viral hepatitis should aim to remove the cause of the disease as much as possible while also strengthening liver protection and enzyme reduction therapies. Severe cases may require plasma treatment. Treatment decisions should be based on the actual situation and starting treatment early in the onset of the disease can stabilize most conditions.

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How is chronic viral hepatitis treated?

Chronic viral hepatitis is most commonly found in chronic hepatitis B and C, both of which have long disease courses and complex treatments, and some cases may even lead to lifelong infection. The key to their treatment actually lies in the timely initiation of standardized antiviral therapy. For hepatitis B, the antiviral treatment mainly includes interferon and nucleoside analogues, while the antiviral treatment for hepatitis C can also use interferon, as well as direct-acting antiviral drugs. The treatment for both diseases involves timely, standardized, and complete courses of antiviral therapy.