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Hepatitis

 

What and why

Hepatitis is a collective name for a number of inflammatory symptoms of the liver. New viruses are always being discovered that could inflame the liver. Hepatitis A, hepatitis B and hepatitis C are the most well-known types. There is no treatment for hepatitis A, this variation must run its course. If you have had hepatitis A, you are protected for the rest of your life. You can be vaccinated against hepatitis A. If you have had hepatitis B and recovered, you are protected for the rest of your life. You can also be vaccinated and be protected in that way.

 

If you have had hepatitis B and it doesn’t clear up on its own, this is chronic hepatitis B that must be treated. Hepatitis C infections can lead to chronic infection after the acute phase. Sometimes the virus will go away on its own. The treatment has undergone huge developments in recent years. This has improved from medicines with many side effects and a moderate chance of recovery to tablets that have much fewer side effects and a chance of recovery of nearly 100%. After recovery, you can become infected again.

The duration of the treatment is dependent on the degree of fibrosis (scarring on the liver) and varies between 8 weeks and 16/20 weeks of medication use.

 

Hepatitis at the Hiv Treatment Centre

The Hiv Treatment Centre has vaccinations available against hepatitis A and B. We will discuss this during the hiv treatment and vaccinate if necessary. With chronic hepatitis B, you must have follow-ups and be treated. Depending on the results of testing, we will set up a treatment plan. The treatment is done using tablets.

 

For acute hepatitis C, you can start medication after 3 months if the infection appears to be chronic. To check fibrosis (scarring of the liver), the HIV treatment centre uses a fibroscan. Scar tissue in the liver can occur in all patients with a (chronic) liver disease, such as is the case with hepatitis B and C. The formation of fibrosis in the liver can make it smaller (shrunken) and cause the liver to no longer function well. The latter is called liver cirrhosis. Using a fibroscan, we can test in a simple and painless manner whether there are signs of scarring in the liver. The degree of fibrosis is necessary in the determination of the correct treatment of hepatitis C.

 

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