Download 100 Q&A About Hepatitis C: A Lahey Clinic Guide by Stephen C. Fabry, R. Anand Narasimhan PDF

By Stephen C. Fabry, R. Anand Narasimhan

There are nearly 2.5 million situations of Hepatitis C within the usa and nearly two hundred million around the globe. even if you are a newly clinically determined sufferer, a chum or relative of somebody with Hepatitis C, this booklet deals aid. Written through physicians from Lahey hospital scientific heart, Dr. Fabry and Dr. Narasimhan, this ebook offers authoritative, sensible solutions to the commonest questions about Hepatitis C.

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Additional info for 100 Q&A About Hepatitis C: A Lahey Clinic Guide

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Aminotransferase levels are followed during treatment, and most—but not all—patients who respond will have an improvement in the levels. • An elevated ALT level is strongly suggestive of liver disease, whereas an isolated AST elevation can be seen in many conditions unrelated to the liver, including a heart attack and muscle disorders. Coagulation the ability of the blood to clot Ascites abnormal fluid accumulation in the abdomen that can develop when the liver does not function properly. qxd 8/31/06 3:50 PM Page 44 100 QUESTIONS & ANSWERS ABOUT HEPATITIS C grading systems for patients with cirrhosis uses the albumin level, bilirubin level, and PT to judge how well the liver is functioning.

Patients may be asymptomatic or may present with jaundice (yellow skin). Almost all patients who are infected with HAV recover fully. An important difference between HAV and HCV is that HAV never causes chronic hepatitis. Treatment of acute HAV consists of rest, fluids, and adequate nutrition; hospitalization is rarely required. HAV can be prevented with proper hand washing, a clean water supply, and adequate sewage disposal. If a person has been or may be exposed to HAV, an immunoglobulin (antibody preparation) can be administered to him or her to prevent infection.

During a 10-year follow-up period, three of these people developed hepatitis C. However, all three had different types of hepatitis C than their partners, suggesting that sexual transmission was not the route of infection in their cases. Despite this study, you should still be cautious and consider using a condom and lubricants as a matter of course. Because hepatitis C is spread most efficiently from blood-to-blood contact, the risk of transmission is higher when blood is present. In particular, the risk of transmission is increased during “rough” sexual activity or unprotected anal intercourse, where small skin injuries may allow blood-to-blood contact.

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