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Hepatitis D: Treatment
Last reviewed: 23.04.2024
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All patients with acute delta-viral infection are hospitalized. Pathogenetic treatment of hepatitis D is carried out, as in viral hepatitis B, taking into account the severity of clinical manifestations. Due to the direct cytopathic effect of HDV, corticosteroids are contraindicated.
[Mode and details for hepatitis D
Return to work, associated with great physical stress or occupational hazards, is permissible not earlier than 3-6 months after discharge. Before this, it is possible to continue working in light conditions.
After discharge from the hospital should beware of hypothermia and avoid overheating in the sun, it is not recommended to travel to southern resorts during the first 3 months. Also, you should beware of taking medications that have an adverse (toxic) effect on the liver. After normalization of biochemical parameters of blood for 6 months, participation in sports competitions is prohibited. Ill with acute hepatitis B are exempt from preventive vaccinations for 6 months. Sports should be limited only to a set of therapeutic gymnastics.
For 6 months after discharge, special attention should be paid to nutrition, which should be sufficiently full, with complete exclusion of substances harmful to the liver. Alcoholic beverages (including beer) are strictly prohibited. Eating during the day should be regularly every 3-4 hours, avoiding overeating.
Allowed:
- milk and dairy products in all types:
- boiled and stewed meat - beef, veal, chicken, turkey, rabbit:
- boiled fresh river (pike, carp, pike perch) and sea fish: cod, perch, ice;
- vegetables, vegetable dishes, fruit, sauerkraut;
- cereals and flour products;
- vegetable soups, cereals, dairy. You can:
- meat broths and soups - not fat, not more often 1-2 times a week:
- butter (not more than 50-70 g per day, for children - 30-40 g), cream, sour cream;
- eggs - no more than 2-3 times a week, protein omelets;
- cheese in small quantities, only not sharp;
- sausages beef, sausage doctor's, dietary, dining room;
- caviar of salmon and sturgeon, herring;
- tomatoes.
Prohibited:
- alcoholic beverages;
- all kinds of fried, smoked and pickled products;
- pork, lamb, geese, ducks;
- sharp spices - horseradish, pepper, mustard, vinegar:
- confectionery products - cakes, pastries;
- chocolate, chocolate sweets, cocoa, coffee;
- tomato juice.
Clinical examination of convalescent
Patients who transferred acute hepatitis B with a delta-agent (coinfection) are subject to follow-up for 12 months after discharge from the hospital. The intervals between examinations, laboratory tests, and withdrawal criteria are consistent with those for monoinfection with viral hepatitis B. Patients who underwent acute viral hepatitis D on the background of viral hepatitis B virus (superinfection) with persistent HBs antigenemia, persistently determined by anti-HDV IgG, chronic hepatitis, remain on the account with the doctor without time limit.
What should a patient know about viral hepatitis D?
In a hospital, you have been diagnosed with a mixed infection with two viruses: HBV and HDV.
You need to know that the disappearance of jaundice, satisfactory laboratory performance and good health do not serve as indicators of complete recovery, since a full restoration of liver health occurs within 6 months. In order to prevent an exacerbation of the disease, it is important to strictly follow the medical recommendations related to follow-up and examination in a polyclinic, day regimen, diet, and working conditions.
Medical supervision and control
Examination of survivors of viral hepatitis B and viral hepatitis D is carried out at 1, 3 and 6 months, and then depending on the conclusion of the dispensary. Withdrawal taking into account with a favorable outcome is performed no earlier than 12 months after discharge from the hospital.
Remember that only the supervision of an infectious disease doctor and a regular laboratory test will determine the fact of your recovery or the transition of the disease to a chronic form. If the doctor prescribes antiviral treatment, you must strictly adhere to the mode of administration of the drug and regularly come to laboratory monitoring of blood counts, as this will minimize the chance of a side effect of the drug and provide control over the infection.
To appear for laboratory examination it is necessary on an empty stomach in a day strictly prescribed by the doctor.
Your first visit to the polyclinic is prescribed by your doctor.
The established check-up dates for repeated medical examinations at a polyclinic or a hepatology center are mandatory for all who have transferred viral hepatitis B and B virus hepatitis D. If necessary, you can contact the hospital's follow-up office, or the hepatology center, or the KIZ clinic also in addition to these terms.
Be attentive to your health!
Strictly adhere to diet and diet!
Be on regular check-ups!