Treatment of hepatitis A in children
Last reviewed: 23.04.2024
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It is better to treat hepatitis A at home. Restrictions in the motor regime should depend on the severity of symptoms of intoxication, the patient's well-being and the severity of the disease. When erased, without jaundice, and in most cases with mild forms, the regimen can be semi-postmortem from the first days of icteric period. In the case of moderate and especially severe forms, bed rest is prescribed during the entire period of intoxication - usually during the first 3-5 days of icteric period.
To remove intoxication, intravenous administration of 1.5% reamberin solution, isotonic solution of mixed succinic acid salt and basic electrolytes is indicated. With the disappearance of intoxication, children are transferred to a semi-postal regime. The criteria for the expansion of the regime are improving the state of health and appetite, reducing jaundice.
Children are exempt from physical education for 3-6 months, and sports - 6-12 months. The increase in physical activity should be individualized and fully correspond to the course of the pathological process, the functional restoration of the liver, taking into account the residual phenomena, age and premorbid background of the child.
The diet should be high-grade, high-caloric and whenever possible physiological. The ratio of proteins, fats and carbohydrates should be 1: 1: 4-5.
Dispensary supervision
After the end of the acute period of hepatitis A, all children are subject to compulsory dispensary supervision. It is better to conduct medical examination in a special office organized at the hospital. If it is impossible to organize such an office, the district pediatrician in the children's polyclinic should conduct the prophylactic examination.
The first examination and examination of the child is carried out on 45-60 days from the onset of the disease, the second - after 3 months. In the absence of residual phenomena, the convalescents are removed from the account. If there are clinical or biochemical signs of process incompleteness, follow-up is carried out until complete recovery.
Dispanserization of convalescents. Living in rural areas, are carried out at the infectious departments of the central district children's hospitals and in children's polyclinics.
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