The diagnosis is confirmed by blood samples, and, in some cases, by a
tissue sample from the liver. Some of the blood samples are used for
establishing the cause of the disease and excluding other known causes.
Other blood samples will reveal the degree of activity of the inflammation at the time when the samples are taken.
In cases of chronic hepatitis, the extent of the damage to the liver can only be established via a tissue sample from the liver.
* Acute infectious viral hepatitis usually improves on ltS own. Less than 1 in 300 patients develop liver failure
and risk dying. Hepatitis B and hepatitis C can becomE chronic. Hepatitis A never doeS
* Hepatitis caused by mononucleosis always improves on its own.
* Acute hepatitis caused by medicines or alcohol usually improves once the liver is no longer exposed to these substances.
* About one fifth of the patients with chronic hepatitis B and C are at risk of developing cirrhosis or cancer of the liver.
* Cirrhosis can also be caused by other types of chronic hepatitis.
HOW IS HEPATITIS TREATED?
* No medical treatment is available for acute viral hepatitis.
* Chronic hepatitis B can be treated with interferon alfa or lamivudine (Zeffix).
* Chronic hepatitis C can be treated with interferon alfa and ribavirin (tribavirin).
* Autoimmune hepatitis can by treated with corticosteroids.
Liver dialysis is a detoxification treatment for liver failure and has shown promise for patients with hepatorenal syndrome. It is similar to hemodialysis and based on the lame principles. Like a bioartificial liver device, it is a form artificial extracorporeal liver support.
A critical issue of the clinical syndrome in liver failure is accumulation of toxins not cleared by the failing liver. lias«d on this hypothesis, the removal of lipophilic, albumin-bound substances such as bilirubin, bile acids, metabolites of aromatic amino acids, medium-chain fatty acids and cytokines should be beneficial to the clinical course of a patient in liver failure. This led to the development of artificial filtration and adsorption devices. Hemodialysis is used for renal failure and primarily removes water soluble toxins, however it does not remove toxins bound to albumin that accumulate in liver failure.
Liver transplantation or hepatic transplantation is the replacement of a diseased liver with a healthy liver allograft. The most commonly used technique is orthotopic transplantation, in which the native liver is removed and the donor organ is placed in the same anatomic location as the original liver. Liver transplantation nowadays is a well accepted treatment option for end-stage liver disease and acute liver failure
* Reduced clotting factors, more chance that patients can hemorrhage from surgery.
* Immunosuppressants increase risk for infection.
* Vessels do not properly join together, causing bl
* Thrombosis in hepatic arteries.
* Leakage or stenosis of bile durts.
Other blood samples will reveal the degree of activity of the inflammation at the time when the samples are taken.
In cases of chronic hepatitis, the extent of the damage to the liver can only be established via a tissue sample from the liver.
FUTURE PROSPECTS
* Acute infectious viral hepatitis usually improves on ltS own. Less than 1 in 300 patients develop liver failure
and risk dying. Hepatitis B and hepatitis C can becomE chronic. Hepatitis A never doeS
* Hepatitis caused by mononucleosis always improves on its own.
* Acute hepatitis caused by medicines or alcohol usually improves once the liver is no longer exposed to these substances.
* About one fifth of the patients with chronic hepatitis B and C are at risk of developing cirrhosis or cancer of the liver.
* Cirrhosis can also be caused by other types of chronic hepatitis.
HOW IS HEPATITIS TREATED?
* No medical treatment is available for acute viral hepatitis.
* Chronic hepatitis B can be treated with interferon alfa or lamivudine (Zeffix).
* Chronic hepatitis C can be treated with interferon alfa and ribavirin (tribavirin).
* Autoimmune hepatitis can by treated with corticosteroids.
UVER DIALYSIS
Liver dialysis is a detoxification treatment for liver failure and has shown promise for patients with hepatorenal syndrome. It is similar to hemodialysis and based on the lame principles. Like a bioartificial liver device, it is a form artificial extracorporeal liver support.
A critical issue of the clinical syndrome in liver failure is accumulation of toxins not cleared by the failing liver. lias«d on this hypothesis, the removal of lipophilic, albumin-bound substances such as bilirubin, bile acids, metabolites of aromatic amino acids, medium-chain fatty acids and cytokines should be beneficial to the clinical course of a patient in liver failure. This led to the development of artificial filtration and adsorption devices. Hemodialysis is used for renal failure and primarily removes water soluble toxins, however it does not remove toxins bound to albumin that accumulate in liver failure.
LIVER TRANSPLANTATION
Liver transplantation or hepatic transplantation is the replacement of a diseased liver with a healthy liver allograft. The most commonly used technique is orthotopic transplantation, in which the native liver is removed and the donor organ is placed in the same anatomic location as the original liver. Liver transplantation nowadays is a well accepted treatment option for end-stage liver disease and acute liver failure
COMPLICATIONS FROM SURGERY
* Reduced clotting factors, more chance that patients can hemorrhage from surgery.
* Immunosuppressants increase risk for infection.
* Vessels do not properly join together, causing bl
* Thrombosis in hepatic arteries.
* Leakage or stenosis of bile durts.
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