Hepatitis C

Hepatitis C what you should know

What is this Hepatitis C?

It is a virus which enters blood and damages your liver.

Is it AIDS OR HIV?

Answer is NO NO NO.

How does it enter my body?

Blood transfusion now rare as it is being tested.

Mother to Baby DURING BIRTH.

Husband to wife or wife to husband during sexual intercourse but very less chance.

Needle or razors which if you share in house or saloon shops when it is used by Hepatitis C positive person.

Why Hepatitis C is dangerous?

It causes liver failure.

Cirrhosis.

Liver cancer.

It spreads in family and other people get I effected in your house.

Is there any medicine to cure?

Yes there are good medicines.

If I am Hepatits C positive What tests are needed?

LFT(liver function test to know if liver is affected already).

HCV RNA ( TO KNOW HOW MUCH VIRUS in your body).

HCV genotyping .

HCV has 5 types to know which type?.

HIV Hepatitis B (Hepatits B HIV and HCV spread by blood and if you need treatment HepatitisB and HIV must be tested).

AFP liver cancer screening.

Ultrasound for liver to know is your liver is already damaged.

Endoscopy in some people to know how bad is the liver.

Sugar.

Thyroid.

Blood count Haemoglobin should be more than 11 -12.

WBC count.

Platelet count.

Psychiatry evaluation.

Eye specialist check up to know how is you retina.

LFT liver function test it is the most important test.

If SGPT or ALT is increased it is not a good sign.

If your SGPT/ALT is elevated repeatedly You need treatment..

Why HCV genotyping ?

To know the types of virus 5 types are there

1 and 4 NEEDS 48 week treatment and it is hard to treat and can recur.

2 and 3 are better needs 24 week treatment and better results.

When do I need Treatment?

Most HCV people need treatment

LFT SGPT is more.

If USG shows cirrhosis but not severely damaged.

If liver is severely damaged like ascites recurrent bleeding we don’t treat.

How long is this treatment?

Genotype 1 and 4 needs 48 WEEKS .

Genotype 2 and 3 24 weeks treatment.

What is this Cirrhosis caused by Hepatitis C?

Cirrhosis means your liver has become small and your liver is failing

Is cirrhosis reversible?

No.

If I get cirrhosis what symptoms I GET?

Your tummy becomes big that is water gets in to tummy ascites.

Leg gets swollen.

Your eyes may become yellow.

Tiredness.

Blood vomiting in some.

Urine out put may come down.

Mental changes excessive sleepiness behavior changes we call it liver coma or encephalopathy.

If I am Hepatitis C positive what precaution in family needs to be taken?

DO

You can share clothes.

You can eat in same plates.

Can I marry: Yes.

After treatment /Inform your would be.

Can I have child : Yes after treatment but some risk is there.

Don’ts.

No sharing of razors needle or tooth brush.

No blood donation.

No sperm or ovum donation.

If there is bleeding from your body family members should wear gloves to clean or attend because if they have cuts they can get Hepatitis B.

What is the cost of treatment?

We have 2 drugs:-

Pegylated interferon 4-5 lakhs for 48 injections.

Pegylated interferon 2-3 lakhs for 24 injections.

What test needs to be done when you are taking medicine?

LFT.

Cbc Haemoglobin White cell count and Platelet count.

ULTRASOUND FOR LIVER .

LIVER CANCER test AFP.

Kidney test in some.

Thyroid tests.

Eye testing.

Can It come back after treatment?

Yes in some proportion of patients especially genotype 1 and 4.

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