What does active hepatitis mean?
Active hepatitis refers to a state in which the hepatitis virus continues to replicate in the liver, leading to continued inflammatory activity in the liver. This state is usually characterized by abnormal liver function, liver tissue damage, and recurrence or exacerbation of clinical symptoms. Active hepatitis may be a manifestation of chronic hepatitis and requires prompt intervention to prevent progression to cirrhosis or liver cancer.
1. Common causes of active hepatitis
| Cause type | Specific instructions |
|---|---|
| viral infection | Hepatitis B virus (HBV), hepatitis C virus (HCV), etc. are the main causes. |
| alcoholic hepatitis | Excessive drinking over a long period of time leads to inflammation of the liver. |
| nonalcoholic steatohepatitis | Related to obesity and metabolic syndrome. |
| autoimmune hepatitis | The immune system mistakenly attacks liver cells. |
2. Clinical manifestations of active hepatitis
| Symptoms | physical signs |
|---|---|
| Fatigue, loss of appetite | Tenderness in liver area |
| Nausea, vomiting | Jaundice (yellowing of skin and sclera) |
| bloating, abdominal pain | Liver palms, spider nevi |
3. Diagnostic Methods of Active Hepatitis
| Check items | meaning |
|---|---|
| Liver function test | Assess ALT, AST, bilirubin and other indicators. |
| Virology testing | Identify viral infections such as HBV and HCV. |
| Imaging examination | Use ultrasound, CT or MRI to observe liver morphology. |
| liver biopsy | Confirm the degree of inflammatory activity and stage of fibrosis. |
4. Principles of treatment of active hepatitis
Treatment of active hepatitis requires a personalized plan based on the cause:
1.antiviral treatment: For hepatitis B or C, use nucleoside analogs (eg, entecavir) or direct-acting antivirals (eg, sofosbuvir).
2.Quit drinking: Patients with alcoholic hepatitis must strictly abstain from alcohol.
3.lifestyle adjustments: Control weight and eat properly, suitable for non-alcoholic steatohepatitis.
4.immunosuppressants: Autoimmune hepatitis requires the use of glucocorticoids or azathioprine.
5. Recent hot health topics on the Internet (last 10 days)
| hot topics | Related discussions |
|---|---|
| New coronavirus variant JN.1 | Infection cases have been reported in many countries, and the effectiveness of vaccines has attracted attention. |
| High incidence of respiratory diseases | Influenza and mycoplasma pneumonia are superimposed, and the number of children is increasing. |
| Weight loss miracle drug GLP-1 | The abuse of drugs such as semaglutide has caused controversy over side effects. |
| AI medical applications | Accuracy and ethical issues of ChatGPT-assisted diagnosis. |
6. How to prevent active hepatitis from getting worse?
1.Regular review: Patients with chronic hepatitis should have their liver function and viral load checked every 3-6 months.
2.Avoid liver damage factors: Such as alcohol, drug abuse, etc.
3.Get vaccinated: People who are not infected with HBV are recommended to receive hepatitis B vaccine.
4.early intervention: Seek medical attention promptly if abnormalities are found to avoid delays in treatment.
Early detection and treatment of active hepatitis is crucial. Through comprehensive management, most patients can effectively control the progression of the disease and improve their quality of life.
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