Hepatitis “The Unsolved Ebola”
Hepatitis is one very funny disease. Now currently in Nigeria, we are more focused on HIV/AIDS as the headliner for STDs. We have put quite a lot of inadequate focus on eradicating HIV/AIDS whereas we have left the Eldest Brother, Hepatitis to wallow away in freedom, free from the chains of people awareness and orientation.
Imagine HIV/AIDS wearing a Tuxedo, that is Hepatitis! This disease is like an Assassin with different identities, masks and even alibis. This James Bond “007” in disease mode camouflages in different forms; Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D and Hepatitis E.
The scary question is “Why” why haven’t we placed a full nationwide sensitization and public orientation across all cadres of human societal engagement especially the Academia in its entirety, well-funded by individuals and quality Non-Governmental Organizations and even the Church, taking into very deep consideration that about 23 Million Nigerians are currently infected with this very unstable disease, sourced from Punch Ng as compared to the 3.2-4.1 Million affected with HIV/AIDS virus, sourced from Vanguard and a very good percentage of these millions aren’t even aware they are infected?
The scariest part of having Hepatitis is that, the disease takes a very long time to manifest itself fully and probably morph into chronic mode, and at this stage the virus begins to possess lethal ammunitions. Even when treatments start at the chronic stage, most of the time, survival and wholeness is no longer guaranteed. Let us quickly leave the dark and enter the light by enlightening ourselves on what this Hepatitis disease really is and also what to do to survive till round 12 in the boxing ring with it and win by Stylish Knockout!
What are the Various Viral Hepatitis?
Viral infections of the liver that are classified as hepatitis include hepatitis A, B, C, D, and E. A different virus is responsible for each type of virally transmitted hepatitis.
Hepatitis A is always an acute, short-term disease, while hepatitis B, C, and D are most likely to become ongoing and chronic. Hepatitis E is usually acute but can be particularly dangerous in pregnant women.
Hepatitis A is caused by an infection with the hepatitis A virus (HAV). This type of hepatitis is most commonly transmitted by consuming food or water contaminated by faeces from a person infected with hepatitis A.
Hepatitis B is transmitted through contact with infectious body fluids, such as blood, vaginal secretions, or semen, containing the hepatitis B virus (HBV). Injection drug use, having sex with an infected partner, or sharing razors with an infected person increase your risk of getting hepatitis B.
It’s estimated by the CDC (Centre for Disease Control and Prevention) 350 million people worldwide live with this chronic disease.
Hepatitis C comes from the hepatitis C virus (HCV). Hepatitis C is transmitted through direct contact with infected body fluids, typically through injection drug use and sexual contact. HCV is among the most common blood borne viral infections in Nigeria and the world.
Also called delta hepatitis, hepatitis D is a serious liver disease caused by the hepatitis D virus (HDV). HDV is contracted through direct contact with infected blood. Hepatitis D is a rare form of hepatitis that only occurs in conjunction with hepatitis B infection. The hepatitis D virus can’t multiply without the presence of hepatitis B.
Hepatitis E is a waterborne disease caused by the hepatitis E virus (HEV). Hepatitis E is mainly found in areas with poor sanitation and typically results from ingesting faecal matter that contaminates the water supply. Cases of hepatitis E have been reported in the Middle East, Asia, Central America, and Africa, according to the CDC (Centre for Disease Control and Prevention) .
Causes of non-infectious hepatitis:
Alcohol and other toxins
Excessive alcohol consumption can cause liver damage and inflammation. This is sometimes referred to as alcoholic hepatitis. The alcohol directly injures the cells of your liver. Over time, it can cause permanent damage and lead to liver failure and cirrhosis, a thickening and scarring of the liver.
Other toxic causes of hepatitis include overuse or overdose of medications and exposure to poisons.
AUTO-IMMUNE SYSTEM RESPONSE
In some cases, the immune system mistakes the liver as a harmful object and begins to attack it. It causes ongoing inflammation that can range from mild to severe, often hindering liver function. It’s three times more common in women than in men.
If you have infectious forms of hepatitis that are chronic, like hepatitis B and C, you may not have symptoms in the beginning. Symptoms may not occur until the damage affects liver function.
Signs and symptoms of acute hepatitis appear quickly. They include:
Loss of appetite
Unexplained weight loss
Yellow skin and eyes, which may be signs of jaundice
Chronic hepatitis develops slowly, so these signs and symptoms may be too subtle to notice.
How can hepatitis be diagnosed?
History and physical exam
To diagnose hepatitis, first your doctor will take your history to determine any risk factors you may have for infectious or non infectious hepatitis.
During a physical examination, your doctor may press down gently on your abdomen to see if there’s pain or tenderness. Your doctor may also feel to see if your liver is enlarged. If your skin or eyes are yellow, your doctor will note this during the exam.
Liver function tests
Liver function tests use blood samples to determine how efficiently your liver works. Abnormal results of these tests may be the first indication that there is a problem, especially if you don’t show any signs on a physical exam of liver disease. High liver enzyme levels may indicate that your liver is stressed, damaged, or not functioning properly.
Other blood tests:
If your liver function tests are abnormal, your doctor will likely order other blood tests to detect the source of the problem. These tests can check for the viruses that cause hepatitis. They can also be used to check for antibodies that are common in conditions like autoimmune hepatitis.
An abdominal ultrasound uses ultrasound waves to create an image of the organs within your abdomen. This test allows your doctor to take a close at your liver and nearby organs. It can reveal:
Fluid in your abdomen
Liver damage or enlargement
Abnormalities of your gallbladder
Sometimes the pancreas shows up on ultrasound images as well. This can be a useful test in determining the cause of your abnormal liver function.
A liver biopsy is an invasive procedure that involves your doctor taking a sample of tissue from your liver. It can be done through your skin with a needle and doesn’t require surgery. Typically, an ultrasound is used to guide your doctor when taking the biopsy sample.
This test allows your doctor to determine how infection or inflammation has affected your liver. It can also be used to sample any areas in your liver that appear abnormal.
How can hepatitis be treated?
Treatment options are determined by which type of hepatitis you have and whether the infection is acute or chronic.
Hepatitis A usually doesn’t require treatment because it’s a short-term illness. Bed rest may be recommended if symptoms cause a great deal of discomfort. If you experience vomiting or diarrhoea, follow your doctor’s orders for hydration and nutrition.
The hepatitis A vaccine is available to prevent this infection. Most children begin vaccination between ages 12 and 18 months. It’s a series of two vaccines. Vaccination for hepatitis A is also available for adults and can be combined with the hepatitis B vaccine.
Acute hepatitis B doesn’t require specific treatment.
Chronic hepatitis B is treated with antiviral medications. This form of treatment can be costly because it must be continued for several months or years. Treatment for chronic hepatitis B also requires regular medical evaluations and monitoring to determine if the virus is responding to treatment.
Hepatitis B can be prevented with vaccination. The CDC recommends hepatitis B vaccinations for all new-borns. The series of three vaccines is typically completed over the first six months of childhood. The vaccine is also recommended for all healthcare and medical personnel.
Antiviral medications are used to treat both acute and chronic forms of hepatitis C. People who develop chronic hepatitis C are typically treated with a combination of antiviral drug therapies. They may also need further testing to determine the best form of treatment.
People who develop cirrhosis (scarring of the liver) or liver disease as a result of chronic hepatitis C may be candidates for a liver transplant.
Currently, there is no vaccination for hepatitis C.
No antiviral medications exist for the treatment of hepatitis D at this time. According to a 2013 study, a drug called alpha interferon can be used to treat hepatitis D, but it only shows improvement in about 25 to 30 percent of people.
Hepatitis D can be prevented by getting the vaccination for hepatitis B, as infection with hepatitis B is necessary for hepatitis D to develop.
Currently, no specific medical therapies are available to treat hepatitis E. Because the infection is often acute, it typically resolves on its own. People with this type of infection are often advised to get adequate rest, drink plenty of fluids, get enough nutrients, and avoid alcohol. However, pregnant women who develop this infection require close monitoring and care.
Corticosteroids, like prednisone or budesonide, are extremely important in the early treatment of autoimmune hepatitis. They’re effective in about 80 percent of people with this condition.
Azothioprine (Imuran), a drug that suppresses the immune system, is often included in treatment. It can be used with or without steroids.
Other immune suppressing drugs like mycophenolate (CellCept), tacrolimus (Prograf) and cyclosporine (Neoral) can also be used as alternatives to azathioprine for treatment.
HOW CAN YOU STOP THIS ASSASSIN VIRUS?
Tips to prevent hepatitis:
Practicing good hygiene is one key way to avoid contracting hepatitis A and E. If you’re traveling to a developing country, you should avoid:
Raw or undercooked shellfish and oysters
Raw fruit and vegetables
Hepatitis B, C, and D contracted through contaminated blood can be prevented by:
Not sharing drug needles
Not sharing razors
Not using someone else’s toothbrush
Not touching spilled blood
Hepatitis B and C can also be contracted through sexual intercourse and intimate sexual contact. Practicing safe sex by using condoms and dental dams can help decrease the risk of infection.
The use of vaccines is an important key to preventing hepatitis. Vaccinations are available to prevent the development of hepatitis A and B. Experts are currently developing vaccines against hepatitis C. A vaccination for hepatitis E exists in China, but it isn’t available in Nigeria.
What are the Complications of Hepatitis?
Chronic hepatitis B or C can often lead to more serious health problems. Because the virus affects the liver, people with chronic hepatitis B or C are at risk for:
Chronic liver disease
When your liver stops functioning normally, liver failure can occur. Complications of liver failure include:
A build-up of fluid in your abdomen, known as ascites
Increased blood pressure in portal veins that enter your liver, known as portal hypertension
Hepatic encephalopathy, which can involve fatigue, memory loss, and diminished mental abilities due to the build-up of toxins, like ammonia, that affect brain function
Hepatocellular carcinoma, which is a form of liver cancer
People with chronic hepatitis B and C are encouraged to avoid alcohol because it can accelerate liver disease and failure. Certain supplements and medications can also affect liver function. If you have chronic hepatitis B or C, check with your doctor before taking any new medications.
Information Sourced From Healthline
Let us truly say the truth to ourselves, this disease has very many tactics to its spread, making it a very dangerous virus, and even when you don’t come in contact with the virus, your very innocent body system can still go ahead and create one for itself (Auto-Immune Hepatitis). It is no understatement that the level of awareness we foster in our society concerning Hepatitis is what will guarantee our children’s and soon to be children’s very uncertain future.