Knowledge Base

HEPATITIS

by Dr Vaid Ji on Sep 09, 2023

HEPATITIS

Hepatitis is a common terminology for liver inflammation, which can be caused by infectious or non-infectious causes. The viruses responsible for many cases of infectious hepatitis include hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. Hepatitis A, B, and E are the only hepatitis viruses whose vaccines are currently available. Vaccine-acquired immunity to hepatitis B is also recommended for immunization for hepatitis D, also known as delta hepatitis.

Hepatitis B virus (HBV) is a partially bi-standardized DNA virus of the hepadnavirus family. Hepatitis A virus (HAV) is a single-standardized RNA virus of the picornavirus family. Both viruses, although they are not structurally related to each other, are infected in liver cells and are primarily diploid.

SYMPTOMS

Symptoms of acute infection of hepatitis A are similar to symptoms of hepatitis B infections. The initial symptoms are headache, nausea, vomiting, abdominal pain, fever, rashes, pain and pain in the body, and dark urine. After this stage, jaundice (yellow-skin and eye-whitening), mild calcification, and liver pain may occur.

Spreading

Hepatitis B virus can be spread by coming into contact with infectious fluids (such as blood, saliva, and semen) of the body. It can be transmitted sexually, or by sharing equipment used in injections such as needles, sutures, in an infected mother's baby, contact with an infected person's open abscesses or sores, and razors with the infected person Or a toothbrush can spread by sharing. Although saliva may be the means of transmission in tooth-biting, kissing is not a major means of transmission of the virus.

The fecal-oral route is the main route of transmission of hepatitis A virus. It can spread through person-to-person contact or through the use of contaminated food or water. HAV is not considered a virus spread via saliva. It has been transmitted through contaminated blood transfusions in a very rare case.

 Both viruses are highly persistent and can be contagious for up to seven days on surfaces at room temperature, although in most cases this infection is not responsible for transmission.

TREATMENT AND CARE

There is no specific treatment for acute infection of hepatitis A and B. In particular, they are treated with supportive care such as rest, fluid management, and pain and fever.

COMPLICATIONS

Both hepatitis A and hepatitis B infections can have immediate, fatal consequences. Hepatitis occurs in about 1% of people with severe HBV infections, or severe liver failure. HAV infection also typically takes the form of hepatitis, a mildly exacerbated form of HBV. Up to 90% of patients with sudden hepatitis die.

About 95% of adults with acute HBV infection are healthy and not permanently infected, although in the acute stage they can infect another person through body emissions. Others may become permanently infected - and infect others over a long period of time (in some cases several years) - and are at risk of severe liver disease. For children, the situation is different: a newborn and a child infected with hepatitis B have a higher chance of permanent infection than an adult, and therefore the complications are severe and occur late.

Permanent infection of HBV can cause cirrhosis, liver damage, and liver cancer. HAV infection does not cause permanent infection or permanent liver disease.

Interferon therapy is given in the treatment of chronic HBV-infected patients, which reduces or removes the virus in some patients. Interferon blocks viral replication and increases the body's immunity to infected cells. Since interferon is an injectable drug and has some potential adverse effects, some patients are advised to discontinue or avoid late interferon treatment or take any of the many oral medications such as lamivudine, adefovir or antecavir. Is given. Treatment is always given and monitored by a clinician knowledgeable of viral hepatitis.

AVAILABLE VACCINES

Hepatitis B Vaccines

There are many hepatitis B vaccines available worldwide, including many combination vaccines. Some parents oppose immunizing their newborn with the vaccine, thinking they only spread through sexual contact or IV drug use. However, newborns and young children are at risk of hepatitis B infection: in addition to the prevalence of hepatitis B in a newborn, hepatitis B has been reported in children in school and daycare settings. The vaccine does not contain any living viruses and is also safe for people with low resistance.

Hepatitis A Vaccines

There are many hepatitis A vaccine drugs available. It can be used as a single vaccine or in combination with other vaccines. Inactive hepatitis A vaccines are widely used, while living debilitated hepatitis A vaccines are rarely used in countries.

Hepatitis E Vaccines

In 2011, a license was granted in China for the recombinant hepatitis E vaccine to be used in people between the ages of 16–65 years. It is recommended for those who are at risk of Hepatitis E infection.

Vaccination recommendations

The World Health Organization recommends that all newborns should be given one dose of the hepatitis B vaccine within 24 months of birth, followed by 2 or 3 additional doses in adolescence.

The World Health Organization recommends that hepatitis A vaccines should be included in national immunization programs in countries where hepatitis A infection rates are high and where behavior is cost-effective.

Inactivation of inactivated hepatitis A vaccine at 1 year of age is recommended, along with a booster shot after several months. People who have not had Hepatitis A and have never been vaccinated, and go to countries where Hepatitis A infection rates are high, may take Hepatitis A vaccine before travel. It is important to take the vaccine at least two weeks before the trip. One time the benefit of taking the vaccine continues for several months, but taking the second dose will provide long-term immunity.

HOW AYURVEDA HELPS?

In Ayurveda, Hepatitis is compared to Yakritshotha. For instance, eating hot, unwholesome food vitiates the digestive fire, which vitiates Rakta Dhatu and Kapha Dosha. The energy is blocked by the vitiated doshas, which encourages Yakrit shotha’s expansion.

Ayurvedic treatment focuses on root cause of the disease rather than only managing the symptoms. The herbal remedies helps to strengthen the liver and also built up immunity of the body to get rid of hepatitis virus.

HEPATITIS CARE KIT

The Chandigarh Ayurved Centre’s ” Hepatitis Care Kit” is purely herbal and Ayurvedic formulation. The medication have hepato-protective and anti-oxidant properties thus helps to manage Hepatitis. The kit contains :

  • Detox Premium Powder
  • Liver Care Syrup
  • Liver Care Tablet
  • Gokshura Capsules
  • Kutki Tablets


1. Detox Premium Powder –

This powder is a herbo-mineral preparation that contains moti pishti, shukta pishti, giloy satav, parwal pishti, akik pishti, jahar mohra pishti, gandhak rasayan, sutshekhar ras, sudhyog tablet, yavakshaar, shwet parpati, & tal sindoor. These all ingredients in combination reduce extra fats from the liver & deal with the symptoms associated with hepatitis.

Recommended Dosage: Take one sachet twice daily with normal water.

2. Liver care tablet –

The herbal ingredients used for the preparation of this tablet are Kalmegh (Andrographis paniculata), Kutaki(Picrorhiza kurroa), Bhumi amla( phyllanthus niruri), Giloy(Tinopora Cordifolia), Yavakshar( Hordeum vulgare), Imli Kshar( Tamarindus indica), Mukta Shukta pisti etc. That gives effective results in hepatitis. As these ingredients in combination remove extra fats from the liver, increases appetite, reduces abdominal pain & swelling.

Recommended Dosage: Take one tablets twice daily with normal water.

3. Liver care Syrup –

Liver Care syrup helps in balancing Pitta dosha. This Syrup enhances regeneration of liver cells, promote functions of liver, and improve blood flow from the liver. It helps in the treatment of fatty liver, Liver cirrhosis, Hepatitis, hepatomegaly, and obstructive Jaundice. Liver Care syrup contains Ingredients like Kalmegh (Andrographis paniculata), Kutaki(Picrorhiza kurroa), Bhumi amla( phyllanthus niruri), Giloy(Tinopora Cordifolia), Yavakshar( Hordeum vulgare), Imli Kshar( Tamarindus indica), Mukta Shukta pisti etc.

Recommended Dosagge: Take 2 teaspoonful twice daily.

4. Gokshura Capsules –

GOKSHURA CAPSULES are 100% natural and safe and is pure Ayurvedic formulation. Gokshura is the herb that helps in revitalizing and rejuvenating the body. Gokshura helps to balance all three Doshas. These capsules contains standardized extract of the herb Gokshura (Tribulus terrestris). Gokshura shows Anti-inflammatory, Antioxidant, Diuretic, Anti-arthritic, Anti-gout, Anti-hypertensive, Immune-modulator properties. This capsule is beneficial for improving Kidney functions, treats Urinary tract infections, urinary distension, urinary calculi, Polycystic kidney disease, Renal calculi, dysuria, difficulty in micturition, cystitis, maintain uric acid levels in the kidneys and thus prevents Gout.

Recommended Dosage: Take 1 capsule twice daily.

5. Kutki Capsules –

Kutki is an amazing herb of Ayurveda. It has a cooling action, used to treat bleeding disorders like nasal bleeds, menstrual problems, etc. Kutki capsules contains pure herbal extract of Kutki herb whose main function is to balance Vata and pitta doshas. It helps in the removal of harmful toxins from the body. Kutki capsules shows good results in the case of liver diseases, blood purification, and treats respiratory disorders. It maintains the overall digestive system and useful in various diseases like abdominal distension, ascites, constipation, etc.

Recommended Dosage: Take 2 capsules twice daily.