Traditional treatment for hepatitis B includes the use of antiviral drugs and detoxification measures. Their main goals are to suppress the synthesis of viral DNA, stop the disease or slow down its progression, achieve regression of pathological changes in the affected organ, and prevent the development of cirrhosis or liver cancer.
Treatment of acute hepatitis B
For the treatment of the acute form of the disease, medications are usually not used. At home, a number of activities are carried out, the purpose of which is to reduce the symptoms of pathology and prevent the spread of the virus. To do this, the patient needs to reduce physical activity and avoid heavy exertion until complete recovery.
Self-healing measures include drinking plenty of fluids. This is extremely necessary for the full implementation of detoxification therapy, removal of toxins from the body, and prevention of dehydration.
Patients with hepatitis B are prohibited from drinking and smoking. Nutrition should be adequate, high in calories and in line with the therapeutic diet. It is not recommended to use medicines without a doctor's prescription, since most of them negatively affect the condition of the liver, which can lead to a fulminant worsening of the disease. If, during self-treatment of hepatitis B at home, new, unusual symptoms appear, you should immediately stop it and consult a doctor.
Drug therapy for acute hepatitis B begins if an antigen is detected in the patient's blood twelve weeks after the start of home treatment and an increased level of enzymes produced by the liver, as well as when the DNA of the hepatitis B virus is detected.
Chronic hepatitis B treatment
Treatment for chronic hepatitis B infection consists of regular monitoring of the patient's health and the use of antiviral drugs that can prevent liver damage. If the disease is detected at the stage of significant organ damage, then they proceed to surgical treatment - liver transplantation.
Detoxification therapy is the basis of the traditional treatment of chronic hepatitis B and consists in the accelerated elimination of toxins from the patient's body, replenishment of lost fluid with diarrhea and vomiting by intravenous administration of certain medicinal solutions. These include 0.9% sodium chloride solution, 5% glucose solution, Ringer's solution.
For the same purpose, drugs are prescribed that lower the intestinal absorption function. Absorption into the blood of a large amount of toxins formed in the intestines is extremely dangerous for the patient's body, since his liver at this time does not work very efficiently. Activated carbon cleanses the intestines well, preventing harmful substances from being absorbed into the blood.
Antiviral therapy is an etiotropic treatment. There are two main groups of modern antiviral drugs: alpha interferons and nucleoside analogues. Patients are prescribed alpha-interferon at a dose of 5 million units daily for 6 months. Also, patients are prescribed drugs containing synthetic analogues of nucleosides - nucleic acid enzymes. These drugs include Lamivudine, Adefovir, and Tenofovir. Lamivudine is prescribed at a dose of 100 g / day. Other antiviral drugs are rarely used because of their limited effectiveness and high cost.
Symptomatic treatment is to relieve itching, which occurs in almost all people with hepatitis. To do this, use medicines sold without a doctor's prescription - Benadryl or Chloro-trimenol.B vitamins, ascorbic, folic and nicotinic acids will help improve metabolic processes in the liver and strengthen immunity.