{"id":8748,"date":"2015-05-28T14:52:56","date_gmt":"2015-05-28T12:52:56","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=8748"},"modified":"2024-06-01T12:05:05","modified_gmt":"2024-06-01T10:05:05","slug":"hepatitis-cronica-per-virus-hepatitis-b","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-cronica-per-virus-hepatitis-b\/","title":{"rendered":"Hepatitis Cr\u00f2nica per Virus Hepatitis B"},"content":{"rendered":"

Qu\u00e8 \u00e9s l’Hepatitis B?<\/h2>\n

La infecci\u00f3 pel virus de l’hepatitis B \u00e9s una malaltia que pot cursar com una infecci\u00f3 viral no complicada que dura unes setmanes o comportar a una infecci\u00f3 cr\u00f2nica. Les formes de transmissi\u00f3 s\u00f3n variades: I) contagi en el moment del part de mares infectades, II) transmissi\u00f3 a trav\u00e9s de sang, semen o altres fluids corporals a trav\u00e9s del contacte sexual o al compartir agulles, xeringues amb una persona infectada.<\/p>\n

Quins s\u00edmptomes presenta?<\/h2>\n

L’espectre de s\u00edmptomes varia de si \u00e9s una infecci\u00f3 aguda (\u00e9s a dir, recent) o cr\u00f2nica. En la infecci\u00f3 recent dels pacients poden presentar s\u00edmptomes com ara mal estat general, n\u00e0usees, v\u00f2mits, febre, coloraci\u00f3 groguenca de la part blanca dels ulls que pot persistir durant unes setmanes. La infecci\u00f3 recent pot ser transit\u00f2ria o pot evolucionar a una fase cr\u00f2nica. En la fase cr\u00f2nica dels pacients poden passar d’estar asimptom\u00e0tics fins a presentar s\u00edmptomes d’una malaltia m\u00e9s avan\u00e7ada com podria ser debilitat general, coloraci\u00f3 groguenca i persistent d’ulls i pell, p\u00e8rdua de pes, pres\u00e8ncia de l\u00edquid abdominal (ascites) o hemorr\u00e0gia digestiva per ruptura de varius a l’es\u00f2fag.<\/p>\n

Com es diagnostica?<\/h2>\n

El seu metge li indicar\u00e0 realitzar el diagn\u00f2stic de la infecci\u00f3 aguda o cr\u00f2nica de la infecci\u00f3 per VHB a trav\u00e9s d’una an\u00e0lisi de sang on es demanaran diversos anticossos i, en cas necessari, quantificaci\u00f3 de la quantitat de virus en s\u00e8rum.<\/p>\n

Quin \u00e9s el pron\u00f2stic i tractament?<\/h2>\n

La progressi\u00f3 d’hepatitis aguda a hepatitis cr\u00f2nica pel VHB dep\u00e8n de l’edat en el moment de la infecci\u00f3.
\nLa probabilitat que la infecci\u00f3 es torni cr\u00f2nica \u00e9s del 90% en el cas de les infeccions en el moment del part i d’un 5% si la infecci\u00f3 va oc\u00f3rrer en l’edat adulta.
\nEl tractament dep\u00e8n d’una s\u00e8rie de factors, com ara l’edat, les alteracions de la funci\u00f3 hep\u00e0tica objectivades en an\u00e0lisi de sang i el grau d’afectaci\u00f3 hep\u00e0tica valorat mitjan\u00e7ant proves no invasives com la elastografia de transici\u00f3 hep\u00e0tica (FibroScan CAP \u00ae<\/a>) o mitjan\u00e7ant bi\u00f2psia hep\u00e0tica.<\/p>\n

En general, les hepatitis agudes, requereixen valoraci\u00f3 i seguiment m\u00e8dic especialitzat per al diagn\u00f2stic i control estret de l’evoluci\u00f3 per evitar complicacions. Depenent de diversos factors com (l’edat, el grau d’activitat inflamat\u00f2ria, la c\u00e0rrega viral) el seu metge li indicar\u00e0 si necessita tractament.<\/p>\n

El tractament de l’hepatitis B cr\u00f2nica es realitza amb medicaci\u00f3 antiviral oral per controlar la malaltia i aturar o evitar la progressi\u00f3 a un dany avan\u00e7at del fetge. En casos seleccionats es poden utilitzar tractaments amb Interfer\u00f3. El tractament antiviral actual \u00e9s molt efectiu per aconseguir el control de la malaltia, per\u00f2 el temps de tractament s’indica de forma personalitzada per a cada pacient.<\/p>\n","protected":false},"excerpt":{"rendered":"

Qu\u00e8 \u00e9s l’Hepatitis B? La infecci\u00f3 pel virus de l’hepatitis B \u00e9s una malaltia que pot cursar com una infecci\u00f3 viral no complicada que dura unes setmanes o comportar a una infecci\u00f3 cr\u00f2nica. Les formes […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":7391,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8748","page","type-page","status-publish"],"yoast_head":"\nHepatitis Cr\u00f2nica per Virus Hepatitis B - Servidigest<\/title>\n<meta name=\"description\" content=\"La infecci\u00f3 pel virus de l'hepatitis B \u00e9s una malaltia que pot cursar com una infecci\u00f3 viral no complicada que dura unes setmanes o comportar a una infecci\u00f3 cr\u00f2nica. Les formes de transmissi\u00f3 s\u00f3n variades: I) contagi en el moment del part de mares infectades, II) transmissi\u00f3 a trav\u00e9s de sang, semen o altres fluids corporals a trav\u00e9s del contacte sexual o al compartir agulles, xeringues amb una persona infectada.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/hepatologia\/hepatitis-cronica-per-virus-hepatitis-b\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hepatitis Cr\u00f2nica per Virus Hepatitis B - Servidigest\" \/>\n<meta property=\"og:description\" content=\"La infecci\u00f3 pel virus de l'hepatitis B \u00e9s una malaltia que pot cursar com una infecci\u00f3 viral no complicada que dura unes setmanes o comportar a una infecci\u00f3 cr\u00f2nica. 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