When suffering from hepatitis C, you must pay attention to the correct method in treatment. We all know that hepatitis C is divided into acute and chronic, so we must also pay attention to the choice of treatment method, especially now in treatment, antiviral treatment is the key. (1) Acute hepatitis C: There is clear evidence that interferon treatment can reduce the chronicity rate of acute hepatitis C. It can be started 8-12 weeks after the onset of acute hepatitis caused by HCV infection, and the course of treatment is 12-24 weeks. The optimal treatment regimen has not yet been definitively determined, but early treatment is more effective for patients with genotype 1 and high viral load (>800,000 logIU/ml). (2) Chronic hepatitis C: The severity of the patient's liver disease should be assessed before treatment. Patients with recurrent abnormal liver function or obvious inflammatory necrosis (G ≥ 2) or moderate or above fibrosis (S ≥ 2) in liver biopsy are prone to progression to cirrhosis and should be given antiviral treatment. (3) Hepatitis C cirrhosis: ① For patients with compensated cirrhosis (Child-Pugh A grade), although the tolerance and effect of treatment are reduced, it is recommended to give antiviral treatment under close observation in order to stabilize the condition and delay or prevent the occurrence of complications such as liver failure and HCC. ② Patients with decompensated cirrhosis: Most of them find it difficult to tolerate the adverse reactions of IFNα treatment, and those who are able should undergo liver transplantation. |
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