Hepatitis C in children - is prone to rapid progression
Hepatitis C in children often is the result of intrauterine infection or infection during childbirth from the sick mother.But the proportion of children infected in the same way as adults, blood transfusion, dental treatment and a variety of medical procedures using improperly treated equipment.
As the baby can be infected with hepatitis C
most often occurs perinatal (during pregnancy, childbirth and the first few days after birth) infection with hepatitis C from the child's sick mother.The possibility of intrauterine fetal infection with hepatitis C from the sick mother is small.The risk of fetal infection mostly large only when maternal blood abundantly present hepatitis C viruses (RNA HCV).If her blood virus is not present, there is no risk of infection.
But the mother's blood in the baby's blood get antibodies to hepatitis C virus can persist in the baby's blood to 1.5-2 years.Hepatitis C antibodies in newborns in the blood is not to say that the child is sick with hepatitis C, by contrast, the antibodies will protect the baby from infection.Examination of a child for hepatitis C Hepatitis C - "the tender murderer» should be carried out within six months after birth (detect the presence of viruses in the blood of hepatitis C - RNA HCV) and 1.5 years (a blood test for antibodies to the hepatitis C virusRNA and HCV).
risk of infection persists during childbirth - an infection from the mother's blood can get into the body of the child in violation of his skin or mucous membranes, such as during a difficult birth.
child may also become infected with hepatitis C through blood transfusions during surgery or any medical manipulation, dentistry and so on, in the caseif used properly processed instruments.As a teenager infected with hepatitis C can be in tattoo parlors, body piercing during installation.The source of infection are drug addicts who inject drugs often to use one syringe for a few people.
Symptoms of hepatitis C in children
Hepatitis C in children occurs in much the same way as in adults.That is, immediately after infection, it occurs in the acute form, and after a while the child or recovering, or disease becomes chronic.A feature of hepatitis C in children is a strong tendency to move into a chronic form of the disease, more severe and relatively rapid formation of liver cirrhosis with chronic liver failure.
Acute hepatitis Hepatitis - the scourge of our time C in children usually occurs with minimal symptoms.Above all, parents should alert symptoms such as fatigue, weakness, fatigue the child, his lack of appetite.This should be a cause for doctor visits and a full examination of the child.
But some children symptoms of acute hepatitis Acute hepatitis - always serious C have a more pronounced cyclical and during characteristic for all viral hepatitis.The disease begins approximately 6-7 weeks from possible contamination (for example, after the piercing).Characterized by the appearance of fever, general malaise, headaches, pains in muscles and joints.At the same time in the blood can detect elevated liver enzymes (this is a consequence of the destruction of infected cells of the liver).
After one to two weeks begins the second phase of the disease - icteric.The skin and sclera become jaundiced baby, itching, nausea, vomiting, and sometimes unstable chair.In the right hypochondrium felt pain or heaviness.The blood of the child at this time can be found elevated bilirubin.Jaundice period lasts one to two months, followed by a period of recovery, which can last several months and the child recovers or disease (usually) becomes chronic.
Chronic hepatitis C in children can also occur, but most often in childhood and adolescence, the disease has a wavy character with exacerbations and remissions and the same wave-like changes in laboratory parameters.The risk of developing cirrhosis of the liver at the same time is very large.
treatment of hepatitis C in children
Hepatitis C in children requires the use of antiviral drugs.Unfortunately, not all antiviral drugs suitable for the treatment of children and some of them have significant side effects.
drugs of choice in the treatment of hepatitis C in children are interferons.In particular, for the treatment of children after three years of such a drug is recommended as Roferon A. As a second antiviral drug in children over the age of 7 years can be applied drug rimantadine, which has antiviral activity against RNA viruses, suppressing their reproduction.
of an integrated treatment of hepatitis C must include drugs that have beneficial effects on the liver cells - hepatoprotectors.The drug of choice in the treatment of hepatitis C Treatment of hepatitis C - not an easy task in children is ursodeoxycholic acid (ursosan).
Hepatitis C in children requires timely detection and treatment.