Respond Tatyana Stepanova, a gastroenterologist, hepatologist you want to take a blood test for hepatitis C virus genotype and the amount of HCV RNA in the blood. Depending on the results of tests addressed the question of the treatment regimen. Similar question: ... again elevated bilirubin (total rate of 21.4 to 17.1, direct rule 5.2 to 7.9). Ultrasonography of the abdomen: the liver is not increased, pechechnochnye veins were not enlarged, reduced echogenicity, the contours are smooth, clear, vessel ...
Tuesday, July 5, 2011
My mother, a wife and two eldest children ELISA markers of viral GEO-in for hepatitis B, C, D, showed neg .. In the younger 9-month-old son, I did not take the tests as a mother hepatitis was not found. Have I done? I myself have passed the tests in the two clinics. The first clinic tests for ELISA and PCR identified the hepatitis B and C: anti-HCV (core, NS4, NS5) - positive (1.446 sample, the critical 0.274), total - negative (probes 0.100, the critical 0,270); HBsAg - positive (sample 2.932, the critical 0.101), anti-HBcAg total - positive (samples of 0.082, the critical 0.741), anti-HBcAg IgM - negative (probes 0.047, the critical 0.251), anti-HBcAg IgG - positive (samples of 0.905, the critical 0.362), anti- HBeAg IgG - positive (samples of 1.134, the critical 0.249), anti-HCV total - in the (sample 0.514, the critical 0.250), ALT (17 results), AST (the result of 14). Ultrasonography of the abdomen: the liver - is not increased, the contour is flat, echostructure not homogeneous, dual echoes, ehoplotnost uniform, the intrahepatic ducts are not dilated, portal Vienna 0.8 cm gall bladder - deformed in body and neck dimensions 6.1 * 2.5 cm, 0.3 cm wall, clearance - inspissated bile, choledochal 0.2 cm; the pancreas - is not increased, echostructure heterogeneous (individual echoes) ehoplotnost uniform, Virsungov duct not expanded; spleen - not increased, echostructure homogeneous , ehoplotnost uniform, the area is normal, the kidney - found in a typical location, the path is not smooth, the right kidney measuring 9.2 * 5.5 cm, 1.5 cm parenchyma (retained), CHLS 2.2 cm (deformed), the left bud size 9.7 * 5.2 cm, 1.6 cm parenchyma (retained), CHLS 2.0 cm (deformed); adrenals - not uvelichiny; CHLS in both kidneys ehoplotnye include up to 0.3 cm without an acoustic shadow of the cup gipotonichnye , the expansion of individual cups to 1,3 cm In the second clinic: ACT - 0,10, ALT - 0,12, total bilirubin 8.2, the ELISA markers of viral hepatitis: hepatitis B (HBsAg - positive OLkv = 0.130, OLskv> 3.00; anti-HBc IgM - negative, Hbe Ag - negative, anti-Hbe - positive), hepatitis C (anti-HCV IgG - yes, OLkv = 0.302, OLskv = 0.758). In the sample of detected RNA of hepatitis C hepatitis B DNA in the sample were detected. Ultrasound - the same as that in the first, only showed an increase of 1-1,5 cm Dear doctor, I would like to know how many critical my situation and whether there is a chance of cure. What medications and what treatment should I do? Doctors recommend drug "Pegasys" but for me it's expensive. Are there alternatives to this drug, cheaper? What is the likelihood of a cure? And is it worth if my analysis is applied antiviral drugs, ie agitate the virus? I am 38 years old. Yours sincerely Sabirov Mahmoud.
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