What to do if hepatitis has high jaundice?
Elevated jaundice is a common clinical symptom in patients with hepatitis and usually indicates impaired liver function or impaired bile excretion. In response to this health problem, this article will provide you with structured solutions and practical suggestions based on the hot health topics on the Internet in the past 10 days.
1. Analysis of the main causes of increased jaundice
| Type | Proportion | Typical symptoms |
|---|---|---|
| viral hepatitis | 45% | Yellow stain of skin and sclera, fatigue, loss of appetite |
| drug-induced liver injury | 25% | Jaundice accompanied by rash and fever |
| bile duct obstruction | 18% | Clay-colored stool and itchy skin |
| other reasons | 12% | Need further inspection and confirmation |
2. Commonly used clinical examination items
| Check items | Reference value | meaning |
|---|---|---|
| Total bilirubin (TBIL) | 3.4-20.5μmol/L | Assess the degree of jaundice |
| Direct bilirubin (DBIL) | 0-6.8μmol/L | Differentiating obstructive jaundice |
| ALT/AST | 7-40U/L | Assessing liver cell damage |
| ALP | 40-150U/L | reflects cholestasis |
3. Targeted treatment plan
1.Cause treatment: Viral hepatitis requires antiviral treatment; drug-induced liver injury requires immediate discontinuation of suspected drugs; biliary obstruction may require endoscopic or surgical treatment.
2.Liver protection and anti-jaundice treatment: Commonly used drugs include:
| drug type | Representative medicine | Course of treatment |
|---|---|---|
| Glycyrrhizic acid preparations | Diammonium glycyrrhizinate | 2-4 weeks |
| Antioxidants | Silymarin | 4-8 weeks |
| choleretic drugs | Ursodeoxycholic acid | long term use |
3.supportive care: Including bed rest, vitamin supplementation, maintaining water and electrolyte balance, etc.
4. Dietary conditioning suggestions
1.suitable food: Fresh fruits and vegetables, high-quality protein (such as fish, egg white), whole grains, etc.
2.taboo foods: High-fat, high-sugar, spicy, pickled foods and alcoholic beverages.
3.Nutritional supplements: Supplement appropriate amount of B vitamins and vitamin C.
| Nutrients | Recommended daily amount | food source |
|---|---|---|
| protein | 1.2-1.5g/kg | Fish, tofu, chicken breast |
| Vitamin B1 | 1.2-1.5mg | Whole grains, nuts |
| Vitamin C | 100-200mg | Citrus, kiwi |
5. Key points of life management
1. Ensure adequate sleep and avoid staying up late and overexertion.
2. Carry out light aerobic exercise appropriately, such as walking, Tai Chi, etc.
3. Maintain an optimistic attitude and avoid mood swings.
4. Regularly review liver function indicators and monitor changes in the condition.
6. Precautions
1. Seek medical attention immediately if jaundice continues to worsen or is accompanied by the following symptoms: change in consciousness, persistent high fever, severe abdominal pain.
2. Do not take "hepatoprotective drugs" or "recipes" of unknown ingredients by yourself.
3. Avoid using drugs that may damage the liver during treatment.
4. Hepatitis B patients should inform their close contacts to undergo screening and vaccination.
Through the above comprehensive management measures, the jaundice symptoms of most hepatitis patients can be effectively controlled. However, it needs to be emphasized that individual situations are different, and specific treatment plans should be formulated under the guidance of professional doctors.
check the details
check the details
en
