Kazakh – Russian Medical University BOTKIN'S DISEASE DONE BY: AIBEK BAZILOV, 206 A CHECKED BY: ABDYKADYROVA. G. I ALMATY 2017
Plan 1. Botkin's disease 2. Causes 3. Symptoms of Botkin's Disease 4. Diagnostics 5. Treatment of Botkin's Disease
Botkin's disease Hepatitis A (Botkin's disease) is called a viral liver injury that occurs as a result of violation of personal hygiene rules, the use of food contaminated with viruses or water. This infection belongs to the category of "diseases of dirty hands". The most common in hot countries. Botkin's disease is widespread in countries of Asia and Africa, including traditionally tourist states - Tunisia, Egypt, Turkey, India. Most often, children are ill before 5 -6 years, many suffer an easy form of hepatitis. Outbreaks are frequent in children's groups, after the illness, lifelong immunity remains
Causes Botkin's disease causes a virus that is transmitted through water, food and dirty hands. When viruses enter the intestine, they are absorbed and through the blood enter the liver. The development of infection occurs in the liver cells, damaging them and causing the main symptoms of the disease. The inflammatory process has an immune mechanism, the body recognizes damaged cells and destroys them. Who is at risk of getting sick? The risk of getting Botkin's disease is high when: Close contacts with patients, violation of hygiene rules; At kisses, sexual contacts; When traveling abroad to countries with a high incidence rate; When using drugs.
Symptoms of Botkin's Disease Botkin's disease proceeds in stages, the incubation period from the moment of infection lasts from 15 to 50 days. At the end of it comes the stage of prodromal phenomena (ie, general symptoms) - there are symptoms of general intoxication of the body: fever; nausea and vomiting; Impaired appetite; heaviness in the stomach; Pain in the right side; Weakness, sleep disturbances.
At the height of Botkin's illness, there are: Foamy and dark urine; Jaundice, manifested on the skin, mucous membranes and eyes; Discoloration of the stool. Against the background of jaundice, the overall well-being of the patient improves. The yellowness lasts about a month, gradually decreasing in intensity. Depending on the age and the state of immunity, the disease lasts from 30 to 40 days, in weakened patients it can go into a chronic form lasting up to six months. Most cases of Botkin's disease lead to complete recovery, without the formation of any consequences.
Diagnostics The diagnosis is made by an infectious disease doctor. For the diagnosis is important to indicate contact with the carrier of Botkin disease or stay in countries that are dangerous for infection. A detailed examination with the determination of the size of the liver and spleen is required, and a number of analyzes are performed. Required: General analysis of blood and urine; A blood test for bilirubin and liver enzymes (hepatic assays); blood chemistry; Blood for antibodies to hepatitis; Blood for clotting. Criterion of acute form of Botkin's disease is the detection of antibodies of class M in the blood, in case of chronic course or immunity, antibodies of class G appear.
Treatment of Botkin's Disease Due to the active work of the immune system to combat viruses, recovery occurs even without treatment. The application of therapy methods is aimed at alleviating the condition and removing symptoms of intoxication. Held: For a period of acute period "hepatic" diet (table number 5); Creation of rest, isolation of the patient; Removal of intoxication by administration of solutions of glucose and sodium chloride; The introduction of vitamins to maintain immunity and liver function; The introduction of drugs that protect liver cells from destruction.
Questions In which countries Botkin's disease is more common? How the botkin virus is caused? The first symptoms of Botkin's disease? What doctor is involved in the treatment of Botkin Disease?
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