{"id":281963,"date":"2018-07-26T23:31:29","date_gmt":"2018-07-26T20:31:29","guid":{"rendered":"http:\/\/www.monitoruldedorna.ro\/?p=281963"},"modified":"2018-07-26T23:31:29","modified_gmt":"2018-07-26T20:31:29","slug":"interviu-dr-iuliana-galeanu-de-la-dorna-medical-despre-virusurile-hepatice-b-si-c","status":"publish","type":"post","link":"https:\/\/www.monitoruldedorna.ro\/?p=281963","title":{"rendered":"INTERVIU. Dr. Iuliana Galeanu, de la Dorna Medical, despre virusurile hepatice B \u0219i C"},"content":{"rendered":"<div class=\"qhblp6aa61373c34f7\" ><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-9832460043734316\"\n     crossorigin=\"anonymous\"><\/script>\n<!-- MDD - \u00eenceput de articol -->\n<ins class=\"adsbygoogle\"\n     style=\"display:block\"\n     data-ad-client=\"ca-pub-9832460043734316\"\n     data-ad-slot=\"2844073262\"\n     data-ad-format=\"auto\"\n     data-full-width-responsive=\"true\"><\/ins>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/div><style type=\"text\/css\">\r\n@media screen and (min-width: 1201px) {\r\n.qhblp6aa61373c34f7 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 993px) and (max-width: 1200px) {\r\n.qhblp6aa61373c34f7 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 769px) and (max-width: 992px) {\r\n.qhblp6aa61373c34f7 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 768px) and (max-width: 768px) {\r\n.qhblp6aa61373c34f7 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (max-width: 767px) {\r\n.qhblp6aa61373c34f7 {\r\ndisplay: block;\r\n}\r\n}\r\n<\/style>\r\n<p>Av\u00e2nd \u00een vedere c\u0103 Ziua Mondial\u0103 de Lupt\u0103 \u00cempotriva Hepatitei este marcat\u0103 \u00een toat\u0103 lumea pe data de 28 iulie, vineri, pe 27 iulie, \u00een toate laboratoarele Dorna Medical se vor efectua teste pentru virusurile hepatice B \u0219i C la un pre\u021b promo\u021bional de 60 de lei (ambele), \u00een loc de 80 de lei. \u00cen cadrul acestei campanii am vorbit cu mai mul\u021bi speciali\u0219ti despre hepatit\u0103, importan\u021ba test\u0103rii, \u021binerea sub control a bolii \u0219i nu numai. \u00cencepem cu un interviu acordat de doctorul gastroenterolog Iuliana G\u0103leanu, de la Dorna Medical.<\/p>\n<p><strong>De ce este important s\u0103 ne test\u0103m pentru virusurile hepatice B \u0219i C?<\/strong><\/p>\n<p>Este foarte important s\u0103 ne test\u0103m \u00een ideea de a preveni complica\u021biile pe care aceste virusuri le au asupra ficatului, \u00een special. Este vorba de cirozele hepatice \u0219i cancerul hepatic care ne afecteaz\u0103 calitatea \u0219i durata vie\u021bii.<\/p>\n<p><strong>Care sunt simptomele hepatitei care ar trebui s\u0103 ne alarmeze ca pacien\u021bi?<\/strong><\/p>\n<p>\u00cen primul r\u00e2nd, \u00een hepatitele cronice simptome nu prea exist\u0103 \u00een afara unui sindrom asteno-dinamic, a unei oboseli cronice care, \u00een general, \u00een propor\u021bie de 80-90%, nici nu este b\u0103gat\u0103 \u00een seam\u0103 de c\u0103tre pacien\u021bi \u0219i este pus\u0103 pe seama altor probleme. \u00cen linii mari, cele mai importante simptome \u00eentr-o hepatit\u0103 cronic\u0103 sunt manifest\u0103rile de epistaxis (hemoragie nazal\u0103), gingivoragii, dureri sau indispozi\u021bii \u00een hipocondrul drept \u0219i balon\u0103ri abdominale. Nu sunt semne specifice \u00een general, sunt semne nespecifice, de aceea e bine s\u0103 facem teste de rutin\u0103.<\/p>\n<p><strong>Ce \u00eenseamn\u0103 aceast\u0103 rutin\u0103, c\u00e2t de frecvent ar fi indicat s\u0103 ne test\u0103m astfel \u00eenc\u00e2t s\u0103 fim lini\u0219ti\u021bi c\u0103 s\u0103n\u0103tatea noastr\u0103 nu e \u00een niciun pericol?<\/strong><\/p>\n<p>Depinde, \u00een primul r\u00e2nd, de mediul \u00een care lucr\u0103m \u0219i \u00een care tr\u0103im. Dac\u0103 \u0219tim c\u0103 avem o rud\u0103 apropiat\u0103, dac\u0103 avem \u00een familie pe cineva infectat cu hepatita B sau C, este bine s\u0103 ne test\u0103m anual. La fel dac\u0103 facem parte din personalul medical \u0219i lu\u0103m contact cu foarte mul\u021bi bolnavi cu aceste afec\u021biuni este la fel de important s\u0103 ne facem testele m\u0103car o dat\u0103 pe an. Cei din categoria popula\u021bional\u0103 general\u0103 ar fi bine s\u0103 se testeze m\u0103car o dat\u0103 \u00een via\u021b\u0103, dar dac\u0103, de exemplu, au reperat la analize un sindrom de hepatocitoliz\u0103 \u00eent\u00e2mpl\u0103tor crescut, este bine s\u0103 fac\u0103 sau s\u0103 refac\u0103 testarea ori de c\u00e2te ori este necesar.<\/p>\n<p><strong>Care este tipul de hepatit\u0103 care se transmite de la gravid\u0103 la f\u0103t sau toate tipurile de hepatit\u0103 se transmit?<\/strong><\/p>\n<p>\u00cen general, exist\u0103 acest risc de transmitere vertical, este mai pregnant pentru virusul B \u0219i \u00een special dac\u0103 virusul B este \u00eentr-o faz\u0103 de replicativitate \u00eenalt\u0103, adic\u0103 dac\u0103 are acel antigen HBe pozitiv \u0219i dac\u0103 viremia (prezen\u021ba AND-VHB \u00een s\u00e2nge) este crescut\u0103. Acolo riscul ajunge chiar \u0219i la 90% de transmitere vertical\u0103. Dac\u0103 femeia gravid\u0103 este infectat\u0103 \u0219i este \u00een stare de purt\u0103tor cronic inactiv, riscul transmiterii este mult mai mic, ajunge chiar \u0219i la 10%, dar, \u00een orice caz, pentru noi este bine s\u0103 cunoa\u0219tem dac\u0103 mama este purt\u0103toare sau cu hepatit\u0103 inactiv\u0103 sau, dimpotriv\u0103, este cu hepatit\u0103 cronic\u0103 activ\u0103, pentru a preveni transmiterea c\u0103tre copil.<\/p>\n<p>Aceasta se poate face prin dou\u0103 metode de profilaxie: activ\u0103 \u0219i pasiv\u0103. E vorba de vaccinarea imediat\u0103, postpartum, a copilului, conform schemei de vaccinare pe care oricum fiecare nou-n\u0103scut o face \u00een Rom\u00e2nia, dar \u00een plus, administrarea de imunoglobulin\u0103 specific\u0103 imediat dup\u0103 na\u0219tere, la copil. La virusul C, transmiterea vertical\u0103 este mic\u0103, undeva \u00eentre 3-5%, dar exist\u0103.<\/p>\n<p><strong>Situa\u021bie ipotetic\u0103: am aflat c\u0103 suntem purt\u0103tori de-ai unor virusuri hepatice. Care sunt primele m\u0103suri pe care ar trebui s\u0103 le lu\u0103m?<\/strong><\/p>\n<p>Prima m\u0103sur\u0103 pe care ar trebui s\u0103 o lu\u0103m este adresarea c\u0103tre medic, \u00een special c\u0103tre cel specialist. E bine \u0219i la medicul de familie \u00eentr-o prim\u0103 etap\u0103, pacientul va fi \u00eendrumat ulterior c\u0103tre specialist. Pentru c\u0103 sunt foarte multe fa\u021bete ale infec\u021biei, de multe ori \u0219i infec\u021bii oculte. C\u00e2nd vorbim de hepatita B (e vorba de acea form\u0103 care nu apare la o testare uzual\u0103), medicul specialist este cel mai \u00een m\u0103sur\u0103 s\u0103 completeze bilan\u021bul investiga\u021bional complet pentru c\u0103 la o testare uzual\u0103 facem doi markeri \u0219i at\u00e2t.<\/p>\n<p>Specialistul va observa ce fel de infec\u021bie este, una veche, una acut\u0103, cu viremie detectabil\u0103 sau nedetectabil\u0103, dac\u0103 din punct de vedere imagistic ficatul acela arat\u0103 ca un ficat s\u0103n\u0103tos, normal sau deja are ni\u0219te noduli de regenerare sau are un nodul suspect \u00een ideea unui hepatocarcinom, c\u0103ci \u00een func\u021bie de toate aceste nuan\u021be, terapia este direc\u021bionat\u0103 diferit.<\/p>\n<p><strong>\u00cen laboratoarele \u0219i \u00een Policlinica Dorna Medical avem aparatur\u0103 \u00eendeajuns de performant\u0103 pentru depistarea \u0219i \u021binerea sub control a unor forme de hepatit\u0103?<\/strong><\/p><div class=\"rvymx6aa61373c351c\" ><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-9832460043734316\"\n     crossorigin=\"anonymous\"><\/script>\n<!-- MDD 2024 - mijloc de articol -->\n<ins class=\"adsbygoogle\"\n     style=\"display:block\"\n     data-ad-client=\"ca-pub-9832460043734316\"\n     data-ad-slot=\"8739902356\"\n     data-ad-format=\"auto\"\n     data-full-width-responsive=\"true\"><\/ins>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/div><style type=\"text\/css\">\r\n@media screen and (min-width: 1201px) {\r\n.rvymx6aa61373c351c {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 993px) and (max-width: 1200px) {\r\n.rvymx6aa61373c351c {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 769px) and (max-width: 992px) {\r\n.rvymx6aa61373c351c {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 768px) and (max-width: 768px) {\r\n.rvymx6aa61373c351c {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (max-width: 767px) {\r\n.rvymx6aa61373c351c {\r\ndisplay: block;\r\n}\r\n}\r\n<\/style>\r\n\n<p>Pentru depistare, \u00een mod cert, sunt Laboratoarele Dorna Medical. \u00cen ceea ce prive\u0219te aprofundarea diagnosticului pacientului avem la dispozi\u021bie metodele imagistice, pornind de la ecografie, care este extensia clinic\u0103 a medicului specialist, precum \u0219i alte metode imagistice de a evalua ficatul, este vorba de computer tomograf (CT) \u0219i rezonan\u021b\u0103 magnetic\u0103 nuclear\u0103 (RMN).<\/p>\n<p>Pentru investigarea cirozei, pe l\u00e2ng\u0103 analizele de laborator care ne arat\u0103 insuficien\u021ba parenchimatoas\u0103 hepatic\u0103, avem la dispozi\u021bie \u0219i endoscopia digestiv\u0103 superioar\u0103 care, practic, pune \u00een eviden\u021b\u0103 stadiul portal al bolii, varicele esofagiene \u0219i gastrice. \u0218i, bine\u00een\u021beles, legat de etiologia lor (cauze), laboratorul este cel care ne vine \u00een ajutor.<\/p>\n<p><strong>Exist\u0103 anumite categorii sociale\/profesionale predispuse la virusuri hepatice?<\/strong><\/p>\n<p>Cu siguran\u021b\u0103, da. \u00cen primul r\u00e2nd, personalul medical, dar \u00een zilele actuale, ne lu\u0103m, ca medici, toate m\u0103surile necesare, de asepsie \u0219i antisepsie (sterilizare, lipsa oric\u0103rui germen patogen care ar putea produce infec\u0163ii) \u0219i \u021binem foarte mult cont de igienizarea spa\u021biului, a suprafe\u021belor \u0219i a m\u00e2inilor, tot ce \u00eenseamn\u0103 mediu \u00een care convie\u021buim \u0219i lucr\u0103m cu pacientul.<\/p>\n<p>\u0218i persoanele care activeaz\u0103 \u00een industria de \u00eenfrumuse\u021bare, hairstyling, manichiur\u0103, pedichiur\u0103, tatuaje, pentru c\u0103 nu \u0219tiu care este rigurozitatea controalelor de la SANEPID. Toate, teoretic, ar presupune s\u0103 aib\u0103 un autoclav, acel dispozitiv folosit pentru a steriliza echipamente \u0219i consumabile, pentru trusele pe care le folosesc, dar nu \u0219tiu c\u00e2t de corect sunt utilizate, dac\u0103 se respect\u0103 temperatura \u0219i timpii de sterilizare care pot distruge virusul de pe instrumentar. De exemplu, virusul C nu se distruge prin fierbere timp de zece minute, la fel cum alte virusuri, de exemplu, HIV, se distrug u\u0219or prin aceast\u0103 procedur\u0103.<\/p>\n<p>\u0218i, desigur, sunt acele categorii sociale care tr\u0103iesc \u00een promiscuitate, care practic se drogheaz\u0103 sau se autoinjecteaz\u0103 cu ace comune, se tatueaz\u0103 \u00een grup, din p\u0103cate sunt situa\u021bii reale pe care \u0219i eu le-am avut prezente \u00een cabinet, dar din p\u0103cate, cele mai multe cazuri de infec\u021bie provin tot de acum 20-30 de ani, de la acele transfuzii de s\u00e2nge incomplet verificate sau verificate, dar persoana donatoare a fost \u00een \u201efereastr\u0103 imunologic\u0103\u201d (adic\u0103 \u00eenc\u0103 nu a exprimat anticorpii specifici virusului hepatitic C).<\/p>\n<p>De la momentul infec\u021biei trece o perioad\u0103, a\u0219a-zisa \u201efereastr\u0103 imunologic\u0103\u201d, de p\u00e2n\u0103 la 12 s\u0103pt\u0103m\u00e2ni, p\u00e2n\u0103 apar anticorpii specifici virusului hepatic C \u00een s\u00e2nge \u0219i un laborator, oric\u00e2t de bun ar fi, nu poate s\u0103 \u00eei detecteze. Tocmai de aceea este bine s\u0103 mergem la medic la orice simptom, la orice \u00eengrijorare, la orice modificare de analiz\u0103, de prob\u0103 hepatic\u0103 depistat\u0103 serologic \u0219i, p\u00e2n\u0103 la urm\u0103, de c\u00e2te ori nu ne sim\u021bim bine. Nu trebuie s\u0103 fie ceva grav pentru a ne face un control de rutin\u0103.<\/p>\n<p><strong>Probabil este un stigmat al pacien\u021bilor care atunci c\u00e2nd afl\u0103 c\u0103 sufer\u0103 de o afec\u021biune intr\u0103 \u00eentr-o faz\u0103 de \u00eengrijorare acut\u0103 care degenereaz\u0103 \u00een disperare. Care este mesajul dumneavoastr\u0103, ca medic specialist, pentru bolnavii de hepatit\u0103?<\/strong><\/p>\n<p>At\u00e2t timp c\u00e2t depist\u0103m boala \u00eentr-o faz\u0103 precoce, aproape orice poate fi tratat, chiar dac\u0103 surprindem \u0219i un nodul suspect, mai ales dac\u0103 este la dimensiuni mici. Am pacien\u021bi care au fost depista\u021bi de timpuriu cu hepatocarcinoame incipiente care dup\u0103 8-10 ani sunt \u00eenc\u0103 \u00een urm\u0103rire \u0219i sunt foarte bine. Ideea este ca pacien\u021bii s\u0103 se monitorizeze \u0219i s\u0103 vin\u0103 la controale, s\u0103 respecte indica\u021biile medicului \u0219i atunci avem o oarecare garan\u021bie c\u0103 lucrurile decurg bine, cu condi\u021bia s\u0103 nu se adauge peste aceste afec\u021biuni \u0219i alte tare, de genul consumului de alcool sau alte boli suprapuse pentru c\u0103 atunci lucrurile nu mai merg a\u0219a cum ne dorim noi.<\/p>\n<p>Dar e adev\u0103rat c\u0103 exist\u0103 \u0219i virusuri extrem de agresive care, \u00een ciuda interven\u021biilor noastre terapeutice, fac ravagii \u0219i decompenseaz\u0103 ficatul mai repede dec\u00e2t ne-am a\u0219tepta. Acestea sunt excep\u021bii \u0219i monitorizat\u0103 corect \u0219i urm\u0103rit\u0103 periodic \u0219i f\u0103r\u0103 panic\u0103, hepatita poate fi \u021binut\u0103 sub control. Oricum, dac\u0103 ne panic\u0103m, nu rezolv\u0103m problema.<\/p>\n<p><strong>Sunte\u021bi un medic specialist gastroenterolog cu o vast\u0103 experien\u021b\u0103, zi de zi v\u0103 trec pragul cabinetului pacien\u021bi cu diverse afec\u021biuni. A existat vreun caz de pacient cu hepatit\u0103 care v-a impresionat mai mult dec\u00e2t altele?<\/strong><\/p>\n<p>Sunt foarte multe cazuri, chiar \u0219i \u00een cascad\u0103, \u201eare mama hepatit\u0103, face fiica, face \u0219i nepotul\u201d. De exemplu, am un pacient cu hepatit\u0103 cu v\u00e2rsta de 8 ani, depistat de la v\u00e2rsta de 4 ani \u0219i mai are de a\u0219teptat \u00eenc\u0103 patru pentru a trece de 12 ani atunci c\u00e2nd va fi sigur pentru cre\u0219terea \u0219i siguran\u021ba lui administrarea antiterapiei orale antivirale, care a ap\u0103rut acum, Harvoni, cu o rat\u0103 de succes de peste 97% \u00een vindecarea hepatitei C. Sunt multe cazuri, nu pot s\u0103 aleg unul anume, fiecare are o poveste dincolo de interfa\u021ba pe care o afi\u0219eaz\u0103.<\/p>\n<p>* \u00een anul 2014, autorit\u0103\u0163ile medicale americane au autorizat apari\u0163ia pe pia\u0163\u0103 a medicamentului Harvoni, un comprimat \u00eempotriva hepatitei C, care trebuie luat zilnic, dar are inconvenientul unui pre\u021b foarte ridicat, pre\u021bul unui tratament pentru 12 s\u0103pt\u0103m\u00e2ni ajung\u00e2nd la 94.500 de dolari, adic\u0103 1.125 de dolari pentru fiecare comprimat.<\/p>\n<div class=\"mjgge6aa61373c3533\" ><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-9832460043734316\"\n     crossorigin=\"anonymous\"><\/script>\n<!-- MDD 2024 - final de articol -->\n<ins class=\"adsbygoogle\"\n     style=\"display:block\"\n     data-ad-client=\"ca-pub-9832460043734316\"\n     data-ad-slot=\"2429140290\"\n     data-ad-format=\"auto\"\n     data-full-width-responsive=\"true\"><\/ins>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/div><style type=\"text\/css\">\r\n@media screen and (min-width: 1201px) {\r\n.mjgge6aa61373c3533 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 993px) and (max-width: 1200px) {\r\n.mjgge6aa61373c3533 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 769px) and (max-width: 992px) {\r\n.mjgge6aa61373c3533 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 768px) and (max-width: 768px) {\r\n.mjgge6aa61373c3533 {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (max-width: 767px) {\r\n.mjgge6aa61373c3533 {\r\ndisplay: block;\r\n}\r\n}\r\n<\/style>\r\n","protected":false},"excerpt":{"rendered":"<p>Av\u00e2nd \u00een vedere c\u0103 Ziua Mondial\u0103 de Lupt\u0103 \u00cempotriva Hepatitei este marcat\u0103 \u00een toat\u0103 lumea pe data de 28 iulie, vineri, pe 27 iulie, \u00een toate laboratoarele Dorna Medical se vor efectua teste pentru virusurile hepatice B \u0219i C la un pre\u021b promo\u021bional de 60 de lei (ambele), \u00een loc de 80 de lei. \u00cen [&hellip;]<\/p>\n","protected":false},"author":58,"featured_media":281966,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[951],"tags":[252,954,11,231,22],"class_list":["post-281963","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-interviuri","tag-dorna-medical","tag-interviuri","tag-monitorul-de-dorna","tag-orion-media","tag-vatra-dornei"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>INTERVIU. Dr. Iuliana Galeanu, de la Dorna Medical, despre virusurile hepatice B \u0219i C - Monitorul de Dorna<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.monitoruldedorna.ro\/?p=281963\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"INTERVIU. 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