Botkin's Disease - is the epidemic hepatitis , popularly called " Jaundice ".It is an infectious viral disease that is characterized by liver damage with the development of jaundice. The nervous system of the patient, the kidneys and the digestive tract also suffer. Here we will consider general recommendations in the treatment of Botkin's Disease and how to treat and cure jaundice in adults and children at home with folk remedies and medical preparations and medicines.
CONTENTS
Symptoms and forms
The patient has yellow coloring of the skin, mucous membranes and other tissues and body fluids due to an increase in the bilirubin content. The amount of bilirubin in the blood serum in the determination by the van den Berg method is normally 0.2-1 mg%.Distinct icteric staining of the skin and mucous membranes is observed with an increase in the level of bilirubin above 3 mg%, the initial signs of it can be detected with an increase in bilirubin up to 1.2-1.5 mg / o.
Depending on the mechanism of occurrence of jaundice, the forms mechanical , parenchymal , hemolytic and the so-called benign are isolated.
Mechanical jaundice
Occurs when there is an outflow of bile in the biliary tract. In this case, extrahepatic occlusion of the bile duct with a stone, a tumor of the head of the pancreas or bile ducts is more often observed. Less often there is intrahepatic occlusion of small bile ducts, especially with cholangitis, biliary cirrhosis, and also in some cases of viral hepatitis. Jaundice in all these cases can be very pronounced, usually accompanied by itching, bradycardia, which depends on the delay of bile acids. In the serum, an increase in the content of bilirubin, cholesterol is determined. The feces are discolored. Urine is usually dark due to an increase in bilirubin.
Parenchymal jaundice
Occurs when a liver cell is damaged that does not provide enough bilirubin release from the blood to the bile duct. It is observed in viral, toxic hepatitis, liver cirrhosis, etc. In some cases, parenchymal jaundice is combined with mechanical intrahepatic jaundice. With parenchymal jaundice, the serum bilirubin usually increases, and usually not so much as with mechanical jaundice;there are shifts in sediment samples( positive molding, etc.), cholesterol tends to decrease due to a violation of its synthesis by liver cells. Cal may be discolored, but usually only for a short time. Complete disappearance of sterco-bilin in the feces and urobilinogen in the urine is not observed.
Hemolitic icterus
Occurs when the hemolysis is sufficiently expressed( see Hemolytic anemia) due to increased erythrocyte destruction and increased bilirubin formation. Jaundice is usually not expressed clearly, the color of urine is not changed. Benign jaundice
Due to either a violation of the seizure of bilirubin by liver cells from the blood( Gilbert's syndrome), or a violation of excretion, bilirubin in the bile ducts( Dubin-Johnson syndrome).These disorders are associated with congenital defects of some enzymes of liver cells. In Gilbert's syndrome, jaundice can be quite significant( bilirubin can be raised to 5 mg%), however, with hepatic biopsy of the liver, changes in it are not detected, and this anomaly has no significant clinical significance. The Dubin-Johnson syndrome is observed less often, with it in the liver there is a large deposition of melanin. Treatment of jaundice in each case is carried out depending on the nature of the underlying disease.
As you have already understood from the foregoing, the concept of "jaundice" includes at least four forms of the disease, but in this article we consider " parenchymal " the form of jaundice associated with hepatitis B infection of the hepatitis A virus.
Source of infection
The source of infection in viral hepatitis is a sick person. Infection occurs most often in a domestic setting when the virus enters the mouth. Transmission of the virus from a person to a person occurs through dirty hands, infected water and food, as well as household items. Viral carriers can be flies. In hospital conditions, a person can become infected with Botkin's disease through badly boiled syringes and needles.
People of all ages are ill with epidemic hepatitis, more often children of preschool and school age.
Treatment of jaundice: general recommendations of
Early hospitalization of the patient and bed rest are mandatory.
The patient's diet should contain many vitamins( group B, C, PP, pyridoxine, etc.).The amount of carbohydrates in food should be slightly increased, and fat - limited. Food should be high-calorie( about 3000 calories), rich carbohydrates( 300-500 g) and proteins( 60-100 g).
With good tolerability, fats should not be restricted.
How to treat and treat jaundice at home with folk remedies
Traditional medicine recommends herbal remedies for reducing inflammation of the hepatic tissue and removing jaundice. :
Cherry field( cherry blister). Fruits are applied in liver diseases accompanied by jaundice and ascites.
From the fruit prepare the broth as follows: 15-30 dried fruits pour 0.5 liters of boiling water and cook for 5 minutes. Take an hour( after cooling) to 5-10 ml 4 times daily before meals.
In addition, it is recommended to eat every day 10-15 dried fruits.
Note. USE OF FRUITS SHOULD BE WITHOUT A FROZEN PITCH, AS IT CONTAINS TOXIC PRODUCTS.
Willow bark. 50-60 g of dried and crushed bark boil in 1 liter of water for 15 minutes. Insist, wrapped, 12 hours, strain. Drink half a glass 3 times a day before meals.
Oat straw( chaff). A handful of oat straw is boiled in a liter of water until the volume of water is reduced by half. Strain. Take a glass 3 times daily before meals.
Blackberries( Coumarica, Azhina). Has a strong antiviral effect. To make the infusion of two tablespoons of leaves, pour 0.5 liters of boiling water and let it brew for an hour. Strain. Take 50-70 ml 3 times daily before meals.
Blackberry broth is prepared as follows: pour two tablespoons of leaves with water and insist for 12 hours. Boil 3 minutes, strain. Drink 3 times a day for 150 ml for half an hour before meals.
The Immortal. 25 g immortelle boil in a liter of water until half the volume. Let it brew for 1 hour, strain. Take to recovery to 30-50 ml 3 times a day.
Juice of sauerkraut. Drink 1 glass every day 4-5 times a day until complete recovery( up to 2 weeks).
Chernushka sowing. In folk medicine is used for jaundice. Has a diuretic and lactogenic effect.
Use a hot infusion of seeds( 0.5-1 g for 600 ml of water, insist 3-4 hours) 1 glass 3 times a day and a decoction( 10 g per 1 liter of water, boil for 10 minutes on low heat, infuse for 1 hour).Apply 50 ml 3 times a day.
Hazelnut leaves. Dried the dried leaves, and infuse 1 teaspoon into 200 ml of white wine for 12 hours. Take 60 ml 3 times a day for 10-15 days.
For the treatment of jaundice and Botkin's disease the following fees are applied:
Gather 1:
- immortelle( flowers) - 40 g;
- watch three-leaved( leaf) - 30 g;
- mint( leaf) - 20 g;
- coriander( fruits) - 20 g.
Two tablespoons of the collection pour 400 ml of water. Boil 10 minutes, insist in a warm place for 2 hours. Strain. Take half a glass 3 times a day for 20 minutes before eating.
Gathering 2:
- nesting herb( grass) - 1 part;Corn stigmas
- - 1 part;
- sporish( grass) - 1 part;
- bean pods - 1 part;
- bearberry( leaves) - 1 part.
1,5 tablespoons of the mixture for a glass of boiling water. Insist in a warm place for 3 hours, strain. Take in a warm form 3 times a day for half a glass.
Medical preparations, drugs and medicines
Treatment for Botkin's disease should be aimed at creating conditions that facilitate the restoration of liver function.
- Hydrolysin or Aminocrovin ( if there are no signs of liver failure) is administered 50-100 ml subcutaneously in a glucose solution, either in physiological saline or in the form of droplet enemas.
- Aminopeptide ( subcutaneously or in the form of drop enemas).
- With an easy flow, the patient is given a 5% solution of glucose ( up to 1 liter per day).
- In case of anorexia, fruit juices, liquid cereals are prescribed, the introduction of 5% glucose into the vein, under the skin or in the form of drop enemas( up to 2 liters per day).
- Vitamins .B:( 50 mg), riboflavin( 8-20 mg), pyridoxine( 40-50 mg 2-3 times a day intravenously), nicotinic acid( 50 mg), ascorbic acid( 30-500 mg);vitamin B12( 200 each) intramuscularly daily).
- When the phenomena of hemorrhagic diathesis vikasol ( 5 ml 3% solution intramuscularly) and routines to 0,002 3 times a day.
- Corticosteroids ( Cortisone, Dexamethasone, Prednisolone, Hydrocortisone).The dose of Prednisolone is 20-40 mg per day( with prolonged therapy 10-20 mg).Dosage reduction is gradual for two weeks and only if overall well-being improves, bilirubin drops to 2 to 3 mg% and positive dynamics of sediment samples.
- Potassium chloride or potassium acetate( 2-5 g per day).With the development of edema - diuretic.
Antibiotics and sulfonamide preparations are indicated only in the presence of concomitant inflammatory diseases.
The use of lipotropic factors - methionine or choline( 0.1 g 3-4 times a day), lipocaine( 0.1 g 3-4 times a day) is justified only in patients suffering from alimentary deficiency, alcoholism, diabetes mellitus.
In case of severe disease in the complex therapy, albumin of plasma or whole blood( 10-20 ml per vein drip 2-3 times a week), folic acid( 75 g daily for 10-14 days), choleretic( Allochol, Holenzim, etc.)
Currently, hepatoprotectors are actively used, antiviral drugs for the treatment of epidemic hepatitis.
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Source of the
- Video on the topic.
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- Travnik: golden recipes of folk medicine / Comp. A. Markov.- M.: Eksmo;Forum, 2007. - 928
- Yukalo TN The Great Handbook of Traditional Medicine - 2000 recipes.- M.: Publishing Center CREDO, 2008. - 391, ill.
- Kristman Vladimir Ivanovich. Internal illnesses.- Moscow: Publishing House "Medicine", 1974
