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Рахит и витамин Д - Школа доктора Комаровского

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Когда нельзя делать прививки - Школа доктора Комаровского

Когда нельзя делать прививки - Школа доктора Комаровского

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Правила детского сна, детский сон, сон ребенка

Правила детского сна, детский сон, сон ребенка

Channel: Доктор Комаровский

Насморк и лекарства от насморка - Школа доктора Комаровского

Насморк и лекарства от насморка - Школа доктора Комаровского

Channel: Доктор Комаровский

вирусный гепатит

доктор Комаровский

школа доктора Комаровского

Комаровский

что такое вирусный гепатит

виды гепатита

опасность гепатита

как уберечься от гепатита

Иво Бобул

вирус гепатита

Child (Tagged Topic)

Eugene Komarovsky (Author)

00:00:00

Hello The topic of our today's

00:00:02

meeting is viral hepatitis, what kind of

00:00:05

diseases are these, how do they differ from each

00:00:07

other? What are the methods of treatment and

00:00:09

prevention? Let's try

00:00:11

to figure it out

00:00:14

[music]

00:00:17

Let's go [

00:00:20

music]

00:00:23

Hello Hello dear friends

00:00:25

So our today's topic is viral

00:00:27

hepatitis how It is clear from the name and there are a

00:00:30

lot of hepatitis Which ones have you heard about

00:00:33

Luiza Vasilievna Oh, they have so many, I

00:00:36

call them different surnames a b c I call

00:00:39

them surnames, so it seems to me

00:00:42

that I heard and BC then there are some others

00:00:47

there that seem to be there Yes Well,

00:00:49

then let’s try to figure it out

00:00:50

completely with our experts,

00:00:52

maybe they know

00:00:55

more hepatitis

00:00:58

liver disease hepatitis hepatitis can also be

00:01:02

said to be confused with cholesterol with a

00:01:06

large amount of cholesterol Many

00:01:08

even confuse this for my brother,

00:01:14

viral hepatitis Yes, when is it transmitted to him

00:01:19

or six or has a

00:01:22

stomach ache I once had pain liver and

00:01:26

my mom sent me to the doctor and he

00:01:29

leaves I can’t hear at all what it is

00:01:31

The liver bakes which Yeah, here, in

00:01:35

my opinion, no, here, here, if

00:01:38

God forbid, a person gets

00:01:42

hepatitis, then he needs to be

00:01:45

treated, well, if it has already

00:01:49

spread greatly throughout the liver undergoes

00:01:51

an operation, and if it has just begun

00:01:54

to appear, it can be

00:01:58

expelled by

00:02:00

washing the liver, I had one like this.

00:02:03

Only I don’t have viral hepatitis, but

00:02:05

I have hepatitis B,

00:02:07

jaundice. This means that some

00:02:11

yellow corn you have can be eaten, and if

00:02:16

you’re not doing well, then the poop is all in corn

00:02:19

and from Simpson there are yellow ones they caught

00:02:22

this disease I watched Simpson they were all

00:02:28

yellow Well then let’s still

00:02:31

try to figure out what it is

00:02:34

first Where does

00:02:36

the phrase viral hepatitis begin

00:02:39

with the word viral Yes, we have talked many times

00:02:42

about the fact that infections are

00:02:44

viral bacterial fungal What

00:02:47

exactly is the essence of the virus What kind of animal is this

00:02:49

virus it turns out the virus cannot

00:02:52

multiply on its own the virus finds

00:02:56

inside the human or animal

00:02:58

body a completely specific

00:03:00

cell in which it can multiply

00:03:03

Well, the influenza virus can multiply in the

00:03:06

cells of the mucous membranes of the respiratory

00:03:09

tract And the virus

00:03:11

mumps can reproduce exclusively

00:03:14

in the cells of glandular tissue. Well, in the salivary

00:03:16

gland, there are viruses that

00:03:19

reproduce only in liver cells. There

00:03:23

is a liver cell and viruses reproduce in it,

00:03:25

and there are many such viruses. And these

00:03:28

viruses that reproduce in

00:03:30

liver cells, there are several of them and each of them

00:03:32

can cause inflammation of the liver

00:03:35

inflammation of the liver - this is the word hepatitis, yes,

00:03:38

that is, different viruses cause diseases

00:03:41

that are manifested by inflammation of the liver, with

00:03:43

very similar symptoms. Well, the

00:03:45

main symptoms are the acute onset of the

00:03:47

disease, an increase in temperature, jaundice,

00:03:51

and there is light-colored feces and

00:03:53

dark mast. These are the classic

00:03:55

symptoms of an infectious disease hepatitis But

00:03:58

the viruses are different, different methods of infection,

00:04:01

different methods of prevention.

00:04:03

It is not surprising that

00:04:05

a lot of different questions arise about these different viruses,

00:04:07

because not all doctors know the difference, what can we

00:04:10

say about moms and dads, it’s true that your

00:04:13

wife and son came to see you and

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they were very worried topic of hepatitis Let's

00:04:19

[applause]

00:04:23

[music]

00:04:25

look at the Ukrainian

00:04:28

estra 40 years old became the father of little Danila at the

00:04:33

age of 53, took him in my arms immediately

00:04:38

after birth and said don’t be afraid of anything,

00:04:42

I will always be by your side and since then I have

00:04:46

kept my word and have not been with my son only he doesn’t

00:04:50

break up, but he’s also trying to protect him from

00:04:54

all everyday troubles, apparently that’s why we

00:04:57

ended up seeing

00:05:01

Dr.

00:05:06

Komarovsky about hepatitis A, we already

00:05:09

more or less already know what

00:05:11

hepatitis B is. In principle, for us this is something new,

00:05:14

uh, some- then the subject of conversation because

00:05:17

nothing is unknown, I just know that it is

00:05:20

transmitted through blood and sexually, and

00:05:23

I heard that Children will need to do

00:05:25

this, so my son should get this vaccination. Is it necessary?

00:05:28

I have a little difficulty because,

00:05:31

that is, in general, you have all the vaccinations,

00:05:33

but you are not vaccinated against hepatitis B Yes, was

00:05:36

this vaccine offered to you at the hospital or have

00:05:37

you never heard anything about it? No, so far we have

00:05:39

heard that there is such a vaccine. But

00:05:41

the question is whether the child should have it

00:05:44

when he is 6 or 7 years old, or 8

00:05:48

if it is hepatitis transmitted through blood

00:05:51

or sexually, like a child, where will

00:05:53

he get it, yes, it’s simple. Well, by the

00:05:56

way, first of all,

00:05:59

let’s look at the main thing right away because you

00:06:00

mentioned hepatitis A, which we know,

00:06:02

but hepatitis A is this or Botkin’s disease. Yes,

00:06:05

hepatitis A is transmitted as a common

00:06:07

intestinal infection That is, this is water,

00:06:10

for example, most often water Yes, through water

00:06:12

Yes, through water they got sick, but the peculiarity of

00:06:14

hepatitis A is that it

00:06:16

begins and ends, that is,

00:06:18

after it there are no

00:06:20

cirrhosis, no complications, and the

00:06:22

older the person, the more it usually occurs

00:06:24

more severely in children it occurs easily but

00:06:27

hepatitis A has a clear beginning and end

00:06:31

hepatitis B - these are the

00:06:34

same symptoms, similar Why similar

00:06:36

because the hepatitis A virus multiplies in

00:06:38

liver cells and the hepatitis B virus

00:06:40

multiplies in liver cells so

00:06:42

the symptoms are approximately similar the same jaundice

00:06:43

Yes, and impaired liver function, but hepatitis

00:06:46

B Indeed, this is a typical blood

00:06:48

infection, that is, transmission is mainly

00:06:50

carried out through blood with

00:06:52

blood products. That is, you can instill the

00:06:54

drug plasma serum blood yes, that

00:06:57

is, this is like the first question that

00:06:58

no one can be confident that

00:07:00

tomorrow we didn’t break our leg, didn’t end up in

00:07:01

the hospital, we got a low-quality drug,

00:07:04

of course, of course. I’d like to believe that

00:07:07

everything that is dripped into us is checked there, and it

00:07:09

really seems to be checked, but

00:07:11

nevertheless, the risk remains, again,

00:07:12

we all go to the dentist, mom doing a

00:07:16

manicure, you know, dad went

00:07:18

somewhere else, you never know where dad

00:07:20

went on his tour, in short, the point is

00:07:22

that you’re hinting, no, I’m just kind of

00:07:23

telling how we know that dad is

00:07:27

just another question,

00:07:29

nevertheless, but the fundamental difference is

00:07:33

that if hepatitis A

00:07:34

always ends with recovery, but

00:07:36

hepatitis B for most people does not

00:07:38

end at all, that is, the

00:07:42

virus enters the liver cells, but the liver cells do

00:07:44

not die, they simply do

00:07:45

not perform their functions and

00:07:48

the virus Dorms in these cells,

00:07:50

exacerbations occur occasionally And a

00:07:53

huge number complications cirrhosis and

00:07:55

so on That is, this disease is like this,

00:07:57

that is, an endless fact.

00:07:59

And the amazing feature of hepatitis B

00:08:03

is that the earlier

00:08:06

the infection occurs, the greater

00:08:09

the risk, that is, with hepatitis A it’s the

00:08:12

other way around, that is, little ones don’t get sick for up to a year

00:08:15

in general, small children get sick easily,

00:08:18

adults get very seriously ill with hepatitis B, the

00:08:20

opposite situation is if a person is

00:08:23

infected,

00:08:29

it is a disaster. And that is why

00:08:31

vaccination against hepatitis B is on the

00:08:33

vaccination calendars of most countries in the

00:08:37

world, most of which are not included, simply

00:08:40

because the country does not have money for this

00:08:42

vaccine in our country and in Russia and

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nearby in Kazakhstan, vaccination against

00:08:47

hepatitis B is included in the official

00:08:50

state-approved

00:08:52

translation calendar, yes, that is, this is an official scheme

00:08:55

that the state recommends and

00:08:57

which the state pays for, that is,

00:08:59

this is fundamentally important, yes. So,

00:09:00

hepatitis B is part of this

00:09:03

calendar, that is, the state is legally

00:09:06

guarantees us That is, if we don’t

00:09:09

mind, then it will provide us with

00:09:10

the opportunity to get vaccinated and the state

00:09:12

recommends starting vaccination in the

00:09:15

maternity hospital why Novoros should be vaccinated,

00:09:18

namely, the sooner the better Uh-huh because it

00:09:21

turns out that every such

00:09:25

viral infection has such a concept, it’s very interesting

00:09:27

it’s called the

00:09:29

infectious dose, that is, this is the number of

00:09:31

viruses that must enter the blood

00:09:33

to cause the disease. Well, everyone

00:09:35

knows such a disease, let’s say AIDS. Yes,

00:09:37

HIV infection, and so with hepatitis B, the

00:09:40

infectious dose is, well, hundreds of times less,

00:09:44

that is, getting hepatitis B is very

00:09:47

simple, much easier Moreover,

00:09:50

it turns out that if

00:09:53

any family member has hepatitis B, through close household

00:09:58

contacts, infection occurs not only

00:10:00

through, for example, sexual intercourse from mom and

00:10:03

dad, and there is a towel, toothbrush. That

00:10:06

is, where a micro micro

00:10:09

microscopic drop of blood could get, this is

00:10:11

enough for mom to cut her finger

00:10:15

wiped it with a towel, the child took

00:10:17

the towel, he has hepatitis B. And it turns out

00:10:20

that if someone gets sick, it becomes infectious within

00:10:23

a year.

00:10:28

We say again, yes, the

00:10:30

child has a small risk of getting sick; he doesn’t

00:10:34

go for manicures; he doesn’t go to the

00:10:36

dentist; as a rule, he doesn’t

00:10:37

get blood transfusions, but his mother dad walks drives the

00:10:41

eldest child went to school

00:10:43

It’s clear someone went to the dentist That

00:10:45

is, all adults But if adults

00:10:48

get sick, then they will have 20-30 years of life

00:10:51

ahead of them with this disease And if a

00:10:53

child in his first year of life gets sick,

00:10:56

God will not give him these years That is why

00:10:58

everyone insists that

00:11:02

vaccination is precisely what is desirable in the

00:11:04

maternity hospital, preferably in the maternity hospital, in principle, at

00:11:06

this age, it is not too late to do

00:11:08

it, it is possible, it is a vaccine that is easily

00:11:10

tolerated. Clearly, that is why you

00:11:12

have now received information from me,

00:11:15

so you contact your pediatrician and

00:11:17

say we it is clear that we have seen the light, that is,

00:11:20

we already know about this disease, you know

00:11:22

that there is an effective method

00:11:24

of prevention, and moreover, it is a so-

00:11:26

called genetic engineered vaccine, that

00:11:28

is, there is no living virus. It is easily

00:11:30

tolerated, it gives good immunity,

00:11:32

that is, as a rule, there are no problems.

00:11:33

here you also know what the problem is with

00:11:35

this, it’s unique It’s only we

00:11:37

have a mother who probably remembers that dad

00:11:39

of course doesn’t Volot in all this the word

00:11:41

physiological jaundice of newborns

00:11:45

remember passed yes that is, 50% of children

00:11:50

50% of children have physiological jaundice

00:11:53

set so and when Previously the child had

00:11:59

jaundice, and the mother ran to the doctor

00:12:01

screaming, we had jaundice, the same thing,

00:12:04

you ran the same way, what the doctor told you

00:12:06

guys, it will pass. This is nonsense, it happens to

00:12:09

everyone. No one is to blame for this, you have to

00:12:11

get over it, be patient, and now mom wo

00:12:14

n’t go to the doctor she runs, she screams. We were

00:12:17

vaccinated against hepatitis B, it’s because of

00:12:20

it that we turned yellow, you understand. That is, there is no

00:12:22

connection at all. In general, these are

00:12:25

different things; in general, this is the vaccine that

00:12:27

we administer, it has

00:12:29

nothing to do with it at all, you understand, nevertheless, Now

00:12:32

if he God forbid, mothers turned yellow,

00:12:34

they start discussing this, that before,

00:12:36

children didn’t have any jaundice, but we didn’t get

00:12:39

vaccinated, now we have jaundice and

00:12:41

all this is discussed and everyone tells

00:12:43

each other fairy tales on the benches, you understand

00:12:45

and that’s all And now they have found a scapegoat

00:12:47

called hepatitis vaccination b These are the

00:12:49

things

00:12:50

[music]

00:12:54

Guys, does it mean that such jaundice

00:12:57

physiology does not lead to inflammation of the

00:13:00

liver No, this is a completely normal

00:13:02

reaction of the body, it is

00:13:04

called physiological because it

00:13:06

is normal, a child is born with

00:13:09

certain immature enzyme

00:13:11

systems, these systems mature

00:13:13

within three -four days of life,

00:13:15

in fact, this leads to

00:13:16

jaundice. It is clear, therefore,

00:13:19

in principle this has nothing to do with viral hepatitis

00:13:20

and it is clear that the

00:13:23

vaccine itself does not in any way affect the

00:13:25

liver, it stimulates the immune

00:13:27

system, it causes you antibodies, but

00:13:30

in principle it cannot cause jaundice Although from the

00:13:32

point of view of grandmothers and mothers who

00:13:34

discuss this topic on a bench, this is

00:13:35

naturally one of the causes of jaundice and

00:13:38

immediately catch up. But hepatitis And you

00:13:41

said that it goes away and

00:13:44

there are no consequences for the liver, that is, it does

00:13:46

n’t seem to be sick Yes yes What

00:13:49

Hepatitis B is dangerous and it is similar to it in terms of the

00:13:52

mechanism of infection. That is, hepatitis C is through the blood in

00:13:54

that the acute period of the

00:13:58

disease itself, when the temperature has risen, the stool has turned

00:14:00

yellow, darkened, and become ill.

00:14:03

It proceeds quite easily and does not last long,

00:14:06

but after that, many people begin to experience

00:14:09

chronic viral hepatitis C with

00:14:11

periodic exacerbations And this

00:14:13

chronic hepatitis

00:14:16

very often ends with either cirrhosis or

00:14:18

liver cancer, I’m not really scaring anyone here.

00:14:20

I just want to emphasize that

00:14:22

hepatitis is a rather serious problem, it’s

00:14:25

even difficult to characterize its scale,

00:14:29

but think about these numbers, 2 billion people

00:14:33

on Earth have in their bodies

00:14:36

hepatitis B virus, that is, a third of the population is

00:14:38

infected with hepatitis B during the time that

00:14:42

our transmission will take place on earth, 35

00:14:46

people will die from hepatitis B, that is,

00:14:50

the scale of the disease, by the way,

00:14:52

recently the mortality rate has decreased significantly

00:14:55

precisely thanks to vaccination, continues to

00:14:57

decrease, by the way, again

00:14:59

thanks to vaccination there where there is

00:15:00

vaccination against hepatitis B and where

00:15:03

children are vaccinated en masse, there is practically

00:15:05

no mortality now and It happens that there are

00:15:08

no signs And this virus Lives

00:15:11

somewhere there Yes, of course, by the way, this happens

00:15:13

very often And by the way, not every

00:15:16

adult can Remember that he

00:15:18

had hepatitis A, really, well, or Botkin's

00:15:20

disease, yes. But by the age of 40, almost

00:15:24

100% of the urban population of our country

00:15:26

have antibodies to the hepatitis virus,

00:15:29

and that is, a huge number of people

00:15:30

suffer the disease very easily in the so-

00:15:32

called Non-icteric form, and

00:15:35

these antibodies can only be identified during

00:15:37

examination, but they are not dangerous, this is

00:15:39

normal, they even recovered well from the disease,

00:15:41

they have developed immunity for life, this is

00:15:43

when it comes to hepatitis.

00:15:45

Nevertheless, I understand perfectly well that not only

00:15:46

you Luiza Vasilyevna, but also our

00:15:48

guests have questions. We

00:15:49

will be happy to attend them

00:15:54

answer Hello doctor, my

00:15:57

friend is pregnant right now, she is being forced to

00:15:59

take tests for hepatitis

00:16:01

B. What should I do if it is still detected

00:16:04

and is it necessary to take tests for all

00:16:06

other hepatitis? Well, just the

00:16:08

detection of hepatitis B in a pregnant woman

00:16:10

determines a very

00:16:13

specific algorithm of actions. Please pay

00:16:15

attention if the woman has

00:16:19

viral hepatitis B in its body, then it

00:16:21

will infect the child during childbirth

00:16:23

with almost a hundred percent probability

00:16:25

if the child develops viral

00:16:29

hepatitis B during the first year of life,

00:16:31

then he will die within the next 4 years with a

00:16:34

probability of 25%, these are such terrible

00:16:36

numbers Why is it so important examination Yes,

00:16:38

because fortunately,

00:16:41

modern medicine has an almost

00:16:44

100 percent way to protect a

00:16:46

newborn from viral hepatitis B.

00:16:49

For this, a special immunoglobulin is administered immediately after birth.

00:16:51

What is

00:16:53

immunoglobulin? This is a drug that

00:16:55

contains ready-made antibodies that protect the

00:16:58

body for 3-4 months from the virus and

00:17:01

in parallel, according to a special scheme,

00:17:04

vaccination begins immediately after birth and once again

00:17:06

Fixie, in almost 100% of cases the child

00:17:09

can be protected. As for other

00:17:12

hepatitis, the detection of AC in the mother does

00:17:16

not affect our actions in any way, so

00:17:18

we don’t need to be tested for this. But as

00:17:20

for hepatitis b this is a very

00:17:22

relevant analysis that

00:17:24

any woman should go through at the stage of

00:17:25

planning a

00:17:27

pregnancy, should breastfeed

00:17:29

Why Luiza Vasilievna if we protect the child

00:17:32

if we protect the child then

00:17:35

Of course he can again in order to

00:17:37

protect for example How can

00:17:39

the virus get in for example through cracks

00:17:41

through the blood you can feed through

00:17:42

silicone pads, such options are also

00:17:44

possible, in any case, if we

00:17:46

protect the child in time immediately after birth, then the

00:17:49

mother will be able to breastfeed him.

00:17:55

Hello, tell me it may be

00:17:59

that the husband is sick with hepatitis And the wife

00:18:02

has been tested several times

00:18:04

and Well, for example, When it comes to

00:18:06

viral hepatitis C C for example which

00:18:09

also seems to be theoretically transmitted

00:18:11

sexually through blood, but most

00:18:14

likely it is possible, for example, because

00:18:17

hepatitis C has an infective dose that is

00:18:20

very large, but for B it is small, for C it

00:18:22

is large, so it is less transmitted

00:18:24

sexually, but with close

00:18:26

intra-family contacts it is usually still

00:18:27

spouses exchange viral hepatitis

00:18:30

B although you know that in relation to every

00:18:33

disease of every disease there are people who, in

00:18:35

principle, are not susceptible to this disease,

00:18:37

so all sorts of miracles are, of course,

00:18:39

possible, but unfortunately they happen

00:18:45

rarely doctor I have a question for you

00:18:48

Please tell me what is the difference between

00:18:49

hepatitis A, hepatitis B and hepatitis C, and

00:18:52

I also heard that there are some other

00:18:54

hepatitises, they are worse than these

00:18:57

three that I have listed. Well,

00:18:59

two more hepatitis are also very widely known,

00:19:01

one is called E and the second

00:19:04

is called delta Or D Let’s go straight to

00:19:06

it B and C - These are blood infections

00:19:09

transmitted exclusively through blood during

00:19:11

sexual intercourse when using

00:19:13

one syringe for blood transfusion, and

00:19:15

so on, the main thing here is to understand

00:19:17

that these sores are B and C - These are

00:19:20

chronic infections, that is, acute

00:19:23

then chronic, there are viral hepatitis

00:19:25

that are transmitted like ordinary intestinal

00:19:28

infections through the mouth, diseases of dirty hands,

00:19:31

the most common such disease is

00:19:34

viral hepatitis A, which the

00:19:36

majority of the country's population suffers from sooner or

00:19:38

later, but very often without the icteric

00:19:40

form and they do not even know that this

00:19:41

disease existed there is a disease very similar

00:19:43

to viral hepatitis A it’s called

00:19:45

viral hepatitis E, it’s also a disease of

00:19:48

dirty hands, but it’s not a disease of dirty hands, it’s a

00:19:50

disease of very dirty hands. That is, it

00:19:53

happens in places where,

00:19:55

as a rule, there is no hygiene at all. In

00:19:57

order to get sick with this virus, you need a

00:20:00

very large infectious dose, that is, it

00:20:02

must be Well, the water is very polluted Well,

00:20:05

very unwashed hands, so hepatitis E is becoming more and

00:20:08

more common in Southeast

00:20:10

Asia, where people get it more often and it is

00:20:12

more severe than viral hepatitis A,

00:20:15

and there is another special, very special

00:20:18

variant of hepatitis called

00:20:20

hepatitis Delta, a feature of this virus The

00:20:23

delta of the virus is that it

00:20:26

can

00:20:27

only reproduce in conjunction with hepatitis

00:20:30

B, that is, in itself it is not dangerous. But

00:20:33

if a carrier or patient with hepatitis B

00:20:37

also acquires virus D, then together they

00:20:40

form a completely special

00:20:42

malignant form of hepatitis, which with a

00:20:44

high degree of probability can

00:20:45

lethality ends, this is one of the

00:20:47

most severe forms of this hepatitis D, but

00:20:49

once again I draw attention to if a

00:20:51

person is simply infected with this virus D, it does

00:20:53

not cause disease. But if carrier

00:20:56

B becomes infected, only then two viruses

00:21:00

in a pair cause the most severe

00:21:01

malignant viral hepatitis, which is

00:21:03

practically incurable treatment Evgeniy

00:21:06

Olegovich Please tell me, but

00:21:08

if they go on vacation to Asian

00:21:12

countries, yes, do they need to do all these

00:21:15

vaccinations and are they done separately for everyone or

00:21:18

is there some kind of comprehensive one? Well,

00:21:20

theoretically, theoretically, If you are going

00:21:22

to a place where

00:21:25

the sanitary situation is not very good, then really time

00:21:28

it definitely makes sense to get

00:21:30

vaccinated against viral hepatitis A,

00:21:32

again, maybe you have sex tourism, who

00:21:33

knows then it makes sense to get

00:21:36

vaccinated against hepatitis B by the way, there are

00:21:38

complex vaccines, very effective

00:21:40

complex vaccines when one injection

00:21:42

is given but prevention against two

00:21:44

diseases at once A and b Unfortunately,

00:21:47

today there is vaccination only against

00:21:49

viral hepatitis A and against viral

00:21:51

hepatitis B against other viruses.

00:21:54

Unfortunately, there is no vaccination yet, but the vaccines that

00:21:57

exist are very effective, by the way,

00:21:59

they used to think, they used to think that if

00:22:03

you are going somewhere, then get vaccinated against

00:22:06

viral hepatitis A should be done 4

00:22:08

weeks before the intended trip, they now

00:22:11

believe that even if you get vaccinated on the day of departure,

00:22:14

it will most

00:22:16

likely protect against

00:22:18

infection with that wild virus

00:22:20

that lives there in bad countries,

00:22:23

so girls, if your husband is urgently

00:22:26

sent somewhere

00:22:28

to Asia, then you can catch him and

00:22:30

drag him into the vaccination office Let

00:22:32

everyone get vaccinated, it will be

00:22:36

calmer again. Never

00:22:38

forget that the longer the trip, the

00:22:42

higher the infection if he flies there for one day

00:22:44

and returns. Of course, you do

00:22:46

n’t have to fuss, but if he goes there for

00:22:48

six months on a business trip, then think about

00:22:50

him returning

00:22:54

unharmed. In fact, I’m addressing the

00:22:57

girls because our men usually do

00:23:01

n’t think about returning unharmed, that is, taking care of the health of

00:23:03

men is entirely in the hands of our

00:23:09

women, theoretically just vaccination against

00:23:12

hepatitis b it is not related to travel,

00:23:15

of course yes, but for everyone, that is,

00:23:17

any person

00:23:19

who lives in civilization, who

00:23:21

visits medical institutions, should be vaccinated against hepatitis, any

00:23:24

woman who gets a manicure or pedicure,

00:23:26

any person who goes to the

00:23:28

dentist, any person living in

00:23:30

civilization should be vaccinated against

00:23:32

hepatitis B is not a childhood vaccination, this

00:23:34

vaccination can be done at any age

00:23:37

if, again, a person is under 40 years old. Why is it up to

00:23:39

40 How much more is it fixed again, usually by the

00:23:42

age of 40, the majority of the population suffers

00:23:45

hepatitis A either explicitly or in the non-sexual form

00:23:48

What is the non-sexual form so that you understand a

00:23:50

child may have a

00:23:53

stomach ache in the evening, diarrhea in the morning, seems to

00:23:54

have recovered, but it was a lifeless

00:23:57

form of viral hepatitis. But at the

00:23:59

age of 40, almost everyone has this disease.

00:24:10

Doctor Hello Doctor,

00:24:13

please tell me, if a person had

00:24:16

viral hepatitis, then he can

00:24:18

be a donor it definitely bleeds if a

00:24:22

person

00:24:23

has suffered from viral hepatitis B and C, he

00:24:26

cannot be a donor of blood, sperm or

00:24:28

organs. Well, unless we are talking about the fact that

00:24:30

his organ is used for the same

00:24:32

patient with viral hepatitis

00:24:38

B Evgeniy Olegovich, this question can be

00:24:41

completely cured, the child can from

00:24:44

viral hepatitis, that is, completely

00:24:46

cleanse the blood from hepatitis A and E, you can be

00:24:49

cured; moreover, even the word

00:24:51

cure here is wrong; it will

00:24:53

go away on its own, that is, the body

00:24:55

will produce antibodies and the disease will definitely

00:24:58

end completely; it is impossible to

00:25:01

completely get rid of viral hepatitis B and C,

00:25:04

that is, the virus remains in

00:25:06

the body for life, but there are ways

00:25:09

to make this virus inactive and not

00:25:11

affect the body, in any

00:25:13

case, it should be admitted that

00:25:16

there really are drugs

00:25:19

that treat viral hepatitis B ic

00:25:22

and they are not treated in the acute period, just

00:25:24

when you just get a fever and

00:25:26

then almost everything is bad drinking,

00:25:29

strict diet and rest Although many

00:25:31

doubt whether that rest is needed or not,

00:25:33

but then later when an

00:25:36

exacerbation begins, when the disease becomes

00:25:38

chronic, there are indeed methods of

00:25:40

treatment, but they are insanely expensive and a

00:25:45

very small number of people and countries can afford this treatment,

00:25:48

these are special options special

00:25:51

interferon, these are very expensive

00:25:52

antiviral drugs, we are talking about a

00:25:55

thousand dollars a month, moreover,

00:25:57

the drugs are very unsafe and

00:25:59

difficult to tolerate and, as a rule,

00:26:01

they are used when the severity of the

00:26:04

disease is more significant than the severity of the

00:26:07

side effects of these drugs, in general it is

00:26:09

difficult and expensive to treat, so we ask

00:26:12

everyone again focus specifically on the

00:26:14

possibilities of prevention Evgeniy

00:26:17

Olegovich And in this case, if

00:26:20

a child is ill, after what time

00:26:22

can he go to a children's group? Well,

00:26:24

it is believed that in relation to the

00:26:25

hepatitis B virus or whatever it is, it does

00:26:28

not pose any threat to anyone, but as

00:26:30

for hepatitis And so It is generally accepted

00:26:33

that from the moment the first symptoms appear,

00:26:36

he will be contagious for about 4 weeks. 4 weeks have passed

00:26:39

since the onset of symptoms. He

00:26:41

may well go to children's groups

00:26:43

if his health allows it. And there is no

00:26:45

need to go on a special diet.

00:26:49

I once again draw attention to the

00:26:53

fact that we are all talking about time we talk

00:26:56

in all our programs very often and we

00:26:58

and our children deal exclusively and

00:27:02

most often with viral infections

00:27:04

that cannot be treated with practically any

00:27:07

means because there are

00:27:08

either very few effective antiviral drugs

00:27:10

or they are very expensive; antibiotics,

00:27:12

as you all already know, do not

00:27:14

treat viruses viral hepatitis is

00:27:17

incredibly difficult and very expensive, so once again I

00:27:20

ask you

00:27:26

to concentrate, you already know I hope you

00:27:28

made the right conclusions we will meet

00:27:30

in a week All the best to you

00:27:33

[applause]

00:27:38

[music]

00:27:56

good luck

00:27:59

[music]

Description:

Вирусный гепатит - что это за болезнь, какие вирусы ее вызывают, чем опасны различные виды гепатита и как от него уберечься. Все эти вопросы певец и композитор Иво Бобул задал доктору Комаровскому. Подписывайтесь на YouTube доктора Комаровского: https://www.youtube.com/user/doctorkomarovskiy?sub_confirmation=1 Наши плейлисты: Вакцинация детей - https://www.youtube.com/playlist?list=PLe6qAh5q49Zbhl2lUejS2J8JyzNqNLKxM Лекарства - https://www.youtube.com/playlist?list=PLe6qAh5q49ZYMidNt5ytzrI2DanogAnc7 Здоровье, болезни, лечение ребенка - https://www.youtube.com/playlist?list=PLe6qAh5q49ZbdTC6BewgV8_PwHqxj2RDI Образ жизни вашего ребенка - https://www.youtube.com/playlist?list=PLe6qAh5q49ZZivDBESkQtmJTQ3t9BGqUC Начало жизни вашего ребенка - https://www.youtube.com/playlist?list=PLe6qAh5q49ZZdH4bQpqWTgcQsOYy0wzKz До рождения ребенка - https://www.youtube.com/playlist?list=PLe6qAh5q49ZYJzjJrJ8V91rD0VWdXVa59 Доктор Комаровский - детский врач, телеведущий, автор книг о здоровье детей и здравом смысле родителей. Официальный сайт: https://komarovskiy.net/ Доктор Комаровский на Google+: https://workspaceupdates.googleblog.com/2023/04/new-community-features-for-google-chat-and-an-update-currents%20.html Доктор Комаровский в Facebook: https://www.facebook.com/unsupportedbrowser Доктор Комаровский в Вконтакте: https://www.amazon.co.jp/Panasonic-%E3%83%87%E3%82%B8%E3%82%BF%E3%83%AB%E4%B8%80%E7%9C%BC%E3%82%AB%E3%83%A1%E3%83%A9-F2-5%E3%83%91%E3%83%B3%E3%82%B1%E3%83%BC%E3%82%AD%E3%83%AC%E3%83%B3%E3%82%BA%E4%BB%98%E5%B1%9E-%E3%83%95%E3%83%AB%E3%83%8F%E3%82%A4%E3%83%93%E3%82%B8%E3%83%A7%E3%83%B3%E3%83%A0%E3%83%BC%E3%83%93%E3%83%BC%E4%B8%80%E7%9C%BC-%E3%82%B7%E3%82%A7%E3%83%AB%E3%83%9B%E3%83%AF%E3%82%A4%E3%83%88/dp/B004CYFSRA?ie=UTF8

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