You will need
  • - tests for qualitative and quantitative PCR, genotype and IL28B, as well as the results fibroscan/FibroTest/biopsy;
  • - medical insurance policy;
  • - passport;
  • - medication prescription for antiviral therapy;
  • - money.
Upon learning that the body has the virus, immediately go to the AIDS center or specialized laboratory "Invitro", "Sitilab" or Ditrix. Turn the common analysis and biochemistry of blood. Get in the lab marker for qualitative PCR, polymerase chain reaction. When you confirm the diagnosis, define the same quantitative PCR, the number of the genotype and viral load.
If you discovered early, the most severe genotype of hepatitis C pass the test for IL28B, interleukin-28 beta. It shows the probability of the efficacy of future treatment. Make fibroscan/FibroTest/liver biopsy that will accurately determine the degree of damage and the stage of fibrosis. The results of these studies, as well as other types of hepatitis, HIV, ultrasound of the liver, spleen, gall bladder and pancreas, go to the doctor-hepatologist. Stand up to him on the account.
Depending on the type of hepatitis, buy prescription needed medication. Take in the clinic a referral for a free initial consultation from a hepatologist. The AVT, antiviral therapy, is carried out with hepatitis B, C or G. the latter is treated similarly to C. there is No effective method of treatment of hepatitis D, it does not appear without an accompanying B. there are also toxic, medicinal and autoimmune hepatitis, treatment also does not require therapy.
Strictly follow all recommendations of your doctor. When various types of hepatitis are recommended to use latest anti-virus medicine medication like ribavirin, peginterferon (Pegasys, PegIntron, algeron), narrativer, daclatasvir, asunaprevir, a protease inhibitor (telaprevir, boceprevir), antispasmodics, remedies for intoxication, enzymes, hepatoprotectors, Phosphogliv and others.
Mandatory antiviral therapy is considered only for patients with pronounced fibrosis of the liver and the threat of the imminent appearance of cirrhosis. Turning to the hepatologist, tell him about your other diseases. It is possible that some of them are contraindications for therapy. In this case, you can only advise, support course, without treatment.
In particular, do not spend HTP diabetes, coronary heart disease, heart failure, asthma. It is not recommended and people with disorders of the thyroid gland, transplanted organs, allergies, and children under three years and pregnant women. The use of ribavirin may cause miscarriage or lead to the death of the infant.
Ask the hepatologist about the possibility of holding free antiviral therapy in accordance with the regions the Federal program for treatment of hepatitis. But if you are not able to get into it, the doctor must develop a customized antiviral therapy. And further he is obliged to monitor its implementation and regularly you to watch.
The basis of therapy will be data in your preliminary research. The period of full recovery depends on the condition and theoretically ranges from 16 to 72 weeks. For example, the first genotype of hepatitis C it is usually equal to 48 weeks. And the second and the third genotype is 24 weeks. The second and third genotypes are treated with efficiency up to 85%, and the first and the fourth to 60%.
During the HTP regularly, every two weeks, take General and biochemical blood analysis. If after a month the virus was not found, this suggests the beginning of recovery. But if the token has confirmed his availability and after 12-weeks, then after six months therapy should be reinstated, only using stronger and more expensive drugs.
In the presence of a physician and depending on the genotype, it is necessary once a week to take a test on PCR quality. Before the advent of "minus". After that and until completion of therapy — once a month. Also once, but in three weeks hand over hormonal analyses. This is necessary to prevent potential problems with very suffering with HTP thyroid.
If after six months after the start of HTP, the virus in the blood is not found acceptable to talk about the recovery. However, take the course to the end. Completely recovered, you can call yourself is that, a year after completion of therapy. Although there were cases that are considered very "tricky" the hepatitis C virus came back later, and the expensive treatment was resumed.