Urinary infection, urinary tract infection, bacterial infection

Question: Eighteen months ago, there were pains in the liver of moderate, then sporadically, then you (in the treatment of hepatoprotector), the temperature increased a few times, the chair was sometimes fluid. 9 Months ago there were pains in the kidneys (light), while urine foams a little early, there were moments that is stronger, but more often not very strong. Then came the pain in the joints, it appeared, then disappeared, 6 months ago, an itch, it is the case, then no, but now more often. About three months ago found antibodies to ljamblii. Passed two courses of treatment, the antibodies have disappeared. Not found in feces, but they say that they are rarely detected, because the small. Throughout the time to be tested for hepatitis, and PCR and conventional. All hepatitis were negative for PCR, except the TT. In 2003, 2004. vaccinated against hepatitis B in school. Two weeks ago, after the last treatment makmirorom (Table) and tanaksolom. Like symptoms have disappeared. But a week ago after eating there: Itching, pain in joints, back, pain in the liver, smack in the right side of the hypochondrium, pain from the belly button leaving a little in the stomach, digestive disorder. After this the test results after the onset of pain: HBSAg – отриц. Anti-HBS – less than 10 mIU / ppHbeAG – отриц. Anti-Hbe – отриц. Anti-Hbcor total. – Отриц. Anti-HCV total. – Отриц. Anti-HDV total. – Weak pos. Anti-HEV IgM – отриц. Anti-HEV IgG – отриц. Proteinogramma normal. ALT 54 (normal 11-40) AST 27 (normal 11-40) Total Protein – 83.5 (normal 66-83) Bilirubin total – 20 (rule 3. 4-17. 0) Bilirubin bound – 5 (rate of 0. 8-5. 1) bilirubin is free – 15Amilaza – 38 (rule 80), alkaline phosphatase -56 (normal to 117) Gamma-glutamyl transferase – 22 (normal 11-50) Six months ago, did liver ultrasound – steatosis, spleen in normal, normal kidney (but there is urolithiasis, was crushing stone in the hospital), the pancreas was normal. Worried about what this might be? Or ljamblii hepatitis or what else. The strange thing is the result of Anti-HDV total. – Weak pos. How this can be – slightly positive?

Answer: A <b> </ b>: In the absence of hepatitis B, hepatitis A can not appear. The defeat of the liver (steatosis) – a prerequisite to other problems. Violation of metabolism is, zhelcheottok and biligenesis also not completely normal. And in the intestine, as a consequence of all this, as the full order no. So that all problems can be explained by existing and well-known difficulties with health. You should talk to the gastroenterologist. You can choose a course of treatment, then maintenance therapy and will chuvsvtvovat itself quite normal. Only it is necessary not to forget the need to comply with a reasonable diet and limiting any harmful factors. Sincerely, Zakharenko SM

Question: Dear doctor, you always do not answer. There are restrictions vplane work. For example, I head there are any restrictions with this disease?

Answer: There is no clarity on the issue – no response. What restrictions? Just working with people – can. Even a doctor or nurse specialties can. But the military service in the army with chronic hepatitis B – can not. And in the components of rocket fuel and nuclear reactors will not be allowed. Sincerely, Zakharenko SM

Question: Good morning! My husband recently discovered hepatitis C. sent a doctor to determine the type. husband was tested and received a reply – not enough RNA for genotyping. the doctor said to wait and come in a couple of months. but it seems to me that sit on their hands should not. 'll show how to be? In addition, the doctor said nothing about the analysis, simply gave dannyeMuzha worried about fatigue, says that often "feels the liver, can easily become ill (both in April was sick for a month) on the hands is now such results analizov09. 04. 08Glyukoza (blood) 3. 016 mmol / L [3. 90-5. 80] 11. 04. 08Anti HbcAg (A / T to the Cor-antigen) minusHBs Ag (Australian A / G) minusAntiHCV (confirmation) plyusANTI HBs (A / T to the surface. A / D vi) found no mME / MLPRYAMOY BILIRUBIN 6. 393 mmol / L [0. 00-2. 50] Thymol test 1. 556 ED. [0. 00-4. 00] Aspartate transaminase 0. 966 mmol / L H [0. 10-0. 45] ALANINE AMINOTRANSFERASE 1. 9 mmol [0. 10-0. 68] (G) ALKALINE PHOSPHATASE 261. 8 U / lOBSchY BILIRUBIN 26. 025 mmol / L [8. 50-20. 50] 22. 04. 08Obschy protein 80. 6 g / lSchelochnaya PHOSPHATASE 289. 4 U / la / D RATIO 1. 54 [1. 00-2. 00] ALBUMIN 60. 6% [53. 20-65. 20] ALPHA-1 – Globulin 2. 8% [1. 90-4. 10] ALPHA-2 – Globulin 8. 7% [8. 10-13. 70] BETA-Globulin 10. 9% [9. 20-18. 00] gamma globulin 17. 0% [10. 50-16. 10] Fibrinogen 2. 3 g / l [2. 00-3. 50] Thymol test 2. 844 ED. [0. 00-4. 00] Aspartate transaminase 0. 557 mmol / L H [0. 10-0. 45] ALANINE AMINOTRANSFERASE 1. 4 mmol [0. 10-0. 68] (G) Total bilirubin 17. 066 mmol / L [8. 50-20. 50] Prothrombin ACTIVITY (Blood) 90% [85. 00-110. 00] (N) 26. 05. 08122-1/022. Anti-HCV (otech. test) plus 0, 300 / 2,183122-3. Anti-HCV (pulse test) plus 0. 357 / 3. 500

Answer: Not everyone needs to hepatitis C antiviral treatment mandatory. Genotyping need to determine the prognosis for treatment and choice of doses. But nothing prevents a so-called pathogenetic treatment – ie, diet, reduced physical activity. vitamins, "support" of the liver, the restoration of disturbed functions of the intestines, pancreas, etc. This doctor had to explain without genotyping. For primary education by way of life with hepatitis can see the usual recommendations or in our materials or other specialized sites. But the visit to the doctor, this information does not cancel. Sincerely, Zakharenko SM

Question: Can pregnancy if on July 15 vaccinated against hepatitis B? How does it affect the fetus? It is dangerous to you?

Answer: an explicit prohibition vaccine manufacturers do not lead. But you'd better have at least one cycle wait. Sincerely, Zakharenko SM

Question: Can we stop the vaccination (if made 1 vaccination against hepatitis B) and get pregnant. How can it affect my health?

Answer: If a vaccine to stop after the first vaccination, then a high probability of full immunity does not appear (and some of the first antibodies still appear). There are several possible options for action. 1. Vaccination continue as planned. If pregnancy occurs – so be it. In the annotation to the vaccine does not say that pregnancy is a contraindication to its use. 2. Conduct regular course of vaccination, and then plan the heirs. 3. An accelerated course of vaccination, and then build plans. Decide advise it. It is better to consult internally. Sincerely, Zakharenko SM

Question: I have a question, I slept with a girl who may have hepatitis, protects, can I catch a kiss, ie slyunoyZaranee thanks

Answer: Depends on hepatitis. But in most cases – no, if there is no blood in the saliva. Sincerely, Zakharenko SM

Question: Sergei Mikhailovich, a year ago, I donated blood for hepatitis. Nothing was found and recommended vaccination. They said that if the antibodies do not, it means that the vaccine I have never done. Is this true? Now I want to make the vaccine. If all the same to me once it was made (I am abroad and check the data in my clinic in Russia can not) and I'll do it again, will there any side effects? Do I need to be tested before the vaccine again, or you can rely on last year's negative result, provided that the unprotected sex I was not? Thank you!

Answer: Can be vaccinated. Antibody no – no matter has been vaccinated or not (the result is not the same). In Russia, suggest taking a revised analysis of the vaccine do. Outside of saving money and often do not. Sincerely, Zakharenko SM

Question: Sergey! Tell me please, what to do: in the spring I had the surgery, was tubal pregnancy, cyst, in general remained the uterus and right ovary. We went with her husband for consultation at the clinic, to make IVF under the state program, to undergo a huge number of tests, and I have detected antibodies to hepatitis C! The doctor said that a free program with hepatitis C, I'm not make it, and perhaps even pay for IVF, I did not get there! I passed hepatitis C in the PCR, the result will be on Monday. So I may do IVF? I am desperate, I'm 26 years old, more than anything else I wanted to become a mother, after the operation I did not want to live, and then hope for IVF … and now …. Life stopped?

Answer: I'm not doing IVF programs, but approval of your doctor looks strange. The presence of hepatitis C may not be an absolute contraindication to this procedure. It makes sense to communicate with other specialist and ask for references to documents which prohibit such a procedure in your case. Sincerely, Zakharenko SM

Question: I have to you here is the question: I passed the blood tests I have found antibodies in biochemical analysis. Norma privyshaet 2 times. A doctor once suggested on gepotite "C". I was sent a hepatologist. Before him, another week, and the nerves can not stand. Before that was at the ultrasound of the abdominal cavity and uzist said that the liver is slightly compacted (hardish), but not significantly, and there is nothing to worry about. Tell me, can be so that I do not hepatitis, but something else? or I should not have a toying expectations. . .

Answer: Biochemical analysis does not detect antibodies to hepatitis C virus or other antigens. So that further assumptions and construction can not be correct. Sincerely, Zakharenko SM

Question: Good day! Please tell me whether you want to be vaccinated against hepatitis B when planning pregnancy. Pregnancy planning through the year. What is the scheme of vaccination? How long does the immunity after vaccination? Which vaccines can you advise?

Answer: vaccine for adults is for special indications (there is a risk of infection, for example, doctors at the receiving blood products, etc.) or on request. The complete cycle of vaccinations of 3 injections. There are several schemes of vaccination – a very short (fast) – 0, 1, 2 months and short – 0, 2, 4. There is normal – 0, 1, 6 and 0, 1, 12 months. If pregnancy occurred during the vaccination, then nothing bad will happen. Although the continuation of vaccination during pregnancy requires a personal discussion with the doctor. Sincerely, Zakharenko SM