{"id":61953,"date":"2022-04-28T09:43:26","date_gmt":"2022-04-28T06:43:26","guid":{"rendered":"http:\/\/infois.ro\/?p=61953"},"modified":"2022-04-28T09:43:26","modified_gmt":"2022-04-28T06:43:26","slug":"dr-florin-rosu-despre-hepatita-acuta-cu-origini-necunoscute-prezentarea-la-spital-dupa-debutul-bolii-este-obligatorie","status":"publish","type":"post","link":"https:\/\/infois.ro\/?p=61953","title":{"rendered":"Dr. Florin Ro\u0219u, despre hepatita acut\u0103 cu origini necunoscute: Prezentarea la spital dup\u0103 debutul bolii este obligatorie"},"content":{"rendered":"<p><a href=\"http:\/\/infois.ro\/wp-content\/uploads\/2021\/08\/florin-rosu-director-spital-infectioase.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-56508\" src=\"http:\/\/infois.ro\/wp-content\/uploads\/2021\/08\/florin-rosu-director-spital-infectioase.jpg\" alt=\"\" width=\"385\" height=\"289\" srcset=\"https:\/\/infois.ro\/wp-content\/uploads\/2021\/08\/florin-rosu-director-spital-infectioase.jpg 640w, https:\/\/infois.ro\/wp-content\/uploads\/2021\/08\/florin-rosu-director-spital-infectioase-300x225.jpg 300w\" sizes=\"(max-width: 385px) 100vw, 385px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">Hepatita acut\u0103 cu origini necunoscute care afecteaz\u0103 \u00een special copiii, care a fost semnalat\u0103 \u0219i \u00een Rom\u00e2nia, la o feti\u021b\u0103 \u00een v\u00e2rst\u0103 de cinci ani din zona Bucure\u0219ti-Ilfov, provoac\u0103 nelini\u0219te at\u00e2t \u00een r\u00e2ndul p\u0103rin\u021bilor c\u00e2t \u0219i al speciali\u0219tilor. Av\u00e2nd \u00een vedere c\u0103 originea transmiterii acestei tulpini nu a fost deocamdat\u0103 depistat\u0103, medicii recomand\u0103 p\u0103rin\u021bilor s\u0103 se prezinte cu copilul la spital imediat dup\u0103 apari\u021bia primelor semne ale bolii.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u201cDespre hepatit\u0103 putem afirma c\u0103 aceasta reprezint\u0103 inflama\u021bia ficatului, care are o multitudine de cauze, at\u00e2t infec\u021bioase c\u00e2t \u0219i neinfec\u021bioase. Agen\u021bii infec\u021bio\u0219i care provoac\u0103 hepatit\u0103 includ viru\u0219i \u0219i parazi\u021bi, cauzele non-infec\u021bioase incluz\u00e2nd o serie de medicamente \u0219i agen\u021bi toxici. \u00cen unele cazuri, hepatita poate rezulta dintr-o reac\u021bie auto-imun\u0103, dirijat\u0103 \u00eempotriva celulelor hepatice ale corpului, cu alte cuvinte, corpul nostru creeaz\u0103 anticorpi care lupt\u0103 \u00eempotriva celulelor hepatice. Semnele \u0219i simptomele hepatitei virale acute rezult\u0103 din afectarea ficatului \u0219i sunt similare indiferent de virusul hepatic responsabil. Pacien\u021bii pot prezenta o stare asem\u0103n\u0103toare gripei. Semnele \u0219i simptomele generale includ: grea\u021b\u0103, v\u0103rs\u0103turi, dureri abdominale, febr\u0103, astenie fizic\u0103, adic\u0103 oboseal\u0103 marcant\u0103, inapeten\u021b\u0103, adic\u0103 lipsa poftei de m\u00e2ncare, erup\u021bii cutanate \u0219i dureri articulare. Un simptom mai rar este icterul, respectiv o \u00eeng\u0103lbenire a pielii \u0219i a ochilor, pacien\u021bii put\u00e2nd sesiza o modificare a culorii luminii. Faza acut\u0103 simptomatic\u0103 a hepatitei virale dureaz\u0103 de obicei de la c\u00e2teva zile la c\u00e2teva s\u0103pt\u0103m\u00e2ni, iar durata de icter care poate urma dureaz\u0103 de la una la trei s\u0103pt\u0103m\u00e2ni\u201d, afirm\u0103 dr. Florin Ro\u0219u, managerul Spitalului de Boli Infec\u021bioase \u201eSf\u00e2nta Parascheva\u201d din Ia\u0219i.<\/p>\n<p style=\"text-align: justify;\">Potrivit acestuia, la sf\u00e2r\u0219itul s\u0103pt\u0103m\u00e2nii trecute, Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) a raportat 169 de cazuri de hepatit\u0103 acut\u0103 de origine necunoscut\u0103 \u00een 12 \u021b\u0103ri din \u00eentreaga lume, pacien\u021bii av\u00e2nd v\u00e2rsta cuprins\u0103 \u00eentre o lun\u0103 \u0219i 16 ani, \u00eengrijor\u0103tor fiind faptul c\u0103, \u00een majoritatea cazurilor, copiii aveau v\u00e2rsta sub zece ani \u0219i nu prezentaser\u0103 anterior comorbidit\u0103\u021bi sau alte antecendente medicale. \u0218i mai \u00eengrijor\u0103tor este \u00eens\u0103 faptul c\u0103 167 dintre copii, respectiv circa 10% din num\u0103rul total, au prezentat o form\u0103 grav\u0103 a bolii, necesit\u00e2nd transplant hepatic.<\/p>\n<p style=\"text-align: justify;\">\u201cDin p\u0103cate, \u00een acest moment nu este cunoscut\u0103 cauza \u0219i nici modul de transmitere a acestei boli, \u00eens\u0103 se suspicioneaz\u0103 c\u0103 de vin\u0103 ar fi adenovirusurile, respectiv virusurile care pot genera diferite boli, de la r\u0103ceal\u0103 la enterocolite. OMS a declarat c\u0103 adenovirusurile au fost detectate \u00een 74% dintre cazurile semnalate pe plan mondial. O alt\u0103 ipotez\u0103 ar fi c\u0103 pe perioada pandemiei, folosind m\u0103\u0219tile de protec\u021bie, copiii nu au reu\u0219it s\u0103 dezvolte imunitate la aceste adenovirusuri. O a treia ipotez\u0103 pentru apari\u021bia acestei tulpini necunoscute ar putea fi o combina\u021bie \u00eentre adenovirus \u0219i COVID- 19\u201d, a ad\u0103ugat medicul.<\/p>\n<p style=\"text-align: justify;\">P\u00e2n\u0103 la stabilirea unei cauze exacte, cea mai important\u0103 arm\u0103 de lupt\u0103 \u00eempotriva acestei tulpini este preven\u021bia, spune dr. Florin Ro\u0219u.<\/p>\n<p style=\"text-align: justify;\">\u201cCum o realiz\u0103m? Simplu: prin sp\u0103larea corect\u0103 a m\u00e2inilor ori de c\u00e2te ori este nevoie, prin sp\u0103larea alimentelor, legumelor \u0219i a fructelor, prin depozitarea gunoiului \u00een locuri special amenajate, \u0219i prin folosirea obiectelor personale de igien\u0103 \u0219i nicidecum a celor \u00eemprumutate de la alte persoane. Orice pacient care prezint\u0103 simptomele enumerate mai sus \u0219i anume: grea\u021b\u0103, v\u0103rs\u0103turi, dureri abdominale, febr\u0103, stare de oboseal\u0103, lipsa poftei de m\u00e2ncare, \u00eeng\u0103lbenirea tegumentelor \u0219i a sclerelor, modificarea culorii urinei, trebuie s\u0103 se prezinte la spital pentru investiga\u021bii clinico-biologice suplimentare \u0219i ini\u021bierea de \u00eendat\u0103 a tratamentului de specialitate\u201d, atrage aten\u021bia medicul.<\/p>\n<p style=\"text-align: justify;\">Dat fiind faptul c\u0103 hepatita netratat\u0103 corespunz\u0103tor \u0219i de multe ori neglijat\u0103 poate conduce la complica\u021bii severe, este de preferat ca p\u0103rin\u021bii s\u0103 nu intre \u00een panic\u0103 \u0219i s\u0103 se prezinte cu copilul la spital imediat dup\u0103 debutul bolii, mai spune dr. Florin Ro\u0219u.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hepatita acut\u0103 cu origini necunoscute care afecteaz\u0103 \u00een special copiii, care a fost semnalat\u0103 \u0219i&#8230; <a class=\"meta-more\" href=\"https:\/\/infois.ro\/?p=61953\">more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":56508,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41,24],"tags":[74,15261,5547,40,15260],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/61953"}],"collection":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=61953"}],"version-history":[{"count":1,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/61953\/revisions"}],"predecessor-version":[{"id":61954,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/61953\/revisions\/61954"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/media\/56508"}],"wp:attachment":[{"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}