Case Study For Hepa D

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HEAPATITIS D

INTRODUCTION

Hepatitis D is a liver infection you can get if you have hepatitis B. It can


cause serious symptoms that can lead to lifelong liver damage and even death.
It’s sometimes called hepatitis delta virus (HDV) or delta hepatitis.

Although it isn’t common in the United States, HDV is the most severe form of
hepatitis. Over time, it can lead to liver cancer or liver failure. While treating HDV
can be a challenge, doctors are hopeful that better treatments are on the way.

CAUSES AND RISK FACTORS

You can get HDV if you come into contact with the blood or other body fluid
of someone who’s sick with it. Yet it can infect you only if you have hepatitis B.
HDV needs the “B” strain of hepatitis to survive.

This can happen two ways:

 Co-infection: You can contract HBV and HDV at the same time
 Super-infection: You can get sick with hepatitis B first, then later come
down with HDV. This is the most common way to get hepatitis D.

Risk Factors

Your odds of getting hepatitis D go up if you:

 Have hepatitis B
 Inject drugs
 Have sex with someone who has hepatitis B or D
 Have HIV and hepatitis B
 Are a man who has sex with other men
PATHOPHYSIOLOGY

DIAGNOSIS
Your doctor will ask questions about your symptoms and lifestyle, then do an
exam. They’ll test your blood for the different types of hepatitis. If you have it,
your doctor will do more bloodwork and imaging tests to check your liver for
signs of damage.
MEDICAL MANAGEMENT
1. Targeting the causative agent of Hepatitis B may also kill the causative
agent of Hepatitis D.
2. Interferon is under investigation as a specific treatment for Hepatitis D.
3. Acyclovir, ribavirin, lamivudine and synthetic analogues of thymosin
have proved ineffective.

NURSING INTERVENTIONS

1. Inform the patient and family members about the nature of the disease
if the patient is taken care at home.
2. Assist is paracentesis if indicated.
3. Patients with cirrhosis could be in deep pain and discomfort, use of
analgesics should be administered with great caution since it can
worsen the liver damage.
4. Diversionary therapy and non-pharmacological approach should be
applied in managing pain.
5. Ongoing monitoring of vital signs, abdominal girth and reminding for
the routine check-up must be emphasized for effective management.

COMPLICATIONS

In rare cases, acute hepatitis D can lead to acute liver failure, a condition in
which the liver fails suddenly. Although acute liver failure is uncommon,
hepatitis D and B infections are more likely to lead to acute liver failure than
hepatitis B infection alone. Chronic hepatitis D may lead to cirrhosis, liver
failure, and liver cancer. People who have chronic hepatitis B and D are more
likely to develop these complications than people who have chronic hepatitis
B alone.20 Early diagnosis and treatment of chronic hepatitis B and D can
lower your chances of developing serious health problems.

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