Difficult diagnosis of hepatitis

About 70 percent of cases of chronic viral hepatitis missed diagnosis. Whereas in the advanced phase, the disease can cause liver cancer. Hepatitis vaccination prevention can be an alternative.

Of hepatitis is still be one of the enemy dangerous to humans. Moreover, inflammatory liver disease caused by this virus is a major cause of liver cancer. Hepatitis is composed of three types, namely hepatitis A, B, and C.


Described by Prof. Dr H. Ali Sulaiman Sp PD-KGEH of Heart Clinic, that hepatitis A is an inflammation of the liver caused by hepatitis A virus infection that is transmitted from human to human via food or drink that is contaminated. The virus is included in the group of enterovirus RNA that replicates in liver cells.

Most of the hepatitis A virus infection did not result in chronic infection. One can obtain a perfect cure. However, these viruses still have to get attention, especially if there is coinfection with other diseases such as hepatitis B or C.

During this regular hepatitis emerged from places that are not clean. However, now there have been changes in the pattern of hepatitis A virus infection People with high hygiene standards began this dangerous virus. This is because the group did little to gain immunity in the children. "People who are too clean, hygienic, or never snack, in fact susceptible to hepatitis A because they had no natural antibodies,"

While hepatitis B become an alarming health problem.
Based on data from the World Health Organization (WHO), more than 350 million people worldwide infected with the virus and is one of the main causes of chronic liver disease, cirrhosis, and liver cancer. Calculated that 1 million people die each year because of chronic hepatitis B and is one of the ten largest cause of death.

"Hepatitis B virus is not treated it can become chronic hepatitis, liver cancer and cirrhosis of the liver,"

The hepatitis C virus is one cause of chronic liver infection (chronic) and may end in cirrhosis, liver cancer, and death. World Health Organization (WHO) estimates that hepatitis C virus has struck more than 170 million people around the world with 3-4 million new infections each year. About 80 percent of people newly infected, the illness will continue to develop into chronic infection. Cirrhosis occurs in about 10 to 20 percent of patients with chronic hepatitis C and liver cancer occurs in 1 to 5 percent of patients with chronic hepatitis C over a period of 20-30 years.

Hepatitis C virus spreads through direct contact with blood or blood products. The main route of hepatitis C virus infection in the world is through a blood transfusion that is not filtered and the use of unsterilized needles in turn. Although rare, hepatitis C can also be transmitted through sexual activity and from mother to child during childbirth.

In many developing countries, where blood and blood products is still not processed with proper screening procedures, the main transmission route is through the use of injection equipment is not sterile and transfusion with blood that is not filtered. Those who practice circumcision (circumcision), and tattoo traditional use sterilized instruments are also at risk of contracting.

It is said by the Chief Medical Officer of DKI Jakarta, Dr. Dien Emawati Kes, based on a survey conducted from 11 hospitals in Jakarta in 2007-2009 found approximately 46 percent comes from drug users, c 32 percent of patients with hepatitis C are in the productive age of 30-39 year, and by 18 percent comes from infection of family members.

"Intensive Treatment and prevention efforts through education in the community, for example by pursuing the cadres it is closer to the community is necessary,"

Dien explains, viral hepatitis cases are found in everyday clinical practice. However, usually the patient had come in the condition further because of delayed diagnosis. The cause of the delay was partly because the disease shows no symptoms and clinical signs are obvious. The disease is usually missed diagnosis by the doctor because the disease is not real and people often do not feel or notice.

"The absence of typical symptoms early in disease progression of hepatitis viruses cause most patients are diagnosed at an advanced stage of liver disease,"

In addition, the disease is usually missed diagnosis by general practitioners and physician clinic because of a lack of understanding and ability to diagnose this disease. Finding the viral hepatitis disease at an early level is a very important and urgent to be implemented.

To anticipate the increasing incidence of diseases caused by hepatitis virus, in Jakarta has about 1,000 doctors trained community health center in the hope that they can recognize viral hepatitis, such as with early detection, and refer to hospital services if it can not be treated in the clinic.

"If it turns out someone suffered hepatitis develop into cirrhosis or liver cancer, treatment would be very expensive,"

Early detection is also important, especially for hepatitis C virus to prevent transmission from adults to adults another through blood contact or from mother to baby who will birth.

Ali said that preventive measures are not less important for hepatitis B is hepatitis B vaccination Infection with hepatitis B as adults probably develop into chronic liver disease, cirrhosis, or liver cancer is approximately 5 percent. Conversely, hepatitis B virus infection that occurs at birth, the risk becomes severe around 95 percent. "Therefore, the coverage of hepatitis B vaccination for infants is very important. As for hepatitis C there has been no vaccination, "