04-12-2012 21:24 | de | 1 afisari
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Despre virusul hepatitic C si sarcina

Fara simptome, insa cu implicatii majore in stadiu avansat de boala, virusul hepatitic C poate pune in pericol o sarcina. Despre cum se comporta un organism infectat cu virusul C si care sunt implicatiile in cazul unei sarcini la o persoana purtatoare de virus, ne explica dr. Adrian Marinescu, Medic Primar Boli Infectioase Institutul National de Boli Infectioase „Prof Dr Matei Bals”, Bucuresti. 

- Care este simptomatologia unei persoane infectate cu virus C?

Din păcate, de cele mai multe ori, o persoană infectată cu virus C, nu are simptome. Doar în stadiul avansat de boală (ciroză hepatică) apar semne clinice și, de multe ori, este destul de târziu. Pentru a ințelege mai bine, am putea să ne gândim că este o situație asemănătoare cu cancerul și, în acest caz, simptomatologia apare tardiv, într-un stadiu avansat. 

- Care sunt căile prin care se transmite virusul hepatic C?
Transmiterea cea mai frecventă este prin sânge și produsele din sânge. Virusul poate fi contactat în cazul intervențiilor chirurgicale de orice fel, mai ales dacă au fost făcute transfuzii de sânge, proceduri stomatologice, manichiură sau pedichiură.

O altă cale de transmitere este cea materno-fetală, în condițiile în care mama are un virus C activ.

De asemenea, în ultimul timp a crescut numărul consumatorilor de droguri pe cale intravenoasă și trebuie menționat că 70-80% dintre aceștia au infecție cu virus C.

Trebuie precizat faptul că transmiterea pe cale sexuală a virusului C este puțin probabilă (șansa este de 2-3%). 

- Poate o femeie infectată cu virusul hepatic C să păstreze o sarcină?
Categoric da, recomandat este ca înainte de programarea sarcinii, viitoarea mamă să facă un set complet de analize și, în cazul în care este depistată prezența virusului C, să fie făcută o evaluare completă. Atunci când infecția este activă, trebuie să urmeze tratament.

-În cazul în care o femeie însărcinată este infectată cu virusul hepatic C, acesta se poate transmite la copil?
Virusul poate fi trasmis de la mamă la copil în condițiile în care este o infecție activă. În funcție de nivelul de activitate al virusului, există un risc mai mare sau mai mic.
 
În această situație, este primordial ca evaluarea care este realizată la momentul depistării să fie făcută în cel mai corect și profesionist mod posibil. Pentru a reduce cât mai mult posibil riscul de transmitere, este recomandată nașterea prin cezariană, iar în cazul unei infecții active, alăptarea este contraindicată.

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