PREVENTION AND TREATMENT

Hepatitis A - Primary prevention

Water born disease उदकं तु खल्वत्यर्थ�विवकृतगन्धवर्ण�रसस्पर्शं�

क्लेदबहुलमपक्रान्तजलचरविवहङ्गमुपक्षीर्णजलेर्शंयमप्रीवितकरमपगतगुर्णं विवद्यात्(२); Charaka remembers Hot water here

Endemic Be prepared for an out break Keep personal & water hygiene esp.during travel

Seasonal Campaign mass virechanam in every ritusandhi Campaign mass virechanam at every outbreak

Advice simple medications for mass like Keezharnelli

Hepatitis A - Secondary Prevention

Absolute bed rest Symptom management

HrillasamJwaramMalaiseDehydration / thirstConstipation

Sodhana chikitsa - Vamana & Virechanam

Treatment guidelines

Keep balam by rest and lightest foods and drinksSymptomatic treatmentBroad supportive drugsDo use Ottamoolies & with due considerationPrevent dehydration by bath, IV fluids etc.Ensure laxation and keep appetite

Use Laboratary tests very frequentlyto moniter the speed, intensity, complications

Treatment assumptions

Simple jaundice is self limitingSo give time

±ÉÆPÉxÉÆ, º´ÉänùxÉÆ, EòɱÉÉä, ªÉ´ÉÉMÉÖ, ÊiÉHòEòÉä ®úºÉ&, ¨É±ÉÉxÉÉÆ {ÉÉSÉxÉÉÊxÉ ºªÉÖ& ªÉlÉɴɺlÉÆ Gò¨ÉähÉ ´ÉÉ

´ªÉɪÉɨÉÉnÚù¹¨ÉhɺiÉèIhªÉÉnùʽþiÉÉSÉ®úhÉÉnùÊ{É EòÉä¹`öÉiÉ ¶ÉÉJÉÉκlɨɨÉÉÇÊhÉ pÖùiÉi´ÉÉiÉ ¨ÉɯûiɺªÉ SÉ

nùÉä¹ÉÉ ªÉÉÎxiÉ, iÉlÉÉ iÉ䦪É& »ÉÉäiÉÉä¨ÉÖJÉʴɶÉÉävÉxÉÉiÉÂ, ´ÉÞvªÉʦɹªÉxnùxÉÉiÉ {ÉÉEòÉiÉ EòÉä¹`Æö ´ÉɪÉÉä¶SÉ ÊxÉOɽþÉiÉÂ

iÉjɺlÉɶSÉ Ê´É³ý¨¤Éä®úxÉ ¦ÉÚªÉÉä ½äþiÉÖ |ÉiÉÒÊIÉhÉ&

Food and drinks

Most important partUse podiyari kanji with less or no saltEnsure sufficient food intakeAvoid dry foods like bread, biskets, chappathi etcGo for Vallee Phalam - esp.ChurakkaEnsure laxation - use fruit juicesConsider Keezharnelli, jeerakam + Avanakkin kurunnu,

etc., good supportive foods

Hepatitis B - Primary Prevention Communicable by Blood and body fluids -

Keep personal hygiene |ɺÉÆMÉÉiÉ MÉÉjɺÉƺ{ɶÉÉÇiÉ ÊxÉ·ÉɺÉÉiÉÂ

ºÉ½þ¦ÉÉäVÉxÉÉiÉÂ*EÖò¹`Æö V´É®ú¶SÉ ¶ÉÉä¹É¶SÉ xÉäjÉÉʦɹªÉxiÉ B´É SÉ - - - -

ºÉÆGòɨÉÎxiÉ xÉ®úÉzÉ®Æú** Keep professional hygiene

où¹]õEò¨ÉÉÇ ¶ÉÖÊSÉ̦ɹÉEÂò*Use disposables and steriles

Keep Social hygieneगुप्ति.तरात्मनः||१५||

विहतं जनपदानां च शिर्शंवानामुपसेवनम्| सेवनं ब्रह्मचय�स्य तरै्थव ब्रह्मचारिरर्णाम्||१६|| सङ्कर्था धम�र्शंास्त्रार्णां महर्षी>र्णां जिजतात्मनाम्|

धार्मिमAकैः सात्त्विCवकैर्निनAत्यं सहास्या वृद्धसम्मतैः

Treatment principle

कर्म� पञ्चविधं तेषां भेषजं परर्मुच्यते||१३|| रसायनानां विवधिधवच्चोपयोगः प्रर्शंस्यते| र्शंस्यते देहवृत्तिLश्च भेर्षीजैः पूव�मुद्धतैृः||१४||

सत्यं भूते दया दानं बलयो देवताच�नम्| सद्धLृस्यानुवृत्तिLश्च प्रर्शंमो गुप्ति.तरात्मनः||१५|| विहतं जनपदानां च शिर्शंवानामुपसेवनम्|

सेवनं ब्रह्मचय�स्य तर्थैव ब्रह्मचारिरर्णाम्||१६|| सङ्कर्था धम�र्शंास्त्रार्णां महर्षी>र्णां जिजतात्मनाम्|

धार्मिमAकैः सात्त्विCवकैर्निनAत्यं सहास्या वृद्धसम्मतैः

Hepatitis B - Secondary Prevention

Hepatitis A treatment plus double extra care on supportive treatments

Detail attention to possible complications Identifying a fulminant course if any, at the earliest and

offer vigourous intervention Go for clinical management with experienced team

Understand

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Ê{ÉkÉÆ ´ÉμxÉ´ÉÇμxÉVÉÆ ´ÉÉ ªÉnùº¨ÉÉiÉ Ê{ÉkÉÉäÊpùHòºiÉÒIhÉiÉÞ¹hÉÉ ¤ÉÖ¦ÉÖIÉÖ&*To the best ±ÉÆPÉxÉÆ & nùÉä¹É{ÉÉEÆò Leading to self remissionTo the worst Dehydration & vÉÉiÉÖ{ÉÉEÆò tocomplicationsEäò´É±ÉÊ{ÉkÉ, Eò¡òÊ{ÉkÉ, ´ÉÉiÉÊ{ÉkÉ V´É®úÊSÉÊEòiºÉÉ,

®úHòÊ{ÉkÉÊSÉÊEòiºÉÉ, iÉÞ¹hÉÉÊSÉÊEòiºÉÉ, ¨Énù¨ÉÚUôÉǪɺÉxªÉɺÉÊSÉÊEòiºÉÉ, ªÉEÞònùÉänù®ú ÊSÉÊEòiºÉÉ

Eò¡ò¯ûrù{ÉlÉÆ - iɺªÉÊ{ÉkÉÆ Eò¡ò½þ®èúVÉǪÉäiÉÂ

thank you