{"id":27253,"date":"2022-12-15T15:40:19","date_gmt":"2022-12-15T14:40:19","guid":{"rendered":"https:\/\/www.mgc.es\/?p=27253"},"modified":"2022-12-15T15:40:20","modified_gmt":"2022-12-15T14:40:20","slug":"hepatitis-classes-causes-simptomes-i-tractaments","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/","title":{"rendered":"Hepatitis: classes, causes, s\u00edmptomes i tractaments"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_1 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndex de continguts<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Com_funciona_el_fetge\" >Com funciona el fetge<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Causes_de_lhepatitis\" >Causes de l&#8217;hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Causes_de_lhepatitis_aguda\" >Causes de l&#8217;hepatitis aguda<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Causes_de_lhepatitis_cronica\" >Causes de l&#8217;hepatitis cr\u00f2nica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Simptomes_de_lhepatitis_aguda\" >S\u00edmptomes de l&#8217;hepatitis aguda<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#En_fases_primerenques\" >En fases primerenques<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Fase_de_la_ictericia\" >Fase de la icter\u00edcia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Fase_de_recuperacio\" >Fase de recuperaci\u00f3<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Simptomes_de_lhepatitis_cronica\" >S\u00edmptomes de l&#8217;hepatitis cr\u00f2nica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Factors_de_risc_de_lhepatitis\" >Factors de risc de l&#8217;hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Consells_per_prevenir_lhepatitis\" >Consells per prevenir l&#8217;hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Unes_quantes_recomanacions_de_caracter_general\" >Unes quantes recomanacions de car\u00e0cter general<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Diagnostic_de_lhepatitis\" >Diagn\u00f2stic de l&#8217;hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Consideracions_generals\" >Consideracions generals<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/#Tractament_de_lhepatitis\" >Tractament de l&#8217;hepatitis<\/a><\/li><\/ul><\/nav><\/div>\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"500\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/higado5.jpg\" alt=\"\" class=\"wp-image-27249\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/higado5.jpg 800w, https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/higado5-440x275.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/higado5-768x480.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>Hepatitis \u00e9s el terme emprat per referir-se a la inflamaci\u00f3 del fetge. Es pot dividir en dos grups, segons la durada:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>l&#8217;hepatitis aguda, que dura menys de sis mesos<\/li><li>l&#8217;hepatitis cr\u00f2nica, que dura m\u00e9s de sis mesos<\/li><\/ul>\n\n\n\n<p>L&#8217;hepatitis pot tenir diverses causes, per\u00f2 les m\u00e9s comunes s\u00f3n les infeccions per virus que ataquen el fetge, com ara les hepatitis A i B.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_funciona_el_fetge\"><\/span><strong>Com funciona el fetge<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Localitzem el fetge al costat dret de l&#8217;abdomen, a sota de les costelles. \u00c9s un \u00f2rgan gros, que pesa entre 1200 i 1500 grams, una mica m\u00e9s en els homes que en les dones. En condicions normals no ens sentim del fetge.<\/p>\n\n\n\n<p>\u00c9s vital per a la salut i t\u00e9 m\u00faltiples funcions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Processa les prote\u00efnes i els greixos<\/li><li>Segrega la bilis, que descompon els greixos dels aliments, perqu\u00e8 es puguin absorbir a l&#8217;intest\u00ed<\/li><li>Emmagatzema l&#8217;energia corporal o el glicogen, que s&#8217;elabora a partir de sucres. Quan es transforma en glucosa, est\u00e0 a punt per ser alliberat al torrent sanguini en cas de necessitat<\/li><li>Contribueix a la coagulaci\u00f3 de la sang<\/li><li>Elimina subst\u00e0ncies t\u00f2xiques de l&#8217;organisme, com ara l&#8217;alcohol i les metzines<\/li><li>Processa els medicaments<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Causes_de_lhepatitis\"><\/span><strong>Causes de l&#8217;hepatitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Es pot desenvolupar hepatitis quan s&#8217;encomana algun dels virus que en causen la inflamaci\u00f3, o b\u00e9 com a resultat de l&#8217;exposici\u00f3 a factors de risc, com ara l&#8217;alcohol, les toxines f\u00fangiques i certs medicaments.<\/p>\n\n\n\n<p>Hi ha dues maneres d&#8217;agafar hepatitis a partir de certs f\u00e0rmacs: b\u00e9 per enverinament com a conseq\u00fc\u00e8ncia d&#8217;una sobredosi d&#8217;un medicament (per exemple, el paracetamol), b\u00e9 per una reacci\u00f3 an\u00f2mala del fetge a una dosi normal d&#8217;un f\u00e0rmac (per exemple, l&#8217;anest\u00e8sic halot\u00e0). Aquesta darrera causa d&#8217;hepatitis \u00e9s molt estranya.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Causes_de_lhepatitis_aguda\"><\/span><strong>Causes de l&#8217;hepatitis aguda<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>T\u00e9 diverses causes possibles:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Les hepatitis virals, com ara les hepatitis A, B, C, D i E. L&#8217;<strong>hepatitis A<\/strong> sol durar poc i, normalment, es contreu despr\u00e9s d&#8217;ingerir un aliment contaminat pel virus. L&#8217;<strong>hepatitis B<\/strong> s&#8217;agafa pels fluids corporals (incloent-hi la sang), per exemple durant el sexe, o despr\u00e9s de compartir agulles hipod\u00e8rmiques. Habitualment dura poc, per\u00f2 pot acabar causant un dany permanent al fetge. L&#8217;<strong>hepatitis C<\/strong> es contreu de manera similar a la B, tot i que, en general, \u00e9s de llarga durada. L&#8217;<strong>hepatitis D<\/strong> es contreu com en el cas de les hepatitis B i C; nom\u00e9s afecta, per\u00f2, els malalts d&#8217;hepatitis B. Finalment, l&#8217;<strong>hepatitis E<\/strong> dura poc i s&#8217;assembla a l&#8217;hepatitis A.<\/li><li>Altres malalties virals, com s\u00f3n la febre glandular (malaltia d&#8217;Epstein-Barr) i el citomegalovirus.<\/li><li>Les infeccions bacterianes greus.<\/li><li>Les infeccions am\u00e8biques.<\/li><li>Els medicaments, com ara el paracetamol, per intoxicaci\u00f3, o l&#8217;anest\u00e8sic halot\u00e0 (no se sol prescriure als pa\u00efsos desenvolupats).<\/li><li>Les toxines: l&#8217;alcohol i les toxines f\u00fangiques (com en el cas dels enverinaments amb bolets).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Causes_de_lhepatitis_cronica\"><\/span><strong>Causes de l&#8217;hepatitis cr\u00f2nica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>L&#8217;hepatitis cr\u00f2nica t\u00e9 un cert nombre de causes diferents:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Les hepatitis infeccioses, com \u00e9s el cas de les hepatitis B, C o D.<\/li><li>Les reaccions a unes determinades drogues.<\/li><li>Les toxines com l&#8217;alcohol.<\/li><li>L&#8217;hepatitis autoimmunit\u00e0ria. \u00c9s una malaltia en la qual el mateix sistema autoimmunitari destrueix un cert nombre de c\u00e8l\u00b7lules del pacient. La causa \u00e9s desconeguda.<\/li><li>Els trastorns metab\u00f2lics cong\u00e8nits, com ara la malaltia de Wilson (trastorn del metabolisme del coure) i l&#8217;hemocromatosi (trastorn del metabolisme del ferro).<\/li><li>El fetge gras no alcoh\u00f2lic.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Simptomes_de_lhepatitis_aguda\"><\/span><strong>S\u00edmptomes de l&#8217;hepatitis aguda<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Varien considerablement d&#8217;un pacient a un altre. N&#8217;hi ha que no tenen cap s\u00edmptoma i, en bona part dels casos, \u00fanicament els infants en manifesten s\u00edmptomes lleus.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"En_fases_primerenques\"><\/span><strong>En fases primerenques<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Cansament, malestar general, febre lleugera o febr\u00edcula<\/li><li>Basques, gens de gana i canvis en el gust<\/li><li>Opressi\u00f3 o mal al costat dret de l&#8217;abdomen, a sota de les costelles, per causa de l&#8217;inflor del fetge<\/li><li>Dolors musculars i articulars, mal de cap i erupci\u00f3 cut\u00e0nia<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fase_de_la_ictericia\"><\/span><strong>Fase de la icter\u00edcia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Color groguenc del blanc dels ulls, de la pell i de les mucoses<\/li><li>Orina fosca<\/li><li>Femta anormalment clara<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fase_de_recuperacio\"><\/span><strong>Fase de recuperaci\u00f3<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Cansament, que pot durar unes quantes setmanes<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/vaso-whisky2.jpg\" alt=\"\" class=\"wp-image-27251\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/vaso-whisky2.jpg 800w, https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/vaso-whisky2-440x293.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/vaso-whisky2-768x512.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption>whisky splash alcohol drops isolated on white<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Simptomes_de_lhepatitis_cronica\"><\/span><strong>S\u00edmptomes de l&#8217;hepatitis cr\u00f2nica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Nombrosos pacients amb hepatitis cr\u00f2nica no en manifesten s\u00edmptomes. Tanmateix, els s\u00edmptomes m\u00e9s comuns s\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Cansament, m\u00e9s son que no \u00e9s habitual, dolor muscular i articular<\/li><li>Peri\u00f2dicament, lleu pressi\u00f3 o mal a la zona lateral dreta de l&#8217;abdomen, en concret a sota de les costelles (inflamaci\u00f3 del fetge)<\/li><li>La icter\u00edcia (color grog\u00f3s) \u00e9s un s\u00edmptoma molt tard\u00e0 de les hepatitis cr\u00f2niques i connota que l&#8217;hepatitis \u00e9s greu.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Factors_de_risc_de_lhepatitis\"><\/span><strong>Factors de risc de l&#8217;hepatitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Les persones seg\u00fcents tenen m\u00e9s perill de contreure hepatitis:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pacients amb icter\u00edcia o altres s\u00edmptomes d&#8217;hepatitis<\/li><li>Persones en grups de risc<\/li><li>Persones amb antecedents familiars d&#8217;hepatitis<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Consells_per_prevenir_lhepatitis\"><\/span><strong>Consells per prevenir l&#8217;hepatitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Evitar l&#8217;exposici\u00f3 als virus de l&#8217;hepatitis<\/li><li>Vaccinar-se de l&#8217;hepatitis A i B<\/li><li>Mirar de no beure gaire alcohol<\/li><li>Practicar sexe segur (amb tots els m\u00e8todes de barrera)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Unes_quantes_recomanacions_de_caracter_general\"><\/span><strong>Unes quantes recomanacions de car\u00e0cter general<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Evita l&#8217;alcohol si tens s\u00edmptomes d&#8217;hepatitis o si una an\u00e0lisi de sang ha demostrat que la malaltia \u00e9s activa. Si l&#8217;alcoholisme n&#8217;\u00e9s la causa, has de deixar del tot l&#8217;alcohol i anar al metge. Segueix una dieta equilibrada.<\/li><li>Si es manifesten s\u00edmptomes d&#8217;hepatitis aguda, potser hauries de tenir un ritme de vida m\u00e9s tranquil.<\/li><li>Si tens hepatitis A i, per culpa de la feina, has de manipular aliments, el metge et dir\u00e0 quan \u00e9s prou segur per tornar a treballar.<\/li><li>Si pateixes d&#8217;hepatitis cr\u00f2nica, procura tant com puguis de fer vida normal.<\/li><li>Els pacients d&#8217;hepatitis A i B ho han de comunicar als familiars i a les parelles, perqu\u00e8 es protegeixin amb el vacc\u00ed. Cal fer servir preservatius fins que el vacc\u00ed faci efecte.<\/li><li>Si tens hepatitis cr\u00f2nica, has de seguir un pla de revisions peri\u00f2diques.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnostic_de_lhepatitis\"><\/span><strong>Diagn\u00f2stic de l&#8217;hepatitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>S&#8217;arriben a diagnosticar les hepatitis amb una an\u00e0lisi de sang, que tamb\u00e9 en determina la gravetat.<\/p>\n\n\n\n<p>Ocasionalment, amb ultrasons i altres esc\u00e0ners es pot estudiar el fetge.<\/p>\n\n\n\n<p>De vegades, potser cal fer una bi\u00f2psia de fetge. Aix\u00f2 vol dir que s&#8217;hi ha de fer una punci\u00f3 per obtenir-ne una mostra de teixit, que despr\u00e9s se sotmet a un examen microsc\u00f2pic. Aquest proc\u00e9s el du a terme un especialista, amb anest\u00e8sia local.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Consideracions_generals\"><\/span><strong>Consideracions generals<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Les hepatitis agudes normalment milloren sense cap tractament espec\u00edfic, i poques vegades representen una amena\u00e7a per a la vida del pacient. Tot i que les hepatitis B i C poden esdevenir cr\u00f2niques, no \u00e9s el cas de l&#8217;hepatitis A.<\/p>\n\n\n\n<p>Les hepatitis causades pels medicaments o l&#8217;alcohol solen millorar quan se&#8217;n suprimeix l&#8217;agent causant. No obstant aix\u00f2, un 20 % dels pacients amb hepatitis cr\u00f2nica B o C tenen el perill de patir una cirrosi o b\u00e9 un c\u00e0ncer de fetge. La cirrosi tamb\u00e9 pot ser conseq\u00fc\u00e8ncia d&#8217;altres classes d&#8217;infeccions hep\u00e0tiques.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tractament_de_lhepatitis\"><\/span><strong>Tractament de l&#8217;hepatitis<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Com que es tracta d&#8217;un virus, no hi ha cap tractament farmacol\u00f2gic contra les hepatitis. Malgrat tot, \u00e9s important que un metge visiti el pacient.<\/p>\n\n\n\n<p>L&#8217;Organitzaci\u00f3 Mundial de la Salut (OMS) recomana els tractaments orals, el tenofovir o l&#8217;entecavir, com els m\u00e9s potents per eliminar el virus de l&#8217;hepatitis B. Ben poc sovint desenvolupen resist\u00e8ncia al medicament (al contrari d&#8217;altres f\u00e0rmacs), s\u00f3n f\u00e0cils de prendre (una p\u00edndola al dia) i no tenen gaires efectes secundaris, amb la qual cosa demanen poc control. Tan sols una petita part dels pacients amb hepatitis B cr\u00f2nica requereix tractament. El vacc\u00ed contra l&#8217;hepatitis B continua essent la millor prevenci\u00f3.<\/p>\n\n\n\n<p>Actualment no hi ha cap vacc\u00ed efectiu contra l&#8217;hepatitis C. L&#8217;OMS recomana els tractaments orals amb antivirals pangenot\u00edpics (AAD o antiv\u00edrics d&#8217;acci\u00f3 directa). Poden guarir molts pacients infectats amb el virus de l&#8217;hepatitis C, i el tractament sol ser curt (entre 12 o 14 setmanes), segons si es t\u00e9 cirrosi o no.<\/p>\n\n\n\n<p>Es poden tractar les hepatitis autoimmunit\u00e0ries amb corticoesteroides i, de vegades, amb <a href=\"https:\/\/www.google.com\/search?client=firefox-b-d&amp;q=azatioprina&amp;spell=1&amp;sa=X&amp;ved=2ahUKEwjTocvsgYH7AhUthc4BHWpYBq8QBSgAegQICBAB\">azatioprina<\/a>.<\/p>\n\n\n\n<p>Si els tractaments aplicats no aturen el progr\u00e9s de la malaltia o si el pacient desenvolupa una cirrosi irreversible, i tamb\u00e9 en cas d&#8217;insufici\u00e8ncia hep\u00e0tica, l&#8217;\u00fanica opci\u00f3 disponible \u00e9s el trasplantament de fetge.<\/p>\n\n\n\n<p>Els metges que es fan c\u00e0rrec del tractament de les hepatitis s\u00f3n els gastroenter\u00f2legs o els internistes que treballen en coordinaci\u00f3 amb el metge de fam\u00edlia per a la cura a llarg termini.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hepatitis \u00e9s el terme emprat per referir-se a la inflamaci\u00f3 del fetge. Es pot dividir en dos grups, segons la durada.<\/p>\n","protected":false},"author":3,"featured_media":27249,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[996,187,15],"tags":[481,230],"class_list":["post-27253","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-malalties-i-salut-general","category-salud","category-salut","tag-prevencio","tag-prevencion"],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2022\/11\/higado5.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hepatitis: classes, causes, s\u00edmptomes i tractaments - MGC M\u00fatua<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mgc.es\/ca\/blog\/hepatitis-classes-causes-simptomes-i-tractaments\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hepatitis: classes, causes, s\u00edmptomes i tractaments - MGC M\u00fatua\" \/>\n<meta property=\"og:description\" content=\"Hepatitis \u00e9s el terme emprat per referir-se a la inflamaci\u00f3 del fetge. 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