Лекарства от гепатита с в италии

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Лекарства от гепатита с в италии

Гепатит С – хроническое заболевание печени, вызывает его вирус гепатита, который был открыт в 1988 году и в своё время унес много жизней людей.

В медицине различают шесть генотипов вируса, причем в странах Европы встречается 1,2 и 3, а в Африке – 4 тип. Источником гепатита С считаются больные  с активным гепатитом и латентные больные (носители вируса без всяких признаков).

Инфицирование гепатитом происходит через кровь, источники могут быть самые разные, но чаще всего к заболеванию приводят:

  • Переливание крови. На сегодняшний день вся донорская кровь проходит тщательную проверку на инфекции, но раньше такого не было, и люди могли заразиться;
  • Нестерильные медприборы;
  • Люди, имеющие контакты с кровью и ее продуктами, группа риска – хирурги, стоматологи и медсестры;
  • Незащищенные половые контакты.

К сожалению 40% заражений, так и остаются невыясненными.

Диагностика гепатита С в Милане

Стандартная диагностика гепатита С включает в себя:

  • Основной диагностический тест – анализ крови на антитела гепатита С (Анти-HCV)
  • Биохимия крови с определением уровня печеночных ферментов – трансаминаз ALT и AST
  • Определение генотипа вируса
  • Вирусная нагрузка (определение количества вируса в организме)
  • УЗИ и КТ печени
  • МРТ – при необходимости (для исключения опухоли)
  • Фибротест – анализ крови на степень фиброза
  • Фиброскан (эластометрия) – неинвазивное определение степени фиброза с помощью сканирования печени
  • Биопсия печени – для определения степени фиброза
  • Эзофагогастроскопия для исключения варикозного расширения вен пищевода и желудка (симптом цирроза)
  • Большое значение имеет скрининговая дагностика – проведение исследования крови на антитела HCV в группах риска

Методы лечения гепатита С в Милане

Лекарства от гепатита с в италии

Многие больные гепатитом С, боятся проходить лечение: они слышали о неприятных побочных эффектах, которые вызывают антивирусные препараты, применяемые при этом заболевании. К ним относятся симптомы, похожие на проявления гриппа: усталость, подавленность, головные боли. В Милане одновременно с антивирусными препаратами при гепатите С назначаются препараты прикрытия, которые помогают пациенту успешно пройти лечение. 

Подбор препаратов прикрытия осуществляется индивидуально, с учетом выраженности побочных эффектов у конкретного больного.

Как упоминалось раньше генотип вируса и степень поражения печени являются одними из важнейших факторов, влияющих на исход курса лечения. Общепринятым методом лечения является прием противовирусных препаратов интерферон и рибавирин, известных своими тяжелыми побочными эффектами. Направленные конкретно на вирус гепатита С противовирусные препараты прямого действия (ПППД, direct-acting antiviral, DAA) были разработаны для более короткого курса лечения с меньшими побочными эффектами. 
Данные препараты оказались эффективными в 90% случаев. Среди последних разработок ПППД числятся Харвони (состоящий из софосбувира и ледипасвира) и Совалди. Оба препарата достаточно эффективны, но и весьма дорогие.

Пациент считается излеченным от гепатита С при наличии устойчивого вирусологического ответа (SVR) или если вирус не обнаружен в крови при лабораторном анализе спустя 12-24 недели после окончания курса лечения. 

+7 (925) 50 254 50 –
срочное лечение в Италии

ЗАПРОС в КЛИНИКУ

Источник

Kendrys Morales went 0-for-11 in the Astros series as well as grounded into two double plays in Wednesday’s 5-2 loss, manager Lloyd McClendon believes the veteran selected hitter is a https://www.realmadridplayershop.com/ part connected with his team’s attack heading down the stretch.

Morales went 6-for-15 using two home runs along with five RBIs in the previous four-game series in Texas, and McClendon sees continued progress from the 31-year-old, who was acquired in a trade with the Twins on July 25 after signing two months into the year with Minnesota.

‘I think he’s got all the rust off your pet,’ McClendon said prior to Friday’s sequence opener with the As. ‘He had no Springtime Training, he’s swinging your bat good. His softball bat speed is back, he’s needs to recognize breaking stuff. Sooner in the year he wasn’t hitting breaking stuff very hard, right now he’s starting to drive the item. I think it’s just a natural advancement. He’s feeling better regarding things.

McClendon continues penciling Morales primarily in to the cleanup spot, which is wherever he was again Feb 5th. The skipper likes having the switch-hitter distancing left-handers Robinson Cano and Kyle Seager in his lineup.

‘That plays a big part of it,In . he said. ‘You have the switch-hitter between them, it helps quite a bit. Now if we’re experiencing a team that doesn’t have left-handers inside their bullpen, then you can stack your lefties. However this gives us a little better equilibrium.’

In 42 games with Washington, Morales is batting .215 with five home runs in addition to 22 RBIs.

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Kansas City had Nori Aoki at second base having one out for Lorenzo Cain. The center fielder, who went 8-for-15 in the ALCS for you to earn MVP honors,https://www.uefaclubjersey.com/Manchester_City_Club_Soccer_Jersey_Online hit a line drive support the middle. Pitcher Miguel Gonzalez got a little bit of the ball with his handwear cover, slowing it down in addition to directing it right more than second base.https://www.nationalsoccershirt.com/Italy_national_team_football_jerseys_sale Schoop collected this and had to unleash the rocket to first to have Cain, who flew down the line at a top speed of 20.8 mph. The toss got him by a half-step, and also the Orioles later got out of the inning unscathed.https://www.mlbplayershop.com/2018-All-Star-Justin-Verlander-American-League-Jersey-Youth-Women-Store-Online

Statcast: Schoop nabs Cain ALCS Gm4: Schoop nails speedy Cain at first base10/15/14: Statcast trails Jonathan Schoop as he plays a deflected ship and gets the speedy Lorenzo Cain to begin with base

NLCS Game 3: Panda saves a new double and the game
With Jon Jay upon first and two outs in the the top 10th,https://www.nflplayershop.com/21-A.J.-Bouye-Jacksonville-Jaguars-Jerseys-Elite-Game-Limited-Legend-Pro-Line-Throwback-Shop Giants third baseman Pablo Sandoval designed a diving stop toward the line then fired a place to first base,https://www.collegeplayershop.com/Miami-Hurricanes-Anthony-Lawrence-II-College-Basketball-Jersey stealing Matt Holliday of a hit — and perhaps an RBI. Sandoval’s stop proved to be critical, as Statcast shows us that will Jay got a great hop toward second,https://www.hockeyplayeronline.com/Alex-Stalock-Minnesota-Wild-Jersey-Youth-Women-Shop accelerating to be able to full speed in just Just one.20 seconds and attaining a maximum speed of Teen.6 mph as he willing to round second base.https://www.collegeplayershop.com/Michigan-State-Spartans-Ben-Carter-College-Basketball-Jersey Got Sandoval not made the play, The author would have likely achieved an increased maximum speed during his entire sprint between second as well as third base and obtained.https://www.uefaclubjersey.com/Liverpool_Club_Soccer_Jersey_Online The play not only discouraged Holliday, who slammed his head protection down behind first starting, but it set the stand for the Giants’ walk-off victory.

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Statcast: Sandoval nabs Holliday NLCS Gm3: Sandoval dives to be able to rob Holliday of hit10/14/14: Statcast tracks Shiny Holliday being nabbed on a close play at first after Pablo Sandoval dives in order to his right to take a struck away

NLCS Game 3: Walk-off .https://www.mlbplayershop.com/2018-All-Star-Jose-Ramirez-American-League-Jersey-Youth-Women-Store-Online.. bunt
Following a leadoff stroll by Brandon Crawford and a single simply by Juan Perez, Gregor Blanco stepped in with nobody out there and dropped a bunt in the direction of the third-base side of the pitcher’s pile.https://www.mlbplayerjersey.com/Baltimore-Orioles-Appreal-Outfits-Website/Baltimore-Orioles-Adam-Jones-Baseball-Uniform-Jerseys-Hoodies-T-shirts-Online-Sale

Statcast shows that Blanco then raced from the batter’s box,https://www.uefaclubjersey.com/Cruz_Azul_Club_Soccer_Jersey_Online reaching a maximum velocity of 20.2 mile per hour on the play. With Blanco having down so quickly about first base, Cardinals pitcher Randy Choate airmailed the particular throw to second baseman Kolten Wong,https://www.collegeplayershop.com/Memphis-Tigers-Derrick-Rose-College-Basketball-Jersey whom had raced over to deal with the bag. Crawford, who got extended his secondary bring about an even 20 feet seeing that Choate entered his delivery,https://www.mlbplayershop.com/2018-All-Star-Jon-Lester-National-League-Jersey-Youth-Women-Store-Online essential just 0.56 mere seconds to accelerate into a entire sprint, reaching a top velocity of 17.2 mile per hour before scoring.https://www.hockeyplayeronline.com/Andrey-Pedan-Pittsburgh-Penguins-Jersey-Youth-Women-Shop It was exactly the eighth postseason game to ever before end on an error.

Statcast: The big players win it on problem NLCS Gm3: Giants win on Blanco’s bunt,https://www.hockeyplayeronline.com/Andrew-MacDonald-Philadelphia-Flyers-Jersey-Youth-Women-Shop Cards’ error10/14/14: Statcast trails Brandon Crawford as he scores the successful run thanks to Gregor Blanco’s bunt and a Cardinals error

NLCS Video game 3: Wong’s triple plates two
One video game after playing the leading man with a walk-off home run,https://www.uefaclubjersey.com/Manchester_United_Club_Soccer_Jersey_Online Wong continued in order to swing a hot bat in Game 3 of the National Nfl Championship Series.

With Jay at second base and Holliday at first in the fourth inning,https://www.hockeyplayeronline.com/Alexei-Emelin-Nashville-Predators-Jersey-Youth-Women-Shop Wong lifted an 0-1 pitch from Tim Hudson in order to deep right field. With two outs at the time, Jay as well as Holliday took off at the crack of the bat,https://www.nationalsoccershirt.com/Romania_national_team_football_jerseys_sale and both scored easily after right fielder Finder Pence failed to make the play after battling the wind. Wong required a small hop out of the box along a 2.https://www.soccerplayerjersey.com/Andrej-Kramaric-Croatia-Youth-Women-Jersey-Football-Store78-second acceleration time while he started his looping jog to first base. It didn’t acquire him long, however, to convert on the jets,https://www.soccerplayerjersey.com/Bryan-Oviedo-Costa-Rica-Youth-Women-Jersey-Football-Store reaching his or her maximum speed of 17.8 mph shortly after rounding very first base.

Statcast: Wong triples in two NLCS Gm3: Wong drives by 50 percent runs with triple10/14/14: Statcast tracks Kolten Wong’s 4th-inning two-run three-way as Jon Jay scores via second and Matt Holliday search engines home from first

ALCS Game Three or more: Dyson shows what speed could do
In the first two games on the American League Championship String,https://www.nationalsoccershirt.com/Croatia_national_team_football_jerseys_sale Royals speedster Jarrod Dyson entered as a pinch-runner, only to be caught stealing. Dyson got another chance on Tuesday, in Game 3 at Kauffman Stadium, and although he didn’t make an effort to swipe a bag,https://www.nflplayershop.com/19-Adam-Thielen-Minnesota-Vikings-Jerseys-Elite-Game-Limited-Legend-Pro-Line-Throwback-Shop he nonetheless used those talents that can help push across the go-ahead run in the 2-1 Royals victory.https://www.uefaclubjersey.com/Tigres_UANL_Club_Soccer_Jersey_Online

With one outside in the sixth inning, the man whom coined the phrase, ‘That’s what velocity do,’ stood to start with base as a pinch-runner for Aoki. Beyond this concept, the Statcast tracking technology displays just what his speed do.https://www.mlbplayershop.com/2018-All-Star-Joe-Jimenez-American-League-Jersey-Youth-Women-Store-Online

Dyson took an initial 12-foot lead off first as Orioles lefty Wei-Yin Chen began their delivery to Hosmer.https://www.hockeyplayeronline.com/Andy-Greene-New-Jersey-Devils-Jersey-Youth-Women-Shop A secondary direct extended that to 17 feet by the time Hosmer ripped some sort of one-out single past first baseman David Pearce, who had been trying to hold Dyson near the bag.https://www.nflplayershop.com/44-Adrian-Phillips-Los-Angeles-Chargers-Jerseys-Elite-Game-Limited-Legend-Pro-Line-Throwback-Shop Then Dyson was ready to go, charting a tight course all-around second and never hesitating while he cruised into third,https://www.collegeplayershop.com/Louisville-Cardinals-Anas-Mahmoud-College-Basketball-Jersey reaching a top speed of 21.One particular mph in 2.19 mere seconds.

When Billy Butler followed with a travel ball to left area off reliever Kevin Gausman,https://www.mlbplayerjersey.com/San-Diego-Padres-Appreal-Outfits-Website/San-Diego-Padres-Adrian-Gonzalez-Baseball-Uniform-Jerseys-Hoodies-T-shirts-Online-Sale Dyson was from the blocks even quicker,https://www.nflplayershop.com/94-Adrian-Clayborn-New-England-Patriots-Jerseys-Elite-Game-Limited-Legend-Pro-Line-Throwback-Shop increasing to 21 mph in only 1.34 seconds as they darted home on the sacrifice fly.https://www.mlsplayershop.com/Atlanta-United-FC-10-G.MARTINEZ-Home-Away-Jersey-Online-Sale Dyson’s run was the final tally of the game as the Royalty grabbed a 3-0 advantage from the ALCS.

Statcast: Royals take the lead ALCS Gm3: Dyson goes first to third,https://www.mlbplayershop.com/2018-All-Star-Josh-Hader-National-League-Jersey-Youth-Women-Store-Online scores on sac10/14/14: Statcast monitors Jarrod Dyson going from first to 3rd on Eric Hosmer’s single before rating on Billy Butler’s sacrifice fly

ALCS Game 3: Hosmer beats Cruz to first
The Orioles were hoping to find their first baserunner of the game when Nelson Cruz led off the second inning and slapped the ground ball toward the outlet on the right side from the infield.https://www.mlsplayershop.com/Atlanta-United-FC-7-MARTINEZ-Home-Away-Jersey-Online-Sale Hosmer, already playing pretty distant first base, dove to his / her right to smother the ball. At that time, it was a race to help first.

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‘The Series got stopped for three days,’ he said. ‘It was an all-time historic storm, along with hurricane-force winds up in the High Sierra in which knocked over 1,000-year-old redwoods. This is why the pitchers who actually found themselves pitching in that Game 6 were able to pitch. The guys whom pitched Game 5 delivered Game 7.’

Indeed, the same Ralph Terry who had surrendered the particular Maz homer two years earlier has been the winning pitcher regarding Game 7 for the Yankees in 1962. He had recently been the winning pitcher within Game 5 at Yankee Stadium on Oct. Ten, and here he has been pitching five days later inside Game 7.

Before McCovey ripped his liner to Bobby Richardson, Willie Mays had more than into the right-field corner and Matty Alou seemed to be the tying run yet got stopped at 3rd. ‘Should Matty Alou have scored the tying or braiding run?’ would turn into hotly debated question within the Bay Area. The field was still wet, and as Miller recalls, ‘Roger Maris grabbed a wet baseball making it a perfect, quick relay to help Richardson, the relay man, exactly who then fired it residence. Most of the people who see the complete picture and who were at this time there said it really looked like Matty could have been out by several feet. So Maris might have saved that Planet Series for the Yankees.’

Richardson sucks McCovey Richardson robs McCovey’62 WS, Gm 7 NYY@SF: Willie McCovey strikes a liner with guys on, but Bobby Richardson snares it with the final out and the Yankees win it all

Orlando Cepeda says they was ‘ready’ but that Terry anticipated him and preferred to encounter McCovey.

‘I was hoping that they would stroll McCovey,’ Cepeda said. ‘When he hit that ball, I was focused on telling Mays to slide into the dish. Then when I looked presently there, I saw Richardson with his glove, the ball in his baseball glove, it shocked me. I thought it was going to be a base hit and also [I thought] we won the World Series.’

Instead, a ‘Peanuts’ comic strip that right after winter showed Charlie Brown and Linus sitting dejectedly, with Charlie Brown screaming in the final panel: ‘Why would not McCovey have hit the golf ball just three feet higher?’

Cruz,https://www.hockeyplayeronline.com/Ales-Hemsky-Montreal-Canadiens-Jersey-Youth-Women-Shop with the benefit from momentum and 90 ft of space, accelerated with a top speed of 20.9 mph in One.64 seconds. Hosmer reached nearly 15.5 mph in 2.https://www.collegeplayershop.com/Ohio-State-Buckeyes-Andre-Wesson-College-Basketball-Jersey79 seconds. But with a smaller amount ground to cover, his headfirst leap to the base got him there a step ahead of Jones.

Statcast: Hosmer sprints to bag ALCS Gm3: Hosmer dives,https://www.mlsplayershop.com/Atlanta-United-FC-17-ATLANTA-Home-Away-Jersey-Online-Sale sprints to first platform for out10/14/14: Statcast tracks Eric Hosmer’s diving end and sprint to very first to retire Nelson Cruz within the 2nd inning of ALCS Game 3

ALCS Sport 3: Moustakas lays out
Moustakas’ dive to the seats for a foul soccer ball will be the defensive play folks remember from Game Several,https://www.uefaclubjersey.com/Deportivo_Guadalajara_Club_Soccer_Jersey_Online but the Royals’ third baseman flashed their leather earlier in the contest as well. In the fourth inning, Pearce leaped on a Jeremy Guthrie pitch and killed a line drive of which seemed ticketed for left area.https://www.mlsplayershop.com/Atlanta-United-FC-16-McCANN-Home-Away-Jersey-Online-Sale Moustakas had time to make a few quick steps before anxiously beginning a full-extension dive to the left, reaching up to pitfall a ball that almost gave the impression to have sped past him.https://www.soccerplayerjersey.com/Amin-Younes-Germany-Youth-Women-Jersey-Football-Store

Statcast: Moustakas lays out ALCS Gm3: Moustakas lays out to rob Pearce10/14/14: Statcast songs Mike Moustakas laying out at third base to rob David Pearce of a base hit from the 4th inning of ALCS Game 3

ALCS Video game 3: Schoop’s heads-up play
With the game locked in the 1-1 tie in the fifth inning,https://www.nflplayershop.com/85-A.-J.-Derby-Miami-Dolphins-Jerseys-Elite-Game-Limited-Legend-Pro-Line-Throwback-Shop the Queens had two outs and nobody with when they got a break. Alcides Escobar struck a chopper to the third-base area of the mound,https://www.mlbplayershop.com/2018-All-Star-Jesus-Aguilar-National-League-Jersey-Youth-Women-Store-Online with Chen fielding it and throwing wildly to help first. As the ball evaded Pearce and headed up the right-field line,https://www.uefaclubjersey.com/Leicester_City_Club_Soccer_Jersey_Online Escobar turned and headed for next, going as fast as 20.2 mph, though he dropped momentum while changing directions. Schoop, meanwhile, was backing up the actual play. Running toward the cloths line from his position in second base,https://www.mlsplayershop.com/Atlanta-United-FC-6-NAGBE-Home-Away-Jersey-Online-Sale he discovered himself in a perfect destination for a grab the ball because it caromed off the wall.

With a level of heartfelt appreciation equal to the grace and complete majesty of a line generate carved artfully into short quit field, words and feelings flowed from around the hockey world upon hearing what is the news Monday that Tony Gwynn experienced passed away at age 54.

The Lounge of Fame hitting maestro, who was known as ‘Mr. Padre’ to generations of San Diego baseball followers and as one of the true gentleman superstars in the history of the experience, succumbed to cancer early Saturday. Within minutes of the news, depression could be felt in every corner of the baseball landscape coming from those who played with or against him, those who worked with him or her and so many fans exactly who considered him a member of themselves.

But none of the reactions could be more touching than the one shared by the only person in the world whom shares his name, far more: Tony Gwynn Jr., outfielder for the Phillies along with devoted son.

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‘Today I lost my Dad, my best friend and my mentor,’ Gwynn Jr. published on Twitter. ‘I’m gonna pass up u so much pops. Now i am gonna do everything in my chance to continue to…Make u very pleased!’

Love u pops!

— Tony Gwynn Jr .. (@tonygwynnjr) June 16, 2014

Few players, in the event that any, could inspire similar emotions from so many sports athletes with whom he provided the diamond or a clubhouse, whether it be with the Padres or in any of the Fifteen All-Star Game appearances he made via his career. But Tony a2z Gwynn was that admired.

‘For greater than 30 years, Tony Gwynn was a way to obtain universal goodwill in the country wide pastime, and he will be profoundly missed by the many people this individual touched,’ Commissioner Bud Selig mentioned in a statement.

The stream associated with tweets and quotes by Hall of Famers compelled to share with you their feelings on Absolutely no. 19 was overwhelming, also it included fitting words from the man who entered the particular hallowed hall alongside Gwynn in The year 2007.

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This is an extraordinarily sad day time, Cal Ripken Jr. placed on his Facebook web page. ‘Tony was a Hall of Celebrity ballplayer but more importantly he would be a wonderful man. Tony usually had a big smile about his face and has been one of the warmest and most real people I’ve ever had the glory of knowing. Like all soccer fans, I will miss him very much and my thoughts are generally with his family today.

Ripken in no way got to play with Gwynn, or definitely even against him besides in All-Star Games. The ones who would, they have another level of appreciation for the Padres’ star of megastars.

Trevor Hoffman, the all-time great closer in whose first nine years were being Mr. Padre’s last nine, mentioned: ‘For me, it was fun to watch the greatest do it on a day-to-day foundation. To see greatness on a daily basis was amazing.

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Сотни поставщиков везут лекарства от гепатита С из Индии в Россию, но только M-PHARMA поможет вам купить софосбувир и даклатасвир и при этом профессиональные консультанты будут отвечать на любые ваши вопросы на протяжении всей терапии.

Лекарства от гепатита С

Долгое время вирусный гепатит с (ВГС) считался неизлечимым заболеванием, так как существующие схемы лечения интерферонами и рибавирином не гарантировали высокой результативности терапии. При таких методах лечения шанс больных на исцеление не превышал 50%. По этой причине большинство заболевших гепатитом С считали себя обреченными людьми. Но ситуация изменилась после 2013 г., когда было запатентовано вещество софосбувир, выпуск которого под брендом Sovaldi наладила фармкомпания из США Gilead Sciences.

Лекарство от гепатита с в италии

Sofosbuvir, являющийся антивирусником прямого действия, не пригоден для монотерапии. По этой причине его сразу после появления стали применять в сочетании со все тем же интерфероном и рибавирином, добиваясь поразительно высоких результатов. Эффективность терапии возросла вдвое и составила 85÷95%.

Подлинной победы на ВГС помогло достичь вещество даклатасвир, созданное и запатентованное в 2014 г. другой американской фармкомпанией — Bristol-Myers Squibb. Он был выпущен в виде антивирусного препарата Daklinza, содержащего 60 мг действующего вещества.

Именно 2014 г. стал считаться годом окончательной победы над зловредным вирусом, и в этом же году болезнь получила статус полностью излечимой. Такое заявление сделали медики в ходе ежегодного Европейского конгресса, посвященного заболеваниям печени.

Механизм действия новых лекарств от ВГС

Софосбувир, попав в кровь больного, подавляет полимеразу вируса гепатита С NS5B, что блокирует репликацию возбудителя заболевания. Даклатасвир, оказавшись в крови, ингибирует белковую молекулу NS5A, препятствуя распространению вируса по здоровым клеткам печени.

Аналогично даклатасвиру действуют и ледипасвир с велпатасвиром, созданные немного позже и так же как и софосбувир, не рекомендуемые для монотерапии. Но они показали великолепные результаты при комплексном сочетании с софосбувиром.

Результативность терапии с их комплексным применением достигла 97 ÷ 99%, а итоговый процент полностью излечившихся зависел от:

  • генотипа ВГС;
  • продолжительности болезни;
  • степени поражения печени;
  • особенностей организма пациента.

Использование новых лекарственных средств имеет ряд существенных преимуществ по сравнению с терапией интерферонами и рибавирином:

  • вдвое большую эффективность;
  • вдвое меньшую продолжительность лечения;
  • меньшее число побочных эффектов;
  • пероральный прием таблеток в отличие от инъекций интерферона;
  • неизменность привычного распорядка жизни;
  • отсутствие влияния на формулу крови.

В результате проведенных клинических испытаний удалось подобрать оптимальные схемы терапии комплексным сочетанием лекарств в зависимости от генотипов вируса.

Поскольку была доказана высокая эффективность комплексного сочетания sofosbuvir с daklatasvir, ledipasvir и velpatasvir, то в 2017 г. EASL постановила полностью исключить в Европе из рекомендованных схем лечения гепатита С применение комплексного сочетания интерферонов с рибавиринами.

Далее приводятся возможные схемы терапии неосложненных случаев ВГС. Они даются для ознакомления, так как реальное лечение назначается врачом каждому больному индивидуально на базе результатов соответствующих анализов пациентов.

Рекомендуемые EASL схемы терапии

Для простых случаев гепатита С можно использовать следующие схемы лечения:

  • для терапии первого и четвертого генотипов можно использовать курс без рибавирина длительностью 12 недель:

— sofosbuvir + ledipasvir;

— софосбувир + даклатасвир;

— sofosbuvir + velpatasvir.

  • при лечении второго генотипа допускается применять без рибавирина на протяжении 12 недель:

— sofosbuvir + daclatasvir;

— софосбувир + велпатасвир.

  • при терапии третьего генотипа без рибавирина с продолжительностью лечения 12 недель применяют:

— софосбувир + даклатасвир;

— sofosbuvir + velpatasvir.

Как видите, для одного и того же генотипа можно выбрать несколько вариантов терапии, а потому самый оптимальный сможет для пациента подобрать только врач.

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