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Вирусный гепатит С



Острый или хронический вирусный гепатит С не является прямым противопоказанием для прекращения цитостатической терапии. В данном случае курс химиотерапии должен проводиться при строгом мониторинге печёночных проб (АЛТ, АСТ, общий билирубин, билирубин прямой) и вирусной нагрузки – проведение ПЦР 1 раз/месяц (количественное определение копий).

Стандартную противовирусную терапию гепатита С необходимо проводить пациентам, вышедшим из миелосупрессии более 6 месяцев назад. Рекомендуется введение Пегилированного интерферона и Рибавирина. Доза препаратов, частота и кратность введения определяется для каждого пациента индивидуально после консультации инфекциониста и гепатолога.

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