Liver disease

Among liver disease is an infectious viral epidemic hepatitis (Botkin's disease). Any statistical data on the incidence of this disease in athletes not published. Probably, they are exposed to the disease along with everyone. According to N. Century of Elstein (1984), no features in the clinical presentation and course of the disease in athletes not. The outcomes of acute hepatitis, in addition to a full recovery, it is a way to chronic hepatitis, cirrhosis of liver, lesions of the biliary system and other Most common complication is a chronic hepatitis (according to different authors - up to 41 %). The risk of developing chronic hepatitis in athletes who have had acute viral disease increases many times than not involved in sports. It is known that after discharge from the hospital considerable physical loads patients prohibited for a long time even after people started to regular employment. For athletes continuous significant training loads and are of a normal life. Remember that even with the most favorable prognosis after discharge from hospital training and participation in competitions is strictly forbidden at least 6-8 months. In some sports with heavy loading this period can be prolonged, as in the cases when the control studies of liver function is not observed full recovery. As a result of early admission to training and competition, many high-class athletes were forced to leave the sport due developed chronic hepatitis and subsequent liver cirrhosis. One such example leads N. Century Elshtein (1984).
Wrestler, master of sport HP, 19 years old, despite the categorical ban after acute infectious hepatitis began to train and compete in 3 months. After the competition in connection with sharp deterioration was re-admitted. In the future, to comply strictly with the requirements and recommendations of doctors, was treated in Yessentuki, but it is not able to prevent the development of chronic hepatitis. At the age of 19 was forced to abandon sports activities.
Such cases are unfortunately not rare and very instructive from the point of view of the consequences of ignoring the recommendations of the doctor. Almost simultaneously with the athlete L. infectious hepatitis ill other ill - master of sports Meters, 20 years. The severity were similar in both athletes. Unlike the first Meters strictly adhered prescription and within six months the sport was not engaged. After this period he started training and later became the champion of the USSR. These observations lot.
It is obvious that after 6 months after discharge from hospital athlete should be carefully examined to assess the condition of the liver. If liver function is not fully recovered, the period before resuming training increases. In the case of full normalization of liver function athlete may be admitted to the training load, but after 2-3 months must re a similar survey. Good health in the presence of even a small biochemical changes in the blood cannot serve as a criterion for deciding on the admission to training. No pressure on the part of the coach and athlete shall not affect the validity of the doctor. Famous literary evidence that the effect of the maximum and excessive loads can lead to insufficient liver function and its various violations. This is compounded by the preceding transferred diseases, especially viral hepatitis, and so in these cases commandment doctor "do not harm" is of particular importance. Remember bestellung and erased forms of viral hepatitis, which sometimes have a place among sportsmen. It is therefore necessary to carefully examine the possibility of contacts with the disease at least one athlete on the team or on gathering, considering all complaints, particularly at the unexplained weakness, fatigue, decreased performance. For the study of liver function and diagnostics of certain lesions her, besides biochemical methods, using a whole Arsenal of means, including the rheography, echography, liver biopsy and radionuclide analysis.