{"componentChunkName":"component---src-templates-blog-post-js","path":"/vaksine/alt-om-hepatitt-a","result":{"data":{"blog":{"id":"-2bffc7b6-169d-538a-9405-aa169f926835","title":"Alt om Hepatitt A","updatedAt":"2025-08-05","estimatedReadingTime":3,"image":{"alt":"Hepatitt A vaksine","caption":null,"asset":{"fluid":{"base64":"data:image/jpeg;base64,/9j/2wBDAAYEBQYFBAYGBQYHBwYIChAKCgkJChQODwwQFxQYGBcUFhYaHSUfGhsjHBYWICwgIyYnKSopGR8tMC0oMCUoKSj/2wBDAQcHBwoIChMKChMoGhYaKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCj/wAARCAAOABQDASIAAhEBAxEB/8QAFwABAQEBAAAAAAAAAAAAAAAABAADB//EAB8QAAICAQQDAAAAAAAAAAAAAAECABESAxMUIiExcf/EABYBAQEBAAAAAAAAAAAAAAAAAAUAAf/EABgRAAMBAQAAAAAAAAAAAAAAAAABEQIx/9oADAMBAAIRAxEAPwDvD2FNCzD7upyVTAYY2TfkGIVuwg2XU32dSouGac4KpUSfcpgA9dns/JSNP//Z","aspectRatio":1.4833887043189369,"src":"https://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg","srcSet":"https://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg?w=223&h=150&fit=crop 223w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg?w=447&h=301&fit=crop 447w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg 893w","srcWebp":"https://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg?fm=webp","srcSetWebp":"https://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg?w=223&h=150&fit=crop&fm=webp 223w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg?w=447&h=301&fit=crop&fm=webp 447w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/87ae27d9e2902c5110e032a68a639a35e3b1535a-893x602.jpg?fm=webp 893w","sizes":"(max-width: 893px) 100vw, 893px"}}},"author":{"name":"Andrea Birketvedt","position":"Medisinsk ansvarlig lege","image":{"alt":"Medisinsk ansvarlig lege","caption":"Andrea er lege og medisinsk ansvarlig i Maja. Andrea har erfaring fra sykehus og som fastlege, og er brennende opptatt av at alle fortjener individuelt tilpasset behandling.","asset":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":0.6324909747292419,"src":"https://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=300&h=474&fit=crop","srcSet":"https://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=150&h=237&fit=crop 150w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=300&h=474&fit=crop 300w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=450&h=711&fit=crop 450w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=600&h=949&fit=crop 600w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=900&h=1423&fit=crop 900w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg 2628w","srcWebp":"https://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=300&h=474&fit=crop&fm=webp","srcSetWebp":"https://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=150&h=237&fit=crop&fm=webp 150w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=300&h=474&fit=crop&fm=webp 300w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=450&h=711&fit=crop&fm=webp 450w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=600&h=949&fit=crop&fm=webp 600w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?w=900&h=1423&fit=crop&fm=webp 900w,\nhttps://cdn.sanity.io/images/98lydf3o/maja-new/dcbbd709f3783f0cde75c8bdb1a862c8a86f1de1-2628x4155.jpg?fm=webp 2628w","sizes":"(max-width: 300px) 100vw, 300px"}}}},"medicallyApprovedBy":null,"category":{"title":"Vaksiner","slug":{"current":"vaksine"}},"lead":[{"_key":"31b3079d3b30","_type":"block","children":[{"_key":"0bb2bdc72b330","_type":"span","marks":[],"text":"Hepatitt A er en smittsom leverbetennelse som skyldes infeksjon med hepatitt A-virus (HAV). Sykdommen forekommer over hele verden og er vanligst i områder med dårlig sanitærforhold. Les mer om sykdommen, behandling og forebygging. "}],"markDefs":[],"style":"normal"}],"body":[{"_key":"38439f42e363","_type":"block","children":[{"_key":"b20285eebbd50","_type":"span","marks":["strong"],"text":"Smittemåte"}],"markDefs":[],"style":"h3"},{"_key":"5cf760c5e2b8","_type":"block","children":[{"_key":"1170b286aef30","_type":"span","marks":[],"text":"Hepatitt A overføres hovedsakelig gjennom inntak av mat eller drikke som er forurenset med avføring fra en smittet person. Risikoen øker ved dårlig håndhygiene og mangelfull hygiene knyttet til mat og vann. Smitte kan også oppstå ved tett kontakt med smittede, for eksempel i forbindelse med omsorgsarbeid, seksuell kontakt (særlig mellom menn som har sex med menn), eller i utbrudd på steder som barnehager og institusjoner."}],"markDefs":[],"style":"normal"},{"_key":"cff5fc4c5442","_type":"block","children":[{"_key":"00a8b6538fb5","_type":"span","marks":[],"text":"Viruset skilles ut i avføringen fra smittet person i inkubasjonsperioden og tidlig sykdomsfase – før og rett etter symptomdebut – og smittefaren er derfor størst før pasienten selv vet at vedkommende er syk."}],"markDefs":[],"style":"normal"},{"_key":"80fa0e7bc625","_type":"block","children":[{"_key":"a86cc97e9df90","_type":"span","marks":["strong"],"text":"Symptomer"}],"markDefs":[],"style":"h3"},{"_key":"70f5fd834eb9","_type":"block","children":[{"_key":"9c28772979220","_type":"span","marks":[],"text":"Symptomene ved hepatitt A varierer. Noen – spesielt små barn – får ingen eller svært milde symptomer, mens andre kan utvikle et mer tydelig sykdomsforløp."}],"markDefs":[],"style":"normal"},{"_key":"22b9f298a27e","_type":"block","children":[{"_key":"7d32a7125cab0","_type":"span","marks":[],"text":"Typiske symptomer er:"}],"markDefs":[],"style":"normal"},{"_key":"6121c747cf2e","_type":"block","children":[{"_key":"67e5b62c77f30","_type":"span","marks":[],"text":"Feber"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"dc46d4546c01","_type":"block","children":[{"_key":"a30a66d193a1","_type":"span","marks":[],"text":"Kvalme, nedsatt matlyst og oppkast"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"167331d28664","_type":"block","children":[{"_key":"0f2a64d162c7","_type":"span","marks":[],"text":"Tretthet og slapphet"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"47c74bf0abe2","_type":"block","children":[{"_key":"0a48fca4d137","_type":"span","marks":[],"text":"Magesmerter, særlig under høyre ribbensbue"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"345939e7a31d","_type":"block","children":[{"_key":"26e4bc086596","_type":"span","marks":[],"text":"Mørk urin og lys avføring"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a55c161e6380","_type":"block","children":[{"_key":"1276597762dc","_type":"span","marks":[],"text":"Gulsott (ikterus) – gulfarging av hud og øyne"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"dc18671ee938","_type":"block","children":[{"_key":"f33a8d87afc7","_type":"span","marks":[],"text":"Kløe"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d7f94831416a","_type":"block","children":[{"_key":"a4a2482c9ab50","_type":"span","marks":[],"text":"Symptomene varer ofte i 1–3 uker, men tretthet kan vedvare i flere uker etter dette. Sykdommen er som regel selvbegrensende og går over uten behandling."}],"markDefs":[],"style":"normal"},{"_key":"b2b9d26f93ac","_type":"block","children":[{"_key":"cdc55bf5b5680","_type":"span","marks":["strong"],"text":"Forløp og prognose"}],"markDefs":[],"style":"h2"},{"_key":"a5a59b8b9868","_type":"block","children":[{"_key":"d390845338af0","_type":"span","marks":[],"text":"Inkubasjonstiden er vanligvis 2–6 uker (gjennomsnittlig 4 uker). De fleste voksne får symptomer, mens barn under 6 år ofte har milde eller ingen symptomer."}],"markDefs":[],"style":"normal"},{"_key":"5c6c09d42ce2","_type":"block","children":[{"_key":"b84cf806918a0","_type":"span","marks":[],"text":"Hepatitt A gir ikke kronisk infeksjon, i motsetning til hepatitt B og C. Når man har hatt infeksjonen, utvikler man livslang immunitet."}],"markDefs":[],"style":"normal"},{"_key":"e22504ed346f","_type":"block","children":[{"_key":"3ac3e8cd9ea30","_type":"span","marks":[],"text":"Prognosen er god for de aller fleste. Full restitusjon skjer vanligvis innen 2 måneder. I sjeldne tilfeller kan sykdommen gi alvorlig forløp med akutt leversvikt, særlig hos eldre eller personer med underliggende leversykdom. "},{"_key":"3ef2922401a5","_type":"span","marks":["ca14836152b3"],"text":"Alvorligheten av infeksjonen og risikoen for komplikasjoner øker med alderen."}],"markDefs":[{"_key":"ca14836152b3","_type":"link","href":"https://www.fhi.no/sm/smittevernhandboka/sykdommer-a-a/hepatitt-a/?term=#inkubasjonstid"}],"style":"normal"},{"_key":"7656238204b5","_type":"block","children":[{"_key":"b6682450909a0","_type":"span","marks":["strong"],"text":"Diagnostikk"}],"markDefs":[],"style":"h2"},{"_key":"b44674d1a7b8","_type":"block","children":[{"_key":"17979338868a0","_type":"span","marks":[],"text":"Diagnosen stilles ved påvisning av spesifikke IgM-antistoffer mot hepatitt A-virus (anti-HAV IgM) i blodprøve, noe som bekrefter en akutt infeksjon. For å vurdere om en person har gjennomgått tidligere infeksjon eller er immun etter vaksinasjon, måles IgG-antistoffer (anti-HAV IgG)."}],"markDefs":[],"style":"normal"},{"_key":"7d075ce9e644","_type":"block","children":[{"_key":"aeb85e2681d0","_type":"span","marks":[],"text":"Ved akutt hepatitt A er det vanlig med forhøyede leververdier, inkludert ALAT, ASAT, bilirubin og eventuelt ALP. INR kan også være påvirket ved mer uttalt leveraffeksjon."}],"markDefs":[],"style":"normal"},{"_key":"1f5e6c9da972","_type":"block","children":[{"_key":"5ffe9cdedcef0","_type":"span","marks":["strong"],"text":"Behandling"}],"markDefs":[],"style":"h2"},{"_key":"d7d41949ffbf","_type":"block","children":[{"_key":"cb05a04aa5ff0","_type":"span","marks":[],"text":"Det finnes ingen spesifikk behandling for hepatitt A. Behandlingen er symptomatisk og støttende, med fokus på væskeinntak, hvile og tilstrekkelig ernæring. Alkohol og medikamenter som kan påvirke leveren negativt bør unngås i sykdomsperioden."}],"markDefs":[],"style":"normal"},{"_key":"b4b6a9fd000e","_type":"block","children":[{"_key":"4e5c19899e8d0","_type":"span","marks":[],"text":"Pasienter med alvorlig sykdom eller tegn til leversvikt bør henvises til sykehus. "}],"markDefs":[],"style":"normal"},{"_key":"b8798b258e7a","_type":"block","children":[{"_key":"2227f6f752c2","_type":"span","marks":[],"text":"Hepatitt A er klassifisert som en allmennfarlig smittsom sykdom etter smittevernloven, og pasienter har derfor rett til gratis legehjelp i forbindelse med undersøkelse, behandling og smitteoppsporing – uten å betale egenandel."}],"markDefs":[],"style":"normal"},{"_key":"382e73fd0d44","_type":"block","children":[{"_key":"b48fe8f02a100","_type":"span","marks":["strong"],"text":"Forebygging"}],"markDefs":[],"style":"h3"},{"_key":"728a5e8ee4f3","_type":"block","children":[{"_key":"53ad7ba6f7330","_type":"span","marks":["strong"],"text":"1. Vaksinasjon"}],"markDefs":[],"style":"h4"},{"_key":"9af2e7322a0f","_type":"block","children":[{"_key":"9b07e3658c070","_type":"span","marks":[],"text":"Vaksine er den mest effektive forebyggende metoden. Hepatitt A-vaksine anbefales til:"}],"markDefs":[],"style":"normal"},{"_key":"048029b56681","_type":"block","children":[{"_key":"ffa2d882246c0","_type":"span","marks":[],"text":"Reisende til områder med økt forekomst av hepatitt A"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"988a6c6b71ed","_type":"block","children":[{"_key":"2113a7fead32","_type":"span","marks":[],"text":"Menn som har sex med menn"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"91c584fc2d55","_type":"block","children":[{"_key":"ea755255a1dc","_type":"span","marks":[],"text":"Narkotikabrukere (injiserende og ikke-injiserende)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a4fc1e49da14","_type":"block","children":[{"_key":"d54202e78932","_type":"span","marks":[],"text":"Personer med kronisk leversykdom"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"66f24f1fdadc","_type":"block","children":[{"_key":"8fc9540d4c8f","_type":"span","marks":[],"text":"Personer med hemofili eller som får regelmessige blodprodukter"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ba734281b4ad","_type":"block","children":[{"_key":"8256bf241fe6","_type":"span","marks":[],"text":"Personer med økt yrkesrisiko (f.eks. laboratoriepersonell, avløpsarbeidere, helsearbeidere i visse situasjoner)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"59452afb77a7","_type":"block","children":[{"_key":"526dc86e32ab","_type":"span","marks":[],"text":"Kontakter ved utbrudd"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c4d5c4a096c","_type":"block","children":[{"_key":"380158fad24c0","_type":"span","marks":["strong"],"text":"Vaksinasjonsregime:"}],"markDefs":[],"style":"normal"},{"_key":"f42ad0034aff","_type":"block","children":[{"_key":"29ca980bc31f0","_type":"span","marks":[],"text":"- Én dose gir god beskyttelse etter ca. 2 uker"}],"markDefs":[],"style":"normal"},{"_key":"7c901b43a01f","_type":"block","children":[{"_key":"62d873f75085","_type":"span","marks":[],"text":"- En boosterdose etter 6–12 måneder gir langvarig beskyttelse (minst 25 år, muligens livslang)"}],"markDefs":[],"style":"normal"},{"_key":"9700a09a1f3f","_type":"block","children":[{"_key":"610e4de1647d0","_type":"span","marks":[],"text":"Kombinasjonsvaksiner som dekker både hepatitt A og B (f.eks. Twinrix) er også tilgjengelige."}],"markDefs":[],"style":"normal"},{"_key":"3c8386809eee","_type":"block","children":[{"_key":"6efa9310fa040","_type":"span","marks":["strong"],"text":"2. God hånd- og mathygiene"}],"markDefs":[],"style":"h4"},{"_key":"e1d490caddb9","_type":"block","children":[{"_key":"034c3aeab406","_type":"span","marks":[],"text":"Vask hender grundig etter toalettbesøk og før matlaging"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"915d95c1e07a","_type":"block","children":[{"_key":"533582854ae3","_type":"span","marks":[],"text":"Drikk kun rent vann (helst flaskevann i risikoområder)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5c1f7a3e07c9","_type":"block","children":[{"_key":"54127cc18461","_type":"span","marks":[],"text":"Unngå rå eller utilstrekkelig varmebehandlet mat i områder med dårlig hygiene"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"97fd8f6f58af","_type":"block","children":[{"_key":"c31ff945d0540","_type":"span","marks":["strong"],"text":"3. Posteksponeringsprofylakse"}],"markDefs":[],"style":"h4"},{"_key":"8e861da0afcd","_type":"block","children":[{"_key":"e9802fc1bafb0","_type":"span","marks":[],"text":"Ved eksponering for hepatitt A kan vaksine eller immunglobulin gis som posteksponeringsprofylakse, avhengig av alder, helsetilstand og tidspunkt for eksponering. Dette vurderes av lege."}],"markDefs":[],"style":"normal"},{"_key":"5990b21175fa","_type":"block","children":[{"_key":"25ce5445b6ec0","_type":"span","marks":["strong"],"text":"Meldeplikt"}],"markDefs":[],"style":"h3"},{"_key":"19519dbeb1c6","_type":"block","children":[{"_key":"86ef2bc4a98c0","_type":"span","marks":[],"text":"Hepatitt A er en meldepliktig sykdom i Norge. Det innebærer at laboratorier og leger har plikt til å melde påviste tilfeller til MSIS (Meldingssystem for smittsomme sykdommer) ved Folkehelseinstituttet."}],"markDefs":[],"style":"normal"},{"_key":"f66387184a2c","_type":"block","children":[{"_key":"476425ba8e58","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"2164591015ce","_type":"block","children":[{"_key":"a46684dab22b","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"098267b61312","_type":"productCards","heading":"Trenger du vaksine? ","products":[{"_id":"product-6110131880095","_type":"product","_rev":"Qy55Bpk20qPJqSMUUcVKPP","_createdAt":"2021-01-21T12:25:17Z","_updatedAt":"2026-04-08T05:58:55Z","body":[{"_key":"c55b52f3fcbe","_type":"block","children":[{"_key":"35c3ab212ce8","_type":"span","marks":[],"text":"Vaksinen kan settes på et av våre samarbeidsapotek mot et tillegg i pris. 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Bestillingen inkluderer legevurdering, informasjon og E-resept (og videosamtale til 1kr ved behov). Preparatet må kjøpes ved uthenting på apoteket. "}],"markDefs":[],"style":"normal"},{"_key":"7e9c16c7f710","_type":"block","children":[{"_key":"89ebfef6e225","_type":"span","marks":[],"text":"Det vil også koste en liten sum for å få satt vaksinen på et apotek (omtrent 100kr). "}],"markDefs":[],"style":"normal"},{"_key":"9dc965735d6b","_type":"block","children":[{"_key":"57b34f9bf2e2","_type":"span","marks":[],"text":"Er du usikker på når du sist fikk vaksinen? Sjekk oversikt over dine vaksiner på "},{"_key":"a103ee0f49e9","_type":"span","marks":["6d50a6bc3f3d"],"text":"helsenorge.no"},{"_key":"722d423001c0","_type":"span","marks":[],"text":". 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