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Friday 28 September 2007

Second liver is clinical cure ≠ thoroughly

Recently first " first countrywide second liver patient pick off second liver cap " the report causes a society to pay close attention to extensively. The report says, fight virus to treat through growing effect interferon, home already had patients of 103 chronic second liver to obtain exterior antigen changeover, pick off of second liver " cap " . Once media is announced,report, posed the doubt of the attention of expert of numerous second liver and patient instantly. For this, the relevant problem that the reporter treats around second liver interviewed China to combine traditional Chinese and Western medicine committee member of committee of institutional liver ill major, liberation army 302 hospitals combine traditional Chinese and Western medicine doctor of director of liver ill division, chairman Dr. Liu Shijing. Dr. Liu expresses, clinical cure 103 people to do not have substantial meaning, clinical cure and curing second liver thoroughly is different two concepts; additional, immunity rebuilds is a complex systematic project, sheet relies on 9 kinds of medicaments to come true hard. Well-known, treat chronic second liver to still do not have specific content at present, but second liver illness is to be able to get pilot. The remedial process of second liver is destined is a prolonged " marathon campaign " . The patient of chronic second liver that state-owned half controls in transmits infection through Mu Ying. The development of function of the immunity when the baby is born have not perfect, it is mistake of second liver virus easily the one part of oneself, consequently immune system cannot identify virus of liver of cleared second...   second liver is clinical cure ≠ to cure   Liu Shijing to think thoroughly, unusual to liver function, second liver is duplicate index is electropositive, have the second liver patient of clinical symptom, the curative effect of more objective science decides the standard can divide kind: One kind is real cause -- clinical cure, another kind is good cause -- virus is cleared. The medical level with current according to, it is very difficult to cure chronic second liver thoroughly, patient of only and few number passes proper treatment, can achieve cure thoroughly. According to our country " clinical disease diagnostic basis cures improving standard " , remedial second liver is obtained clinical cured level comes true more easily, its standard is: Main symptom disappears; hepatomegaly disappears, liver area does not have apparent tenderness or knock at painful; liver function to return to normal. But it is very difficult however to should reach cured level. Accordingly, ten million of second liver patient cannot clinical cure with cure confuse sth with sth else thoroughly. What is the standard that second liver cures? (1) is cured thoroughly. Pass proper treatment, index of series of work of liver of examination of patient exsanguinate assay is completely normal, antigen of surface of virus of liver of DNA of virus of liver of occurrence second of index of series of second liver virus, second, E antigen turns shade, liver puncture organizes immune group to change antigen of core of virus of examination second liver, surface antigen to disappear, such result holds time of two years of above. (2) is cured basically. Pass proper treatment, index of series of work of liver of examination of patient exsanguinate assay is completely normal, antigen of DNA of virus of liver of occurrence second of index of series of second liver virus, E turns shade appears the serological changeover of E antigen and E antibody (second liver " big 3 this world " turn for " small 3 this world " ) , liver puncture organizes immune group to change antigen of core of virus of examination second liver to disappear, such result holds time of two years of above. Dr. Liu points out, at present 8% the following patients can be achieved cure thoroughly, the patient that 30% is control can be achieved cure basically. Virus of this part patient is duplicate index turns shade, liver meritorious service is regular, antigen of core of the virus in liver organization already also disappeared, slight or inflammation of organization of pathology examination liver is dormant, infectivity is done not have almost, illness progress is basic block is broken, the probability that produces liver cirrhosis or liver cancer reduces the patient of;70% above to be able to pass active and proper treatment greatly, speed of progress of slow down illness, win clinical improvement. How is ability achieved cure a standard? Grasp good treatment opportunity. Check acid of occurrence third ammonia to transfer enzymatic heighten when assay of second liver patient, had better be the 2 times above of normal upper limit, but 10 times the following when, second liver virus is duplicate index (antigen of E of virus of liver of DNA of second liver virus, second) for masculine gender, liver function is in acting countervail phase, patient of; of correct and reasonable use medicaments must carry out the; of optimal treatment opportunity that is second liver right now seriously remedial program, ten million do sth without authorization stops drug or cannot stop treatment, cannot change often medicaments. Dr. Liu says, current, the overall objective that treats second liver is not to ask to be cured thoroughly, utmost ground is restrained for a long time or eliminate second liver virus however, relieve liver cell inflammation the necrotic fiber that reach liver is changed, defer and prevent a disease to make progress, decrease and prevent liver to break the happening of cirrhosis of acting countervail, liver, liver cancer and its complication, improve the life thereby quality and extend surviving time. Still make antigen of surface of   of second liver virus turns trivially at present ideal medicaments   Dr. Liu of shade thinks, poison of second liver disease-resistant treats the core content that is second liver cure, 1992 ~ had content of bane of 5 kinds of disease-resistant to obtain approval to be used at second liver to treat in the world 2005. These 5 kinds of medicaments are respectively: Common interferon α - husband of 2b, rummy is decided, get together glycol interferon α - Wei Heen of 2a, A Defu replaces Ka Wei. Among them common interferon α - 2b use time is the longest, already exceeded 10 years, rummy husband is used surely already had 7 years, get together glycol interferon α - Wei uses 2a and A Defu to already had two years, favour be less than a year for Ka Wei. Current, favour the Wei that replace card and the new-style nucleotide analogue such as Adefuwei are used increasingly at clinical, because these two kinds of medicaments are used for a long time, produce virus not easily to mutate, curative effect is relatively lasting. Favour control rate of second liver virus for Ka Wei the fastest, inchoate and respondent rate is as high as 90% above, the patient majority that accepts treatment obtains shade of DNA of second liver virus to turn, use this medicine did not produce virus mutation phenomenon inside two years, the patient happening virus that there is 2% about after using 3 years mutates. From the inhibition of virus speed and effectiveness look, favour the Wei that replace card is most effective. But favour appear on the market formally for Ka Wei use time is shorter, confirm the long-term effect of this medicine still hard at present. The nether world that discovers DNA of second liver virus in the patient that has used turns rate is quite high, but produce antigen of E of second liver virus / the serological changeover of antibody is more difficult, this means need to take this drug long-term and abidingly. Come so, the charge nature of medicaments becomes an issue, bring about the expenses for medicine with a lot of patient exalted financial insolvency. Value of A Defu Wei is relatively inferior, but poisonous effectiveness of this medicine disease-resistant not as good as favour for Ka Wei, the first time use disease-resistant poison treats the patient that selects this drug, about 60% shade of DNA of second liver virus can appear to turn after treating half an year to arrive one year, but, if use this medicine to replace remedy,rummy husband treats unsuccessful case of illness surely, the effect should be differred a lot of. Additional, this medicine large dose or use the kidney function that causes a patient likely for a long time to damage. Sheet relies on interferon to treat second liver   to realize immunity to rebuild hard   Liu Shijing thinks, long-term since the research that medical home devotes oneself to second liver immunity to adjust works, try vaccine of thymus element, interferon, Bai Jiesu and liver of remedial sex second to be used at the cure of second liver early or late, send a hope to suffer at breaking the immunity of second liver to be able to bear or endure, rebuild system of immunity of second liver patient. But these attempts did not obtain satisfactory result. Because of the abidance of second liver infection still has a lot of foundation problems to have not make clear, for example wither of cell of factor of the cell in element of the immune heredity characteristic of the gene type of virus, virus, immunity, antigen identifying, liver dies etc. Rebuild system of human body immunity can be an ideal only at present just, the distance is vogue successfully early. Additional, after use interferon, the identifying that can increase cell of human body immunity ability, enhance T cell cleared ability, but the disease-resistant poisonous action of interferon be confined to is duplicate DNA of virus of sexual second liver, can not keep clear of the CccDNA of duplicate pattern plate of virus of liver of the second inside nucleolus of consist in liver, the virus after stopping drug is OK emersion is duplicate, cannot keep clear of to had been mixed the virus gene of host DNA conformity, the antigen of surface of second liver virus that makes its are conveyed hard disappears. Although all sorts of interferon treat second liver,adjust to a few immunity since the meeting action, but these adjustment action is very limited. Our country is newest those who promulgate " guideline of prevention and cure of chronic hepatitis B " point out, immune adjustment treats one of important steps that are cure of chronic hepatitis B, but still lack immunity of hepatitis B particularity to treat a method at present. Treat second liver through growing effect interferon merely, achieve the effect of system of immunity of person weight compose impossibly. More what is more,the rather that everybody can not use liver of interferon cure second, if use an opportunity undeserved, can bring about illness aggravation instead. (the exercitation edits: Plum apricot)

Hold disease-resistant poisonous opportunity to control second liver illness

Just discovered antigen of surface of hepatitis B virus (the patient of HBSAG) positive, or angst is disturbed, or demoralized, or indifferently inspects, these cannot be taken. Should be being cleared up above all is acute infection. Acute affects 95% above can recover smoothly, need not too anxious. Clinical go up the commonnest is chronic infection, need gives long-term and sufficient attention. Now, we will talk to just discovered how to when second liver virus is affected chronically, should do after all. Distinguishing is " the person that carry chronically " , or " chronic hepatitis B " Xiaowang check-up of 19 years old discovers     second liver two half-and-half " big 3 this world " already 6 many months, nucleic acid of second liver virus (HBVDNA) ration is as high as 106 copies of 1.2 × / milliliter, there is about a hundred in 1 milliliter blood namely virus of liver of 10 thousand second. But he is not " chronic hepatitis B " , however " the person that carry chronically " , because his liver function is normal, liver vivid check also is changed without apparent inflammation and fiber. The doctor tells Xiaowang, right now virus and human body are in " peaceful coexistence " condition, because this does not need any treatment, but should check regularly. Mr Zhang usually of 28 years old is smokeless wine hobby, but check-up also discovers " big 3 this world " , HBVDNA level is very high. But he is typical " chronic hepatitis B " , is not " the person that carry chronically " , because liver function examination shows its third ammonia is acerbity amino move is enzymatic (ALT) is elevatory, amount to 195 units / litre, b exceeds spot of clew liver area to add thick, add close, liver vivid check shows liver organization has apparent inflammation and fiber to change. The mother of Mr Zhang, HBSAG also is electropositive, because this piece of gentleman is probable,already was affected when be born. The doctor informs Mr Zhang to need to undertake disease-resistant poison is treated, because virus duplicates continuously,be the germ that brings about his liver to damage. And protect liver to fall it is normal that enzymatic medicaments can obtain temporary serum transaminase only, after stopping drug, can have a relapse almost, can serve as the auxiliary cure of chronic hepatitis B only at most, cannot replace the crucial status that disease-resistant poison treats. Grasp good disease-resistant poisonous opportunity, the ideal that strives to obtain poison of disease-resistant of optimal effect   to treat gets used to card is: "Big 3 this world " patient HBVDNA 105 copies of ≥ / milliliter, or " small 3 this world " patient HBVDNA 104 copies of ≥ / milliliter, at the same time 2 times normal upper limit is worth ALT ≥ , or organization of indication liver of liver puncture vivid check has apparent necrotic sex inflammation and, or fiber is changed. Short of afore-mentioned standards, but HBVDNA lasts electropositive and ALT relapses unusual, also should consider disease-resistant poison to treat. However, the first time when activity of occurrence hepatitis B, unfavorable haste undertakes disease-resistant poison is treated, should observe 3 ~ first 6 months, have in order to understand keep clear of without the spontaneity immunity that produces second liver virus. The disease-resistant bane substance with the current   of disease-resistant poisonous plan that chooses him suit has two kinds, it is common interferon and lasting effect interferon firstly (if get together one 2A) of glycol interferon D, period of treatment makes an appointment with a year of; is rummy husband secondly calm, Adefuwei, for decide than the husband, favour wait for nucleotide for Ka Wei (acerbity) analogue, period of treatment at least two years or longer. Two kinds of medicaments have actor drawback each, answer to be chosen according to getting used to card and individual circumstance. Popularly, to children, teenage patient, appropriate uses interferon first, unfavorable use nucleotide first (acerbity) analogue, lest the influence bears the processing of offspring and virus mutation in the future. Have the woman of birth desire, had better be pregnant after the illness is stable parturient, if need to refuse ill poisonous treatment truly, also answer preferential choose lasting effect interferon, unfavorable choose nucleotide (acerbity) analogue, because its period of treatment is very long, and unidentified to fetal security. To " small 3 this world " patient, rate of recrudesce of common interferon cure is high, appropriate chooses lasting effect interferon or nucleotide (acerbity) analogue. In icteric 10 times normal upper limit is worth ≥ of deep, ALT, when unfavorable use interferon, can choose nucleotide (acerbity) analogue. Use at present get together one 2A of glycol interferon D, can let patient of partial second liver realize HBSAG to turn shade. Consider to discover, appropriate patient uses this drug treatment, the ITBSAG that can achieve 5%.8% turns shade rate. This year is an Olympic Games year, every take part in the match the athlete longs to win gold, although gold can be passed hard by the small number of people only,pick. If: HBSAG turns shade assimilate to wins gold, patient of fraction second liver is striven for through trying hard to mix, it is hopeful win a victory in this one battle that seize gold. Although cannot seize gold, so carry off silver medal or bronze medal also are joyful, the real goal that achieves disease-resistant poison to treat namely then: Restrain virus for a long time to duplicate, make serum HBVDNA and E antigen (1QBEAG) changeover, reduce and prevent the progress that the necrotic fiber that reach liver changes liver cell inflammation, decrease and prevent liver function to break the happening of cirrhosis of acting countervail, liver, liver cancer, prolong life thereby, improve life quality. Know much D: Hepatitis B virus (HBV) for virus of concentrated liver of be addicted to in recent years the progress as a result of technology of cross of nucleic acid element, in cell of the organ outside liver also can check gives HBV-DNA. Through virus of liver of liver of Beijing duck second the experiment considered to offer the evidential person that duplicates in the cell outside liver HBV is likely also duplicate inside the cell outside liver, remain to study deep. . Examination of lens of report of classics of serum of the person that HBV affects has 3 to plant... [detail] (responsibility edits: King sea E)

Fight - HBs level falls should multiple cropping

Second liver vaccine is vaccinal the first time after 3 needles, the protection antibody of generation (fight - HBs) level falls along with the elapse year after year of time, should detect piece fight - HBs level under effective chroma when, must go again multiple cropping. Vaccine of liver of second of homebred blood source is normally vaccinal the first time after 3 needles, the person of about 40% above passes 3~4 year, its are fought - HBs level already fell to 10 international unit / litre the following, reason should be in commonly 3~4 undertakes multiple cropping after year. In addition, in have an inoculation after the 3rd needle, if exterior antibody drop is spent,detect unit of more than 1000 international / litre, general tenability 7~10 year, if be in only 10~100 international unit / litre between can maintain 3~5 only year effective protection time. (the exercitation edits: Plum apricot)

What person does not need disease-resistant poison to treat?

New promulgate " guideline " middle finger goes out, whether to want to undertake disease-resistant poison is treated, must consider integratedly " HBV DNA " , " liver function " , " liver histology is checked (namely hepatic puncture is checked) " the result of these 3 examinations.   the 1st -- HBV DNA: "Big 3 this world " virus DNA amount of the patient obtains 105 copies / milliliter, "Small 3 this world " virus DNA amount of the patient obtains 104 copies, milliliter, this numerical value is the basis with second liver duplicate and active virus.   the 2nd -- liver function: Transaminase prep above is worth upper limit normally 2 times (the person that use interferon is treated has requirement) additionally, this moment is the best opportunity that has fighting virus remedial, otherwise not only curative effect not beautiful, do bad meeting generation to be able to bear or endure bounce of medicine, illness, cause serious illness hepatitis.   the 3rd -- liver histology examination: Although transaminase is less than upper limit of 2 times normal value, but discovery of liver histology result, liver fiber changes index to already exceeded mark to be fastened to certain level, or inflammation is necrotic heavier.   folk prescription, health care is tasted and use blindly fall enzymatic medicaments, it is the typical error that second liver patient uses drug. Although they used many remedy, but did not use to drop however, of rejection of the most important disease-resistant bane content aside. Gao Zhiliang (Zhongshan university is accessary science and education of catch a disease of feeling of the 3rd hospital is awarded) if having a word and Zhuang Hui academician different in approach but equally satisfactory in result -- " disease-resistant poison, fall best namely enzymatic medicine. "   of       " Right deviation abandons principle " be a mistake, but " creed of left rash advance " be a mistake likewise, the patient that ought not to have fighting virus remedial more very much however " ought not to move in disorder " . Professor Gao Zhiliang is very anxious to this: "A lot of physicians encounter second liver patient, no matter whether its accord with disease-resistant poison to point to,ask for, none hesitant go up rummy husband is decided or Adefuwei () of disease-resistant bane content, actually this is incorrect, such doing give an issue probably. " a lot of doctors point to cure proof expand innocently of purpose, the person that bring about what do not need to refuse ill poisonous treatment more very much to carry makes a patient between one night, in joining the range that treats main forces hurriedly, go.   3 in, the 1st is essential condition. In accord with L below premise, have the 2nd again or the 3rd, accord with those who fight virus to point to asked for.   from afore-mentioned pointing to that it is OK to ask for us see, the standard that whether the decision needs to refuse ill poisonous treatment is not think like Everyman in that way, "Big 3 this world " be about to fight virus, "Small 3 this world " need not fight virus. In fact, "Big 3 this world " the person that carry, if liver function is normal, and liver histology examination shows inflammation is lighter, beardless disease-resistant is poisonous. And " small 3 this world " person if DNA is electropositive (accord with L namely) , and transaminase unusual or indication inflammation of liver histology examination is more serious, need to undertake disease-resistant poison is treated. Some people can say the possibility: "Satisfied the 2nd to go, transaminase is elevatory, do not mean hepatitis activity, can you fight virus to treat thereby? " these people know only firstly, do not know secondly. The reason with elevatory transaminase is varied, can be the be caused by such as alcohol liver, overworked, medicaments, so L indispensable. This also explains remedial target basically is to make virus DNA amount drops, the exterior antigen that is not pursuit of most patient place turns shade. Virus DNA should turn to use detect commonly the method does not detect. The person that our country has second liver virus to carry is made an appointment with 120 million, generally speaking, want antigen of surface of second liver virus to be masculine gender only, liver function keeps for a long time normal, call second liver the person that virus is carried. A lot of patients, the viewpoint of not little even doctor is: The person that second liver virus is carried need not be treated. But this " guideline " point out however: The circumstance of this 100 million much person each are not identical, whether to need treatment, should distinguish treat.   to solve this one a Gordian knot correctly, the person that virus of liver of medical admiral second is carried is divisional the person that the person that carry for virus of chronic second liver and antigen of surface of virus of liver of second of blame activity sex are carried two kinds big. Each have two kinds of big crowds to answer measure scientificly.     1. The person that chronic HBV carries: DNA of virus of liver pointing to second is electropositive, but follow continuously inside a year visit above 3 times, the person that liver function all is carried in the second liver virus of normal limits. To this part person, best can make liver puncture inspection, so that farther diagnose is mixed,have corresponding treatment. If liver wears a result to show the inflammation inside liver organization is not active, liver fiber changes rate low, can of short duration is not treated, undertake medicine observes, check regularly if; shows the inflammation inside liver is active as a result, liver fiber changes rate taller, need to undertake disease-resistant poison reachs the fiber that fight liver to turn treatment. If did not do liver to wear an examination, also of short duration does not have treatment.     2. Be not the person that antigen of surface of virus of liver of mobile sex second carries: Show negative of antigen of E of virus of liver of positive of serum surface antigen, second, HBV DNA does not detect FPCR law) or detect under lowest be restricted, follow continuously inside a year visit above 3 times, liver function all is in the carry person of normal limits. This crowd need not have any treatment, but also need to be followed regularly visit check. (responsibility edits: King sea E)

Wednesday 26 September 2007

Second liver - the backside of beautiful aureola

False second liver advertisement kills a person really not shallow. Assist with liver disease the expert reminds a citizen to must not follow advertisement to treat second liver, must see a doctor to normal hospital, lest illness of incur loss through delay. Want to be taken care of purpose only, not difficult hair is a lot of more existing illegal swim cure is in of monetary interest drive below, use news media to carry the ad of medicines and chemical reagents that treats about second liver in great quantities, multifarious, mixed, and space is vast, graph Wen Bingmao, much with " science, distinctive, advanced " method of pharmacodynamics mechanism and molecular gene test elaborates its outstanding curative effect, deceit of in order to, misdirect, the patient that torments by second liver ailment, be ignorant of is worn the basic morality that be an upright person and conscience, bilk economy this very difficult already patient, the cure of misdirect hepatitis patient, some causes patient death even. Undertake inducing summing up through treating cogged trap to mixed second liver, basically be like below a few respects: Trap one: Various gene therapy treat second liver. Gene therapy is the gene causing disease of the blemish inside the gene displacement that will have normal function or school standardized form. Hepatitis B is by second liver virus immunity injures hepatic cell to cause disease, had not discovered the mankind brings about hepatitis B because of blemish of a certain gene at present, gene of the source outside need not be being used at all so is amended replace human body gene. If want to guide with man-made gene,be destroyed inside body or prevent second liver virus to duplicate, the basic technology requirement that must have is, the lab of element of purpose gene clone that should have Gao Shuiping, the virus lab that those who accord with national level can realize gene to convey carrier and the hi-tech that realize gene carrier to conduct. Of its technology difficulty big, what experimental equipment asks is tall be by no means common lab can be finished. 1990 up to now, the clinical case that the whole world uses at gene to treat (it is disease of transmissibility gene blemish for the most part) only 3278, china has 14 only, all be with the plan that treats at hepatitis gene and whole world of clinical case of illness 0. Trap 2: Ancestral secret recipe treats second liver. Affirming second liver virus formally is the thing that comes nearly 30 years on medicine, because Brown professor discovers antigen of second liver surface and win Nobel medicine award at the beginning of 70 time, our ancestor connects second liver virus is whats do not know, why will treat the ancestral secret recipe of second liver. False second liver advertisement kills a person really not shallow. Jiangsu province infected quality of division medical treatment to control center, Jiangsu to save director of center of technology of contagion diagnosis and treatment yesterday, zhao Wei of dean of the 2nd hospital teachs Nanjing town to reporter bitterly attack deceive people at present second liver advertising endangers a gender... [detailed]   trap 3: High-tech of a variety of classics of rare Chinese traditional medicine develop the newest specific that go out, can come out second liver virus from the depart in liver cell and exterminate thoroughly, never have a relapse. Hepatitis B virus belongs to DNA virus, basically be conformity of pattern plate of cricoid DNA gene inside liver nucleolus, the medicaments that virus fights on the world at present can enter cellular oar for the most part inside, cleared plasma reachs the virus inside cellular oar, but cannot enter nucleolus pattern plate of gene of DNA of cleared second liver. Had not had the Chinese traditional medicine that cuts curative effect of virus of the liver that fight second truly acceptedly domestic and internationally at present, and accepted the most effective remedy is the nucleotide that is a delegate surely with rummy husband kind medicaments and interferon, OK and apparent inhibition second liver virus is duplicate. Trap 4: Treat second liver only, the bag turns shade, invalid refund 90% . Not worth with a few kinds the Chinese herbal medicine of a few money hits pulverize, install capsule, pretend to be Chinese traditional medicine of rare specially good effect with work off of thousands of yuan of a period of treatment, cure of a few period of treatment comes down, although disable refund 90% , also can net brushstroke. If comes up against a few to turn automatically of shade (antigen of second liver surface, e antigen has 1% ~ 3% nature turn shade is led) can send ill-gotten wealth greatly. Assist with liver disease the expert warns a citizen, tell objectively, hepatitis B still is medical bound at present what have not capture thoroughly is difficult one of diseases that treat a gender, second liver patient must not liver of second of believe what one hears advertisement, be decieved be duped at swimming cure, should mix to normal large hospital make a diagnosis and give treatment of hospital of contagion specialized subject, only such, ability receives the treatment of scientific standard, make the illness is able to control truly, improve, recover at an early date. (the exercitation edits: Plum apricot)

"Does second liver turn shade needle " how many person to fool even?

Many 30 patient spent thousands of yuan to hit " second liver turns shade needle " do not have the effect, after the person that famous even virus is carried gives or take an injection, virus increased 500 times instead. Yesterday, after our newspaper reports this matter, again many patient and family member were mirrorred to our newspaper be decieved similarly experience. Introduced from the northern and western nationalities or from abroad lady of patient family member says, the husband is a driver originally, the body since last year April is unwell, all-overish, want to sleep. They see Chinese opening the liver ill advertisement of a hospital, say this kind of circumstance hits two needles, the symptom can disappear. Subsequently, they come to this hospital, be diagnosed to be second liver, opened the injection of two period of treatment, altogether spent thousands of yuan. But after hitting a needle, marital symptom did not alleviate not only, appear instead bellyacke circumstance. Last year in July, classics assist check with the hospital, the husband is by diagnose cancer of the liver is terminal, because missed remedial opportunity, two lunar hind died. The reporter discovers in interview, flaw of these liver ill advertisement 100, remedial method is very non-standard also, be discovered very easily actually, but the pressure that comes from a society and discrimination, let a patient aux would rather venture. Some hospital fraud by debunk hind, return acceptance to continue to inject freely, patient still jump at. "Do not cure ill, cannot find the job, want to have a hope only, I want to try. " patient small king says, he is firm this year the technical secondary school graduates, original already by employ of a factory, but the discovery when check-up is the person that second liver virus is carried, the boss dismisses him at once, cummer also put forward to part company. He reachs much home unit again later apply for, all be rejected. In south Dai Yongan of professor of hospital infection division says, undesirable hospital used a patient to cast off the pressing psychology of virus namely, draw patient diddle money with false advertisement. He reminds, second liver cure does not have what specific at all at present, be in impossibly short-term inside cure immediately, patient must reason is treated, do not certain advertisement publicizes believe what one hears, use drug blindly. (the exercitation edits: Plum apricot)

Tuesday 25 September 2007

4 paces walk along have an inoculation of second liver vaccine

1. Vaccinal method: (1) active immunity: The new student that labors to normal mother, the new student that reachs HbsAg positive or the maternal childbirth with electropositive HbeAg, at be born hind inside 24h, 6 a month, months each are vaccinal vaccine, every time 5 μ G, make subcutaneous injection. (2) passive immunity adds active immunity: Mother the new student that in second liver acute period or convalescence labor the flesh inside the 24h after be born notes globulin of second liver immunity, hypodermic second liver is vaccinal 5 μ G, and in after this a month and 6 months inject 1 times each second liver is vaccinal. 2. With content preparation: With hypodermic, add immune card additionally. 3.   of operation measure   (1) preparation: New student after be born, show the intent with second liver vaccinal vaccine to infantile parents, young canvass is reached to maternal medical history examine report. (1) of   of 2) vaccinal   is in new student lower edge of sword arm deltoid makes subcutaneous injection. 2) fills in immunity gets stuck, send a new student answer ward. 3) to the new student time of place of have an inoculation of vaccine of liver of parental specification second, multiple cropping and place. 3. The reaction after have an inoculation: Common have inject place the phlogistic sex symptom such as red, low-grade fever, good red-letter day and slight and calorific, have a headache disturbed, slight vomiting, 2-3 can disappear inside day. 4. Eventually end evaluation: Vaccinal method is accurate, dosage is accurate; new student time of the purpose that parents can speak have an inoculation of second liver vaccine, place, multiple cropping and place. Nbsp;