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;
The expert thinks: Cure second liver thoroughly shoulder heavy responsibilities
Seminar of ill learning of courage of countrywide traditional Chinese medical science is held in Beijing today, come from academy of Chinese traditional Chinese medical science and whole nation more than 100 each experts of large hospital attended the meeting. The expert points out, although our country is traditional,medicine obtained significant progress in respect of liver of second of prevention and cure, but the research key that will capture second liver chronic and stubborn disease still is a doctor of traditional Chinese medicine inside several years henceforth. As we have learned, our country belongs to second liver big country, at present the whole nation has 120 million person about is the person that second liver virus is carried, hair patient counts more than 30 million person. Expert attending the meeting thinks consistently, the country that assumes by academy of Chinese traditional Chinese medical science " 65 " , " 75 " liver disease tackles key problem mainly the task is capturing second liver respect already obtained significant progress, among them the development success can of grain of Shuang Huqing liver says the mankind captures a milepost on liver medical history. But because second liver is a kind of very complex virus sex disease, should cure second liver thoroughly still shoulder heavy responsibilities. Management board of medicine of national traditional Chinese medical science and ministry of science and technology organize domestic famous expert to undertake curative effect reappraisal to grain of Shuang Huqing liver early or late, achievement of science and technology of the medicine in deciding Shuang Huqing liver grain rates a state consistently popularizes project and national torch plan to popularize a project. Has the ability when second liver treats what calculated? 1. Have quite one part hepatitis B (abbreviation second liver) the person that virus is carried, common body is done not have apparently unwell, accidental exsanguinate assay discovers to there is second liver virus to exist inside body, liver function is completely normal, second liver virus basically duplicates index E antigen (HBeAg) and deoxidization ribonucleic acid (HBVDNA) is negative, liver organizes pathology examination to often hint without inflammation activity or only and slight inflammation exist. These crowds can treat normal person, need not use drug. If ask blindly " bay fight " turn shade, to finally not only cannot shade turns, what can draw on expect to be less than instead is sequential, wait like medicaments sex hepatitis. Still have the person that a few virus are carried, liver result examination is regular, but virus is duplicate index (HBeAg) is masculine gender, when these people undertake liver wears an examination, inflammation activity often exists inside liver. This kind of circumstance is necessary to undertake disease-resistant poison is treated, treatment of rummy Fu Ding may be effective, conditional person can try to use. Use object had better be in 16 years old of above, if curative effect beautiful, can use this drug 1 ~ 2 years, with period virus is duplicate index turns shade. 2. If be the second liver patient that send pathology form or is mobile sex, wipe second liver virus duplicate index turns meritorious service of shade, liver is regular can. These patients are the second liver patient on real significance, their symptom is outstanding, liver result relapses unusual, second liver virus is duplicate index (HBeAg) is electropositive from beginning to end. Their remedial component is restore liver result and disease-resistant poison two much. It is relatively easy to resume liver work, beautiful money is little, and often can it is more difficult that poison of disease-resistant of; of get effect instantly is treated, need proper time. 3. If had developed cirrhosis of the liver after hepatitis, it is the most important to maintain and ensure liver meritorious service is regular. Liver cirrhosis cent is dormant sex and mobile sex two kinds. The patient of dormant sex can duplicate according to virus circumstance, undertake disease-resistant poison treats; activity sex, basically be to resume liver work, correct, alleviate complication. Anyhow, liver result virus of liver of normal, second is duplicate index negative is a watershed: If be under this standard, if exceeded this level,need not treat; with medicine, have to use medical treatment, with it is OK to arrive under the standard. (the exercitation edits: Plum apricot)
Monday, 24 September 2007
Raise liver to protect liver good medicine at " heart "
Different big to full brother prognosis one Little brother is jobber of the things that wash besmear, disposition is optimistic. Former it is the person that second liver virus is carried, come on because of the reason such as overworked later, appear icteric, anorexia, lack of power, liver function also has apparent change, when treatment is accepted outside the courtyard, because use drug undeserved, the illness is aggravating. After turning into my courtyard, adopt a system treat with medicine and disease-resistant poison, make the illness alleviates very quickly. His mood stability, hopeful, often hear some of light music or see the program such as some of comic dialogue, essay, we often hear his happy laughter in ward. Be in hospital 3 months, after leaving hospital, follow the doctor's advice again take drug, restore very smoothly, HBeAg/ is fought - HBe serum changeover, DNA of second liver virus is less than 103, it is normal that liver function restored. The elder brother is the development business that does estate, introvert, also be the person that second liver virus is carried so, he ever was visited for many times during little brother be in hospital, he always thinks of the little brother today is him tomorrow, careladen swollen, do not be fond of the way one speaks or what he says again, when the little brother gets a severe disease, more scowl is full of. Say also 7, the little brother is cured after leaving hospital, his assay liver function discovers transaminase is spent gently elevatory, he can'ts help complain of suffering: "The wolf came really! " be in gingerly in, his transaminase rises ceaselessly, if he faces archenemy, verbal and fewer, cure of system of the course after be in hospital improves somewhat, hind because of " cannot leave to leave hospital on business. But accentuate again in the illness after putting in the home 's charge, icteric rise suddenly, already reached the level of heavy-duty hepatitis, be immersed in hepatic coma finally, the hospital issues sick into death advice note twice, the life hangs hairspring. Finally, must undertake liver transplants, be worth to rejoice, near future effect still considers art hind good. See not hard from two afore-mentioned ill at one's convenience, psychological element is having decisive effect in liver disease cure. of a variety of archenemy of liver disease rehabilitation occupy undesirable psychology observation, the psychological problem with chronic liver common disease is like below a few kinds of expression: Be fear of core to manage to just began when sicken or course of diseases are still short, basically be afraid of influence job, study, be afraid that the liver disease oneself catchs a dear one, money is afraid of a flower is too much etc. As the extension of course of diseases, the thing that fear is increasing, be afraid of be looked down on by others, grasp a sweetheart to cease to be faithful to search a new sweetheart additionally, grasp child person to do not have a canal, and have change a bit, be afraid of turn liver into sclerotic, liver cancer, be in into inherent work " be afraid of " in the shadow. Be like some institute a controller, after liver having second is ill, apparent lack of power, disgusting, appetite drops, the abdomen goes up wait for a symptom, transaminase is elevatory to 300-400 unit, but he all the time not to leader explain, oneself " secretly " come outpatient service is treated here, still invented pseudonym, class of every the world outpatient service gives or take an injection later with medicine. His medical expenses can submit an expense account actually, but the prospect that he fears him effect, be afraid that the colleague knows again, oneself spend money, conceal an illness. Just began to still calculate successful, but disease still must relapse after a year, disease-resistant bane has been used, it is almost disable from effective trend. Plant in this " subterranean condition " in treat a disease, psychological burden is not decreased all the time, and also be hard to control. Course of diseases of pessimism psychology liverish is longer, spent many money, domestic condition is poorer, the illness cannot recover inside short time, the patient lost confidence, give out n wailful: "Day, when be build? " " Qian Huaguang, disease is not beautiful however, how to do? " for instance a pupil teacher, to oneself chronic second liver of more than 10 years treated experience to be full of pessimism, now already be utterly destitute, owed debt, rely on the husband to prop up, good say to I am sorry oneself husband and child, heart extensive meaning is cold, she already lost remedial confidence, lost the nerve of subsist, think really " All troubles end when the main trouble ends. " no longer family of be a burden on and unit. Analyse the account that pessimistic psychology produces, advocate if fail,correct, standard, department dominates cure, often treat more jump over flooey. That teacher uses drug below our guidance later, the illness has improvement greatly now. Depressed core manages to discover via investigating us, easy generation of patient of chronic second liver is depressed mood, behave few of depressed, depressed, little speech at ordinary times joyous, still sleep-disorder, memory drops, interest is lost etc. If some chorus major is composed, since liver having second hind very few with talk and interact, be in hospital is firm in the begining, everybody thinks he is great-hearted and prideful, also maintain a distance with other a friend made in hospital or people who become friends in hospital. But the introduction is the same as manage that occupies visit, when this composes a gentleman to make the same score very active, have say to have laugh, music does not leave an opening, sicken resembled changing a person however like, he still puts forward and love wife parts company. Finally, the wife is taking the child to go from him eventually, accentuated again his depressed, feel alone and helpless oneself, feel " lived to be first " . The reason in analysing its, advocate if the patient is right,suit, be attacked by serious illness " confused and disoriented " , lose confidence thereby. Protect personnel to explain through cure, revulsive, this composes a gentleman to begin to learn ill knowledge of a few liver, nowadays, he already left hospital, resume the work, did not have a relapse. Stimulate after offending core truth patient to contract liver disease be angry easily, get into a huff, good roar, very common thing, he looks however not pleasing to the eye, croak, throw thing, name-calling. Motherland medicine has " the five elements " doctrine, include among them " 5 annals " doctrine, annals namely annals of the person's mood, affection, 5 annals cent is care, think of, anger, fear, happy event, and the annals of liver is anger, in " the five elements " in belong to wood again, and Mu Xi amount to, unobstructed; liver advocate sparse release, if liver is broken amount to, sparse release breaks free, be about to bring about gloomy of diseases with such symptoms as coastal pain to written guarantee. Everybody knows " bate hurts liver " , " gas hurts liver greatly " these two words, anger and gas make liver fall victim, "Hurt liver " hind easy " anger " , easy " gas " , form vicious circle. Chronic liver is so ill patient often of for no reason at all huffish, appear headache, pectoral costal region goes up painful, mood not stable, menstruation is maladjusted etc, bring about the aggravation of liver function, people often says " made ill energy of life " it is this truth. Have a female patient of extended be in hospital, original illness was stabilized, but be informed the husband and another woman fool around suddenly, gas gets foam with rage, sleep bad to become aware, eat bad meal, do sth over and over again 3 days, liver area ache is aggravating, disgusting, vomiting, icteric appear, the illness is aggravating, exasperate, nearly loses life. She puts forward actively to divorce later, make a thorough break, oneself freed oneself, no longer furious, the illness just tends gradually stable. Experts point out, of liver disease enemy be " chafe " , because this patient should look to what,appear, not take to heart. On one hand, family member and work in the same placing should understand chronic liver disease easy life, easy impatient characteristic, ; of many somes of good-tempered, understanding, advise on the other hand, him patient also should adjust his mood hard, if Ren Nu is flush, the eventually of fall victim is him. Abandon psychology is alleged abandon, namely " what also is not afraid of " , not worry at all, these people get liver disease to be being held in the arms to oneself " be indifferent to " manner, rest carelessly at ordinary times, mahjong illuminates rub not by accident, can lodge for the night not Mian, wine takes drink many, can one drunk just rest. These patients are young patient mostly, original fitness is better, or the illness is lighter, although also do not wish unhealthily,the hospital suffers " limitation " , regard the doctor's word as the wind other ear, although be in hospital, also be absent-minded, escape old, stop or interrupting cure is commonplace. Small Zhang Jin of worker of some Motor Corporation is 33 year years old, sicken hind drinks every day, occupy hospital also cannot change bad habit, drink drunkly, abuse cure protects personnel, say to come, say to go, till illness accentuation, lay on the bed to cannot be moved, this ability weeps bitterly, but the evening of regret, him abandon brings about liver disease to worsen, because liver fails,die eventually. (the exercitation edits: Plum apricot)
Sunday, 23 September 2007
Hepatitis B cure has get used to disease
One female patient hospital of occupy of traffic accident of the Ceng Yin two years ago, liver of second of the discovery in the examination " big 3 this world " , virus DNA is electropositive, be in charge of bed doctor to undertake to He Puding disease-resistant poison is treated then. Come two years the patient takes this drug all the time, because of blood medium virus level does not fall, just see a doctor again. The doctor browsed the anamnesis data she is two years ago and the examination result during using drug, discover in those days her liver function is normal, carry for virus of chronic second liver only, do not belong to what disease-resistant poison treats to get used to disease. During she uses drug, original virus drops somewhat, but spend till drop of the virus after the half an year that use drug still be 105 copies / milliliter above, clew virus is able to bear or endure to He Puding medicine, right now Lv of take an examination stops drug, but the patient uses drug all the time, till close half an year comes,virus level lifts ability is caused ceaselessly take seriously. According to patient condition, doctor of liver ill outpatient service suggests she stops to use drug, rigor is monitored, every 2 weeks check liver function. Through the observation of 2 months, her liver function is normal, doctor's advice of short duration need not medicine, regular outpatient service is followed visit. Our country is second liver big country, the person that virus is carried is amounted to 120 million, disease-resistant poison is the key that chronic second liver treats, but the curative effect that be confined to combats virus medicaments currently, only part patient is OK from which benefit, because this chooses appropriate patient and opportune remedial opportune moment, it is the key that assures curative effect. Disregard cure to get used to disease to use drug blindly, cause economically loss to the patient not only, mutate possibly still because of bringing about virus for a long time with medicine, cause beyond recall loss to patient health. As a result of the development that in recent years virus sex hepatitis studies, the content of new disease-resistant bane that is based on research of international much center and remedial method appear ceaselessly, even if the doctor with liver professional disease also needs continuous study, update knowledge in time. Because afore-mentioned patients are blind with medicine, unfruitful expenditure 10 thousand multivariate, wasted money not only, and produced virus to be able to bear or endure medicine. Those who be worth to rejoice is the patient stops medical hind to did not produce serious consequence. Similar on such patient outpatient service not scarce, some are to pass those who be not specialized subject doctor to recommend, have a plenty of the information that obtains through the media such as the press, TV namely act on one's own undertake disease-resistant poison is treated. Analyse afore-mentioned causes that cause wrong cure, admittedly with the cursory doctor's advice of that doctor is concerned at that time, patient oneself element also has to consider. The first, if the patient is before cure of normal disease-resistant poison,seek advice from the liver disease that has experience in time professional doctor, won't pointing to to drug is used below the condition that impose without cure. The 2nd, although had used drug, during taking drug look for doctor of liver ill major in time to follow visit, OK also and inchoate discovery virus is able to bear or endure medicine stops drug in time. Accordingly, the doctor wants advice patient of liver of broad and chronic second, fighting the use major of medicaments of second liver virus to ask is stronger, must be in the liver disease that has experience uses drug below professional doctor guidance, and need is followed regularly visit, avoid by all means is act on one's own, use drug blindly. (the exercitation edits: Plum apricot)
Fight give up eating for fear of choking-refrain from doing sth necessary for fear of a slight risk of second liver how could?
Treating second liver to encounter virus to mutate is very regular job. Should use thing of bane of a kind of disease-resistant for long, virus can produce mutation, make its fight virus medicaments generation to be able to bear or endure to this kind medicine. If right now ill person because the virus inside body appears,mutate, medicaments invalidation state of illness is evil turn and give up eating for fear of choking-refrain from doing sth necessary for fear of a slight risk, sequential likelihood sends irremediable. Mr Wang is second liver " big 3 this world " patient. After taking half an year of thing of bane of some kind of disease-resistant, second liver " big 3 this world " turn for " small 3 this world " , it is normal that liver function restored. According to the doctor enjoin, mr Wang continues to take this kind of drug. 1 year half hind, mr Wang answers a hospital to check, content of transaminase of third of the cereal in discovering blood however is compared before taking medicine taller, virus level picks up as much, second liver " two half-and-half " turn again for " big 3 this world " , after further examination, doctor diagnose is generation of mutation of second liver virus is able to bear or endure medicine. Mr Wang sees shape is very terrified, thinking even is canceration, dare not take medicine again, the result accelerated illness aggravation, bring about the happening of cirrhosis of later period liver. Southern hospital affects internal medicine advocate treat doctor Sun Jian to introduce, the patient that takes certain disease-resistant bane to treat more than 9 months can produce virus to be able to bear or endure likely medicine, and remedial time grows generation to be able to bear or endure more medical possibility is larger. Content of any bane of a kind of disease-resistant bring about virus generation possibly to be able to bear or endure medicine, include interferon. Because of this patient cannot because of medicaments invalidation with respect to proper motion out of service, because be able to bear or endure,itself of medical mutation virus duplicates have drawback, feral individual plant (the virus that did not mutate) 1000 times poisonous force is it. Medicaments still has very strong inhibition to wild poisonous individual plant, disable to mutation individual plant only. If happened to be able to bear or endure,medical mutation stops drug immediately, can short time restores the feral individual plant with so poisonous more powerful force quickly inside body, this will cause more serious hepatitis show effect! (the exercitation edits: Plum apricot)
What does second liver behave is clew happening able to bear or endure medicine?
Come on the stage expert Professor Wang Guijiang: Chairman doctor, adviser of doctoral graduate student, in Beijing University hospital infection division works old, main attack disease: Virus sex hepatitis and liver are ill. Compere: At present the symptom is behaved through what or can judge a patient to happen to be able to bear or endure through what examination medicine. Wang Guijiang: It is the most important that the body detects, second liver (special subject interview seeks advice) after virus is affected, of different remedy be able to bear or endure happening of property of a medicine has have high low, can judge probably from current and clinical data when may appear be able to bear or endure medicine, but be able to bear or endure of medicine monitoring still basically is to see DNA. Attention: If DNA shade turned not to detect after patient treatment, crossed one Duan Youcheng positive, so consider as right now appeared virus learns be able to bear or endure medicine. Be able to bear or endure this concept includes drug a few respects, one is gene is able to bear or endure medicine, of gene level be able to bear or endure medicine is clinical without any expression, DNA still does not detect, but check virus gene discovery to be able to bear or endure directly the mutation of medical gene, for instance rummy husband is decided, we check the immune individual plant of MDD to appear, think to be able to bear or endure medicine appeared, as be able to bear or endure medical individual plant is increasing, turn an advantage into individual plant, regular meeting has virus, virus is met electropositive, this is virus learns to be able to bear or endure medicine. Learn to be able to bear or endure as virus medicine appears, transaminase may have a branch to appear rebound, this makes give birth to chemistry to be able to bear or endure medicine. Compere: Why can you discover be able to bear or endure medicine? Wang Guijiang: Nucleotide acerbity analogue is a paragraph of nucleotide acid with the holiday with similar virus, can in the cycle that mix into enters virus to duplicate, those who disturbed virus is duplicate, achieve remedial goal thereby. Be able to bear or endure medical happening has two sides actually, one is to be able to bear or endure optionally medicine. All virus can appear between duplicate process the gene of virus is choppy, a lot of choppy system can produce inside body, among them one kind is aimed at namely be able to bear or endure of medicine, normal when cannot see choppy individual plant, if poisonous diseased or infected plant was exterminated, be restrained, have be able to bear or endure the choppy individual plant of property of a medicine can be shown, this is to be able to bear or endure optionally medicine. Return to a kind of inductivity is able to bear or endure medicine, nucleotide acerbity analogue always is mix into enters DNA chain in, mix into enters the gene that virus can disturb among the process, can make gene appears choppy. These two kinds of choppy metropolises happen. To second liver (special subject interview seeks advice) be able to bear or endure the happening of property of a medicine still is with be able to bear or endure optionally formulary type is given priority to, there has been the variation of virus inside body. A moment ago said individual medicaments is mentioned to select an issue in turning treatment, if monitor ill human body first before cure inside be able to bear or endure medicine, discovered to rummy the husband is able to bear or endure surely for instance medical individual plant existed, I need not rummy husband is decided. If have,be aimed at favour replace those who block Wei to be able to bear or endure medical individual plant existed, I need not favour replace Ka Wei, this also is a way that individuation treats, we also are being done be able to bear or endure property of a medicine mutates a research of the dot, hope can inchoate undertake detecting. After many nucleotide acerbity analogue appears, be able to bear or endure medicine is a very big question, if know this patient may appear beforehand,which kinds are able to bear or endure medical affection ministry, need not this kind of medicaments, can let second liver cure take one stride forth again. (the exercitation edits: Plum apricot)
Is second liver vaccinal how " kind " law?
Prevent overweight cure, this truth is reflected so that highlight particularly on second liver prevention and cure. During countrywide children vaccinate publicizes day, zhang Wenhong of vice director of division of infection of hospital of accessary Mount Hua points out Fudan University, at present have an inoculation of vaccine of liver of our country second exists 3 big questions: Vaccinal rate is less than inside 24 hours when mother baby block breaks 50% , a lot of people are vaccinal without whole journey, hind of have an inoculation did not check. So, vaccine of liver of how vaccinal second does ability consider normal? For this, the reporter interviewed capital medical university accessary Beijing bless installs Liu Jianjing of hospital director doctor. Liver of the Cha Yi before making vaccine introduces 5 times with Liu Jianjing of liver result , all people that had not affected second liver virus answer vaccinal second liver is vaccinal, the person that contacts closely with the person that second liver virus is carried or second liver patient especially, be like the family of second liver patient, more should seasonable have an inoculation. Small make up recommend: Second liver vaccine lives to destroy vaccinal, basically be gene project vaccine at present, reach its to pregnant woman fetal safer. The pregnant woman that affects to getting normally, to prevent infection of hepatitis B virus, need to ask to inject by convention only 3 needles are vaccinal can. [detail: Pregnant woman does not enter vaccinal mine field] a lot of people affect after second liver virus, or it is the person that second liver virus is carried, often do not have a symptom. Accordingly, want to know to whether had contracted second liver virus, must check second liver 5. Additional, some units check-up checks antigen of second liver surface only (common says bay fight) , cannot explain to whether had affected second liver, expression of antigen of surface of liver of second of the person that because minority is slow,the gender is affected is negative. Anyhow, in second liver only 5 are negative situation to fall entirely, ability makes second liver vaccine. Nevertheless, if had contracted virus, because do not have the liver that check second 5, made vaccine by accident, also won't cause undesirable consequence. Liver result is another condition of vaccine of the liver that make second normally. Accordingly, the liver function index such as transaminase, bilirubin should be checked before making vaccine. Very much urgent chronic illness may cause liver function unusual, below this kind of circumstance, do not want vaccine of inject second liver first, should prove a cause, have treatment, have an inoculation goes again after waiting for liver function to return to normal. Exterior antibody is electropositive ability is effective when speaks of vaccinal method, dr Liu introduces, at present commonly used inject method is " 0, 1, will inject in June law " , namely a month after the 2nd needle is hitting stitch injects, the 3rd needle injects at 6 months after stitch. According to vaccinal specific specification, every time hypodermic 10 microgramme of 5 ―. When the 7th month, should assay second liver checks vaccinal effect 5 times. If antibody of second liver surface shows masculine gender, it is namely effective. Antibody of second liver surface is antibody of a kind of protection, can sponsorial body has immune power to second liver virus, its existence is the mainest index that measures effectiveness of inject of second liver vaccine. If the mother is the person that second liver patient or virus are carried, to avoid its the baby also contracts virus, at present the current mother baby block on international breaks a method to be able to protect a baby well, businesslike can achieve 90% above. Particular way is, be born in the child 24 second liver vaccine and immune globulin inject to him in the hour, let its produce antibody of second liver surface. should check not to pass after 5 years, the time accident that antibody of second liver surface keeps inside human body because of the person different, some people can be lifelong maintain higher level, some people criterion after a few years abate. Accordingly, had laid the person of second liver vaccine, second liver should check after 5 years 5. If discover antibody of second liver surface turns into negative or weak positive, answer reseed. Liu Jianjing emphasizes finally, current and clinical on of application homebred all be vaccine of gene project complex with entrance vaccine, not be haemal products, because this won't spread the disease such as second liver, although the people is at ease use. Liver has ailmenting hunger to cause! Liver protects to come after third liver sends the 3 old dangerous wine of cancer of the liver bowl hot noodles in soup walks out of error recognize small 3 this world encounter Oriental liver when western liver " liver " ask: Is the road in He Fang? Chinese traditional medicine hurts liver word you know! 18 action prevent hepatic grow stout! What natural food can protect liver? Second liver cure wants to understand more liverish in of ceaseless progress relevant knowledge, click Nbsp; of Gt;gt;gt;gt; liver ill channel please (the exercitation edits: Plum apricot)
Friday, 21 September 2007
Take medicine eating a hepatitis is not gally you
Take medicine to you also can eat a hepatitis to come? OK of course! Introduce according to assisting Pan Xin of director of ill division of courage of courtyard of fencing city traditional Chinese medical science has, after medicaments enters human body, the mainest metabolization, alexipharmic place is hepatic, if medicaments has poisonous side effect, be the first to be affected is hepatic necessarily by what damage. Specific whether does liver happen to damage after using drug to everybody, besides the action of medicaments itself, also have very big concern with individual difference, concern with the circumstance with enzymatic medicine of the liver inside individual body namely. The expression of medicaments sex hepatitis depends on degree weight, light person without apparent pathology, only the transaminase in blood is elevatory just. The most dangerous is to erupt sexual hepatitis, hepatic cell dies suddenly in great quantities, hepatic rehabilitate speed cannot catch up with destructive career, illness take a sudden turn and become worse rapidly, the patient is in 9 die likely inside week. Medicaments sex hepatitis has 2 ~ more 8 weeks preclinical, inchoate symptom can have Sao of difference of calorific, accept, lack of power, skin urticant, icteric, rash. The lab checks liver function with serum transaminase, alkalescent phosphoric acid enzymatic elevatory for this ill characteristic. Director Pan says, from theoretic tell, any medicaments cause medicaments sex hepatitis likely. Domestic and international much material has discovered, about degree of a variety of 600 commonly used medicaments have liver poisonous side effect differently. A lot of people think security of Chinese herbal medicine is high, poisonous side effect is little, cause liver to damage rarely. But in recent years the grow in quantity of harmful response year after year of be caused by of Chinese herbal medicine, the case of illness that causes liver to damage also subsequently grow in quantity of year after year. This is likely also with in recent years preparation of many development Chinese herbal medicine is concerned. Accordingly, eating drug does not want to be bought to the outside casually, because the situation of everybody is different. Especially a respectful form of address for an old person and children, the health protection that buys outside is tasted and nourishment, a lot of contain chemical to be inside, ate the body to did not cause liver damage instead very much. Accurate method should be sicken wants to see a doctor to normal hospital take medicine, do not slant letter " secret recipe " , "Only square " and so on, lest appear undesirable and sequential and regretful. (the exercitation edits: Plum apricot)
Thursday, 20 September 2007
Protect liver " celestial being is careless " -- glossy ganoderma
The Eastern Han Dynasty " classics of divine farming a book on Chinese medicine " say glossy ganoderma but " bright eye, filling diseases with such symptoms as coastal pain, add disposition of wisdom, beneficial, calm the nerves, kidney of bazoo of the beneficial lung gas, mouth that know interest, beneficial is angry, open 9 hole... long feed light body not old, delay year of immortal " . In folklore, the effect all the more of glossy ganoderma is magical, so that can let a the dead " in relief still " , be like " white snake is passed " in " grass of celestial being of pilfer of white a polite form of address for a young woman saves Xu Xian " story, with respect to very thorough popular feeling. In feudal ruler in the eye, it is monarchical power god-given symbolizes more, " person benevolently, criterion Zhi grass is unripe " . The figure of glossy ganoderma is by depict then on Liang Zhu, on dress material, on picture scroll, still those are made with the material such as jade, bamboo, bone flexibly, the hyperbole that is glossy ganoderma figure actually and be out of shape. Why people is opposite glossy ganoderma such pay homage to? The first, it is rare. People always thinks unusual thing is unusually rich. The 2nd, it is beautiful. Glossy ganoderma glows, the breed such as Zhi having blueness, Chi Zhi, yellow Zhi, Bai Zhi, violet Zhi, elegant umbrella lid and long handle are just as an auspicious cloud that rise, make a person more together of thoughts or recollections flashing across one's mind. The 3rd, its brightness is like lacquer, qualitative hard, prolonged is not bad, can make the person thinks of not to die. The 4th, it has medical effect really, can cure ill card. This with respect to no wonder people gifts the colour like its myth. What is glossy ganoderma after all? Glossy ganoderma and dawdle, an edible fungus is same, it is the seed body of fungus, botanical on belong to division of poriferous bacterium eye, glossy ganoderma, the stumpage that is born at shade Shi Lin to fall in summerly fall more, pour wood to go up, all have in Chinese each district distributing, just the amount below feral environment is extremely exiguous. Also be as a result of the cause with exiguous amount, people uses his the chance of officinal value is not much, ancient time about glossy ganoderma the data of clinical respect is particularly little, a few of know exactly about sth are exaggerated almost its demit, this makes the doctor masters glossy ganoderma very hard more clinical curative effect, just know some of book to go up vaguely those who say " Fu Zhenggu this, nourishing strong put oneself in another's position, relieve a cough smooth asthma " wait for action to stop, use absolutely less in prescription. The officinal value that people knows glossy ganoderma truly is thing of nearly a few years. As the promotion of the artificial technology that raise Zhi, make glossy ganoderma yield rises substantially. Medical source had, research is much easier. People goes acid of glossy ganoderma polysaccharide, glossy ganoderma, manna from the depart inside seed body a variety of mellow, amino acid and mineral, among them glossy ganoderma polysaccharide can raise airframe immunity force and fight anoxic ability, the metabolism of the refreshment that still can promote organic function, airframe, glossy ganoderma is acerbity criterion but acetanilide, smooth asthma, calm the nerves, alexipharmic, protect liver, restrain tumour the cell grows. Current, conditioning agent of accelerant of the tumor cell depressor that people already developed a variety of glossy ganoderma part, liver function, immunity and health care are tasted, use extensively at appearance of cirrhosis of neurasthenic, chronic asthma of bronchitic, bronchus, chronic hepatitis, liver, coronary heart disease, arterial congee the rehabilitation after the art of sclerotic, tall lipemia and cancer patient. Believe as contemporary the development that medium, Western medicine learns, glossy ganoderma can doff next its mysterious jacket gradually, with a kind brand-new appearance walks into common other people, become popular " celestial being is careless " . (the exercitation edits: Plum apricot)
Examination of hepatitis laboratory test has a choice
When clinical suspicion hepatitis or already when diagnose needs to know the extent of pathological changes further for acute hepatitis, can detect transaminase of GPT(cereal third) or iodine of medicine made of two or more ingredients experiments. If be chronic hepatitis, outside experimenting except above, still can detect A/G(albumin and globulin ratio) , detect when necessary serum albumen electrophoresis. If the patient is not had icteric, and other liver function is normal and the person that cannot eliminate to spend liver gently to damage, can detect alkalescent phosphoric acid is enzymatic. To sending sexual liver cancer formerly, outside experimenting except general liver function, can have egg white of AFP(armour embryo) , γ - GT(γ - glutamic acid turns peptide is enzymatic) , AKP determine in order to help clinical diagnose. Before each bigger operation, check serum GPT, A/G commonly, detect when necessary time of serous cruor zymogen in order to understand hepatic situation, make the preparation before good method. According to illness choice some a few liver function experiment and check regularly dynamic observation, treatment can be reflected on certain level effective. When improving like acute hepatitis illness, GPT is restored to normal; fluctuates for a long time like GPT or lift continuously by heighten, hint hepatitis has turn slow trend. When experiment of certain and hepatic function has the disease outside liver, examination result is visible also and unusual, if nephrosis is asked for integratedly, malignant tumor bring about serous total albumen and albumin to reduce; hyperthyroidism to wait can have serum cholesterol cut. And certain pharmaceuticals, traumatic wait, all can bring about serum transaminase to lift. Because this is choosing hepatic function,clinical and concrete analysis should combine when experiment and analytic result. According to illness choice some a few liver function experiment and check regularly dynamic observation, treatment can be reflected on certain level effective. When improving like acute hepatitis illness, GPT is restored to normal; fluctuates for a long time like GPT or lift continuously by heighten, hint hepatitis has turn slow trend. When experiment of certain and hepatic function has the disease outside liver, examination result is visible also and unusual, if nephrosis is asked for integratedly, malignant tumor bring about serous total albumen and albumin to reduce; hyperthyroidism to wait can have serum cholesterol cut. And certain pharmaceuticals, traumatic wait, all can bring about serum transaminase to lift. Because this is choosing hepatic function,clinical and concrete analysis should combine when experiment and analytic result. (the exercitation edits: Plum apricot)
Wednesday, 19 September 2007
Grab be pregnant with of the liver that catch second optimal opportunity
Patient of chronic second liver should make clear the weight degree of own illness above all, decide to whether be pregnant again. After patient of acute second liver passes proper treatment and reasonable take good care of sb, recovery can be achieved inside a few months, right now examination liver function returns to normal, index of antigen of second liver virus already turned shade. The patient recuperates for some time again, physical strength restores completely, can be pregnant. Patient of chronic second liver should make clear the weight degree of own illness above all, decide to whether be pregnant again. If the patient belongs to the person that virus is carried, follow for a long time it is normal from beginning to end to visit set of examination liver result, b exceeds an examination not to hint liver is sclerotic, can consider to be pregnant. If disease of patient second hepatitis is in mobile level, examination liver skill is unusual, self-conscious and tired, inappetence, abdominal distension wait, should avoid to be pregnant at this moment, rigid of level of hepatic inflammation activity is pregnant, body burden is increased, liver should complete more works, hepatitis restores not easily, cause heavy-duty hepatitis easily instead, endanger pregnant woman life. Additional, grow to fetal development adverse also. Accordingly the second liver patient of mobile period, should accept standard treatment above all, include disease-resistant poison and immunity to adjust cure. The result that wait for liver returns to normal, virus is duplicate index turns when shade or duplicate ability are reduced, be pregnant again, such advantageous to Mu Zijun. If B exceeds an examination to discover hepatitis has grown liver cirrhosis rate, had better not be pregnant. After be being treated to classics of patient of mobile sex hepatitis, the illness is stable, liver meritorious service is regular above of half an year, be pregnant relatively safe. Once second liver patient is pregnant, should stop use all sorts of remedy that have liver noxiousness, like antibiotic, refuse n/med tuberculosis medicaments, treatment diabetic medicaments. Second liver pregnant woman, especially second liver " big 3 this world " " small 3 this world " pregnant woman, stitch immunity globulin injects to the baby inside 6 hours after wanting delivery, stitch injects to add vaccine of the liver that measure second inside 24 hours, a month injects liver of second of the 2nd needle is vaccinal, half an year injects liver of second of the 3rd needle is vaccinal. Whether does baby of the examination after a month produce antibody. "Big 3 this world " " small 3 this world " mom whether mother milk feed must comply with the doctor's proposal. Young person does the liver that fight second have politic second liver I defy with dietotherapy small do 3 this world travel in sexual love? Analyse second liver to turn why is shade odds second liver small 3 this world? What natural food can protect liver? What is meant by without semiotic second liver big 3 this world? What food is second liver accomplice? How to drink to just do not hurt liver? 7 kinds drink protect of of liver good method to want to understand more liverish relevant knowledge, click Nbsp; of Gt;gt;gt;gt; liver ill channel please (the exercitation edits: Plum apricot)
Tuesday, 18 September 2007
Fight big PK of cure of second liver Chinese and Western!
One, treat about second liver: Current science and technology develops level and existing cure condition to fall, remedial second liver does not have specific, everything alleges can wrap turn the therapeutics of shade and medicaments deceive people, must not be duped. 2, about Chinese traditional medicine of doctor of traditional Chinese medicine: Chinese traditional medicine of doctor of traditional Chinese medicine is the tradition of the motherland, it is the precious money that the ancestor leaves us, it has certain effect possibly to miscellaneous disease of a few difficulty truly, fall to protecting liver to fall enzymatic, invigorate the circulation of blood changes Yu also have idea very much, but the individual thinks to remedial second liver the most crucial---Disease-resistant poison has clear effect really, refusing ill poisonous treatment is by accepted remedial second liver (or restrain an illness to develop) the basiccest method. 3, fight virus about Western medicine: This also is current the most adjacent and accurate treatment method, it is not to have the choice that be able to bear or endure, although poison treats all disease-resistant to be put in the effect to do not have apparent or the problem that stops medicine to rebound, but after the disease-resistant poison that below level of current development of science and technology we also expect to having a standard only is treated, can make our illness is able to control, unripe quality is able to improve apparently, the time that can thin preciously, the arrival that can time awaits specific content (at least I am the) that such thinking. At present significant disease-resistant bane thing has two kinds big, 1, disturb kind. 2, nucleotide kind. 1, interference length effect: Once a week every needle is controlled 1300 yuan, period of treatment is controlled 1 year, cost 70000 yuan every year. Common interference: Everyday, respondent hind lie between a day, 6-12 of period of treatment month, charge is controlled 20000 yuan. Curative effect: Electropositive to E antigen: E antigen shade turns rate 30% the left and right sides, stop drug easy rebound. Result of interference length effect is similar, but stop medicine to rebound the chance is little at common interference. Electronegative to E antigen: Common interference effect not beautiful, after interference length effect is respondent, have certain long-term curative effect. 2, nucleotide kind: Have rummy at present, favour for, a De, for decide than the husband, be about to appear on the market carat husband waits surely. Rummy: Have effect fast, applied time is the longest, mutation rate is high (one year 16% , 60%) of 4 years of accumulative total, every months 430 yuan are controlled. A De: Get effective slow, foreign application time is longer, mutation rate is low (the 3.9%) of 3 years of accumulative total of E antigen positive, every months of 450-600 is controlled. Favour for: Get effective fast, mutation rate is low (at present data mutates 2 years rate 0) , every months 1200 the left and right sides. For decide than the husband: Get effective fast, virus restrains ability to be more than rummy to be less than favour for, mutation rate: A bit lower than rummy, biade is tallish (the data 3-4%) that rate of a year of mutation announces at present. 7 the beginning of the year appear on the market, the price every months 720 yuan. If short of is respondent standard word, exist stop medicine to rebound severe problem, use and stop medicine to want discreet. 3, the medicaments that is about to appear on the market: Take Wei for Nuo: As same as A Dewei kind of medicaments, effective to rummy mutation individual plant, virus restrains ability strong Yu Ade, appear on the market date is uncertain. The price is sealed. Carat husband decides: The individual thinks to be worth the remedy that expect most, after the biggest characteristic stops drug still above of half an year of tenability curative effect. Namely nonexistent stop medicine to rebound problem, appear on the market date is uncertain, the price is sealed. Treat sexual vaccine: The second of nothing is more... than that is worth to expect most was overcome, undertaking 2 period B is clinical, also not be specific, its effect (E antigen shade turns rate and DNA shade turn rate) estimation and present nucleotide acid kind medicaments comparatives, but period of treatment is certain, the price can be accepted, nonexistent stop medicine to rebound problem. Reach in the choice use on ask a basis actual strength of illness, economy, with proposal choice of the doctor, must not use drug blindly. The purpose hopes to offer first-class service and proposal to everybody namely, the purpose makes everybody little take roundabout way namely little be decieved. (the exercitation edits: Plum apricot)
Establish liver of confidence conquer second!
The purpose that refuses ill poisonous treatment has 3, the first it is utmost ground restrains second liver to virus duplicates or eliminate second liver virus, the 2nd it is to relieve liver cell inflammation necrotic, make thereby liver function normalization, reduce liver fiber to change form, the 3rd, it is to delay disease progress, reduce the happening of liver cirrhosis and liver cancer, improve the life quality of people. Must see, want from virus of the comb-out in liver, still have certain difficulty, need to be treated more for a long time or be treated repeatedly. We believe, want each respect joint efforts only, ability controls second liver truly, want to have hope only, the mankind is sure liver of second of final and complete conquer. Incidence of a disease of chronic second liver is high, the harm is great, it is the main reason that cirrhosis of our country liver and liver cancer produce, also be a serious communal and wholesome problem. Vaccinal have an inoculation is to prevent hepatitis B to be mixed the most effectively the most convenient way, it can reduce the incidence of a disease of acute second liver and mortality, then prevents cirrhosis of chronic second liver, liver and liver cancer. The best strategy that controls second liver is a new student, baby, children and teenage general have an inoculation. Current, alone armour liver vaccine and second liver vaccine are used already generally, second liver vaccine and the much couplet vaccine that other vaccine combines are the direction of vaccine application. (the exercitation edits: Plum apricot)
Sunday, 16 September 2007
Adopt these 9 measure to be able to prevent second liver to be able to bear or endure medical happening
News background: Media reported recently, china has liver of more than 100 thousand second at present patient happening is able to bear or endure medicine. Academician of Chinese Academy of Engineering Professor Zhuang Hui thinks, second liver virus is able to bear or endure medicine already became current second liver to treat the challenge with the biggest field. In second liver cure, be able to bear or endure once medical case happens, fight virus medicaments effectively originally restrain virus to duplicate ability can be reduced greatly. In the meantime, be able to bear or endure medicine can bring about an illness to relapse, the undesirable consequence such as disease progress, and the across between medicaments is able to bear or endure the choice that medicine also can treat to sequel brings huge difficulty. Virus mutation is able to bear or endure medicine is the main trend that liver of second of cure of analogue of inevitable use nucleotide has made liver of second of current and clinical cure, area of Europe, United States, Asia-Pacific and our country label his the necessary medicines that second liver prevents and cure. The common characteristic of these medicaments is profess to convinced goes to the lavatory, can restrain second liver virus quickly, prevent or defer progress of chronic second liver to be liver cirrhosis, liver cancer. But these medicaments have again " common fault " , it is period of treatment endless, cannot stop drug easily, stop medical hind easy recrudesce, produce virus mutation possibly still to bring about be able to bear or endure medicine comes into being. Actually, virus mutation appears to be able to bear or endure in treating second liver process medicine is belonged to inevitable. Virus gene mutation exists extensively in nature, also but by medicaments revulsive generation. Virus mutation appears to be able to bear or endure in fighting virus to treat a process medical problem is serious, but be not disaster, cannot remedy, answer actively, can will be able to bear or endure the risk of medical problem falls to lowest. How does liver of second of cure of liver of second of cure of poison of second liver disease-resistant discover second liver virus to be able to bear or endure with medical Nbsp; medicine? During the patient is being treated originally curative effect is pretty good, DNA of virus of serum second liver is restrained for a time, virus carries a quantity to drop apparently, but the virus in continueing to treat a process carries a quantity to rise slowly again, be worth photograph comparing with descendent lowest, lifted 10 times above, confirm via checking again, this means virus to be able to bear or endure medical happening, say on medicine learn a breakthrough for virus. If treat the effect originally pretty good, abrupt virus carries a quantity to rise unit of more than 20 thousand international / rise or be the level before prep above is treated, this calls virus bounce. If virus holds an amount slowly answer rise while, serum transaminase level also rises to normal level above, because virus is duplicate,this was mirrorred horizontal addition, cause hepatic inflammation activity, say on medicine learn a breakthrough for biochemistry. During cure, need fixed observation to be able to bear or endure whether does medicine happen, the time interval of general examination is half an year, level of DNA of virus of liver of second of serum of examination of main laboratory test, be able to bear or endure medical gene alignment and liver function. Current, hospital of specialized subject of contagion of area of Beijing and other places can use PCR enlarge to add DNA of second liver virus to get together more the method such as analysis of enzymatic gene alignment, detect second liver virus is able to bear or endure medical gene. How is precaution able to bear or endure medical happening? Be able to bear or endure for precaution medical happening, can take the following step. The key recommends: Numerous expert talks about second liver to be able to bear or endure remedial method of medicine one, the disease-resistant bane thing that uses powerful effect, restrain virus to carry a quantity to come continuously quickly cannot measure a level. Virus is able to bear or endure medical happening and virus control rate closely related, decrease be able to bear or endure the amount that medical occurence rate is the virus in reducing blood above all, perhaps reduce virus to hold an amount as far as possible. Virus is duplicate lower, the possibility that produces mutation is less, be able to bear or endure the happening that medicine leads is lower also. 2, the choice is had be able to bear or endure high the disease-resistant bane content of medical gene protective screen, need many to nod namely at the same time choppy ability generation is able to bear or endure medical medicaments. "Be able to bear or endure medical gene protective screen " be just like a wall, an odds of a dot happening mutation is probably 50 thousand 1/0, and 3 an odds that nods coinstantaneous mutation be in 1/10000000 the left and right sides. Initiative cure should choose to fight virus active strong, low be able to bear or endure medical medicaments, this has been bound of current international medicine the consensus that treats to chronic second liver. 3, raise the comply with sex that uses drug, before having treatment, the patient should understand the time of whole cure and the note in treating a process, establish remedial record at the same time, follow regularly visit. The patient should put an end to abusive medicaments, not optional out of service, doctor's advice of strict comply with takes drug. 4, during strengthening whole disease-resistant poison to treat monitor, every 3 months need to detect 1 times to half an year virus is duplicate index and virus are able to bear or endure medical gene alignment. If be able to bear or endure,medicine appears, need basis patient patient's condition, economic atmosphere and be able to bear or endure medical clew undertakes medicaments is adjusted. 5, disease-resistant poison treats the curative effect inside 3 months not apparent, need adjusts plan in time, change other medication. 6, avoid cure of follow in a continuous line of only drug order. Do not use husband of rummy of period of time to decide, change Adefuwei again, change Cheng En to replace Ka Wei again for some time too, this is very wrong. 7, not blind combination uses drug. Interferon combines nucleotide kind disease-resistant bane content cannot add curative effect. A few kinds of nucleotide kind medicaments is used jointly bring about much medicine across to be able to bear or endure likely medical case happens, undeserved also advocate. 8, master disease-resistant poison strictly to get used to disease, normal to liver result, the patient that also does not have evidence of liver histology inflammation does not use disease-resistant poison to medication easily. 9, disease-resistant poison treats whole process to need the requirement according to guideline of second liver prevention and cure, start well and end well, be not changed at will or stop treatment. Be once happen, able to bear or endure how does medicine do? Be able to bear or endure after medical happening, the doctor is met the outcome that according to be able to bear or endure medical virus gene measures order, for the patient the choice was not able to bear or endure those medicaments of medicine undertake remedying cure. For example, rummy husband is able to bear or endure surely medicine: One, add use or convert Adefuwei. 2, convert favour for Ka Wei (one day two) . 3, convert Truvada (favour music he bank with the compound preparation that replaces Nuofuwei) . 4, add with Wei of the husband that replace Nuo. Be aimed at ester of A Defu Wei be able to bear or endure medicine: One, add with for replace than the husband is decided or converting decide than the husband; Add use or convert rummy husband is decided. 2, add with favour for Ka Wei. 3, convert favour for Ka Wei. 4, convert Truvada. Favour the Wei Naiyao that replace card can choose: One, add the Defuwei that use A. 2, convert Adefuwei. 3, add with Wei of the husband that replace Nuo. 4, convert for Nuofuwei. If appear afore-mentioned nucleotide kind of disease-resistant bane content be able to bear or endure medicine, also can convert interferon gets together especially glycol turns interferon treatment. (responsibility edits: King sea E)
How should be chronic second liver cured?
The first, must have made the preparation of long-term remedy. Patient of chronic second liver should accept him to have fact of this kind of chronic liverish above all, although disease of this kind of stubborn sex meets him bring a lot of trouble and worry, but also must face up to it. Once the person wears chronic second liver " cap " , swing it very hard, cannot hold index of virus of liver allowing second " turn quickly shade " illusion. Want conscientiously ground to accept long-term disease-resistant poison to treat at the same time, the development with preventing a patient's condition and evolve. The 2nd, the recrudesce that is not tired of an illness and undertake " treat again " . Chronic second liver has a the biggest characteristic is an illness break out repeatedly. Many people lack understanding or psychological preparation to be not worth to this one characteristic of this disease. Actually, till the specific that still did not treat chronic second liver at present, clinical go up to be able to apply ground of utmost of disease-resistant poisonous medicaments to alleviate only the patient's illness, and cannot keep clear of thoroughly the virus inside patient system. But should accept in time only when this disease has a relapse treat again, still can obtain favorable curative effect. The 3rd, want to have gentle state of mind. Do not fretted. This also is the issue that patient of chronic second liver needs to take seriously most in rehabilitation process. Consider to discover, if patient of chronic second liver is put in more psychological question, recover not easily, and easier without the patient of psychological problem rehabilitation. These psychological problems include to be fear of, impatient, angst, pessimistic, irritable, depressed, repent etc. Among them most of no good is to be fear of psychology, for example, be afraid that hepatitis change becomes liver cirrhosis, or further change becomes cancer of the liver; Be afraid that the influence works: Young patient is afraid that the object was blown, wedded is afraid that sexual function suffers an effect; Money is afraid of a flower is too much bear not to rise; Be afraid of be discriminated against to wait a moment by others. It is understandable that patient of chronic second liver has this kind to be fear of psychology, but if Ren Jicun is opposite,be treated and rehabilitation is very adverse. To second liver patient, the most important is to must comply with the doctor's guidance and help sb to get over his worries, want to believe a doctor, actively cooperates the doctor's cure, only such ability get best curative effect. The 4th, do not drink, cannot use drug at will. All liver ill patients can not drink absolutely, even if be " a few drinking " not OK also, suffer from especially light, medium the patient that spends chronic second liver should strictly observe this commandment more. Because,this is, after alcohol enters human body, meeting by alcohol dehydrogenation enzymatic decompose for aldehyde and water, and aldehyde has very big noxiousness to liver, can injure liver cell, the liver cell that can make be damaged originally so is damaged again. In addition, abusing drug also is the common fault of patient of chronic second liver. Patient of liver of a little chronic second often does not allow via the doctor, take the nutrient medicine, medicine that protect liver, immunity to enhance medicine or alexipharmic to wait a moment by oneself, these practices are wrong. Because,this is, metabolization should undertake through liver after great majority medicaments enters human body and increase hepatic burden. Add some medicaments to have bigger noxiousness again to liver, can damage liver directly. Accordingly, patient of chronic second liver must use drug below doctor guidance, cannot use drug at will absolutely. The 5th, want to notice to rest, accomplish the life orderly. Second liver patient cannot too overworked. Patient of heavier chronic second liver must lie in bed rests, as far as possible little activity, can make liver obtains rich blood so. Consider to discover, the person is in when standing, its should be compared through hepatic blood when lying little in part, and the blood that carries liver is more, the inflammation of hepatic place restores more quickly. Accordingly, rest more advantageous to patient of chronic second liver. But, longitudinal is chronic second liver patient also cannot total lie in bed, want appropriately activity. Appropriately the activity can increase appetite, still can prevent adipose pile up inside liver and form fatty liver, ease remedial difficulty thereby. The life is to show the life wants to have the law in order, a day of 3 eat want time ration, do not eat and drink too much, do not stay up late, do not sleep lie-in. The 6th, want to check regularly, take trouble. Patient of chronic second liver should go to a hospital to check regularly according to doctor's advice, general 6 months check every 3 ~ , the content of the examination should include thing of mark of virus of liver of liver function, second (HBsAg, HbeAg, fight HBc and HBV DNA to wait) , and serum liver fiber changes target detect, latter should include transparent qualitative acid (HA) , Ⅲ before collagen peptide (P Ⅲ P) , the layer joins egg white (LN) , Ⅳ collagen (C Ⅳ ) those who wait for index detect. Patient of chronic second liver checks regularly even content of mark of serum liver cancer, namely armour embryo albumen (AFP) . Especially in patient of liver of senile and chronic second should make this inspection more, if the patient's AFP lifts gradually, or the cost of assay is very high, be about to raise vigilance, can do B to exceed the examination that reach CT when necessary. In addition, patient of chronic second liver also wants the blood sugar of regular chemical examination, cholesterol, project such as triglyceride, should note the change of the transaminase in liver function particularly. If the patient's transaminase is apparent elevatory, hint its illness has recrudescent possibility, answer to see a doctor instantly, do not get incur loss through delay. (responsibility edits: Brilliant of the Song Dynasty)
The N that second liver takes drug is planted exquisite
The expert points out, second liver patient should take drug for a long time, every 3 months check poison of disease-resistant of assay index is treated is chronic hepatitis B (liver of second of the following abbreviation) primary treatment method, its treat a cause basically is keep clear of or permanent those who restrain hepatitis B virus is duplicate, reduce the sex that cause disease and infectivity, the inflammation that eliminate or relieves liver and necrotic. But the problem that when stops drug, perplexing patient of partial hepatitis B all the time. Ill institute of liver of hospital of Beijing University people and vice director of liver ill division Professor Wang Hao point out, patient of chronic second liver takes medicine to have very much really exquisite, cannot optional out of service, must comply with doctor's advice. Take medicine cannot keep clear of virus? Patient of liver of very much chronic second can feel mood anxiety for this, actually can need not. Professor Wang Hao says, people is reasonable, hypertensive, diabetic wait for chronic need is lifelong take drug, actually second liver also is such, cure needs a long-term course. Second liver unlike pneumonic, enteritis in that way, the bacterium after the course is treated can be kept clear of very quickly. So, second liver patient ought to establish such concepts, treat chronic second liver namely cannot fast battle quick decision, must call protracted battle, must insist to use disease-resistant bane thing for a long time. Disease-resistant bane content restrains virus to duplicate, use oneself immunity force to keep clear of gradually at the same time virus, in order to achieve the goal with active and duplicate virus of liver of further control second. Decide with respect to rummy husband for, need the time of half one year at least. of half an year Professor Wang Hao insists to say at least even after medicaments gets effective, although second liver cure is a long-term course, but when the illness control arrives when certain level, it is to be able to consider to stop drug. Teach the introduction according to Wang Hao, at present more accepted standard stopping drug is, DNA of virus of liver of the second before cure is electropositive, e antigen is electropositive, transaminase is 1 times more elevatory above, DNA of virus of liver of the second after cure turns shade, e antigen positive turns for E antibody positive, namely so called " big 3 this world " turn for " small 3 this world " , transaminase returns to normal, liver function is normal, the symptom disappears basically. Professor Dan Wanghao emphasizes, although second liver patient reachs afore-mentioned target in detect, still cannot stop drug immediately, should continue to take above of half an year, maintain this kind of effect, certain when after the illness is stable, just can stop drug. Professor Wang Hao points out, "Bounce stopping drug " the problem is in all second liver kind exist in medicaments. The doctor stops drug in patient of liver giving second before, should inform likelihood happening first " bounce " , exhort the patient should be treated in time after second liver has a relapse. Have a relapse no matter, regular examination is indispensible. Professor Wang Hao emphasizes, in strong level stopping drug, answer commonly every month is checked to the hospital, after 3 months but instead 3 two months check, but the longest should not exceed 3 months. Do sth without authorization stops medical consequence serious is covering a process in, professor Wang Hao still emphasizes for many times: "Scarcely of second liver patient wants do sth without authorization to stop drug, can cause very serious consequence otherwise. " the patient that always asks to stop drug according to doctor's advice, very few meeting gives an issue. After many second liver patients were accepting the treatment of period of time, feel each index returned to normal, feel to buy medicine to must spend a lot of money again, then arrogate to oneself does a view to give drug stopped, little imagine brings about its illness accentuation because of this impertinent meeting stopping drug, or abrupt aggravation. Professor Wang Hao says, cure of poison of disease-resistant of chronic second liver must be in next the doctor is directive undertaking. In the meantime, during taking drug, second liver patient also should make an inspection regularly, general it is advisable that every 3 months are done. (the exercitation edits: Plum apricot)
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