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Wednesday 24 January 2007

Remedial second liver had new drug again

Current, the primary treatment method that refusing ill poisonous treatment is chronic second liver already became consensus. Result of a lot of research shows, the second liver virus of persistent Gao Shuiping is duplicate, it is the tall danger factor that development of patient of chronic second liver becomes liver cirrhosis and liver cancer, and the occurence rate that effective disease-resistant poison treatment can reduce liver cirrhosis and liver cancer. The remedy of cure of virus of the liver that fight second that at present domestic grandfather identifies has husband of interferon, rummy to decide, Adefuwei and favour replace Ka Wei to wait for 4 kinds. The use of these 4 kinds of medicaments has advantages and disadvantages and actor of low quality each, use get used to disease, dosage, period of treatment and harmful response each are not identical, opportunity of the medicaments choice that masters poison of second liver disease-resistant correctly to treat so, treatment and period of treatment are serious all the more. Attention of need of cure of poison of second liver disease-resistant is the following 8 points: 1, it when undertake if the examination discovers patient liver result is checked,disease-resistant poison is treated is normal from beginning to end to when undertake if the examination discovers patient liver result is checked,disease-resistant poison is treated, criterion the illness is in virus to carry state, do not need to undertake disease-resistant poison is treated. Because this opportunity body is in to the immune function of second liver virus,be able to bear or endure get level, disease-resistant poison cure is unavailable respondent, cure often is choose the wrong audience , effects is very small. If the patient checks second liver virus to treat DNA to be masculine gender, liver function examination hints enzymatic ≥ of Gu Bingzhuai ammonia is worth 2 times above normally, should undertake disease-resistant poison is treated. 2, liver should be being done to wear second liver virus before cure is the delitescent inside body spy , its harm to human body often undertakes soundlessly inside body, do liver puncture to check first before undertaking disease-resistant poison, the virus inside organization of OK and clear liver distributings reach amount, liver to organize inflammation and fiber to change rate, accomplish have a definite object in view , specific aim ground decides to use the sort of disease-resistant bane content and disease-resistant poison to treat plan. 3, first selection medicaments treats husband of optional interferon, rummy to decide first, Adefuwei and favour replace Ka Wei, but specific choose which have again exquisite: Have clear second liver familial setting (Mu Ying travels) person, interferon effect not beautiful; liver function breaks acting countervail level (be like heavy-duty hepatitis, heavy ascites of degree of cirrhosis of icteric, liver) the patient cannot use interferon, its immune activation action, the likelihood makes liver function of these the patient that weigh disease worsen quickly, minatory life, can choose rummy husband to decide; only right now at the same time, rummy husband had better not be used at De Fuwei of children; A to had better decide the person that remedial happening virus mutates with Yulamifu surely. 4, during disease-resistant poison is treated monitor a month to monitor liver result, kidney result and hematic routine; is general 3 months check index of second liver virus (HBeAg and / or DNA) of second liver virus. 5, after cure monitor after using disease-resistant bane thing, because liver function is normal,do not want, DNA of second liver virus turns shade, we are right the enemy loosen vigilant . Because current medicaments is returned,cannot keep clear of second liver virus completely, although virus was restrained, but these the enemy still be inside body, they produce mutation possibly at any time, undertake sabotage to liver again. Accordingly, using disease-resistant bane thing after remedial period occasional achieves curative effect to stop drug, answer to check to the hospital regularly. After whole period of treatment ends original 3 months monitor liver result and quota of second liver virus every months (DNA) of virus of liver of HBeAg, second, after this extends the time that monitor. The patient with heavier to the illness liver cirrhosis patient and bad curative effect, detect strength wants to strengthen, the person that notice illness aggravation; is better to curative effect is OK every half an year or 1 year of examinations 1. 6, at present interferon disease-resistant poison treats period of treatment proposal period of treatment is 4 ~ 6 months. Rummy husband is decided and Wei of A heart blessing wants above time 1 year at least. Interferon cure is small the second liver patient of 3 this world should extend 12 months, after cure ends, should continue to follow visit 6 ~ 12 months. What treat surely with rummy husband is big 3 in relief patients, if interval all discovers virus DNA disappears in two examinations of 6 months, and the back that companion has HBeAg turns, can stop drug. 7, all sorts of value of expectation of antagonism virus medicaments is unfavorable and exorbitant fighting virus medicaments is not specific content, disease suits in right choice, below the circumstance of all strict step-by-step cure, the patient that also has half left and right sides only can be obtained effective and respondent, patient of other in part may spend money in vain. To this, we should have proper understanding and psychological preparation, alleged cure 100 percent medicaments is nonexistent. 8, generation of second liver virus is able to bear or endure how does medicine do to be able to bear or endure possibly like the bacterium to penicillin generation drug is same, use thing of bane of a kind of disease-resistant for long, second liver virus produces mutation possibly also, make its arise to this kind of medicaments be able to bear or endure medicine. Once virus is right,a kind of medicaments is able to bear or endure after medicine, can choose other remedy to continue to treat again. If take the patient that rummy husband decides for a long time, old hind appeared second liver virus mutates, second liver virus is duplicate index turns again in relief, liver result appears unusual. Can add the Defuwei that use A right now, be decided with rummy husband and use a month, husband of rummy of out of service is decided later, use Adefuwei for a long time to fight virus to treat, adefuwei appears the probability that virus mutates is very small. Anyhow, the disease-resistant poison of second liver is treated should with basis of eventuate of assay, examination, undertake below the doctor's guidance, by oneself assume sth as a matter of course, or it is advertisement of blind believe what one hears uses drug, not only the curative effect that has obtained hard, be just the opposite to what one wished possibly still, aggravating illness. (the exercitation edits: Plum apricot)

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