Tuesday, 20 February 2007
The hope route chart of second liver patient
Second liver patient if do not have materiality,become correct anticipation to curative effect, get very easily misdirect, its cure also is met " go astray " . For this, doctor and social all circles should help second liver patient build correct anticipation, guide them to walk up " the road of the hope " . A few days ago, home first second liver cure anticipates findings is in Hainan 3 inferior announce, investigate this by " life times " , channel sponsors Sohu health jointly, get Beijing limited company of Nuo China pharmacy supports energetically. Sohu health passes the questionnaire of more than 10000 investigation that the network collects to show as a result, patient of quite a few and family member still have unscientific anticipation to second liver cure, among them nearly 4 hope to be in into participator short-term inside cure second liver thoroughly. To this, academician of Chinese Academy of Engineering Professor Zhuang Hui emphasizes, second liver patient if do not have materiality,become correct anticipation to curative effect, get very easily misdirect, its cure also is met " go astray " . For this, doctor and social all circles should help second liver patient build correct anticipation, guide them to walk up " the road of the hope " . Second liver patient has incorrect expectation to cure as we have learned, the crowd that participates in this investigation includes the person that patient of chronic second liver and family member and second liver virus are carried. Have 36.2% as a result suffer inquirer to hope to cure second liver thoroughly through time of half an year. Meanwhile, only the gets inquirer to realise disease-resistant poison is treated value of 37% . Si Chongwen of division of infection of the first hospital teachs Beijing University think, afore-mentioned results make clear many second liver patients, still have incorrect expectation to cure, this centers expression to be in 3 respects: The first, remedial target is unscientific. A lot of patients do not understand, although pass disease-resistant poison to treat, also be less than the patient of 5% finally to be able to realize exterior antigen to change only, namely exterior antigen turns shade and exterior antibody this world turns, second liver cures; the 2nd, remedial method is incorrect. A lot of patients did not realise, refusing ill poisonous treatment is most crucial with basic remedial measure. Negligence fights virus cure to will bring about second liver virus to duplicate in great quantities, make the disease makes progress finally terminal; the 3rd, patient to treating lack. In fact, if use nucleotide (acerbity) analogue undertakes disease-resistant poison is treated, the patient should hold to 2~3 at least year or longer time, and after amounting to mark to stop drug, also need to go to a hospital following regularly visit monitor. Zhuang Hui academician points out, remedial second liver resembles choosing path. In this one process, the patient treats the effect to second liver anticipate have main effect. If they did not build scientific anticipation, regular meeting chooses wrong remedial target, perhaps be on wrong remedial way, perhaps quit. These wrong metropolises make treat " go astray " , cannot obtain favorable result. Conversely, if the patient has scientific anticipation to second liver cure, choose true remedial cause and way, and comply with sex can complete whole period of treatment very much, it is below their foot so " the road of the hope " . Treatment of patient of liver of second of social element misdirect anticipates in recent years, the cure of second liver patient often is disturbed. To this, zhuang Hui academician explains, patient of chronic second liver has the characteristic of its oneself, because be in after sicken,the respect such as enter a higher school, obtain employment, marriage is discriminated against not less, individual and even family assumed enormous pressure, because this patient is begged,treat a desire particularly intense; on the other hand, second liver patient compares young, autonomy very strong, and circulating socially a large number of wrong message, make them ceaseless produce wrong expectation again. Beg treat a heart to cut with wrong message, interaction of these two elements, make second liver patient very easy get misdirect. Accordingly, how to help second liver patient establish the proper understanding to cure, how to guide them to be on proper remedial period of treatment, often matter to remedial success or failure. Know the cause that second liver treats to how admitting correctly, further explanation says Zhuang Hui academician, the cause that second liver treats is utmost ground be restrained for a long time or eliminate second liver virus. If can realize exterior antigen changeover, it is best result of course, this was equivalent to an athlete if realize the serological changeover of E antigen,winning gold; , was equivalent to if can restrain second liver virus to make,winning silver medal; the DNA(nucleic acid of second liver virus) turn shade, was equivalent to winning bronze medal. Go after exterior antigen blindly changeover is not actual to most patient, this seems to seldom count athlete ability to take gold only same. If second liver cure can restrain second liver virus to make its DNA(nucleic acid) turn shade, on this foundation, achieve the serological changeover of E antigen, patient of most second liver can reach this to treat a cause, the key that amounts to mark is to choose to control virus power rate of changeover of strong, serum is high, be able to bear or endure the medicaments with medical low occurence rate, can hold to enough period of treatment. The guide that medical personnel is the road that second liver patient is on a hope is in remedial process, the doctor's action is crucial, zhuang Hui academician their assimilate to " the road of the hope " the guide that go up. They must understand what the patient treats to second liver to anticipate, give patient demonstrate proper remedial period of treatment. This second investigation makes clear, 95% suffer inquirer treating in the begining, the hope can expect the result from what understanding cure can achieve over there the doctor. Hou Jinlin of director of hospital infection internal medicine teachs the south of road Guangzhou that makes clear patient of liver of second of start control inflection point to be on a hope with " start, inflection point and terminus " figure and the whole process that described second liver cure racily. "Start " it is the remedial crowd that shows the choice is right, choose appropriate disease-resistant bane to begin to treat; " terminal " it is to show patient treatment arrives when to can stop drug. Although chronic second liver needs long-term treatment, but after cure amounts to mark, the; that consolidates the period of time that use drug is to be able to stop drug again as to " inflection point " , professor Hou Jinlin points out, this is cure of liver of second of near future basis " route chart " a when put forward relative to newer idea, basically emphasize the remedial program that according to the patient the case decides sequel, optimize the purpose of long-term curative effect in order to achieve. Professor Hou Jinlin is replaced with disease-resistant bane content it is surely than the husband exemple, the key introduced how to apply " route chart " come cure of liver of sound program second is politic. So-called therapy " route chart " it is to show the patient is taken for when deciding half an year than the husband, detect) of nucleic acid of DNA(of second liver virus, if nucleic acid of DNA(of second liver virus) fall not to detect, or virus holds an amount copy under 300 in every milliliter blood, learn for complete virus respondent, do not need a change to treat plan, can lengthen at the same time along with virus of liver of the second when if treat half an year,visitting removed; carries a quantity to fall to be copied to the 300~10000 in every milliliter blood between, learn for partial virus respondent, need to strengthen to this kind of patient along with visit, virus of liver of the second when can considering to if treat half an year,move; of punish cure plan when necessary holds an amount in every milliliter blood still prep above 10000 copies, need to shorten along with visit interval, add at the same time with other disease-resistant bane content or change medicine. Zhuang Hui academician treats second liver " route chart " the map on the road that the analogy hopes for second liver patient. He points out, "Route chart " it is to be based on the expert consensus that the summary on clinical trial foundation gives medicaments of liver of domestic and international second, those who be based on every patient is individual and respondent, will adjust sequel to treat strategy, can optimize current and groovy treatment program not only, avoid crooked road, and implementation is individual turn treatment, in resource of managing medical treatment while, obtain better curative effect. Through " route chart " undertake monitor and administrative to the patient's cure, this one principle is right all nucleotide (acerbity) analogue is applicable. (the exercitation edits: Plum apricot)
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