Those who cope with second liver prescription is decoded

Second liver illness is stable and old, is sudden fit caused by anodyne unexpectedly? Chen Bai is right this very feel puzzled. The expert tells him, second liver patient needs with medicine very careful: The easy injury such as cold febrifuge, anodyne, prophylactic is hepatic, in addition, the medicaments of disease itself uses implicative cure liver to also do not exceed 3 kinds commonly at the same time. The expert warns a citizen, do not buy the drug that protect liver at will, include Chinese traditional medicine. Does the illness stabilize old and abrupt liver to get hurt? Chen Bai of many years old 50 is diagnosed to go out this year suffer from chronic second liver to had had more than 10 single-page calendar history, because hold to all the time according to the doctor enjoin to take medicine and examination regularly, his illness stability, liver function is basic and normal. However he is articulatory and abrupt before half month red ache, go to the lavatory for the graph, he did not check cure to the hospital, took the anodyne that treats rheumatism gall by oneself. Back-to-back, he feels appetite drops gradually, old by day sense is tired, do not have effort all over, the symptom that place expression comes out and the symptom that how inchoate disease sends liver of the second year ago are very similar! Then he returns a hospital to check rapidly. One examination, the transaminase that discovers him rises very high, it is certain to hint its liver appeared degree injury. To this Chen Baijiao must comparative feel puzzled: Why so old well, is the illness sudden serious? The doctor reminds after detailed knowledge: The likelihood took anodyne of half many month to concern with its. Then the doctor helped Chen Bai change a kind of drug that treats articulatory gall, added a kind of drug that protect liver at the same time, before long hind the accused when Chen Bai is checked again knows transaminase to return to normal value. To this, zhongshan university is accessary cut down of Zhang Li of director of division of infection of the 2nd hospital teachs an explanation, many second liver discover to the patient takes drug as a result of chaos and appear in clinical middling the appearance that different level liver mars. He expresses, liver is a very important organ of human body, have synthesis, relieve internal heat or fever, change, store wait for a variety of main functions, of human body be consideringed as chemical plant , the medicaments of great majority should undertake in liver metabolization and translate into do not have poisonous material, reduce the loss to human body thereby, but these medicaments that metabolize in liver often also can cause hepatic loss, especially bad to hepatic function second liver patient. For this, when second liver patient uses drug must keep one's eyes peeled, decrease to be mixed with medicine as far as possible choose small to hepatic injury medicaments as far as possible, best drug can be used below doctor guidance. Second liver does not exceed 3 kinds of 　 to seize infection family with medicine at the same time advocate treat doctor Dr. Min Xiaohui to introduce, second liver patient basically includes two fields with medicine: It is the cure that is aimed at second liver itself on one hand, doctor of need liver ill specialized subject uses drug according to individual illness, normally for specialized subject doctor won't open too much medicaments to give second liver the patient, do not exceed 3 kinds of medicaments commonly, main to reduce hepatic burden, reduce medicaments to be opposite hepatic scathing; on the other hand, if second liver patient appears other disease is like diarrhoea, cold, arthralgia to wait, need to medication accordingly, the doctor can consider according to the illness of patient second liver need not medicine or choose small to hepatic influence medicaments. In using drug daily, febrifuge, anodyne, certain antibiotic (like erythromycin, tetracycline kind medicaments, fight tuberculosis medicaments) , prophylactic cause liver loss easily, doctor of liver ill specialized subject can avoid to use as far as possible. Cause hepatic loss when medicaments from time to tome the small number of people can appear lack of power, secret anguish or the symptom such as appetite difference, but most person won't have unwell symptom, for this, the need of second liver patient that causes liver easily to injure medicaments via often be being taken detects regularly liver function, in order to discover whether liver has loss, so that be handled in time. Dr. Min reminds. Appeared the condition that medicaments causes liver to injure, should consider out of service above all this kinds of medicaments, if cannot stop drug really, the doctor can convert according to the illness other kind of medicaments, if exchange the word that medicine also is no good, can add only protect liver medicaments with 9 kinds, look whether improve liver function, observe liver function changes closely at the same time, the attention rests. Dr. Min expresses. Abusive Chinese traditional medicine is recuperated or aggravating liver damages 　 　 a lot of citizens like to protect liver with Chinese traditional medicine, many Chinese traditional medicine are in protect liver to fall enzymatic respect has better curative effect really, but ten million cannot be abused, because have some of Chinese traditional medicine,itself also can cause liver damage. Dr. Min tells a reporter, think Chinese traditional medicine, medium the idea of officinal absolutely and avirulent side-effect is a mistake, outpatient service often can encounter patient of liver of a few second to be used in native place ancestral secret recipe remedial half an year, the illness accentuates instead and come round to try the case of cure. The liver that takes medicaments to cause especially is damaged, right now general need not Chinese traditional medicine will recuperate, lest aggravating liver is damaged. Dr. Min says. Additional, patient of some second liver often act on one's own, outer proper motion buys medical treatment, still having a few patients is to had seen doctor hind a few times buy drug for a long time by doctor prescription in drugstore, eat a few years to look for doctor subsequent visit no longer, it is breakneck so behavior. Dr. Min expresses, second liver treats plan cannot invariable, and should mutate to be adjusted ceaselessly according to illness change, virus, so fixed further consultation with a doctor mixes the patient follow the doctor's advice it is very important to take medicine. (the exercitation edits: Plum apricot)

Is vaccinal second liver vaccinal how long hind invalidation?

Our country has the person be carried chronically that the healthy person of 10% is second liver virus, and the heighten of year after year of incidence of a disease of second liver. Preventing the method with second the most effective liver is vaccine of vaccinal hepatitis B, the person that every had not contracted second liver virus should inject second liver is vaccinal. But, do you know, is vaccinal second liver vaccinal how long hind invalidation? According to the medical investigation of our country, according to formulary program have an inoculation after liver of 3 needles second is vaccinal 15 years, 51% have an inoculation person the antibody that pair of second liver virus still contain inside body, vaccination crowd still has resistance to second liver virus. For the crowd with vaccinal to vaccinal second liver proof, the immune force of crowd of half the number can maintain 15 years at least. But not be to say, do not need vaccine of liver of multiple cropping second inside 15 years. Every have an inoculation person the circumstance is different, level of the antibody after liver of second of some people have an inoculation is vaccinal is higher, duration is longer; and after liver of second of some people have an inoculation is vaccinal, antibody level is inferior, duration is shorter. Accordingly, second liver vaccine should not want multiple cropping, how long needs multiple cropping, to everybody, should distinguish treat. Disappear when antibody of liver of the second inside body or too low when, should liver of multiple cropping second is vaccinal. The drop that antibody of second liver surface should determine before multiple cropping is spent, drop of antibody of surface of liver of the second in serum is spent taller, protective force is more powerful, duration is longer also (3 ～ ) of 5 years of above. When second liver antibody drop spends the surface to be less than or be equal to 10 international unit / when milliliter, should drip in antibody of 　 of the have an inoculation inside half an year degree be more than 10 international unit / milliliter can be inside 6 years multiple cropping. The most scholar of our country suggests immune hind is strengthened 1 times inside 3 years had better if 　 has the person that exterior antigen carries second liver virus in the home, and liver of second of have an inoculation of other family member is vaccinal near 10 years when, the dangerous sex of virus of liver of second of domestic member infection is opposite taller, had better undertake multiple cropping of second liver vaccine. Notable is, ask vaccine of liver of second of have an inoculation of normal medical establishment, the attention does not want have an inoculation to expire second liver is vaccinal. Some once the person that have an inoculation passes second liver vaccine, discover when be checked later antigen of second liver surface is electropositive, with respect to suspicion the examination has as a result by accident, think have an inoculation passes second liver vaccine won't suffer from second liver, this kind of viewpoint also is wrong. Those who need ambitious shift is, second liver vaccine has outstanding curative effect, it is the method with precautionary second the most reliable liver, it is this bit without doubt. But, the protective rate of second liver vaccine is 90% , 95% , not be 100 percent, although injected,have a small number of people vaccine also did not produce antibody, the difference that this as vaccinal to second liver as human body immunity reacts is concerned. Additional, whether had been second liver affected to have very close relationship etc when the program according to the regulation and vaccine of liver of second of dosage have an inoculation and inject. (the exercitation edits: Plum apricot)

The killer that hurt liver is acting!

"The product that protect liver " it is 　 of the prime criminal that hurt liver formerly 2 natrium preparation may bring about glucoside of afterbirth of 3 phosphoric acid liver is damaged, lack protects liver, fall enzymatic the basis that waits for remedial hepatitis. But a few enterprises claim to be able to treat hepatitis in the manual however. National provision medicines and chemical reagents supervises management board to issued an announcement a few days ago, the requirement is relevant company within a definite time will " hepatitis " wait for a project from the manual " get used to disease " in delete. Because change not in time manual and those who cause undesirable consequence, will produce an enterprise to be in charge of by medicines and chemical reagents. Medical inspect branch warns customer at the same time, those who notice a manual " get used to disease " modification content. The glucoside of afterbirth of 3 phosphoric acid that some enterprise produces 2 natrium, in the manual [product function] for: Blood-vessel of cerebral concussion, head reachs its sequela accidentally, traumatic sex is insensible reach sequela, obstacle of the function after skull brain operation, neurosis, children head is depauperate, virus sex hepatitis (whole family uses medical) . Special clew: This plan is already special processing, picture and character are material information, use at the explanation only, carry incident not to have direct connection with the place in the article, explain hereby. Not only injury liver is returned " much " 3 phosphoric acid of heart 　 afterbirth glucoside 2 natrium are complementary enzymatic kind of medicine. Current, the drug that home already had tens of home medicines and chemical reagents to produce an enterprise to obtain needle of fluid of raw material medicine, inject, pink approves article order, in a few breed are registering a process. National provision medicines and chemical reagents supervises management board discovery, already appeared on the market the manual of breed is existing to get used to disease to state the issue such as wide extensive. For instance, glucoside of afterbirth of a few 3 phosphoric acid manual of 2 natrium product, on one hand will " hepatitis " include " get used to disease " , be in again on the other hand " harmful response " and " note " in make clear " after a few patient uses drug, appear to spend Gu Bingzhuai gently ammonia is enzymatic elevatory " , "Liver kidney function is not complete person careful with " , clew " taste a likelihood to bring about liver to damage originally " , existence is apparent self-contradictory. Be like again, heart function still does not treat a method without specially good effect at present completely. 2 natrium preparation also did not treat glucoside of afterbirth of 3 phosphoric acid likewise the basis with heart not whole function, and still have the possibility with aggravating heart not complete function, but a few enterprises are in however manual lieutenant general " heart function is not complete " included " get used to disease " . In addition, plant god does not need vein to use drug via disorder, neurosis, undertaking atrophy of sexual cardiac muscle also is not disease diagnostic noun, was included inject to use glucoside of afterbirth of 3 phosphoric acid however manual of 2 natrium product " get used to disease " one column. National provision medicines and chemical reagents supervises management board to issued an announcement a few days ago, the requirement is relevant company within a definite time glucoside of afterbirth of 3 phosphoric acid in manual of 2 natrium preparation " get used to disease " unified edit for " after skull head is traumatic ask for integratedly reach its the auxiliary cure of sequela " , delete " plant nerve disorder, neurosis " , " heart function is not complete " , " undertake atrophy of sexual cardiac muscle " , " hepatitis " wait for a project. In fokelore " glucoside of afterbirth of 3 phosphoric acid 2 natrium " 　 　 [get used to disease] use at cerebral concussion and sequela, cerebral hemorrhage sequela, autonomic nerve disorder, neurosis and heart function are not complete, the auxiliary treatment that has the disease such as atrophy of sexual cardiac muscle, hepatitis. [function brief introduction] glucoside of afterbirth of 3 phosphoric acid 2 natrium are the nucleotide acid inside existence human body, it is the material with life indispensable activity, main effect is having in the normal metabolization of airframe, it is nucleotide acerbity ramification, also be the main component of nucleic acid, can raise biomembrane of cardiac muscle cell the stability of sexual structure and rebuild ability. This medicine is neurological with medicine, the phosphatide inside nerve cell, nucleic acid and protein synthesis can be promoted in airframe, raise nerve cell to fight scathing ability. Be opposite possibly in charging heart failure of courage and uprightness the stability that improves cardiac muscle cell, add cardiac muscle contractive strength is good. Glucoside of afterbirth of 3 phosphoric acid kinetic to filling the blood of heart failure of courage and uprightness effect is 2 natrium left ventricular plentiful is pressed, while blood capillary wedge presses left ventricular capacity and lung to drop entirely, and make heart eduction quantity increases; to be remedial hyperaemia sex the safe and effective method of heart failure. Glucoside of afterbirth of 3 phosphoric acid (CTP) serves as the material that participates in phosphatide, protein and nucleic acid metabolization to have exact medicaments effect, cell of comprehensive nutrition nerve. Abroad has an experiment to considered to already confirmed CTP can be reduced even the neurological loss that a variety of reason place cause changeover, sex of the noxiousness in be like, metabolization, traumatic sex or be short of element of courage and uprightness to wait. CTP is the energy material that has distinctive nerve cell metabolization, it is cerebral phosphatide, nucleic acid compounds necessary matter, the material of stimulative nerve cell and energy metabolize, film of active of biology of structural frame cell, stabilize cellular film, also can issue minute of explanation to put energy to serve as the sources of energy in enzymatic action, can resist with the week outside repair nerve is injured. 2 natrium are glucoside of afterbirth of 3 phosphoric acid complementary enzymatic kind of medicine, protective screen of head of OK and penetrable blood enters central nervous system, effect is produced in nerve cell. Participate in glycerine phosphatide and scabbard phosphatide anabolic, reach CDP- glycerine to synthesize choline of CDP- alcohol amine, CDP- the activation in-between such as 2 ester must. The CTP inside the cell: Appearance Mei assist and  of vanadium  million spill float  TP:  of million of  of Quan of appearance cape  spills short for Shaanxi Province of mill of  of word of earth of courtyard of teach act plutonium to know the chroma inside the cell of 訡 TP to have high dependence, CTP: Appearance Mei assist and  of vanadium  million spill teach bursa to see enemy wish  of suddenly of  large bamboo hat; 狽 of band spoon Chi - the activation carrier of acid of acetyl nerve ammonia, those who participate in scabbard candy fat is anabolic. CTP and candy of the fifth of the ten Heavenly Stem can synthesize ribonucleic acid and deoxidization ribonucleic acid below enzymatic inside body action, get together more as RNA the transcribe that enzymatic heart thing participates in RNA, thereby of adjusting control hereditary information deliver the synthesis that reachs protein, the important life process such as disrupt hyperplasia of the cell. Its are high-energy the second birth that phosphoric acid bolts and can be central nervous cell and repair activity provide energy. SFDA explanation alters a basis: Afore-mentioned supervisory management board of national provision medicines and chemical reagents is right deleting project and reason made a specification: One, plant nerve disorder, neurosis. Plant god is called now via disorder, neurosis " neurosis " , do not need vein to use drug. 2, heart function is not complete. Heart function is not a lot of hearts, other disease completely eventually end phase, still do not have cure of specially good effect at present, taste pair of antrum room knots to have apparent inhibition originally, have the possibility with aggravating heart not complete function, and this tasting do not have the basis with remedial heart not whole function. 3, undertake atrophy of sexual cardiac muscle, not be disease diagnostic noun. 4, hepatitis. After harmful response, note has made clear a few patient to use drug, appear to cross a gender to spend cereal third transaminase gently to lift, liver kidney function is not complete person careful with, clew tastes a likelihood to bring about liver to damage originally, and lack protects liver, fall enzymatic the basis that waits for remedial hepatitis. SFDA: The drug label that pack and manual are special check imperative 　 to rise from April 1, supervisory management board of national provision medicines and chemical reagents will begin by a definite date inside countrywide limits the appears on the market in the light of drug production company medicines and chemical reagents of two months is packed, the special inspection of label and manual, heavy enumeration point is trade name of excessive aggrandizement drug, weak change the illegal behaviour such as current name. (the exercitation edits: Plum apricot)

Fight second liver to be far from in all be able to bear or endure medicine

Be able to bear or endure medicine is endangered " heart " " liver " , how should the patient is opposite? China is liver of the second on the world and hepatitis patient's most country, occupy the 1/3 of global patient. Because this second liver treats the heat topic that is social attention all the time, but what how many person knows chronic second liver treats a field is able to bear or endure has been medical problem sent more serious? The nucleotide of liver of patient generation second that China has had about 35% above at present kind of medicaments be able to bear or endure patient of liver of medical; second is able to bear or endure the disease that medicine causes is answer 　 hair, long treat do not heal, contagious heighten, make full day of numerous patient and its relative afraid, serious person the ternary load that produced disease, psychology, life from this even... 　 is able to bear or endure the harm 　 that medicine brings treatment of second liver patient to go up is in poisonous process of second liver disease-resistant, once the structure of second liver virus produces a change, generation mutates, happen likely be able to bear or endure medicine. Be able to bear or endure once medicine happens, can lose curative effect to the remedy with effective virus originally or curative effect drops greatly, cause patient virus to rebound from this, changeover of serum of antigen of progress of elevatory, disease, E leads serum ALT drop, in the meantime, the venture that the patient develops to wait for serious complication for liver cirrhosis, liver cancer also will increase greatly. Because be able to bear or endure after medical happening, the patient undertakes much medicine is able to bear or endure changing medicine or easy generation of the cure that add drug medicine, limitted the choice that patient follow-up treats thereby, make its are immersed in be able to bear or endure medicine, change medicine, be able to bear or endure again stray predicament of medicine, remedial route goes narrower more, till not have,medicine can be treated. Be able to bear or endure from this medical patient will need to face heavy psychological burden and mental pressure. And because mentation and immune condition are relevant, serious negative sentiment can bring about accentuation of patient patient's condition further even, enter " disease and psychology " vicious circle. Be able to bear or endure medicine brings second liver patient daily life and economically harm 　 was in hospital of net of family doctor health care and disease of Guangzhou city liver to be in Guangzhou city a few days ago hospital of the 8th people (again contagion courtyard of city of ill hospital of liver of renown Guangzhou city, Guangzhou) held family doctor net " expert, second liver is clinical the authoritative expert of the domain -- dean of hospital of the 8th people Professor Yang Zhan represents Guangzhou city, be able to bear or endure medicine can bring second liver the patient a series of mental pressure, long-term meeting is negative to patient generation huge mood, affect normal socialization and life. Next, be able to bear or endure medicine and the virus that bring about rebounds, disease progress, illness is aggravating, also make the patient cannot work normally, study and marriage Yo, farther aggravating patient reachs the psychology of family and life pressure. Finally, be able to bear or endure after medical happening change medicine, add drug, be able to bear or endure with the across between medicaments medicine, make remedial cost raises greatly, cause more heavy economy burden and life pressure. Be far from be able to bear or endure medicine, avoid " disease, psychology, life " it is reported of ternary pressure 　 , with " the acknowledge that raises pair of virus sex hepatitis " alliance initiated the world hepatitis that gives priority to aim on May 19, 2008 " world hepatitis day " mobile appeal. At the appointed time, spread all over the whole world the 200 many organizations of 5 continent act synchronism, arouse the people to prevent and cure to pay close attention to and take seriously of the job to virus sex hepatitis. Come in day of first world hepatitis namely, the domestic head ministry that 22 when by the whole nation feeling catch a disease learns to reach liver disease to learn a territory famous experts undertake discussion and reachs consensus " second liver virus is able to bear or endure medical expert consensus " , provided sufficient basis to be able to bear or endure to know and be solved of medicine for clinical doctor and patient. " consensus " emphasized second liver virus be able to bear or endure particularly the precaution that medicine mutates is politic. Above all, second liver patient should avoid unnecessary treatment. Next, take seriously treat first, poison of logical choice disease-resistant treats plan, avoid be used to of only drug foreword to treat (use curative effect first namely poorer, be able to bear or endure the medicaments with more expensive drug, etc be able to bear or endure it is better with curative effect to be changed again after medical happening, be able to bear or endure the medicaments) with inferior medicine, lest much medicine is able to bear or endure medical happening. Finally, the patient should have sex of good the comply with that use drug, because do not have what be restrained thoroughly and bring about to be able to bear or endure,prevent virus medicine mutates. Professor Yang Zhan points out, the patient is in initiative cure when, be about to choose disease-resistant poisonous action as far as possible strong, be able to bear or endure the medicaments with medical low mutation, with avoiding to be able to bear or endure medicine brings a patient to be in the cure, psychology, ternary harm that goes up with the life. The favour that announced on Asia-Pacific liver ill annual meeting on March 24, 2008 replaces Ka Wei 5 years clinical data showed continuously favour for Ka Wei lowest is able to bear or endure medical occurence rate and abiding the capacity that controls virus. Use favour replaces the patient of chronic second liver that treats at the beginning of nucleotide block Wei 5 years, the patient virus of 93% carries a quantity to fall to cannot measure a level (　 comes in day of first world hepatitis namely, believe a ministry " second liver virus is able to bear or endure medical expert consensus " release, will make patient of more second liver is known better be able to bear or endure medicine, be far from be able to bear or endure medicine, avoid to be able to bear or endure the ternary pressure that medicine brings, be far from the worry of second liver finally. (the exercitation edits: Plum apricot)

The doctor of traditional Chinese medicine treats liverish 12 words classics

Current, worldwide inside the medicaments of virus of accepted the liver that fight second, only interferon and rummy husband wait for a few kinds a few surely. And, these two kinds of medicaments also can rise to control the function with duplicate virus only, can not kill them completely, there still are a few side effects in cure. "We cannot find the efficient way that treats it. " second liver patient of 17 years says a sicken, "It erodes the your human body, spirit that torments you, force you to a be ashamed the dark corner at seeing a person. " 　 meanwhile, be full of on market allege can " effect a radical cure second liver " " specific " , " ancestral secret recipe ' , these conduct propaganda are being hit mostly " Chinese herbal medicine " cover. The person that the second liver virus with huge amount is carried, became quack and " false doctor " people grab wantonly of ill-gotten wealth " rich ore " . So, can medicine of doctor of traditional Chinese medicine treat second liver after all? Having the drug of doctor of traditional Chinese medicine of long history, defying in the battle of chronic second liver, can produce what kind of effect after all, look please -- medicine of 　 traditional Chinese medical science and 　 of stage of Wang Ling of second liver 　 are current, the treats chronic second liver remedy that domestic grandfather identifies basically is interferon and nucleotide analogue, former include. Interferon and get together glycol interferon (PEG-IFN) , latter already was approved appear on the market rummy husband is decided, Adefuwei and Endekawei, but the limitation with get certain as a result of the application of two kinds of preparation, the method that because this is clinical,goes up to apply Chinese traditional medicine of doctor of traditional Chinese medicine or combine traditional Chinese and Western medicine has made one of important instruments that treat chronic second liver. Can the medicine in the 　 of medicine of doctor of traditional Chinese medicine that deserves attention treat chronic second liver really? A large number of long-term clinical practice prove, the answer is affirmative. In the country evening predicts preparation of milk thistle element, licorice, Qi Dunguo to already was maintained acid and soup of small the root of Chinese thorowax is the Chinese traditional medicine that treats chronic second liver preparation. What abroad's certain and authoritative research organization is treating chronic second liver in the medicine in beginning is clinical with basic research. On conference of international liver ill learning, some experts think, in the field that treats chronic second liver, chinese traditional medicine of doctor of traditional Chinese medicine is worth to pay close attention to and express huge the hope. No matter be Western medicine or doctor of traditional Chinese medicine, the cause that treats chronic second liver is completely consistent, what restrain second liver virus for a long time namely is duplicate, reduce liver cell inflammation and liver fiber to change, delay illness development, improve chronic second liver eventually end final result (the happening of the sclerosis that be like liver, former liver cancer that send a gender) , and improve patient life quality. Accordingly, chinese traditional medicine of doctor of traditional Chinese medicine can make the method that treats chronic second liver and instrument undoubtedly. The medicine in the advantage 　 that medicine of doctor of traditional Chinese medicine treats second liver treats chronic second liver to have the advantage of its oneself, basically reflect in a few respects: 1. Much target action, include to improve symptom, liver function, adjust immune function of the patient, block is broken and changeover liver fiber is changed and those who restrain second liver virus is duplicate etc. Because this is medium,medical cure can be received " one Shiduo bird " action. 2. Western medicine thinks to should not be or treat second liver patient of failure, if immunity is able to bear or endure,suffer period the person that virus is carried, disease-resistant bane treats a loser or patient of period liver cirrhosis waits for the serious hepatitis, countervail that miss generation, cure of the medicine in using can get certain result. 3. Side effect is opposite less, sex of patient comply with and be able to bear or endure it is better to suffer a gender. 4. Medical treatment charge is relatively inferior. Place normal state to spend, proper understanding 　 still does not have the accepted specific content that can exterminate second liver virus up to now, but adjust through fighting second liver virus, immunity, protect a variety of liver measure cure that combine traditional Chinese and Western medicine, what can restrain second liver virus is duplicate. What is to treat the remedy with chronic second the most effective liver? What is the optimal plan that treats chronic second liver? When can you capture chronic second liver? These still are to reply hard but the question that must answer again. Although capture chronic second liver reachs his finally,the road of relevant disease is returned very long, but want effort of our unremitting ground only, can make this ideal becomes reality certainly. Patient of liver of what chronic second suits a doctor of traditional Chinese medicine to treat 　 king world to become 　 patient of liver of what chronic second suits a doctor of traditional Chinese medicine to treat? Use interferon and nucleotide kind the person that difference of sex of disease-resistant bane comply with cannot hold to for a long time; Poisonous side effect is big after have use contraindication disease or be being used cannot continuator; The person that the virus of chronic second liver with normal liver function is carried and action in chief has liver area painful, accept is poor, abdominal distension rare, buccal doing is lack of power, lumbar genu aching and limp, the tongue is qualitative dark red, card of silt of the liver gloomy of complexion dark and gloomy, lienal empty, deficiency of yin with irritability, blood, all can treat with Chinese traditional medicine. Medicine of doctor of traditional Chinese medicine treats chronic second liver to have certain curative effect truly, but need passes strict much center, big sample book to contrast randomly clinical test and verify, with deciding its curative effect finally. The method that the medicine in the 　 of stage of principle 　 Wang Ling that the doctor of traditional Chinese medicine treats treats chronic second liver is very much, include differentiate card to talk treat prescribe, medium officinal, fixed compound and single ingredient drug. It is why to be planted no matter methodological cure, its are basic the principle is to should abide by differentiate card to use theory of treated doctor of traditional Chinese medicine, the pathogeny according to chronic second liver, interpretation of the cause and disease, in the light of different illness protocol prescription or choose appropriate in officinal. Liver of chronic second of remedial principle and methodological 　 is the most essential treating is Fu Zhengqu evil, the strength that enhances airframe oneself namely and cleared, restrain poison of unhealthy environmental influences that cause disease. Treat a law commonly usedly to regulating the flow of vital energy and removing obstruction to it of clear hot detoxify, scanty liver, invigorate the circulation of blood changes gas of silt, beneficial to raise shade, be good at lienal change soft liver of wet, filling kidney to wait. In the document of past dynasties, have a lot of account about treating liver. Be like " the classics inside Huang Di " what say treat liver 3 old laws (namely Gan Huan, Xin San, acerbity collect) , of Li Guanxian of home of quiet acting medical science treat liver 10 laws, and Wang Xu of home of quiet acting medical science treats liver high 30 laws, did elaborate in the round in detail. At this late hour, soup of capillary artemisia Hao, consistent decoct, scanty liver of the root of Chinese thorowax comes loose, the Chinese traditional medicine such as bolus of free bolus, 6 flavour glutinous rehmannia just is in clinical in apply extensively. For this, according to the different characteristic of cure of Chinese and Western and advantage, draft " doctor of traditional Chinese medicine. Combine traditional Chinese and Western medicine guideline of prevention and cure of virus sex hepatitis " , be in clinical go up to promotion applies and be perfected ceaselessly, this is necessary with pressing job. The noxiousness action 　 that treats Chinese traditional medicine correctly discovers according to contemporary pharmacodynamics studies and clinical applying, partial Chinese traditional medicine has certain noxiousness effect to airframe or liver, be like Huang Yaozi, thunder God cane, birthwort, climbing groundsel, in the cause of disease that causes medicaments sex hepatitis, chinese herbal medicine has not little proportion, when because cure of this application Chinese herbal medicine is chronic liver is ill, want the noxiousness response that pays close attention to happen possibly, if discover doubtful and harmful response, should report in time or stop drug, but also need not " turn pale at the only mention of sth terrible " . Overall and character, the security of medicine of doctor of traditional Chinese medicine is more reliable.

Recently: Fight the development of type of HBV medicaments occurrence explosion

In the United States and whole world, chronic HBV infection is the main reason that causes liver cirrhosis and liver cell cancer. Cleared infection and precaution affect the double cause that complication is cure chronically. Before 90 time metaphase, optional treats medicaments interferon of be confined to a kind. And recently 5 years, fight the development of type of HBV medicaments occurrence explosion. α interferon and rummy husband are two kinds of remedy that are used at treating chronic HBV to affect permissibly at present surely. Interferon has disease-resistant poison and immunity to adjust two sides effect. Applied interferon 5MU is daily 1 or 10MU1 week can make antigen of 20% host HBVe disappears 3 times, antigen of surface of 6% host HBV disappears, and in curative effect of most case of illness abiding. Rummy husband is the drug of profess to convinced that is used exclusively at treating chronic HBV to affect permissibly at present surely. It can participate in HBVDNA synthesis with DCTP competition, conformity hind stops virus DNA synthesis. Analogue of nucleotide of certain to oxigenate, the main mechanism that the Wei of the name of a river in Shaanxi and Henan provinces of extensive former times that includes to be in phase of different and clinical research, Entecavir, Emtricitabine reachs Adefovirdipivoxil to wait is get together more with HBV enzymatic natural base thing competes, stop the synthesis of virus DNA catenary. The closest report has two kinds to fight HBV drug newly: N- Ren base, element of mildew of deoxidization wild Kao (Ren radical of DNJ) and N- , deoxidization element of mildew of half lactose wild Kao (DGJ) . N- Ren base, DNJ is butyl of a kind of N- , the ramification of DNJ. In enzymatic depressor of Pu candy glucoside N- butyl, below the action of DNJ, virus candy albumen can produce wrong fold, HBVDNA is inside the cell save up, HBV is released decrease. N- Ren base, DGJ is not enzymatic depressor of Pu candy glucoside, but have however stronger combat HBV curative effect. N- Ren falls with chroma in place base, Ren radical of DNJ and N- , DGJ can make HBVDNA synthesis reduces 8/9 and 14/15 respectively. Its disease-resistant poison is active second Yulamifu is decided, but comparative with other nucleotide analogue. Notable is them enzymatic active of glucoside of noninterference Pu candy, also do not have cellular noxiousness. The likelihood is to pass mec housing of clothing of RNA of group of the gene before interference to form, quicken degradation of virus core grain, changeover of RNA of group of the gene before the influence is recorded and produce effect. In addition, they can restrain the interaction between virus core albumen and the distinctive cell gene that cause nucleoprotein to the mistake is assembled and be stabilized. As fight HBV drug newly, n- Ren base, Ren radical of DNJ and N- , DGJ action mechanism is distinctive, made up for the inadequacy of nucleotide analogue action, and the defect that does not have nucleotide analogue, if disturb nucleic acid synthesis, noxiousness of line bead body. As fight HBV medicaments newly to be in clinical applying ceaselessly, to chronic HBV infection has the possibility associated cure. But for HBV cure devises optimal combination plan, should absorb effect of activation mechanism, medicaments considering medicaments efficiency, medicaments dot, right CccDNA influence reachs long-term remedy and pose the problem such as distinctive virus mutation. When devising plan, the distinctive virus mutation related to every kinds of medicaments is very important also. Finally, the medicaments excel that has a variety of action mechanisms has the remedy of onefold mechanism only. Inferior Ren of amino candy N- base, Ren radical of DNJ and N- , DGJ whether as fight HBV medicine to still require further research. They are reached to CccDNA in " protective ground " if bile duct is epithelial medium the action of virus grain has not decide at present. As the addition that fights HBV medicaments measure, to the growth that uniqueness of medicaments of avery kind of understands character, in the light of the combination of distinctive patient and virus feature cure will appear. (the exercitation edits: Plum apricot)

Different case is big the remedial view of 3 this world

Big the different development phase that 3 this world can appear at second liver, remedial method and measure differ somewhat however: 1, expression of the person that second liver virus is carried is big 3 this world, normal from beginning to end 　 can stabilize liver function mostly in this one phase, prognostic and good, do not need treatment commonly, it is more difficult to use drug right now be successful, much view take good care of sb and along with seek photograph tie, photograph of work and rest is united in wedlock, the view is treated with medicine too much and do not ask blindly 3 this world turn shade, all sorts of disease-resistant bane content may serve as somewhat hard. Say strictly, the person that virus is carried still does not belong to patient category, medication so also but of short duration is taken no account of. Newest research makes clear, nuclear pleasant kind husband of rummy of disease-resistant bane content is decided or Adefuwei, but the person that try out is carried at treating virus (16 years old of above person) , survey 3 months closely, if second liver virus is duplicate index (shade of E antigen HNV-DNB) turns, can use medical 1-2 continuously year, if disable inside 3 months, terminable with medicine. 2, expression of patient of liver of second of chronic defer sex is big 3 this world, liver result is spent gently unusual, b exceeds clew to spend liver gently to damage 　 cure to be given priority to in order to fight virus chronically, main cure is decided for rummy husband, auxiliary medicaments falls to protect liver enzymatic medicine. Treating a cause is liver result long-term medium is normal, second liver virus is duplicate index shade turns, period of treatment is 1-2 year. 3, expression of liver of second of chronic activity sex is big 3 this world, the illness is more serious, serum bilirubin, transaminase is elevatory and apparent, cruor zymogen activity is spent reduce remarkable. Right now cure prevents liver with protecting liver necrotic develop simultaneously with disease-resistant poison, protect liver to fall enzymatic medicine cooperates disease-resistant bane content, treating a cause is liver result tends gradually evenly, second liver virus is duplicate index gradually shade turns. After liver result is balanced, can decrease or stop medicaments, hold to disease-resistant poison. 4, patient expression is liver cirrhosis big 3 this world, take the place of countervail period or dormant period liver cirrhosis patient (B exceeds clew liver cirrhosis, but liver result examination is basic and regular) 　 cure is mixed with disease-resistant poison the fiber that fight liver is changed develop simultaneously, operable medicaments is interferon or rummy cooperates soft liver piece. Treating a cause is virus duplicate index shade turns, liver fiber changes degree to reduce. The countervail that miss generation period or patient expression is the liver cirrhosis of mobile period big 3 this world, main cure is not disease-resistant poison, however control and prevent complication (water of ascites, bosom, haemorrhage, infection is waited a moment) , resume liver work, after waiting for an illness to balance, consider to fight matters concerned again. 5, expression of patient of cancer of the liver is big 3 in relief 　 are principal the principle intervenes reach surgical remedy, disease-resistant poison considers to treat again after the illness is balanced. Can cure completely of course with current medical skill, not the person is afraid of, it is the most important to treat a disease is psychological quality, do not regard oneself as patient, the will that should have adamancy (the exercitation edits: Plum apricot)

Had hit this " marathon campaign "

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 the marathon campaign of a prolonged. 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, the 2 times above that had better be 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. Still do not have at present make antigen of surface of second liver virus turns 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. 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 work that creates 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)

Eliminating what you want second liver is time

The reporter attends before hospital of Dalian Yellow Sea was interviewed " hepatitis of 2003 virus sex treats new fruit famous expert of clinical application and home diagnoses tegether " Shanghai Ruijin hospital infects the 2nd medical university of division director, Shanghai Professor Wang Qihuang. This is engaged in hepatitis treating 40 old old experts, prevent cure from second liverish, detailed ground made the introduction to the reporter. Point out especially, remedial second liver cannot impatient, treating a process is patience of a need " slow kongfu " . Wang Qihuang says, from the point of clinical circumstance, most liver cancer or liver cirrhosis patient have second liver medical history. That is to say, the terrible consequence of second liver is to form liver cirrhosis and liver cancer, endanger life finally. Accordingly, patient of liver of great majority second looks forward to to be able to be found agog a kind of specific or special treat a law to effect a radical cure oneself second liver is ill, the hope is in short-term inside cure ill. But, because second liver virus is in the breed inside liver cell and duplicate can escape medicaments to be killed and wound directly to it, restrain virus to duplicate consequently, development of control second liverish needs proper time. To patient of chronic second liver, its hair ill mechanism is more complex, the abidance that has hepatitis B virus already exists, maladjusted; has organism immunity function already the inflammation of liver cell, necrotic, have liver again blood capillary converts hole of blood of be retarded by silt of fibre hyperplasia, small loop, liver, liver is short of blood anoxic reach obstacle; to have hepatic itself pathological change already, still have the pathological change outside liver. Every patient has common characteristic already, have individual feature again. Accordingly, must fall in the doctor's guidance, according to the different level of course of diseases and illness and individual character, use drug jointly, choose significant disease-resistant bane thing and immune treatment (break immunity to be able to bear or endure get treatment) remedial method. Wang Jiao gives a proposal, when chronic hepatitis acute breaks out, because clinical symptom is more apparent, liver function is damaged more serious, often need hospitalization. But stabilize when the illness, liver function returns to normal basically, clinical symptom is improved apparently, be thought by medicine clinical already when curing, the patient can leave hospital recuperate. Second liverish cure needs to pass " disease-resistant poison cure, immunity cure, fight fiber to turn treatment " 3 respects. Need the remedial time of above of half an year commonly. After the liver function of hepatitis B patient returns to normal, need 3~6 the month checks liver function and second liver " two half-and-half " . Patient of ascites of cirrhosis of 50 years old of above or the chronic hepatitis that have complication, liver, except 1~3 the month checks outside liver function, 3~6 the month makes virus index inspection even, do armour embryo globulin and hepatic B every year to exceed an examination to wait at least. Finally, from last centuries 80 time begin this to consider " baby of mother of virus of control second liver travels " expert, still put forward to treat second liver to should take precautionary viewpoint seriously more. He says, now, people has begun those who notice Mu Ying transmits second liverish to catch a pass, but, people to " father baby travels " understanding still does not reach the designated position. People should cure " project " outspread to control baby of Mu Ying, father travels way and raise precautionary method and ability to go up. (the exercitation edits: Plum apricot)

Cure second liver thoroughly shoulder heavy responsibilities

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, rummy husband treats a likelihood surely 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)

Error: Second liver is clinical cure =

According to our country " clinical disease diagnostic basis cures improving standard " concerned regulation, some of second liver patient passes proper treatment is to be able to be achieved clinical cure a target. Generally speaking, the target of liver function series that becomes second liver patient returns to normal completely, antigen of E of liver of DNA of virus of liver of the second in index of series of virus of its second liver, second appeared to turn antigen of E of liver of shade, second and E antibody appeared serological changeover (second liver " big 3 this world " turn be, and afore-mentioned time that can hold two years of above as a result, with respect to the specification this patient reached the level that cures basically. And the target of liver function series that becomes second liver patient returns to normal completely, antigen of antigen of surface of liver of the DNA of second liver virus in index of series of virus of its second liver, second and second liver E appeared to turn puncture of liver of shade, classics and immune group change an examination to confirm its as a result second liver core, and afore-mentioned time that can hold two years of above as a result, explain this patient reached the level that cures thoroughly. Clinical confirm, the second liver patient that is less than 8 ％ only at present can reach the level that cures thoroughly through cure. The second liver patient that has 30 ％ left and right sides additionally can be achieved through cure clinical cured standard. Second liver patient is achieved clinical after cured standard, the virus inside its body is duplicate index already turned namely shade, it is normal that liver function also restored, at the same time its liver organizes antigen of medium second liver core to already also disappeared, the inflammation that via pathology examination its liver organizes is general lighter also or be in static condition, so patient of liver of this kind of second has done not have infectivity, together with way of its illness evolutional is broken basically also by block, so patient of liver of this kind of second produces liver cirrhosis or the odds of cancer of the liver can be reduced greatly. So, how can second liver patient just reach two cured levels? 1. Want to grasp the opportunity of good treatment: Once second liver patient appeared third ammonia is acerbity amino move enzymatic heighten (the 2 times above that had better be normal value upper limit, 10 times the following) , duplicate index shows second liver virus when electropositive, liver function is in the circumstance such as acting countervail phase, must undertake disease-resistant poison is treated. 2. Want to use drug correctly reasonably: Second liver patient must implement the remedial plan that makes for its by specialized subject doctor seriously, ten million do sth without authorization stops drug or cannot stop treatment, cannot change medicine often more. The medical treatment level with current according to, should cure chronic second liver or special difficulty thoroughly. But patient of liver of a few second passes proper treatment or can achieve what cure a standard thoroughly. To most second liver patient, want to hold to proper treatment only, utmost ground is restrained or can eliminate the virus inside body, can reduce the rate that the necrotic fiber that reach liver changes the inflammation of hepatic organization, the way that can be deferred and prevents an illness to miss cirrhosis of acting countervail, liver and liver cancer to liver develops, achieve improvement thereby life quality and the purpose that extend surviving time. Liu person respects the liberation army 302 hospitals combine traditional Chinese and Western medicine director of liver ill division, doctor of M.d. , chairman, hold China part-time to combine traditional Chinese and Western medicine director of institute of internal medicine of traditional Chinese medical science of committee member of committee of institutional liver ill major, horse and foot, " combine traditional Chinese and Western medicine liver ailing magazine " make up appoint, the officinal branch committee member duty in society of medicine of China traditional Chinese medical science. He is engaged in combining traditional Chinese and Western medicine clinical work with research 20 one's remaining years, ill to of all kinds liver, especially the make a diagnosis and give treatment of virus sex hepatitis has rich clinical experience. (responsibility edits: King sea E)

Vaccinal second liver suits a crowd vaccinally

One what is second liver vaccine vaccine of 　 second liver is to pass gene compound antigen of second liver surface, OK and exciting airframe produces exterior antibody, have resistance to virus thereby. Vaccine of liver of gene project second is a kind of hepatitis B inferior the unit is vaccinal, the department uses contemporary live thing in the gene clone of exterior antigen is being conveyed to enter microzyme in virus of liver of technical general second, recombine Mu Jun to get HBsAg through fostering this to plant inferior unit, classics is rarefied make after the agent that add assistant is adsorptive. Nbsp; 　 2 why to want vaccine of vaccinal second liver what person suits to hit 　 of second liver vaccine at present the whole world still has no the specific content that effects a radical cure second liver reachs second liver complication, exclusive and effective precautionary measures is vaccine of inject second liver. Second liver vaccine applies to all likelihoods to affect the person of second liver, key inject object is a new student partly, the children before school age, especially the new student of the person that the mother is carried for virus between gestation, another part is dangerous crowd, the medical service that includes to contact the cure of second liver virus to protect personnel; to contact blood, secretion directly protects the spouse of the person that patient of liver of personnel; second and second liver virus are carried. Domestic member or the person that contact intimately. If pregnant woman is antigen of second liver surface (HBsAg) is electropositive person, mother and new student still need globulin of immunity of inject second liver. Vaccinate is to prevent hepatitis B to reach its the 　 of the most efficient way of serious complication and sequela 3 go making vaccine of liver of vaccinal 　 second where, can accuse to disease precaution, hospital, community hospital goes injecting. The price 　 of vaccine of 4 second liver offers reference only: Have two kinds. One kind is × of 5 μ G 3 / of person portion, another kind is × of 10 μ G 3 / of person portion. Dosage is different, everybody looks careful. Former in epidemic prevention branch be 12 the left and right sides, latter is 25 the left and right sides. 5 dozens of vaccine should notice what 　 　 (before 1) injects must will install the vaccinal shake up inside bottle, become transparent ivory. (Allergy history and medical history ask before 2) is vaccinal, irritability constitution and the person that contract abnormal reactivity disease careful with. (3) vaccinal time: New student stitch must be in 24 hours of less than after be born are vaccinal, had jumped over earlier. If be born hind inject after 48 hours, precautionary effect is reduced. (4) is vaccinal person if have calorific, serious infection or other and serious illness, should defer vaccinal. After making vaccine, 6 have there some react normally after harmful response 　 is vaccinal, this is the reaction of the special be caused by of vaccinal itself, the intensity that its behave follows vaccine and different. Can divide react for local reaction and whole body two kinds: 1. Local reaction. After vaccinal have an inoculation, some people can appear in pinhole place ephemeral inflammation reaction, some people can produce the inflammation reaction with red, swollen, hot, painful longitudinal in vaccinal place, some people appear possibly still local lymph node enlargement or lymphatic are phlogistic. Afore-mentioned reaction are in commonly 48-72 hour subsidise. [More] 7 what person does not suit 　 patient of hepatitis of 　 of vaccine of the liver that make second and contagion of calorific, acute person, serious chronic patient, the person that have the person of immune blemish, serious allergic constitution and the person that using immune depressor cannot vaccinal second liver is vaccinal. Have asthma of serum disease, bronchus, irritability nettle rash and the person that wait for a few drug allergy to penicillin, sulphanilamide is banned with. The new student that the blame such as low weight, slink, Caesarean birth is born normally, liver of temporarily unfavorable and vaccinal second is vaccinal. Although second liver vaccine is right this part new student harmless place, but because the constitutional state of its oneself is easy,produce coincidence event, because this had better postpone vaccinal time. Link: Hello, want to consult you a problem: Iridium blows Du of Jiao   to whiz capture of Ψ of ∮ example Mu is unoccupied place the armpit that increase favour since? of Huang of cook of my Guo an ancient term for silk fabrics is vaccinal have profit to cure why the person that contagion hospital and epidemic prevention station reject to be carried to second liver makes vaccine... [in detail] 8 second of 　 the period of efficacy of liver vaccine, according to formulary program have an inoculation after liver of 3 needles second is vaccinal 15 years, 51% have an inoculation person the antibody that pair of second liver virus still contain inside body, vaccination crowd still has resistance to second liver virus. For the crowd with vaccinal to vaccinal second liver proof, the immune force of crowd of half the number can maintain 15 years at least. Patient of 9 second liver (the person that carry) some people of as vaccinal as second liver 　 confirm through assay for HBsAg positive, companion has HBeAg or fight, HBe is electropositive, the method that can adopt vaccine of inject second liver with respect to the hope at this moment makes airframe produces immune power (resistance) , kill second liver virus. But be in in fact, this kind of idea won'ts do. Above all the does not have infection sex case that the bases that we want to understand second liver vaccine is second liver virus actually (HBsAg) , return agent of some immunity assistant additionally, can help system of exciting airframe immunity produce antibody. The person that affect to second liver virus will tell, there is second liver virus inside body duplicating ceaselessly, and when virus is duplicating, the capability that synthesizes HBsAg is particularly strong, the HBsAg that contains in the second liver vaccine that because this blood is medium,HBsAg Yuan Chao of the loop passes inject is measured. So we can imagine, the so many HBsAg inside body still cannot lure the generation inside conductor to fight HBs, so additional give the HBsAg(that contained immune assistant agent again namely) of second liver vaccine, can you have much big effect again? Because this pair had affected the person of second liver virus, giving second liver vaccinal injection again is the effect that cannot have to prevent second liver apparently. But be in clinical on, second liver vaccine has fair treatment effect to chronic second liver. Be the same as second liver vaccine other disease-resistant bane operable, can make the patient HBsAg of about 30% turns shade. The second liver vaccine that the whole nation a few years ago uses generally adds polysaccharide of umbellate pore fungus to treat chronic hepatitis B to use second liver vaccine at typical case of cure namely. University of medical service of the director of institute of immunology of progress 　 the Chinese People's Liberation Army of vaccine of 10 second liver, army teachs Wu Yuzhang 22 days to express in Beijing, below the support that plans in the science and technology such as 863 plans, he leads to study the group is developed " cure is used (synthetic peptide) hepatitis B is vaccinal " already finished Ⅰ period clinical research, beginning Ⅱ period at present clinical research. This is the first imitate antigen vaccine that has clinical trial, our country owns this vaccinal all and own intellectual property. As we have learned, this vaccine entered Ⅰ period permissibly in June 2003 clinical trial, adopt by a definite date of healthy to 52 volunteer the observation of 9 months, preliminary evidence understands this vaccinal security. Last year June, this vaccine enters Ⅱ period permissibly clinical trial, already had patient of 46 chronic hepatitis B at present using the period of treatment that use drug was completed in the test that double blind law has randomly, undertaking be followinged closely visitting observation, farther test and verify should taste the effectiveness that gets treatment of the person that try to second liver, predict to will solve blind in March in next year. (the exercitation edits: Plum apricot)

How does poison of second liver disease-resistant accomplish science to use drug?

How does the second liver patient of cirrhosis of amalgamative and inchoate liver undertake inchoate liver cirrhosis is to although appeared,point to liver fighting virus to treat 　 ill rational change, but hepatic function still is in acting countervail period (class of liver function Child-PughA) . Right now, the patient can have longitudinal lack of power, anorexia or abdominal distension symptom, its transaminase also can have unusual change, but the patient still breaks acting countervail to behave without apparent liver function. In addition, patient of inchoate liver cirrhosis still can have portal vein high pressure to ask for, if lienal function hyperfunction is reached,spend the varicosity end esophagus stomach gently, but the varicosity end its esophagus stomach won't develop to bleed for burst, the patient also won't appear the complication such as ascites and disease of liver sex brain. Although the patient attributes level of inchoate liver cirrhosis right now, but if the second liver virus inside its body is duplicate,index shows masculine gender (the direct element that this often is illness accentuation) , need to undertake disease-resistant poison is treated so, the second liver of cirrhosis of amalgamative and inchoate liver " big 3 this world " patient, its undertake those who refuse virus treatment point to ask for virus of the liver that it is second to DNA is more than or be equal to milliliter of 105 copies ／ . And the second liver of cirrhosis of amalgamative and inchoate liver " small 3 this world " patient, its undertake those who refuse virus treatment point to ask for virus of the liver that it is second to DNA is more than or be equal to milliliter of 104 copies ／ . The cause that these two kinds of patients treat all is the happening that defers liver function to miss acting countervail and liver cancer, the medicaments that can choose and its usage are as follows: 1. Rummy husband decides: Patient but every time profess to convinced this medicine 100 milligram, daily take. This medicine needs to be used for a long time, meantime patient cannot do sth without authorization stops drug. If the result of this cure is favorable, the patient can be obtained continuously respondent. 2. Ester of A Defu Wei: Patient but every time profess to convinced this medicine 10 milligram, daily take. When the second liver patient of cirrhosis of amalgamative and inchoate liver is undertaking disease-resistant poison is treated but first selection this medicine, also can treat unsuccessful hind to choose this drug surely in use rummy husband, and need to be taken for a long time. 3. Favour for Ka Wei: Patient but every time profess to convinced this medicine 0. 5 milligram, daily take. Same, when the second liver patient of cirrhosis of amalgamative and inchoate liver is undertaking disease-resistant poison is treated OK also first selection this medicine, still can decide the reelection after cure fails to use this drug in use rummy husband, and need to be taken for a long time. 4. Interferon: Because use this medicine to be able to make patient occurrence liver function breaks the complication such as acting countervail, accordingly, if the second liver patient of cirrhosis of amalgamative and inchoate liver must use this drug, answer as a child dosage begins, next according to oneself be able to bear or endure suffer a circumstance to increase dosage gradually. How does the second liver patient of terminal liver cirrhosis in incorporating undertake disease-resistant poison is treated terminal liver is sclerotic in 　 , the countervail missing generation that says on medicine namely period liver is sclerotic (class of liver function Child-PughB, C) . Patient of cirrhosis of this kind of liver often produces the serious complication such as disease of brain of sex of haemorrhage of burst of the varicosity end esophagus stomach, liver, ascites, and still can apparent liver function breaks acting countervail performance, if serum albumin is less than 35 grams,／ rises, bilirubin is more than 35 small rub Er ／ rises, the activity of the zymogen of elevatory, cruor that transaminase has different rate is spent (PTA) be less than 60 ％ . Although incorporate in the second liver patient of terminal liver cirrhosis is undertaking cure is not fighting virus right now is good opportunity, but if its are hepatic inflammation is apparent, and transaminase and bilirubin are remarkable and elevatory, can try to undertake disease-resistant poison is treated. Patient of cirrhosis of this kind of liver undertakes fighting virus remedial point to ask for DNA of virus of the liver that it is second to show masculine gender and liver function is unusual. The cause that its treat is to pass those who restrain the virus inside body is duplicate will improve liver function, be deferred thereby or prevent operation of the transplanting that do liver. What need points out is, the second liver patient of terminal liver cirrhosis in incorporating undertakes cure can delay the progress of the disease only fighting virus, unalterable its can develop finally for eventually the ending of evening liver cirrhosis. Because interferon can bring about liver exhaustion, so this medicine does not suit this kind of patient to use. Duplicate to the virus inside body active break acting countervail with what have inflammation activity patient of period liver cirrhosis, below the circumstance that in its know the inside story agrees with, can use rummy husband to have treatment surely, in order to improve its liver function, but cannot stop drug at will. Once the virus inside system of this kind of patient produces mutation, should add in time with other already approved those who use, the nucleotide that can defy virus mutates (acerbity) analogue, if ester of A Defu Wei or favour replace Ka Wei. (responsibility edits: King sea E)

Build liver having second to be able to bear or endure medical fire prevention " protective screen "

Disease-resistant poison is a protracted battle 　 treat poison of second liver disease-resistant the analogy to be an endurance " seesaw battle " had not been. Chronic second liver is disease of sex of a kind of long-term progress, need patient insists for a long time to cooperate cure. For instance, use nucleotide kind medicaments undertakes disease-resistant poison is treated, its cycle needs time 2 years at least. And as patient psychology force of change, immunity is reduced, be able to bear or endure repeatedly the occurrence of the circumstance such as medicine, most probably above patient may need longer remedial cycle. Accordingly, want to had made this tough fight, the patient must grasp remedial program, psychology to adjust, life work and rest these 3 Li Jian. Treat first hit out quickly the patient treats at the beginning of 　 in treating plan to imagine than us first important. Alleged the patient that the patient treats to never had accepted any disease-resistant poison to treat namely first. Treat plan to deciding to control the intensity of second liver virus and rate first. Common ground says, treat need early skill first, fight poison by force, use the efficient, remedy that restrains virus quickly with respect to the choice at the beginning namely. Professor Wu Shanming points out, the right choice that program administers first and in insisting to cooperated to also decide the patient treats a process, appear be able to bear or endure medical likelihood is led. If the first time the medicaments that different disease-resistant poisonous intensity changes at will when cure can say is benefit little harm is much, increase disease-resistant bane content easily instead to be able to bear or endure medical risk. Put out virus by force earlier only " flame " , ability is built high case be able to bear or endure medical fire prevention " protective screen " . Disease-resistant also needs 　 of of psychological benefit sword to grow period to treat comfortable to the patient's psychology stress is a not small challenge. Data makes clear, the second liver patient that has 60% about has the psychological responsibility of certain level, they or afraid disease recrudesce, infect family, or anxious disease is long treat the heavy family burden that does not bring more. The mood of dejected pessimism makes patient occurrence sleeping and eating is installed hard easily, abandonment expression. Emphasize particularly to this expert, negative psychology and bad nutrient situation can affect function of human body immunity. Once immunity monitors the function becomes poor, the situation that virus affects more not easy control, can reduce disease-resistant capacity of the patient consequently, this formed a vicious circle. This shows, cannot ignore spirit, psychology, nutrition to fight the influence action of virus ability to the patient. Identify be able to bear or endure medicine spans camp of road of cure of liver of obstacle 　 second is heavy, be able to bear or endure medicine is become undoubtedly among them a obstacle. To this, professor Wu Shanming emphasizes, patient to be able to bear or endure property of a medicine should have an accurate knowledge. Although be able to bear or endure,medical mutation exists objectively, but it also is not the obstacle that cannot span. Want understanding of as soon as possible to be able to bear or endure only medicine mutates, take step of proper prevention and cure, OK will be able to bear or endure as far as possible medicine reduces lowermost rate. Be able to bear or endure medical happening and a variety of elements are relevant, above all because of all kinds medicaments restrains the speed of virus and intensity to differ, its happen be able to bear or endure medical opportunity also has many little. Accordingly, the choice is able to bear or endure medicine produces a medicaments with higher point is to resist be able to bear or endure the first pace of medical happening. More important is, be able to bear or endure medical happening often does not cooperate the cure, casual inspection, treatment that perhaps chooses impropriety by oneself with the patient closely related plan. Accordingly, patient of liver of expert proposal second should head for a hospital to follow regularly visit monitor. The basis is individual point to ask for a choice to continue to treat or make remedial plan afresh. Once happen,be able to bear or endure medicine wants as soon as possible to undertake " rescue cure " . Add for instance produce mutation with additionally one kind the remedy with different point perhaps is added with interferon. In addition, also can add with intensifier of a few immunity. Scale suits to be able to bear or endure individually ability of route chart of medical prophylaxis and treatment spans truly be able to bear or endure medical obstacle, the way that liver allowing second treats goes more successful more. (the exercitation edits: Plum apricot)

Administrative second liver is accomplished please " all-around "

No matter second liver patient is sicken long already or it is to just discover him go to the bad, can produce a few change in the heart, cause even a series of fretted psychology, especially a lot of block up that second liver virus brings a patient to go up in Yo of enter a higher school, obtain employment, marriage, more make the patient's psychology can'ts bear heavy burden. Below so great society and mental pressure, if second liver patient cannot undertake seasonable and effective ego,teach with adjust, can affect the confidence that the patient treats badly, make its cannot establish active and hopeful state of mind, build right remedial idea, affect the patient's proper treatment thereby, the double pressure that generates " economy and mental " . For this, we asked our country's famous liver ill expert today, the Cheng Jun of hospital of Beijing ground altar is taught, will talk about the remedial problem of second liver patient with netizens, second liver needs two tactics of " of psychology of " disease "" to catch. Follow each netizen to make a call into the professor please above all. Cheng Jun: Each netizen everybody is good, I am the Cheng Jun of hospital of Beijing ground altar, I am engaged in contagion major having 20 old, the problem that hopes to everybody the netizen puts forward can be done seasonable and effective solve. Thank! Compere: I introduce simply to become a professor first, currently hold the post ofassistant dean of hospital of Beijing ground altar to hold director of institute of contagion of hospital of Beijing ground altar concurrently into the professor, hold China medicine part-time to be able to affect disease to learn medicine of committee member of chapter vice director, China can intertropical disease and verminosis credit meet vice director committee member, be engaged in contagion for a long time, especially the clinical medical treatment of virus sex hepatitis and basic research amount to 20 one's remaining years, the disease-resistant poison that professional specialty is virus sex hepatitis is treated. In the beginning of the interview, become professor introduction to treat to second liver please above all: Medication, the view of the respect such as psychological construction. Cheng Jun: Chronic hepatitis B is contagious liver disease, because this disease course of disease is longer, little part patient develops liver cirrhosis, liver cancer finally, affect the patient's life badly, bring serious consequence. Current treatment, integral target is to reduce liver cirrhosis, liver cancer. Need long-term pilot contagion to this, need the clinician's help not just, and need our patient to chronic hepatitis B this disease has an accurate knowledge, establish right idea, doctors and patients combines ability to obtain the result of best clinical cure. (the exercitation edits: Plum apricot)

How does occurrence vaccine allergy do?

At present people pays close attention to him increasingly healthy, vaccinate respect is highlighted especially, prevent hepatitis B especially, vaccine of inject second liver already included a country plan immunity item, but in inject crowd, a few occurrence allergy reacts, wait like calorific, rash. At this point problem, the reporter was interviewed recently unseal the 6th people of city new nation of king of doctor of hospital vice director. King new nation says, to spending allergy gently to react, need not medication, water more only, the attention rests can, but react to serious allergy, answer to see a doctor to the hospital, can use a few fight allergic reaction medicaments, wait like Ding of chlorpheniramine, Sai Geng, can use hormone even kind medicaments. React to rash especially, unfavorable and overmuch scratch lest appear,catch skin infection, cause undesirable consequence, can see a doctor to the hospital, with a few outside besmear medicaments. General 3 ～ 5 days of allergic reaction can disappear, never use drug with alarmed, chaos. (the exercitation edits: Plum apricot)

Does the disease that prevent liver raise liver Or to protect liver?

Acute, chronic hepatitis and liver cirrhosis all are common disease, be in our country to be given priority to with virus sex hepatitis especially. Armour hepatitis constant but self-healing and not defer, but hepatitis B and third hepatitis the person that defer does not heal and often can turn into chronic process or carry. Do not have specific content to hepatitis virus heretofore, be opposite so the cure of these diseases, on the foundation that analysing the pathogeny ideally, accomplishing have a definite object in view is very difficult, because this often takes integrated conservative therapy. Always liver ill patient, should make sure its have enough rest, be in especially acute period still needs lie in bed to rest, convalescence can get out of bed do proper activity. Chronic liver ill patient can do some of housework appropriately, but should strike a proper balance between work and rest, avoid exhaustion. Dietary respect should be accomplished the rule, reasonable, give priority to with food of high protein, tall vitamin namely. Choose the plant with nutrient high value or animal albumen, be like milk, egg kind, all sorts of fish, lean lean, bean products. All sorts of fresh vegetable, melon and fruit contains a lot ofa vitamin, nutrient value is high. But ill to terminal liver patient, answer to restrict albumen to eat an amount appropriately, liver ill patient should eat treatment food less, these food contain antiseptic and additive, can damage liver function, go against liverish to restore. Liver ill patient even pussyfoot, alcohol not only can aggravating liver is ill, long-term sot still can cause cirrhosis of alcohol sex liver, cannot despise. What above place says is " raise " , recuperate namely and nutrition, its purpose is to pass " raise " , increase hepatic blood flow, the refreshment of stimulative liver function. Of liver ill patient medicationing is auxiliary sex measure, the variety of the medicaments that protect liver that uses at present is various, but the curative effect that can say to have exact affirmation without a kind, among them great majority is a vitamin kind or some kind of material that wants in hepatic metabolization, wait like the ester inside dextrose aldehydic acid. Should be to medicationing so below the doctor's guidance reasonable choose 1-2 to plant enough also, insist to press doctor's advice dosage, period of treatment to take, check liver function regularly, in order to inspect curative effect, write calm treatment program in time according to the illness. Cut medicaments of not one-sided superstition, drop medical service in disorder, or thinking this kind of medicaments by accident is " the medicine that protect liver " , unduly large dose applies for a long time, this creates medicaments, economically waste not only, and the burden that still increases liver, its are just the opposite to what one wished as a result, go against liverish to restore, should bring to sb's attention. (the exercitation edits: Plum apricot)

Second liver is treated first " precaution is able to bear or endure medicine " just be the best thing to do

Second liver is able to bear or endure medicine, perplexing countless doctors and patient all the time. Held recently liver of harbor Shanghai international is ill 2008 on the conference, global head " cure of poison of disease-resistant of chronic second liver is able to bear or endure medical management " result of Asian area findings report shows, of 99% suffer in visitting a doctor to be treated in poison of second liver disease-resistant, ever was faced with be able to bear or endure medical problem. And be able to bear or endure in patient happening in the remedial fee that extra burden needs after medicine, only expert outpatient service, hospitalization, be able to bear or endure medicine detects wait for charge, can make each patients are in be able to bear or endure the first year after medical happening, increase the premium of about 4000 yuan of RMBs. The expert points out, should avoid by be able to bear or endure the serious and clinical consequence that medicine brings and cost of additional economy and time, when initiative cure, the doctor should choose the most powerful effect, lowest as far as possible to be able to bear or endure for the patient medicine (have namely be able to bear or endure high medical gene protective screen) disease-resistant bane content. Be able to bear or endure medicine makes treat cost to increase 　 to occupy the introduction considerably, " cure of poison of disease-resistant of chronic second liver is able to bear or endure medical management " the expert group of research came in January 2008 in May, to coming from area of chinese mainland, Taiwan, Korea and Thailand nearly 600 are in the liver disease with seasoned respect of second liver cure or infected family doctor to undertake survey, have 99% as a result suffer visit a doctor to express, ever was faced with in cure of poison of second liver disease-resistant be able to bear or endure medical problem. According to introducing, according to the guideline of second liver prevention and cure of many countries and area, the first goal that refuses ill poisonous treatment is utmost, chronically restrain second liver virus to duplicate, achieve ultimate goal of cure thereby. But be able to bear or endure medical problem became influence second liver to treat a success for a long time however crucial factor, this is the challenge that the global clinician place that includes China inside faces. The expert points out, once second liver patient happens be able to bear or endure medicine, will bring about existing disease-resistant poison to treat invalidation, virus rebounds, transaminase of ALT(cereal third) a series of serious and clinical consequence such as recrudesce of elevatory, hepatitis. The disease-resistant poison that right now the doctor needs to consider a change to have treats plan (change medicine or add medical) , medicine is able to bear or endure for management in the meantime, the patient needs to increase outpatient service to visit inspect, the frequency that the lab checks. Study the estimation of the report according to this: Be able to bear or endure in patient happening in the remedial fee that extra burden needs after medicine, only expert outpatient service, hospitalization, be able to bear or endure medicine detects wait for charge, can be able to bear or endure the first year after medical happening in each patients, increase the premium of about 4000 yuan of RMBs, and cost of the traffic expenses of go to a doctor of the charge that these had not included to treat medicaments itself, patient, delay one's work. On the other hand, from be able to bear or endure in light of the time cost that medicine causes, be able to bear or endure oneself after medical happening, the patient needs to increase original outpatient service to visit inspect the frequency that checks with the lab, this gives be able to bear or endure medical patient raised additional time cost. "Precaution is able to bear or endure medicine " just be 　 of 　 of the best thing to do " cure of poison of disease-resistant of chronic second liver is able to bear or endure medical management " glad teachs Zhang Xin of director of lab of vice director of division of infection of hospital of Ruijin of one of investigator of findings report collaboration, Shanghai, clinical virus point out, at present the clinician is able to bear or endure to second liver medical administration occurs commonly 3 kinds of strategy: Namely " precaution is able to bear or endure medicine " , " forecast be able to bear or endure medicine " and " rescue cure " . Zhang Xin glad introduces, at present hospital of Chinese great majority was not able to bear or endure professionally medicine detects equipment, because this is used in the patient,be able to bear or endure after the disease-resistant bane content with medical higher occurence rate has treatment, the means that the clinician uses HBV DNA to detect mostly (basically detect whether does virus exist duplicate to be measured with virus) will monitor a patient to whether happen be able to bear or endure medical; and the sensitivity presence that homebred DNA detects is larger difference, because this doctor cannot be in well and truly,the patient comes through monitoring when inchoate cure " forecast " whether does the patient happen be able to bear or endure medicine, missed a patient thereby optimal save remedial time. Accordingly, "Forecast be able to bear or endure medicine " strategy is in China often because cannot be accomplished truly seasonable, accurate forecast, and be thought the feasibility in clinical practice is poorer. In investigation, the China that has more than 77% suffers visit a doctor to express, "Precaution is able to bear or endure medicine " just be to protect a patient to be far from be able to bear or endure the optimal strategy that medicine perplexes. Will tell to most clinician, "Precaution is able to bear or endure medicine " politic, not only clinical feasibility is bigger, and besides the remedial result that can assure to had been compared, because be able to bear or endure,patient of OK still and effective help avoids medicine and the additional economy that create and time cost. Accordingly " precaution is able to bear or endure medicine " it is the weapon that takes the most powerful effect at the beginning from cure, take a consolidate step by step, way that takes strict precautions against keep a firm hand on of virus of general of defend to the last, it is the patient is defying second liver virus is able to bear or endure the; of the best thing to do that should adopt in medical war and " forecast be able to bear or endure medicine " it is a patient after choosing weaker weapon, takes make a move sees the passive strategy of one pace, it is; of the second best plan " rescue cure " it is the weaker weapon in patient hand not enemy of virus after counterattacking, what adopt remedy measure, it is to be able to bear or endure a bad plan in medical management. Second liver is treated to answer first first selection is low be able to bear or endure medical medicaments 　 however, "Precaution is able to bear or endure medicine " strategy is in clinical on application rises to have certain difficulty however. Expert attending the meeting expresses, these difficulty basically come from at the patient do not understand. Zhang Xin glad says: "At present the guideline of second liver prevention and cure of many countries, area all is recommended, in second liver when initiative cure, should choose the most powerful effect, lowest as far as possible to be able to bear or endure disease-resistant bane content of medicine. " however, these efficient medicaments also mean high price. As we have learned, 4 kinds of nucleotide that obtain approval to be used at chronic second liver to treat at present in China kind in medicaments, rummy husband decides Wei of kind of He Ade blessing kind medicaments 5 years be able to bear or endure medical occurence rate is respectively 70% replace what decide kind of medicaments to be used at patient of negative of E antigen electropositive patient and E antigen two years than the husband to be able to bear or endure with 29%; medical occurence rate parts, its 5 years be able to bear or endure medical occurence rate is only 1.2% . Nevertheless, favour for Ka Wei kind medicaments is in curative effect is powerful, be able to bear or endure while medical occurence rate is low, the price is more expensive than other remedy also about the same 50% . Accordingly, if the doctor is using this kind of remedy to the patient at the beginning, the patient often can complain: "How to try with cheap medicine to me first, be no good just use ' expensive drug ' ? " 　 is right this, zhang Xin glad thinks, more and more research hint, inchoate virus learns respondent case is to forecast be able to bear or endure the main index of medical occurence rate. Treating inchoate restrain virus lowlier, appear be able to bear or endure medical possibility is less. And, in eye of this kind of patient " expensive drug " from sheet piece charge looks, the price compares other drug object height really, but from long-term in light of, the patient is able to bear or endure medical occurence rate is reduced, can save next expert outpatient service, hospitalization instead, be able to bear or endure medicine detects wait for charge. Accordingly, these curative effect are powerful, be able to bear or endure the medicaments with low medicine already was recommended to be patient of chronic second liver by guideline of prevention and cure of many second liver initiative cure a gleam of uses the first choice in medicine. "We suggest, if economic condition is permitted, the patient should be in as far as possible the first time the medicaments with virus strong inhibition chooses when cure. " 　 noun explanation: Precaution is able to bear or endure medicine: Point to in second liver patient when initiative cure, the choice falls virus capability is strong, be able to bear or endure the disease-resistant bane content with medical low occurence rate, active and active reduce be able to bear or endure medical risk, utmost ground avoids to be able to bear or endure medical happening, its are strategy of a kind of precaution constitutionally. Forecast be able to bear or endure medicine: Point to use in the patient be able to bear or endure medical occurence rate is higher (have namely low be able to bear or endure medical gene protective screen) after disease-resistant bane content has treatment, according to the patient the respondent circumstance of inchoate cure is adjusted in time, the change has remedial strategy, be able to bear or endure with defer or be being reduced relatively medical risk, its are one kind is followed constitutionally visit observation strategy. Rescue cure: Point to be able to bear or endure in patient happening after medicine, the disease-resistant poison with ability existing change treats plan (add medicine to perhaps change medical) , its are one kind remedies strategy constitutionally. (the exercitation edits: Plum apricot)