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Sunday, 11 March 2007

This kind of circumstance should treat the person that carry

If time of positive of antigen of surface of liver of second of a person exceeds half an year, liver result examination is regular from beginning to end, the body is done not have apparently unwell, no matter its are second liver " big 3 this world " , or " small 3 this world " , count the person that second liver virus is carried. The crowd of this kind of circumstance comparatives in our country general, occupy total population about 10% the left and right sides. Whether does the person that second liver virus is carried need treatment, it is the problem of an existence controversy all the time. Say normally, since the body carries second liver virus, should treat. But at present all sorts of medicaments and remedial method all cannot keep clear of effectively already integrated to the second liver virus inside liver cell, all sorts of disease-resistant bane content are in to hiding the virus inside liver cell, be just as attempt an ineffective solution, cannot hit the mark. Function of immunity of airframe of the person that add second liver virus to carry is in palsy, answer hard to all sorts of cure, cure rises be like pair of Niu Tanqin, not effective. Up to now, the plan of specific standardization diagnosis and treatment that our country still does not have the person that carry in the light of second liver virus. Whether does the person that second liver virus is carried need treatment, must inspect a patient particular case and calm, the person that some carrying needs treatment, some need not be treated temporarily. This is circumstance of the person that carry because of second liver virus very complex, the person that the positive of antigen of surface of second liver virus that is blame activity sex less partly among them is carried, but the person that more carrying is actual it is the second liver patient that is in different disease to develop level, there is no lack of among them hepatitis of chronic activity sex, inchoate liver is sclerotic, even patient of individual cancer of the liver. These patients are done not have apparently apparently unusual, but illness darkling conceal makes progress, the meeting that await ability is shown when it is certain to arrived come out. The person that so second liver virus is carried cannot careless, cannot treat sth lightly. Absolutely " the person that health is carried " it is nonexistent. The person that second liver virus is carried needs normal country the hospital such as 3 stage shell has careful examination, include target of liver work series (activity of zymogen of liver enzymatic chart, bilirubin, albumen and albumen ratio, cruor is spent etc) , index of series of second liver virus (second liver " two half-and-half " , DNA of second liver virus) , b exceeds vivid check of examination and liver organization puncture (inflammation of understanding liver organization and fiber are changed, and group of hepatic organization immunity is changed, virus learns to check a circumstance to wait) . Through above system examination, the person that can make clear every to carry is specific circumstance, whether does the decision need treatment. If carry person index of series of work of assay examination liver all normal, second liver virus is duplicate index is negative, b exceeds an examination to do not have apparently unusual, liver wears an examination to hint liver organizes inflammation integral to be less than 4 minutes, confirm the person that should carry is the person that virus of liver of second of blame activity sex is carried, need not treat temporarily. But still should undertake medicine observes, check regularly. If carry person virus of liver of assay examination second is duplicate index is masculine gender (second liver " big 3 this world " and / or DNA of second liver virus is electropositive) , liver wears histology to check clew inflammation degree to exceed 2 level, integral exceeds 4 minutes, need undertakes disease-resistant poison is treated. Main alternative includes Fu of interferon, rummy to decide with medicine, Adefuwei and favour replace Ka Wei to wait. Above medicaments is mixed with formulary law the note is more, must coach in the expert next discretion are used. If liver histology checks clew patient to be put in the fiber of different level to change, can add the medicaments that changes with a few fiber that fight liver, for example soft liver of turtle shell of medicine made of two or more ingredients piece, bolus of bug of Chinese rhubarb hibernate. Much clinical research makes clear, the person that second liver virus is carried undertakes liver wears histology examination, only little part person belongs to the person that virus of liver of second of blame activity sex is carried, and the second liver patient that great majority belongs to degree of be in a bad way to differ. The person that virus of liver of this part second is carried cannot sit by and watch no matter, and should according to particular case, make respective remedial plan, active cure. (responsibility edits: King sea E)

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