Understanding second liver falls enzymatic error (graph)

Exsanguinate examination transaminase is the assay project that second liver patient pays close attention to most, the transaminase that many patients often are lifted repeatedly is done get distracted, be unable to sit down or sleep at ease. Our country is developed early or late go out to reduce the preparation with serum effective transaminase not less, after using often get effect instantly, doctor and patient get comfort in the heart. Actually, pure rise to fall the medicaments of enzymatic action, put in many problems, the patient should be used cautiously. Transaminase includes cereal third transaminase and millet straw transaminase two kinds, their consist in a lot of organs inside body, wait like hepatic, heart, when these organs are damaged, these are enzymatic in can releasing blood, cause serum transaminase to lift. Transaminase lifts is a kind of phenomenon only, do not have what disadvantage to human body. From theoretic say, remedial second liver need not be used completely fall enzymatic medicaments, but transaminase numerical value is elevatory and overt, sometimes tower above is worth a few times normally, in patient heart very awe-stricken; Some patients are common transaminase discretion, psychological pressure is very great, if what medicaments can reduce transaminase quickly, will naturally ease patient psychology pressure, use below a few circumstances so fall enzymatic medicaments also has certain and desirable quality. But use fall enzymatic medicaments must discreet, use undeserved, bad instead, because,this is: Fall enzymatic medicaments may mask illness truth 　 to fall not less the effect that enzymatic medicine can have rapid splitting decomposition to transaminase, especially to cereal third transaminase, the cereal third transaminase with consequently medium serum of can rapid degradation, action set up a pole and see its shadow-get instant results, but to other enzymatic kind (like millet straw transaminase, turn peptide is enzymatic etc) did not reduce effect, the proof falls purely enzymatic medicaments action is very limited. Transaminase of third of only unhusked rice was reduced, fundamental indemonstrable patient's condition improved, concealed illness fact likely instead, noticed cereal third transaminase drops only, and oversight other the change of enzymatic chart numerical value, transaminase looks from idea is to drop, but this is to rely on medicaments rigid to press go down, do not represent hepatic inflammation activity reduce, the active of transaminase is restrained with degradation, be not transaminase nonexistent already. Pure transaminase reduces may not is patient of quite a few is using meddlesome 　 fall after enzymatic medicaments, transaminase recovers normal cost, the patient abandoned further treatment or be year in year out relies on to use fall enzymatic medicaments rigid is pressing transaminase, normal backside maintains in transaminase, second liver virus is duplicate and ceaseless, with each passing day of hepatic essence damage is aggravating, reflect the index that liver essence is damaged, if turn peptide enzymatic, albumin waits ester of enzymatic, choline a moment unusually progressively accentuation, the illness is even more serious. Tell from this, fall enzymatic medicine rigid falls transaminase it is normal to come, may not is meddlesome. The mark that the illness improves truly is all liver that include transaminase inside enzymatic music is normal. Use fall the item 　 that enzymatic medicaments should notice is alleviate psychological pressure of the patient, must use sometimes a few fall enzymatic medicaments, be like Chinese traditional medicine preparation of the fruit of Chinese magnoliavine (capsule of couplet benzene double ester, 5 ester) . Fall period of treatment must notice when enzymatic medicaments is used, need time of above of half an year commonly, after transaminase is normal, do not stop drug immediately, and should reduce an amount slowly, keep the period of time that use drug, once stop drug suddenly, appear probably of transaminase " rebound " , "Rebound " before the transaminase level after may be treated more than. Use fall enzymatic medicaments at the same time, should according to patient patient's condition, take into consideration the circumstances adds disease-resistant poison and immune conditioning agent, the specimen is treated together. When observing liver work, do not answer to observe transaminase merely, still answer series of survey liver work, in order to decide combination uses liver of second of medicine, comprehensive treatment. If consider to use disease-resistant poison to treat, had better not go up first fall enzymatic medicine, because lift when transaminase level 2 ～ 5 times, as it happens is the opportunity that disease-resistant poison treats, if use,fall enzymatic medicaments, can disturb illness judgement, bungle cure. Attention: The accomplice of hepatitis B virus -- protect liver to fall when a scientific research that we participated 　 of enzymatic medicaments 　 2004 ends, observe the case of illness of liver of two slow second, it is to use identical immune irritant, when be being used, the transaminase of two patients rose 800 above suddenly, a patient did not change medicine, check after a month, transaminase falls 180, HBV-DNA and HBeAg turn shade. Another patient added interferon according to remedial standard, still added Ganlixin, result after 3 months, transaminase is maintained all the time in 300 much, HBV-DNA and HBeAg still are electropositive. These two case of illness let us think all the time, why does same patient have so big difference. Did not turn the patient of shade adds disease-resistant bane interferon according to remedial standard, add protect liver to fall enzymatic medicine Gan Lixin, the patient that why doesn't add drug instead is the effect good? It is accidental phenomenon, where is inevitable still phenomenon? Be to medicaments had adverse effect? At a draught we leave realized, transaminase lifts is airframe the physiology reaction of virus of cleared second liver, with protect liver to fall enzymatic medicine became airframe the obstacle of cleared virus. Although the consensus of Western medicine academia treats second liver to should fight virus, but the medicaments with countrywide the biggest dosage is Ganlixin, puissant peace and protect liver piece etc protect liver to fall enzymatic medicine. Why is dosage of this kind of medicaments big? Result from the patient is right the fear of second liver, result from the fear that the patient has inflammation to liver. With protect liver to fall enzymatic medicaments, it is the mood that caters to a patient actually, what does not know to protect liver to fall the accomplice that enzymatic medicine is second liver virus. Transaminase is one of index that the doctor evaluates patient liver function, patient need not " inspect enzymatic like the tiger " , chase after beg to surrender blindly enzymatic will take roundabout way. Take for a long time " the medicine that protect liver " increase 　 of hepatic burden 　 " discover a lot of patients are buying market to go up in outpatient service various flaunt ' health care is tasted ' the medicine that protect liver, some patients do not have a symptom for a long time is the person that second liver virus is carried also likes to take the drug that protect liver only even. " Chen Rufu expresses, a lot of " consciousness of ego health care is intense " liver ill patient thinks to since be health care,keep liver drug article, insist to take have 100 profit for certain and do not have kill. "This kind of idea is wrong " , chen Rufu introduces, actually, alleged the medicine that protect liver is to point to can improve hepatic function, stimulative liver the rejuvenesce, medicaments that enhances hepatic and alexipharmic ability, they are actual it is all sorts of liverish general medicaments, basically have auxiliary therapy effect, can not serve as " essential sex is treated " method. According to introducing, at present on market of all kinds sort of the medicine that protect liver is various, good and evil people mixed up, dosage, class status is not same, and the oneself illness of every liver ill patient, temporary condition different also, own alternative protects liver drug health protection to taste, find fault probably medicine. The fact proves, use undeserved, period of treatment to cross long, dosage to slant big phenomenon happens possibly subsequently, produce a harm to human body. "What be worth vigilance most is, protect liver much more officinal the likelihood increases hepatic burden, throw into confusion the immune system of patient oneself. " Introduction Chen Rufu, because one of hepatic functions can be decomposed namely, change swallow the medicaments inside body, and the medicine that protect liver takes probable virtually for a long time to increase hepatic burden. As we have learned, had appeared even the precedent that many patients had taken the much medicine that protect liver to cause medicaments sex hepatitis, because, poisonous component exists in cannot eliminating certain pharmaceuticals. The result of medicaments interaction often brings about liver cell to be damaged again, fatty liver or fiber are changed. Chen Rufu emphasizes, liver disease is clinical have with medicine point to strictly proof, every patient situation is different, corresponding remedy is different also, conceal risk danger in desperation of the as good as that use drug. Chronic second liver, third liver need not be added basically with 　 of 　 of the medicine that protect liver " clinical discovery, the person that actually virus of liver of great majority second is affected is in virus to carry state, it is virus can follow the body ' peaceful coexistence ' , can not cause to human body very havoc. But there is an error on understanding of a lot of patients, the person that think second liver virus is carried also needs to protect liver. " Introduction Chen Rufu, similar treatment is chronic second liver, third liver should give priority to with disease-resistant bane, and itself of the medicine that protect liver just cooperates cure, it is to be able to abandon unused below a lot of circumstances even. He points out, clinical very much patient uses disease-resistant bane thing merely enough, need not provide the additional drug that protect liver, "The medicine that protect liver is more ' be good at name ' either ' medical name ' , have curative effect to be not taken actually give clear evidence. " 　 　 " him Western medicine in still a few patients feel even it is cure, OK to protect liver, but this is the chronic second liver that cannot treat sick poison to duplicate truly, third liver, and likely still degree of cloak be in a bad way. " Chen Rufu says, the medicine that protect liver can make possibly the transaminase inside human body drops, made false appearance, did not cure disease, however misdirect doctor. He expresses, the patient does not see transaminase drops to think hepatitis " good " , still ability of other very much index decides whether the disease improves. The expert reminds, ought to choose the drug protecting liver with relatively exact curative effect, discretion treats a kind of any new drug that advertisement advertises, use the new drug that pass to have not, must read its manual in detail, should notice the clinical application of medicaments reports particularly, remedial conclusion has wait without hyperbole. Additional, some medicine that protect liver indicate in the manual " the disease-resistant poisonous function with have particular " , this kind of view should careful look upon. Because these protect liver,mechanism returns disease-resistant poison of medicine to did not get extensive or of mainstream expert scholar admit. (responsibility edits: Zhang Jiong smooth)