Understanding with one action annihilated at 10 o'clock second liver virus!

Refusing ill poisonous treatment is the most important segment that treats second liver, the virus of the liver that fight second that at present domestic grandfather identifies treats medicaments to have: Husband of interferon, rummy is decided, Adefuwei and favour replace Ka Wei to wait for 4 kinds. These 4 kinds of medicaments have advantages and disadvantages each, use get used to disease, dosage, period of treatment and harmful response each are not identical, opportunity of the medicaments choice that masters poison of second liver disease-resistant correctly to treat so, treatment and period of treatment are serious all the more. Poison of second liver disease-resistant treats need to know the following ◆ of 　 of 10 things 　 1. Liver meritorious service is regular person do not undertake disease-resistant poison is treated. If examination of patient liver result is regular from beginning to end, the illness is in virus to carry state, do not need to undertake disease-resistant poison is treated. ◆ 2. Liver should be done to wear before cure. The patient is making fighting virus liver had better be done to wear an examination first before cure, the virus inside clear liver organization distributings reach amount, liver to organize inflammation and fiber to change rate, fight virus medicaments and disease-resistant poison to treat plan with deciding use where is planted. ◆ 3. The applicable crowd 　 that refuses ill poisonous treatment if DNA of virus of liver of patient examination second is masculine gender, transaminase of third of cereal of clew of liver function examination should undertake to be worth double above normally disease-resistant poison is treated. If be to use disease-resistant poison to treat first, the economy that needs to understand a patient, body, job, life, marriage, bear wait for a circumstance, the remedial program with most proper make choice of and medicaments. Because fight virus to treat time to grow, devoted energy, material resources, financial resources is huge, remedial program must practical, be practical and realistic. ◆ 4. Specific how to choose? Husband of optional interferon, rummy decides first selection remedy, Adefuwei and favour replace Ka Wei, but specific choose which have again exquisite. Have background of liver of clear and familial second (perpendicular transmission) person, interferon effect not beautiful; liver function breaks acting countervail level (terminal liver cirrhosis) , height is icteric person cannot use husband of interferon; rummy to had better not be used at children; surely Adefuwei had better decide remedial happening with Yulamifu. ◆ 5. During fighting virus to treat monitor. A month monitors liver result, kidney result and hematic routine; is general 3 months check index of second liver virus () of HBeAgHBVDNA)(sizing technique. ◆ 6. After cure monitor. After whole period of treatment ends original 3 months monitor liver result and quota of second liver virus every months (HBeAg, HBVDNA) , after this extends the time that monitor. The patient with heavier to the illness liver cirrhosis patient and bad curative effect, the strength that monitor wants to strengthen, the person that notice illness aggravation; is better to curative effect is OK every half an year or a year of examination. ◆ 7. The 　 of problem of period of treatment that refuses ill poisonous treatment about period of treatment at present, interferon disease-resistant poison treats proposal period of treatment is 4 ～ 6 months. Rummy husband is decided and Wei of A heart blessing wants above time 1 year at least. The second liver patient of negative of interferon cure HBeAg (small 3 this world) should extend 12 months. After cure ends, should continue to follow visit 6 ～ 12 months. Rummy husband treats HBeAg electropositive patient surely (big 3 this world) be like interval all discover HBVDNA disappears in two examinations of 6 months and the back that companion has HBeAg turns to be able to stop drug. ◆ 8. All sorts of disease-resistant bane content are not specific content. Disease suits in right choice, below the circumstance of all strict step-by-step cure, the patient that only the half controls can be obtained effective and respondent, patient of other in part may be invalid. The positive effect of poisonous to second liver disease-resistant cure and limitation, it is clear to must be explained to the patient, the understanding that obtains a patient and approbate, lest pose medical treatment issue. ◆ 9. Rummy husband can be used at liver function to lose the patient of acting countervail surely. The patient of ascites of cirrhosis of heavy-duty hepatitis, liver if second liver virus is duplicate index is masculine gender, can choose disease-resistant poison to treat, but can choose rummy husband to decide only. ◆ 10. Mutate about second liver virus. About virus mutation a lot of second liver patients take rummy husband for a long time to decide, old hind appeared second liver virus mutates (the) such as YMDD, YIDD, YVDD, at this moment second liver virus is duplicate index turns again in relief, liver result appears unusual, do not want right now easily husband of rummy of out of service is decided, prevent the bounce of feral poison individual plant, and can add the Defuwei that use A, be decided with rummy husband and use a month, husband of rummy of out of service is decided later, use Adefuwei for a long time to fight virus to treat. (the exercitation edits: Plum apricot)