The 5 big questions that liver ill patient cares

Incidence of a disease of our country of all kinds liverish is very high. Because lack proper understanding to liver disease, very great spirit pressure and panic are caused in a lot of patients, also produce discrimination to liver ill patient socially, the life order that violated people and healthy. Accordingly, strengthen to patient and society the basic knowledge education of each group is very be necessary. A few problems that care everybody now become simple explanation. Liver ill patient whether infectious? Liver disease is the floorboard that the hepatic organization cell that causes to all sorts of reasons injures. At present common cause has liverish sex of virus sex, alcohol sex, medicaments sex, toxic sex, immunity, hemal sex, metabolization sex, transmissibility, bacterium, disease of liver of only sick noxiousness has certain infectivity. In virus sex hepatitis, armour, the fifth of the ten Heavenly Stem hepatitis is course enteron (mouth) transmission, hepatitis of other virus sex if second liver, third liver basically passes blood or mother baby travels, do not infect through general life contact. The husband and wife that just is second liver patient more very lives together tens of year did not infect another. According to epidemiology investigation, the person that virus of liver of our country chronic second is affected 90% be affect before 5 years old, 80% affect before 1 year old. The person that manhood contracts second liver virus 95% can self-healing or cure. Is second liver genetic? Because his mother is mixed or father carries second liver virus or second liver patient thinks a lot of patients to he is transmissibility, actually this is misunderstanding. The gene chromosome that transmissibility disease is elder oneself is discrepant constant, cause filial generation gene unusual produce disease; and hepatitis B is pathogen of sex of the source outside was being affected -- the disease that virus place causes, both the distinction that has essence. Virus infection is OK of precaution, the contagious disease that can cure. Your second liver virus also won't " genetic " the child that gives you. (This station notes: Mother baby transmission and father baby transmission actually parents passed the way inside body to infect second liver virus next generation, is this kind of transmission " genetic " ) the cause that virus of 　 second liver treats? At present a lot of advertisement said to use remedy " second liver turns 5 times entirely shade " , want be special difficulty to achieve such goal. Current, the cause that we fight ill poisonous cure is: HBVDNA shade turns, HBeAg shade turns, HBeAb positive, liver function is normal. Exterior antigen turns the opportunity of shade is very few, cannot regard terminal target of cure as its. Refusing ill poisonous treatment is a long-term project, according to current remedial experience, no matter be which kinds of cure,plan period of treatment should be more than 1 year, nucleotide (acerbity) kind the period of treatment of medicaments should last 3 years commonly above. Stop medicine when to stop medicine to want next undertaking to coach in diplomate. When should patient of chronic second liver fight virus to treat? Fight virus cure to must hold inning, any disease-resistant bane content have application to point to proof, released in December 2005 " guideline of prevention and cure of chronic second liver " in already had detailed regulation. Good opportunity treatment can obtain the result of get twice the result with half the effort, and hold bad opportunity to be met waste man power and money. The assurance of the opportunity must be decided by the diplomate that has experience, basic principle is: Liver function is normal, b exceeds observation not to suit disease-resistant poison to treat without the carry person of pathological changes, the double above that HBVDNA positive, ALT is more than normal value upper limit can consider to apply disease-resistant poison to treat; sclerotic to already having liver patient no matter how should its liver function choose disease-resistant poison to treat, specific plan shows a patient's condition and decide. How to prevent infection of second liver virus? The most effective precautionary measures is vaccine of inject second liver. New student be born 24 hours (had better be 12 hours) inside the infection that vaccine of inject second liver can prevent second liver virus effectively, protective rate amounts to 98% above. The new student of electropositive to exterior antigen pregnant woman globulin of immunity of liver of second of inject of 24 hours of immanent and different position and second liver vaccine, do not advocate in pregnant woman gravid later period injects globulin of second liver immunity. Answer to children 3 ～ check HBsAb 5 years, the attention strengthens vaccine of vaccinal second liver in time. To adult virus of liver having second contacts an opportunity closely especially the person that blood is contacted should inject liver of large dose second is vaccinal (20 microgramme) . (the exercitation edits: Plum apricot)