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Wednesday, 23 May 2007

Second liver is reasonable 4 when use drug basic principles

Security of be particular about multiterminal of change of patient's condition of second liver patient, period of treatment is endless, the safety that use drug is principal. A variety of hepatitis that used uses use drug, be confirmed to be insecure later, formic acid of adenosine of the candy that be like A, phosphine, cause kidney function to damage likely. Husband of the interferon that uses at present, rummy waits surely, if use undeserved, put in serious safe hidden danger likewise, with medicine undeserved or do sth without authorization stops drug, bring about illness accentuation possibly. Chinese traditional medicine also is existing insecure element, many Chinese herbal medicine and Chinese traditional medicine preparation, be confirmed to have apparent caustic liver effect, for example cane of the achene of Siberian coklebur of Chinese herbal medicine, the rhizome of cyrtomium, Thunder God, the root of Chinese trichosanthes, nutmeg, mint, plain Lian child etc; In nucleus of bolus of Qing Dai of soup of officinal small the root of Chinese thorowax, compound, disappear piece, the bolus that overcome silver. Because this wants to know the pharmacodynamics character of every kinds of Chinese traditional medicine, avoid to abuse and exceed period, exceed a quantity to take; To civilian proved recipe, folk prescription must careful with, in case toxic. All sorts of new drug use time not to grow, long-dated curative effect and harmful response still are not clear about, liver result, blood picture must be monitored to wait regularly in use process; Cross drug allergy to having before history or the patient of allergic constitution, with medicine must careful, once appear,medicaments sex liver is damaged, want to stop this medicaments to use, head for normal hospital in time to make a diagnosis and give treatment. Going after effectiveness effectiveness must be accepted with what make clear, cannot specious. Obtain lot number formally to be in at present clinical use remedy has hundreds to plant, the without approval medicaments in clinical try out by tens of thousands, but the curative effect that has a few remedy only among them gets accepted. Old drug of liver of not little now second already was confirmed to be invalid, for example glucoside of the Wei of the name of a river in Shaanxi and Henan provinces of former times of the interferon of profess to convinced, extensive, bird that do not have annulus; Although a few new drug obtain approval article date or clinical try out to approve, but curative effect is very finite, become so called " new drug rubbish " . Regard cure as second liver at present advocate make remedy -- medicaments of virus of the liver that fight second, accepted only husband of interferon, rummy is decided, Adefuwei a few kinds. Thousands of planting alleged " the medicaments that protect liver " , only one part has improvement the liver result, effect that reduces hepatic inflammation reaction, for example spirit of Ganlixin, hepatitis, great majority " the medicaments that protect liver " the action that protect liver also did not get accepted. So the patient must choose seriously with medicine, ten million cannot cursory. Had better see a doctor to normal specialized subject hospital, never light trustful He An is accused and all sorts of conduct propaganda. Advocate economy to treat second liver to cost big, medicaments expensive it is well-known. Patient's condition of second liver patient is capricious, with medicine ceaseless, many patients send deficient due to illness. Because this uses drug must careful calculation and strict budgeting, little flower treats unjustly money. Have for example protect liver to fall the medicaments of enzymatic property is very much, must choose good in quality and cheap in price medicaments. A lot of new drug still take experiment property, long-dated curative effect is uncertain, but the price is very high, unfavorable recommend try out as medicaments of a gleam of. Master proper sex reasonable with medicine proper sex principle basically reflects in the following respects: (1) proper remedy: According to disease and patient airframe condition, balance advantages and disadvantages, notice the interaction between the correlation between medicaments and airframe and medicaments, make the pharmacodynamics action of medicaments can transform to treat action. For example patient of inchoate liver cirrhosis, liver result is in acting countervail phase, right now choice disease-resistant poison fights liver fiber to change medicaments to be used at the same time jointly, curative effect is best. (2) proper dosage: The assurance of interferon dosage is very exquisite, think right dosage of the Chinese is 5 million ~ commonly / of 6 million unit is tertian use, if dose is too small, hard be successful, if dose is too large, medicaments poisonous action is too strong, patient body bears hard. (3) appropriate time: Grow effect interferon to be used every week for example, can ensure chroma of content of Chinese traditional medicine of blood of the patient inside a week maintains basically inside effective limits, reduce patient anguish and trouble. (4) proper approach giving drug: Must consider integratedly to use body of property of medical purpose, medicaments, patient state and safe economy, handy wait for an element. Profess to convinced facilitates already to medicine, economy, and the patient suffers anguish less; Vein drop is noted ought to have mastered comfortable be recruited, do not advocate use easily. (5) proper patient: Although average patient, also put in very big difference to the reaction of same medicaments, unfavorable a kind remedial program is carried out at all patients. Remedial second liver emphasizes individual change, because the person applies treated principle, for example interferon treats a target, particular demand illness is in acting countervail phase, transaminase is elevatory, second liver virus is duplicate the patient of index positive. Be spent again or heavy-duty and break take the place of unfavorable use interferon treats the second liver patient of countervail period. (6) proper period of treatment: Poison of second liver disease-resistant is treated and fighting liver fiber to turn treatment is to need long-term importunate, use rummy husband to treat second liver with interferon surely for example, period of treatment needs to be in 1 year above, when curative effect is apparent, cannot do sth without authorization stops drug, lengthen cure when necessary, in order to achieve stable and lasting curative effect. But some remedy are unfavorable however and long-term use, avoid to extend medical time, reduce the occurrence of harmful response. For example once second liver patient catchs a cold have a fever, antiphlogistic medicaments is used must adopt " short smooth fast " principle, accomplish disease to stop except medicine. (7) proper remedial goal: Effect a radical cure at present second liver still not actual, but many patient expectation costs are very high, they are being held in the arms not hesitate all cost, also should cure thoroughly the desire of second liver, flounder all directions, there is no lack of be deceived example. The remedial goal that can achieve at present should be to restrain virus to duplicate, defend good liver work, reduce liver to organize fiber to change rate, defer or control an illness to develop to direction of liver cirrhosis, liver cancer. (Above content only 39 healthy nets use authorization solely, without copyright square accredit is not reprinted please. ) (the exercitation edits: Bin of characters on a seal carved in relief)

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