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Sunday 17 June 2007

Avoid by all means of second liver cure turns blindly shade

Virus of liver of the second in our country average crowd (HBV) infection rate is higher, detect in blood an exterior antigen (HBsAg) , E antigen (HBeAg) , core antibody (Anti-HBc) at the same time when masculine gender, common says " big 3 this world " , detect in blood antibody of an exterior antigen, E (Anti-HBe) , core antibody at the same time when masculine gender, say " small 3 this world " . Actually, "Big 3 this world, small 3 this world " the noun of major of dispute making a way, this one concept already was chased now scumble is changed. But because this kind makes a way,exist extensively in common people, so professional doctor still must be used in the explanation to patient patient's condition. A lot of patients think " big 3 this world are heavy, small 3 this world are small " , only will " big 3 in relief translate into are small 3 this world, big even, small 3 this world turn entirely shade " just be hepatitis of second virus sex (second liver) ultimate goal of cure. Why can people come into being to turn thoroughly shade this kind of strong desire? Above all, because second liver patient is faced with the ailment that is airframe not only, and facing heavy social pressure and psychological pressure. If second liver indicates thing is positive, enter a higher school, obtain employment, marry to be able to be discriminated against, this is the masses goes after second liver cure blindly to turn the germ of shade is in. Next, the advertisement of second liver cure that blot out the sky and cover up the earth captured second liver patient to be eager to turning just about the psychology of shade anticipates, exaggerate on one hand the harm of second liver, on one hand its treat exaggerative turn the effect of shade, to blind pursuit " turn shade " the effect that has add fuel to the fire. Pressure is greater, turn thoroughly the desire of shade is greater. But in fact, this kind of viewpoint is very incorrect, also do not accord with the actual condition that at present second liver treats. Undeserved cure not only waste man power and money, do not have remedial effect to the disease, and the opportunity that delayed a patient to be treated correctly, can cause hepatic loss instead even sometimes. Why did some patients use certain Chinese traditional medicine can partial virus index appear to turn after proved recipe shade? Because,this is, patient of liver of adult acute second 90 % are OK self-healing, that is to say although this kind of patient is not treated also can appear to turn naturally shade; And patient of chronic second liver develops the itself in the process to include to have 1 already in the nature of the disease. The self-healing of 2 % is led, namely exterior antigen turns the existence of shade, also include to alleviate as alternant as aggravation. Some outlaw use old write an essay of assay sheet and Chinese herbal medicine, issue false report sheet, join in Chinese traditional medicine turn the Western medicine with shade better effect, and the side effect that ignored medicaments and standard period of treatment, the patient appeared certain curative effect stops drug blindly, illness occurrence bounce, not only economy suffers lose; And psychological pressure is greater. Although,still some of patient is in in remedial process index of second liver virus " turn shade " (these turning shade may be virus mutation causes) , but appeared yellow, liver function damages decline of difference of tired overworked, abdominal distension accept, complexion the circumstance such as aggravation of mechanism of aggravate, cruor, see a doctor to specialized subject hospital again right now, because use medical case to not be clear about, can bring about a doctor to judge error to the illness, make a diagnosis and give treatment of incur loss through delay. Treat to chronic hepatitis B and remedial target, no matter be opposite,doctor or patient should have a sober knowledge. Have quite the person that virus of one part hepatitis B is carried, common body is done not have apparently unwell, accidental exsanguinate assay discovers to there is second liver virus to exist inside body, liver function is completely normal, second liver virus basically duplicates index E antigen and deoxidization ribonucleic acid (HBVDNA) for negative, liver organizes pathology examination to often hint without inflammation activity or only and slight inflammation exist. These crowds can treat normal person, need not use drug. If ask blindly " turn shade " , to finally not only cannot turn shade, what can draw on expect to be less than instead is sequential, wait like medicaments sex hepatitis. Unusual to liver function, second liver is duplicate index is electropositive, the second liver patient that has clinical symptom should have specific reasonable cure target, the curative effect of more objective science decides standard. Can divide for the following 2 kinds: ① good cause: Virus is cleared. Expression turns for antigen of the surface in serum shade, the examination of deoxidization ribonucleic acid that hepatic organization reachs in blood all is negative, liver function is normal, without apparent clinical symptom, and track observation 1 year above does not have recrudesce. This is optimal cure target, but because do not have the medicaments of virus of particularly effective liver of thoroughly cleared second, achieve hard quite at present so, second liver does not regard as cured standard with this on international. ② real cause: Clinical cure. Serum biochemistry index is like transaminase, bilirubin to wait return to normal, clinical symptom is improved apparently or disappear, ribonucleic acid of the to oxigenate in serum turns shade, e antigen disappears, e antibody appears, and track observation 1 year above does not have recrudesce, regard as namely clinical cure. Complete virus grain is not had in blood of this kind of patient, reason infectivity is extremely low. Hepatic injury is opposite lighter, to hiring, enter a higher school and gravid without apparent effect, can have normal social activity, but still should insist to check, observe the illness changes. To the patient of chronic second liver of different illness, the choice is individual it is very important to change remedial plan. So, must select the hepatitis specialized subject of normal hospital or normal liver ill hospital, undertake assay, trends observes iteration, make scientific judgement, ability is made for the patient or adjust remedial plan. The abidance that the development of pathological changes of chronic second liver, account that produce is second liver virus existence and breed, refusing ill poisonous treatment is cure of chronic second liver this, it is accepted remedial principle. (responsibility edits: King sea E)

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