Second liver treatment is worth to think over!

1. The patient with constant in a steady stream from why and come? How can second liver treat more more? 1997, some authority infects outpatient service of a specialized hospital, examine second liver patient to add up to 95 thousand person-time, close treat patient of liver of second of be in hospital 5365 person-time, 1998, two groups of numbers are above respectively 126 thousand person and 6784 person-time, ordinal add 24.6% with 21% . Above clew, the patient amount of liver of our country second still shows ascendant tendency, rate of further consultation with a doctor of patient of chronic second liver increases, the second liver patient of new discovery appears in succession again, if press the chronic second liver that the country promulgates to cure a standard basically, the mark with second liver duplicate virus should disappear, also namely ribonucleic acid of to oxigenate of second liver virus (Hbv Dna) and E(hbeag) disappear, stabilize 1 year of above continuously, the patient of chronic second liver that can achieve this one goal is very little, because the patient reachs medical personnel to have strong desire, want to achieve this one goal, so, old patient must step into hospital doorsill, but often be second disappointment ground leaves. As second the general of my seedling is planted the job marchs to deepness and range, also develop as what hygiene works, more and more countrymans accept virus of concerned second liver detect, some area begins Henan second liver prevention and cure works, come deep countryside, some country population 10 thousand more than person, before have an inoculation census second liver " two half " more than 100 " delitescent " second liver is discovered, allegedly, second liver still has " transmissibility " , just as one would expect, the relatives of many second liver unfortunate by fish, although great majority is the person that carry toward infection or virus already only, but also must carry child belt wife, demand medical service everywhere, second liver patient resembles snowball so like, roll more more. In September 1999, the author recieves second liver patient in outpatient service 500 more than person, further consultation with a doctor person occupy 62% , first visit to a doctor person occupy 38% , old patient is not decreased, new sick personnel still increases. 2. Is lengthy and tedious advertisement authentic? Be full of the trap 　 　 that entices phonily 1997 1-10 month, sampling the press 56 kinds, add up to 1500, carry medical ad among them 4920, the ad that involves liver ill aspect 746, occupy medical advertising 15.16% , these advertising characteristics are: 1. Break the law, disobey advertisement of medicines and chemical reagents of our country Lt;lt; to administer the concerned regulation of method Gt;gt; namely, often arrive it is thus clear that on advertisement " effect a radical cure " , " the bag is treated " , " curative effect is optimal " , " turn shade king " , " hepatitis Ke Xing " , " second liver difficulty already by such-and-such breakthrough " , " achievement obtains home, international, disobey objective fact already, also violate the concerned regulation of advertisement law. 2. Disobey scientific general knowledge, have threaten generation ancestral the person that treat second liver, the bosom puts ancestral secret recipe, check of curative effect god, the clear cent of hepatitis B reach diagnosing is this century the thing of 60 time end, how does the ancestor of these highly skilled doctor get remedial second secret recipe from where before hundreds years, unknown; has exaggerative " 3 this world " turn entirely shade person, consider scientificly now to show, the E antigen in other people of number of virus of chronic second liver may carry immune pressure or medicaments action, turn for negative, exterior antigen (Hbsag) turns the possibility of shade is very small, core antibody (of Hbcab) turn shade is almost impossible accordingly, claim in advertisement " 3 this world " turn entirely Yin Chun belongs to Hu Yan, have " one this world " can turn shade is pretty good also. 3. It is to use make an issue of of Chinese herbal medicine almost, all sorts of nests use medical ad is Chinese traditional medicine almost. Because everybody can open Chinese traditional medicine,be, normal doctor can leave, the person that teach oneself Chengdu can leave, all corners of the country swims cure also can leave, what open Chinese traditional medicine to often can not throw clinical; via any checkup 2 because,be varied Chinese herbal medicine, through different tie-in combination, can evolve into endless prescription; 3 because the people is right,be of Chinese herbal medicine reliance, compatriots of quite a few still thinks Chinese herbal medicine can go the root cause of illness or trouble, security tall; 4 because cost of Chinese herbal medicine is low,be, gain is big, profitable. 4. Cover below set a well, advertisement middling often alleges, a period of treatment, the bag is treated turn shade, do not turn; of holding cost of pay compensation for what one has unlawfully taken of the person that take poses case why namely again, tone of patient of make use of publicizes curative effect. 5. Making money is sole purpose. Does so beautiful so great strength, much capital undertake advertisement is publicized after all why? The purpose makes money namely only, seek sudden huge profits, support advertisement comes pharmacy, sell drug, the person that sent big money countless, on the contrary, by their hole patient also countless. 3. Whether the Western medicine that introduces ceaselessly is in charge of with? The natural environment that pace foreigner follow brings refuses to obey medicaments of cure of chronic second liver adds up to in the Gt;gt; of Lt;lt; practical epidemiology that published 1984 11 kinds, the Gt;gt; of Lt;lt; practical epidemiology that published 1997 already was added reach 34 kinds, great majority is " the entrance turns sale in domestic market " , import first namely, be modelled on after, again sale in domestic market, these characteristics that import medicine are: 1) . Suit occidental and add up to compatriots hard, apparent natural environment refuses to obey, second liver virus has different inferior model, euramerican person is different from a Chinese, and great river north and south of China has again different inferior model, patient of liver of our country second 80% originate perpendicular transmission, and the United States is only 10% the left and right sides, a kind disease-resistant bane content is in such as interferon Euramerican yield results is remarkable, but have hard however in our country too big as, large quantities of one Western medicine while in high spirits and come, kill feather and return. 2) . The price is climbed all the way litre, compatriots looks " foreign " promote sigh. Import new drug, so expensive that let person be left speechless with wonder or fear, interferon a 150-450 yuan differ, a period of treatment 10 thousand - thymus of 30 thousand yuan of; 5 peptide 1 500 yuan, thymus element (day amounts to celestial being) 1 900 yuan, a period of treatment, expenditure also is in 3-4 10 thousand yuan. According to the requirement of foreigner, afore-mentioned medicaments can be used repeatedly, or use jointly, come so, cost of a huge sum is right for the compatriots of labour firewood estate, already was astronomical. 3. It is first be fooled and on 　 , go after sth like a flock of ducks, it is after gradually cold and cheerless, there is few visitors. To seek profit of high specified number, western medicine takes home, many manufacturer bee are used and go up, be modelled on production, can arrive clinical, used period of time, be ineffective, be forced to admit hapless, before long, fashionable of adenosine of candy of glucoside of the phosphorous formic acid, bird that do not have annulus, A, be in however now keep an enterprise going by painstaking effort. 4. Does the remedial purpose that pattern renovates where? Second liver is treated will be treated, what treating after all? The end that treats second liver now is varied, have what be a purpose with fighting liver cell to damage, lest epidemic disease adjusts those who be a purpose,have, have what be a purpose in order to fight virus, have in order to fight purpose of fiber melt into etc. Once thought the cure of second liver is disease-resistant poison mainly, let namely " big 3 this world " turn for " small 3 this world " , be put in E antigen mainly turn on shade, after many effort, a few patients turn really shade, but its illness not only did not improve, accentuated instead, so this kind of shade turns to because virus mutates,often be caused. The gene structure of second liver virus, have different encode area, every encode area produces mutation, virus also can produce mutation below medicaments pressure, in order to escape immune surveillance, disguise dresses up rise, let you hit do not wear it, it is good become aggravated the ground is destroyed make trouble, it seems that virus turns shade also is not meddlesome completely, clinical now go up to discover not only many " small 3 this world " heavy patient, also discovered a lot of have only merely " one this world " (core antibody is electropositive) patient of chronic second liver, these facts make in the end of medical personnel feeling painful really. Since fight virus to treat curative effect to be cut truly hard, improve only Xiang Kang fiber turns treatment, break an illness to develop to direction of cirrhosis of the liver with block, then Chinese herbal medicine is very popular again, chinese caterpillar fungus, turtle shell, the root of red-rooted salvia waits preparation a moment to appear ceaselessly, newest research achievement shows inchoate cirrhosis of the liver is reversible, preparation of Chinese herbal medicine but degradation liver fiber changes an organization, but, if virus of the delitescent inside liver is unending destroy, liver fiber is changed also can arise ceaselessly, light is degradation, become divided, boil of Shang Zhi of Yu Yang of as good as. Broad patient is more confused. Some doctors say, the poisonous person that carry has chronic to be treated surely, some says that he must clutch however remedial; some says to should use interferon, some saying that should use thymus element, some saying that should decide with rummy husband, what do not know to who should listen to really is good. As to the curative effect standard of chronic second liver, also be hard decide, now the clinical heal index of inpatient is liver result returns to normal, action of this practical it doesn't matter, leave hospital to be not entered, liver function fluctuates again rise, what the country promulgates is basic cure a standard to ask virus is duplicate index turns shade stabilizes 1 year of above, this standard is very inaccessible, even if is to achieve, may not is meddlesome, second liver is treated will be treated, what treating after all? Let a person consider really do not appear. 5. Whether can the funds of when the river rises the boat goes up too have limit? Common people more and more feel treat do not have disease, hospital also can some authority infects laissez-faire a specialized hospital, the hospitalization charge of patient of liver of a chronic second was controlled for 980 yuan roughly 1984, 19 98 year litre reach 7600 yuan, litre amount to 770% , as all sorts of new drug roll out and of curative effect of chronic second liver owe beautiful, charge still go up further likely raise. Come from the female worker Li Mou of Henan Luoyang, its mother dies at cancer of the liver two years ago, of the same age discovers oneself and daughter of 3 years old also are second liver, to do not step maternal the track of an overturned cart, li Mou carries a daughter, have been to and other places of Xi'an of Beijing of provincial capital Zhengzhou, capital, ancient capital early or late, mother and daughter two had accepted ribonucleic acid of immunity of liver of peptide of interferon, thymus, second to wait for a cure, already cost RMB more than yuan 30 thousand, check a result now, mother and daughter is together " big 3 this world " , daughter liver function is normal, maternal transaminase 69u/l, according to saying, the almost that disappear accumulates in the home is used up, but remedial determination still is put, hear of recently one is plant " specific " call rummy husband to decide, turn shade rate is very high, decide relatives and friends borrows bit of Qian Zaizhi. Be afraid elephantine Luoyang Li Mou such example too numerous to mention one by one, as a result of the countless that loses a family fortune to treat liver disease. Hospital can how? Actual also can laissez-faire, have no alternative, even a little " drift with the tide " . Liver disease is treated hard, liver disease uses drug costly, already was not to have deniable fact, the manufacturer that produces liver disease to use drug is ceaseless grow in quantity, new drug also emerges in endlessly. Pharmaceutical factory is benefited, the hospital also has results. Actual condition is: Experts of science and technology busy study, still catch; market experts without how many behead at development, clip travel meal carries; simultaneously when cooperate flavour cate clinical experts busy deal with, use interferon today, will decide with rummy husband again tomorrow, will not know to want what to use again the day after tomorrow, patient and his family busies demand medical service everywhere, believe this a little while, believe that a little while, used this officinal that medicine. Industry of prosperous liver ill drug in the ascendant. Second liver is treated harder, new drug is more, remedial charge is expensive, broad patient is bitterer, they are bearing the multiple pressure such as psychology, body, economy, society. 6. The manner of be practical and realistic whether is light big? The medical worker stands in selfish desire undercurrent and medical ethics conscience constantly the two end of this balance 998 years, periodical of science and technology of random selection medicine 20 kinds, involve treatment paper of chronic second liver 145, every statistic data is complete, the design is reasonable, rigorous, virus of result second liver basically duplicates the shade of mark Hbeag and Hbv Dna turns rate it is respectively 69.6% with 56.3% , total cure is businesslike for 92.1% . If only a report still can let a person as a result of exclaim curiosity get to the bottom of, such the report can let a person feel only baffle extremely, is cure effect really such? Another sees his administer a law, no more than a few commonly used laws, when others is used, how be ineffective check, after all what is do mischief? It seems that on all corners of the country next quack covering setting a well is to make money, and a few researchers fabricate an article is to be fish for fame and compliments, both " different music and be versed in together " . It is the one instant of patient prescribe when the clinician, what is driving him to make what decide finally? Want to consider patient itself, namely do they use this drug appropriate? Whether is the canal used? Whether bear to rise? Consider the benefit of the hospital even, the hospital plans to achieve this year receive ten million, how to sell medicine to finish? Consider an individual even, prize deduct a percentage from a sum of money wants and economic gains link up with, not how does many medicine do? The scale that sees a doctor stand in conscience and self to form from beginning to end two end, should be already fair, also want " seek illicit " , complete balance is too difficult really. 7. Practical step whether come out? The opinion 　 that when deserves research afore-mentioned perplexity are general really, already was the fact that does not dispute. So, have a few ways that dispel doubts, a few proposals can offer reference. 1. The science that enhances second liver knowledge popularizes the job, should telling patient second liver not only is how one and the same, what circumstance issues this cure, ought not to treat below what circumstance, tell broad medical worker to know second liver correctly even, update second liver knowledge, not be apt to even if " big 3 this world " turn " small 3 this world " , be apt to even if " second liver 3 paces " , frighten;2 of patient filled with apprehension. The design studies and issue the standard of diagnosis and treatment of chronic second liver, basically be remedial standard, tell a doctor to spend chronic second liver gently to should use what drug, spend chronic second liver to should use what drug again, ought not to use what drug, what is a gleam of uses drug, what is second line, 3 lines use drug, custom ability becomes circumference;3. The liver disease that suspends all forms uses medical ad, shut everything individual collective perhaps the liver ill clinic with opened normal blame, such doing it seems that a bit absolutely, but be forced at present such, the medicaments chaos that takes inaccuracy of a few curative effect to cut treats second liver, be inferior to be not being treated, especially those " small wide " , besides rich outside individual cheater, kill a patient already deficient also country, early should eradicate;4. Begin second hammer and tongs the general of my seedling is planted the job, always will be born 24 hours henceforth the baby inside is uniform and vaccinal second my seedling, no matter be a city, ? It is countryside, such, cut off second liver first the basis of this cancer, make fall more as far as possible? Era avoids the bitter;5 of liver getting second. Control " foreign goods " entrance, limitation " earthy medicine " cause, the characteristic of the characteristic of occidental second liver and liver of our country second differs somewhat, occidental uses the remedy that gets be convenient to use, canal of compatriots may not is used, 10 thousand have can be fooled and go up, everywhere imitated, compatriots rolls out ceaselessly " earth, items is various, a little while " ursine bravery " , a little while " Chinese caterpillar fungus " , a little while " hide medicine " , a little while " Dai medicine " , this " red " that " piece " roll out ceaselessly, after all curative effect how, it is transitory mostly, examining and approve new drug strictly also is to become Wu is urgent. (the exercitation edits: Plum apricot)