Monday, 10 September 2007
The liver that fight second can contrast " line attempt "
Second liver patient and family member still have unscientific anticipation to cure, nearly 4 hope to be in into informant short-term inside cure thoroughly. This is the home that announced a few days ago first the result that second liver cure expects to investigation shows, this investigation by Beijing limited company of Nuo China pharmacy sponsors support. Academician of Chinese Academy of Engineering Professor Zhuang Hui emphasizes, second liver patient if do not have materiality,become correct anticipation to curative effect, get very easily misdirect, its cure also is met " go astray " . The 3 errors in patient treatment exceeded 10 thousand people to participate in this second investigation on the net, include patient of chronic second liver and family member among them, and the person that second liver virus is carried. Findings shows, the informant that has 36.2% hopes to cure second liver thoroughly through time of half an year. And only the value that the informant of 37% realizes to disease-resistant poison is treated. Si Chongwen of division of infection of the first hospital teachs Beijing University think, many second liver patients still have to cure expect incorrectly, this centers expression to be in 3 respects: The first, remedial target is unscientific. A lot of patients do not understand, although pass disease-resistant poison to treat, also be less than the patient of 5% finally to be able to realize exterior antigen to change only, namely exterior antigen turns shade and exterior antibody this world turns, second liver cures; the 2nd, remedial method is incorrect. A lot of patients did not realise, refusing ill poisonous treatment is most crucial with basic remedial measure. Negligence fights virus cure to will bring about second liver virus to duplicate in great quantities, make the disease makes progress finally terminal; the 3rd, patient to treating lack. In fact, if use nucleotide (acerbity) analogue undertakes disease-resistant poison is treated, the patient should hold to 2~3 at least year or longer time, and after amounting to mark to stop drug, also need to go to a hospital following regularly visit monitor. Utmost restrains virus is target is begged treat a heart to cut with wrong message, it is to make second liver patient has to cure unscientific expectant two big factors. Zhuang Hui of academician of Chinese Academy of Engineering expresses, patient of chronic second liver has the characteristic of its oneself, because be in after sicken,the respect such as enter a higher school, obtain employment, marriage is discriminated against not less, individual and even family assumed enormous pressure, because this patient is begged,treat a desire particularly intense; on the other hand, second liver patient compares young, autonomy very strong, and circulating socially a large number of wrong message, make them ceaseless produce wrong expectation again. Accordingly, how to help second liver patient establish the proper understanding to cure, how to guide them to be on proper remedial period of treatment, often matter to remedial success or failure. How should meet the target that second liver treats correctly after all so, further explanation says Zhuang Hui academician, the cause that second liver treats is utmost ground be restrained for a long time or eliminate second liver virus. "If can realize exterior antigen changeover, it is best result of course, this was equivalent to an athlete if realize the serological changeover of E antigen,winning gold; , was equivalent to if can restrain second liver virus to make,winning silver medal; the DNA(nucleic acid of second liver virus) turn shade, was equivalent to winning bronze medal. Go after exterior antigen blindly changeover is not actual to most patient, this seems to seldom count athlete ability to take gold only same. And restrain second liver virus to make its DNA(nucleic acid) turn shade, on this foundation, achieve the serological changeover of E antigen, patient of most second liver can reach this to treat a cause, the key that amounts to mark is to choose to control virus power rate of changeover of strong, serum is high, be able to bear or endure the medicaments with medical low occurence rate, can hold to enough period of treatment. " village brightness say. Cure searchs allow 3 " dot " Hou Jinlin of director of internal medicine of infection of Guangzhou southern hospital is taught with " start, inflection point and terminus " the whole process that figure ground described second liver to treat. "Start " it is the remedial crowd that shows the choice is right, choose appropriate disease-resistant bane to begin to treat; " terminal " it is to show patient treatment arrives when to can stop drug. Although chronic second liver needs long-term treatment, but after cure amounts to mark, consolidate the period of time that use drug can stay drug again. As to " inflection point " , professor Hou points out, this is cure of liver of second of near future basis " route chart " a when put forward relative to newer idea, basically emphasize the remedial program that according to the patient the case decides sequel, optimize the purpose of long-term curative effect in order to achieve. Professor Hou is replaced with disease-resistant bane content it is surely than the husband exemple, introduced how to apply " route chart " come cure of liver of sound program second is politic. So-called therapy " route chart " it is to show the patient is taken for when deciding half an year than the husband, detect) of nucleic acid of DNA(of second liver virus, if nucleic acid of DNA(of second liver virus) the level that falls not to detect, or virus holds an amount copy under 300 in every milliliter blood, call complete virus to learn respondent, do not need a change to treat plan, can lengthen at the same time along with virus of liver of the second when if treat half an year,visitting removed; carries a quantity to fall to be copied to the 300~10000 in every milliliter blood between, call partial virus to learn respondent, need to strengthen to this kind of patient along with visit, virus of liver of the second when can considering to if treat half an year,move; of punish cure plan when necessary holds an amount in every milliliter blood still prep above 10000 copies, need to shorten along with visit interval, add at the same time with other disease-resistant bane content or change medicine. (the exercitation edits: Plum apricot)
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