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Wednesday, 11 July 2007

Choose poison of pair of second liver disease-resistant " opportunity "

Our country has 120 million person to carry second liver virus about, among them second liver patient has 30 million about. This giant group, make second liver became a big question that is paid close attention to by whole society. A few illegal medical establishment were certain just about this giant group, and the person that second liver patient and virus are carried is eager to begging treated state of mind, dozens big on media " the bag turns shade " , " the bag is cured " advertisement, the cure of liver of second of as a result appeared " what ought not to treat is blind treat, should treat did not treat well again " confused situation. Ought not to treat do not treat   foolishly to be in our country, mu Ying is perpendicular transmission is the transmission avenue with second liver the mainest virus. Because immune system growth of the infant is not perfect still, think ab extra virus is the one part of own body by accident, did not identify to it so and keep clear of, then virus conceal comes down, the liver cell with the mankind " peaceful coexistence, live in peace with each other " . This kind of person, liver function is normal from beginning to end, also do not have any unwell symptoms. This kind of circumstance needs treatment far from, premature, undertake disease-resistant poison is treated blindly, not only short of treats an end, bring about possibly instead come on ahead of schedule, even illness defer fit, the loss outweights the gain. When to undertake disease-resistant poison treats   a few people that affected second liver virus, because immune system activation is not complete, caused the destruction of liver cell, did not keep clear of virus however, its became chronic hepatitis as a result, clinical what behave even if relapse what go up is unusual. At this moment, it is the chance that the disease-resistant poison that thinks generally at present treats. This one opportunity is specific it is to point to, what when the person that patient of chronic second liver or second liver virus are carried occurrence liver function lasts or relapse is unusual, basically be cereal third transaminase (ALT) lifts when the 2 times above that is worth upper limit normally, should undertake disease-resistant poison is treated. Because,this is, when illness activity, system of human body immunity is in most as active as virus fight position. At this moment, husband of interferon, rummy is decided [Wang rummy whole strategy 2008 edition (the contribution that appreciates Doctor Wang Zhenyu) ] , Adefuwei, favour replaces Ka Wei [nucleotide (acid) the medicaments that analogue treats chronic hepatitis B chooses, utmost ground obtains the curative effect of disease-resistant poison. Common ground is told, want to decide whether you need to undertake disease-resistant poison is treated, need to finish above all the following 3 examinations [second liver] of 5 clinical meanings: Two half-and-half of ① DNA of virus of liver of second of ③ of; of; ② liver function. Contrast the result of sheet of 3 pieces of assay, need fights what virus treats to have the following kinds of cases: 1. 105 copies of ≥ of DNA of second liver virus / milliliter, cereal third transaminase (2 times what ALT) ≥ is worth normally. 2. 104 copies of ≥ of DNA of second liver virus / milliliter, cereal third transaminase (2 times what ALT) ≥ is worth normally, e antigen (HBeAg) is electronegative. 3. Normal to partial liver function but virus volume is higher (105 copies of ≥ of DNA of second liver virus / milliliter) the person that carry chronically, especially the age > when 35 years old, can consider to have liver vivid check, if check discovery,be spent in existence or in spend above liver to organize fiber of inflammation or liver to change, consider to give disease-resistant poisonous treatment. 4. Had appeared the patient that apparent liver cirrhosis behaves, it is big no matter 3 this world are small still 3 this world [the expert is right big 3 this world, xiao 3 in relief knowledge answer doubt] , no matter cereal third transaminase is elevatory, want virus only the volume is higher, should consider to use nucleotide kind medicaments disease-resistant poison is treated. Notable is, the disease-resistant poison cure of patient of chronic second liver must be below the doctor's guidance undertake, follow regularly visit, cannot take medicine at will by oneself stop drug. Do not treat, how should you do the person that the second liver virus with normal to having result of symptom, liver   is carried, of short duration does not need to medication particularly, should every 3 ~ 6 months detect liver function, B exceeds, it is mature that second liver virus indicates the index; such as content needs an opportunity, undertake disease-resistant poison is treated in time. Want the habits and customs with good nurturance at ordinary times, abstinence of smoke of Buddhist monastic discipline, food of tall grease of avoid high in syrup, not excessive takes drug, spend overworked nevertheless, mentally of proper motion; does not have pressure, live with normal person, what do not believe " turn shade medicine " magical effect. (the exercitation edits: Plum apricot)

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