Friday, 27 July 2007
Chronic second liver needs " long period of order and stability "
As a result of the characteristic of all sorts of society reasons and disease itself, bring about wardmate of chronic hepatitis B to bearing the double torment of the body and heart for a long time. Understand according to us, the disease to oneself did not mix great majority patient to be known correctly in the round, especially the psychological weakness that fraction person exploits patient of chronic hepatitis B, the curative effect of medicaments of wanton and exaggerated part, the result creates wealth of numerous patient person two sky, incur loss through delay illness. Be engaged in the medical personnel that virus sex hepatitis prevents and cure for a long time as, the hepatitis ill patient that examines for a long time tens of thousands of, feel the doctor's responsibility is major, must much take a moment is strengthened communicate with the patient, make more patients have more accurate knowledge to the cure of chronic hepatitis. Remind 1: Refusing ill poisonous treatment just is the essential patient that treats chronic second liver common error: "Disease-resistant poison cure nots matter " , "Take when liver function is unusual a few fall enzymatic medicaments went " second liver is different from other disease, cannot sheet judges him whether should be treated by his symptom. Clinical on discovery has quite the hepatitis activity that the person that second liver virus of the amount is carried did not monitor all the time, but soundless inside body however to the harm of human body ground has second liver virus, accordingly we often say second liver virus is the delitescent inside body " recessive killer " , patient of most and chronic hepatitis is spent gently in transaminase the symptom is not had when lifting. The patients of a few chronic hepatitis B that should treat think by accident: "Disease-resistant poison cure nots matter " , "Take when liver function is unusual a few fall enzymatic medicaments went " . Actually, the medicaments that protect liver can provisionality protects liver, improve liver function, do not have the action of materiality to second liver virus, the remedy of essential sex is disease-resistant poison cure, because liver function is damaged,cause by place of second liver virus namely. Accordingly, to patient of chronic hepatitis B character, long plan it is to undertake disease-resistant poison is treated, ability protects hepatic security truly. Our country has 2000-3000 hepatitis of sex of 10 thousand chronic activities and liver cirrhosis patient, because major patient does not have a system,accept the result that disease-resistant poison treats namely. Remind 2: Do not go after blindly alleged " turn shade " therapeutics patient is common error: The remedy that at present the approval on international uses exorbitant to expectation of content of bane of second liver disease-resistant at chronic hepatitis B to refuse ill poisonous treatment has interferon only (include common interferon and lasting effect interferon) with nucleotide analogue (include rummy husband, on the market numerous the medicaments majority that claims to have disease-resistant poisonous effect is the name nots agree with solid. Current disease-resistant bane substance can rise to restrain second liver virus the duplicate, function that improves liver function, the liver fiber of partial patient is changed likely still changeover, but great majority patient can not adopt therapy second liver virus from keep clear of completely inside body, cannot turn completely namely shade. In fact, with respect to level of current science and technology, do not have a kind of medicaments to be able to keep clear of second liver virus completely. If the patient is gone after blindly alleged " turn shade " therapeutics, value of expectation of poisonous to the disease-resistant of second liver medicaments is exorbitant, be cheated easily by false advertising, of final fall victim is him patient. But patient also need not pessimistic, the medicaments with existing support achieves long-term control virus duplicate, preventing liver ill evolutional to treat a cause can be achieved completely. Remind 3: Hold good disease-resistant poison to treat opportunity patient common error: Do not add an examination and buy medical treatment by oneself, have a bit improve to stop medical the cost of disease-resistant poison cure of hepatitis B is higher, poison of any a kind of disease-resistant before using order treat plan, a period of treatment, medicaments adds an examination to always treat cost nearly 10 thousand yuan. For the most effective use thing of good disease-resistant bane, want to grasp the opportunity that good disease-resistant poison treats. Fighting virus to treat the optimal opportune moment that begin is HBVDNA positive, ALT turns over complex wave to move; in addition, patient of cirrhosis of a few liver, the person that the liver, second liver of kidney transplant art is affected, the person that tumor changes cure period and the second liver infection that surround operation period also can be used. But the patient with a few at present normal liver function is treated to achieve the purpose of virus of cleared second liver to adopt proper motion to buy drug, although the result that HBVDNA shade turns can be achieved in remedial initial stage, but after stopping drug, still can lift again, some occurrence virus are able to bear or endure medicine, need disease-resistant poison truly in the patient even when cure, cannot choose significant curative thing, this kind of practice cannot be taken very much! Besides disease-resistant poison treats itself to still exist a few potential side effect, if interferon has certain effect to thyroid function, also have inhibition; to blood picture a few new nucleotide kind disease-resistant bane content still is clear about not completely to fetal influence. Accordingly, it is very wrong that patient proper motion buys medicine to treat with danger! The patient should be after detailed examination of the doctor, ability decides when to need to undertake disease-resistant poison is treated truly. Remind 4: Chronic second liver is cured harder, the thought patient that should have long-term treatment is common error: Anyway second liver is treated bad, flat the curative effect that because poison of disease-resistant of chronic hepatitis B is treated,did not study is finite, cannot keep clear of completely virus, the effect is better during because this brings about partial patient to be in,use disease-resistant poison is treated, but the phenomenon that recrudesce appears again after stopping drug. Some of this part patient has the idea of retreat after spending a large sum of money, feel slow to after all of second liver cure is incurable, flat did not treat again. This kind of thought is extremely wrong, if the illness needs, must treat, otherwise hepatic illness will be aggravating, final likelihood develops to liver cirrhosis. Because patient of this chronic hepatitis B must establish the concept of long-term remedy, we fight this kind virus cure to call " treat circularly " , that is to say, the therapy that can adopt a period of treatment without which kind of medicaments currently cures second liver thoroughly, the application that should pass a variety of many period of treatment, medicaments controls virus to duplicate continuously, prevent an illness to develop further. Additional, the regular examination during cure is very important also, we often encounter such patient, special prescribe buys medicine not to ask to make an inspection, it is more important to think to take medicine, the examination is indifferent to. Actually, the importance a bit of regular examination no less than take drug regularly. Because check the result that can monitor disease-resistant poison to treat regularly, if fight treatment of ill bane thing to disable, should change if; of treatment of thing of other disease-resistant bane achieves curative effect, the bounce of HBVDNA and ALT appears during if use drug,medical; stopping after continueing to treat period of time, because virus produced mutation,the likelihood is, arose to be able to bear or endure to medicaments medicine. Return content of some disease-resistant bane to may produce a few undesirable reaction during cure, if interferon may cause white blood cell,drop and liver function is unusual, individual patient can appear thyroid function is unusual etc. These need to check ability to discover in time regularly. During a few patients use drug, did not undertake monitoring, doctor of as a result cannot judge the curative effect of medicaments, a few harmful response cannot discover in time, what be damaged finally is him patient. (the exercitation edits: Plum apricot)
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