Sunday, 15 July 2007
Discretion takes drug also is to protect liver!
"Be like resort to arms with medicine " , if involve caustic liver drug,careful balance answers when using drug, the patient should time doing liver function to check liver is a peptic, the nutrition that absorbs by gastric bowel path is used by hepatic metabolization. Liver still is an alexipharmic organ, ab extra, endogenous a lot of harmful material are dissolved in liver finally for avirulent material. But the amount is large, liver also does not bear, and some medicaments itself also can make liver toxic! Medicines and chemical reagents also is a kind of poison actually, include Chinese traditional medicine, "It is medicine 3 minutes poison " . Outside the metabolization eduction system that medicines and chemical reagents wants to pass liver finally. Even if the besmear that the dermatologist gives is in the ointment on the skin, should absorb only will handle finally by liver, outside waiting for eduction body through alvine path, kidney. And medicaments still is not only in liver " trash is handled " , a lot of medicaments are to be below a series of enzymatic action in liver, by " activation " hind of action of the pharmacodynamics since ability. Accessary Zhongshan hospital Professor Yang Binghui points out Fudan University, medicaments, besides minority " the medicine that protect liver " besides, to liver character, it is a burden, with medicine undeserved may cause to liver damage. Liver is damaged have acute and chronic the noxiousness of medicaments of two kinds of , of be the first to be affected is pair of hepatic harm. Acute liver damages much performance to be in the process that use drug: 1. Happen suddenly icteric, the bilirubin in making liver function check visible blood right now is elevatory, transaminase also can lift subsequently, say for acute bile deposit sex is injured, this kind of circumstance is common at using system of androgen, steriod kind the ester inside prophylactic, big ring kind antibiotic (be like erythromycin) in the process that waits for medicaments. 2. Do not appear icteric, cause loss of acute liver cell only, the transaminase in basically bringing about blood is apparently elevatory, the patient often shows style lack faint, inappetence. Common wait for medicaments at using amino to acetyl phenol, tetracycline when. 3. Two kinds of afore-mentioned types hold concurrently and have, deposit sex injures bile of cell of the mixture that when if apply fluorine of isoniazid, annulus,pulling the medicaments such as Qin, happens liver. Chronic liver damages this kind to damage a disease slow, just be discovered in 9 months after stopping drug even. Be like chloric beautiful laborious, furan Tuo Ying, methylic more cling to, medicine of phenolic man, sulphanilamide, isoniazid, aspirin all can cause the liver such as chronic hepatitis butterfly Ling of ammonia of ill; armour can cause liver even fiber is changed and chlorpromazine of liver cirrhosis; can cause the bile inside chronic liver, still have steriod system even kind the cover that prophylactic causes liver tumor. What Chinese herbal medicine can cause liver to damage is not little also, wait for poisonous to liver sex like land of Thunder God cane, Huang Yaozi, Su Tie, business, the achene of Siberian coklebur, commonly used silk tree skin, time damage liver possibly also skin of garlic of skin of have diarrhoea leaf, bitter Lian, the rhizome of cyrtomium, stone, Huang Qin, the root of Chinese thorowax, white moss, peony skin, mistletoe. Medicine of the liver that use caustic is time do liver function to check of course, also cannot give up eating for fear of choking-refrain from doing sth necessary for fear of a slight risk. Fell ill, this used drug still wants to use. "It is medicine 3 minutes poison " , still be curative effect those 7 minutes. So once fall ill, to using medicine is should careful balance. If involve caustic liver drug, besides the need on dosage, period of treatment besides careful deliberate, the patient should time make liver function inspection, discover the problem stops drug in time. Nevertheless even so, because patient system is interrogatory,be inscribed possibly still also and produce unpredictability liver to damage. Especially a few danger weigh patient happening liver to damage, it is one disaster after another undoubtedly. According to the report, in the patient that in Euramerican country clinic of common internal medicine sees a doctor, final doctor prescription gives drug occupy only 30% , most patient doctor just gives an explanation to comfort, psychological dredge, or it is the guidance that offers the life the respect, it is until the last moment need not of medicine. The patient of our country and doctor like to use drug it seems that, a few senile patients often take 5~6 to plant at the same time medicine, can liver be damaged how kill? The ancients says: "Be like resort to arms with medicine " , using drug it is thus clear that is must Shen Zhi careful thing. Our country because hepatitis B is popular, number of liver ill patient is numerous, people knows reason " protect liver " very important, but most person " protect liver " the hope is placed at " the medicine that protect liver " , actually, this kind of idea is wrong, other drug are abused, "The medicine that protect liver " eat again more trashy also, accordingly, discretion takes drug just is protect liver lift. The liver that still does not have the remedy of of method of specially good effect that orders medicaments sex liver to damage to cause at present is damaged in after stopping drug most as medicaments by detoxify, excrete can reduce stage by stage and even eliminate. Peptide of cereal Guang pleasant or acid of ammonia of N- acetyl Guang are antidote, although applicable but specific aim is not strong, of deposit of the bile inside liver but try out cortisone kind medication. (the exercitation edits: Plum apricot)
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