Monday, 16 July 2007
Does towards the left of the liver that fight second go? Go right?
Xie Yao is taught, hepatitis of hospital of Beijing ground altar one division director, adviser of graduate student of Beijing University Master, interpretation of the cause of the precaution that basically studies direction is virus sex hepatitis, hair is made and treat, ever compose is relevant paper more than 50. Doctor of Chairman Zhang Hongfei, the liberation army director of ill division of 302 hospitals liver, expert of medical treatment of bureau of central health care, be good at make a diagnosis and give treatment all sorts of difficulty danger weigh liver disease, treat a field in disease-resistant poison especially seasoned. Amount of the person that liver of our country second is affected is huge, the person that virus of chronic second liver is carried is made an appointment with 130 million. They and the people all round to second liver, always having such and such or doubt or misunderstanding. Does other have second liver to you can be infected on I? Can second liver marry to bear? Is second liver meant bury the seed that laid liver cirrhosis, liver cancer? About second liver, all sorts of media always are transmitting a variety of cure " fabulous " , what kind of the rights and wrongs having after all among them? Ask to a moment ago understood patient of some second liver through short, because suffer all sorts of invidious discrimination, caused tragedy thereby, had popularized very extensive degree to the education of second liver for years so, why can you still put in the discrimination manner to this one disease? Answering basically is most person it is not quite clear to infect a reason to the infectivity of second liver virus, we often come up against this kind of patient when clinical outpatient service, some people say I check the doctor to get hepatitis, I say why you have this idea suddenly, my brother just checked liver having second into unit result, I obtained the document that you read him to take, I felt the cup, me very be afraid of. Still have the point of view from the patient, he once fish has second liver, can say you must not be spoken to me, after you say, the person on our unit does not understand me, between this process, it is the infectivity of pair of this second liver more very, transmission way understands not quite, this is a main reason. Ask to beside the person that virus of occurrence second liver is carried, or the person that second liver virus is affected, what attitude should the person take all round? We made a small investigation, a, contact;B with its no longer stoutly, reduce a contact as far as possible, especially not rather in all eat;C, go to a hospital whether is the examination infected;D, advisory doctor. How does Zhang Jiao award you to look? Answer to a moment ago thanked a professor to had been told, have after all to second liver patient socially now how old infectivity has doubt, some is beyond the mark and scared, have a plenty of do not care. If be the measure that I may adopt,asking is B, decrease to be contacted with him as far as possible, be on bad terms especially he in all eat, because I feel most to the person may talk,second liver color changes, appear the reason of this problem, I feel to depend on most person knowing second liver virus is what virus after all, through what means can it have the transmission between person and person? Answer place of your respecting key, contact actually, the key is to look can infect, if infect affirmation,not be willing to contact. What way meets liver of the second on infection: 1, of sexual contact 2, Mu Ying transmits 3, hematic products is polluted (common syringe needle drug taking) answers actually the transmission of second liver is to pass blood to spread a way, not be enteron transmission, say to be contacted normally commonly so, for instance I pursue this job 30 old, I often am mixed they together in all eat, but to now I am first-rate, say we know its transmission way so, it does not travel through enteron, so a handclasp of a lot of people, job does not have a problem. Ask after knowing to spread way, what attitude should adopt? Popular science is taught or answering to be passed now is advisory doctor, the first kind of person that does not contact with its stoutly is to think one contact is infected for certain, the 2nd kind is to have certain love, do not remove with the family too big to the family's pressure, as far as possible finite contact, especially here speak of not rather in all eat, plant without this actually necessary. What is the way that asks at present liver of our country second travels basically? The transmission engine rate of which kinds of way is the biggest? Answer way of second liver transmission is sexual transmission, hematic products transmission and mother baby transmission, the liver ill incidence of a disease of our country and western country should be differred a few to 100 times, basically be a decision at each respects, the most important be afraid transmission is important facet, our country 60% to 70% above, even Taiwan area is Mu Ying transmission or life are inchoate infect, affect the first inchoate and individual growth through this kind not complete, change very easily chronically, comparatively so incidence of a disease wants the patient a few taller, remedial difficulty wants big. Mr Li that asks Beijing 27 years old asks, my girlfriend is the person that second liver virus is carried, we plan to marry this year originally, but my mother objects stoutly however, but we are true love each other, how should I do now? It is OK to answer the person that be sure is infection of second liver virus can marry, because be in,this kind of circumstance falls now, our country majority is vaccinal already general is numerous, a lot of people have defence capacity to second liver, the 2nd even if on casual infection, 90% to 95% can cure, before if be in,marrying, pass have an inoculation of correct second liver vaccine, can protect the one party that did not infect second liver completely rise, not be to say to cannot marry so. Ask patient of liver of second of a lot of females afraid meeting transmit virus to the child, can be patient of female second liver borne after all? Answer this is possible, but divide kind of case, the person that the first virus that is health is carried, means does not have hepatitis, liver function is normal, transaminase is normal, it is the person that virus is carried merely, unripe child sense does not contract virus below this kind of circumstance, the key is to depend on having effective block to break a method. The mother to having hepatitis can want the child, may best method is cure hepatitis before be pregnant, if do not cure,be pregnant, the chance that increases infection a little while is led, the 2nd if have hepatitis, the burden is equal to to accentuate in pregnant process, so the female to having hepatitis, had better be cure hepatitis before be pregnant, after curing, also can be pregnant. How to ask ability makes sure the child is not infected? Answer patient of female second liver can have a baby, and the baby that can have health, but this is premise, prepare even the job, when to want recognize appropriate, how to want appropriate, how to protect oneself child additionally. Second liver is virus disease, of virus eliminate at all depend on vaccine, for instance hives, chicken pox goes 559 time this kind of affection is very universal, had done not have now, this is vaccinal contribution. When to ask a new student darling makes vaccine appropriate? Answer this is very serious problem, new student darling divides kind of case, either decide with darling, be decide with mom, mom if virus volume is high, our precaution has a kind of method, mom virus quantity has a kind of method, mom if virus quantity is little, the child is pure it is OK to make vaccine block is broken, block breaks force to be able to be as high as 90% above. Mom if virus volume is high, besides dozen proper treatment had better be made before be pregnant beyond vaccine, at that time reoccupy vaccine can have double insurance effect. But still have a problem, hit vaccine how to much hit, how to hit, it is the child commonly after be born 3 needles, common says 0, 1, 6, stitch had better be in be born hit in 6 hours, stitch is strengthened inside a month, 6 months strengthen stitch again, have assurance coefficient 3 times commonly. Answer everybody has a lot of worry now, also have a lot of views, for child health, the mother suffers again great anguish also will not grudge, the vaccine that so everybody breaks to antenatal block is to do not have a problem, still want to do other method, for instance some people take Chinese herbal medicine, still some of person is treated with preventive disease-resistant poison, do not have a doctor actually seeking advice from these cannot be adopted easily, so the block of antenatal is broken basically is with second liver vaccine, second liver vaccine must reach normal hospital, with the vaccine of normal origin, some people also were hit, but the seedling is invalidation, action was not protected after such children are unripe. In asking the mother is producing a course, the child can be affected on second liver virus, how should do at that time? Answer there is placenta to come off in the process of darling of Yo of mother one's own, have blood, it is so when 80 time, having a kind of view is to pass Caesarean birth to take out a baby directly, be nature actually normally produce through be being produced, study the result confirms now, nature is produced and the probability of infection of operation unripe child is same. Asking to still have is the problem that a lot of mom care quite, after unripe child can mother milk feed? Answer in principle is told now, in virus the quantity contains lower circumstance to fall, can breed through the mother feed makes the child more healthy, but if have special case, virus content is very high, additionally child oral cavity has broken;burst;ulcerate;fester, perhaps did not do a breast to nurse beforehand, also can adopt the method of artificial feed, because of the person different. Ask Hunan install a lady to ask, I want the child this year, go to a hospital check-up fish is second liver, the doctor suggests I undertake disease-resistant poison is treated now, can the how long after stopping drug excuse me want the child? Is the medicaments that refuses ill poisonous treatment influential to be pregnant in the future? Answer the medicaments that disease-resistant poison treats, if this drug cannot be used during be pregnant, in perhaps using medical process, cannot be pregnant, because do not have clear evidence to make clear now, the medicaments of disease-resistant poison does not have an influence to the child, if say to achieve remedial goal, after stopping drug, these medicaments are right long-dated affect without what, between this process so ability of how long stopping drug wants the child, it is to stop drug commonly the child can want after 6 months. Ask a lot of media can have some of platelet piece to publicize various second liver to treat way now, can mention among them turn very quickly shade, after all what is to turn shade? Did virus disappear? Answer this concept is not such, but now the small hospital of a few frame-up compasses, use patient of liver of second of this concept misdirect, detect to call masculine gender, do not detect call negative, if pass cure to become the thing that detects,do not detect, turn namely shade, everybody can understand this, but turning in shade process, because have different index, say a month like some advertisement can 90% turn more shade, this is impossible. Should achieve turn shade, must go to normal hospital, through standard treatment, ability achieves this goal, not be to say to cannot turn shade, it is to be able to turn of shade. Ask Professor Zhang you how look upon these views? Promise a respect this minutes to look, if be adulthood acute infection truly, 90% can self-healing, it is good that such patient took Chinese traditional medicine, he says those who cure to this is me, it is a process of patient self-healing actually. Still a kind of chronic patient adopts the therapy of the disease-resistant poison with many standard period of treatment, appear gradually shade turns, in a month, as it happens took his month drug, he this patient glom on to, say to make truly at present so virus can pilot disease-resistant bane, have two kinds only, one gives or take an injection, one takes medicine, alleged and other conduct propaganda did not pass normal medical inspect bureau to admit really, without clear result. The person that the person that virus of liver asking second is affected perhaps is carried, is below what opportunity ability should be being treated best? Answer I say 3 words simply, patient of liver of the first not all second needs treatment, only mobile need is treated, inactive do not need treatment. The 2nd word, the patient that even if treats, also not was not to break a pot for decocting herbal medicine all one's life, also be the treatment that has level; is the advertisement to discuss principles the 3rd, fight what virus medicine makes clear to have two kinds only now, one kind gives or take an injection, one kind takes medicine, the disease-resistant bane of all traditional Chinese medical sciences, so far, I know to return neither one to pass bureau of inspect of our country medicine or bureau of foreign medicine inspect approves formally, that is to say confirms without legal effect it has disease-resistant poisonous effect. In asking the cure in second liver the process, what trap does possible meeting encounter? Answer the trap that second liver treats actually a lot of, basically have 3 kinds, the first kind swashbuckling, make use of a few foreign countries study abroad the doctor that come back, it is under this aureola coming to the 2nd kind to hawk a few not quite correct thing; is to pull old standard to make tiger skin, give out to be treated with second liver completely have nothing to do, for instance Nai rice technology, gene technology, it is a few more commonly used actually the noun that circles a mouth comes to the 3rd kind to attract your; is to put long term angle big fish, it is good to tell 10 pairs of medicines to protect you, the first pair of medicine eats first, medicine of second mate looks again, the hospital with not additionally normal some, still use patient of false assay data misdirect, did not change at all actually. What normative therapy should the person that is the person that is virus of liver asking second carried perhaps affected take? Answer this problem is particularly serious, how should treat normally, second liver serves as a kind of virus, the most important is disease-resistant poison cure, inchoate in the past have fall enzymatic cure, ensure liver therapy, now is; of disease-resistant poison cure the 2nd it is standard remedial room, we discover some places medicaments is in of draw a tiger with a cat as a model-copy with, for instance this officinal just have the effect one year partly to a year, some units treat a month to say this medicine is invalid stop, had not explained to time period of treatment is not standard, some dose are not regular, so of dosage normal, depend on you be being evaluated correctly, so must correct assessment makes plan, still have evaluate notice to check regularly even. Although there still is the wrong knowledge of pair of second livers socially now,ask, but we are very gratified still see, still the conduct propaganda that a lot of people are participating in second liver prevention and cure to treat jointly works. Second liver has had various standard treatment idea now, what circumstance is newest remedial progress? Answer to develop the development with clinical research as what fight virus medicaments recently, present remedial method unlike is same before, the most crucial in this process factor is those who restrain virus is duplicate, the end that we treat is what should achieve hepatitis is long-term and normal, in this process, after medicaments is developed even some medicaments can turn exterior antigen shade, if achieve this goal, hepatitis was solved thoroughly. If have some of patient short of this purpose, there still are a lot of remedies now, can obtain the control with long-term hepatitis through having these remedy, so present word, we had had a lot of method to be able to control the fit of this hepatitis. Ask to second liver virus, is the remedial goal that last hope achieves what kind of? Answer we divide the remedial target of second liver to be mixed for bronze medal, silver medal gold, it is before medicaments of poisonous without occurrence disease-resistant cure, bronze medal also is not taken, just transaminase is normal, but since had disease-resistant poison to treat, had appeared virus is restrained, perhaps achieve stage by stage cleared, the DNA that bronze medal is virus is restrained, silver medal is control of its additionally one kind of index, if had the control of silver medal, will get taller cure becomes power, recrudescent rate will fall lowlier. Since since having lasting effect interferon to come out a few years this, a few patients pass very standard treatment, achieved exterior antigen disappear, past patient makes a dream also do not have the courage to think this, so we had been achieved gradually now, and pass the patient of this one part that lasting effect interferon treats, his surface antigen turns can achieve after shade 8% to 10% , so this is surprizing, say our dream so, the dream of the Olympic Games came true, so of second liver capture this dream will try hard jointly as us, I want to also can come true very quickly! Mr He that asks Guizhou asks, I am second liver patient, the doctor suggests to undertake disease-resistant poison is treated, hear medicaments ate time to grow to be able to be able to bear or endure medicine, how should this do? Answer the time that the medicaments of profess to convinced takes grew to be able to have really be able to bear or endure property of a medicine, if you want to avoid this to be able to bear or endure the happening of property of a medicine, and I want to stop drug again, if chooses medicaments does not have the word of no-no card, first selection is interferon, interferon is nonexistent be able to bear or endure of medicine, a moment ago Professor Zhang said, gold, silver medal is to build the base that uses in interferon, want to take the word of this gold especially, but interferon of some patients have more than is needed, how does have more than is needed do, that is about to choose a few be able to bear or endure medical occurence rate is low, you are OK also very the edible that be at ease this medicaments. (the exercitation edits: Plum apricot)
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