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Sunday, 15 July 2007

Reject second liver " 3 not " politic

The graduate student small king of university of Beijing post and telecommunications is latter and abrupt systemic Huang Ran, cannot take food, tired and faint, it is hepatitis of second serious illness because of be being diagnosed via the hospital, the doctor tells him: "Undertake liver transplants only, did not have other measure " . This message once print goes out, caused the attention of a lot of people instantly: Why can second liver of Xiaowang accentuate suddenly? Cirrhosis of liver exhaustion, liver or liver cancer are the person that is second liver virus affected surely the road of classics? The patient's condition that how prevents second liver develops? Infection of virus of chronic second liver can divide for 3 period: first phase is immunity is able to bear or endure suffer period, this period liver function is normal, but virus is in negative of antibody of E antigen positive, E " big 3 this world " condition, HBV DNA positive, this kind of circumstance can maintain all one's life, enter possibly also at any time the 2nd period. The 2nd period it is immunity keeps clear of period, this period still be " big 3 this world " , HBV DNA positive, but as a result of the immunity inside body systematic identifying arrived " the enemy " , begin to start immune war to infecting the liver cell of second liver virus, consequently cell of a few liver is destroyed, occurrence liver function is unusual. If this period go down continuously, liver cell is ceaseless and necrotic, the fiber inside liver is changed, serious person development becomes liver cirrhosis. If immune system conquer virus, make virus is in check status, serum changeover is positive of antibody of E antigen negative, E " small 3 this world " , HBV DNA also does not detect in blood, this is the 3rd period -- virus is restrained period. This period every year 2% hair of 1% ~ give birth to virus nature shade to turn, but also hepatitis of small number of people has a relapse or produce virus to mutate, before returning two period. Serious illness hepatitis happens in immunity to keep clear of commonly period, the immunity in liver of a few patients " war " be hit too intense or too abidingly, cause overmuch liver cell necrotic, and produce hepatic function exhaustion. So, how does the person that is virus of chronic second liver affected prevent this kind of circumstance happening? Actually, want to accomplish only: "Not by accident, not poisonous, ceaseless " this " 3 not " , can prevent hepatitis B " the war erupts " the serious consequence that cause. "Not by accident " those who point to is not to want patient's condition of incur loss through delay. Second liver virus is a kind of enemy that slips into airframe stealthily. It is happened " war " , virus often also is done stealthily destroy, most second liver patient does not have apparent symptom, behave only lift to spend transaminase gently, just often be discovered when check-up. Need of the person that accordingly second liver virus affects examines liver function and second liver virus regularly duplicate condition: E antigen is electropositive person at least every 6 months detect, patient of E antigen negative detects every year. Once discover liver function is unusual, want seasonable treatment, appease this " war " . If do not have seasonable examination, inside liver " war " hit more intense more, can appear sometimes many liver cell is necrotic, cause liver exhaustion; long-term perhaps battle makes hepatic 1000 sore 100 aperture, many fibre hyperplasia brings about liver cirrhosis. "Not poisonous " it is to avoid toxic substance to be opposite hepatic harm. Liver is the chemical treatment with the largest human body, a lot of toxic substance need alexipharmic inside liver. Overmuch poison is absorbed increased hepatic burden not only, cause liver cell loss possibly also at the same time. These toxic to liver substance include alcohol and a few medicaments. Accordingly, scarcely of the person that second liver virus is affected should drink, believe not blindly alleged " turn shade medicaments " take drug in disorder, also want to avoid to use pair of hepatic virose remedy as far as possible when treating other disease, lest these toxicant are qualitative,become second liver virus " accomplice " , second liver virus is in stimulative delitescent liver is started " war " . "Ceaseless " it is to say to fighting patient of chronic hepatitis B not to interrupt cure casually: Poison of second liver disease-resistant is treated is a need long-term importunate treats a process. Because medicaments of current virus of the liver that fight second is returned,this is cannot short time is eradicative the virus inside body, can utmost ground restrains virus to duplicate. Comply with sex of the patient has conclusive effect to treating the effect. Good comply with sex can reduce virus to be able to bear or endure property of a medicine appears, make the disease-resistant poisonous action of medicaments has endurance more, achieve better curative effect thereby. Accordingly, cannot take drug today absolutely, leakage will be taken tomorrow. "3 days of fish bask in a net two days " the ground is treated not only cannot cure second liver, make virus happening mutates easily still. Cannot stop drug suddenly when achieving curative effect more. Once stop drug, virus of liver of the second inside body became active with respect to can new meeting, a large number of duplicating, start a war, cause serious illness hepatitis even. Our country is the high popular area of hepatitis B, have the person that virus of 120 million chronic hepatitis B is affected, among them great majority carries virus not to come on only or hepatic pathological change is slight, but because the affect person that still has 1/3 is hepatic " second liver war " and bring about chronic hepatitis to happen. "Not by accident, not poisonous, ceaseless " be accentuation of illness of the person that prevent second liver virus to affect " lucky 3 treasure " , according to this " lucky 3 treasure " go doing, intense battle won't produce in liver, ability avoids Xiaowang's tragedy to happen. (the exercitation edits: Plum apricot)

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