Friday, 24 August 2007
Remedial second liver not takes crooked route
Zhuang Hui academician emphasizes: The end that second liver treats utmost ground is restrained for a long time or eliminate of second liver virus namely the closest home first " second liver cure expects investigation " the result shows announce, patient of quite a few and family member still have unscientific anticipation to second liver cure, among them nearly 4 cure second liver thoroughly in short-term internal energy into participator hope. Professor Zhuang Hui emphasizes ministry of medicine of academician of Chinese Academy of Engineering, Beijing University, second liver patient if do not have materiality,become correct anticipation to curative effect, get very easily misdirect, its cure also is met " go astray " . For this, doctor and social all circles should help second liver patient build correct anticipation, guide them to walk up " the road of the hope " . 10 thousand more than person participates in investigation. In 6 weeks time, more than 10 thousand person participated in investigation on the net, include patient of chronic second liver and family member among them, and the person that second liver virus is carried. Have 36.2% as a result suffer inquirer to hope to cure second liver thoroughly through time of half an year. Meanwhile, only the gets inquirer to realise disease-resistant poison is treated value of 37% . Si Chongwen of division of infection of the first hospital teachs Beijing University think, afore-mentioned results make clear, many second liver patients still have to cure expect incorrectly, this centers expression to be in 3 respects: The first, remedial target is unscientific. A lot of patients do not understand, although pass disease-resistant poison to treat, the patient that also does not have 5% finally only can realize exterior antigen to change; the 2nd, remedial method is incorrect. Can knowing disease-resistant poison to treat is most crucial return with what treat a method at all very few, this will bring about a disease to develop ceaselessly, till terminal; the 3rd, patient to treating lack. In fact, if use nucleotide (acerbity) analogue undertakes disease-resistant poison is treated, the patient should hold to at least 2, 3 years or longer time, and after amounting to mark to stop drug, also need to go to a hospital following regularly visit monitor. The liver that treat second should choose academician of pair of road Zhuang Hui to point out, remedial second liver resembles choosing path. In this one process, the patient treats the effect to second liver anticipate have main effect. If they did not build scientific anticipation, regular meeting chooses wrong remedial target, perhaps be on wrong remedial way, perhaps quit. These wrong metropolises delay standard treatment, and cannot walk up " the road of the hope " . Know the cause that second liver treats to how admitting correctly, further explanation says Zhuang Hui academician, the cause that second liver treats is utmost ground be restrained for a long time or eliminate second liver virus. If can realize exterior antigen changeover, it is best result of course, this was equivalent to an athlete if realize the serological changeover of E antigen,winning gold; , was equivalent to if can restrain second liver virus,winning silver medal; , make the DNA(nucleic acid of second liver virus) turn shade, was equivalent to winning bronze medal. Go after exterior antigen blindly changeover is not actual to most patient, this seems to seldom count athlete ability to take gold only same. If second liver cure can restrain second liver virus, make its DNA(nucleic acid) turn shade, on this foundation, achieve the serological changeover of E antigen, patient of most second liver can reach this to treat a cause, the key that amounts to mark is to choose to control virus power rate of changeover of strong, serum is high, be able to bear or endure the medicaments with medical low occurence rate, can hold to enough period of treatment. Borrow " route chart " realize of optimal curative effect to be in remedial process, the doctor's action is crucial, zhuang Hui academician their assimilate to " the road of the hope " the guide that go up. They must understand what the patient treats to second liver to anticipate, give patient demonstrate proper remedial period of treatment. This second investigation makes clear, 95%% suffers inquirer treating in the begining, the hope can expect the result from what understanding cure can achieve over there the doctor. In addition, credit of catch a disease of move of China cure society will be vice director committee member, southern Hou Jinlin teachs hospital of medical university south be replaced in order to fight virus medicaments it is surely than the husband exemple, the key introduced how to apply " route chart " come the strategy that liver of sound program second treats. So-called therapy " route chart " it is to show the patient is taken for when deciding half an year than the husband, detect) of nucleic acid of DNA(of second liver virus, if nucleic acid of DNA(of second liver virus) fall not to detect, or virus holds an amount copy under 300 in every milliliter blood, learn for complete virus respondent, do not need a change to treat plan, can lengthen at the same time along with virus of liver of the second when if treat half an year,visitting removed; carries a quantity to fall in every milliliter blood 300, 10000 copies, learn for partial virus respondent, need to strengthen to this kind of patient along with visit, virus of liver of the second when can considering to if treat half an year,move; of punish cure plan when necessary holds an amount in every milliliter blood still prep above 10000 copies, need to shorten along with visit interval, add at the same time with other disease-resistant bane content or change medicine. "Second liver treats ' route chart ' it is a patient ' the road of the hope ' the map that go up. " Zhuang Hui points out, it is to be based on the expert consensus that the summary on clinical trial foundation gives medicaments of liver of domestic and international second, be aimed at the individual situation of every patient, will adjust sequel to treat strategy, can optimize current and groovy treatment program not only, avoid crooked road, and can achieve individual cure, in resource of managing medical treatment while, obtain better curative effect. Through " route chart " to the patient cure undertakes monitor and administrative, this one principle is right all nucleotide (acerbity) analogue is applicable. (the exercitation edits: Plum apricot)
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