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Sunday, 26 August 2007

When can second liver cure stop drug?

Disease-resistant poison treats need to notice what   netizen: I am liver of a second (special subject interview seeks advice) patient, liver function of the examination end 2004 is normal, b exceeds an examination liver is lienal normal, second liver is 5 times small 3 this world, DNA is electronegative.2006 year will check cereal third in September 70, millet straw 50, lienal 40, DNA1.66 just is copied by 7 of 10 / milliliter, the doctor suggests disease-resistant poison is treated, but with what medicine? How to begin disease-resistant poison to treat, what problem may produce in cure? How to do monitor, ask an expert to give a plan. Wang Guijiang: This netizen is the slow second liver of E antigen negative, transaminase spends heighten gently but be more than double above without what achieve the requirement in the guideline, the transaminase that must notice to eliminate other reason to cause is elevatory, longitudinal transaminase is elevatory overworked, stay up late, drink or can cause transaminase longitudinal to lift with a few medicine, include fat, fatty liver to also can cause transaminase to lift, not be activity of second liver certainly, perhaps not was to enter immunity to keep clear of certainly period. This netizen should eliminate to have other to affect the factor of transaminase heighten above all, if do not have, the action that keeps clear of because of second liver immunity namely and make transaminase elevatory, should consider disease-resistant poison to treat. The issue that needs an attention is how to begin disease-resistant poison to treat. To the patient of slow second liver of E antigen negative, our remedial program emphasizes period of treatment wanting to grow. Because of the slow second liver of E antigen negative, immune report loses quite relatively, after because of this short-term cure stops drug, no matter be to use interferon or treatment of nucleotide acerbity analogue, rate of the recrudesce after stopping drug is higher. To patient of liver of slow second of E antigen negative, the period of treatment that we suggest disease-resistant poison is treated is a year at least. Remedial process monitors DNA level, transaminase level. If use treatment of nucleotide acerbity analogue, illness perfect stability for instance DNA does not detect, transaminase is normal, achieve this index to continue to consolidate cure just considers at least one year to stop drug partly again later. Second liver patient must not do sth without authorization stops medicine to change medical   patient of liver of our country second is very much now, should say to be opposite at present second liver is very scared also, so subsequently and will abuse medicine, excessive cure the phenomenon of non-standard perhaps cure is very serious, we this " remedial guideline " promulgating also is a hope can normative the cure of chronic second liver, what kind of patient should treat the standard how. Be told at present as the patient, know oneself illness position adequately above all, after all my diagnosis is what is diagnosed, be what kind of an illness condition, it is to carry condition or patient, if be a patient that cannot carelessness, must treat actively. In normal doctor reasonable treatment perhaps has below the guidance of specialized subject doctor, avoid by all means goes listening to folk prescription, secret recipe, to a few non-standard hospitals perhaps treat below doctor guidance. We discover now socially a lot of hospitals and doctor are treating the phenomenon with non-standard existence of second liver respect, fight in order to protect liver phlogistic give priority to. Of course also a few is publicize very well, turn shade is waited a moment, the cure that says second liver objectively is a long-term very formidable task, current medicaments has its limitation, keep clear of virus for a long time very hard thoroughly truly, come round to look from eye, the control of second liver passes effective treatment, the illness that controls it makes progress, but should keep clear of second liver virus thoroughly, return short of at present. If long-term virus is restrained later, exterior antigen also has a branch to turn shade, but produce proportion lower, and be below the circumstance with long-term not duplicate virus may turn shade, short-term a few months turn shade is not actual. But also one part patient keeps clear of through immunity period not duplicate, also have little part patient's alleged and natural serum transition, the patient proportion of this part is smaller, have 10% only, but have price, the likelihood has the show of liver cirrhosis, still should want disease-resistant poison to treat. It is very important also that the illness is monitored, no matter be to carry condition or hepatitis patient to must see a doctor actively to the hospital, regular examination is very important, include a few does not need treatment temporarily patients that a moment ago mentioned, also want to be monitored regularly. In treating a process as to hepatitis patient must the doctor's advice act according to the doctor, do not want do sth without authorization to stop medicine to change medicine, this is very dangerous. After do sth without authorization stops drug, acerbity like nucleotide analogue can appear sometimes of the illness rebound, if if liver is ill the foundation is very poor, of this illness rebound may endanger life, the most inchoate husband of a paragraph of rummy dare be not used surely is such crowd, do sth without authorization stops drug, the illness appears to rebound apparently, create the show of heavy-duty hepatitis. (the exercitation edits: Plum apricot)

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