Monday, 10 September 2007
The liver that treat second is able to bear or endure it is better that medical curative effect is added when medicine!
Xu Jing is inputted on Internet " second liver " search, hundred thousands of relevant webpage can jump out immediately. To the person that second liver patient and virus are carried, cast off the worry of second liver, return normal life, it is their greatest desire. A few days ago, on a lecture that treats about chronic second liver, guo Wen of director of division of infection of hospital of the first people points out Guangzhou city, refusing ill poisonous treatment is current of accepted antagonism second liver " a magic weapon " . And from clinical in light of, what him patient often became liver of him conquer second is the biggest " stumbling block " , some patients should be treated originally but not seasonable however cure, or it is to believe ad by accident, swim of cure say decline, accepted mistake, unnecessary treatment, bring about lose optimal treatment opportunity, make an illness exasperate even. Consensus: Key of remedial second liver should refuse patient of liver of virus second most key and the most primary treatment are disease-resistant poison cure. Hospital of the first people affects Guangzhou city division director Guo Wen says, one is aimed at what liver ill patient is as long as 7 years to dog last year investigation discovery, in accepting the patient that refuses ill poisonous treatment, occurence rate of cancer of the liver amounts to 11.2%(year occurence rate 3.4%) ; And the patient that those accept disease-resistant poison to treat, occurence rate of cancer of the liver is 2.3%(only year occurence rate 0.8%) . Nbsp; recommends: Good 4 close will be able to bear or endure medicine falls to be able to bear or endure to poison of disease-resistant of lowermost second liver cure of chronic hepatitis B basically includes of formulary case Nbsp; disease-resistant poison, immunity adjustment, fight phlogistic protect liver, fight fiber is changed and treat to disease, refusing ill poisonous treatment among them is crucial. Some patients transaminase lifted, the doctor can leave a few fall the medicine of transaminase, have icteric to a few administer icteric drug, but the most crucial still is disease-resistant poison cure. Fight virus cure to utmost ground is restrained for a long time or can eliminate HBV, relieve liver cell inflammation the necrotic fiber that reach liver is changed, delay disease progress, decrease effectively and prevent liver to break the happening of cirrhosis of acting countervail, liver, liver cancer. Countermeasure: Be able to bear or endure it is better that medical curative effect is added when medicine! Somebody thinks, it is OK that remedial second liver chose a kind of medicine to be used all the time. "This kind of practice is wrong! " Guo Wenjiang is moved, a kind of medicaments is different to distinct person curative effect, and medicaments arises likely in use process be able to bear or endure property of a medicine. Be able to bear or endure medicine is the serious clinical problem that second liver combats virus for a long time to treat. HBV is right nucleotide (acerbity) analogue is able to bear or endure the likelihood after medicine causes clinical consequence, such as virus learns to rebound, unripe chemistry rebounds, produce serological recrudesce, aggravating liver disease makes progress, in addition, virus is able to bear or endure the curative effect that medicine still can affect follow-up disease-resistant poison to treat. Should be able to bear or endure after medical happening, the disease-resistant bane matter that should consider to use powerful effect or combination are treated, be used through changing namely or add with another kind disease-resistant bane content is solved. "From clinical go up in light of, the curative effect that adds drug is better, but can raise remedial cost, if economically do not allow, change using thing of other disease-resistant bane also is desirable. " Guo Wen says, in the patient is treated at the beginning of nucleotide analogue, through using poison of powerful effect disease-resistant, use be able to bear or endure high medical gene protective screen, be able to bear or endure property of a medicine not disease-resistant bane content of across, and the comply with sex that raises a patient, can be able to bear or endure HBV medical time defer, reduce be able to bear or endure medical rate. Remind: Fight the phlogistic medicine that protect liver to cannot eat casually! Some hepatitis patient treats a heart to cut because of begging, often believe false conduct propaganda, take all sorts of abstaining Chinese traditional medicine preparation; Some is taken for a long time " folk prescription " , " proved recipe " , some is not accorded with with medicine get used to disease, rigid chaos is used; Some repetition a large number of use alleged the medicine that protect liver; Some mistake do not have poisonous side-effect for Chinese traditional medicine, do not add a choice to be used casually. Liver forms the influence of chemical reaction to fall in these messy, complex medicaments, toxic case is more and more serious, liver damages accentuation of with each passing day. The expert reminds, second liver patient does not answer a few so called folk prescription, secret recipe and disloyal advertisement publicize blind believe what one hears, stop by oneself medicine and change medicine, because such meetings delayed remedial opportunity, serious person return may aggravating illness. Can choose appropriately on the foundation that treats in disease-resistant poison fight phlogistic with the medicaments that protect liver, but unfavorable apply a variety of fighting at the same time the phlogistic medicaments that protect liver, lest aggravating and hepatic burden is reached,cause undesirable effect because of the interaction between medicaments. The medicaments harm to liver kind is different, some medicaments have immediate poisonous side effect to liver, destroy the whole structure of liver cell; Some medicaments serve as antigen, mix inside body react through antigen, antibody inside liver and destroy liver cell. So, second liver patient answers avoid takes following have harm remedy to liver: Antibiotic kind etc changes cure medicaments (for example tetracycline, erythromycin) , fight tumor drug (for example element of filar force mildew, actinomycin D) , fight helminth drug (amine of chloroquine, nitric acid cyanogen) , centre curb pharmacy and fight gouty drug (chloroform, 3. of interlocution of second liver common sense asks: The lover is the person that second liver virus is carried, what problem should note when marrying? Answer: Whole journey should inject before marriage (3) second liver is vaccinal. After waiting for its to produce immune power, marry again. Although classics sex way influences the rate of second liver,have 10% ~ only 20% , but our proposal can use condom in the one party when sexual life. When the skin has crevasse, want to wrap up in time. In addition, the person that second liver virus is carried should active care family is healthy. Noticing individual sanitation is the key that prevents transmission of family of second liver virus, the toilet articles such as razor, tooth brush wants to be used apart; Underwear briefs often is disinfected. Ask: Second liver mom cannot lactation? Answer: Of second liver patient galactic in HBsAg shows masculine gender, may infect second liver virus. Liver of second of have an inoculation of seasonable after the baby is born whole journey is vaccinal, with respect to OK and normal lactation, children basically can avoid to contract second liver virus through lactation. Ask: Liver of my fish second is small 3 this world 12 years, I prevent some dinner parties as far as possible in the job drink, do not have method to drink a few red wine, beer really, so OK? Answer: To the person that virus is carried and patient of chronic second liver, a wine is redundant, red wine, beer also contains alcohol, also can produce undesirable effect to liver, had better not drink. Ask: What kind of nutrition food should second liver patient choose? Answer: Patient of chronic second liver should notice delicate food, should maintain weight and pussyfoot at the same time. (responsibility edits: King sea E)
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