The patient finds " Three little male genital " No matter ignore for more than ten years and tow into hepatocarcinoma
The patient finds " Three little male genital " No matter ignore for more than ten years and tow into hepatocarcinoma
It is first to pay close attention to " The day of hepatitis of world " Annual July 28 is " The day of hepatitis of world " ,It is " the day of hepatitis of world " this year Subject "know hepatitis,scientifically prevention and cure " . Does the person who carries virus of hepatitis B need to take medicine on earth? Totally see the liver work index and judge hepatitis, OK? Will vaccine inoculation be infected with the virus again? The hepatopathy expert of provincial hospital will announce that realize the mistaken idea for you. Mistaken idea the intersection of liver and work right away need to treat while being out of question The case 1: Find " three little male genital " Tow July 22 such as cancer such as liver, seven inpatient area outside provincial hospital, West China City Newspaper reporter see 28 -year-old hepatocarcinoma the intersection of patient and Tong pacify later period (assumed name) . He on the sick bed repents endlessly: If did not readily believe the rural doctor originally, to " three little male genital " It is towed into cancer that will no matter neither ask, nor be at a young age. "It is the rural doctor that has hurt me! " Tong Jing says, he found in Leshan native place that there is hepatitis B " three little male genital " more than 10 years ago ,But the liver work has no question. The local doctor says that needn't treat. Do not take it seriously either, does not reexamine without taking medicine by oneself. In 2008, Tong will pacify upper digestive tract and bleed, will check to just learn it has already been liver cirrhosis. In January of this year, his condition is aggravated again, after turning into the provincial hospital, find the liver has already presented occuring frequently cancer to charter the piece. Expert's statement: The liver work is normal, maybe 70% of the hepatocytes have been already ill Seven inpatient areas (hepatobiliary pancreas surgery, cell transplant the centre) outside the provincial hospital Director Huang XiaoLun says, at liver cirrhosis In the patient, the liver function of the patients of 5%-10% measures the result to reveal normally. For a long time, a lot of hepatitis B patient even medical personnel measure mistake to read to liver function, it shows hepatitis B and virus have not exerted an influence on the health yet to think the liver work normal, do not need to treat. "This is wrong! " Director Huang says, the liver compensates ability, so long as 30% of the hepatocytes are normal, can maintain the normal work of the liver, the liver work is checked and will not be reflected unusually. But probably 70% hepatocyte already fiber, namely liver cirrhosis. Go to see doctor at this time, has already missed treating time best. How to judge the person who carries virus of hepatitis B should take medicines? Yellow the intersection of filial piety and human relations propose hepatitis B person who carries virus should take, get hospital make the intersection of HBV-DNA and density, monitor regularly, if hepatitis B the intersection of virus and content in DNA exceed 10 the third power of, show, have infective, begin to take antiviral drug therapy. Meanwhile, he proposes the person who carries virus of hepatitis B makes liver color once and exceeds checking, AFP (predict the hepatocarcinoma mark) every half a year Check. The mistaken idea will not be infected with the virus to inject the vaccine two times The case 2: Have nearly 10 injection vaccine antibody of hepatitis B " Take root " Chengdu the people Ms. Hua inoculated vaccine of hepatitis B in the 1990s of last century. But later on the physical examination reveals, she has not produced the virus antibody of hepatitis B in the body. The unit organizes a physical examination every two years, if find that finds the result reveals that there is not the hepatitis B antibody, Ms. Hua reseeds on will reach the hospital ing. Regard as, stand up, hepatitis B vaccine have nearly 10 injection already, but antibody " take root " in the body in her yet . Ms. Hua can not come round to the idea a bit. "Do not produce antibodies after injecting vaccine without getting rid of someone. " Director Huang says, he has run into patient and inoculated vaccine of hepatitis B as a child, but was infected with hepatitis B and virus later, and developed into liver cirrhosis. Tragedy caused that this vaccine inoculation fails. The expert proposes: Produce antibody can change kinds of inoculation why someone is way behind the vaccine inoculation, do not produce antibodies in the body? Director Huang says, this may relate to quality of method and vaccine inoculated. If is a relation of the vaccine quality, can put forward to inoculate people to doctor and change a kind of vaccine. The method of regular vaccine inoculation of our country is dividing into inoculation 3 times, inject a stitch once. Because of the individual difference, such density is not enough for some people. "4 weeks after injecting vaccine, should carry on the detection of the antibody density, if find that has not produced antibodies in the body, can change a inoculation way, the double dosage of disposable injection, guarantee the production of the antibody. " He says. West China City Newspaper reporter Liu, intern Na's bright red is inferior to wish dawn
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