The hepatitis B patients' five is perplexed big
Recently, aim at transmitting the preventive treatment knowledge of hepatitis B, promote the famous healthy website " the family doctor is online " that the hepatitis B patient exchanged with expert Have initiated one " The hepatitis B patient is puzzled " Network survey and study. Attract more than 70,000 persons' concern altogether, vote online in 2350 people participation. Finding reveals: 15. 78% of the networks vote and point to " Able to bear the medicine question " ,The first of making it become hepatitis B patients the five puzzled, other four items are successively: " reach any indexes and stop medicines " (12. 55%) , " the meeting influences entering a higher school and employment " (10. 68%) , " I think the people around are carrying the tinted glasses and seeing me " (10. 39%) , " whether disease will develop hepatocarcinoma " (9. 44%) . Being able to bear medicines can be prevented for perplexing " take the nucleoside medicine for a long timing of patients, be able to bear medicines? " ,Associate professor of treatment Yang Min introduced, ten years ago, listing definitely of of antiviral medicine Lammi of first hepatitis B, have raised the important page one of hepatitis B treatment. But because of the intersection of medicine and limitation of itself, patient able to bear medicine take, for a long time issue of common occurrence. With the introduction against virus medicine of hepatitis B of some innovation, the hepatitis B patient has more treatment choices. And with the constant popularization of the knowledge of hepatitis B, a lot of patients have already realized the severity able to bear the medicine problem. Have already possessed the potent and low healing solution which has been able to bear the medicine incidence too on clinic at present, a lot of doctors will consider choosing such a medicine while treating for the first time, thus improve curative effect, prevent from being able to bear the emergence of medicine. All listing nucleoside take orally in the antiviral medicine at present, kindness able to bear medicine for the intersection of card and Wei genetic protective screen most high, able to bear the lowest medicine incidence. Does the clinical test data indicate, does nucleoside manage a patient and use the rich way to book for the first time? (kindness take the place of the intersection of card and Wei) Treat for five years, the quantity in year of virus of 94% of the patients can be dropped to can't examine competence ( lt; 300 copy / ml) . Kindness able to bear medicine six year for the intersection of card and treatment Wei rate 1 only. 2%. European hepatopathy learn latest hepatitis B treat guide and latest U.S.A., digest, learn hepatitis B treat in the norm giving a recommendation for the intersection of hepatitis B and a gleam of administration of treatment kindness for the intersection of card and Wei. Park inadvisable medicine by oneself for puzzled to park medicines, in fact it is pointed out clearly that " Chinese hepatitis B treats the guide ": As to HBeAg positive chronic hepatitis B patient, while treating for one year, for instance, HBVDNA can not find or is lower than measuring lower limit, ALT often replies, HBeAg turns overcast but not resists - HBe person, propose continuing using medicine, until HBeAg serology is changed, through monitoring it twice (at intervals of 6 months at least each time) ,The persons who still maitain unchanged can stop medicines. HBeAg negative chronic hepatitis B patient confirm, treat for terminal while being difficult, so, should treat and change to S antigenic serum, the recuring rate of this kind of patient was high after otherwise medicines stopped. Associate professor of treatment Yang Min points out, it is not all patients that can reach and stop the indication of medicine, have not reached the demand of stopping the medicine standard and taken medicine for a long time. Some patients are because of various reasons, medicines stop without authorization, either increase or reduce and take the dosage without authorization, very dangerous like this, extremely apt to cause the condition to be repeated, even worsen, and then accelerate the progress of disease. The patient should have psychological preparation, the treatment of hepatitis B is a long-term course. This need medicine patient select for use not merely potent able to bear medicining or able to bear little medicine by long term administration, and very safe. In addition, the patient should insist on treating and taking medicine, must guard against acting on one's own under the doctor's suggestion. It is transferred to a lot of hepatitis B patients that the process of hepatopathy is reversible often the worry will develop into hepatocarcinoma and liver cirrhosis in the course of disease. Associate professor of treatment Yang Min thinks, studies to verify, inhibit hepatitis B and virus through the administration potent and lastingly at present, can well help the patient to lighten inflammation, improve even reverse the fiber. Has associate professor of treatment Yang Min also recommended the rich way to book? Global long-term histology is studied, the result reveals nucleoside cures a chronic hepatitis B patient and uses 0 for the first time. Is 5mg rich way booked? Treat after the 6 year, 96% the intersection of patient and the intersection of liver and inflammation lighten obviously, 88% the intersection of patient and the intersection of liver and fiber take, fail obviously, the liver cirrhosis patient's liver fibers are improved to some extent in all later period. These data have brought hope and confidence to vast chronic hepatitis B patient. Work along both lines, hepatitis B lives easily to discriminate against the question while surveying and studying by this network too a patient compares centralized puzzlement, this is the hot question that the social each side pays close attention to too at the same time. To this social concern, this Spring Festival, Ministry of Public Health, Ministry of Education, human resources and social security portion release jointly Notice>>. Define the responsibility of employing unit, educational institution, medical health organ from the aspect of state policies in purpose of this article, strengthen government's supervisory function, strengthen, enforce the law, check, improve feasibility and practicality of the policy, it is wider to make the rights and interests of person who carries antigen of surface of hepatitis B safeguard the range. In addition, in newer national medical insurance catalogue at the end of 2009, the antiviral medicine of many kinds of hepatitis B has already been included in the range of submitting an expense account in the medical insurance. This will further lighten the financial burden of the vast hepatitis B patient. For example whom preceding paragraphs mention able to bear the intersection of medicine and the intersection of incidence and low kindness, already for the intersection of card and Wei enter Jiangsu successively too, the local medical insurance of provinces such as Fujian, Hebei, Jiangxi, Yunnan,etc., this will let more hepatitis B patients benefit from treating for a long time. Associate professor of treatment Yang Min hopes patients put down the psychological pressure, as the various circles of society pay the hepatitis B patient's paying close attention to the fact, understanding and helping to increase day by day, and safe potent antiviral medicine such as kindness take the place of the intersection of card and entry medical insurance of Wei, more hepatitis B patients can benefit from treating for a long time. To hepatitis B patient, will cooperate with the doctor's treatment actively even more, in controlling the foundation of the condition lastingly steadily, set up and consolidate the confidence opposing hepatitis B for a long time progressively, pursue better life quality, will come back to live easily as soon as possible.
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