The hepatitis B treatment stores four mistaken ideas Don't pursue tables to resist blindly " Turn overcast "

The hepatitis B treatment stores four mistaken ideas Don't pursue tables to resist blindly " Turn overcast "
The theme of day this year of hepatitis of world is that " this is hepatitis ". On May 6, credit of hepatopathy of Chinese Medical Association is known to honorary General Board, brightness professor in the village of academician of Chinese Academy of Engineering, Chinese hepatitis prevent and cure king, Vice President of foundation, encourage professor and the intersection of PLA man and 302 head of the department of hospital hepatopathy Zhang HongFei Professor, act as a guest Sohu's interview, three expert point out the public have, know the mistaken idea while being a series of to chronic hepatitis B, if does not abolish, not merely influence the physical and mental health of the hepatitis B patient and person who carries virus, also influence hepatitis B of our country to prevent and cure the long-term development of the undertaking. The mistaken idea one: Will be infected with the infeted's contact of virus for the end of last year, " hepatitis B measures the project to cancel entering school and obtain employment in the physical examination " Not totally terminating long-standing hepatitis B to discriminate against, some people thought by mistake that worked, had a meal and infect together. The brightness academician in the village emphasizes again: Hepatitis B and virus are propagated mainly through blood, mother and baby and spread through sex intercourse. General daily life keeps in touch, for example have meal together, work together, will not spread. The mistaken idea two: Chronic hepatitis B is sure to spread among mother and baby " the hepatitis B mother will bear the hepatitis B baby " Have become the secret worries of a lot of families. The brightness of village is pointed out, if mother is a chronic hepatitis B patient, should accept the antiviral treatment actively, more pregnant after the condition is controlled; If mother the intersection of hepatitis B and person who carries virus, need antiviral to treat right away very pregnant, but should strengthen and follow up a case by regular visits to. Should strengthen neonates to protect while giving a birth, inject hepatitis B and immunoglobulin (Ig) and hepatitis B vaccine immediately after being born in, can reduce and infect the risk greatly, cut off mother-to-baby transmission. The mistaken idea three: Pursue the superficial antigen blindly " Turn overcast " It is a lot of patients' dream that the virus surface antigen of hepatitis B turns overcast. HongFei Zhang say long-efficiency interferon wait for medicine contribute to, raise, turn overcast proportion really at present, but can only help about 10% of patients. It is unnecessary to pursue and rotate overcastly blindly, it is the just most important to be antiviral. She further says, realizes the surface antigen of virus turns overcast just as gains " gold medal " ,Can in fact gain " The silver medal " Also very good. To positive patient of e antigen, the silver medal realizes e antigenic serology is changed (namely three big male genital transfer to three little male genital) . This can reduce the risk that a patient will get liver cirrhosis, hepatocarcinoma in the future greatly. The mistaken idea four: Hepatitis B must treat all the life " in more than ten years in the past, hepatitis B has treated progress very fast. " Zhang HongFei says, the greatest break-through is an antiviral treatment. She says, the rational healing solution should be a limited course of treatment, namely can realize and stop medicines to treat for some time, and the condition is not repeated. Take positive patient of e antigen as examples, the condition of the limited course of treatment is that the virus DNA is negative, it is changed and e antigenic serology happens, it is about hopeful to stop medicines to insist on treating again hereafter in one year. The newest clinical data that the Asian-Pacific hepatopathy annual meeting is released reveal this year, for being more obvious than the is fixed on the advantage of this respect. In order to treat 4 years more definitely than the, it was 54% that patients added up to the serological conversion ratio of e antigen; And take the place of the patient that hepatitis B and virus DNA detection are less than comparing with the time when the treats for 24 weeks more definitely in accepting, the serological conversion ratio of accumulative total e antigen in 4 is up to 66% especially. The person who carries virus of hepatitis B of our country has 93 million, are almost 300,000 and die of relevant diseases such as liver cirrhosis, hepatocarcinoma,etc. each time. Wang encourages to say finally: "We should talk ' this is hepatitis B ',too yes say ' this is not hepatitis B ' in order to help the public, especially hepatitis B patient to go out of the mistaken idea, receive treatment actively. " (Jiang DaHong)

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