Thursday, January 24, 2013

Can't only see the unit price of medicine to save money in hepatitis B treatment Should intervene in early days

Can't only see the unit price of medicine to save money in hepatitis B treatment Should intervene in early days
The hepatitis B treatment is a protracted war, appraise the cost performance of the medicine to see and benefit for a long more time Before the the intersection of patient and treatment, treat, neutralize, want, follow up a case by regular visits to regularly the intersection of hepatitis and patient take the intersection of shell and food and fish, grow treat, it is an eternal topic that daily life should prevent the overtired hepatitis B treatment, especially the morbidity of this kind of hepatitis B is up to 12% of the large provinces of hepatitis in Guangdong. Then, how hepatitis B treat the just most effective, most economic? The reporter came into the largest hepatopathy in Guangdong Province and treated the base a few days ago - -Three courtyard infectious disease departments Zhongshan, canvass a series of topic of hepatitis B treatment with five famous experts of this department together. Gao ZhiLiang: 12% of the Guangdong of morbidity is still the large province of hepatitis B In the past ten years, with the popularization of vaccine of hepatitis B, the new infection rate of hepatitis B of our country has already dropped to some extent, but the morbidity situation of hepatitis B allows of no optimist. According to the introduction of good professor of high will, the whole country of morbidity of hepatitis B is 7.18% at present, Guangdong Province is 12%. And are only the infectious disease departments of three institutes of Zhongshan, hepatitis B is in hospital a patient is more than 3000 in one year, the out patient is about 140,000 even more. Gao ZhiLiang's speech of smiling: "We can say China is a hepatitis big country, and the large province of hepatitis in Guangdong. " And at the time of the question of mentioning hepatitis B is being discriminated against, the high will is good to think, the main reason causing hepatitis B to discriminate against, first, a lot of people do not understand the knowledge of hepatitis B very much, think hepatitis B very terrific. Anxious can have a meal together, in fact very in the guide to hepatitis B clearly writes, have a meal and does not infect hepatitis B together. In addition, a lot of units advertise for workers, hepatitis does not need, this is caused by understand the knowledge of hepatitis Bing too. Deng ZiDe: Hepatitis B treats the goal " Pair is up to standard " Mentioning the hepatitis B treatment, a lot of people think this is a thing not stopping, think that " once buckles the cap of hepatitis B, can't get rid of all the life " . Is the fact really so? As to this, Professor Deng ZiDe points out, in fact there is clinical treatment goal in the hepatitis B treatment. Two indexes are very important that among them have, the first is the level of hepatitis B and virus DNA, it reflects the virus duplicates the main index. Another one whether big three male genital that we speak often turn little three male genital, call the intersection of E and serum of antigen, change at the medical science. Various antiviral medicines in the present stage, better to E antigenic result that there are some medicines, like interferon, some mainly inhibits ability to hepatitis B and virus DNA strongly, like the nucleoside medicine. "Use these medicines correctly, let the patient reach good virus inhibition, let E antigen turn overcast at the same time, it is the most ideal state. " Doctor will make reasonable choice according to condition of patient, let patient within relatively shorter time, realize E antigen is turned overcast to transfer to overcast and hepatitis B and virus DNA, that is to say " pair is up to standard " which people often say at the same time . High rain field: Hepatitis B should insist on following up a case by regular visits to before and after treatment Hepatitis B is treated except realize " Pair is up to standard " ,Following up a case by regular visits to regularly before, in, after treating is very important too. The high rain Professor Tian points out, hepatopathy does not have any symptom under a lot of situations. When most patients really feel uncomfortable, for example appear jaundice or go hospital to be often too late when being very tired. High the intersection of rain and field emphasize, have against virus treatment patient need, follow up a case by regular visits to at the beginning, needed following up a case by regular visits to in the antiviral course, should follow up a case by regular visits to too after medicines stopped. He tells reporters, hepatocarcinoma happens to the patient to follow up a case by regular visits to to find successively it some these two or three years, but these patients are very lucky, because this institute follows up a case by regular visits to the system fixedly, for example the liver function of three months to half years is checked, Ultrasonography B once every half years, hepatocarcinoma found now is small hepatocarcinoma, the result after treating in early days is very good. In addition, more patients pass and follow up a case by regular visits to, adjust the healing solution against virus medicine in time, have avoided being able to bear the production of the medicine phenomenon. Zhao ZhiXin: It is that the most economical method needs fighting to intervene in early days for a long time because of the hepatitis B treatment, a lot of patients especially value and treat the expense question. Many people are staring at the price of the medicine once beginning to treat, some people even because medicines stop midway in economic reason, cause the condition to be repeated. For this reason, new professor Zhao Zhi emphasizes in term of the doctor's angle, how to let the patient's treatment expenses be more economic, consider from the following aspects: First, whether the patient's treatment is a specific treatment. There are antiviral treatment and other various therapeutic method in the chronic hepatitis B treatment. If the patient meets the needs of disease antivirally to treat, should choose the antiviral treatment, so can spend the effective expenses on treatment that needs most. Second, chosen the respect of the therapeutic medicine, doctors should do an overall assessment for patients. Which medicine is suitable for patients, the medicine choosing the cost performance to be supreme from the point of medicine economics. Patient can't evaluate only according to the unit price of the medicine, should see how great the benefit that can bring to patient is, and should assess prices through being benefited for a long time. Third, advise patients to standardize the treatment. For example exhort patients to take medicine on time, avoid being able to bear medicines, once will raise the expenses to produce when able to bear medicinesing. Fourth, the fixed check of advising patients to standardize. The most important thing is that finds whether there is progress in disease in early days, or monitor and able to bear medicines, and deal with in early days, so can reduce the expenditure of the back-end hospitalization cost. The fifth, at present, our country has a lot of policies such as medical insurance on hepatitis B patient, can help to join sponsors and save a large sum of expenses. In addition, the large many hospital will have research of some clinical new medicines, the patient with more difficult economy can participate in and try medicines. Xie DongYing: The hepatitis B patient should not excessively nourish but in the hepatitis B patient's daily health care, Professor Xie DongYing has proposed the following several suggestion: Unless first, burden it last liver,it want, take easy to be digest, getting greasier too and food get angry. Second, the food wants the clean hygiene, eat little shell's food. Mainly prevent infecting, for instance, it initiates the bile duct to infect very easily that the intestine are infected, and then influence the liver, this is an important reason causing patients to be in hospital. And shell's food is apt to hide other hepatitis viruses, such as hepatitis A and virus and fifth liver virus, if has overlapped these two kinds of virus on the basis of hepatitis B, it is apt to cause hepatitis and serious disease, even present liver function depletedly and death. Third, don't take fish, grow, have liver fluke inside fish give birth to. Fourth, the hepatitis patient don't excessively nourish during moving about in condition. The fifth, it is overtired to prevent. It is often hepatitis activity or a most important, most common risk factor that the condition becomes more serious to be overtired. (Li Heng)

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