Third in hepatopathy ---'s prevention and health care of third liver

Third in hepatopathy ---'s prevention and health care of third liver
This one at virus hepatitis " The big family " China, hepatitis C ranks the third, by the C-mode hepatitis virus (hcv) It is caused that infected with. According to monitoring the investigation result to 31 provinces and cities in our country, the infeted of third liver virus account for 3.2% of total population.
Third the intersection of liver and most common the intersection of spread and route use the medical equipment polluted ' Syringe, the intersection of acupuncture and moxibustion and needle, tattoo stitch, have the utensil had tooth pulled out,etc.) ,Also probably propagate through the contact of sex and mother-to-baby transmission. It is reported, in hepatitis caused after foreign blood transfusion, once more than 90% have been third liver. Our country is after supervising blood transfusion and blood products effectively, third liver that blood transfusion caused has already dropped greatly.
Acute third liver is having illness coming on early symptom is similar to hepatitis B, but relatively light. Usually present in 2- 24 weeks after infected with hcv the appetite fails, tired, it dyes, urinates symptoms such as deep yellow,etc. that the skin sclera is yellow. Test finding liver function unusual, bilirubin of review seminar and rise etc.. If infect for over 6 months, is called chronic third liver. Because the infeted of much third liver have slight symptom and even have no symptom, will often be neglected by the patient. So, the person that the following situation appear: Have ever accepted blood transfusion or blood products, have drugs history of intravenous injection, medical worker who often contacts the blood, once have third liver patient etc. in the irregular clinic injected medicine or having tooth pulled out or family, if present the above-mentioned symptom, then should check third liver besides checking A, hepatitis B.
The third liver one be lasted virus serology definite diagnosis check,including third liver virus antibody (resist - hcv) With third liver virus ribonucleic acid (hcv-rna) . Resist - hcv positive existence that reflects hcv infects; And hcv-rna contributes to further making a definite diagnosis of, because it not only judges the direct evidence that hcv infects, also reflect virus duplicating and infective direct indicator, make a definite diagnosis of the value and function against virus therapeutic effect of assessment.
If has not found in time and treated correctly after infecting hcv, more than about 80% of the patients will develop into chronic third liver. Most conditions make little progress, can last more than 10- 20 years, it is difficult to be noticed by the patient. Among them some patients will develop into liver cirrhosis, a few further develops into hepatocarcinoma. So, acute and chronic third liver patient should treat actively, in order to control the development of the condition.
First of all, want appropriate rest, rational nutrition, diet, taboo to drink, use hepatoprotective etc. rationally, these are common treatments of all virus hepatitis. Secondly, should carry on the antiviral treatment as soon as possible, like treating hepatitis B, the antiviral treatment is therapeutic key of third liver too. Acute third liver carries on the antiviral treatment in early period, can help to prevent developing into chronic third liver. Chronic third liver can inhibit the virus from duplicating, lighten inflammation and fiber in the liver after antiviral treatment, it is depleted to delay or block the condition and develop into liver cirrhosis, hepatocarcinoma and liver.
It is interferon of to be used in the only effective medicine of antiviral treatment of third liver at present. That use extensively is to recombinate people interferon 1b, 2a and 2b on clinic. 1b interferon which our country developed, produced by oneself, it is the same to import interferon its curative effect and foreign countries, interferon, 1b of , use extensively at clinical our country already.
Third the infeted, virus of liver, if serum resist and hcv positive, serum alt will rise at the same time(besides other reasons) Or it verifies the liver is organized there is obvious inflammation, should use interferon of to treat as soon as possible that the liver is worn. Interferon of 30 generally each time- 50 microgram ( 1b interferon) ,Or 3 million unit ( 2 interferon of ) ,Once a day in the first month, once of the next day later, the cover plays intramuscular injection. Acute third liver course of treatment is 12 weeks, chronic third liver course of treatment is 12 months. According to the needs of condition, can lengthen the course of treatment. Can adopt and unite the treatment too, jointly treat and can improve curative effect on condition that choose meeting the card. The most common one is to unite the virus thiazole treatment, while using interferon of to treat, daily oral virus thiazole 1000- 1200mg, the course of treatment is 6- 12 months.
Because does not have third reliable liver vaccine that can be used at present, seem very important to strengthen the self-protection. In non- essential cases, try hard to reduce blood transfusion and use the blood products; Avoid contacting the blood and other humoral that may be polluted for third liver virus, wear gloves at the time of necessary contact; Do not share syringe, toothbrush, razor,etc. with others; Use the completely disinfecting utensil while going to a doctor or improving looks; Avoid the not clean sexual behavior or recommend using the sheath etc.. In addition, infect hcv person go to a doctor dentist or other while checking, should inform doctor about the condition already, in order to take the appropriate safeguard procedures; Already persons who can't be regarded as the blood supply of the infeted.
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