Monday, February 11, 2013

How should hepatocarcinoma prevent _'s prevention and health care

How should hepatocarcinoma prevent _'s prevention and health care
Majority know even if liver have one centimeter of tumours, all the same may climb, swimming, some different forms can not find out either.
There is symptom, seek medical advice ' it is perhaps correct for most diseases as soon as possible, but for hepatopathy, not exactly so. Because wait until presenting symptom, tumours of the liver have usually already become more than 10 centimeters long, as of the same age, often late as the papaya. This is why only have the reason of the life of 3- 6 months left when most hepatocarcinoma patients seek medical advice.
In China's history, it is the father of a republic Sun Yat-sen to die of the most famous personages of hepatocarcinoma. The father of a republic in bad health went up north to Tianjin to have a meeting from Nanjing in 1924, the health was chilly to generate heat, belly pain, all these are symptom in latter stage of hepatocarcinoma, went to Peking Union Medical College Hospital of Bei Ping to have an operation at the end of the year of the same year, verify it is really liver cirrhosis and latter stage hepatocarcinoma, depart from the world in the coming year. The father of a republic is from finding symptom to pass away for three months.
First, have the intersection of liver and bag film (just as shell and drive tangerines to see a layer of white membrane) of surface only Just have nerve, because other liver position does not have nerve, so unless the bag membrane that hepatocarcinoma infringed the skin, otherwise even greater tumour will not ache either.
Second, so long as liver has 1/5 of the normal size left, can maintain the normal function. Or will produce symptom with unregulated liver function when the liver has been destroyed 80%, for example losing the appetite, jaundice,etc.. So unless hepatitis, liver cirrhosis, hepatocarcinoma are very serious or has reached latter stage, otherwise will not ache, not there is not symptom.
The liver has no nerve, most hepatopathy patients will not feel pain, there are no other symptoms, so it should just known by checking whether the liver is good. It is important to check and seem to save systematic monitoring from damage regularly.
It is latter stage as soon as too many hepatocarcinoma patients have come to seek medical advice after has looked, whole family keep crying, the tragedy originally can be avoided, so long as monitored the liver state regularly.
However, the attitude that common people clasp is mostly ' I will not be so unlucky! ' the people that mostly seem all know thieves are numerous, but anyway never meet with thieves oneself, ignore. ' control with security system, can commit a crime thief probability minimise, Mr. Li who the department of pharmacy graduates is that B -type hepatitis brings the original ones, though there is medical knowledge, but 27 -year-old he, rely on young and vigorous, self-confident to have a big problem healthily, so has not tracked regularly. Can't just break the girl friend's requirement, join the intersection of and sieve institute hold, examine, but unexpected to find ' the intersection of albumen and number value, foetus of , ' very much high (one of the possible signs of hepatocarcinoma) in the blood ,And then the further blood vessel is taken a photograph of with the computer fault inspection, is confirmed to be two centimeters of hepatocarcinoma. After the operation last April, besides many scars on the body, things are as usual. Household made, checked, found finally the whole family was all that B -type hepatitis brought the original ones under to advertise him, the liver is checked it is normal at present fortunately.
Track regularly the clues of tumour is no doubt important, the method should be correct too, ability dies of hunger by alcohol injection, thromboembolism or the operation is cupped off when hepatocarcinoma is small like the peanut kernel.
B -type hepatitis bring getting former, C -type hepatitis, chronic hepatitis ' The enzyme GOT, GPT measuring value of liver has been for half years in succession abnormal) , the person who suffers from hepatocarcinoma of someone in liver cirrhosis, family, are all danger group of hepatocarcinoma. These people should follow the trail of a state of the liver every half a year.
In addition, going to the hospital to check regularly will remember two things:
First, liver function are checked
Liver function checks that can find out the liver but can't reveal early that there is liver cirrhosis or hepatocarcinoma at inflammation, let alone test appears and is infected with various hepatitis viruses.
Liver function is checked, mean that draws blood to check the enzyme (namely GOT, GPT) in the hepatocyte . The normal value will be different, but generally in under 40 units.
These two data can only represent that draw blood at that time, the hepatocyte is inflammation, necrosis. The hepatocyte is like necrosis, these enzymes originally existing in the hepatocyte, will go to the blood, so the measuring value will rise.
Some doctors think, GOT, GPT should be called the hepatocyte necrosis index even more. GOT, GPT can not be done for the only indicator of the quality of liver function.
In the clinic of the hospital, a lot of patients hear in latter stage of cancer, the ones that can't be accepted most are ' normal that I do liver function and check every year, how? ' but ' even already suffered from liver cirrhosis or hepatocarcinoma, it may be normal that these are checked, check not to be getting more enough liver function so only,'
But a lot of people did not understand this, thought it is normal to checked liver function, settle down.
Want, sift the intersection of detection and early hepatocarcinoma completely, except checking in liver function, should make albumen and the intersection of belly and ultra sound wave, foetus of , check permitted in the blood.
Second, foetus' albumen (A F P) in the blood
Draw blood and check foetus' albumen in the blood, catch one of the good methods of hepatocarcinoma out too, the normal value is less than 20ng/ml (each one will have some the difference to examine unit normal value) .
foetus secretes albumen only in foetus period, disappears. But the hepatocarcinoma patient does not know why start this kind of secretion function again, so the albumen value of the foetus will rise. In the blood when foetus has gratuitous protein to exceed above 400ng/ml, nearly 95% can be confirmed to be hepatocarcinoma. But about 1/3 of the small-scale hepatocarcinoma patients, the albumen value of foetus is normal, so either can't come by it only, it last hepatocarcinoma,must in addition, belly sound waves ultra, could diagnose in early days.
Third, belly exceed the sound wave
The ultra sound wave is checked and does not ache, it is short, it is just like the second stethoscope of the doctor's, can perspect liver and other belly organs. Liver cirrhosis can be checked with hepatocarcinoma out with ultra sound wave of the belly. About one centimeter size hepatocarcinoma can be checked out with the ultra sound wave. Generally speaking, hepatocarcinoma is long to three centimeters from one centimeter, it nearly takes about 4- 6 months most quickly. So if made for the first time ultra sound wave has not seen hepatocarcinoma, would shine once again 4- 6 months later, hepatocarcinoma should be still in under three centimeters, the result of treatment should be good. This dangerous group of hepatocarcinoma must do the reason why an ultra sound wave checks in 4- 6 months. Taiwanese's No.1 enemy - -Hepatocarcinoma, do not actually totally in a helpless situation have no measure in doctor's eyes, only while there is no existence of feeling it, catch it first, punish, have a chance to fully recover. So like first of liver to go medicine that buy take, but go to sift examining, understand whether it is suffering hardships? Does the hepatitis virus bully it? So long as check regularly, apprehend the murderer early, hepatocarcinoma will not be hopeless case.
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