The tertiary prevention of hepatocarcinoma is to improve the key _'s prevention and health care of prognosis of hepatocarcinoma

The tertiary prevention of hepatocarcinoma is to improve the key _'s prevention and health care of prognosis of hepatocarcinoma
Hepatocarcinoma is divided into primary and continuing taking place two kindsly, the former is malignant tumour of liver, the latter, for shifting tumour. In recent years, with the improvement in therapeutic method such as diagnosing, early treatment, complex treatment, biological treatment, liver transplantation in early days, the therapeutic effect of hepatocarcinoma, especially early hepatocarcinoma has been improved a lot, hepatocarcinoma of our country is sifted, checked to the hepatocarcinoma patient that found, its nearly 50% persons who smaller thans 5 centimetres of diameter of cancerous swelling, the survival rate is 50% in the patient's 5 after excising; The person who greater thans 5 centimetres of the diameter of hepatocarcinoma, the survival rate is close to 0 its 5. But generally, the prognosis of hepatocarcinoma is still relatively bad. So, strengthen the prevention of hepatocarcinoma and fixed monitoring of high-risk group and find in early days, diagnose in early days, treat in early days it is the key to improving prognosis of hepatocarcinoma.
First class prevention: The cause of disease is prevented
It has already proved, virus hepatitis is (B-mode and C-mode) that domestic and foreign epidemiology is studied , yellow aspergillus toxin pollutes grain and the most important cause of disease that is the primary hepatocarcinoma of drinking the water of blue green algate pollution. So, " changed water, defended mouldly, defended hepatitis " which scholars of our country put forward as far back as the seventies of the 20th century It is still a policy of guiding first class prevention of hepatocarcinoma. Prevent the going mouldy of food such as rice, corn, peanut, beans of grain, can achieve the good result in lowering the morbidity of hepatocarcinoma while drinking hygiene, safe deep well water, running water. Give to neonates and the other high-risk group are reducing the B-mode person who carries hepatitis virus, preventing the key of liver cirrhosis, hepatocarcinoma to inject vaccine of hepatitis B. There is not effective C-mode virus hepatitis vaccine yet at present, but sift in the blood donor strictly and check, should use disposable, clean and safe syringe and operation utensil, contribute to reducing its morbidity, thus reduce the emergence of hepatocarcinoma. The most important thing is in the hepatocarcinoma field that prevents factors related to the fact that hepatocarcinoma happens such as hepatitis B, hepatitis C and aflatoxin,etc..
1.Vaccine inoculation: Vaccine inoculation is most realistic with having a method of economic benefits the most, it is mainly the vaccine inoculation of hepatitis B. Study to reveal, vaccine of hepatitis B for the entire people inoculates, can reduce the carrying rate of antigen of surface of B-mode hepatitis virus from 10% to 1.3% effectively after 10 years. And make the morbidity of hepatocarcinoma obviously reduce after 16 years.
2.Treat chronic hepatitis: As to the chronic virus hepatitis patient, and the person who has antiviral treatment indication, should carry on the positive antiviral treatment. The interferon treatment can reduce the hepatocarcinoma incidence of the B-mode and C-mode virus hepatitis patient. Combine traditional Chinese and western medicine, resist fiber take, treat, can delay, block and part reverse the intersection of liver and the intersection of fiber and take and early liver cirrhosis, therefore may reduce the emergence of hepatocarcinoma.
3.Defend changing water mouldly: The fungi which produce the aflatoxin mainly grow in moist tropical zone and subtropical zone, can make the corn, peanut and other grain go mouldy, so should avoid eating these stale food.
Second prevention: Namely find early, treat early
Carry on first the intersection of child and albumen and Ultrasonography B check, contribute to, find hepatocarcinoma to chronic the intersection of hepatopathy and patient in early days regularly. Make a definite diagnosis of, should according to size, position, have shift and patient situation chosen the reasonable healing solution all over inside and outside the liver of tumour. Still think it is the most effective means that the operation is excised at present. Chemistry treat with thromboembolism and supersound lead down injection valid means that lengthen life cycle such as patient too in anhydrous ethanol or radio frequency, the intersection of microwave and treatment in the tumour through the intersection of liver and the intersection of artery and conduit. Other auxiliary treatments and complex treatment contribute to improving patient's life quality. Do the physical examination to the high-risk group regularly, in order to find early that treats early. Find early hepatocarcinoma especially in the physical examination, the hepatocarcinoma range is not big, the very serious one of liver cirrhosis strives the early operation is excised. At present, it is the most effective therapeutic measure that early surgery excises hepatocarcinoma, some perform the operation again after recuring, great majority of patients can survive for a long time like this. If find the big hepatocarcinoma or multiple hepatocarcinoma that can't excise, the first-selected one is to get involved and treat, have some patient the focus dwindle and can perform the operation and excise and then after one gets involved and treats twice. Obviously should not surgery little hepatocarcinoma to liver cirrhosis ' The diameter is within 3-5 centimetres) Or hepatocarcinoma not good of position can adopt the radio frequency and melt and treat, can also adopt some alcohol to inject. Because liver transplantation is developed in recent years, some patients adopt the same kind of allogenic liver transplantation, good news of the disease and some hepatocarcinoma patients of ending that this is hepatopathy. Superior to other methods no matter it is the life quality and survival period while being postoperative. Liver transplantation is the generally acknowledged one in the world at present to light hepatocarcinoma ' Smaller than 3-5 centimetres) The most ideal and most effective therapeutic method.
Tertiary prevention: Recover and prevent
To the unable to perform the operation or patient after surgery, strive for rehabilitation, these patients can adopt ways such as radiotherapy or Traditional Chinese medicine, immunization therapy,etc., in order to lighten the agony, improve life quality.
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