LuckCong's Health Blog

"I Huanyi Gan, did not rule that their conditions can be improved, and this is why?" I met a number of patients with hepatitis B told me about this issue, they really had chronic hepatitis B patients, abnormal liver function, or transaminase High over the upper limit of the normal 2 to 4 times, have been treated. But a lot of money, there is no obvious effect, simply fit what the drugs do not have to. Strange to say, do not use it after the condition improved significantly, the number of liver function tests, transaminase are normal or near normal. Several friends have spread hepatitis B treatment useless, or even really listen to their patients, is to take the anti-HBV drugs has been stopped, or just taking care of some drugs, such as spirulina, propolis, royal jelly , Ganoderma lucidum, nucleic acid and so on. The treatment of chronic hepatitis B does not really improve it? Why turn for the better? Died of hepatitis B work? Now let's talk about these issues. Chronic hepatitis B without treatment or drug may turn for the better (in fact ease), which is an objective fact, the experts believe there are several reasons as follows: First, a longer course of chronic hepatitis B patients are eager to treat the psychological and often is "hate disease medication," are eager to strive for full recovery, some doctors for the purpose of the pursuit of economic interests, so that more patients with drug use, drug use precious . We understand that patients with chronic hepatitis B to the beginning of my administration for the former Department, 85% of patients spent more than 10 types of drugs, 13% of the patients used the drug 5 to 9, only 2% of the patients used 3 4 Drugs , And none of the patients following the application of 2 drugs. In hepatitis B patients, the use of Chinese and Western medicines as many large amount of extremely shocking. In these drugs, especially some of the compound of "pure Chinese" agents, complicated, and most of their metabolism in the liver, the liver can not help but long-term toxic, so transaminase rise, causing drug-induced liver disease. At this time faced up to the patients, these drugs stopped. In that case, drug-induced liver disease may reduce or alleviate it is not surprising. We are acutely aware, a young monk of the hepatitis B is very serious, in-patient before and after application of a lot of drugs, disease-free improvement. Later in his master and the Friends of the Buddha took to persuade the next discharged, stopped all drugs, and both sexes are all burning incense for him, bless the gods for help. Can not think of 2 months after his rehabilitation like magic, and our hospital to show "the power of God." This is the excessive use of drug-induced liver injury, drug withdrawal in remission after a typical example. Second, chronic hepatitis B virus infection of Natural History, the infection process can be divided into four phases, the first phase of immune tolerance. At this time, although hepatitis B virus replication in the body, but the basic liver injury-free and become asymptomatic carriers of hepatitis B virus. Second, the removal of immunity period. Then the body's immune function began to clear the hepatitis B virus, to remove the virus when the liver cell injury, so transaminase increase the performance of hepatitis patients. Third, the immune conversion period. Patient E antigen in the blood (HbeAg) natural negative, hepatitis B virus nucleic acid (HBVDNA) or less measured at a low level, normal transaminase. Fourth period of immune escape. For the performance of the E antibody (anti-Hbe) positive, HBVDNA high level of aminotransferase increase, the disease again. The experts pointed out that the second phase of the immunization is clear, given antiviral treatment is the best time to get good performance. However, some of the hepatitis B untreated, may also be a natural transition to the third phase of the conversion period that is immune. At this time of the hepatitis B virus replication ability, E antigen (HbeAg) negative, normal transaminase, so do not stop taking the medication or the emergence of hepatitis B may be the greatest ease into this phase of the natural turn for the better. However, once the disease may be rapid deterioration of the fourth, and substantially increased transaminase, in this rare disease during the natural ease, patients should not eat or treatment of the bitter fruit of a random drug. Third, the hepatitis B virus infection in the second phase of the immune clear that period, although there are obvious viral replication and liver damage, but can occur during the natural ease. In other words, chronic hepatitis B patient's condition is not always shown a worsening of the situation, do not interfere with the drug may also reduce the performance as "good Huaihuai" As a result, it is very common. Hepatitis B patients with liver injury must be 2, first, active hepatitis B virus replication, and the other is the involvement of the body's immune function, are indispensable. Only hepatitis B virus replication of the virus and then more lively, but the virus of the liver cells do not produce toxic effects and will not constitute a hepatitis B liver damage, must be involved in the body's immune function. The function of the body's immune mechanisms involved in very complex, is still not clear until, subject to many factors and the impact on the immune function of certain changes in liver damage may reduce or increase. To sum up, despite not stop after the treatment of hepatitis B or may alleviate the fact that, but it can not become a "hepatitis B can not cure". In fact, no matter whether a turn for the better, no matter whether mitigation, are temporary or an accident, not a sure thing. As long as there is the hepatitis B virus replication, as long as the body's immune function exist, the disease may attack at any time there is even the possibility of deterioration. We have been a show of "non-disease drugs like the" friends of hepatitis B, now the "sick recurrence," the condition is also heavier, in his words: "Hang me suffer hepatitis B, hepatitis B have a false impression I was deceived by it, ah, I should not give up treatment. "Listening to his words, patients with hepatitis B and friends should not learn from it?