LuckCong's Health Blog

1. In the human liver in what role? A: The liver in the human body is like a huge "chemical plant." Metabolism in the liver juice production, detoxification, blood, immune, the heat generated in the regulation of electrolytes and water plays a very important role. It is the most important human organs, one multi-functional, so sick of the liver may be reflected in many aspects of the body, such as: Digestive dysfunction, caused by loss of appetite, tired of oil, nausea, vomiting and so on. Liver cell damage caused by enzymes, such as increased serum aminotransferase, and lower cholinesterase. Can be caused by fatigue, tired easily, sleepiness, and so on. Bilirubin metabolism can be caused by jaundice. Sugar metabolism can be caused by changes in blood lipid content; cholesterol synthesis and esterification in being able to cut; fat metabolism may be the formation of fatty liver. Albumin synthesis obstacles, leading to severe ascites, pleural effusion, and so on. Type of vitamin metabolism can be caused by rough skin, night blindness, inflammation of persuasion, swelling, bleeding skin, osteoporosis and so on. Synthetic clotting factor obstacles can be caused by bleeding gums, nasal bleeding and so on Hormone metabolism may be caused by loss of libido, menstrual disorders, skin and arteries to expand. Spider appeared, liver palms, dark face, and so on. 2. Route of transmission of hepatitis B virus What? A: Spread of blood-borne: accept hepatitis B virus through contaminated blood or blood products. Mother to child transmission: hepatitis B virus spread through the placenta (intrauterine transmission), or pregnant women in childbirth from the birth canal spread (dissemination of perinatal). Iatrogenic spread: medical devices, such as hepatitis B virus have been sterilized without pollution or improper handling can cause the spread. Sexual contact: sexual promiscuity, homosexuality and sexual contact between husband and wife sex life did not take protective measures. Close contact: hepatitis B patients or carriers of blood, semen, vaginal secretions, breast milk may contain hepatitis B virus may be contaminated equipment, goods and infectious. 3. Why do some patients with hepatitis will be transformed into chronic hepatitis, severe hepatitis? Impact on the health of patients with hepatitis, persistent Buyu What are the factors? A: The type of hepatitis virus infection: If you are suffering from hepatitis A or hepatitis E, in general will not turn into chronic hepatitis; if it is suffering from hepatitis B, C, D or hepatitis G, the impact of a variety of reasons, 6 months after the body was still These can not clear the virus, clinical easy to chronic hepatitis. Infected person's immune status: If the body's immune response to normal, you can clear the virus invasion, so that the body recovered smoothly. If the lower immune response (especially against the hepatitis C virus-specific immune function), low levels of interferon in the body, and in the formation of antibodies to the virus and the lack of complete inability to clear the virus, the liver cell injury sustained by, for the development of chronic hepatitis ; 5-10 years after the patients of liver cirrhosis; or even primary liver cancer 4. Hepatitis B virus infection in childhood is what the prognosis? According to epidemiological data speculated that women of childbearing age to hepatitis B virus surface antigen positive rate of 7% and 25% of the hepatitis B virus surface antigen-positive mothers from the spread; about 60% after birth from 1 -- 5-year-old at the time of the level of communication, Taken together, 85% of the hepatitis B virus surface antigen carriers, who by the hepatitis B virus infection can occur in young children during the period. In life or in the early infancy, as the body still in development, immune function in very premature to identify and remove the virus's ability to extremely weak, vulnerable to hepatitis B surface antigen carriers, but with age, the body of B Liver infection of the liver cells and the virus antigen has been detected, from immune paralysis that has gradually become functional at this time, there will also clear the virus response, some people appear on the clinical symptoms of hepatitis, testing or inspection can be found transaminase High, which was diagnosed as acute hepatitis. The process is a gradual change in the development process, but because of relatively large individual differences, some from childhood had taken place, most of them in adult later. 5. Hepatitis B positive professional candidates who limit has been reported A: According to the requirements of the Ministry of Education, College Entrance Examination candidates should be willing to carry out anti-hepatitis B surface and transaminase check. If the test results for hepatitis B surface antigen positive, but aminotransferase (A, L, T) normal, according to medical standards will be able to apply, but there are limited professional. Restricted to professional: pre-school education, marine technology, technology of flight. Specialty cooking techniques, science and engineering equipment. If the hepatitis B surface antigen negative and transaminase more than the normal individual, it is necessary to rule out the interference of other factors, such as colds, alcohol, excessive fatigue, medication (anti-inflammatory drugs, painkillers or other effects of changes in liver function drugs) and so on, we can make a review Request. On the principle of hepatitis B surface antigen-positive people in general do not go. 6. The number of patients with hepatitis in China? A: The whole world about 300,000,000 people living with hepatitis B virus. In China, there are about 2 million 100,000,000, 30,000,000 are chronic hepatitis B patients in the community movement of more than 200 each year 10,000 cases of acute hepatitis occurred as a result of my liver disease deaths each year about 350,000. One half of primary liver cancer. Hepatitis B has become a health hazard to the people of our country faced the most extensive, the most serious consequences of a contagious disease. 7. Infant by the mother caused by the spread of hepatitis B ratio of the number? Can prevent it? Answer: about 75-150 million pregnant women for hepatitis B virus carriers, such as do not take effective preventive measures, HBsAg-positive mothers of newborns born in about 50-90% of the babies may be infected with hepatitis B virus, the neonatal period Hepatitis B virus infection in 90% of those who can carry the virus long-term, the youth can be symptoms of hepatitis appear; minority in the prime of life occurred during the so-called "hidden prototype" cirrhosis or liver cancer. HBsAg-positive mothers of newborns can be genetically engineered to prevent hepatitis B vaccine immunization throughout: infants born after the injection of HBIG (high price of hepatitis B immunoglobulin), in 2-4 weeks after the program 0,1,6 muscle Hepatitis B vaccine injection, each 5μg. (Blood-borne hepatitis B vaccine each 30μg, has now been replaced by genetic engineering vaccine). 8. Viral hepatitis patients on how to proceed with medical treatment? A: Drug treatment of its principles are: 1) acute hepatitis a. Type A and E: are generally not translated into chronic, mainly in support of therapy and symptomatic treatment. According to the source may be around the drug, according to local conditions, the in-place choice of Western medicine or Chinese herbal medicine treatment, but should be careful not to abuse drugs. Pregnant women suffering from hepatitis E should be closely observed to prevent re-occurrence of liver. b. B: The real difference is acute or chronic hepatitis B acute hepatitis B, hepatitis A deal with the former, the latter according to the treatment of chronic hepatitis B (in particular anti-retroviral therapy). c. C: There are some cases of early diagnosis difficult, as soon as possible to check anti-HCV and HCV RNA, according to the diagnosis of hepatitis A deal with suspicious persons, 6 months, unless these are dealt with in accordance with chronic hepatitis C. 2) Chronic hepatitis: (including B, C, D) should be based on the specific circumstances of patients taking anti-viral and immune adjustment, the protection of liver cells to prevent liver fibrosis, such as improving microcirculation combination of Chinese and Western therapy. 3) severe hepatitis should be enhanced care, custody for close observation of the disease, liver cells continue to be taken to block necrosis, and promote the growth of liver cells, improve the microcirculation of the liver, the prevention and treatment of various complications (such as hepatic encephalopathy, brain edema, Hemorrhage, renal failure, infection, electrolyte imbalance, ascites, low blood sugar) until comprehensive measures to strengthen and support the therapy. 9. HBV markers What is the meaning? Answer: 1) HBsAg and anti-HBs: HBsAg-positive patients now show the existence of HBV infection, but are HBsAg-negative HBV infection can not be ruled out as there might be pre-S mutant gene exists. Anti-HBs-positive may have prompted the adoption of vaccination in the past or HBV infection of produce immunity, anti-HBs negative description of the HBV-prone, needs hepatitis B vaccine injection. 2) HBeAg and anti-HBe: HBeAg-positive continued to show the existence of active HBV replication, suggesting that more infectious, easy to chronic. Anti-HBe-positive continued to prompt the low level of HBV replication, HBV DNA and may have been the host DNA integration and long-term potential down. 3) HBcAg and anti-HBc: HBcAg with positive significance. Low titer of anti-HBc-positive infections in the past for prompt, high titer of anti-HBc-positive are prompted to have HBV activity of reproduction, may be low. 4) HBV DNA in serum HBV DNA positive activity have shown that HBV replication, memory, blood circulation in the HBV particles, the more infectious liver cells positive for HBV DNA has been integrated with the host DNA and down the long-term potential. 10. What are asymptomatic carriers of HBsAg? You need treatment? A: asymptomatic carriers of HBsAg is the serum HBsAg positive, but no objective symptoms of disease and physical examination and liver function, B, and so ultra-normal, in the past referred to as "healthy living", currently known as asymptomatic carriers of HBsAg, This is part of China's population accounts for 10% of the population -15% of people can not be engaged in addition to blood donation, preschools and Yin Fu industry, as usual can work, study. At present, no treatment, but bearing in mind the following: 1) a reasonable nutrition. 2) Do not fatigue: in general, can learn. 3) Jijiu, Jiyong all drug liver damage. 4) maintain a happy spirit. 5) reviewed on a regular basis: 40 years of age are not more than 6 months, no more than 40 years of age 3 months. Review projects, including liver function (including GT), B-chao, a fetal ball (AFP). To see if there is no hepatitis, liver cancer appear. Although some patients have normal liver function, but still in the development of liver inflammation. Therefore, one can not check liver function, but must be combined with B-ultrasound, both of which continue as normal to continue to be observed. Once the two unusual that hepatitis is still evolving, it must be in accordance with the above-mentioned treatment of chronic hepatitis. 6) drug: temporarily without treatment, antiviral drugs on liver function in patients with normal results than on the effect of abnormal liver function, as a result, such as abnormal liver function when they re-use. This is because the abnormal liver function is often said that the body immunity to the virus have launched attacks to clear the virus in a period of time in the application of anti-viral effect will be better. 11. Hepatitis B surface antigen carriers should pay attention to the following: A: 1) can not be blood donors; preschools and can not engage in the work of Yin Fu. 2) In the parts of the body of a minor injury, inflammation of the skin or epistaxis when dealing with their own as far as possible, yet at the hospital before treatment, family or colleagues to accept the deal, as far as possible to prevent the blood and secretions and contact with others; 3) special razor, toothbrush, and other daily necessities, the loan can not be shared with others; 4) of milk to feed young children can not be directly mouth kissing or food; 5) deal with the period after the application of mobile hand-washing water for 10 minutes to burn paper to deal with menstruation; 6) urine, feces flow of water washing after a few minutes. If more attention to the matter, the family living habits do not change the need and has no need to limit the general activities of daily living and work, but it should be accepted on a regular basis (3-6 months) inspection. Middle-aged should do after the ultra-B and AFP (AFP) regular inspection. 12. Hepatitis patients on the proper rest and nutrition reasonable? A: Adequate rest In the current treatment for hepatitis, no drug effects, the rest is the most appropriate treatment measures. Suffering from acute hepatitis, should be "quiet". In general, many doctors advocate bed rest for a period of time. This is because bed rest, you can reduce the physical consumption, but also increase the liver's blood flow. The experiments show that bed rest when the blood flow, than to stand, 40% per cent more. Therefore, bed rest, to ensure the regeneration of the repair needed nutrients. The better to rest, his condition is improving faster, more complete. If the patient began to have symptoms of jaundice, when jaundice subsided, the symptoms improved significantly after a day of activities to get up to 12 hours, but patients should not feel the fatigue as the least. , Along with the gradual improvement of the condition, growing activities, we must not grasp the degree of fatigue. However, after a meal or to stay in bed for 12 hours. In the recovery period, the patient's activity can be increased, it is necessary to "move, step by step." It was not until the symptoms disappeared, normal liver function examination, the patient will be able to carry out a certain period of time every day of the exercise. These training activities to a small amount, such as a walk, play tai chi, qigong Lian Lian. So after one or two months of close observation, his condition has always been stable, normal liver function, the patient can return to work. A half-day start, a gradual transition to full-time work. However, even if it is to restore the Quanri Ban should also avoid the intense physical activity, to engage in mental work, have to be careful not to overwork at the same time to ensure adequate time for sleep. Reasonable nutrition In the deployment of a reasonable diet, with the rest, hepatitis is an important treatment. Hepatitis patients want to eat eat, but should not blindly pursue the "three high and one low" (referring to high-sugar, high-protein, high vitamin and low fat) diet. Or eat some fresh vegetables and fruits as well. Some patients had hepatitis, desperately sugar, so to say, "the liver." In fact, this is a misunderstanding, because too much sugar, can lead to fatty liver, hepatitis add to the original lesion. In addition, too much sugar, invisible in the liver and pancreas to increase the burden on the body so that the occurrence of glucose metabolism disorders. Protein is not too good. This is because the protein into the human body, will increase the burden on the liver. Some people got hepatitis, in particular, fear of fat, greasy food is not Ganchi, this is not good, fat is an important source of energy for the human body, low fat the body can not meet the needs of patients