Easily infected with hepatitis B risk behavior!

Posted on October 28th, 2009 in liver | No Comments »

As we all know, blood transmission is the most important means of hepatitis B infection. Here are infected with hepatitis B several possible actions:

1, with hepatitis B virus has been contaminated needle punching tattooing or body, such as wearing earrings.

If the needle to the front of a person used, but in front of that person happens to be the hepatitis B virus carriers, some after the use of small, irregular medical clinic, or cosmetic surgery to have no regular disinfection, when used with a needle to the next When a person with the virus can be brought into the body of the next person.

Small, one has a Toutongnaore, my mother dragged us to the squalid village to a small clinic acupuncture, then where do not know what disinfection sterilization, infection is not contagious, they saw the mysterious Xixi old Chinese medicine, pins to this person over, take a cotton ball at the pin on the alcohol carelessly wipe, the next person on the You Ji acupuncture, and now think I do not know how many people infected by this acupuncture to the hepatitis virus or other viruses. Fortunately, people are now self-protection consciousness is increasing, the majority of the regular large hospitals are using disposable acupuncture needles had. But I worry that there are many people who rely on the survival Kengmengguaipian continue to harm anyone.

2, with others (with the virus people) shared razors, toothbrushes and other personal items may carry traces of blood.

Razors, toothbrushes, etc. after the use is likely to have residues above the blood, although the negligible amount of blood on the naked eye can not be found, but the virus load is sufficient to infect other people.

3, with people sharing needles, especially intravenous drug users sharing needles, people.

Intravenous drug users sharing needles is not only a mode of transmission of AIDS, but also hepatitis B, hepatitis C virus infection and other chronic way, which is why AIDS patients tend to merge more than a viral infection, often HIV / HCV co-infection, that is, AIDS and C liver virus, or HIV / HBV, namely, AIDS and hepatitis B virus infection.

4, unsafe sex or multiple sexual partners.

Sexual intercourse with infected person must take a good condom, only then possible to avoid infection. Condoms can protect you from HIV infection, but also can protect you from hepatitis B virus and other sexually transmitted infections.

Therefore, in order of their health, in addition to hepatitis B vaccine injections, the daily life should be easy to avoid infected hepatitis B virus behavior.

Hepatitis B is liver cancer the biggest killer!

Posted on October 28th, 2009 in liver | No Comments »

Jiucheng liver cancer patients have a history of hepatitis B, hepatitis B who suffered more than other people suffering from liver cancer risk of up to 10.7 times, hepatitis B virus carrying the risk of people suffering from liver cancer is a healthy 6.37 times the population! Why is hepatitis B the virus is apt to cause liver cancer? recently with “viral hepatitis and hepatocellular carcinoma in Asia,” as the theme of the 17th annual meeting of Asia-Pacific liver disease, China, South Korea, Japan and Australia, the Asia-Pacific region a number of liver disease prevention and control experts and scholars opened this “mystery.”

Patients: Treatment of non-standardized liver cancer hepatitis B changed

A seven-point knowledge about hepatitis B HBeAg

51-year-old Mr. Zhang Huan Yigan for 12 years, long-term use of certain drugs, he happened resistance, resulting in a rebound condition. Most recently, he because the company’s business continuity travel, entertainment, feeling tired, liver pain, hastened to the hospital for examination, the doctor says with resignation that has been advanced liver cancer, missed the best time of treatment … … It is understood that, like this case is not uncommon, because the treatment was not standardized, combined liver and neglect their own health, many of hepatitis B patients unknowingly “hit”, hepatitis B become liver cancer, died in the tragedy of the young elite frequent.

Experts say that 90% of liver cancer patients have a history of hepatitis B, hepatitis B virus persistent infection is the main reason for liver cancer. These patients have the following roughly the same performance: Laboratory examination of “HBeAg” or “Xiao Sanyang,” liver function was normal; liver cancer before the disease was found hiding, no obvious symptoms, not even any signs of liver discomfort … … this performance to the patient both struck an urgent alarm: hepatitis B patients to the hospital in time if not standard treatment, may be just one step away from liver cancer away!

Expert: many kinds of drugs should be chosen carefully

“Scientific and standardized treatment is effective in preventing hepatitis B into the key to liver cancer. Hepatitis B need individual therapy, medication, doctors also need to adjust anti-viral therapy.” At the 17th Asia-Pacific Liver Diseases annual meeting, experts said, has been developed out of anti-HBV drugs, has formed a nucleoside (acid) analogues, long-acting interferon in two major categories of drugs to choose from. Recommendation: Medical: Hepatitis B treatment “road map”

Types of drugs increase in the face of the situation, experts believe that patient selection should be cautious, 2007 edition of “Hepatitis B Prevention Guide” is an international art in the fields on the treatment of chronic hepatitis B diagnosis and treatment of regulatory guidance documents, with a high reference value. “Guide” recommends that, for nucleoside naive patients, treatment is started at a preferred anti-virus capability, low rates of drug resistance, and shall ensure compliance of medication, thereby reducing the incidence of drug resistance. Choose from based on the best evidence-based medicine supported by evidence, taking into account also the burden of drug prices and cost factors, differences in the way (such as medical insurance, at their own expense, etc.).

Well-known liver expert, Shanghai Huashan Hospital, Professor Xin-Hua Weng pointed to the need to recognize is that “If you want anti-virus capability, but also to take convenience, drug resistance rate is low, toxic side effects and the price is very cheap, such an ideal drug , and now there is no market. ”

Reminder: Hepatitis B liver incentive to become open to the public

If you are infected with hepatitis B virus, or a doctor declared that you are a hepatitis B patients, we must bear in mind the following 4 points away from the risk factors, in order to stay away from liver cancer invasion: 1. Drinking. The long-term drinking of the hepatitis B surface antigen-positive people can promote the occurrence of liver cirrhosis or liver cancer; 2. To eat rotten oil. Well-worn animal and plant oils are toxic and may cause cancer; 3. To eat moldy food. When they find food, oil, dairy products contaminated with mold is prohibited for human consumption; 4. Unchecked. Hepatitis B patients and their families regularly to the hospital for routine examination, periodic review of serum transaminase, six months to once a year, “two pairs of semi-”, do a fetal-fetoprotein, b super-annual inspections. Otherwise, left unchecked, persistent infection of hepatitis B virus replication, inflammation, fibrosis prompted, will inevitably lead to cirrhosis or liver cancer from happening.

Hepatitis B and Flirt-life of "contradictions"

Posted on October 11th, 2009 in liver | No Comments »

The risk of sexual transmission of hepatitis B virus be?

Sex life is an important part of married life, not all patients with liver disease can affect sexual function and sexual life, and only severe hepatitis, cirrhosis, liver damage due to severe loss of compensation and hormonal disorders may cause sexual dysfunction and sexual obstacles of life.

In the HBV-infected blood, saliva, semen. Vaginal secretions, menstrual blood can be detected in HBV, sexually transmitted HBV has long been affirmed and even abroad, to include hepatitis B, “sexually transmitted diseases,” which indicates the importance of sexually transmitted hepatitis.

Some people have been tested on the vagina for sexual intercourse gibbons action treatment, then sperm injection containing HBV of its vagina, the results gibbon infected with HBV. This suggests that sexual intercourse can indeed share the infected HBV. It was observed in the human body, the newlyweds On one side are HBV carriers, the other not, but after marriage, about 10% -20% of the other infected with HBV. There are 52 cases of our newly married young people (of which 30 males and 20 female) in hepatitis B carriers, and married for one year of observation, their spouses were not hepatitis B carriers, not the spouse of HBV infection in married for one year 29% are infected with HBV, a hepatitis B carrier, after analysis, the exclusion of other infections are mainly marital sexual intercourse sexual intercourse infection.

So, sex between husband and wife caused by HBV infection rate of about 10% -30% or so. Some scholars believe that sex between husband and wife HBV infection is not high, we have seen one of the spouses of HBV carriers, and living together 10 years, decades and no instances of infection. The two sides are not necessarily to be infected, as evidenced by the fact that a lot.

HBV infection can lead to abnormal sexual behavior is higher, our survey of some of the sexual promiscuity, they HBV infection rates as high as 39.1%, while the normal group of HBV infection rate was 9.8 percent, a difference very significant. There are prostitutes on the 560 cases of internal investigations, they HBV infection rate was 21.6%, foreign research reports prostitutes in a country in West Africa HBV infection were as high as 58.1% -80. 2%, the results astounding.

Abnormal behavior including homosexuality, their sexual behavior have “mouth – genital,” “mouth – anal,” “genitalia – Anus,” although they have to clean rectum before sexual intercourse, but there are scholars of fiber endoscopy gay intestinal who found that 59% of the human intestinal existence of asymptomatic lesions, which is frequently a result of flushing and anal sex. If a party is a hepatitis B carriers, so that the other very high risk of HBV infection.

The sexual transmission of HBV is certain exists, it is with the following factors:

⑴, the more sexual partners, higher risk of infection.

⑵, HBV infection in vivo viral load the higher the more active viral replication, the greater the risk of infection

⑶, more poor hygiene, the more susceptible to HBV

⑷, abnormal sexual behavior, abnormal sexual risk behaviors for HBV infection

⑸, themselves must be an HBV susceptible, which means that the body does not look HBV antibodies (anti-HBs), it is easy to infection HBV, such as the body to produce antibodies “anti-HBs” will no longer infected with HBV.

In this case, how should patients with liver disease do sex life?

In the acute phase of viral hepatitis due to liver cell damage, tired, decreased libido, so acute hepatitis should prohibit all sexual activity, in order to reduce physical exertion to promote liver cell recovery, otherwise they will be worse.

Hepatitis recovery may be appropriate to their sex life, and without a sense of fatigue as a degree. With chronic hepatitis and cirrhosis patients may lower sexual desire should not be forced sex life; as to achieve clinical cure of acute hepatitis, chronic hepatitis, up to cure the basic standards in a stable condition for more than six months may be sexually active; followed up after clinical cure of acute hepatitis, one year without exception, chronic hepatitis, no abnormalities were observed for 2 years to the task, and can lead a normal sexual life; HBsAg carriers may be too modest sex life, and consciously controlling the frequency of life, but not indulgent.

Moderate frequency of sexual activity is appropriate, but the period of hepatic dysfunction, especially transaminase increased instability or jaundice should be stopped.

Alcohol and fatty liver disease show no obvious symptoms, half of those in liver discomfort, abdominal distension, anorexia, impotence, irregular menstruation, breast abnormalities such as small number of people with mild abnormal liver function, do not have to taboo sex life, In the abnormal liver function should be temporarily forbidden for some time to restore liver function after the resumption of sex life.

Moderate sex life help ease the sexual tension and achieve a high degree of relaxation wholeheartedly, but also contribute to excessive consumption of fat, to reduce the accumulation of fat in the body, but also played the role of diet and lipid-lowering mile.

Hepatitis in patients with sexual health:

1, acute hepatitis period, when the GPT was significantly higher, malaise, jaundice and other symptoms, they should prohibit sexual activity.

2, recovering from acute hepatitis patients, can be controlled to carry out marital sex life, but it should not be too frequent, and time should not be too long, to the next day without a sense of fatigue degree.

3, patients with liver cirrhosis due to the impact of disease in general are relatively indifferent to sexuality, this time should not bite the bullet, but should comply with the wishes natural. When the liver under control, the in vivo metabolism of sex hormones have been adjusted and the restoration of normal sexual function can also be improved correspondingly.

4, hepatitis B virus carriers and controls, as there is no need for any psychological burden of sexual life.

How the choice of a number of drug hepatitis B?

Posted on October 11th, 2009 in liver | 1 Comment »

Hepatitis B drug after another, such as hospital preparation, research and medicine, Chinese medicine in the Wan San paste Dan and various kinds of “secret prescription,” dazzled people. Hepatitis B drug in so many should be how to choose? Effect of what?

Efficacy of hepatitis B in accordance with their regular medication can be broadly divided into: general hepatoprotective drugs, Hugan restore liver function drugs, antiviral drugs, immunomodulatory drugs, anti-hepatic fibrosis drugs and proprietary Chinese medicines and other six major categories.

General Liver drugs include a variety of vitamins, the liver was Jian, Glucurolactone etc., applicable to all types of hepatitis and cirrhosis of the liver, but may only play a secondary and indirect effects. These drugs can reduce inflammation of the liver and promote liver regeneration, but not the protagonist of hepatitis B treatment.

Liver restore liver function and the longest study of drugs such drugs, efficacy of the most clear, the most widely used, the price is relatively low, including Hugan JiangMei, Hugan drop yellow and Liver protein metabolism in three types of improvements. They are applicable to various types of hepatitis, cirrhosis of the liver appeared aminotransferase, bilirubin increase or decrease albumin and protein ratio of upside-down, etc., which Hugan JiangMei drugs are the most widely used, the most prominent effect of a class of drugs, such as Gomi son, licorice preparations. Clinical hepatitis B patients seen, almost all accompanied by elevated transaminase this phenomenon, under normal circumstances, the use of drugs can be received Hugan JiangMei immediate effect. Although these drugs JiangMei quickly, but not a sudden withdrawal, or transaminase quickly “anti-jump”, a gradual reduction should be to maintain a year or two.

Liver lowering drugs for Huang hepatitis and cirrhosis of the liver in all patients with elevated bilirubin (ie, jaundice), such as western aspartic acid potassium, ursodeoxycholic acid and traditional Chinese medicine Danshen injection agent. One drop Western Huang mainly applicable to accompanied by the characteristics of cholestatic hepatitis, Chinese medicine formulations suitable for various types of high-jaundice cases. Lowering drugs in general should not be used for a long yellow, if the chronic hepatitis B and liver cirrhosis a “residual jaundice” phenomenon, we should not use these drugs can be added with the prescription of Chinese herbal medicine to be adjusted to resolve dialectical.

Liver protein metabolism improving drug, amino acids such as oral capsules, Malotilate and so on, mainly applied to chronic hepatitis (generally moderate), or patients with cirrhosis of the liver to reduce albumin, globulin increased, protein ratio of upside-down, lower the price , efficacy can still be. If the later stage of liver cirrhosis with ascites, hypoalbuminemia, which normally takes input human serum albumin, the price is very expensive. Liver drug treatment to restore liver function in clear and obvious, it is regrettable that they are not cure hepatitis B method, they belong to hepatitis B “symptoms” approach (ie, mitigation of hepatitis B method). They can solve some of hepatitis B surface phenomena, such as mitigation of liver inflammation and promote regeneration, etc., but can not resolve the core issue of hepatitis B – anti-virus treatment.

Antiviral drugs, these drugs for mild to moderate chronic hepatitis, early cirrhosis patients, the main indicators of viral replication (e antigen, hepatitis B virus deoxyribonucleic acid)-positive persons are not generally suitable for the treatment of people living with HIV, severe hepatitis and in patients with advanced liver cirrhosis. Hepatitis B antiviral therapy is the treatment of hepatitis B core and key element is the difficulty where the treatment of hepatitis B, it is a “hard bone”, has yet to “bite” down. Treatment of hepatitis B in China at different times have different “main” drugs, such as the western interferon, lamivudine and traditional Chinese medicine Ganyanlin so on, but the vast majority of anti-viral medicine is a “flash in the pan,” poor efficacy. The 20th century, 90 years, interferon has been solemnly recommend to the nation, at that time was regarded as hepatitis B nemesis, popular for nearly 6-7 years, but due to unsatisfactory efficacy (racial differences, side effects, are expensive and other factors it does not suitable for Chinese people), but also gradually on the decline, replaced by the lamivudine, which is the latest antiviral drugs.

Compared to other western medicine, the lamivudine has many advantages, such as relatively cheap, and side effects, mouth eyes convenient, curb the virus quickly, for the hepatitis B virus DNA (HBV-DNA) negative rate of up to 90 %, and for hepatitis B virus e antigen (HBeAg) of the negative conversion rate was more than 40% and so on and therefore I was all the rage. However, lamivudine is not a magic pill, it does not completely solve the problem of hepatitis B, such as after stopping the “rebound,” within the foreseeable future course of treatment, the virus under drug pressure variation, long-term efficacy is inconclusive and so on . Lamivudine treatment of hepatitis B is also a milestone in the journey, but by no means the end of the treatment of hepatitis B. Many types of antiviral drugs, traditional Chinese medicine, its advantages are cheap, side effects and so on, but Western medicine is relatively speaking, the effectiveness of anti-virus is not enough, the mechanism is not clear, therefore, difficult to solely responsible for hepatitis B “main role.”

Immunomodulatory drugs, including two types of immune enhancer and immune inhibitors. Immunostimulants can enhance cellular immune function and induce endogenous interferon production, the promotion of hepatitis B virus antigen was negative indicators. In addition, some traditional Chinese medicines have their effect. Objectively speaking, preparation is still a hepatitis B immunization adjuvant therapy, but it was too expensive adjuvant therapy, the immune enhancer premium is very high, high level has been more than antiviral drugs, which makes a little “forest for the trees” feeling. Immunosuppressive agents can be used to cholestatic hepatitis, autoimmune hepatitis and severe hepatitis, but the effect is not accurate, anti-viral effect is paradoxical, therefore not worth advocating.