Mention chronic hepatitis B, many people are a sad face. Because the most deeply rooted characteristic of chronic hepatitis B may be that it is difficult to cure it.
Blood tests show that HBsAg and/or hepatitis B virus DNA are positive for more than 6 months, which is chronic hepatitis B.
With the development of medicine, there is still no way to completely eliminate hepatitis B virus and cure chronic hepatitis B, which makes chronic hepatitis B a lingering haze on the heads of many patients.
However, one thing to be understood is that chronic hepatitis B can be controlled according to different conditions and individuals, and even can carry the virus for normal life without relapse for life.
So, what should I do in the face of chronic hepatitis B?
Don’t trust Jianghu folk prescription
The most important reminder is in front. At present, the only approved regular antiviral drugs are interferon and nucleoside drugs, plus reduced glutathione, bifendate dripping pills, ursodeoxycholic acid and other drugs to improve liver function.
Other [secret recipes], no matter how high their names are, have no evidence to prove their effectiveness.
In my work, I have never seen those who have been controlled by these magic drugs. Instead, I have seen more than a dozen patients who have used secret recipes to turn themselves into drug-induced hepatitis or even fulminant liver failure.
The so-called high technology such as [cell therapy] that has been circulated, The so-called expert teachers can also talk about the immune system from virus cells in a masterful way, but most of them do not have any reliable literature and clinical evidence even if they can deduce the curative effect from theory. Not to mention, the mechanism of most of these drugs can be seen by knowledgeable people at a glance as untenable and is deceiving patients and their families.
Suffering from hepatitis B, going to a regular hospital for regular treatment is the right path. Don’t believe in advertisements.
Who needs treatment?
When the virus surface antigen is positive in two halves of hepatitis B, it represents the existence of hepatitis B virus in the body. However, this indicator cannot be used alone to determine whether treatment is needed. Chronic hepatitis B medication needs to consider more factors, how to treat, how to use drugs, doctors will consider it comprehensively according to the examination results.
Hepatitis B patients with abnormal indicators naturally need treatment. In addition to common liver function indicators, HBV DNA is also a very important part, and there are several different situations according to specific conditions:
The most common mild liver function abnormalities, such as liver enzyme elevation, need to be measured in a regular hospital in time, doctors will consider whether antiviral treatment is needed according to the activity of the virus;
In case of severe hepatitis caused by hepatitis B virus, the liver condition should be stabilized first, and antiviral treatment should be carried out after passing the critical period.
When liver cirrhosis is found, if hepatitis B virus DNA is ≥ 2000 IU/ml at the same time, antiviral therapy is recommended regardless of the number of liver enzymes.
Therapeutic Objectives of Chronic Hepatitis B
Clinically, the therapeutic goal of chronic hepatitis B is to inhibit the increase of hepatitis B virus to the maximum extent and for a long time, maintain normal liver function, reduce hepatocyte inflammation and fibrosis, delay the occurrence of other related complications, thus improving the quality of life and prolonging survival time.
Patients with chronic hepatitis B should not use too much and too much drugs, because drugs need to be metabolized by the liver. Too much and too much drugs may increase the burden on the liver.
In addition, although liver enzyme elevation is an indicator of hepatitis B treatment, the purpose of treating hepatitis B is not only to reduce liver enzyme. Liver protection and enzyme reduction drugs are only adjuvant therapy, and the control of hepatitis B virus is the focus. Don’t forget to reduce serum transaminase and forget the regular antivirus.
Therefore, it is suggested to use drugs rationally under the guidance of doctors, and do not add drugs, change dressings or stop drugs without authorization.
Do virus carriers need to pay attention to what?
Hepatitis B virus carriers with normal liver function are not strictly patients.
The damage of hepatitis B virus to the liver does not come directly from the virus itself, but after the virus is infected, it makes the autoimmune system disordered and launches attacks on its own liver. Although these carriers contain the virus in their bodies, the infected hepatocytes and their own immune system are in a harmonious and balanced state.
If this group of people blindly use drugs, it may break this balance and make the liver worse. Therefore, it is usually not to use drugs, and regular reexamination and monitoring of the disease condition are carried out.
In daily life, more attention should be paid to the following aspects:
- Change bad eating habits, comprehensive and balanced nutrition, refuse smoking and drinking; Appropriate participation in physical exercise, and ensure rest time; Raise vigilance against other infectious diseases and actively prevent infection; Maintain a healthy and optimistic attitude and make life more fun. Liver function and liver B-ultrasound are reviewed at least every six months to form continuous monitoring of health status.
Facing Chronic Hepatitis B Correctly
At present, the antiviral drugs on the market are not perfect in terms of price or effect, and the antiviral drugs cannot remove and cure the infected viruses in hepatocytes.
However, through antiviral therapy and liver protection and enzyme reduction therapy when necessary, most hepatitis B patients can avoid taking the road of liver cirrhosis and liver cancer, so this is actually a kind of prevention.
I hope that through this article, readers and friends can further understand hepatitis B. Know more, unnecessary fear will be less, scientific and reasonable treatment can also control the disease better.