The most common misconceptions about the treatment of chronic viral hepatitis There are more than 20 million people with chronic hepatitis B in China, and only 20% or 30% receive regular antiviral treatment. Chronic hepatitis gradually develops into liver cirrhosis, liver necrosis and liver cancer. After the onset of chronic hepatitis due to the wrong understanding and not timely medical treatment, unfortunately, and treatment is not standardized, most patients often in the “asymptomatic” progress, delaying the real treatment. 1, despise antiviral treatment focus on liver function indicators . The use of some transaminase-lowering drugs seems to have a recent therapeutic effect, but it is like playing antipyretics for fever and using painkillers for abdominal pain, which does not solve the real problem. And there is a risk of delaying the disease. 2, Chinese medicine can anti hepatitis B virus. The liver protector and enzyme-lowering drugs and Chinese medicine can only temporarily relieve the symptoms. Neither antiviral effect, only auxiliary drugs. There are no Chinese herbs, prescriptions and Chinese medicine treatment programs found to fight the hepatitis B virus. The current anti-hepatitis B virus is still only interferon and nucleoside analogues. As patients are extremely convinced by Chinese medicine, Chinese medicine practitioners are less likely to check the virus and antigen quantification, relying on self-perception sometimes cover up the disease and eventually develop cirrhosis or liver necrosis. 3. Prescriptions for major diseases. Prescriptions for major diseases are more common. The prescriptions are composed of Chinese medicine, mostly from the folk, the creators may not all have the legal qualification of practicing physicians, the prescriptions are secret, the composition of the drugs is not known, without the review of the drug supervision department, and there is no approved use of the document number. The prescriptions are green and narrow because of the legend. In fact, the efficacy of these cases is unreliable, or created out of thin air; or no authoritative hospital verification; or partly self-healing cases; or misdiagnosis or false-positive cases. In clinical practice, it is common to see a large number of cases of aggravation or worsening of the disease due to the use of partial prescriptions, and even liver necrosis, which affects life. The best time for antiviral is lost. 4.Light doctor’s advice
Blindly believe in the advertised drugs. Most of the current drugs for the treatment of hepatitis B are herbal compound preparations. Patients are often deceived by the exaggerated or exaggerated terms in the content of advertisements. After seeing the ads for hepatitis B drugs appearing on TV and in the press, which are actually hepatitis adjuvants, do not use them lightly and consult a regular hospital in detail before doing so. The large population of people with liver disease will naturally produce a large number of “liver” eating medicine market. Just open a newspaper or magazine will be filled with a large number of advertisements. Is it really that effective? The answer is self-explanatory. 5, the purpose of treating hepatitis B is to “turn positive to negative”. The fundamental purpose of hepatitis B treatment is to make the viral indicators turn negative in order to be considered stable. This misunderstanding has led to: patients looking around for a cure to turn negative, thinking that
“major triple-positive” to “minor triple-positive
This misconception leads to: patients look around for a cure, thinking that if “major triple-positive” turns into “minor triple-positive”, their condition will improve. Illegal liver disease clinics and “liver disease experts” and charlatans also use various means (advertisements, tabloids, radio, etc.) to lure patients with the treatment of turning negative, which costs a lot and has a very poor effect. The fact is just the opposite, the virus has damage to liver function before you can anti-virus. 6, no indications, random medication. The best indication for antiviral hepatitis B is positive HBVDNA and repeated fluctuations in ALT. Patients with normal liver function purchase their own drug treatment in order to clear the virus, although the initial period can reach the virus can not be measured, but after discontinuing the drug will still re-emerge, or even cultivate drug resistance, or liver function instead of normal. In the real need for antiviral therapy, it is impossible to choose effective drugs. 7, antiviral can not adhere to treatment, or wait for the ideal new therapy. Some patients mistakenly believe that “antiviral treatment is irrelevant” and “it is enough to take some enzyme-lowering drugs when the liver function is abnormal”. Once the disease is severe and has to seek medical attention, it has already developed into heavy hepatitis or cirrhosis and liver cancer. There are also some patients who take medication irregularly when antiviral, do not adhere to it, discontinue it indiscriminately; in the treatment just reached the HBVDNA negative, mistakenly think that the virus will stop medication. This not only fails to suppress the virus, but also accelerates drug resistance, leading to aggravation of liver disease and even liver necrosis. Waiting for new therapies, not antiviral treatment, imagine even if the virus is completely cleared in the future, but cirrhosis and liver cancer outcome can not be changed. 8.No timely monitoring during treatment. Whether antiviral drugs achieve the effect and whether drug resistance occurs or not mainly depends on monitoring. For the sake of saving money, even if the virus has mutated or even some adverse reactions have occurred, there is no way to detect them. Doctors can not judge the efficacy of the drug, resulting in drug resistance and serious consequences such as liver necrosis, and then testing, it is too late to regret. 9, too much fear of virus mutation. Due to excessive fear of virus mutation and not antiviral treatment. This will make the virus keep replicating, resulting in cirrhosis, leading to liver tumors. In fact, virus mutation is a normal thing, there are more new drugs gradually marketed. If treated aggressively, it can stabilize the disease and stop the progress of cirrhosis and the emergence of tumor, which are irreversible evils. 10. Expectations of antiviral treatment are too high. Due to the discrimination and unequal treatment suffered by some infected people, they are eager to pursue
“They have high expectations of antiviral treatment because of the discrimination and unequal treatment suffered by some infected patients. It is also wrong to pay no attention to the liver function and to focus on antiviral treatment. In fact, current antiviral drugs only inhibit, and do not completely remove the virus. The purpose of antiviral treatment is to inhibit the replication of the virus, lasting treatment, and block the production and development of liver necrosis in cirrhosis and liver cancer. These are the common misconceptions in the treatment of hepatitis B. I hope we can pay attention to them to avoid falling into the misconceptions.