Five Dos and Don’ts for People with Liver Disease

If you are suffering from liver disease, you should pay attention to the following points in your daily life: 1. Listen carefully to the advice of the physician, such as: viral hepatitis is eligible for antiviral treatment, the physician will be in accordance with your condition, the combination of your actual situation (such as working conditions, economic situation, reproductive requirements, etc.), for you to tailor-made treatment programs, that is, individualized treatment. Don’t listen to the so-called prescription and medical advertisement, when someone says that he or his hospital can make you turn negative regardless of “major triple sun” or “minor triple sun”, watch your wallet. 2, hepatitis B patients taking nucleosides (adefovir, lamivudine, entecavir, tibivudine, tirofovir), in accordance with the physician’s advice, take medication seriously. Do not stop taking the medication on your own, and do not follow the advice of physicians who do not specialize in gastroenterology or non-infectious diseases, because there are specialties and specialties, and each specialty has its own specifications for treatment. If you have any questions or adverse reactions during treatment, contact the physician who has treated you, and he or she will help you. 3, to learn to control themselves. Controlling yourself includes controlling your emotions and daily life behaviors. Chinese medicine believes that anger hurts the liver. The liver is the officer of the general, and it likes to be smooth and open. If long-term depression and anger, can lead to liver stagnation, poor drainage, causing physiological dysfunction. Adverse emotional stimuli, can lead to the recurrence or aggravation of liver disease, which is very common in our clinical work, I believe that some liver disease friends have also experienced, complaining, pessimism, anxiety does not help, will only bring their own pain and suffering, we must treat the disease with open-mindedness, actively cooperate with the treatment, and communicate with people more exchanges, communication, a lot of patients said to me, I came to the hospital, and you talk to you, the heart much more relaxed. Don’t be secretly sad and sorrowful. In daily life, learn to control their own behavior, patients should be strictly prohibited from drinking alcohol, many patients usually or after treatment of normal liver function, can not be more than the temptation of wine or friends of the persuasion, let go of booze. Unbeknownst to patients with liver disease, drinking alcohol is undoubtedly “worse”, alcohol has a direct detrimental effect on the liver, 90% of alcohol into the body in the liver metabolism, the mechanism of injury is alcohol metabolism in hepatocytes caused by severe alcohol abuse can be induced by extensive hepatocellular necrosis or even liver failure. There are too many clinical examples for healthcare professionals to lament. Therefore, for the sake of health, for the sake of early recovery, for the sake of the family, do not drink alcohol. 4, to pay attention to drugs and then hurt the liver. Elderly patients because of the coexistence of multiple diseases, long-term medication in more drugs, but not to save money, buy fake drugs without approval number. Not long ago, an 80-year-old old man, is a patient of hepatitis B, no antiviral treatment. But these years, the old man joint pain, long-term medication “arthritis capsules” (three products), 1 month ago, the old man began to appear in the body and eyes yellow, urine such as strong tea color, fatigue, poor appetite, to the local hospital treatment is not satisfied with the results,? Transferred to our department for treatment to the hospital examination, in addition to anemia, serum bilirubin is super high, up to 420 μmon / L, ALT, AST are higher than the normal value of more than 10 times. Gastroscopy, gastric sinus multiple ulcers. It is assumed that the so-called “arthritis capsule” may contain non-steroidal anti-inflammatory drugs and hormonal drugs. In view of the patient’s advanced age, serious condition, understanding of the patient’s rescue treatment, antiviral, hepatoprotective enzyme detoxification antioxidant, Chinese medicine enema, artificial liver plasma replacement, after 2 weeks of treatment, the patient finally turned to safety. Non-steroidal anti-inflammatory drugs are the most common drugs causing drug-related liver injury, which can appear as hepatocellular necrosis, cholestasis, intracellular micro-lipid droplet deposition or chronic hepatitis, cirrhosis, etc. Glucocorticoids are immunosuppressive drugs. Glucocorticosteroids belong to immunosuppressive agents, for patients with viral hepatitis or hepatitis B virus carriers, antiviral treatment should be carried out before applying glucocorticosteroids, otherwise, it is easy to lead to the replication of large quantities of hepatitis B (C) viruses, in the case of low immune function of the body, and the long-term application of glucocorticosteroids and other immunosuppressive treatments, which can lead to the reactivation of hepatitis B viruses, cause inflammatory activity of hepatic tissues, and in serious cases, can lead to hepatitis Re-type. Therefore, to target patients who need immunosuppressive therapy such as glucocorticoids, patients should be examined for hepatitis B virus infection before applying immunosuppressive therapy such as glucocorticoids. If there is hepatitis B virus infection, no matter whether the liver function is normal or not, and whether the serum hepatitis B virus deoxyribonucleic acid level is high or low, antiviral treatment should be carried out before or at the same time of applying glucocorticoid and other immunosuppressive treatments, so as to prevent hepatitis from re-activation and the occurrence of severe hepatitis. 5, pay attention to regular review, especially antiviral treatment of patients, should be regular 3-6 months to the hospital into the review, in order to understand the efficacy of treatment. Because of hepatitis B antiviral treatment 12-24 weeks, liver function, HBV-DNA examination, to see whether the need to adjust the treatment program. Don’t think that just because you’re already taking antiviral medication that everything is fine, let your doctor know how you’re doing and make timely adjustments to your treatment regimen.