Ten contraindications to hepatitis B treatment

  Some hepatitis B patients understand their condition, but they don’t care, and they live their lives as they should, smoking and drinking as usual, indulging in sex, living unpredictably, and having an imbalance of work and rest. If chronic hepatitis B patients ignore these details of life and develop a variety of bad habits, the chances of developing cirrhosis and hepatocellular carcinoma will be greatly increased.  The most fundamental cause of chronic hepatitis B is infection with the hepatitis B virus. Therefore, the most fundamental treatment is antiviral therapy. But some patients have doubts about the effect of antiviral therapy, only concerned about liver preservation and enzyme reduction therapy, satisfied with the normal liver function of laboratory tests. Liver-protective and enzyme-lowering therapy may be able to bring about remission for a certain period of time, but the virus is still always present, and normal liver function can only be temporary. Therefore, do not subjectively exclude the antiviral treatment program.  Three, avoid disbelieving in hospitals and trusting in advertisements At present, because the formal treatment of chronic hepatitis B is not 100% effective, so some patients after one or several formal treatment, found that the efficacy is not good, they lose confidence in large hospitals, and turn to listen to advertisements and resort to informal medical channels. In fact, chronic hepatitis B is a chronic disease that requires long-term treatment to be effective. And hepatitis B advertising has become a key target of national crackdown due to its deceptive characteristics. Therefore, the majority of patients must remember that the advertising is good, but do not believe it.  Some patients hear others say which drug is good to use which drug, hear which drug is not good to use which drug, only believe in other people’s treatment experience, do not consider their own actual situation. In fact, the treatment of hepatitis B is also different from person to person, others use good drugs, may not be good for themselves.  The actual fact is that you can find a lot of people who have been infected with the chronic hepatitis B virus, a significant percentage of patients are positive for viral markers, but the serum transaminase level is always normal, this part of the patient called hepatitis B virus carriers (“Australia anti” carriers). ). Many of these patients do not understand the situation and blindly ask for “conversion”, which results in money spent and no results. Theoretically, these patients should be treated because after all, there is a virus in their bodies, and liver biopsies of a significant number of “AoA” carriers can show varying degrees of liver inflammation, and the possibility of normal transaminases progressing to cirrhosis and hepatocellular carcinoma cannot be completely ruled out. However, if no significant inflammation is found on liver histological examination, any treatment at this point is futile. Therefore, such patients are advised to observe first, have regular checkups, and refrain from special antiviral treatment for the time being.  Sixth, the fear of mutation to avoid treatment A part of patients began to develop hepatitis B virus mutation one after another after 6 to 9 months of choosing nucleoside analog – lamivudine, producing drug resistance. However, studies have shown that the resistance that emerges during the application of lamivudine is not a result of the induction of the drug, but an outcome of drug selection, and other nucleoside analogues of antiviral drugs also have varying degrees of resistance. Some patients reject lamivudine, the main anti-hepatitis virus drug, for fear of virus mutation and drug resistance, thus losing the time for treatment, which is not desirable.  Seven, too much psychological burden affects the treatment of chronic hepatitis B patients will eventually have a part of the development of cirrhosis, and even liver cancer and other terminal liver disease, which makes many patients worried and depressed. In fact, there are only a few patients with chronic hepatitis who develop liver cancer. Instead of worrying all day long, it is better to take the right treatment measures seriously. Too much psychological burden will only affect the prognosis.  The progress of science and technology is the only correct way to finally solve chronic hepatitis B. Therefore, it is completely understandable that patients are eager for new technologies and new treatments. However, the concern and expectation for new technology is not a substitute for the current regular treatment. However, some patients are still busy seeking new drugs and treatments all day long, while ignoring the current treatments that have been clinically proven to be effective. Some of them stop the original treatment and switch to the therapeutic vaccine as soon as they hear that there is a “breakthrough” in the therapeutic hepatitis B vaccine, without waiting to verify the authenticity; some of them should have been actively treated, but once they hear that a new drug is going to be marketed, they do not look at their specific situation and wait for the new drug to be marketed, rejecting all kinds of existing treatments, etc.  Nine, dietary imbalance nutritional disorders Many patients hearsay, this does not eat that does not eat, this taboo that also taboo, the body needs nutrition from where? Malnutrition, low resistance, which is not conducive to the recovery of hepatitis. Some patients are the opposite, in order to cure liver disease, every day to supplement, the result is a serious steatohepatitis. In fact, there are not too many special requirements for the diet of hepatitis B patients, the basic principle is comprehensive nutrition, vegetables, fruits, meat, soy products, etc. are needed, and try to eat less spicy and stimulating and fried food.  Ten, the love of children blindly treatment life, about ten years of age of small hepatitis B patients are not a few, because this part of the child will encounter a variety of difficulties in the future into the nursery, school and other links, so parents are very anxious, and at all costs for treatment. With this mentality, parents often fail to handle the situation calmly and scientifically, but instead blindly and over-treat, which is likely to be counterproductive.