How to Beware of Recurrence in Spring for Hepatitis B Patients

As winter turns to spring, everything recovers. Clinical observation shows that spring is the season in which the condition of chronic hepatitis B patients is prone to relapse, so patients should pay special attention to the following issues: 1. Don’t refuse antiviral treatment, and apply hepatoprotective drugs appropriately Chronic hepatitis B is a progressive disease. Usually infected at a young age, there is no obvious discomfort, and most of the liver functions are normal, which is what we often call hepatitis B virus carriers. Although a very small number of patients may be hepatitis B virus carriers for life, most patients may experience elevated transaminases or concomitant elevated bilirubin if left untreated, which is hepatitis activity, and further progression may result in cirrhosis or hepatocellular carcinoma. The culprit throughout the progression of the disease is the hepatitis B virus. Hepatitis B virus destroys our liver cells and triggers inflammation in the liver, which in turn inevitably develops liver fibrosis, cirrhosis and liver cancer in the process of self-repair. Therefore, antiviral treatment has become a key measure to treat hepatitis B and control the progression of the disease. Therefore, when the doctor judges that you need antiviral treatment, as long as the conditions allow, do not refuse. 2, do not stop taking medication at will There are often patients who think that after antiviral treatment, liver function is normal, and the virus can not be detected, so they want to stop taking medication! However, in the clinical situation, there are often cases of hepatitis recurrence and aggravation after stopping medication. This is mainly because the hepatitis B virus has a replication “template” in the body, that is, cccDNA, the current use of antiviral drugs can not act on this link, like grass roots are difficult to remove, so it is necessary to extend the treatment time to exhaust it. If the treatment time is not long enough, the “template” of virus replication still exists in the body, and the virus will come back after stopping the medicine, resulting in the recurrence of hepatitis, and sometimes the inflammation of the recurrence will be very serious, and even the occurrence of liver failure and life-threatening. It should be reminded that the hepatitis B virus in the blood is not elevated once you stop taking the medicine, but it takes a period of time for the virus to grow to a certain level before it can be detected, usually 3-6 months or longer, and abnormalities in liver function will appear even later. Some patients and friends in 1~2 months after stopping the drug review, see the virus did not recur on the thought that everything is fine, in fact, this is wrong, is extremely dangerous. 3, be careful with other drugs should try to avoid the indiscriminate use of other drugs. Some health products and drugs for treating joints, skin diseases, hair loss or gray hair may hurt the liver while treating diseases; some immunosuppressants may also induce the recurrence of hepatitis. Therefore, try not to use other drugs in non-essential cases; if necessary, you need to contact your hepatologist in time, closely monitor the liver damage that may be induced, and possibly need to take appropriate preventive measures. 4, to be regularly rechecked Because some patients with hepatitis B have atypical signs and symptoms, although the liver has inflammation, but they do not have any feeling of discomfort, often inadvertently develop into cirrhosis or even hepatocellular carcinoma, therefore, patients with hepatitis B should be regularly do the relevant examinations, including liver function, alpha-fetoprotein, ultrasound, viral load, etc., usually should be examined once every 3 to 6 months. Once there is a change in the condition of the patient, he should go to the regular hospital for medical treatment. At present, although there is no specific drug treatment for hepatitis B, the condition can be completely controlled after regular treatment. We hope that the majority of patients with liver disease under the guidance of your primary care doctor, regular and reasonable diagnosis and treatment, so that the disease can be recovered, and healthy, happy work and life.