The doctor had no intention of scanning to avoid re -acting on the same family in the same family ... Reminder: Liver Gong is good or bad like this →
Author:Xiamen Daily Time:2022.07.29
● Time: June 27th
● Location: Zhongshan Hospital affiliated to Xiamen University
"That day, I and Lao Yang's son Xiao Yang communicated with the condition. At a glance, I found that Xiao Yang's eyes were yellow. Out of professional sensitivity, I think he is likely that his father is not good. It is recommended that he must check the liver function. "For Su Yongjie, this is just a scene that he is usually unusual in his doctor's career; but for the Yang family's father and son, it is precisely because he has seen more in the crowd in the crowd more. "At a glance", the tragedy of liver cancer was repeated in this family.
The patient's family is also "Little Yellow"
Lao Yang was from Sanming. Because of the continuous pain in the upper abdomen for more than half a month and a sudden decrease of more than ten pounds, he went to the clinic of Chief Physician Su Yongjie, chief physician of Su Yongjie, the hepatobiliary and pancreatic surgery of Zhongshan Hospital affiliated to Xiamen University. Unfortunately, it was unfortunate that Lao Yang was diagnosed with primary liver cancer and diverted in the liver, which has lost the opportunity to resection of surgery. According to the actual situation of Lao Yang, the diagnosis and treatment team formulated a diagnosis and treatment plan for subsequent targeted drug treatment in embolism. Deputy Chief Physician Xiong Yu of liver and gallbladder pancreatic surgery led the involvement of the team to perform fine operations to implement the treatment of hepatopaple hydatomy+chemotherapy drugs for Lao Yang.
On the first day after the operation, during the morning inspection, Su Yongjie and Lao Yang's son Xiao Yang talked about the patient's condition and treatment, and glanced at it inadvertently, and found that Xiao Yang's eyes were yellow.
As a liver and gallbladder pancreatic surgeon, Su Yongjie immediately realized that the young man was likely to be bad liver. He did not let go of this little doubt, but asked the other party carefully. Sure enough, Xiao Yang said that he was a carrier of hepatitis B virus. "The doctor had prescribed antiviral drugs, but I didn't insist on eating." After listening to this, Su Yongjie's heart was hung up and told Xiao Yang to hurry up and check Let's take the liver function indicators.
Unsurprisingly, Xiao Yang's transaminase, bilirubin and other indicators are high, indicating that liver function is abnormal. Fortunately, no abnormalities have been found in the hepatobiliary pancreatic color ultrasound examination and tumor indicators. Next, Xiao Yang had a relevant examination to clarify that he was in the active period of hepatitis and needed to be treated with antiviral drugs.
Su Yongjie patiently persuaded Xiao Yang: "If hepatitis B virus DNA is high, antiviral treatment is needed. Long -term hepatitis B is not treated to cause liver cirrhosis and liver cancer. The treatment of antiviral treatment is of great significance, which can delay the occurrence of liver sclerosis and liver cancer. Regular treatment, don't care! "With his father's lesson, and Su Yongjie's bitter reminder, Xiao Yang decided to take the treatment carefully. Over the past month, he has been regulating oral anti -hepatitis B virus, while receiving hepatitis protection treatment.
Well liver merit, "Know" with your eyes first
"Asians are yellow skin. Sometimes it is not easy to judge whether there are jaundice, so we usually pay special attention to the sclera, that is, the people say that the eyes are white '. Pay attention to the liver problem. "Su Yongjie explained that the increase in bilirubin in the blood is the direct cause of jaundice, and bilirubin is closely related to bile metabolism. When bile metabolism or abnormal discharge, it will cause biliary biliary in the blood to biliary biliary Skin elevation.
You can know the bilirubin in the blood to check the liver function of liver function. If the total bilirubin in the blood exceeds 17.1 μmol/L, it will increase the bilirubin. It is not easy to be noticed at 17.1-34.2 μmol/L. Significant jaundice, the skin or sclera can be yellow.
In addition to typical skin and scleral yellow stains, some patients will also have symptoms of skin itching. If they are patients with obstructive jaundice, they usually have thick tea samples, and even the stool will be white. It is necessary to clarify the cause of obstruction as soon as possible, relieve obstruction and treat them in time, and restore liver function.
[Doctor's Notes] Hepatitis B should be cured without "stress mountains"
Chief Physician Su Yongjie, Chief of Hepatobiliary and pancreatic surgery affiliated to Xiamen University
July 28 is World Hepatitis Day. When it comes to hepatitis, people are most familiar with hepatitis B. Patients with hepatitis B are susceptible to two misunderstandings. One is that there are many people who think of hepatitis B. There are no big deal. It is not time to check and do not take it seriously during treatment. Another is too panic. Once hepatitis B is infected, it will sooner or later. Liver cancer, "stress mountains" all day.
Hepatitis B-liver cirrhosis-liver cancer, known as "hepatitis B trilogy", does not cause hepatitis B virus to develop liver cancer, from carrying hepatitis B virus to less than 2%of liver cancer. Therefore, hepatitis B people should pay attention to diseases, but do not bear the burden of too heavy thoughts. The correct approach is to go to a regular medical institution for treatment, follow regular medical examinations in accordance with the doctor's order, and receive standardized treatment. Do not stop the drug without authorization, which can greatly reduce the incidence of liver cancer. In cases like Xiao Yang, as long as the treatment is regulated, it can block the disease to develop viciously and not take his father's old way.
We emphasize "governing the disease", and obtained the maximum benefits at a minimum cost by preventing and early treatment. It is recommended that the following liver cancer high -risk population is screened at least once every 6 months: hepatitis B virus (HBV) and (or) hepatitis C virus (HCV) infection; long -term drinking; non -alcoholic fatty hepatitis; long -term consumption Food contaminated with gembocterin; liver cirrhosis caused by various other causes; metabolic -related fatty liver disease (MAFLD); diabetes, obesity, smoking and pharmaceutical liver injury; family history of liver cancer family.
(Xiamen Daily reporter Chu Yan Correspondent Zhang Shushan)
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