Does hepatitis B antiviral treatment need to spend a lifetime of cure?

Author:Liver disease expert Yang Lihu Time:2022.08.08

First of all, this situation of liver cirrhosis is that if a patient with hepatitis B cirrhosis is doing antiviral treatment, then our general requirements for patients are long -term medication, because our current antiviral drugs can control the virus In our outer Zhou acupoint, it is not detected when checking the virus during blood drawing, but there are still viruses in the nucleus of the liver cells, so you must use the medicine to control the disease. It will not worsen.

The second is the situation of chronic hepatitis. There is no cirrhosis. After taking the medicine, the DNA turns to yin, the liver function is normal, and the inspection of the B -ultrasound and liver hardness has always been a normal range. How long should I eat? Woolen cloth? Generally speaking, our antiviral treatment is 5 years, at least 5 years. After the process of five years is over, if you want to stop the medicine, you must go to the doctor to evaluate. In the past five years, has it reached a degree of completely controlling. If it is to reach a fully controlled level, and there is no such liver disease with cirrhosis, this situation can be discontinued.

But we know that the recurrence after the drug is generally above 50%, but the recurrence time is different. Some people may recur after a few months. This shows that in five years The degree, but some people may recur in a few years, then this means that the virus gradually begins to copy slowly after the drug discontinuation, and it may take a certain time to cause the onset of the disease.

Therefore, some people are controlled very well in the process of treatment, and there are some reasons to stop the medicine. Then go to the hospital for evaluation. If it is well controlled, it is not possible to stop the drug , But after the recurrence of the drug, we must consider it carefully, and check it carefully, that is, once the virus appears, it must be treated again. When you do it, then treat it, then it will be worthless.

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