Doctor: It's best to add this item to the physical examination. "I'm only 33 years old and don't want to die!" The man suddenly discovered that he has been infected with the virus for many years. | Feng Gang | Virus

"I'm only 33 years old and I don't want to die... Now, day and night, I'm hoping to find a suitable liver source for transplantation surgery."

Recently,

The reporter met Feng Gang at the hospital.

He regretted it,

Because I didn't have it before

Have had a hepatitis B related examination

Causing the patient to be critically ill now.

The doctor said,

There are many patients with similar conditions to Feng Gang,

If we could have a hepatitis B virus test earlier,

It can completely avoid such a tragedy.

Liver transplantation is the only hope for a 33 year old man

Or infected with hepatitis B virus in infancy

Two years ago, Feng Gang's life was no different from most of his peers. Work diligently during the day and go home to accompany the children at night.

He has always felt that his physical condition is good, and the unit arranges a physical examination every two years or so without any major problems.

Last year, he was sent to a tertiary hospital in Ningbo due to an emergency and diagnosed with decompensated cirrhosis.

Doctor's explanation:

Clinically, cirrhosis is divided into compensatory cirrhosis and decompensated cirrhosis.

Decompensated cirrhosis refers to the period when liver function is no longer able to meet the needs of the human body, indicating the progression of cirrhosis to the late stage.

At this point, the liver tissue is severely damaged and liver function is significantly declining.

Repeated spontaneous peritonitis, hepatic encephalopathy, ascites, hepatorenal syndrome... Over the past year, Feng Gang has overcome one "ghost gate" after another. But because it was discovered too late, what Feng Gang can do now is to cooperate with treatment, strive to control complications, and wait for the opportunity of liver transplantation.

Feng Gang and his family were all puzzled,

How did you find out,

Is liver disease so serious?

Doctors found that Feng Gang had been infected with hepatitis B virus for many years, but he had never received any anti-virus treatment because he had never done relevant examinations and was unaware of it.

After Feng Gang was admitted to the hospital, his mother was also diagnosed with "Big Three Yang". According to the doctor's speculation, Feng Gang may have been infected with hepatitis B virus as early as infancy through mother to child vertical transmission.

"Beer belly" is as big as carrying full-term twins

Four rounds of artificial liver treatment finally narrowly escaped death

"The doctor said that I may have been infected with hepatitis B virus since I was an infant, but unfortunately I never found it. Otherwise, it would not be so serious." On the sickbed, Xu Qiang, 34, experienced four artificial liver treatments in the past four months, and finally escaped from death.

Xu Qiang is a white-collar worker who likes to have a few drinks whenever he has free time. Starting from last winter, Xu Qiang found himself gaining weight. Later on, his beer belly grew bigger and bigger than when his wife was pregnant; My feet are so fat that I can't fit into shoes... Strangely, my appetite has deteriorated.

In March of this year, he was sent to the hospital for coma at home, and was ultimately diagnosed with chronic hepatitis combined with acute liver failure, which was caused by hepatic encephalopathy.

Xu Qiang's self proclaimed overweight "beer belly" is actually liver ascites; Both lower limbs are not gaining weight, but are swollen.

The doctor told Xu Qiang with a bitter smile, "My life has been temporarily saved, and I have already suffered from severe sequelae of liver cirrhosis."

The doctor was very sorry for this. "Even if Xu Qiang had only had a hepatitis B virus test three or four years earlier and received regular treatment, he would not have acute liver failure".

Mr. Zhu, who is 70 years old in the same ward as Xu Qiang, has been diagnosed with stage 3a primary liver cancer and has no chance of surgery. Before the discovery of liver tumor this time, he had never had a hepatitis B related examination or treatment. Liver tumors have a high degree of malignancy and exhibit geometric growth.

According to reports, the vast majority of liver cancer in China is related to hepatitis B. If Mr. Zhu found hepatitis B early, had regular anti hepatitis B virus treatment and regular reexamination, he might not get liver cancer. Even if diagnosed with liver cancer early, there is a high probability that there is still a chance for surgery.

"It's a pity that such a tragedy keeps repeating itself."

Many patients before admission

They didn't know they were infected with hepatitis B virus

"It's a pity, this tragedy keeps repeating," sighed Qian Yunsong, director of the Liver Cirrhosis Department at a tertiary hospital in Ningbo.

He pointed out that although the awareness rate of hepatitis B was high, the public generally lacked the awareness of independent screening, which was often not included in the routine physical examination. Hepatitis B is not easy to be recognized in the early stage. If it does not receive formal treatment, it will not heal, and it is easy to develop into chronic hepatitis, cirrhosis, or even liver cancer. This is the "Three Steps of hepatitis B".

"About 90% of liver cancer patients in our country have a history of hepatitis B, and the persistent infection of hepatitis B virus is one of the main reasons for suffering from liver cancer. Many patients with liver disease, after being hospitalized for emergency or severe cases, only know for the first time that they have been infected with hepatitis B virus. At this time, it is often too late."

Doctor's reminder:

Recommendation for general population during physical examination

Plus, hepatitis B examination does not require an empty stomach

Doctors pointed out that high-risk groups with family history should actively screen whether they are infected with hepatitis B virus; In the routine physical examination of the general population, hepatitis B related examinations can be added if conditions permit.

The examination is very simple and can be completed by drawing blood in the outpatient department without the need for an empty stomach. The inspection results can be divided into two categories:

One type is surface antigen positivity, commonly known as "big three positive" or "small three positive". In such cases, further liver function tests need to be conducted at a specialist. Some require antiviral treatment, while others simply need to adjust their lifestyle and undergo regular check ups.

One type is surface antigen negative and antibody positive. This kind of situation shows that there is no infection with hepatitis B virus at present, and the body has produced antibodies due to vaccination and other reasons. If the antibody titer is low, it indicates a weakened protective ability, and it is recommended to strengthen vaccination. If the titer is relatively high, it indicates a low risk of reinfection, and regular re examinations can be conducted based on one's occupational situation.

Hepatitis B vaccine is not "once and for all"

Regularly testing for antibody attenuation

It is reported that in 1992, China incorporated hepatitis B vaccine into the management of children's planned immunization. People born before this may not have received hepatitis B vaccine.

Doctors remind that the hepatitis B vaccine is not "once and for all" after injection. After the injection of hepatitis B vaccine, the duration of each person's antibody is different, and the immune function of individuals varies greatly. Therefore, it is necessary to regularly check the "two halves of hepatitis B". If the titer of hepatitis B antibody decreases, it is necessary to supplement hepatitis B vaccine.

For people who may be in close contact with hepatitis B virus carriers, it is best to detect whether the antibody is attenuated every three to five years.

Great progress has been made in the treatment of hepatitis B

"Old patients" should not be bound by old ideas

The doctor said that some patients are often encountered in clinical practice, and hepatitis B virus infection was found many years ago. At that time, the doctor said that chronic hepatitis B could not be completely cured and there was no medication treatment, so the patient did not undergo further examination and treatment. Come to the hospital again, and upon examination, it is often liver cirrhosis or even liver cancer.

"In the past, due to the lack of good antiviral drugs, doctors sometimes had no choice but to watch patients step by step from hepatitis B to cirrhosis and liver cancer. But in recent years, the treatment methods and drugs for hepatitis B have made great progress, which can completely control the disease safely and efficiently."

Therefore, doctors suggest that similar "old patients" should not be constrained by old beliefs and should go to a specialist for further examination and treatment as soon as possible.

Attention! These bad habits

It will slowly harm your liver

The liver lacks pain nerves,

It is the most enduring organ in our body,

These bad habits

Will slowly harm your liver,

Please be sure to pay attention to the details of your daily life

Protecting liver health

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