Standard treatment of hepatitis C curable Qi Cheng
● 1993 years ago, blood transfusion in case of HCV high-risk groups
● lack of timely treatment of chronic hepatitis C, 10% to 30% may develop cirrhosis of the liver
It is reported that the theme of this year’s World Hepatitis Day followed last year’s “I am the first 12 it?”, Which means about 12 people in the world there is one in patients with chronic viral hepatitis (including hepatitis B and hepatitis C). The World Health Organization (WHO) statistics, the global hepatitis C virus (HCV) infection rate of about 3%, it is estimated HCV infected groups of up to about 1.7 million people with hepatitis C cases emerging each year about 3.5 million cases annually. As a high incidence of hepatitis C, our country There are about 38 million cases of hepatitis C patients, with an average infection rate was 3.2%. Now, let us to pass a hepatitis C patients with the disease, after treatment, to conduct a deeper understanding of HCV.
Blood transfusion before 1993 is a high-risk populations
The last century, the early 90s, Guangdong Chaozhou-Shantou region, Arjun only 20 years old, at a local hospital to do accountants. Because the constitution is not good, easy to cold, her husband bought her an injection of gamma globulin. After no significant improvement in physical Arjun, but there is no any problem, the hospital organized each year by physical examination, alanine aminotransferase (ALT) have shown that normal, she was also his physical condition is assured.
Expert Comment:
Deputy director of Guangdong Provincial People’s Hospital, Dr. Professor Chen Wenli
HCV the most common means of transmission is blood transfusion, the use of blood products, and the use of virus-contaminated medical devices. It is noteworthy that although the route of transmission of hepatitis C and hepatitis B are similar, but because of the variation of hepatitis C virus quickly, so has not yet developed a hepatitis C vaccine.
Because our country before 1993, blood transfusion and blood products did not fully implement the hepatitis C virus detection, so prior to 1993 had received blood transfusions or blood products were classified as high risk hepatitis. Hepatitis C in high-risk groups include: repeated blood dialysis and organ transplant recipients; sharing syringes were; HIV infected persons; babies born to mothers infected with HCV; acupuncture, stab wounds or damaged mucosa at the blood contact with HCV-positive persons; and HCV infection who have sex; had interventional treatment of patients (gastroscopy, endoscopy, dental equipment), there have been tattoos, Wen-mei, wearing earrings and other holes.
According to this standard, Arjun actually belong to HCV high-risk groups. Transaminases have been normal and just shows normal liver function, but does not mean that the liver has not been infected, the best and then check a hepatitis C antibody.
An “angioma” may be the liver emergency
Arjun if that was for three years. One day, the hospital looking for a doctor to the Treasury, Arjun receive wages, accidentally found her on the back of the hand there is a “spider angioma,” asked Arjun: “Do you have liver disease it?” Arjun said no, the doctor asked : “You lose the blood off it?” Arjun careful to remember and remind himself that he had been injected with gamma globulin, tell a doctor, the doctor told her to look up there HCV.
Arjun at the hospital checked liver function and hepatitis C antibodies, the results of the former showed normal, the latter positive. After further examination, she was diagnosed as infected with HCV.
Expert Comment:
Nanfang Hospital, Southern Medical University Professor Hou Jinlin, director of Infectious Diseases
The liver is a silent organ, are infected with hepatitis C virus, in the acute phase is usually mild symptoms or no symptoms, when it became chronic, many people in a very long time may not have any symptoms, but the virus on the liver cell damage has been continuing to until the liver becomes hardened or otherwise, may occur after liver cancer-related symptoms, and therefore, hepatitis C has been regarded as “the silent killer.” And many people got hepatitis after learning of their own because of fear of being discriminated against while the friends and family to keep “silent.” Over a variety of factors have led to hepatitis C become a “silent” disease.
3 Division of Infectious Diseases, Zhongshan Hospital Professor Zhao Zhixin, deputy director of Physicians
“Angioma” Most appear on the face, neck and chest, manifested as the center circle diameter of 2mm below the small blood vessels in tumors, to four weeks out of many small blood vessels, looks like the skin lying in a red spider. It is a chronic liver disease, such as hepatitis B, hepatitis C, alcoholic liver, a common symptom, is due to the capacity of hepatic inactivation of estrogen reduced estrogen levels of a blood vessel caused by a corresponding increase in the distribution of abnormal state.
Hepatitis C is only one effective treatment
Arjun and her husband learned from the doctor, hepatitis C is a serious, chronic progressive disease, if not timely diagnosis and treatment, which may develop into cirrhosis and liver cancer, cirrhosis of the liver caused by hepatitis C liver disease has become the highest fatality rate in one of the diseases; while hepatitis C is the only effective treatment of interferon-α combined with ribavirin therapy, but the use of interferon treatment of hepatitis C was effective only 12%, and there may be muscle pain, fever, chills, gastrointestinal symptoms, skin allergic-like symptoms or psychological symptoms. Therefore, she refused the use of interferon, only choose Liver treatment.
Arjun again to see after a few years of the hepatitis C is. Originally the couple wanted a child, but Arjun in the pre-pregnancy examination it was discovered that the HCV virus itself still exists, ALT increased, and there have been early cirrhosis of the liver. This time a feeling of desire to give birth to a healthy baby, she accepted the doctor’s recommendations. In the inspection confirmed that Arjun did not use interferon treatment contraindications, she started interferon therapy.