It is generally believed that the occurrence and development of liver cancer has a so-called "trilogy", that is, hepatitis-cirrhosis-liver cancer, but hepatitis does not necessarily develop into cirrhosis liver cancer, and cirrhosis does not necessarily develop into liver cancer. If hepatitis does not develop into cirrhosis, the probability of eventually getting liver cancer will be reduced. Therefore, if hepatitis B is prevented from developing into cirrhosis, it can be prevented from developing into liver cancer. Even if cirrhosis can be prevented, liver cancer may not necessarily occur.
"Three things" are not done well. Let me guess:
The first thing: there is no prevention of hepatitis B virus infection from the source. For example, there is no hepatitis B vaccine, and no attention is paid to blocking the vertical transmission from mother to child, which leads to hepatitis B virus infection. Of course, this may not necessarily lead to liver cancer, but the first step has already begun, which at least provides the possibility for the next step.
The second thing is that people who have been infected with hepatitis B virus don't pay attention to it, no matter what, they don't monitor hepatitis B virus replication and liver function, and they don't carry out necessary antiviral treatment. In addition, some people also do all kinds of "jobs", such as smoking and drinking, staying up late, overworking and so on. , may eventually develop into cirrhosis.
The third thing is that people who have been infected with hepatitis B for many years belong to the high-risk group of liver cancer, but they have not taken the initiative to screen.
A middle-aged patient came to the hospital because of vomiting blood. He was diagnosed as decompensated hepatitis B cirrhosis complicated with esophageal and gastric variceal bleeding and massive bleeding. After the emergency gastroscope stopped bleeding, he lost too much blood and barely saved his life. However, it is already in the late stage of liver cirrhosis, and the life expectancy in the second half of the year is not expected to be too long, and the quality of life will definitely be greatly reduced. After that, the B-ultrasound examination was improved, and the possibility of liver malignant transformation was considered. In fact, this patient has always known that he has hepatitis B, because his mother and several brothers and sisters carry it, but because his old mother has never seen any serious problems, he has never paid attention to it himself, and he has never had a physical examination, and the result has reached this point.
Trilogy of liver disease: hepatitis-cirrhosis-liver cancer, which is a very common outcome of hepatitis B patients, but in this trilogy, timely intervention can control the disease well. Possible factors leading to the deterioration of hepatitis are as follows:
1, unscheduled physical examination, timely intervention: If you only carry hepatitis B virus, you should have a regular physical examination to check your liver function, three pairs of hepatitis B and the number of copies of hepatitis B virus. Once hepatitis B is diagnosed, it is necessary to actively resist virus and protect liver. Because the liver is a relatively quiet organ, it is generally difficult to find abnormalities.
2, medical contraindications: Some patients are afraid of getting sick and refuse to admit that they are sick. Some patients are afraid of being discriminated against by others. Some people even worry that their jobs will be affected and they are afraid of being fired. Moreover, some patients have no money to treat diseases.
3. Self-immolation: It takes a certain time, process and inducement for hepatitis to deteriorate and become cancerous. Hepatitis B carriers can be said to be no different from ordinary people, so many hepatitis B carriers don't take it seriously, have no scruples in life, often stay up late, smoke and drink constantly, and eat a lot of fish for years, which will definitely lead to the deterioration of hepatitis.
4, blind, over-treatment: Many patients with hepatitis B, trying various drugs and treatments, taking too many drugs, will lead to an increase in liver function load, leading to deterioration of liver function, so the treatment of hepatitis must be monitored regularly under the guidance of doctors.
Rome was not built in a day, which led to the malignant transformation of hepatitis, and it was also caused by the accumulation of various unfavorable factors over the years. It is most important to do preventive work in time.
Hepatitis B is closely related to liver cancer, and many things are not done well, which may cause lifelong regret.
Previous investigations on the pathogenic factors of liver cancer showed that the proportion of chronic hepatitis B virus (HBV) carriers was as high as10% ~15% in the high incidence areas of liver cancer in the southeast coast of China. Among the patients with primary liver cancer in these areas, people with hepatitis B virus infection background account for more than 90%!
Repeated hepatocyte injury and hepatocyte regeneration caused by chronic hepatitis B increase the sensitivity of hepatocytes to aflatoxin and other carcinogens.
Hepatitis B virus DNA can be integrated into the genome of liver cells, and some components produced may activate human oncogenes. Hepatitis B virus can also produce some protein, which may interfere with the DNA repair of human cells and increase the risk of cancer.
Liver cirrhosis caused by hepatitis B is the basis of most liver cancers.
Some people have analyzed some autopsy reports of liver cancer and found that about 85% patients have liver cancer and cirrhosis at the same time.
Liver cirrhosis is the result of long-term damage to liver cells caused by hepatitis virus, alcohol and other factors.
The reason why Dr. Long wants to talk about so much background knowledge that seems irrelevant to this problem is to let hepatitis B patients know that if there are several things in it, the chances of developing liver cancer will increase.
First of all: there is no antiviral treatment.
During antiviral treatment, there is no antiviral treatment, and the virus is allowed to replicate at will. In the state of high replication of hepatitis B virus, it is more likely to cause hepatitis attack.
This chronic active hepatitis with repeated inflammatory process will gradually develop into advanced liver fibrosis and eventually lead to cirrhosis, which is the basis of liver cancer.
This is the first thing that has not been done well.
Some people say that even after antiviral treatment, why do some people get liver cancer? This kind of exception is bound to happen.
However, antiviral therapy greatly reduces the possibility of liver cancer. For example, a senior three student, if everyone works hard, the number of people admitted to a good university will definitely be much higher than those who don't work hard.
There is a big difference between doing and not doing.
The second thing: I didn't pay attention to my diet
Aflatoxin mentioned above is a very important carcinogen, which mainly leads to gastric cancer and liver cancer.
When people are not paying attention, such as eating moldy grains, peanuts, corn and other foods, or drinking untreated pond water and river water. , may increase the chance of cell canceration.
Hepatitis B patients are at greater risk if they don't pay attention to their diet.
The third thing: I didn't give up drinking.
People who love to drink often say: if you don't drink, you say so; If you want to drink, then you won't be so opposed.
That sounds reasonable.
For patients with hepatitis B, Dr. Long has always stressed that you must never touch alcohol.
The damage of alcohol to liver is not only direct, but also indirect. Alcoholic liver disease itself can lead to liver cancer. If you add the factor of hepatitis B virus, the risk of cancer is not one plus one equals two, but one plus one is greater than two!
In fact, there are still many things that have not been done well, which more or less increase the chances of getting liver cancer, such as long-term smoking, losing weight and often staying up late.
In addition, even if these risk factors are removed, patients with hepatitis B should remain vigilant and pay attention to regular review.
I remember Charles Munger once said, "If I knew where I was going to die, I would never go there!" -But there is no regret medicine in the world! Things have happened, no matter how you regret it, prevention is the most important!
Most normal people do not have their own concerns about liver cancer, but hepatitis B virus carriers who know more about hepatitis B prevention and treatment generally have such concerns, so they have scruples in their lives, strive to scientifically reduce their risk of liver cancer and actively reduce the incidence of liver cancer. At present, it seems that this can still be done.
There are also many hepatitis B virus carriers who live in such a muddled way. Some of them know that they carry hepatitis B virus, and some don't know that they carry hepatitis B virus at all. Many of these people live a reckless life. Even if you know a little about the risk factors of liver cancer, you will act rashly because of your indifference to life. These people are very dangerous and are often the makers of tragedies.
A few days ago (before the epidemic), I had dinner with some table tennis friends, and everyone couldn't help but have a few drinks. During the dinner, an "old Chinese doctor" advised him to drink. He said that normal people don't have to be afraid of drinking and hurting the liver and causing liver cancer. Normal people will be fine after drinking for a few days. Even if normal people drink alcohol for a long time, they will basically not get liver cancer, but if they are patients with hepatitis B, it is another matter. Patients with hepatitis B must not drink alcohol. Long-term drinking will increase the incidence of liver cancer. Then he gave several well-known examples.
Although the "old Chinese doctor" is not an infectious disease expert, he is also a well-trained doctor. He knows that drinking hurts the liver, but he can't control his addiction. On the one hand, he makes excuses for drinking, on the other hand, he is telling the truth.
There are indeed several cases that we are all familiar with, and those people are all employees of the health system, which is really ironic. But these are very real examples. They were all diagnosed with advanced liver cancer in their fifties and died soon after. It was also a sensation when liver cancer was detected, and it caused discussion when it died.
Everyone knows that he is a carrier of hepatitis B virus, but he "hides" it deeply, which may be even more detrimental to his own prevention. Because others don't know that he has hepatitis B, they don't take special care of him, and they are reckless when pushing a cup for a change. But he knows very well that he is a carrier of hepatitis B virus. If he pretends not to know, he is deceiving himself.
Maybe I don't know that drinking hurts the liver? It seems that no one does not know that drinking hurts the liver. Most of them just can't control their mouths, or take chances and knowingly commit crimes.
They have become people's talk after dinner, and they have also become victims of alcoholism, which has also sounded the alarm for many hepatitis B virus carriers.
In fact, there are many such examples every day in the hepatology department. Most of them are hepatitis B virus carriers, who have been drinking for a long time to the point where there is no cure. It's really regrettable, but it's too late to regret.
Believe in science, believe in probability, don't take chances, don't be that unfortunate and ignorant person, and don't put yourself in an irreversible situation.
Finally, I want to answer what three things have not been done well when hepatitis B develops into liver cancer. I think so:
First, hepatitis B virus carriers must have regular check-ups, and it is of course best to have normal results every time. If we can find abnormalities in time and treat them in time, we will not make the already unhealthy liver worse. Repeated inflammatory stimulation is a very important reason for hepatitis B patients to develop into liver cancer.
Second, we must know something about the prevention and treatment of hepatitis B and be a definite hepatitis B patient. It is necessary to know the risk factors of hepatitis B developing into liver cancer, and try to avoid these risk factors in life to ensure the minimum damage to the liver. These risk factors include alcoholism, family history, abnormal liver function, abnormal HBVDNA, obesity and some bad living habits.
Third, we should trust doctors, believe in science, have good compliance and actively carry out prevention and treatment. This is the best mentality and the best prevention.
It is best to know that you are a carrier of hepatitis B virus, and then take the initiative to take preventive measures. Although you are unfortunately infected with hepatitis B virus, you should strive for the best result by yourself.
Tell me about your experience or stories you know about hepatitis B in the comments section?
China is a big country of hepatitis B, with nearly 1 100 million HBsAg carriers and nearly 20 million hepatitis B patients.
If chronic hepatitis B is not controlled, it may develop into hepatitis B cirrhosis and eventually become liver cancer. There are nearly 400,000 new cases of liver cancer in China every year, most of which are caused by hepatitis B cirrhosis.
In fact, most patients with hepatitis B will not develop cirrhosis or liver cancer. Hepatitis B develops into liver cancer. It is possible that the following things have not been done well:
(1) No hepatitis B was found.
Many friends usually don't pay attention to their health and personal hygiene. They may use razors, toothbrushes and other daily necessities with others, as well as unclean sexual history, and so on, and unconsciously get hepatitis B. However, they usually don't check their bodies and don't know that they have hepatitis B.
I have seen many such patients in clinic. Many people come to the hospital for surgery because of other diseases. Before the operation, they need to check for hepatitis B. Many people find out that hepatitis B has a small three-yang or a big three-yang, and even reached the degree of cirrhosis.
These people have missed the best treatment opportunity and may have serious problems.
(2) it is not well maintained and made.
Some people know that they are hepatitis B, but they don't know how to take good care of them. They still smoke and drink every day, stay up late and do things that hurt their liver. And never review. Because the liver has a strong compensatory ability, there will be no symptoms at ordinary times, so we relaxed our vigilance. When ascites, jaundice, hematemesis, anemia, splenomegaly and other manifestations of decompensated cirrhosis appear, it is often too late.
In fact, patients with chronic hepatitis B should form good living habits, don't smoke and drink, have a low-fat and light diet, don't stay up late for a long time, and combine work and rest.
(3) Irregular physical examination and irregular treatment.
Not all patients with chronic hepatitis B need treatment and regular examination, including hepatitis B halves, liver function, liver color Doppler ultrasound, HBV DNA quantification and AFP. Only when certain requirements are met, antiviral treatment is needed.
Many patients not only did not receive regular check-ups, but also did not receive antiviral treatment. Now we have many good antiviral drugs, which can inhibit the replication of hepatitis B virus, delay the progress of liver cirrhosis and minimize the incidence of liver cancer.
These are three common mistakes made by patients with chronic hepatitis B, and I hope everyone can take them as a warning.
From hepatitis B to cirrhosis, and finally to liver cancer, this trilogy is a major feature of the occurrence and development of liver cancer in China.
The incidence of hepatitis B is very high in China. According to incomplete statistics, HBV carriers account for about 10% of China's population. According to the total population of 654.38+0.4 billion, there are about 654.38+0.4 billion people infected with hepatitis B. Of course, not all hepatitis B will develop into liver cancer.
From hepatitis B to liver cancer, there are three things that are not done well. What are the specific things?
First of all, there is no standardized treatment for hepatitis B. Since hepatitis B is a carcinogenic factor of liver cancer, you must actively treat it! When the liver function of patients with hepatitis B is slightly damaged, it is often manifested as general weakness, lack of motivation, poor appetite and aversion to oil. Jaundice (yellow eyes, yellow skin, itchy skin) can occur when liver function is seriously lost. Then it will develop into cirrhosis. Therefore, if you have hepatitis B, you must go to the Department of Gastroenterology for specific consultation! Antiviral treatment should be treated quickly, and those who take liver-protecting drugs should not be replaced at will. Don't eat so-called earth, so-called anti-hepatitis B drugs!
When Dr. Chen was in the Department of Gastroenterology, he met many patients with hepatitis B who suffered from acute liver failure because of "eating and drinking anti-hepatitis B drugs and traditional Chinese medicine"! So please go to a standard hospital, and don't go to the clinic to pick a medicine. If you feel useless after taking it, change to another medicine, which is very harmful to liver function!
The second thing is improper treatment of liver cirrhosis. Liver cells have been damaged in a large area during liver cirrhosis, but we know that liver function is very strong! In fact, the liver function of early cirrhosis can still be compensated! Therefore, we must actively intervene and actively treat!
The third thing is that no liver cancer has been found. In fact, it takes a long time for liver cirrhosis to develop into liver cancer! Some patients with liver cirrhosis may become liver cancer after ten or eight years, but most patients with liver cirrhosis will not actually become liver cancer. Just like this, some patients with liver cirrhosis ignore the transformation from liver cirrhosis to liver cancer! Many times when liver cancer comes, I still blindly think that my cirrhosis is "attacking".
Therefore, tumor markers, especially AFP, should be followed up regularly. If the short-term increase of alpha-fetoprotein is obvious, then abdominal color Doppler ultrasound or abdominal CT should be added. In fact, there is no clinical saying that three things can not be done well and hepatitis B will develop into liver cancer.
The above three things are summarized by Dr. Chen according to his own clinical experience, hoping to help you!
I'm Dr. Xiaoying. I think many people have heard of the trilogy of liver cancer. In China, most liver cancers are caused by hepatitis and cirrhosis. Can you prevent hepatitis B from developing into liver cancer? No, we can only control and delay development. As for the three things I didn't do well, all I can think of is that I didn't treat hepatitis B virus, didn't pay attention to regular physical examination to find early liver cancer, and didn't pay attention to my eating habits.
Hepatitis B develops into liver cancer, which three things have not been done well?
1. Hepatitis B, no formal treatment.
Do you have hepatitis B? You can find hepatitis B in half if you draw blood. 1.3.5 is a big three-yang positive, and 1.4.5 is a small three-yang positive. The virus has a high titer and liver function is damaged, so antiviral treatment is needed. If the virus replicates in large quantities, it will cause liver damage, accelerate the formation of cirrhosis and cause liver cancer. Therefore, formal treatment is needed, and the specific treatment process needs to consult a liver specialist. If the virus replicates less and is in a stable state, there is no need for treatment. Some people carry hepatitis B virus for a long time without any discomfort.
2. Bad eating habits
Friends with hepatitis B must give up drinking. Hepatitis B virus has damaged the liver. Now drinking alcohol will increase the burden on the liver and accelerate the necrosis of liver cells. Even without hepatitis, alcoholics can develop alcoholic cirrhosis and liver cancer. Therefore, if you have hepatitis B, you must not drink alcohol, otherwise it will be easier for liver cirrhosis and liver cancer.
3. There is no regular follow-up inspection.
Hepatitis, liver cirrhosis and liver cancer are really too common. Primary liver cancer is closely related to hepatitis B and liver cirrhosis. 50%-90% of hepatocellular carcinoma is complicated with cirrhosis, and 30%-50% of cirrhosis is complicated with hepatocellular carcinoma. Most patients are AFP positive, but a few AFP negative patients may also have liver cancer.
At work, many people find 10cm liver cancer at a glance. They already know that they have hepatitis, but they don't have the habit of regular review. If you have a physical examination, you can find liver cancer in advance, and it won't grow so big.
Some time ago, a 64-year-old man came to see a doctor for half a year. After CT scanning, he found two liver masses of 10cm, and there were two tumors of this size in the liver. What concept? The patient was emaciated for half a year and lost weight 10 kg. Now come to see a doctor and consider liver cancer. I have had chronic hepatitis B in the past and have not been followed up. These two 10cm tumors must have grown in the body for more than half a year, but the early liver cancer is asymptomatic and silent, and it will not be found without physical examination.
Therefore, people with chronic hepatitis B and hepatitis C must have regular physical examinations every six months to one year, including liver function, AFP, B-ultrasound or CT examination of the liver.
Liver cancer has strong concealment. Clinically, 80% of patients with liver cancer have reached the middle and late stage when they are diagnosed.
"Hepatitis B-Cirrhosis-Liver Cancer" is a trilogy of liver diseases, and the incidence of liver cancer in China accounts for 55% of the world. Known as "a big country with liver cancer".
The ambulance roared past, and there was a man lying in the car, who had fallen into a deep coma. There are many red spots on the thenar and arm of his palm.
After arriving at the hospital, the doctor immediately launched an examination and was diagnosed as liver cancer complicated with brain liver disease, which required surgical rescue as soon as possible.
After more than three hours of treatment, the doctor finally failed to save the man's life.
The man's wife, hearing the news, fainted several times and cried bitterly: "What shall I do if you leave?" .
What have men experienced?
It turned out that the man surnamed Zhang, 37 years old, was diagnosed with hepatitis during his physical examination in earlier years. At that time, the doctor told him not to drink.
However, Teacher Zhang is a real "wine jar". He didn't listen to the doctor's advice and thought there was nothing wrong with it. To this end, Mr. Zhang's wife is not less angry with him.
However, Mr. Zhang doesn't know how to repent. He drinks and plays cards every day and goes home drunk every night, which makes him feel very comfortable.
Yesterday, Mr. Zhang finished drinking, and he was all drunk. He hobbled home step by step with a dull pain in his left upper abdomen. Slowly, he felt a sharp pain and fainted on the side of the road.
The doctor sighed after listening: Don't drink this 1 water, you just don't listen to advice.
Drinking alcohol is the "accelerator" that leads to Mr. Zhang's hepatitis-liver cancer.
Wine was listed as a "first-class carcinogen" by the World Health Organization (WHO) in earlier years.
After alcohol is ingested into human body, 90% needs liver for metabolism. In addition, there are two enzymes in the liver, which are used to metabolize alcohol.
Ethanol is converted into acetaldehyde under the action of alcohol dehydrogenase, acetaldehyde is converted into acetic acid under the action of acetaldehyde dehydrogenase, and acetic acid is finally converted into water and carbon dioxide to be excreted.
However, because Mr. Zhang often drinks alcohol, liver enzymes are "overwhelmed", which will lead to acetaldehyde not only being converted into acetic acid, but also accumulating in the body.
However, acetaldehyde is a kind of "poison", which will cause damage to liver cells, repeatedly necrosis and repair, fibrosis of the liver, and even develop into liver cancer.
The doctor reminded that if there are four kinds of abnormalities in the body, most of the liver cancer has reached the upper body. Don't turn a blind eye.
Abnormal 1, fever
Fever is one of the typical phenomena in the middle and late stage of liver cancer.
The tumor tissue in the liver is necrotic, and the released heat source will enter the blood circulation system of the human body, making the patient fever.
Coupled with decreased body resistance, infection leads to fever.
Abnormal 2, fatigue
The growth of liver malignant tumor will lead to the decline of the ability of liver to store energy, and insufficient heat in the body will lead to fatigue.
In addition, the continuous growth of liver tumors will lead to digestive dysfunction and obstacles in nutrient absorption, leading to physical deficiency and physical weakness.
Abnormal 3, jaundice
Jaundice is one of the most obvious symptoms of liver disease.
Jaundice is due to abnormal bilirubin metabolism in the body, which promotes the increase of bilirubin concentration in the blood and leads to yellowing of the sclera and skin.
Bilirubin mainly comes from aging cells in the human body, and its production and metabolism are related to the liver. Any abnormality in any link will lead to an increase in bilirubin concentration in the blood and induce jaundice.
4. Abnormal liver pain
Clinically, 50% patients will have liver pain.
As the liver tumor grows bigger and bigger, it will involve the outer capsule of the liver, leading to pain in the liver area, and this pain is not persistent and belongs to labor pains.
Liver cancer should be mainly prevented, and four things should be paid attention to in life to maintain the liver.
Project 1: selenium supplement
Selenium is the "king of cancer" and can "improve" human immunity and antioxidant capacity? , "clear" the toxicity of carcinogens? , "inhibit" the proliferation of tumor cells and promote their apoptosis, and "cut off" the nutritional supply of tumors, so that they gradually die out, thus reducing the occurrence of tumors.
When the human body lacks selenium, it can induce many diseases such as liver cancer, lung cancer and gastric cancer.
So you can drink some tea in your life, such as "Linglong Chrysanthemum, Pu 'er Tea, Oolong Tea or Black Tea" to supplement selenium.
Among them, Linglong Chrysanthemum is one of the four great Huai medicines. Not only is selenium more abundant, but it is also rich in antioxidants and triterpenoids. Put some delicate chrysanthemums when making tea and porridge, which is beneficial to protect liver health and reduce the incidence of liver cancer.
Second, the law of work and rest
The liver has a strong ability of self-repair.
When people are at rest, blood will flow back to the liver, which is beneficial to the health of the liver.
In addition, deep sleep helps the liver to repair itself. Suggestion: Go to sleep before 1 1 every night and sleep for about 8 hours.
Third, exercise.
More exercise can promote the body's metabolism and detoxify.
Aerobic exercise is the best way to exercise, such as playing Tai Ji Chuan, jogging, cycling and swimming. The most important thing is persistence.
Exercise 4~6 times a week, but be careful not to exercise vigorously until your body sweats slightly.
Fourth, point nourishing liver.
Acupoint nourishing the liver saves time and effort.
Ganshu point:
Paraspinous process of the ninth thoracic vertebra in the back is opened 1.5 inch. Ganshu point is an important point for maintaining the liver. Regular massage can soothe the liver and regulate qi, reduce liver fire, clear liver and improve eyesight.
Taichong point:
Taichong point is an important point on the liver meridian in the depression in front of the joint of the first and second phalanges of the instep. Regular massage can mobilize the vitality of liver meridian and protect liver function.
First of all, hepatitis B is mainly caused by hepatitis B virus infection, which is the primary factor, and there are some inducing factors. However, hepatitis B is a common infectious disease mainly caused by liver inflammation and necrosis, but the occurrence of hepatitis is related to many factors, both genetic factors and external interference. However, the three things mentioned in the propaganda that cause hepatitis are unscientific and have no scientific basis. If there are some three things that have not been done well, they should have been overcome by now.
What are the factors that lead to hepatitis and liver cancer?
1, the most important factor is the destruction of hepatitis virus, which leads to the occurrence of inflammatory lesions in the liver. Because hepatitis virus is an immune medium, hepatitis B virus will lead to the destruction of hepatic lobule structure, diffuse degeneration and necrosis of liver cells, and finally lead to the formation of nodules, and finally ascites due to cirrhosis, and gradually the liver will lose its function and become cancerous.
2, aflatoxin poisoning, mainly due to eating some foods with high aflatoxin content, resulting in aflatoxin metabolism in the body to form aflatoxin B 1, and aflatoxin B 1 has strong carcinogenicity, so it will destroy liver cells and liver tissues and cause cancer.
3. There is also a long-term working environment and some water quality. The food you eat contains nitrosamines, and some water quality contains algae toxins. The products of these substances metabolized in the liver have a strong possibility of carcinogenesis.
From the development of hepatitis B to cirrhosis and then to liver cancer, the legendary trilogy of hepatitis B has gradually become the development trend of liver cancer in China. As a big country of hepatitis B, many hepatitis B patients are very nervous in front of the trilogy of hepatitis B. According to incomplete statistics, hepatitis B virus carriers account for about 10% of our population. However, according to the survey, the annual conversion rate from liver cirrhosis to liver cancer is 2.8% ~ 3.5%, the conversion rate from chronic hepatitis B to liver cirrhosis is only 0.83%, and the conversion rate from HBsAg carriers to liver cirrhosis is even lower, about 0.27% ~ 0.47%. Even in this case, there are still many hepatitis B patients who can't escape from the clutches of the trilogy.
From hepatitis B to liver cancer, the following three things may not be done well:
1, no symptoms were found.
Most patients with chronic liver disease will not show any symptoms, and it is difficult to judge whether they have hepatitis B from the appearance. Many people who don't pay attention to health and personal hygiene may get hepatitis B unconsciously. When you go to the hospital for physical examination due to other diseases, you will find out whether hepatitis B is a small sanyang or a big sanyang. What's more, it has developed into cirrhosis. But at this time, the best treatment opportunity has long been missed. There are still some patients who know that they have hepatitis B, but in the long process from cirrhosis to liver cancer, they ignore the transformation from cirrhosis to liver cancer. Liver cancer is coming, and they still blindly think they are cirrhosis.
2. There is no standardized treatment for hepatitis B..
When we get hepatitis B, we must actively treat it to prevent the development of the trilogy of hepatitis B. Many patients with hepatitis B often show symptoms such as general fatigue, aversion to oil and anorexia only when their liver function is slightly damaged. When liver function is severely lost, jaundice (yellow eyes, yellow skin and itchy skin) may occur, and then develop into cirrhosis. Therefore, if you have hepatitis B, you must consult specifically, and regularly check hepatitis B, liver function, liver color Doppler ultrasound, HBV DNA quantification, AFP and so on. According to the level of serum HBV DNA, serum alanine aminotransferase (ALT) and the severity of liver disease, combined with the factors such as the patient's age, family history and accompanying diseases, we will decide whether to start antiviral treatment after comprehensively evaluating the risk of disease progression. Use drugs correctly according to the patient's own situation and physical endurance. Many patients slowly developed from hepatitis B to liver cancer because they did not actively treat, did not strictly follow the doctor's advice and used drugs improperly. This shows how important it is for hepatitis B to get standardized treatment.
3, did not do a good job in life care.
In life, some bad habits actually do great harm to the liver, such as staying up late, eating a high-fat diet and drinking too much. However, many patients with hepatitis B have not changed their daily habits, and they still come at will. There are many things that can hurt the liver. In the long run, serious liver diseases with damaged liver will naturally occur. A levee of a thousand miles, collapsed in an ant hole, and no matter how strong the body is, it can't help being hurt day and night, not to mention those patients with hepatitis B liver damage. Only by developing good living habits, enhancing self-immunity, working and sleeping regularly, maintaining a good attitude and active treatment can the liver be better protected.
It is not terrible to get hepatitis B. Only by paying attention to improving your daily routine, having a physical examination on time, keeping a good attitude and actively treating can you stay away from the trilogy of hepatitis B. ..
If you have any questions about liver disease, please pay attention to my private letter consultation!