First of all, we will focus on the big, small, three yang and their treatment methods. Finally, suggestions on dietotherapy and dietary life for liver diseases are given. Dietotherapy should be the basis and top priority of all diseases in nutrition.
Let's start with the Big Three Yang. "Big Three Yang" refers to the active replication and strong infectivity of hepatitis B virus. "Big Three Yang" is a popular name, which can only show that there is hepatitis B virus in patients, but it cannot accurately reflect the number and replication (reproduction) of the virus. What can reflect this situation is the quantitative detection of hbv-dna (that is, hbv gene). Checking the quantitative value of hbv-dna is helpful to guide clinical medication and make treatment plans.
The recovery of Da Sanyang will test whether you can restore some immunity and restore the immune function of the liver.
Don't have any ideological burden, you must relax. Keep cheerful, optimistic and open-minded. Don't be angry. Don't catch a cold and overwork.
You can't do heavy manual work, you can't engage in the food industry, you can't engage in the service industry, and everything else should be fine.
The principle of timely treatment. Antiviral treatment should be as early as possible, because the longer you carry the virus, the more serious the liver disease and the more troublesome it is to cure it.
Principle of reasonable treatment. The so-called rationality is to be targeted in both treatment and examination. The drugs for treating hepatitis B should be small and precise, so as not to disturb the recovery of patients' own immune function. If you only carry the virus, there are no other complications, and your liver function is normal, you only need antiviral drugs. The so-called targeted examination refers to the examination according to the needs of the disease. As far as the treatment review of hepatitis B "big three positive" is concerned, it is usually enough to check the quantitative value of hbvdna once every two or three months. If the treatment is effective, the quantitative value of hbvdna will gradually decrease and even turn negative. After a long time, it can also produce anti-hbs, and the "three positive" of hepatitis B naturally turns negative.
Principles of routine treatment. The so-called formal treatment is to follow the formal procedures to the end, not to give up halfway. How long the course of treatment depends on the quantitative value of hbvdna
The treatment of liver disease is a gradual process. Should go to a regular hospital for treatment.
pay attention to the diet
In daily life, we should pay attention to dietary taboos, avoid eating cold, irritating and greasy food, prohibit drinking, and pay attention to rest to avoid overwork.
As the saying goes: three points of governance, seven points of support. Therefore, it is necessary to arrange a reasonable diet, live a regular life, be cheerful, pay attention to the combination of activity and inactivity, do not go to the hospital for medical treatment, and do not abuse drugs. Please note the following points:
1, the diet should be light, such as bean products, fish, vegetables and fruits. , contains a lot of vitamins A, B, C and E, has good antioxidant function and is easy to digest and absorb.
2. Eat more seafood, mushrooms, sesame seeds, walnuts, jujubes, lean meat and animal livers.
3, avoid drinking alcohol, avoid too many sweets.
4. It is advisable to stay in bed 1-2 hours after meals to ensure adequate blood supply to the liver, which is conducive to the repair of liver cells.
Let's talk about "Xiao Sanyang". There are more patients with hepatitis B "small three-yang", accounting for about 30% of the total number of hepatitis B. In the past, it was thought that the change from "big three-yang" to "small three-yang" meant that the virus replication was weakened, the infectivity was small and the condition improved. This understanding is one-sided and flawed. There are two situations in the existence of "Xiao Sanyang". First, after autoimmune regulation or antiviral treatment, the replication of hepatitis B virus decreases or tends to be static, which is a good phenomenon; Another situation is the result of hepatitis B virus mutation. Although it is a "small three-yang", it is a bad phenomenon that the virus continues to replicate and the condition is aggravated. Therefore, patients with "small three yang" must be treated differently, and whether or not to treat them depends on the specific situation.
1, theoretically speaking, all patients with "small three yang" should be treated; However, from the current actual situation, it should be treated differently, some need timely treatment, and some do not need treatment. The existence of hepatitis B "Little Three Yang", no matter in what form, is a potential threat to human health, and there is no doubt that it can be completely eliminated in time. For many years, medical workers have been committed to this work, but the results are not great. Some "Xiao Sanyang" have long-term stable liver function and no obvious discomfort, but they are eager to turn negative for treatment. They spent a lot of money but didn't turn it around, and some of them are getting worse. Some patients with "Xiao Sanyang" have long-term fluctuations in liver function, but they can't get correct treatment, which leads to the gradual development of the disease and eventually evolves into cirrhosis.
2. In case of the following situations, patients with "Xiao Sanyang" need timely treatment.
A, there are obvious symptoms, such as fatigue, loss of appetite, abdominal distension, liver discomfort, etc.
B, liver function fluctuates repeatedly: transaminase, serum bilirubin increase, albumin decrease and so on.
C hepatitis b virus deoxyribonucleic acid (hbvdna) was positive. The principle of treatment is to restore liver function, resist virus and prevent liver fibrosis.
The treatment method is: oral lamivudine (antiviral, drug as a reference, depending on the patient's reaction, some have obvious effects, and some show great side effects. ), one tablet a day (100 mg), 6- 12 months as a course of treatment; Oral administration of compound Biejia Ruangan tablets (to prevent liver fibrosis, please refer to the doctor to adjust the drugs, not necessarily), twice a day, 4-5 tablets each time, 6- 12 months as a course of treatment; Take Gandening orally, as mentioned above, twice a day, 2 capsules each time, and 6- 12 months is a course of treatment. The combination of the above three drugs has better curative effect.
3. In the following cases, patients with "Little Three Yang" may not be treated for the time being.
A, the body has no obvious discomfort, and its physical strength and appetite are the same as those of normal people.
B, a series of liver function tests remain normal for a long time.
C, regular review of hbvdna is always negative. These people can be treated without drugs, but non-drug therapy is worth a try, such as sports and leisure therapy, psychological rehabilitation therapy and so on. The purpose is to maintain a good attitude, self-adjust the law of life, mobilize their own potential, and eliminate diseases.
4. In any case, patients with "Xiao Sanyang" should strengthen follow-up and master some common sense of liver disease. Regular review and follow-up of patients with hepatitis B "small three positive" is very important. Regular review of liver function series and hepatitis B virus indicators can help us understand whether the condition is stable, whether it is improving or worsening, and make or modify the treatment plan in time. Patients with hepatitis B "Xiao Sanyang" should also regularly follow up liver disease experts (must be worthy of the name), understand their own condition and related knowledge, master the popular science knowledge of liver disease, and let themselves have a backbone, not be deceived and not waste money.
Explaining the transmission route of liver disease is beneficial to prevention:
(1) Saliva, if the patient holds a bite of food with chopsticks, you may catch it (provided that both sides have oral injuries).
(2) Blood, the amount of 1% in a drop of blood is enough to spread.
(3) Sperm diffusion during sexual intercourse.
In addition: if hepatitis B patients want children, it is recommended to cure them in advance, otherwise the baby will be difficult to treat.
Finally, drinking, overmedication, various infections, mental or physical fatigue and overnutrition are all misunderstandings about liver disease.
Dietary health care and treatment prescription for hepatitis B;
1, avoid spicy food, which can easily cause damp-heat in digestive tract, mixed damp-heat, disorder of liver and gallbladder qi, and weakened digestive function. Therefore, we should avoid eating spicy products.
2, avoid smoking cigarettes contain a variety of toxic substances, can damage liver function, inhibit liver cell regeneration and repair, so patients with liver disease must quit smoking.
3. Avoid drinking. 90% of alcohol is metabolized in the liver. Alcohol can interfere with the normal enzyme system of liver cells, so it directly damages liver cells and leads to liver cell death. Patients with acute or chronic active hepatitis, even if drinking a small amount, will make their condition repeat or change.
4. Avoid processed food and eat less canned or bottled drinks and food. This is because preservatives are often added to canned and bottled drinks and foods, which are more or less toxic to the liver.
5, to avoid the abuse of hormones and antibiotics "is a three-point poison", any drug is harmful to liver and kidney, patients with liver disease must be under the correct guidance of doctors, rational use of drugs.
6, avoid eating supplements and eating a balanced diet is the basic condition to maintain good health, such as improper nourishing, visceral dysfunction, breaking the balance, it will affect health.
7, avoid eating too much protein diet for patients with severe hepatitis, due to gastric mucosal edema, small intestinal villi thickening and shortening, bile secretion disorders. , people's digestion and absorption function is reduced. Eating too many high-protein foods such as eggs, soft-shelled turtles and lean meat will cause indigestion and bloating.
8, avoid high copper diet When the liver function is not full, it can not regulate the balance of copper in the body well, and copper is easy to accumulate in the liver. Studies have shown that the storage of copper in the liver of patients with liver diseases is 5- 10 times that of normal people, and the content of copper in the liver of patients with biliary cirrhosis is 60-80 times that of normal people. Medical experts point out that too much copper in the liver will lead to hepatocyte necrosis, and too much copper in the body will lead to renal insufficiency. Therefore, patients with liver disease should eat less foods containing more copper, such as jellyfish, squid, shrimp and snails.
9. Avoid irregular life, so it is very important to have enough sleep, reasonable nutrition, regular life, insist on morning exercise every day, and combine work and rest.
10, avoid emotional stagnation Patients with liver disease should avoid anger, pessimism, anxiety, etc. Because patients with liver disease can't be cured for a long time, people tend to be anxious and irritable, and it is easy to get angry and hurt the liver, and stagnation of liver qi is easy to become a habit.
1 1. Avoid fatigue. The liver is an important metabolic organ of human body. Patients with hepatitis have abnormal function and malnutrition, so they are very tired and need more rest. Therefore, more rest is the key to treatment.
12, don't go to the doctor at will, don't trust the quack doctor, so as not to delay the correct treatment and make the condition worse or even worse.
Matters needing attention in daily diet and life should be appropriate.
1, Acidity From the point of view of traditional Chinese medicine, acidic food can introduce drugs into the liver. The traditional Chinese medicine Schisandra chinensis is acidic, which can introduce drugs into the liver and reduce transaminase. In the past, rice vinegar was once popular for treating hepatitis. In addition, acidic foods can also increase appetite.
2. Sweet food can supplement a certain amount of heat to patients with hepatitis, which is easy to absorb and is beneficial to the recovery of hepatitis. Loss of appetite in acute hepatitis, sweets are better.
3. Bitter Chinese medicine believes that bitter food is cold and can clear away heat and detoxify. It is beneficial for patients with hepatobiliary damp-heat liver disease to eat bitter food, except beer.
I don't want to comment on drugs, so I don't want to comment either. I hope you can refer to the above suggestions. Be targeted. Don't be too busy buying expensive things. Practicality is fundamental.
I think I've said everything I can. I hope it will satisfy you.
Senior nutritionist in China, please leave a message for help if you have any questions.