Posted on Monday, 5th October 2009 by admin
Hepatitis b drugs emerge in endlessly, such as hospital preparations, research in Chinese medicine, and scatter shot anointed Dan secrete recipe “, “to a person dazzling. In so many of the hepatitis b how should choose? Efficacy: so what?
Regular liver medicine according to its effect can be divided into: general hepatinica drugs, protecting liver, restore liver drugs, antiviral drugs and drug resistance of immune regulation, liver fibrosis drug and proprietary Chinese medicine and so on six big kinds.
General hepatinica drugs including vitamins, liver to health, liver Thai music, suitable for various as hepatitis and cirrhosis, but only can rise auxiliary and indirect effect. These drugs may reduce the liver inflammation, promote cell regeneration, but the liver and not for hepatitis b treatment.
Protecting liver, restore liver medicine this kind of drug research, the longest curative effect, the most widely used, relatively cheap price, including the liver enzyme, protecting liver, drop down and protecting liver, improving protein yellow metabolic three types. They respectively applicable to various hepatitis and cirrhosis and elevated bilirubin appear transaminase albumin deficiency or the ratio, protein, protecting liver, drop enzyme drugs are the most widely used, the most outstanding curative effect of drugs, such as schisandra, liquorice. The clinical hepatitis b, meet almost all of transaminases associated with this phenomenon, usually, use to protect liver enzyme drugs can be received upon the immediate effect. Although these drugs, but not an quickly, otherwise transaminase discontinuation of sudden bounce “, “will quickly be gradually decrease, or maintain.
To protect liver drop yellow drugs of hepatitis and cirrhosis patients (i.e. appear icteric elevated bilirubin, such as medicine nmda k, bear deoxycholic acid and TCM salvia miltiorrhiza injection, etc. One western drop mainly suitable for yellow with silt bravery characteristics of hepatitis, TCM is suitable for various high jaundice cases. Drop yellow drugs, if not the long-term use of chronic hepatitis b liver cirrhosis and appear icteric “phenomenon,” residual is unfavorable use the drugs, can use herbal prescription to solve. Differentiation
Protecting liver, improving protein metabolism drugs, such as oral amino acid ester etc for capsules, Marlowe, mainly suitable for chronic hepatitis (usually moderate above) or cirrhosis, globulin, lower albumin appears, the ratio of protein, cheap, curative effect is fair. If liver cirrhosis ascites, adanced appear, hypoalbuminemia to enter human albumin, the price is very expensive. To protect liver recovery treatment of liver and clear, unfortunately not cure hepatitis b liver, they belong to the “take temporary solution” to alleviate the hepatitis b (i.e. method). They can solve some of second liver surface phenomenon, such as alleviate inflammation, stimulative liver liver cell regeneration, etc, but can not solve the problem of hepatitis b core – antiretroviral treatment.
Antiviral drugs this kind of medicine suitable mild-to-moderate chronic second liver cirrhosis, and early iral replication index (e antigen, HBV DNA) positive, should not be commonly used to treat H.I.V., heavy-duty hepatitis and cirrhosis late. Hepatitis b antiviral treatment is the core and key hepatitis b treatment for hepatitis b treatment content, but also the difficulty, it is a tough one, “has been” chew “. In different period for hepatitis b treatment have different “leading” drugs, such as medicine lamivudine and interferon, the traditional spirit of hepatitis, but most injection of antiviral medicine “is a flash in the pan”, the effect not beautiful. In the 1990s, interferon is recommended for people, was once considered second liver Nemesis, prevailed in nearly 6-7, but because the curative effect unsitisfatory (racial differences, side effects, expensive factors determine its not suitable for Chinese), also gradually in decline, the generation of lamivudine, this is the latest anti-viral drugs are.
Relative to other western lamivudine, there are many advantages, such as the price is relatively cheap, effects of small mouth, eyes, convenient, quick, for suppressing viral hepatitis b virus (HBV DNA – DNA) turn rate can reach 90% for hepatitis b virus e antigen (of) the rate of HBeAg in 40%, so the rage. However, lamivudine not god, it hasn’t completely solve the problem, such as hepatitis after discontinuation of the rally “, “the treatment, virus in drug are65 pressure variation, the long-term outcome is uncertain, etc. Lamivudine treatment of hepatitis b is a milestone in the campaign for hepatitis b treatment, but it is not the end. Many Chinese antiviral drugs species, its advantage is cheap and side effects of small, but relatively, antiviral effect of medicine is not clear enough, mechanism, therefore, it is difficult to separate the “main role for hepatitis b.
Immune adjustment drugs including immunity enhancement and immunosuppressive two kinds. Immunity enhancement can improve the cellular immune function and inducing endogenous interferon generation, promote the second liver virus negativity antigen index. In addition, some of TCM has its efficacy. Objectively speaking, immune preparations still belongs to aid in the treatment of hepatitis b, the auxiliary treatment, but the price is too high, immunity enhancement price is very expensive, expensive degree has exceeded antiviral drugs, which lets a person feel “at the shadow and lose the substance”. Immunosuppressive agents can be used for silt bravery sex hepatitis, autoimmune hepatitis and severe hepatitis, but the effect is not exactly, antiviral action is specious and therefore not worth recommending.
This drug resistance of liver fibrosis drug applicable with chronic hepatitis b liver fibrosis and cirrhosis of the early. But now these drugs have bone marrow, severe gastrointestinal side effects, and almost unacceptable, clinical rarely used. Is Chinese anti fibrosis preparations have emerged as the general, they can inhibit collagen synthesis, promote the formation of collagen organization has absorbed the degradation and so become the new treatment method with Chinese characteristics. However, anti fibrosis treatment is still not solve the fundamental measure hepatitis, if the right second liver virus eradicated, not only is also can rise to postpone anti fibrosis illness development purposes.
TCM for granule, tablet and capsule, including medicine and pharmacology, dai medicines, etc. Although these drugs consisting of different features, but are hard to acquire, sometimes can be a treatment phase rilliant “, a flash. TCM variety, a huge number, the present basic use, no one to domestic and international drug approval authority, so only in clinical trial is difficult to determine the effect of phase.
In the second liver after the regular, not mention the “drug” advertising forms. The advertisement for hepatitis b treatment in the streets, and these ads use tabloid newspapers are almost invariably TCM, are so-called “liver disease experts” successfully developed, its cost is low, the price is very expensive, sales to a patient was “kill” an exorbitant profits, the sole purpose of advertising is second liver. For all the hepatitis b AD, regardless of how well said, how attractive commitment, had better not heal, one must go to normal hospital.
Anyhow, no effects on the liver in treatment. According to current condition for hepatitis b treatment, adopt comprehensive treatment measures: on second liver virus is carried, don’t make any medication, In the state of hepatitis b, can take specimen, available antiviral drugs may battles, an available or yellow. As the immunomodulator, anti fibrosis treatment can be put in the second, economic conditions permit, can be used as auxiliary medicine.
Tags: liver
Posted in hepatitis b infection | Comments (4)