Patient's frightened operation of first hepatocarcinoma of Hangzhou Cause the small lump to worsen into liver ascites

Patient's frightened operation of first hepatocarcinoma of Hangzhou Cause the small lump to worsen into liver ascites
Patient's frightened operation of first hepatocarcinoma of Hangzhou Cause the small lump to worsen into liver ascites
Patient's frightened operation of hepatocarcinoma, small lump is towed into liver ascites The expert says, chronic hepatitis and liver cirrhosis patient, had better check once in 3 to 6 months Ms. Yao in Hangzhou was made a definite diagnosis of early hepatocarcinoma one and a half years ago, but because of the frightened operation, she places hope on dispelling lump through taking medicine, it's a pity lump was not dispelled, worsen for the liver ascites instead, has lost the best treatment chance. "This kind of mistaken idea is actually not rare, some people regard auxiliary treatment means of hepatocarcinoma as the main method now, have lost and treated the opportunity best. " Zhejiang University medical college attaches to Professor Liang TingBo, Vice President of second hospital, expresses while acting as a guest in the 115th issue famous classroom of medical university of this newspaper, department's surgery is the master's complex treatment after suffering from hepatocarcinoma beyond needing to go on. There is the checking " hepatocarcinoma is to threaten the healthy fourth killer of the mankind " regularly of medical history of hepatitis, the morbidity of hepatocarcinoma of our country occupies the first place in the whole world. " Professor Liang says, vaccine of hepatitis B was not popularized ealier on, because of mother-to-baby transmission, some young people became persons who carry of hepatitis B and virus, this buries the hidden danger for emergence of hepatocarcinoma. He meets the youngest patient that examines for only 18 years old. " "Hepatocarcinoma controllable can be defended, the key is doing well and sifting checking. " Professor Liang says, the person with medical history of hepatitis is endangering the colony, especially chronic hepatitis and patient of liver cirrhosis high of hepatocarcinoma, you had better do inspection, including liver function, Ultrasonography B and first child albumen's inspection once every 3 to 6 months, these three items check progress that can control the condition effectively. In addition, take a good rest in daily life and drink few, especially don't eat the food going mouldy, research indicates the morbidity of yellow aspergillus toxin and hepatocarcinoma is concerned certainly, so rice, soya bean, peanut,etc. going mouldy must not be eaten. Ms. Yao's lump on the liver at that time is only 2 centimetres about big, and on the boundary line of the liver, it is excised her more frightened surgery through surgery that it is very easy, complex treatment such as more auxiliary chemotherapy, it's a pity, seek medical advice everywhere, symptom that liver ascites,etc. worsens seriously appears till now in the result, even the liver is transplanted loses the chance. Once make a definite diagnosis of hepatocarcinoma, needn't be too panic either, patient accepting regular treatment at home, it is most postoperative long to survive time is up to more than 30 years. Professor Liang says, the more important thing is to accept the regular treatment. How most scientific on earth to can cut the treatment about hepatocarcinoma on earth in tumour on liver!, the domestic and foreign academia indicates to rely mainly on the fact that the operation excise through the research of decades, auxiliary the intersection of liver and the intersection of artery and the intersection of intubate and chemotherapy, biological treatment, target, to treat, Traditional Chinese medicine wait for it treats to be most effective jointlying multi-disciplinary. "Whether tumour on the liver can finally be cut, is not totally determined by the fact that the size of tumour come. It still determines with a plurality of factors such as volume and function of residual liver after position, tumour and liver important and vascular relation and excision of tumour. " Professor Liang says. The function of the residual liver, a lot of people may understand, in fact, the compensation function of the liver is still stronger. However, if remain the liver volume under small very much or the function is too weak, play a role in maintaining the life, postoperative the liver function will happen ing is depleted, so remaining liver volume and function can meet most basic supersession of organism's needs after the assessment before surgeon's skill often needs considering excising. It's a pity, there is not any kind of sensitive checking and can totally predict the postoperative liver function accurately at present. This needed liver function before the skill to check, CT measured remaining liver volume and the doctor's experience to judge synthetically. Can pass " Raise the liver " Preparing for excising to this kind of situation, Professor Liang says he will adopt a kind of " raise the liver " Method prepare for excising,so-called "raise liver " Bring the liver up, for example it is left liver that should excise, but the patient's right liver is very small, once excise the left liver, the right liver will be tired, it is difficult to maintain the life. Before the excision soon, will use the special method, for example adopted the method of venous embolism of left side door to let the right liver grow up slowly, it is long enough to tolerate the left liver in it to do the operation when when excise, so not only control the growth of tumour but also make the residual liver volume increase, have reduced the risk of the operation greatly. This generally takes 4 to 8 weeks. "Everybody's situation is different, what kind of operation scheme is the most appropriate on earth, I advise the patient to carry on the good communication with the surgical specialist of liver first, then make the scheme. " Professor Liang says. It is reported, the Zhejiang medicine two institute, through heart transplant, lung are dirty are transplanted, the kidney is transplanted and the clinical ability that is transplanted of the liver is assessed, will introduce too in the future and direct against the multi-disciplinary clinic of hepatocarcinoma treatment. Readers are interdynamic Net friend " land of rivers and lakes in the dream " : There are " three little male genital " What does it should pay attention to at ordinary times generally? Hear now that a new medicine is being developed, is it hopeful to cure? Liang TingBo: Please check in hospital HBV-DNA and liver function, if this index increases, propose taking medicine against hepatitis B and virus, for example the intersection of Lammi and furan make etc.. Take a good rest at ordinary times, can't drink. Present new medicine should whether the intersection of Lammi and furan make such medicine, it is hopeful to control the condition. Net friend " a tree camellia " : Fatty liver is serious to develop into hepatocarcinoma? Liang TingBo: Fatty liver is a background disease of hepatocarcinoma, find now the morbidity of the fatty liver patient's hepatocarcinoma increases, thus treat fatty liver positively and early. Propose paying attention to the diet, eat the greasy one few, avoid drinking, if the weight is too high, propose making weight, strengthen physical training. In addition can reach gi medicine or hepatopathy and internal medicine department to have a look too. (reporter not square for preface staff reporter Huang MiaoJun / swallow Xus gentle /take the photograph)


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