Thursday, April 25, 2013

Therapeutic _'s treatment of the special hepatitis C patient

Therapeutic _'s treatment of the special hepatitis C patient
1.Children and the elderly: The therapeutic experience about children's chronic hepatitis C is still insufficient. The old patient over 65 years old or 70 should carry on the antiviral treatment in principle, but generally relatively bad to the tolerance of the treatment. So, the age, tolerance, complication to the medicine that should follow the patient are (such as hypertension, coronary heart disease) And factors such as the patient's will,etc. are weighed in an all-round way, in order to determine whether to for the antiviral treatment.
2.Get drunk and the drug addict: Chronic alcoholism and take drug, may promote the C-mode hepatitis virus to duplicate, aggravate the liver to damage. Thus develop into process of liver cirrhosis even liver cell cancer with higher speed. The patient is relatively low to the compliance, tolerance and curative effect against virus treatment because of getting drunk and taking drug, so, treating hepatitis C must stop drinking and give up taking addictive drugs at the same time.
3.Amalgamate HBV or HIV the infeted: Amalgamating HBV will accelerate the progress to liver cirrhosis or liver cell cancer of chronic hepatitis C to infect. As to C-mode hepatitis virus being RNA positive IBV DNA getting negative, resist the C-mode hepatitis virus' treatment first; As to the thing that two kinds of virus present active duplicators, propose removing the C-mode hepatitis virus with IFN Gary Palestinian Waring at first, can resist HBV treatment to HBV DNA the still positive continuously one after treating. The treatment of this kind of patient still needs to further investigate, in order to confirm the best healing solution.
Amalgamating HIV can also accelerate the progress of chronic hepatitis C to infect, because treat the big difficulty, propose carrying on the antiviral treatment under the guidance of professional doctor.
4.The chronic renal function is depleted: To that chronic hepatitis C is depleted with the renal function and not accepted the persons who dialyse, should not carry on the antiviral treatment. Have already accepted the patient (especially the patient who prepares renal transplantation of the conduct) without liver cirrhosis yet on dialysing and organizing pathology ,Can use separately IFN treat (should notice that give medicine after dialysis) . Because serious haemolysis can take place to the patient not complete of the renal function, so, seldom employ favourable Palestinian Waring to jointly treat.
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