Problem description:
I have been suffering from hepatitis B 10 for many years. I have used Hepudin for 4 years, but it has changed. I think it is treated with Chinese medicine.
Please tell me which Chinese patent medicines are anti-HBV, and tell me their names. Thank you.
Analysis:
Interpretation of hepatitis B laboratory sheet
Laboratory examination of hepatitis B mainly includes two aspects: 1, blood biochemical examination (liver function examination). 2. Detection of virus markers (five items of hepatitis B). The commonly used items of liver function examination mainly include total protein (TP), albumin (ALB) and globulin (GLO), which mainly reflect the synthetic function of the liver. Alanine aminotransferase and aspartate aminotransferase mainly reflect the damage of liver cells. Direct bilirubin and total bilirubin mainly reflect the metabolic function of hepatocytes. (Excerpted from: seeking medical advice network jk58)
Five tests of hepatitis B
Is there hepatitis B virus in HBsAg?
Is surface antibody (anti-HBs) protective?
Is е antigen (HBeAg) virus replicable and contagious?
Is the replication of е antibody (anti-HBe) virus inhibited?
Has the core antibody (anti-HBc) ever been infected with hepatitis B virus?
With the development of technology, HBV-DNA detection can now reflect whether there is hepatitis B virus in the liver and whether it is replicating. This kind of test should be carried out in a big hospital, which can make the results more accurate.
Big sanyang and small sanyang
Dasanyang
Surface antigen (HBsAg)+
е antigen (HBeAg)+
Core antibody (anti-HBc)+
This situation usually reflects that virus replication is active.
Xiaosanyang
Surface antigen (HBsAg)+
е antibody (anti-HBe)+
Core antibody (anti-HBc)+
Patients with small three-yang diseases should be tested for DNA. If it is positive, it reflects the active replication of the virus. If it is negative, it reflects that the virus is suppressed and the virus replication is inactive.
It is wrong to think that more plus signs mean that you have hepatitis.
Etiological examination (two and a half examinations) only reflects whether the patient is infected with the virus and whether the virus replicates. As for the onset, it is necessary to determine whether he has liver disease, the severity of his illness and the damage of liver cells according to the results of liver function examination.
What abnormal liver function tests suggest hepatitis?
For example, the increase of transaminase indicates that liver cells are damaged, indicating that liver function is abnormal, that is, acute liver disease, which may be positive for chronic liver disease. The increase of bilirubin (jaundice) indicates that the liver function is in a state of destruction.
If there is no abnormality in liver function, will the virus affect the body?
The main mechanism of liver injury caused by hepatitis B virus infection is that it is easy to cause immune disorder. The direct damage of hepatitis B virus itself to the liver is very weak. Many patients have this virus, and the virus replication is very active, but it has no damage to the liver. We call this kind of patient a virus carrier, which can last for a long time, even for life without getting sick. Some patients may cause liver damage after carrying the virus, so there is no need for more treatment in clinic for those who carry the virus but have no liver damage. Virus carriers, especially patients with big three-positive and DNA positive, are very active in virus replication and highly contagious, but the main route of transmission of hepatitis B virus is blood transmission, and the general contact infectivity is relatively low.
What kind of situation does the hepatitis B laboratory sheet appear to indicate that treatment is needed?
The most important thing for hepatitis B patients is liver inflammation and damage, especially when the damage is serious (jaundice or other symptoms). The detection index is high transaminase or abnormal bilirubin. At this time, you need to go to the hospital for further examination and treatment.
Etiological examination should be distinguished from liver function examination. Once the abnormal cause (big or small, three positive) is found, you should go to the hospital for relevant examination, but don't be too nervous, because the virus is likely to be healthy for life, and only when the liver function is abnormal, you need active treatment.
What is the possibility of eliminating hepatitis B virus?
At present, it is really difficult to completely eliminate hepatitis B virus, and the complete clearance rate is only about 10%. At present, there are many drugs to treat hepatitis B. It is recommended that patients must take the drugs under the guidance of doctors and never take the drugs according to advertisements. This will not only lead to poor therapeutic effect, but also cause liver inflammation and aggravate the damage to the liver.
What is the best period of treatment?
The best period of antiviral treatment is when the liver is inflamed (transaminase is high), which reflects that the body's immunity has a certain effect on the virus. At this time, it will be very effective to use some antiviral drugs. If the liver is in a very stable state, the effect of antiviral drugs is really not ideal. In short, when patients need treatment, they should go to a specialized hospital for examination and then take medicine under the guidance of a doctor. For those virus carriers who do not need medication, the most important thing is to carry out regular monitoring, liver function monitoring for 3-6 months, and B-ultrasound once a year to monitor whether there is liver damage, and once it appears, it must be treated.
Can carrying hepatitis B virus for a long time develop into cirrhosis or liver cancer? What preventive measures are there?
Hepatitis B virus carriers may turn into chronic hepatitis and eventually develop into cirrhosis. It is very important to check the preventive methods regularly.
Only 20% or even less than 20% of patients with chronic hepatitis will develop cirrhosis. The incidence of liver cancer in patients with liver cirrhosis does not exceed 20%.
Both HbsAg and HBc are positive in pregnant women. Does it affect the fetus?
Both HBsAg and HBc are positive. If there is no vaccine before, 100% children will be infected. Now we have highly effective immunoglobulin and hepatitis B vaccine. When a child is born, high-efficiency immunoglobulin is injected first, and then hepatitis B vaccine is injected. Usually 80%-90% of hepatitis B virus can be blocked without being infected with hepatitis B, and there are still 10% cases.
general idea
1, hepatitis B detection includes liver function test and virus detection.
2. Having hepatitis B virus does not mean having liver damage.
3. Whether the liver function is normal determines the necessity of treatment.
4. Don't use drugs blindly.
Hepatitis B is caused by hepatitis B virus (also known as HBV), which exists in blood, sweat, saliva, menstruation, milk and tears of patients with hepatitis B. After patients with acute hepatitis B and acute chronic hepatitis come into contact with the above body fluids and secretions, HBV can enter the blood and become infected with hepatitis B..
The main route of HBV entering the blood:
① Vertical mother-to-child transmission: There are about 65.438+0.4 billion HBsAg positive people in China, of which mother-to-child transmission accounts for 85%. Vertical transmission is the main reason for the spread and high incidence of hepatitis B in China. There are also some father-son communicators. Mother-to-child transmission is mainly through birth canal infection or intrauterine infection.
② Transmission of blood or blood products: Most blood products contaminated by HBV, such as albumin, platelets or blood, will have hepatitis after blood transfusion, and HBV will also be infected during hemodialysis and renal dialysis.
③ Iatrogenic transmission: medical instruments contaminated by HBV (such as scalpels, dental drills, endoscopes, laparoscopy, etc.). ) can spread HBV.
④ Close family contact: it mainly refers to sexual contact and close contact in daily life (such as using toothbrushes, towels, teacups and chopsticks), which may be infected by HBV. HBV can enter the body of close contacts through the damaged mucosa.
⑤ Public places, barber shops, beauty salons, etc. Are easily contaminated by HBV, such as baths and razors, can be infected with HBV.
preventive measure
First of all, mother-to-child transmission is the main route of transmission of hepatitis B in China, which has been highly valued in China. Since 1980s, infants born to HBsAg-positive pregnant women have been injected with hepatitis B vaccine. After 20 years' efforts, the proportion of HBsAg carriers among babies born in Shanghai has dropped from 9.8% to 0.5%. Therefore, we can proudly say that in the near future, the number of HBsAg carriers in China will be significantly reduced, and hepatitis B is completely preventable. Secondly, strictly screen blood donors to ensure that medical blood and blood products are not polluted.
Finally, it is necessary to strengthen the treatment of patients with hepatitis B, and interferon-α is the first choice for chronic active hepatitis B. Health knowledge should be popularized and good health habits should be developed. Through the above measures, I believe that in the near future, the number of patients with hepatitis B will be greatly reduced.
The key to eliminating hepatitis B lies in prevention. Hepatitis B virus can be transmitted in two ways:
Transmission through blood: such as transfusion of whole blood, plasma, serum or other blood products. Tropical and subtropical mosquitoes and various blood-sucking insects may spread hepatitis B virus.
Mother-to-child transmission: pregnant women are carriers of hepatitis B, which is directly transmitted to newborns through the birth canal.
Transmission of body fluids: If medical equipment is contaminated by hepatitis B virus, it will be infected due to incomplete disinfection or improper handling. The spread of sexual contact. Long-term close contact with hepatitis B patients or carriers, such as saliva, urine, blood, bile, milk, etc., will cause pollution and spread hepatitis B.
Numbered drug name generic name origin specification unit reference price
25 1005 gandujing granules gandujing granules Jilin Weber pharmaceutical co., ltd 8g*9 bags with 58 boxes.
23 10 15 Fuke Pill Fuke Pill Handan Pharmaceutical Co., Ltd. 90 pills *2 bottles box 298
23 1008 Huanglian Gan Yang pill Huanglian Gan Yang pill Inner Mongolia Yitai Long Dan Pharmaceutical Co., Ltd. 6g* 10 bag box 23.6
22 10 12 Liuwei Wuling Tablet Liuwei Wuling Tablet Shandong World Expo Jindu Pharmaceutical Co., Ltd. 0.5g*36 tablets boxed 76.3
22101/Liuwei Wuling Tablets Shandong World Expo Jindu Pharmaceutical Co., Ltd. 0.5g*60 tablets in a box 1 18.8
2210/0 Liuwei Wuling tablets Liuwei Wuling tablets Shandong World Expo Jindu Pharmaceutical Co., Ltd. 0.5g* 100 box 198
250277 Wuling Ganfu Capsule Wuling Ganfu Capsule Shanghai Fangda Pharmaceutical Co., Ltd. 0.4g* 12s*2 boxes 29.6
250 153 Ganjiaxin Tablets Ganjiaxin Tonghua Fangda Pharmaceutical Co., Ltd. 0.365g* 48 tablets box 49.2
9 1380 Polyporus Polysaccharide Injection Jiangsu Zheng Da Tianqing Pharmaceutical Co., Ltd. 2ml: 20mg * 10 Box 68
2503 14 Yindan Gan Ping Capsule Yindan Gan Ping Capsule Zhangzhou Pien Tze Huang Pharmaceutical Co., Ltd. 0.5g a box of 58
2502 12 Qingre Shugan Oral Liquid Qingre Shugan Oral Liquid Shaanxi Kang Hui Pharmaceutical Co., Ltd. 68.5 boxes.
2502 14 Hepatitis B Qingre Jiedu Tablets Shandong Haisen Pharmaceutical Co., Ltd. 0.3g*72s boxed 35
40004 Dahuangchong Pills Dahuangchong Pills Guangdong Zhanjiang Chinese Patent Medicine Co., Ltd. 36g a box of 22
250249 Yiganjian Tablets Yiganjian Tablets Qinghai San Pu Pharmaceutical Co., Ltd. 60 tablets *2 bottles (AB tablets) box 49.5.
204 15 gankangning gankangning Xi Anyi zhiliu pharmaceutical co., ltd. 1g*30s box 37
40 137 Dahuangchong Pill Dahuangchong Pill Guangdong Yangjiang Pharmaceutical Factory Co., Ltd. 36g bottle 22.5
250240 Seven Kinds of Bear Gallbladder Capsule Bear Gallbladder Shugan Lidan Capsule Yunnan Yangming Pharmaceutical Co., Ltd. 0.5g*24 Capsule 36.2
200 160 compound ganoderma lucidum granules Jiangsu Shenhua pharmaceutical co., ltd 5g* 12 bag box 76
250209 Ganlitai Compound Yiganling Capsule Hunan Qianjin Xiangjiang Pharmaceutical Co., Ltd. 24 capsules 49
250,204g capsules, capsules, capsules, Shenzhen Tongan Pharmaceutical Co., Ltd. 0.4g*24 boxes of 56.8.
2502 10 Danlishu Capsule Danlishu Capsule Harbin Le Tai Pharmaceutical Co., Ltd. 15s*2 Box 33
2502 16 Yigan Qingre Jiedu Capsule Yigan Qingre Jiedu Capsule Jilin Zheng Xiu Pharmaceutical 0.4g×60 Capsule 39
2502 18 fuganning tablets fuganning Guangdong Zai Tian pharmaceutical co., ltd. 0.5g* 100 tablets in a box 32
250 143 Jiuwei Gantai Capsule Jiuwei Gantai Capsule Hunan Taibao Caisongtang Pharmaceutical Co., Ltd. 0.35g*36 Capsule 55.4
20544 Liganlong Tablet Liganlong Tablet Shaanxi Pharmaceutical Factory 0.37g* 15s*6 box 32
250056 Gankeli (sugar-free) Gankeli (sugar-free) Sichuan Langzhong Pharmaceutical Co., Ltd. 3g*9 bag box 30.6
250 184 Tianhu Yugan Tablet Yunnan Yousheng Pharmaceutical Co., Ltd. 0.3g* 10 tablet/disk * 10 disk/box 136.
250 170 cucurbitacin tablets Chongqing Beiling Pharmaceutical Co., Ltd. 0. 1mg* 100 tablets bottle 8 1.60
60 180 honey bucket flower granules Yunnan huangjia medical circle pharmaceutical co., ltd 5g* 15 bags/box 42.00
250 160 Triple Effect Hepatitis B Sticker Hubei Zhonghe Herbal Pharmaceutical Co., Ltd. 4 bags *5 stickers boxed 496
2069 1 Shuang Hu Qing Gan Granule Shuang Hu Qing Gan Granule Beijing Huashen Pharmaceutical Co., Ltd. 12g/ bag *4 bags 32.7.
250 136 compound Gan Song tablets compound Gan Song tablets Guangxi Jinxiu Tang Sheng pharmaceutical co., ltd. 24 tablets bottles 36.6.
250 139 slow liver Jieyu capsules slow liver Jieyu capsules Chengdu Di 'ao Hong Jiu Pharmaceutical Factory 0.25g× 10 capsules× 4 boxes 33.8.
25 136 compound dida capsules compound dida capsules Qinghai dida pharmaceutical co., ltd. 0.35g* 10 capsules *3 boxes 59
250 135 twenty-five flavored turquoise pills twenty-five flavored turquoise pills * * Changdu Guangyu Limin Pharmaceutical Co., Ltd. 0.25g* 10 pill box 29
250 134 Huganning Tablets Huganning Tablets Jilin Tonghua Tian Li Pharmaceutical Co., Ltd. 12 tablets * 5 boxes 33
250 133 Gansukang Capsule Gansukang Capsule Yuanda Pharmaceutical Group Harbin Sixth Factory of Chinese Medicine Co., Ltd. 0.23g*40 Capsule 33
250 126 xingxindao Shen Ling gankang capsule Shenzhen Taikang pharmaceutical co., ltd 12 capsule *3 boxes of 68.5.
250 127 Jianganling Capsule Jianganling Capsule Tonghua Maoxiang Pharmaceutical Co., Ltd. 10 Capsule *2 boxes of 28
250 125 Honghua Qinggan Shisanwei Pills Honghua Qinggan Shisanwei Pills Inner Mongolia Datang Pharmaceutical Co., Ltd. 15 capsules/plate *2 plates *2 small boxes/box 33.2
60058 Yiganning Granules Yiganning Granules Changsha Jiuzhitang (Group) Co., Ltd. 17g* 10 Pack 18
250 120 Huang Xuan hepatitis b powder Huang Xuan hepatitis b powder Guizhou dexiang pharmaceutical 9g× 15 bag box 57.2.
250 1 17 Chaoyang pill Chaoyang pill Beijing Guangda pharmaceutical factory 2g* 10 bag boxed 48
250 1 16 shenchai gankang tablets Tonghua shenyuan pharmaceutical co., ltd. 0.25g*54 tablets in a box 44.2
250 1 15 shenchai gankang tablets shenchai gankang tablets Jilin Hongshi pharmaceutical factory 0.25g* 12 tablets *2 boxes of 50.4
20 144 Lingmiaoling tablets for hepatitis B conversion Jilin Baixingtang Pharmaceutical Co., Ltd. 0.25g* 12 tablets *2 plate bottles 58
250 168 Aotaile Jilin Liyuan Pharmaceutical Co., Ltd. 15g*9 Bags 3 1.4
250 169 aotaile aotaile Jilin Liyuan pharmaceutical co., ltd 5g*9 bags 43.6
250 167 Fuzheng Huayu Capsule Fuzheng Huayu Capsule Shanghai Huanghai Pharmaceutical Factory 0.3g*60 Capsule Bottle 92
200025 Fuzheng Huayu Capsule Fuzheng Huayu Capsule Shanghai Huanghai Pharmaceutical Factory 0.5g*60 Capsule 135
0 10 138 Ganning tablets Tonghua Maoxiang Pharmaceutical Co., Ltd. 24 tablets boxed 17
20 12 1 glycyrrhizin tablets glycyrrhizin tablets Jiangsu Chenpai Pharmaceutical Co., Ltd. 75mg*30s bottle 7
30355 Dang Fei Liganning Capsule Dang Fei Liganning Capsule Sichuan Meidakang Pharmaceutical Co., Ltd. 250mg*80s bottle 37
20232 Compound Biejia Ruangan Tablets Compound Biejia Ruangan Tablets 0.5g*48 tablets box 88 produced by Inner Mongolia Furui Mengzhong Technology Co., Ltd.
9 1 163 ganlixin injection Lianyungang Zheng Da Tianqing pharmaceutical co., ltd 50mg/ 10ml*5 boxes of 29
30369 Ganlixin Capsule Ammonium Glycyrrhizinate Capsule Lianyungang Zheng Da Tianqing Pharmaceutical Co., Ltd. 50mg x 24 Box 2 1
200 137 Yigan Fuzheng Capsule Yigan Fuzheng Capsule Chongqing Dongfang Pharmaceutical Co., Ltd. 0.25gx 100 Capsule 19.6
30073 Yigan Jiedu Capsule Yigan Jiedu Capsule Yichang Kang Min Pharmaceutical 0.25gx60 Capsule 19.6
30097 Pentyl Ester Capsule Sichuan Hezheng Pharmaceutical Co., Ltd.11.25mg24 Capsule 26
Quite a lot, so I have to copy it, hehe