Huang Guantang, president of National Taiwan University Hospital, delivered a public welfare speech on Hong Junpei Culture and Education Foundation.

Huang Guantang, president of National Taiwan University Hospital, delivered a public welfare speech on Hong Junpei Culture and Education Foundation.

(Taiwan Business Daily News) Taiwan Business Daily and Hong Junpei Culture and Education Foundation invited Huang Guantang, director of National Taiwan University Hospital, to give a lecture on "hepatobiliary Health and Happy Life" at the Sun Yat-sen Memorial Hall last Sunday. With his experience sharing with years of background in medical treatment and research on liver diseases, the public has benefited a lot. Huang Guantang, a Ph.D. from the Institute of Clinical Medicine at National Taiwan University, is an authority on liver medicine in Taiwan. He has rich clinical experience and is very concerned about patients. He often visits before a resident arrives in the ward.

The largest organ in the human body is the liver, which shoulders many important functions, but we Easterners, especially the Chinese, have the highest incidence of liver disease. In Taiwan, hepatobiliary gastrointestinal disease is the most common national disease suffered by the public. Through health examinations, one can correctly understand whether one's digestive organs are normal. Therefore, it is particularly important to correctly interpret the results of health examinations.

Huang Guantang, president of National Taiwan University Hospital, public welfare speech: silent organs, be careful of liver and gallbladder health

The position of the liver in the lower right diaphragm. Weighing about 1.5 kilograms, its main function is to produce protein and anticoagulant factors, and it is also the largest immune organ of the human body. The liver also has the function of producing proteins, as well as storing vitamins, the immunoglobulins we avoid, and many kinds of proteins are stored in the liver.

Our liver, shouldering the task of human health, once damaged and spread to function, will cause abnormal metabolism of the body, and thus lead to hepatitis, jaundice, fatty liver, liver cirrhosis, cholecystitis, indigestion, drug poisoning and other diseases and serious problems.

Because there is no nerve in the liver, there is no pain even if you suffer from liver disease, and there are no symptoms in the early stage of liver disease, so it is not easy for patients to be found at the early stage of the disease. If you want to keep a healthy liver, you need to have regular liver function tests, high-risk groups should be vaccinated against hepatitis, do not take artificial drugs casually, do not overeat and drink too much, pay attention to dietary hygiene, try not to smoke, avoid eating processed foods as far as possible, avoid contact with other people's blood, do not stay up late and work too hard.

The liver has the function of detoxification and secretes a lot of bile. Bile is produced by the liver, and bile flows back to the gallbladder from the hepatic duct. After human food enters the stomach, information will be fed back to the gallbladder, and the gallbladder will contract to produce bile, which enters the duodenum, and then flows to the small intestine and large intestine. Throughout the digestive process, bile is mainly used to help digest and absorb fat.

People who have cholecystectomy are more prone to diarrhea, because his bile usually flows out constantly, and it does not stop flowing to our intestines without the regulation of the gallbladder, so his concentration is not particularly high when eating, so it can cause indigestion.

There are usually three common types of hepatitis: alcoholic hepatitis, drug-induced hepatitis and viral hepatitis. Alcoholic hepatitis is easy for drinkers to get because alcohol is harmful to the liver and is described as a burning injury. Drink a small glass of spirits every day, 13 months later, do liver sections, you can find the early stage of liver cirrhosis. So alcohol actually hurts the liver.

In fact, there is no way for the liver to metabolize alcohol. Where does alcohol metabolize? it is slowly decomposed in the blood circulation. It is not metabolized by the liver. Why do people blush when they drink? Because alcohol dilates blood vessels in the human body, it produces a lot of substances that dilate blood vessels in the process of decomposition, so he will blush. This is in line with our general belief that blushing after drinking wine means that his liver has a good ability to metabolize alcohol, but the result is not the case at all. That means blushing has nothing to do with the detoxification of your liver. The key to blushing is that there is an alcohol decomposing enzyme in a person, which is born with it, its concentration is determined by nature, and has something to do with heredity, so some people's fathers can drink, and their sons can drink very well. in fact, it's just that he doesn't blush, but the damage to the liver is exactly the same.

Alcohol is slowly broken down in our bodies by enzymes in our bodies, not by the liver itself. When the liver breaks down alcohol, it actually trades the lives of liver cells for alcohol and decomposes it. We know that although the liver has the function of regeneration, once the liver cell is necrotic, it is replaced by a kind of fibrous cells, fibroblasts, fibroblasts will harden the liver. There is no way to regenerate the part of liver cirrhosis, as long as once the liver is hardened, there is no way to regenerate, the liver can be cut off and regenerate, but the hardened part is not easy to regenerate.

When the liver is inflamed, the GOT and GPT of the patient will increase first, then the bilirubin will increase, and the patient will develop jaundice; when the patient enters the convalescent stage, GOT and GPT will decrease first, then bilirubin will decrease and jaundice will disappear. As for patients with liver cirrhosis, bilirubin may not fall below the normal range when the liver function deteriorates and cannot afford the body's needs.

Cystolithiasis is the most common focus of gallbladder ultrasound. A bright white focus can be seen under ultrasound, and sometimes a dark tail is dragged behind it, like a comet. According to the study, people with a family history of gallstones, high cholesterol, obesity, multiple pregnancies, middle-aged women, high-cholesterol foods, greasy foods and sweet foods are more likely to suffer from gallstones.

In terms of treatment, the cholesterol content of gallstones in Chinese is low, so it is impractical to smash gallstones with ultrasound or dissolve them with drugs. It is recommended that patients with recurrent gallstone colic and acute cholecystitis should be treated by surgery. at present, 75% of the patients can be resected by laparoscopy, which is fast and convenient.

Gallbladder polyps may be mucosal hyperplasia, adenoma, cholesterol polyps or inflammatory polyps, and a few are malignant lesions. Under ultrasound, it looks like a polyp stuck to the wall of the gallbladder, and most patients have no symptoms.

Those gallbladder polyps have potential danger, and those who need surgery to remove the gallbladder? Surgical resection is recommended for symptomatic gallbladder polyps, regardless of size; if asymptomatic gallbladder polyps are larger than one centimeter in diameter, it is safer to remove them, while lesions less than one centimeter in diameter should be carefully observed and followed up, and should also be operated if there are complications or symptoms. After an interval of six months to a year, ultrasound examination can be done to observe its changes. if there is no change after two or three years, the number of examinations can be gradually reduced. There is no absolute way to prevent gallbladder polyps, but basically it is better to avoid a high-cholesterol diet and replenish enough water.

Hong Junpei Culture and Education Foundation 103 commonweal speech