Health check liver function index normal fear is false? 728 World Hepatitis Day! 2020 "All People Return to Liver" to Light up Taiwan for Life

Is it an illusion that the liver function index of health examination is normal? Respond to 728 World Hepatitis Day! 2020 "the whole people return to the liver" to light up Taiwan all his life.

[TB News] in the global COVID-19 pandemic in 2020, many patients with chronic diseases cancelled their return visits by themselves in order to avoid going to the hospital. However, for patients with chronic hepatitis, self-interruption of medication will increase the risk of virus recurrence and easily lead to the process of "liver disease trilogy"-hepatitis, liver cirrhosis, liver cancer-and eventually lead to irreparable consequences.

The World Hepatitis Alliance (WHA) calls on all countries to conduct the "missing Persons search" (Find the Missing Millions) on World Hepatitis Day 2020 to raise the awareness of patients who have not yet been diagnosed or seek medical treatment. Gao Jiahong, president of Taiwan's liver Disease Medical Policy Association, shares public health data. The estimated number of people infected with hepatitis B virus in Taiwan is estimated to be about 2.2 million, of which 30 to 400000 are estimated to be chronic hepatitis B patients in Taiwan. Most of them are over 35 years old, among whom there is no lack of hepatitis B virus carriers who have not yet developed the disease and have no symptoms. under the illusion that the liver function index is normal, the liver may gradually become chronically inflamed by the virus. in the future, it is more likely to continue to worsen and turn into liver fibrosis and cirrhosis. Therefore, the Taiwan Association for the Promotion of Hepatology has actively promoted the "National liver return Program" for many years, encouraging people to screen for chronic hepatitis virus and providing reliable indicators for testing the amount of hepatitis B virus and related antigens. It is expected to help reduce the situation of liver disease in Taiwan.

The normal number of health examination reports of potential crisis does not mean liver health. In the basic health examination, blood samples are taken to test the liver function index ALT and AST. In most cases, doctors will judge the health of the liver according to the high or low of the index. However, Lin Han-chieh, president of the Taiwan Society for liver Research, points out that the "normal" liver function index does not mean that he is not infected with chronic hepatitis virus, nor does it mean that he does not have liver fibrosis or cirrhosis. As a result of the comprehensive administration of chronic hepatitis B vaccine among newborns in Taiwan since 1986, the infection rate of chronic hepatitis B in newborns has dropped from 10% to less than 1% in recent years. However, there is still no shortage of hepatitis B virus carriers among ethnic groups over the age of 35, and the incidence rate is as high as 15%. President Lin Hanjie suggested that in addition to using the ALT/AST index to care for the health of the liver, people over the age of 30 should also take more comprehensive care of the silent organ of the liver through auxiliary means such as hepatitis B virus testing and liver ultrasound.

Hepatitis B drugs inhibit virus replication once the recurrence rate is high because there is no drug to eradicate hepatitis B virus, so the current treatment is mainly to inhibit virus replication, shared by Su Donghong, an attending physician in the Department of Internal Medicine of National Taiwan University Hospital. In the treatment of chronic hepatitis B, doctors will regularly test the amount of virus for patients to ensure the effectiveness of treatment and track the emergence of drug resistance. More than 90% of the disease can be well controlled. However, most patients in Taiwan will face the consideration of drug withdrawal after three years of treatment. Recent studies at National Taiwan University Hospital have found that the rate of recurrence caused by drugs for chronic hepatitis B is different. However, the probability of virus recurrence is as high as 60% to 70% in patients who stop taking drugs for one year, and about 5% of the patients will have serious recurrence, such as soaring liver function index and jaundice. A small number of patients will develop serious life-threatening symptoms such as liver failure, but there will also be lucky patients. If you have any questions above, you can check http://www.loveliver.com.tw/ on the official website "Hepatitis Savior Network" to break the vicious circle of hepatitis and regain the quality of life.