latelenovela Chapter 482
Chapter 482
In general, spider angiomas, which only appear on the upper body, not the lower body.
Soon, the patient hid behind the curtain and took off his suit and shirt.
Lin Feng checked it again and found no second spider nevi.
"Lying in bed, I'll check your liver..."
physical examination
Location under the right rib.
Press......
All of a sudden, it felt wrong, hard.
"Cirrhosis!"
I touched the patient's stomach again, it was a little bulging, it felt like ascites...
"Have you had a history of hepatitis B or something like that before?" Hepatitis and the like..."
"Huh? No, I haven't had a medical exam in years..."
"You smell a little alcohol, drank, right? Do you drink alcohol a lot? "
"No way, go to work, have a lot of entertainment..." Zhang Zhongjian said with a wry smile.
"You may have cirrhosis..." There is a sentence Lin Feng did not say: liver cancer!
The general progression is: hepatitis - cirrhosis - liver cancer
Moreover, the patient Zhang Zhongjian often drinks alcohol, what will happen to this?
"Alcoholic liver!"
That is, "alcoholic fatty liver", a large number of drinking for 5 years, there is a high probability of this disease.
"I'll open a few orders, and you go for a check."
"The first is CT, to see if it's liver cancer... There are also chronic hepatitis tests for hepatitis B and C, in addition to blood routine, liver function... There is also an autoantibody test for immune hepatitis..."
Because this patient should not be very short of money at first glance, Lin Fengkai's examination is more detailed, of course, it is not expensive.
But it's evening, so the test results are not so fast.
After 2 hours,
Partial results come out:
· CT: liver cancer, 7cm diameter size...
Hepatitis B two to half: the big three yang...
"Liver cancer... I actually have liver cancer!! "
When Zhang Zhongjian saw the results of this report, the whole person was stunned!
Lin Feng sighed.
In fact, he had expected that it might be liver cancer, but he didn't expect it to come true.
"Call and ask your loved ones to come over... In addition, for admission, your liver cancer may have to be removed because it is too big. "
At this moment,
Zhang Zhongjian lost his soul.
Cancer, isn't his life going to be over?
"Doctor Lin, am I still saved?"
"The CT just showed that although your liver cancer is large, it has not metastasized, and it is far from the liver portal position, you can consider surgical resection + radiotherapy and chemotherapy... In general, the situation has no effect on your life, just rest assured. "
Hearing this, Zhang Zhongjian suddenly became happy.
Admission to the hospital,
......
Half an hour later,
The beautiful wife of the patient Zhang Zhongjian rushed to the hospital with her daughter, worried and furious.
"It may be because of hepatitis B, which leads to cirrhosis of the liver, and finally evolves into liver cancer..." Lin Feng explained the patient's condition.
Hepatitis B?
"Dr. Lin, hepatitis B causes liver cancer?" The patient's wife's face visibly changed.
"Naturally, it will..." replied Lin Feng.
At this time, the wife who was originally worried about her husband is now worried about herself.
"Dr. Lin, help me also check my liver, the year before last, my company's physical examination found that I also had hepatitis B!"
Here is to talk about the company's physical examination project.
Generally, companies organize a physical examination for all employees every year or two years.
This kind of examination is basically: blood, urine routine, liver function, kidney function, hepatitis B two and a half, X-ray chest radiograph, women's increase in uterine appendages... (Dear book lovers, after reading this novel for so long, you should have your own understanding of these projects)
That's pretty much it.
Then there is a problem:
Why add "hepatitis B in half to half"?
Isn't liver function alone enough?
Why did the company add "hepatitis B" as a project?
Cause:
"Hepatitis B" is contagious!
Because it is contagious, everyone is full of panic about it.
Many people who have hepatitis B dare not tell others: I have hepatitis B because I am afraid of being rejected by colleagues and friends.
If you know that someone has hepatitis B, others will try not to eat with this hepatitis B friend, for fear that they will be infected.
And just now, Lin Feng was obviously full of resistance to "hepatitis B" from the tone of this beautiful wife in front of him, and even wanted to hide its existence by all means!
But!!
What Lin Feng wants to say is: the infection of hepatitis B is unimagined horror!
Transmission routes of hepatitis B: blood, mother and baby, X life...
There are only these three.
Therefore, eating together or something, it is not contagious at all. (If you talk about ulcer bleeding and the like, there is still a certain probability, although it is very small)
"I'll bill you... By the way, have you done hepatitis B antiviral therapy? "
Lin Feng subconsciously asked.
The wife wondered: "What is hepatitis B antiviral therapy?" "
Lin Feng sighed.
Sure enough, hepatitis B patients do not know what hepatitis B antiviral therapy is.
The human body can have two layers of protection against hepatitis B:
First layer: hepatitis B surface antibodies. When the hepatitis B virus invades the human body, the human body will produce a substance that resists it, antibodies, which are a protein, and its existence means that the body has developed resistance to the hepatitis B virus. (Role of hepatitis B vaccine)
Second layer: antiviral therapy. If you are infected with the hepatitis B virus, antiviral therapy is available.
Specific principle:
Hepatitis B virus invades the liver, the body's immune function begins to play a role, to eliminate hepatitis B virus, at this time the virus VS human body war, the war smoke burns, and then hepatitis appears.
(PS: Inflammation, which is not a disease, is a defensive response of the body to stimuli, manifested as redness, swelling, heat, pain and dysfunction.) ）
If the patient undergoes antiviral therapy during the virus vs human body war, it is equivalent to assisting the body to destroy the virus.
Let the hepatitis recover as soon as possible.
According to logic: hepatitis - " cirrhosis - " liver cancer ...
Hepatitis clears up faster, and the chance of cirrhosis becomes smaller.
This is what antiviral therapy is all about.
However, antiviral treatment does not cure the symptoms, because a small part of hepatitis B virus will hide in the nucleus of liver cells, existing antiviral drugs can not kill them, antiviral drugs can only kill the virus on the periphery of the cell, control the disease, but can not be cured.
Therefore, in order to suppress the hepatitis B virus for a long time, the best way is to carry out long-term antiviral therapy.
After hearing this, the patient's wife felt like a treasure:
"In other words, as long as I have long-term antiviral treatment, I should not have liver cancer?"
"So to speak..."
"Great, thank you Dr. Lin!"
The patient's wife breathed a sigh of relief, she was really afraid of liver cancer!
Lin Feng opened the bill, in addition to this wife, and the little girl also opened a two-to-half test for hepatitis B.
......
ps: the update is over...
。