Patient's question:
My friend went to the hospital for an annual check-up in 2003 and was diagnosed with hepatitis B, the "big three positive" type. It was discovered that their transaminase levels had reverted to abnormal levels again, at 105. Through medication and oral treatment, although their condition had improved, their liver function would often fluctuate and relapse. They took lamivudine, which they continued for over two years, and the virus turned negative, turning into the "small three positive" type. Therefore, they believed they would recover and stopped taking the medication. But they didn't know that they shouldn't stop the medication on their own. After stopping it for over a year, they discovered that it had progressed to cirrhosis. They regretted it deeply and then experienced another episode of gastric bleeding. Later, the virus replicated again, leading to active cirrhosis. The doctor prescribed lamivudine again for antiviral treatment. In addition to taking many traditional Chinese medicine antifibrotic medications until now, their condition has not improved but has instead worsened, with the right liver shrinking.Doctor's answer:
When caring for patients with cirrhosis, it is essential to pay attention to their diet and daily routine. First, medication is required for treatment, followed by the intake of various vitamins. Additionally, liver-protecting drugs such as inosine act as cell activators, reducing ATP levels in the body and converting them into multiple nucleotides, thereby participating in energy metabolism and protein synthesis. However, blindly overusing medications in cirrhosis patients can increase the liver's burden on drug metabolism, while both known and unknown side effects of drugs can exacerbate harm to the body. Therefore, it is not advisable to use excessive, long-term, or indiscriminate medications for cirrhosis patients.