Fatty liver may rise to the largest serious liver disease!Expert: No special medicine, mainly by screening
The number of patients with liver cancer in China accounted for half of the world’s, 80 % of the liver cancer was infected with hepatitis B virus and hepatitis C virus. Hepatitis virus infection with fatty liver can increase the risk of hepatocytoma.
Southern Hospital Ai liver day free clinic activity scene was hot, and the team’s long queue (39 health photography)
March 18th is the National Love Day. The infection team of the South Hospital of Southern Medical University launched a free clinic activity in the hospital outpatient square. The on -site exemption fee is available, and free hepatitis C blood screening, early diagnosis of liver cancer diagnosis, registration of chronic liver disease registration, and distribution of publicity manuals, etc. The first 50 patients were scanned for free liver hardness.
Free clinic site provides free hepatitis C blood drawing screening (39 health photography)
Professor Hou Jinlin, a well -known infectious disease expert, said in an interview with 39 healthy interviews that protecting the liver to prevent liver cancer should not only pay attention to hepatitis B and hepatitis C, but also pay attention to increasingly more and younger fatty liver. “As hepatitis B and hepatitis C are gradually controlled or even cured, fatty liver is likely to rise into the largest serious disease that threatens liver health.”
“Little Sanyang” can eat and sleep without paying attention to it, and then checked has become “cancer”
Xiao Zhang, a college student who returned to his hometown at the age of 22, found out that he hepatitis B virus was infected with “Xiaosanyang” ten years ago. At that time, the results of liver function and virus load were normal. They could usually eat and sleep. Except for increasing abdomen, there was no other abnormal body, so he did not review it again.
Recently, there are famous experts in the village to go to the countryside for free clinic. Xiao Zhang made some free blood tests and examinations. As a result, he was told that hepatitis and fatty liver were told. In a hurry, I went to the local hospital to check the abdominal ultrasound and found that there was a huge soft tissue mass in the right lobe of the liver. After hospitalization, the pathological examination of liver puncture was diagnosed as liver cancer.
Professor Hou Jinlin, a well -known infectious disease expert and director of the Department of Infectious Department of Southern Medical University, pointed out that the liver is like a “ninja turtle”. It is a “silent” organ. Even if it is damaged, it will “bear silently”. late. The liver function is normal and does not mean that the liver is fine. Whether infected with “Little Sanyang” or “Da Sanyang”, it should be given enough attention, regular review, intervention or medication treatment under the guidance of a doctor.
In May 2016, the World Health Organization released the “Strategy of Viral Hepatitis (2016-2021)” of the Global Health Department (2016-2021). A decrease of 90%, dropping viral hepatitis -related death by 65%.
Hou Jinlin said that Xiao Zhang has a history of hepatitis B, which is a high -risk group of liver cancer, and should be screened regularly. You know, liver cancer is one of the most important causes of death in patients with viral hepatitis.
“Three sieves and tube”, increase the early diagnosis rate and reduce the mortality rate
According to reports, the average survival time of early/extremely early liver cancer patients after surgical resection or liver transplantation exceeded 5 years; on the contrary, the average survival time of patients with advanced liver cancer was less than one year. Unfortunately in China, less than 30%of patients can detect and diagnose early.
In response to the low premature diagnosis rate of liver cancer in my country, Professor Hou Jinlin led a large -scale global clinical research, created and verified a prediction model (AMAP score) suitable for the risk of liver cancer for various liver diseases and all races. The AMAP score is constructed by the five common test indicators of the age, gender, platelets, albumin and bilirubin levels of the patient’s age, can accurately predict the risk of liver cancer and identify more than half of the extremely low -risk people, which is significantly significantly significantly, which is significantly significantly significantly. Reduce patients’ economic burden and save medical resources.
Based on the above research results, the Southern Hospital Liver Disease Center launched the “Rainbow Plan” public welfare project across the country. The project will conduct AMAP scoring evaluation among 1,000 medical institutions across the country and more than 1 million chronic liver disease people. And further combined with multiple groups of scientific screening technologies such as the protein group and metabolic group, and formulated personalized screening strategies in order to increase the premature diagnosis rate of liver cancer in my country and eventually reduce the mortality of liver cancer.
Professor Hou Jinlin is looking at the patient’s examination film (39 health photography)
“The Rainbow Plan, simply summarizing the” three screens and then tube ‘, “Hou Jinlin said. The three screens must first screen the patient’s liver. No matter what the cause, whether it is hepatitis B, hepatitis C, fatty liver, whether there is no hepatitis without hepatitis without hepatitis, Activity; second, the screening of whether there are liver sclerosis, whether there are complications, and the risk of bleeding; third, the screening has high risk of liver cancer. According to the screening results, management is divided into different categories to formulate a management roadmap for everyone, thereby helping reduce the risk of bleeding, infection, and tumor caused by liver disease in the patient’s life.
It is reported that at present, about 100,000 patients with liver disease have been screened in the Southern Hospital and some community centers. The next step is to manage these patients in different categories. In addition, 6,000 people in Jiangxi Yudu found that 11.4%of adults had hepatitis B, and Yangshan, Huazhou, and Meizhou in Guangdong were also conducting screening.
These characteristics of fatty liver patients have a high chance of liver cancer
In addition, Hou Jinlin also reminded that with the change of lifestyle, the aging and obesity of the population, the prevalence of non -alcoholic fatty liver (Nafld) has increased rapidly, and it has surpassed the chronic type B viral hepatitis A major chronic liver disease. For every 10 Chinese, about 3 may be diagnosed as fatty liver. Poor diet habits, unreasonable diet structure, sedentary lifestyle, and long -term drinking of a large number of alcohol to “give birth” fatty liver. Fatty liver is reversed in the early stage, and it can also be developed into fatty hepatitis, liver fibrosis, cirrhosis or direct progress into liver cancer. “Men are older and have diabetes, especially in fatty liver superposition or drinking factors or hepatitis B. Hepatocarcinoma risk is higher.” He warned that older, obese, diabetes are progressive liver fibrosis or liver -based patients with fatty liver patients. Independent risk factors of sclerosis and liver cancer.
In the United States, non -alcoholic fatty liver disease is gradually becoming the main cause of liver cancer. The annual increase of liver cancer in patients with fatty liver is about 9 %, and the survival period is lower than that of hepatitis B and hepatitis C. This is related to the screening and diagnosis of liver cancer in the early stages of fatty liver patients, and it is related to the late stage when tumors are found.
“For fatty liver, there are no special drugs at present, and the most important thing for preventing fatty liver progress into liver cancer is to screen.” Hou Jinlin emphasized that there are inflammatory risks and abnormal liver function in patients with fatty liver, especially for age and comprehensive metabolic comprehensive Symptoms or liver cirrhosis, cirrhosis complications, and liver cancer risks are screened. With fatty liver, daily need to control intake, improve diet structure, increase exercise, maintain reasonable weight, regular schedule, and apply drug treatment if necessary. For patients with fatty hepatitis -related liver fibrosis or liver cirrhosis, liver cancer screening should be performed once every 6 months.
(Correspondent Li Xiaoshan Deng Shuyun)
