My father was hospitalized for liver cancer
The whites of my son’s eyes are yellow
The doctor reminds the sick child to check the liver function
To Xiamen University Zhongshan Hospital
Su Yongjie, Chief Physician of Hepatobiliary and Pancreatic Surgery
This is just his decades of medical career
An ordinary scene
For the Yang family and his son
But the tragedy of liver cancer was avoided
Repeat in this family
Lao Yang is from Sanming. He went to the outpatient clinic of Chief Physician Su Yongjie of the Department of Hepatobiliary and Pancreatic Surgery of Zhongshan Hospital Affiliated to Xiamen University for more than half a month of persistent pain in his upper abdomen and a sudden weight loss of more than ten kilograms. The test results came out. Unfortunately, Lao Yang was diagnosed with primary liver cancer with multiple intrahepatic metastases, and had lost the opportunity for surgical resection. According to Lao Yang’s actual situation, the diagnosis and treatment team formulated a diagnosis and treatment plan of interventional embolization and follow-up targeted drug therapy. Deputy Chief Physician Xiong Yu of the Department of Hepatobiliary and Pancreatic Surgery led the intervention team to perform meticulous operations and performed transcatheter hepatic artery embolization + chemotherapy drug perfusion for Lao Yang.
June 27 was the first day after the operation. During the morning rounds, Su Yongjie and Lao Yang’s son Xiao Yang talked about the patient’s condition and treatment, and inadvertently glanced at Xiao Yang’s eyes and found that the sclera of Xiao Yang’s eyes were yellow. .
As a hepatobiliary and pancreatic surgeon, Su Yongjie immediately realized that this young man probably had a bad liver. He did not let go of this small doubt, but seriously asked the other party. Sure enough, Xiao Yang said that he was a hepatitis B virus carrier, “The doctor prescribed antiviral drugs to me, but I didn’t insist on taking it.” After hearing this, Su Yongjie’s heart hung up, and he repeatedly told Xiao Yang to hurry up and investigate. Look at the indicators of liver function.
Unsurprisingly, Xiao Yang’s transaminase, bilirubin and other indicators were high, indicating abnormal liver function. Fortunately, no abnormality was found in hepatobiliary and pancreatic ultrasonography and tumor indicators. Next, Xiao Yang did relevant examinations again, and made it clear that he was in the active stage of hepatitis virus and needed to receive antiviral drug treatment.
Su Yongjie patiently persuaded Xiao Yang:
If HBV DNA is high, antiviral treatment is required. Long-term untreated hepatitis B can lead to liver cirrhosis and liver cancer. Antiviral therapy is of great significance and can delay the occurrence of liver cirrhosis and liver cancer. Be sure to follow the doctor’s instructions for standard treatment, and don’t be careless!
Have my father’s lessons learned
With Su Yongjie’s painstaking reminder
Xiao Yang decided to take treatment seriously
This month
He has been standardizing oral anti-HBV drugs
At the same time receiving liver protection therapy
Whether the liver function is good or not, the eyes “know first”
Why only look at Xiao Yang’s eyes
Su Yongjie guessed that there was something wrong with his liver?
“Asian people have yellow skin, and it is sometimes difficult to judge whether there is jaundice just by looking at the skin, so we usually pay special attention to the sclera, which is the ‘white of the eye’ as the common saying goes. People with yellowish ‘white of the eye’ should stay longer. Be careful, pay attention to whether there is any problem with the liver.” Su Yongjie explained that the increase of bilirubin in the blood is the direct cause of jaundice, and bilirubin is closely related to bile metabolism. When bile metabolism or excretion is abnormal, it will lead to Elevated bilirubin in the blood.
Drawing: Shi Luwei
The bilirubin in the blood can be known by drawing blood to check the biochemical indicators of liver function. If the total bilirubin in the blood exceeds 17.1μmol/L, the bilirubin is elevated, and when it is 17.1-34.2μmol/L, it is not easy to be detected, which is called recessive jaundice. Overt jaundice, visible yellowing of the skin or sclera.
Jaundice in addition to the typical yellowing of the skin and sclera
Some patients also have skin itching symptoms
If it is a patient with obstructive jaundice, usually the color of urine will be tea-like, and even stool will be white and clay-like. At this time, it is necessary to identify the cause of the obstruction as soon as possible, relieve the obstruction and treat it in time to restore liver function. .
Doctor’s Notes
Hepatitis B should be treated well
No need to be “stressed”
Xiamen University Zhongshan Hospital
Chief Physician Su Yongjie of Hepatobiliary and Pancreatic Surgery
July 28 is World Hepatitis Day. When it comes to hepatitis, people are most familiar with hepatitis B. Hepatitis B patients are prone to fall into two misunderstandings. One is that there are many people who have hepatitis B, and it is no big deal. They do not have regular check-ups, and doctors don’t take it seriously when they ask for treatment. Liver cancer is “high pressure” all day long.
Hepatitis B-Cirrhosis-Liver Cancer, known as the “Trilogy of Hepatitis B”, does not mean that infection with hepatitis B virus will lead to liver cancer. Less than 2% of people who carry hepatitis B virus will eventually develop liver cancer.
So
Hepatitis B people should pay attention to the disease
But don’t carry too much ideological baggage
The correct way is to go to a regular medical institution for diagnosis and treatment, follow the doctor’s order for regular physical examinations, accept standardized treatment, and do not stop the drug without authorization, which can greatly reduce the incidence of liver cancer. In the case of Xiao Yang, as long as he is treated in a standardized way, he can stop the disease from developing into a malignant condition, and he will not follow his father’s old path.
We emphasize “preventive treatment”, through prevention, early diagnosis and early treatment, to obtain the greatest benefit at the least cost.
The following high-risk groups of liver cancer are recommended
Screen at least every 6 months:
Have hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infection;
Long-term drinking;
nonalcoholic steatohepatitis;
Long-term consumption of food contaminated with aflatoxin;
Cirrhosis due to various other causes;
Metabolic-associated fatty liver disease (MAFLD);
Diabetes, obesity, smoking and drug-induced liver injury;
People with a family history of liver cancer, etc.
Produced by Xiamen Daily New Media Center
Reporter: Chu Yan Correspondent: Zhang Shushan