Kindergarten physical examination found this disease, doctor: it can be cured, before 7 years old is the best time

time:2022-12-05 02:40:37source:monlittlebaby.com author:Maternal-Child Nursing
Kindergarten physical examination found this disease, doctor: it can be cured, before 7 years old is the best time

"It's over, this disease will be with the child for a lifetime." The 3-year-old daughter, who usually looks fine, was found to have elevated transaminases during the physical examination at the kindergarten. Misfortunes do not come singly. Her husband felt that she deliberately concealed her history of hepatitis B and harmed her children, so she chose to divorce. But no one expected that the couple were happy recently and were preparing to remarry again - because their daughter's hepatitis B was cured! "Many parents don't know that children with hepatitis B can be cured, and the success rate is much higher than that of adults." Director Qi Zhenghong of the Department of Infectious Diseases of Hangzhou Children's Hospital told us. Almost all children will be vaccinated against hepatitis B after birth. There are also mother-to-child blocking techniques, but these cannot be 100% preventive. There are still nearly 2 million children with chronic hepatitis B in China. Many of them, like Xiaoxiao's daughter, were discovered during the physical examination at the kindergarten. "The biggest feature of hepatitis B in children is that there are no symptoms, and frogs are boiled in warm water. We met an 8-year-old child who had liver fibrosis grade 4 when he was found, which is equivalent to the early stage of liver cirrhosis. This result may be irreversible. It can only be controlled so that it does not continue to deteriorate." Director Qi said with regret. To find this "silent killer" as soon as possible, the director suggested that if parents or other family members have hepatitis B themselves, it is best to have a liver function + hepatitis B three-line screening after the child is 9 months old. Although some children are infected with hepatitis B virus, they are still in the "immune tolerance period" (the virus and the liver are in peace), and this situation can be left untreated, but it is still necessary to review it every six months; for children who need treatment The most important thing is to race against time. Like Xiaoxiao, many parents thought at first that there is no cure for hepatitis B. "For children with hepatitis B, we already have a relatively mature treatment plan. We generally use gold, silver and bronze medals to express the degree of efficacy. The gold medal represents clinical cure, which is no different from healthy children. We took 6 in the first half of the year. Gold medal." Speaking of this, Director Qi felt a special sense of accomplishment. However, the success rate of gold medals will decrease with age, about 60% for 1-3 years old, 40% for 3-5 years old, 20% for 5-7 years old, and less than 20% after 7 years old. Therefore, the earlier the treatment time, the better, and it can be started after 1 year of age. If the treatment is not timely, there is a 3% to 5% probability of progression to liver cirrhosis before the child reaches adulthood, and the probability of lifelong liver cancer is as high as nearly 1/4. Two years ago, Shenzhen reported a 7-year-old girl with hepatitis B who was diagnosed with advanced liver cancer and had to undergo a liver transplant. When it comes to treatment, many parents worry about time-consuming, labor-intensive and expensive. Is this really the case? According to Director Qi, the current typical treatment methods include injections and medicines. Injections refer to interferon, and medicines are antiviral drugs. After parents bring their children over, the doctor will fully communicate with each other and choose the most suitable treatment plan according to the situation. "In principle, injections take one year. There are short-acting injections once every other day, and long-acting injections once a week. If you are skilled, you can inject them at home by yourself, or ask a health center near your home to help them, which is similar to insulin. Through injections , it is more likely to achieve silver and gold medals, and we recommend it now." Director Qi said. If it is oral medicine, it needs to be taken for at least 4 years, but the price is quite cheap. "There is a couple who came to work from Yunnan, and their family's economic conditions are not very good. Now the state has a policy, a box of medicine is 3 yuan, 8 cents, and 9 cents, which can be eaten for a month. The medicinal ice was packed and sent back, and the treatment was pretty good." Director Qi was also very relieved. However, for children with hepatitis B, the biggest obstacle to treatment is not medical immaturity or financial impermissibility, but deep-rooted discrimination. "Doctor, why do I keep getting injections?" The question came from 9-year-old Xiao Lin (pseudonym), Director Qi could only laugh and hit haha: "After the injection, your resistance will improve." This is still under treatment My child, I still don't know that I have hepatitis B. Parents also have difficulties: the children themselves have a heavier mind, and they are afraid that the psychological pressure will be greater after knowing it, and they will not be able to lift their heads in school. In fact, an example like Xiaolin's is not bad. Some parents are under the pressure of discrimination around them, for fear of being known that their child has hepatitis B, they dare not go to the doctor, and the opportunity for treatment is wasted in vain. "The main source of hepatitis B infection in children is mother-to-child transmission. Normal eating and playing with other children will not infect hepatitis B. The most important thing to prevent hepatitis B is to have antibodies. Many parents also found their children during the physical examination at the kindergarten. There is no antibody, in this case, it is recommended to come to the outpatient clinic and let the doctor decide whether to take a booster shot." Director Qi explained. We also appeal here: Stop discriminating against and isolating children with hepatitis B, help their families unload their psychological burden, actively seek treatment, and one day truly eliminate hepatitis B, so that children can live together in a safer environment.
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