Thursday, March 8, 2012

Liver cancer is a preventable disease

Speaking of cancer is well known that the dreaded disease, intractable and high mortality. Liver cancer, too. However, liver cancer can be prevented if you follow the advice of a specialist.The cause of liver cancer have been identified so far are related to viruses and some other factors.80% of liver cirrhosis liver cancerAccording to Pham Hung Cuong - Deputy surgery 2, Cancer Hospital, infection with hepatitis B virus (HBV) levels, patients (BN) have expressed body aches, muscle aches, mild fever-like symptoms flu, or loss of appetite, nausea, constipation, diarrhea."Culprit" that causesFactor "bond" with liver cancer are the most common alcoholic cirrhosis (common in European countries) and HBV or HCV cirrhosis. In Vietnam, the factors were more HCV by HBV.According to statistics, the U.S. rate of HBV infection is now 18-24%. VN are classified as countries with high HBV infection rates in the world. The most concerned is capable of spreading HBV is 100 times stronger than the HIV virus.Pham Hung Cuong - Deputy surgery 2, Cancer Hospital - said his research and Dr. Doan Huu Nam has identified up to 83% of liver cancer patients had HBV infection.This symptom expression only in about a week, then disappear. Because of that many people do not know they were infected with HBV. Severe HBV infection, patients with manifest jaundice, yellow urine, somewhat faded, hepatomegaly, press once.However, according to Pham Hung Cuong, not everyone becomes infected HBV patients. This also depends on the ability of individual self-protection. There are many people living with life but not HBV hepatitis. Among those infected with HBV have about 10-15% will progress to chronic hepatitis.In people with chronic hepatitis will be 25% or cirrhosis of the liver; in those with cirrhosis will have 80% of cases progress to liver cancer. Progression from chronic hepatitis to cirrhosis and liver cancer about 10-20 years. So the common liver cancer at age 30-40.Early detection by ultrasound and blood testsAccording to the BS, while liver cancer, patients with these symptoms are severe abdomen, right abdomen, fatigue, anorexia, abdominal distention sometimes to (ascites), sometimes decline to sign, even patients can a palpable lump in the abdomen.However, when these symptoms appear, the disease was at an advanced stage. Every year at the City Hospital Cancer receiving about 600-800 cases of liver cancer. In 98% of patients to hospitals that were at an advanced stage are unresectable. With cases of liver cancer is detected early when the tumor is less than 3cm, the ability to cure completely high. There are many cases have not lived until 20 years of recurrence.Regarding treatment, liver cancer is a disease that progresses very quickly. One patient from the doctor confirm the diagnosis of liver cancer if not treated can live no more than six months. Until now, surgery remains the best method to treat liver cancer at an early stage.Dr. Doan Huu Nam said although liver cancer is difficult to treat disease at an advanced stage, but fortunately was able to detect disease at an early stage by screening for those with high risk of liver cancer. In Vietnam, people at high risk are those who have been infected with HBV in the past. So who should go HBV abdominal ultrasound and blood tests to find specific antigen biannual AFP. If you do not know they are infected with HBV or not, should go a medical examination and blood test to determine.HBV Vaccination prevent liver cancerPrevent liver cancerImages of liver cancer have - Photo: P.H.C.PGS.BS Nguyen Chan Hung - Director of Cancer Hospital - said there were drugs HBV vaccination effectively. HBV Vaccination is early to prevent liver cancer in the future. For the sake of this, the World Health Organization (WHO) has recommended and the Health Ministry has also given the HBV vaccine into the expanded vaccination program for children under one year old. These preventive measures are feasible, vaccination rates are also much cheaper than other vaccines. Particularly for hepatitis C virus (HCV) vaccine has yet to be.Dr. Doan Huu Nam noted that children congenitally infected with HBV from mother. HBV transmission rates from mother to child is very high: 44%. Many studies confirm that those infected with HBV as a child, then later 100% will become chronic HBV infection. So, it was recommended that HBV vaccine to children right from birth. In addition to vaccination after birth, we also immunization to protect children not infected with HBV.The doctor also advised after the shot to be tested for HBV vaccine dose is considered effective. In principle, given every five years once. Also with those who were hepatitis B carriers should limit alcohol, alcohol is not only caused by cirrhosis but also the convenience factor promoting rapid development of HBV in blood volume and reduced tolerance of hepatocytes before the onset of the virus.

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