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Ye Xi Yong
Infectious Diseases
About me
Secretary of the Infection Management Professional Committee of the Hospital of Traditional Chinese Medicine and Integrated Chinese and Western Medicine Association of Hunan Province, member of the Youth Committee of the Microecology Professional Committee of the Hunan Provincial Preventive Medicine Association. Has studied at the Infection Control Center of Xiangya Hospital.
Proficient in diseases
Proficient in the diagnosis and treatment of common infections in the respiratory and urinary systems, as well as surgical site infections. Also skilled in treating common infectious diseases such as viral hepatitis and rabies.
Voices
Differential Diagnosis of Viral Hepatitis Symptoms
Viral hepatitis is a type of infectious disease primarily characterized by liver lesions caused by hepatitis viruses. Clinically, it manifests mainly as loss of appetite, nausea, discomfort in the upper abdomen, pain in the liver area, and fatigue. Some patients may experience jaundice, fever, and enlargement of the liver area. In some cases, the condition can become chronic and even progress to cirrhosis of the liver or, in a few cases, liver cancer. Acute hepatitis and active chronic hepatitis require hospitalization for treatment, bed rest, a proper diet, and strict abstinence from alcohol. For hepatitis B and C, if antiviral support is available, antiviral treatment can be initiated.
Can viral hepatitis be cured?
Viral hepatitis is currently divided into five main types: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis E, and Hepatitis D. Hepatitis A and E generally present as acute hepatitis; sometimes, the course of these diseases is relatively short, and recovery is common. Many patients with Hepatitis A and E recover without seeking hospital treatment, as they may not even realize they are infected before they get better. However, Hepatitis B and Hepatitis C are less likely to resolve on their own and tend to develop into chronic hepatitis more often. But with advancements in treatment methods, the cure rates for Hepatitis B and C have significantly improved. Therefore, it can be said that viral hepatitis is treatable.
Can hepatitis B turn into liver cancer?
If hepatitis B is not effectively controlled, it can further develop into liver cancer. However, if patients adhere to standard treatment, regular check-ups, rest adequately, eat healthily, and abstain from alcohol, most conditions can be effectively controlled, significantly reducing the likelihood of developing liver cancer. Therefore, patients need not worry too much; maintaining a positive and optimistic attitude is more conducive to the recovery from the disease.
Is gastroenteritis contagious?
Gastrointestinal cold is a type of common cold, mainly caused by Coxsackie virus. Its main symptoms include stomach pain, bloating, vomiting, diarrhea, tiredness, etc. Gastrointestinal cold is generally non-contagious. A contagious illness is generally referred to as influenza, which is caused by the influenza virus and can lead to widespread outbreaks.
Will having hepatitis B antibodies lead to liver cancer?
Firstly, there is no necessary connection between liver cancer and antibodies, but if a patient has hepatitis B antibodies, then the chance of this patient contracting hepatitis B is very small. Relatively speaking, since hepatitis B can develop into liver cancer, having positive hepatitis B antibodies might reduce the chance of developing liver cancer. However, there are many types of liver cancer, and its causes are varied, including hepatitis B, hepatitis C, and other factors.
How is viral hepatitis treated?
Viral hepatitis is divided into acute and chronic types. Acute viral hepatitis is commonly seen in hepatitis A and E. If the condition is mild, it can heal on its own without treatment. However, if the condition is severe, liver protection treatment can be administered in a hospital. Chronic viral hepatitis is most commonly seen in chronic hepatitis B and C. These conditions have relatively long disease courses, and some may even carry the virus for a lifetime. The key to their treatment plans is timely antiviral therapy. Antiviral treatment for hepatitis B mainly includes interferon and nucleoside analogs. Hepatitis C can also be treated with interferon, in addition to direct-acting antiviral drugs for hepatitis C.
How to prevent viral hepatitis
Viral hepatitis can be divided into five types based on the cause: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Hepatitis A and E are mostly transmitted through the fecal-oral route. Therefore, to prevent Hepatitis A and E, it is essential to protect water sources, pay attention to food hygiene, and personal hygiene, and avoid eating raw seafood and similar foods. Hepatitis B and C, on the other hand, are mainly transmitted through blood and bodily fluids. The prevention of Hepatitis C and B primarily involves avoiding unsafe sexual activities with patients with Hepatitis B or C. Hepatitis B can also be prevented through the administration of Hepatitis B vaccine and immune globulin.
Can cirrhosis caused by hepatitis B virus be cured?
Hepatitis B virus-induced cirrhosis was previously considered incurable, though its progression could be slowed. However, recent observations and studies have shown that a small fraction of patients with early-stage hepatitis B virus-induced cirrhosis can be cured. However, the proportion of these patients is extremely low. To draw an analogy, cirrhosis is like our houses. If the cement, steel bars, and brick structure are damaged, then the house is difficult to repair. Cirrhosis is akin to the structural damage of the house, making it hard to recover.
Is tuberculosis contagious?
Firstly, pulmonary tuberculosis is contagious, but it also depends on the type. Generally, pulmonary tuberculosis is most contagious during its active phase, but some patients with fibrosis and in a stable phase are not contagious. The transmission of pulmonary tuberculosis is mainly through droplets, spread by talking, sneezing, or spitting from a tuberculosis patient to a healthy person. However, this droplet transmission has a distance requirement. We believe that a distance of more than 1 meter is relatively safe, and 2 meters is absolutely safe. To prevent the transmission of tuberculosis, it is essential to maintain a distance from tuberculosis patients, wear masks, and ensure frequent ventilation by opening windows.
How to treat viral hepatitis
Viral hepatitis is caused by various viruses, primarily affecting the liver and characterized as an infectious disease. Clinically, the main symptoms include loss of appetite, nausea, abdominal discomfort, pain in the liver area, and fatigue. Some patients may also experience jaundice and fever. Common causes include five types of hepatitis viruses: Type A, B, C, D, and E. Generally, hepatitis B and C can lead to chronic hepatitis. Acute hepatitis is primarily treated symptomatically, while chronic conditions like hepatitis B and C usually require antiviral treatment.