

Ye Xi Yong

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

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.

Will Hepatitis B with e-antigen positive develop into liver cancer?
A small portion of patients with hepatitis B major yang can develop into liver cancer, but this development process is generally long. Primary liver cancer is currently the fourth most common malignant tumor in China, and the third leading cause of tumor death, seriously threatening the lives and health of our people. Primary liver cancer includes three types, of which hepatocellular carcinoma accounts for more than 85% to 90%. A large part of patients with primary liver cancer in China, most of whom have a background of chronic hepatitis B and cirrhosis.

Can hepatitis B develop into liver cancer?
Hepatitis B, also known as Type B Hepatitis, can develop into liver cancer. In China, most liver cancer patients are caused by Hepatitis B. To prevent Hepatitis B from developing into liver cancer, the key is to seek early, timely, and standardized treatment. For specific treatment guidelines and treatment plans, consult a qualified hospital.

What tests are needed for AIDS and syphilis?
If a general person wants to test for HIV and syphilis, there is a quick and easy method, which is to do a blood test called the "pre-transfusion four tests." This specifically includes four components: HIV antibodies, syphilis antibodies, hepatitis B, and hepatitis C. Therefore, by going to the hospital for a blood draw and taking the pre-transfusion four tests, you can early screen for both HIV and syphilis. However, if it is the early stage of infection with these diseases, also known as the window period, it may result in a false negative. You mentioned that you might have HIV or syphilis, but the result could temporarily be negative. Therefore, to be certain, it is recommended to retest after 3-6 months.

How long can viral hepatitis last?
The lifespan of someone with viral hepatitis is closely linked to the severity of their condition and also greatly depends on the patient's own actions. There are many influencing factors, and it is not possible to generalize. If the patient adheres to conventional treatment, regular check-ups, rests adequately, maintains a sensible diet, and abstains from alcohol, most conditions can be effectively managed, significantly reducing the chances of the disease progressing further. Therefore, patients need not worry excessively; maintaining a positive and optimistic attitude can further aid in recovery from the disease.

What is type B influenza?
Type B influenza is a type of epidemic influenza characterized by a rapid onset, feeling feverish and chilled. Body temperature usually rises quickly within hours, reaching 39 to 40 degrees Celsius, or even higher. It is accompanied by headache, general body aches, fatigue, and reduced appetite. Its respiratory symptoms are relatively mild, including dry throat, sore throat, dry cough, and possibly diarrhea. Type B influenza is difficult to distinguish from the common cold and typically requires laboratory identification for diagnosis.

What are the symptoms of AIDS and syphilis?
AIDS and syphilis infections are both long-term processes. For example, a patient with primary syphilis mainly presents with a hard chancre. This can occur at locations such as the corona of the glans penis, the urinary meatus of the foreskin, the labia, the cervix, and also can be seen on the tongue, lips, breasts, and other places. At these locations, a hard chancre appears, which is painless and itchless, and presents as a round or oval, well-demarcated ulcer. The symptoms of AIDS are primarily seen in the early stages of the disease, and include fever, vomiting, fatigue, itchy skin, nodules, joint pain, and other symptoms of decreased immune function.

Will Hepatitis B "big three yang" turn into liver cancer?
Patients with severe hepatitis B, if not treated in time or improperly or for an inadequate duration, may progress to develop liver cirrhosis. A portion of those with cirrhosis might then develop liver cancer. Therefore, patients with severe hepatitis B could potentially develop liver cancer if left untreated or not properly treated. Therefore, once diagnosed with hepatitis B, particularly severe forms, prompt and standardized treatment should be sought to achieve an antiviral response against hepatitis B and prevent the occurrence of liver cirrhosis and liver cancer.

How long can one live with hepatitis B-related cirrhosis?
We cannot give a definite answer on how long a patient with hepatitis B-related cirrhosis can live, as the life expectancy in late-stage cirrhosis is influenced by many factors including treatment measures, lifestyle adjustments, daily healthcare, and physical condition. Patients in the compensated stage of cirrhosis, if treated and the progression of cirrhosis is halted, with normal liver function and negative hepatitis B virus replication indicators, can work normally. In this state, the quality of life is good, and they can live to 70 to 80 years old. For patients in the decompensated stage of cirrhosis, if untreated and the cirrhosis is allowed to progress, about 70 to 80% may die within 5 years; however, aggressive treatment, including traditional Chinese medicine for liver fibrosis and cirrhosis, combined with antiviral treatment, bleeding prevention, liver protection, and liver transplantation, can significantly increase the survival time of patients.