The liver function should be checked regularly when taking medicine for a long time

March 18 is the national day of loving the liver, and this year's theme is "treating each other with courage and using drugs rationally" 17, the reporter learned from the island city hospital, in recent years, the number of patients with drug-induced liver injury has increased, in addition to the liver injury caused by western medicine, there are many people who eat traditional Chinese medicine to damage the liver, a man in his sixties caused acute liver injury because of drinking earthwork traditional Chinese medicine, and some patients use millions of yuan of traditional Chinese medicine to repair the body every year, resulting in liver and kidney failure In addition, in recent years, more and more people have taken health care products to cause liver injury More and more patients with drug-induced liver injury caused by traditional Chinese medicine are now suffering from "Earth" treatment and drinking liver injury Wu Wei, director of the eighth District of liver disease at the Municipal Infectious Diseases Hospital, said they rescued a man in his 60s who came to see a doctor for nausea and vomiting At that time, jaundice was particularly severe The jaundice index of normal people should be below 17, and it has reached more than 600 "His transaminase has reached two or three thousand, and a normal person should be under forty." Wu Wei said that the degree of liver injury in the elderly was very serious and life-threatening After three months of treatment, the situation improved Wu Wei said that when they analyzed the causes of the elderly, they learned that the elderly had no previous diseases such as hepatitis B and hepatitis C later, when they analyzed the causes, they found that he had long-term osteoarthritis, so he took two months of traditional Chinese medicine "The traditional Chinese medicine he took was not taken under the guidance of the doctor, but the earthwork he used." Wu Wei said that after their analysis, the old man's liver injury was caused by traditional Chinese medicine Wang Xin, a doctor in the organ transplantation center of Qingda Affiliated Hospital, also encountered such patients What impresses him most is a middle-aged man in the south He does business himself and has a solid family He often collects valuable Chinese herbal medicines from all over the country to make and supplement by himself No matter Cordyceps sinensis or ginseng pilose antler, as long as he feels good for his health, he will not feel hurt for money "According to the patient's own estimation, the money spent on buying Chinese medicine can reach several million yuan every year." After eating for several years in a row, his health went from bad to worse and he couldn't eat at last The doctor diagnosed him with severe liver and kidney failure, and only through transplantation can he survive "Liver and kidney transplantation are rarely done together, which is very dangerous, but in the end, they saved lives through transplantation." Wang Xin said that the biggest reason why these patients have liver injury caused by traditional Chinese medicine is improper use of drugs "No matter it's oral medicine or injection medicine, it will be metabolized and detoxified by liver or kidney after entering the body When the dosage of the drug is too large or the time is too long, it will cause damage to the liver and kidney, and the degree of damage is related to the toxicity and dosage of the drug " Xie Xushan, director of hepatobiliary Department of Haici hospital, said that they also received a patient and planted Polygonum multiflorum in their own family He thought that Polygonum multiflorum could nourish the kidney, so he cut it into pieces and dried it in the air and then soaked it in water As a result, acute hepatitis occurred after drinking it for three months "Polygonum multiflorum is often used, but it should be used reasonably, not abused, not to mention directly without processing." Xie Xushan said "These patients have a common feature, that is, they do not use medicine under the guidance of doctors, but eat traditional Chinese medicine and tonic to hurt the liver." Wang Xin said, "I usually have four or five transplant patients a year who have liver failure caused by this." Taking health care products can also cause liver injury, the reporter learned during the interview that some citizens feel that health care products are not harmful to the body Taking health care products to take care of the body also leads to liver injury "At present, the quality of all kinds of health care products sold on the market is uneven Some health care products are added with pharmaceutical ingredients, but the ingredients are not marked out, so it is easy to have problems." Xie Xushan said, such as some health care products to lose weight "We interviewed a 70 year old man who had a bad sleep for a long time Later, I heard that a health care product had a very good effect, so I bought it." Xie said that after three or four months of eating, the old man not only did not improve his sleep, but also did not eat well and was nauseous "When the old man came to see the doctor, his eyes were very yellow and his liver function was damaged." Xie Xushan said that the liver function of the elderly has been good before, "we suspect that the liver injury of the elderly is related to health care products, so we asked the elderly to stop these health care products during the treatment, and the disease will be better later." Long term medication often requires liver function tests Qi Zhaoxia, a hepatology doctor at Qilu Hospital in Qingdao, said that drug induced liver injury is a direct toxic effect of drugs, and the other is a drug specific reaction It is difficult to predict, and the incidence rate is high and the harm is even greater "Thousands of drugs have been reported to cause drug-induced liver injury It is commonly used in antibiotic drugs, such as anti bacteria, anti fungus and anti tuberculosis drugs, tumor chemotherapy drugs, anti rejection drugs taken by organ transplant recipients, lipid-lowering drugs, Chinese herbal medicines and proprietary Chinese medicines for the treatment of osteoarthropathy and dermatosis, and some health care products " About 30% of the liver failure patients she encountered during her clinical visit were caused by drug damage The liver and kidney damage can be combined, so when the liver is stimulated by drugs, it will often bring renal organic lesions According to relevant data, 28.9% of the patients with acute renal injury were caused by drugs, 51% of them were over 60 years old, and 20% of them were chronic renal diseases with basic diseases In addition to acute renal failure, drug-induced renal injury can also cause acute interstitial nephritis, acute nephritis syndrome, nephrotic syndrome, acute obstructive nephropathy, chronic renal damage, etc If it can be found early and dealt with in time, it can be reversed Otherwise, it can progress to chronic renal failure, and the severe patients need long-term dialysis treatment, causing serious harm to the patients Qi Zhaoxia said that once drug-induced hepatitis occurs, relevant or suspicious drugs should be stopped immediately and regular hospitals should be visited At the same time, Wu Wei reminded the public that if you take medicine for a long time, you'd better have a liver function test once a month Reporter Wei Lili and Guo Yuhua link today the hospital has a liver disease free clinic March 18 is the national liver love day The reporter learned that the hospital had a free clinic activity on that day On the morning of March 18, Qingdao Municipal Hospital (Headquarters) held a free clinic, consultation and publicity activity of popular science knowledge in the outpatient hall, and the outpatient department of liver disease (i.e the second Department of digestive internal medicine) was free of registration fee all day The city infectious diseases hospital will hold a free clinic in the propaganda Hall of the disease control department on the day of liver loving day On that day, a number of liver disease experts had free on-site free consultation, held lectures on liver disease health education, free consultation, free outpatient registration fee, free test of five items of hepatitis B (Qualitative), small liver function (TBIL, DBIL, alt, AST, TP, ALB), blood glucose, uric acid.