Can hepatitis C be cured

summary

Listen to the old Wang next door, there is a man in his hometown who got hepatitis C. It is said that he did not know what kind of blood contact he had with other hepatitis C patients before, so that people in his hometown did not dare to contact those with infectious diseases. Now let's talk about whether hepatitis C can be cured.

Can hepatitis C be cured

First, before treatment, it should be clear whether the liver disease of patients is caused by HCV infection. Only patients with HCV RNA positive serum need antiviral treatment. At present, the most effective antiviral therapy is long-acting interferon PEG-IFN α combined with ribavirin, which is also the standard regimen (SOC) for chronic hepatitis C approved by EASL, followed by common IFN α or combined IFN and ribavirin, which is better than IFN α alone.

Second: direct acting antiviral drug (DAA) protease inhibitor bosepivir (BOC) or terapivir (TVR), combined with interferon and ribavirin, has been approved for clinical use in the United States since May 2011. It is recommended to be used in patients with genotype 1 HCV infection, which can improve the cure rate. After BOC, three times a day (every 7-9 hours), or after TVR, three times a day (every 7-9 hours). During this period, HCV RNA should be closely monitored, and protease inhibitors should be stopped in case of virological breakthrough (serum HCV RNA rises more than 1 log after the lowest value).

Third: the treatment of hepatitis C is a long-term process, whether it can be cured is related to the patient's condition, their own quality and treatment methods and other factors, which can prevent the virus from replicating in the host liver cells, and has the effect of immune regulation. The treatment dose should not be less than 1 million U per day, subcutaneously or intramuscularly once a day, or once every other day. The course of treatment was 3-6 months. About 1 / 3 of the patients' serum HBV DNA was negative.

matters needing attention

In addition to cooperating with the doctor for treatment, patients with hepatitis C should not have blood transmission or sexual behavior when they have contact with people. They should follow the doctor's instructions before and after treatment. In addition, to maintain a good mood, in order to more effective treatment of the disease.