中醫全科
即時提問 ?[ 會員#13244 ] poon
乙肝帶菌者的查詢
你好!
本人現年44歲。確診為乙肝帶菌者,事前並沒有任何痛楚之先兆.
在檢驗報告指出本人有以下問題:
Liver Function Tests 肝功能檢驗
Total Protein 總蛋白 82
Albumin 白蛋白 47
Globulin 球蛋白 35
AIG Ratio 白蛋白/球蛋白比例 1.3
SGOT / AST 谷草轉氨酶 35
SGPT / ALT 谷丙轉氨酶 72
Gamma GT ( GGT ) 丙種谷氨酶轉肽酶 18
Alkaline Phosphatase 鹼性磷酸酶 52
Total Bilirubin 總膽紅素 23
HEPATITIS SCREENING 肝炎指標
Hepatitis B Virus DNA ( PCR )
乙型肝炎病毒脫氧核糖核酸 247000
HBeAg Negative
HBeAb Negative
(超聲波報告)
EXAMINATION:
U/S Whole Abdomen ( Upper + Lower Abdomen ) ( Transabdominal )
FINDINGS:
The liver is normal in size with a smooth contour .
Mild diffuse increase in liver echogenicity is consistent with mild fatty infiltration .
No focal hepatic mass lesion is detected .
The biliary tree is not dilated .Common duct measures 3.6mm in diameter
The portal vein patent with normal flow direction .
The gallbladder appears normal without any evidence of gallstone .
The pancreatic head and body appear. The pancreatic is obscured by bowel.
The spleen is of normal size and echotexture .
The right kidney measures 10.8cm and left kidney 11.9cm long. Renal parenchymal echogenicity is normal
A 0.5cm cyst is noted in the right mid pole
No stone or hydronephrosis detected on either side .
The aorta appears normal .
No enlarged para-aortic lymph node is detected .
The urinary bladder outline is smooth .
No intravesical mass lesion or abnormal wall thickening is noted
The prostate gland is mildly enlarged and appears symmetrical , measuring 3.5 x 4.3 x 3.6cm ( AP x TS x CC ) with a calculated prostatic volume of 28.4cc.Outline is smooth .
Bilateral seminal vesicles appear symmetrical .
No ascites is present .
COMMENTS
Mild fatty liver
small right renal cyst
Mild prostatomegaly .
請問我這症狀可中西醫一齊跟進嗎?本人想用全中醫診治，但知道中醫是須要長一點的時間，擔心現在指數太高，不夠時間，所以請教各位醫師。謝謝！
本人現年44歲。確診為乙肝帶菌者,事前並沒有任何痛楚之先兆.
在檢驗報告指出本人有以下問題:
Liver Function Tests 肝功能檢驗
Total Protein 總蛋白 82
Albumin 白蛋白 47
Globulin 球蛋白 35
AIG Ratio 白蛋白/球蛋白比例 1.3
SGOT / AST 谷草轉氨酶 35
SGPT / ALT 谷丙轉氨酶 72
Gamma GT ( GGT ) 丙種谷氨酶轉肽酶 18
Alkaline Phosphatase 鹼性磷酸酶 52
Total Bilirubin 總膽紅素 23
HEPATITIS SCREENING 肝炎指標
Hepatitis B Virus DNA ( PCR )
乙型肝炎病毒脫氧核糖核酸 247000
HBeAg Negative
HBeAb Negative
(超聲波報告)
EXAMINATION:
U/S Whole Abdomen ( Upper + Lower Abdomen ) ( Transabdominal )
FINDINGS:
The liver is normal in size with a smooth contour .
Mild diffuse increase in liver echogenicity is consistent with mild fatty infiltration .
No focal hepatic mass lesion is detected .
The biliary tree is not dilated .Common duct measures 3.6mm in diameter
The portal vein patent with normal flow direction .
The gallbladder appears normal without any evidence of gallstone .
The pancreatic head and body appear. The pancreatic is obscured by bowel.
The spleen is of normal size and echotexture .
The right kidney measures 10.8cm and left kidney 11.9cm long. Renal parenchymal echogenicity is normal
A 0.5cm cyst is noted in the right mid pole
No stone or hydronephrosis detected on either side .
The aorta appears normal .
No enlarged para-aortic lymph node is detected .
The urinary bladder outline is smooth .
No intravesical mass lesion or abnormal wall thickening is noted
The prostate gland is mildly enlarged and appears symmetrical , measuring 3.5 x 4.3 x 3.6cm ( AP x TS x CC ) with a calculated prostatic volume of 28.4cc.Outline is smooth .
Bilateral seminal vesicles appear symmetrical .
No ascites is present .
COMMENTS
Mild fatty liver
small right renal cyst
Mild prostatomegaly .
請問我這症狀可中西醫一齊跟進嗎?本人想用全中醫診治，但知道中醫是須要長一點的時間，擔心現在指數太高，不夠時間，所以請教各位醫師。謝謝！
肝功能損害, 有人用中醫治也有人用西醫治療, 但中醫對病毒的清除有其獨到和高效的方法, 由於肝炎也有急性和慢性,
症狀不同處理也不一樣, 急性期以清熱解毒為主, 慢性期以滋水清肝健脾為主. 中西醫必須註意避免使用損肝功能的藥物.
這位客人想問睇中醫好還是睇西醫好, 本人認為你可以先試2周中藥, 然后去驗下指數有沒下降, 如果有改善可以持續一個月, 相信可以達到好的效果. 問題是你一定要戒酒, 戒煙, 早睡, 吃清淡. 你有肝的問題, 泌尿系統間題和前列線問題, 但根本原因是情緒壓力問題
.你若對西醫有信心也可以先試西醫. 總之, 遷擇你最信的醫生, 醫患結合才行.
此致,
禮
黎小慧醫師
症狀不同處理也不一樣, 急性期以清熱解毒為主, 慢性期以滋水清肝健脾為主. 中西醫必須註意避免使用損肝功能的藥物.
這位客人想問睇中醫好還是睇西醫好, 本人認為你可以先試2周中藥, 然后去驗下指數有沒下降, 如果有改善可以持續一個月, 相信可以達到好的效果. 問題是你一定要戒酒, 戒煙, 早睡, 吃清淡. 你有肝的問題, 泌尿系統間題和前列線問題, 但根本原因是情緒壓力問題
.你若對西醫有信心也可以先試西醫. 總之, 遷擇你最信的醫生, 醫患結合才行.
此致,
禮
黎小慧醫師
以上資料只供參考,不能作診症用途,
請與家庭醫生查詢並作出適合治療.
如身體不適請即睇醫生,切勿延誤治療。
如有錯漏請提出糾正,我們會盡快跟進,
本站恕不會負任何責任
請與家庭醫生查詢並作出適合治療.
如身體不適請即睇醫生,切勿延誤治療。
如有錯漏請提出糾正,我們會盡快跟進,
本站恕不會負任何責任
