[ 會員#18635 ] poon
乙肝帶菌者的查詢 (候補超聲波報告)
你好!
本人男現年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? 35
SGPT / ALT 谷丙轉氨? 72
Gamma GT ( GGT ) 丙種谷氨?轉?? 18
Alkaline Phosphatase 鹼性磷酸? 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
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 .
請問是否應該要吃醫治乙肝的藥? 如要,是哪一種藥? 開始服藥後是否不可以停藥? 是否需要每半年照肝一次呢?
多謝賜教!
本人男現年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? 35
SGPT / ALT 谷丙轉氨? 72
Gamma GT ( GGT ) 丙種谷氨?轉?? 18
Alkaline Phosphatase 鹼性磷酸? 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
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 .
請問是否應該要吃醫治乙肝的藥? 如要,是哪一種藥? 開始服藥後是否不可以停藥? 是否需要每半年照肝一次呢?
多謝賜教!
蕭嘉輝醫生回覆:
15/11/2017
15/11/2017
建議3個月後找肝科醫生覆檢。
Dr. Siu Ka Fai Danny
Dr. Siu Ka Fai Danny
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。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
Mandy Chan : 甲狀腺功能亢進
病患者女 - 35歲 我有甲狀腺功能亢進一年，而個月忽然冇肚餓同飽肚感，失眠，去大便後有小許黃色分泌物在.......yan : 有關肝部ALP 數值
病患者女 - 44歲 本人近一兩年驗血既ALP, 微高 報告顯示正常值是33至84 我第一次是99 .......Max : 有機會是胃輕癱嗎?還是慢性胃炎?
病患者男 - 35歲 本人有糖尿 4月10號開始噁心, 有一日晚上睡眠右上腹肋骨邊位好像針吉的痛, .......Ken chan : 反胃作嘔
病患者男 - 32歲 本人多年前於夜場工作，以前會飲好多酒，導致腸胃不嬲唔好，成日消化不良⋯同埋好似有好.......呂雅瑩 : 肝臟驗血指數變異常
病患者女 - 56歲 本人的膽紅素一向都高, 肝位有時會痛, 面色很黃及沉黑及很倦, 幸沒有肝炎及超....... 發出提問使用細則
致蕭嘉輝醫生 提問
