[ 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: [ 11/15/2017 ]
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。
其他蕭嘉輝醫生醫務信箱回覆Yan : 胃脹胃氣
病患者女 - 31歲 本人因食錯食物導致腸胃炎後， 一直胃氣胃脹已有兩個多月了。 心口有不適及喉嚨好.......Apple : Holopan 1mg 有咩用？
病患者女 Holopan 1mg 有咩用？.......Wing : 肚脹
病患者女 - 33歲 你好，我已肚脹一個多月，胃口一般，若食到飽，站立時左腹會隱隱作痛，過半小時後會無事.......Jen : 大便改變
病患者女 - 22歲 醫生你好，近一個月突然發現大便量變少和變得幼，而且較難清潔，很多時候有餘便感，脹氣.......Sally : 61歲父親 晚上不停er氣
父親61歲 4個月前晚上開始每到凌晨1點左右會開始er氣 1分鐘有兩三下 大約半小時後會停左 因為er er .......Venuskka : 乙型肝炎帶菌者已服藥viread 300mg 半年
病患者女 - 26歲 你好醫生，想請教我是乙型肝炎帶菌者已服藥viread 300mg 半年，如果我想計.......Yan : 胃有腸生化
病患者女 - 62歲 媽媽在照胃後,醫生話有腸生化,慢性胃炎,開左以下藥,但依然有胃部不適,請問有無其他.......Tony : 左上復後上復痛
病患者女 - 54歲 我太太係乙肝病者 近一年來她發覺左復病 有時同伸展到後上腹痛 她懷疑胰臟出問題。請.......Bonnie Tsui : 下腹脹大
病患者女 - 32歲 醫生您好！最近兩個月開始(之前從未遇過)，下腹(肚臍下面)持續脹大，好像有兩三個月.......B : 腹瀉有血
病患者男 - 27歲 腹瀉，發現排泄物(爛)有鮮血，之前膀胱收縮會有點痛，懷疑係內痔 為了安心，化驗了....... 發出提問使用細則
致蕭嘉輝醫生 提問
即時提問 ?
