The first case is Mr. NND (64 years old, in Bac Giang). Mr. D. discovered hepatitis B 30 years ago and has been on antiviral treatment for the past 3 years. However, in the past 5 months, he has been taking herbal medicine.
A month ago, Mr. D. appeared tired and had increased jaundice, so he went to a medical facility for treatment. After 1 week, he was discharged. When he returned home, Mr. D. felt more tired, lost his appetite, urinated less, had a dark yellow color, and had stools. The family took the patient to the hospital for treatment. One day later, Mr. D. was transferred to the Central Tropical Diseases Hospital.
Mr. D. was hospitalized with dark yellow skin and eyes and was diagnosed with: acute liver failure – cirrhosis – chronic hepatitis B. Doctors explained to the patient’s family about the condition, the very serious prognosis, and the risk of hepatic coma.
The second case is Mr. TNT (64 years old, in Hung Yen). The patient does not have a chronic disease, does not have hepatitis B or C, and does not drink alcohol. For the past 3 years, Mr. T. has been taking traditional and Chinese medicine (about 2 times a year).
About 3 weeks before admission, the patient took herbal medicine for 10 days to treat gallbladder stones. After taking the medicine, feeling tired and eating poorly, the patient was admitted to the hospital and was treated at the hospital for 2 weeks. After leaving the hospital, the patient felt tired again. The family took the patient to the Department of Hepatitis, Central Tropical Diseases Hospital for treatment. The patient was diagnosed with: Monitoring toxic hepatitis, acute hepatitis.
According to Specialist II Doctor Nguyen Nguyen Huyen, Head of Kim Chung Medical Examination Department, liver failure means that the liver’s functions have been impaired, not ensuring normal functions. When liver functions are impaired, the body will be affected. For example, with hepatic encephalopathy, the patient may have a coma due to the liver, and hepatorenal syndrome means kidney failure due to the liver. If liver failure is too severe, the prognosis for death can be up to 50-70%. Toxic hepatitis is hepatitis caused by toxins, these toxins can be alcohol, can be drugs or can be chemicals… When these toxins enter the body, they destroy the body. liver cells, gradually impairing liver function. When the liver cannot ensure normal functions, it leads to liver failure and multi-organ failure such as hepatic encephalopathy and hepatorenal syndrome. At that time, the patient may fall into a hepatic coma, with a high prognosis of death.
Doctor Nguyen Nguyen Huyen recommends that patients with hepatitis B virus who are being treated must absolutely adhere to antiviral medication and must not stop taking medication unless directed by a doctor.
When people take any medicine, they must find out the source and not take drugs or preparations of unknown origin. If you take drugs of unknown origin and experience symptoms of fatigue, irritability, or yellow urine, you must immediately go to the nearest medical facility for timely diagnosis and treatment.
