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Question
Hello doctor,
I have chronic hepatitis C virus, Fiprocan is f3, after being treated for the virus, it was negative. Question: Can the elasticity coefficient of liver tissue be improved?
Vo Dang Binh (1975)
Answer
Hello,
To the question “Can the elasticity coefficient of liver tissue be improved? ", the doctor would like to answer as follows:
First of all, you need to understand more about the fibrosis grade measured on a semi-quantitative scale (Fibroscan or other methods). Currently this classification is graded 5 levels from 0 to 4:
0 indicates no fibrosis 1 indicates fibrosis limited to the portal tract 2 refers to periportal or portal fibrosis – port 3 is bridging fibrosis causes structural deformity (but no obvious cirrhosis) 4 is cirrhosis It is important to understand that the use of a scoring system for upper classification does not completely replace histopathology with biopsy and may mixed with comorbidities, such as: fatty liver, metabolic and alcoholic liver diseases.
In chronic hepatitis C, the rate of progression to cirrhosis correlates with serum HCV RNA levels, necrotizing inflammatory activity, and stage of progression at initial biopsy. Other factors that can influence disease progression include viral genotype, sex, age, alcohol consumption, and iron overload. Hepatitis C virus genotype 3 is more difficult to treat, although the SVR rate is still excellent. Being male and drinking alcohol increases viral replication and disease severity.
Therefore, if you have been treated for the virus, negative is very good. Your next job is to periodically examine the liver every 3 months to continue to monitor the status of the liver as well as the virus, abstain from alcohol, avoid hepatotoxic drugs, rest, avoid strenuous labor, and screen for complications such as: cirrhosis, diabetes and liver cancer at least 1-2 times a year..
If you still have questions about the elasticity coefficient of cirrhosis, you can go to a hospital under Vinmec Health System to check and more advice please. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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Answered by Master, Doctor Nguyen Quoc Lan - Gastroenterologist - Endoscopy - Department of Medical Examination & Internal Medicine Vinmec Danang International General Hospital.
