我的治疗经历真是有点让我绝望,不可谓不规范 (your treatment is 不规范),但不知为何效果那么差,请指教:
男,30岁,发现乙肝12年,08年发病,
(How do you know 发病, what were your 两对半, hbvdna, alt, ast, ultrasound?)
首用替比夫定(因为马上要小孩,
(Why did you start with 替比夫定?, if you were hbeag+ then you could use 替比夫定. If you were hbeag- then you COULD NOT use 替比夫定. Since you are 男, all drugs pregnancy risk are related to female patients. You should first start on 恩替, if you do need on medication)
结果用了9个月就变异(204点位),DNA4次方,换用拉米加阿德半年
(Telbivudine resistance should be rescued by Telbivudine+拉米, NOT 拉米加阿德)
,仍然是4次方,后来改用恩替卡韦1毫克加一颗阿德用了两个月
(did you do 改用恩替卡韦1毫克加一颗阿德用了两个月 or by a doctor's advice???!!!)
,dna是7.7的3次方,后来看到骆老博文回复上说,用1毫克恩替时加阿德有害无益,于是只吃了1毫克恩替
(did this 只吃了1毫克恩替 by your own?)
,一个月后,也就是现在,发现dna又回到了2.2的4次方,我的主治医生责怪我不该停掉阿德,否则应该可能转阴了。
我现在好绝望,继续吃吧,一个月几千块钱,家里正常开销都成问题了,不吃吧,感觉更加危险,感觉这一年来花了那么多钱,有点像打水漂了,仍然是4次方。一直好想找点转阴换拉米和阿德,这还勉强能承受起。为何其他人变异加阿德很快就转阴,我半年还无效,我已经用了内地当今最规范最后的底线药了(双倍恩替),可为何DNA丝毫没有反应?
To be honest with you, you have messed up your treatment. My advice to you is go to a good doctor (may be 骆老) and get all your history of tests and medication. There are still hope out there, tenoforvia, but it is not available in China now. You could get from either HongKong or India.
I am not a doctor. I am a HBVer, just like you. Please take my advice as reference. Also you need get some basic hbv knowledge.