[Wu Mengda passed away]Liver cancer caused more than 5,000 deaths in Taiwan in one year Expert: Quitting alcohol and preventing fatty liver is a life-saving solution | Apple News | Apple Daily

Well-known Hong Kong star Wu Mengda was shocked to pass away from liver cancer. In addition to Wu Mengda, many celebrities such as Fu Peimei, Shen Dianxia, ​​Yan Qingbiao, current legislator Gao Jin Sumei, and others have suffered from liver cancer. According to the latest statistics of the Ministry of Health, Welfare and National Health Administration, the top ten causes of death among Chinese in 2019. Ranked second, causing a total of 5363 deaths; doctors said that liver cancer is a silent killer, and prevention should start with the prevention and treatment of fatty liver, hepatitis and alcohol withdrawal.

Fang Guanjie, the attending physician of the Department of Gastroenterology at the Taipei Medical University Hospital, said that liver cancer is prevalent in Taiwan, Hong Kong, China, Japan, South Korea and other Asian countries. The common causes include hepatitis B and C, or alcoholic hepatitis caused by long-term drinking. Fatty liver is common in people; once the liver is affected by diseases, alcohol and other long-term effects without treatment, it will lead to a trilogy of hepatitis, cirrhosis, and liver cancer.

Fang Guanjie stated that Taiwan has been vaccinated against hepatitis B since 1986, so that people under the age of 40 will be exempted from the risk of hepatitis B. Even if they are sick, there are now good treatment drugs that can be controlled. Hepatitis C treatment is currently under a national plan. The results can also be seen below. Therefore, alcoholic hepatitis and fatty liver will be the focus of liver cancer prevention and treatment in the future. In particular, many artists suffer from liver cancer. In addition to having liver B or C, frequent drinking and long-term poor life are also key.

Fang Guanjie said that entertainers usually turn up the day and night when filming and recording programs. They are prone to poor life and rest. They often take three to six months to make a film. After the filming is completed, they often drink and relax, or have celebrations and other constant entertainment. , And these are occasions for drinking, it is inevitable that there is a higher risk of liver cancer, so be sure to pay attention to your health.

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Regarding drinking, Fang Guanjie said that according to the National Health Administration’s alcohol intake recommendations, 20 grams a day for men and 10 grams for women, no more than 40 grams. Take 20 grams of alcohol for example, the alcohol concentration is 3.5% and the capacity is 225c.c. Beer 2 Cans, which means that men are limited to 2 cans of beer a day, and cannot exceed 4 cans at parties, while women are limited to 1 can of beer a day, and parties cannot exceed 2 cans.

Fang Guanjie pointed out that if you consume 40 to 60 grams of alcohol a day for 8 to 10 years, the chance of getting liver cancer will increase by more than 10 to 20 times than the average person. If you have a drinking habit, the best way to prevent liver cancer is to stop drinking as soon as possible. .

In addition, Fang Guanjie said that liver cancer can be treated according to different stages. The early stage can be treated with electric burning, resection, liver replacement and other therapies. However, as the number and size of liver cancer tumors increase, they will be switched to targeted therapy or immunotherapy. If it is an end-stage patient, Only supportive therapy can be used.

Regarding the staging of liver cancer, Fang Guanjie explained that it can be divided into stages zero to four. Stage zero is a single tumor less than 2 cm in size, and liver function is normal. The treatment method is electric burn or resection; the first stage is less than 3 tumors, each If the size is less than 3 cm, or the size of a single tumor is less than 5 cm, in addition to electrocautery or resection treatment, it can also be treated with liver replacement; the second stage is the number of tumors more than 3, or the size of a single tumor is more than 5 cm. Embolism, targeted therapy.

As for the third stage, the number of tumors is multiple, or the size of a single tumor is more than 5 cm, and it has invaded blood vessels such as the hepatic portal vein, combined with distant metastasis, and the treatment is targeted therapy and immunotherapy; in the fourth stage, patients take more action Due to poor strength, long-term bed rest, and weak liver function, medications and other treatments are ineffective at this time, and only supportive therapy can be performed.

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Fang Guanjie said that Taiwan has a good health insurance system that can track liver health for a long time, but it may not be possible in Hong Kong. For early detection of liver cancer, he recommends that ordinary people should have liver ultrasound examinations every year. There are chronic hepatitis of liver B or C. Patients should be checked every 6 months, and patients with liver cirrhosis should be checked every 3 months.

As for prevention, Fang Guanjie recommends avoiding the use of shared needles for tattoos and blood transfusions to prevent hepatitis B and hepatitis C viruses. You should also abstain from alcohol, avoid sweets, and control your weight away from hepatitis. (Shen Nengyuan/Report from Taipei)

♦“Apple News” reminds you: Excessive drinking is harmful to your health.