What to check for hepatitis B and three positives
Hepatitis B triple positive is a common state of hepatitis B virus infection, which refers to the simultaneous positivity of three indicators: hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), and hepatitis B core antibody (anti-HBc). This status usually indicates that the virus is actively replicating and is highly contagious, so timely examination and intervention are required. The following is a detailed description of the items and precautions that need to be checked for hepatitis B.
1. Basic examination items for hepatitis B and three positives
| Check items | Inspection purpose | Reference value |
|---|---|---|
| Hepatitis B two and a half | Determine HBV infection status | HBsAg, HBeAg, anti-HBc positive |
| HBV-DNA quantification | Detection of viral replication levels | Usually >10^5 IU/mL |
| liver function test | Assess the extent of liver damage | ALT, AST and other indicators |
| Liver B-ultrasound | Observe liver morphology and structure | Whether there is cirrhosis or space-occupying lesions |
| liver fibrosis scan | Assess the degree of liver fibrosis | Elasticity value (kPa) |
2. Advanced examination items for major three positive hepatitis B
For patients with major hepatitis B positives, in addition to basic examinations, the following advanced examinations are also required according to the condition:
| Check items | Inspection purpose | Applicable situations |
|---|---|---|
| Alpha-fetoprotein (AFP) | Screening for liver cancer | high risk groups |
| liver biopsy | Determine the degree of liver inflammation and fibrosis | When the condition is complicated |
| coagulation function | Assess liver synthetic function | Abnormal liver function |
| kidney function | Monitor drug side effects | Patients taking long-term medication |
3. Daily precautions for the three major yangs of hepatitis B
1.Regular review: Patients with major hepatitis B positives need to recheck liver function, HBV-DNA and liver B-ultrasound every 3-6 months to monitor changes in their condition in a timely manner.
2.avoid drinking alcohol: Alcohol can aggravate liver damage, and patients should strictly abstain from alcohol.
3.Eat properly: Eat more fresh fruits and vegetables, avoid high-fat and high-sugar foods, and reduce the burden on the liver.
4.Regular schedule: Ensure adequate sleep and avoid staying up late and overexertion.
5.avoid infection: Hepatitis B is highly contagious. Patients should avoid sharing toothbrushes, razors and other items with others, and take protective measures during sexual contact.
4. Recommendations for the treatment of major three yangs of hepatitis B
The treatment of major three yangs of hepatitis B requires a personalized plan based on the specific situation of the patient. The following are common treatments:
| Treatment | Applicable people | Things to note |
|---|---|---|
| antiviral treatment | Those with active virus replication and abnormal liver function | Requires long-term medication and regular monitoring |
| Hepatoprotective treatment | People with mildly abnormal liver function | Adjuvant treatment, not a substitute for antiviral therapy |
| Immunomodulation | Immunocompromised persons | Need to be carried out under the guidance of a doctor |
5. Summary
Hepatitis B major yang is a disease state that requires great attention. Patients should undergo regular examinations, standard treatment, and develop good living habits. Through scientific examination and intervention, disease progression can be effectively controlled and the risk of cirrhosis and liver cancer can be reduced. If you are a hepatitis B positive patient, please be sure to follow your doctor's advice and actively cooperate with treatment.
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