Please read my information, I hope I can help you, and I wish you a happy day!
References:
Analysis of the results of two and a half hepatitis B examinations
Serial number HBsAg anti -HBs HBeAg anti -HBe anti -HBc
1 + - + - +
2 + - - - +
3 + - - + +
4 - + - - +
5 - - - + +
6 - - - - +
7 - + - - -
8 - + - + +
9 + - - - -
10 + - - + -
1 1 + - + - -
12 + - + + +
1, commonly known as hepatitis B, indicates that the patient has chronic hepatitis and is contagious.
2. Patients with acute hepatitis B infection or chronic hepatitis B surface antigen are less contagious.
3. Hepatitis B has tended to recover, and it is a chronic carrier with weak infectivity. If it persists for a long time, it may turn into liver cancer.
4. I have been infected with hepatitis B in the past, but I still have immunity, which belongs to atypical recovery period or acute hepatitis B infection period.
5. There used to be hepatitis B infection, which belongs to the recovery period of acute infection, and a few people are contagious.
6. There was hepatitis B infection in the past or acute infection now.
7. I have been vaccinated with hepatitis B vaccine or infected with hepatitis B before.
8, acute hepatitis B recovery period, previously infected with hepatitis B.
9, early acute infection or chronic hepatitis B surface antigen carriers are weakly contagious.
10, chronic HBsAg carriers tend to turn negative or acute infection tends to recover.
1 1, early hepatitis B infection or chronic carrier, highly contagious.
12, acute hepatitis B infection tends to recover or is a chronic carrier.
All adult and child virus carriers need to be tested regularly. It is very important to have regular liver examination, because early examination can play an early role in treatment. It is recommended to review once every six months. Of course, the frequency of review must be determined according to personal circumstances. Re-examination items include: physical examination, liver function enzyme examination, alpha-fetoprotein and HBV markers, and possible liver ultrasound examination.
We should be careful not to drink alcohol in our daily life. Studies have proved that even a small amount of alcohol will aggravate the existing liver damage. Don't eat moldy or poorly preserved food, especially rice, corn and peanuts. At the same time, avoid eating unprocessed seafood. Although hepatitis B virus carriers do not need to eat a special diet, we know that green and yellow vegetables (such as broccoli, cauliflower and cauliflower) are good for the liver. These dishes help protect the liver from external chemicals. The American Cancer Society recommends eating foods that are low in fat, cholesterol and fiber. These foods are good for the health of the liver and the whole body.
At the same time, in order to protect your family and ensure that your spouse, sexual partner, children and people who are in close contact with you are vaccinated with hepatitis B vaccine, the vaccine can prevent hepatitis B infection safely and effectively.
When handling your blood, please be careful not to spread it to others. Tape the wound. Avoid unprotected sex with unvaccinated sexual partners. Don't donate blood or body organs to others. Put used feminine hygiene products into plastic bags. Do not use personal items that may contain blood, such as toothbrushes, nail clippers, earrings, shaving supplies or any needles.
If you are pregnant, please make sure that your baby is injected with hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) immediately after birth. This can protect newborns from hepatitis B virus infection during delivery, and the effective rate is over 90%.
In addition, please discuss with your doctor whether you should get the hepatitis A vaccine. After you are infected with hepatitis B virus, it is very important to protect your liver from other hepatitis viruses.
Please consult your doctor and pharmacist when dispensing medicine to ensure that the medicine is harmless to the liver. These include prescription and over-the-counter drugs. There are many drugs metabolized by the liver that can damage the liver.
Avoid inhaling gases released by paint, paint thinner, glue and household cleaners. Because some products contain ingredients harmful to the liver, such as phenol and benzene.
Whether asymptomatic HBV carriers should receive treatment has always been a controversial issue. There are two reasons why treatment is not needed: first, most asymptomatic carriers often carry it for a long time, and even a few people can naturally turn negative after their immune function is improved; Second, there is really no specific medicine for patients, and aimless medication will increase the burden on the liver. At present, many scholars classify asymptomatic carriers as unsuitable for biotherapy, which makes the majority of patients with chronic hepatitis B feel disappointed. However, it has always been an unavoidable problem for doctors whether hepatitis B virus carriers should wait until there is liver cell damage and obvious symptoms before they can be treated. We believe that we can treat them differently in clinic, and those who are unwilling to treat them can also postpone their treatment, but they should be mobilized to conduct regular medical supervision and inspection to prevent accidents. For those who have better economic conditions and are willing to receive treatment, we should take active measures as soon as possible, such as adjusting immunity and enhancing antiviral ability, which will not only enable many people to recover as soon as possible, but also greatly reduce the occurrence of cirrhosis and liver cancer.
Analysis of inspection results
Clinical significance of serum markers of hepatitis B virus
(That is to say, there are five items of hepatitis B, or two and a half items)
Serial number HBsAg surface antigen anti-HBsAb surface antibody HBeAg E antigen anti-HBeHBeAB antibody anti-HBc HBcAg core antibody clinical significance occurrence rate
9 common patterns
1- I have never been infected with HBV before and now. 1-30%
No anti-HBs was detected in 2-+( 1) previous infection; (2) HBsAg has disappeared and anti -HBs has not appeared in the recovery period; (3) asymptomatic HBsAg carrier. 5- 10%
3-++( 1) has been infected with HBV；; Before; (2) recovery period of acute HBV infection; (3) A few specimens are still infectious. ①HBV infection has passed; ② The window period before anti -HBs appears is 2- 10%.
4-+-( 1) immunized with hepatitis B vaccine; (2) previous infection; ③ False positive 1-6%
Rehabilitation after 5-+++ acute HBV infection. 0.5-5%
6+-+( 1) acute HBV infection; (2) chronic HBsAg carriers; (3) Weak infectivity. 10- 15%
7-+++ infection in the past, still have immunity. HBV infection, recovery period. 5- 15%
8+++(1) acute HBV infection tends to recover; (2) chronic HBsAg carriers; (3) Weak infectivity. Commonly known as "Xiao Sanyang". 5- 10%
9++-+ Acute or chronic hepatitis B infection. This indicates that HBV replication is highly contagious. Commonly known as "three suns". 30-40%
16 rare patterns
10+-( 1) Early stage of acute HBV infection and incubation period of acute HBV infection; (2) Chronic HBV carriers are less contagious.
11+-(1) Chronic HBsAg carriers are easy to turn negative; (2) Acute HBV infection tends to recover.
12+-+- Early or chronic carriers of acute HBV infection are highly contagious.
13+-+(1) Acute HBV infection tends to recover; (2) chronic carriers.
14++-( 1) early subclinical HBV infection; (2) Secondary infection of different subtypes of 2)HBV.
15+-+( 1) early subclinical HBV infection; (2) Secondary infection of different subtypes of 2)HBV.
16++-subclinical or atypical infection.
17 ++ subclinical or atypical infection.
18++ Early subclinical or atypical infection. HBsAg immune complex, a new subtype of infection.
19-+-( 1) atypical acute infection; (2) In the early stage of infection before anti -HBc appeared, HBsAg titer was low and negative, or false positive.
20-+++ atypical acute infection.
2 1-++ acute HBV infection in the middle stage.
22-+-+-HBV infection has been cured.
23-++- atypical or subclinical HBV infection.
24-+++ atypical or subclinical HBV infection.
25-+- Acute HBV infection tends to recover.
Seven rare patterns
26+++① A subtype of HBsAg and a variant of anti -HBs (common); ② The process of transforming serum from HBsAg to anti -HBs (rare).
27 - + + + -
28 - + + + +
29 - - + + -
30 + - + + -
3 1 + + + - -
32 + + + + -
Second, the infection and prognosis of hepatitis B.
The chances are slim. Look at my previous answer.
Please refer to my previous answer -☆☆ 1 for usual prevention.
For the analysis of the prognosis of hepatitis B, please refer to my previous answer -☆☆ 2.
☆☆ 1
My girlfriend is a three-year-old carrier, and I have lived together. Will I be infected?
Reward: 20- solution time: 2005-1-1015: 52.
What can I do to reduce infection?
Questioner: Chen Qinyun-the first level of probation
Best answer
Because HBsAg can be found in the saliva of patients with hepatitis B, they may be infected by skin and mucous membrane damage when kissing lovers. The best prevention method is still to inject the whole course of hepatitis B vaccine into normal people who have not been infected with hepatitis B virus to make them resistant. If conditions permit, the whole people should prevent hepatitis B.
The one above is right. Let me add:
I have answered some questions about hepatitis, so I will copy it to you. I think it has solved your problem:
Is kissing contagious?
(1) Kissing is not recommended. There are many ways to express love, and kissing is not necessary to express passion. Ha ha.
Kissing is not necessarily contagious. I have too many files at hand, and the probability of hepatitis B spreading between husband and wife is actually very small. Why, now people tend to explain: because of the long-term infection of small "dose", the other party has gained immune effect and produced antibodies.
(3) Try to wear condoms in sexual life. When the other person becomes smaller, you can consider not using it. If you persist in this way for two or three years, you will gain immunity because of casual small infections.
(4) The menstrual blood of patients is highly contagious. Attention!
Is it transmitted by mosquitoes?
Usually not.
We know that hepatitis B is really transmitted through blood. But unlike mosquito bites.
When mosquitoes bite people, the first thing to do is to inject "anticoagulant", which is what makes us feel itchy. Then it sucks blood. If you let it have a full meal, it will suck out the injected anticoagulant together, and people will feel less itchy at this time. Usually when it sucks blood, people will feel that a beat will interrupt the process of sucking blood, and people will feel itchy.
Well, speaking of which, you probably understand that mosquitoes don't inject blood already in their stomachs into people. Don't!
(4) Only when mosquitoes have just sucked the blood of patients with big three-yang disease, and there are a lot of attractors on it, there will be some possibility of infection at this time.
5] Another explanation is that the anticoagulant secreted by mosquitoes has an effect on the activity of the virus, so mosquitoes can't be the host of hepatitis B transmission. However, it is the chief culprit in spreading malaria and filariasis.
For your health, we should assume that mosquitoes can spread hepatitis B. Mosquitoes should be completely killed.
Third, I recommend Wu Tiantian's answer: four ways of transmission of hepatitis B.
There are many causes of hepatitis, but viral hepatitis is the most common in daily life, so people are used to calling viral hepatitis "hepatitis" for short. There are four ways to infect hepatitis B:
1 mother-to-child transmission
It is generally believed that about 1/3 (about 30 million) carriers of hepatitis B surface antigen originated from mother-to-child transmission. Due to early infection, more than 90% developed into chronic infection. Studies have shown that the risk of chronic infection in children before the age of 6 is about 30%, while only 5% of adult acquired infections are chronic.
HBsAg positive mothers, especially HBsAg and HBeAg positive mothers, are highly contagious. The virus mainly spreads through the following ways: (1) intrauterine transmission. It is mainly transmitted through the placenta. For pregnant women with positive HBsAg and HBeAg, in the third trimester of pregnancy (July, August and September), injecting hepatitis B immunoglobulin with high titer/kloc-0 times per month can neutralize the hepatitis B virus in pregnant women and reduce the incidence of intrauterine infection. (2) Intrauterine infection. It means that newborns are infected by inhaling maternal blood, amniotic fluid and vaginal secretions containing hepatitis B virus during childbirth; At the same time, it may also be infected by neonatal skin or mucous membrane. Injection of hepatitis B vaccine combined with hepatitis B immunoglobulin after birth can effectively prevent it. (3) Postpartum infection. Close contact between newborn and mother may also be contagious. Combined vaccination of newborns with hepatitis B vaccine and hepatitis B immunoglobulin can effectively block this infection.
2 Blood transmission and iatrogenic transmission
Hepatitis B virus mainly exists in patients' blood, so blood transmission is also an important way. Such as: blood transfusion or use of blood products, hemodialysis, accidental stabbing by needle or scalpel, razor, toothbrush, tattoo, tooth filling, etc.
3 Sexual contact transmission
The semen of male carriers of HBsAg is contagious. After injecting the semen of HBsAg positive patients into chimpanzee vagina, the experiment of chimpanzee infected with hepatitis B suggests that the spouse is a carrier of hepatitis B surface antigen and must use condoms during sexual intercourse.
Other routes of hepatitis B can also be transmitted from father to baby.
Mother-to-child transmission is the main way for infants to be infected with hepatitis B virus, but the survey shows that father-infant transmission can also cause hepatitis B in infants, but it has not attracted enough attention. Studies have shown that the sperm of patients with hepatitis B do carry hepatitis B virus, and HBV-DNA can exist in the cytoplasm of sperm head. After fertilization, it can continue to replicate in the offspring cells, leading to the infection of the offspring cells and the father-infant transmission of hepatitis B, which occurs in the early life. According to some surveys, when the father is positive for both surface antigen and E antigen, the infection rate of the babies born to him can reach more than 80%. When father E antibody is positive, the infection probability of his offspring is about 20%. The probability of mother-to-child transmission of hepatitis B virus is greater than that of mother-to-child transmission, and it is easier to carry it for life. Blocking mother-to-child transmission of hepatitis B virus before pregnancy. If the patient is chronic hepatitis B with abnormal liver function, antiviral treatment can be used. After the patient's infectivity is reduced, targeted liver protection drugs can be used under the guidance of a specialist, and pregnancy can be realized after a period of time.
☆☆2
This friend of ccd2093, please come in
Reward score: 10- settlement time: 2005-11-911:49.
Because my younger brother recently graduated and looked for a job, he had Xiao Sanyang. Suddenly I feel that the world has lost its proper color, and I feel that at most 40-50 hepatitis B patients will leave. My mother is also in Lacrimosa all day. She feels very sad and complains about the injustice of heaven!
But when I saw your post, I suddenly felt a sense of intimacy! (Maybe it's because you are both a medical worker and a patient), hehe! I've never been very good at talking, please forgive me if I'm wrong! )。 Maybe I am happy. Being close to such a big brother can help my big brother! Maybe you think what I said is disgusting, but please believe that this is really my heartfelt words!
Because I'm afraid of this thing now and I don't know much about it. I don't know the usual maintenance problems. So I want to ask my brother's QQ number here, and I really want to be friends with you!
May I? Thank you!
Questioner: jamme 1982- level 1 of probation period
Best answer
I'm CCD2093
Now let me answer your brother's question:
(1) Didn't you just say that Xiao Sanyang was found out? Ok, I'll settle an account for your brother: your brother is about 20 years old now, and he is not sick (only Xiao Sanyang). Many people never get sick.
⑵ Even if you can get sick, there is still a course of 10-30 years to go. General maintenance, 10 onset is very common after 20 years. Because at that time, my age was increasing, my physical fitness was declining, and my maintenance and attention were relaxed. Coupled with the pressure of work, it is possible to get sick.
⑶ Even if the disease occurs, the course from acute liver disease to liver metastasis is about 10 years. If well maintained, this process can be extended to 30 years or even a lifetime.
⑶ From acute liver to chronic liver, there is a process of 10-40 years to go.
5] It takes 20-50 years from chronic liver disease to active liver disease and then to cirrhosis. If it had been well maintained, it would never have come to this.
From chronic liver disease to liver failure and even liver cancer, there are still decades.
Well, please ask your brother to calculate how much time he has left. He just needs to remember that he once had a small world, so God left him as much time and opportunities as healthy people.
I don't have much time today. Let me answer this first. In the future, I will gradually introduce some to you: about maintenance, about medical progress, and about his illness (it can't be called illness! ) prognosis, about his future choice of a better work direction, about how to do physical exercise.
Respondent: Fu Xiangxiang-Chief Clerk, Grade 9, 4- 10 17: 16.
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All-yin is most suitable for injecting hepatitis B vaccine.
3 stitches for the first time (within half a year) and then every 1 ~ 2 years 1 stitch.
The fifth item is positive, which means (1) has been infected with hepatitis B virus in the past; (2) HBsAg has disappeared in the recovery period, and anti-HBsAg antibody HBsAb has not yet appeared; (3) asymptomatic HBsAg carrier.
If it belongs to the first two possibilities, it is not contagious, and HBsAB may appear after a certain period of time to resist the invasion of hepatitis B virus.
If it belongs to the third case, it doesn't matter, the infectivity is very weak, and the amount of virus is small (virus replication is inhibited by the body). If possible, you can inject highly effective hepatitis B immunoglobulin to promote the body to remove hepatitis B virus.
Of course, in any case, don't do anything yet, because there is really no need to do it. Review after half a year 1 time. If this is still the case, you can inject hepatitis B immunoglobulin.