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HepatitisB knowledge

"Small Sanyang" do?

Date:2016-10-18 10:56:55 FROM: Browsing times:
        In chronic hepatitis, "small Sanyang" (virus replication index HBeAg negative and anti -HBe positive) that viral replication decreased infectivity is reduced, remission or stable. But not all patients, for two reasons:
        There are still many hepatitis B virus particles, Part 1 "small Sanyang patients in blood circulation, the virus is still in active replication, the liver injury is quite serious. This is because this part of the patient's hepatitis B virus has a gene mutation, so that HBeAg expression is missing, HBeAg test is negative. Therefore in chronic hepatitis B "small Sanyang" not as absolute virus replication index decline. "Small Sanyang" liver disease are likely to continue to develop, and gradually evolved into cirrhosis. In fact, no? Quot; big Sanyang "or" small three ", as long as the abnormal liver function, it must be treated.
        2, with the increase of the age of the patient, the virus has changed from "natural big Sanyang" to "small Sanyang" trend. The young man showed the HHA, older people (40 years old) were "small Sanyang" are, especially in patients with liver cirrhosis and hepatocellular carcinoma, most of them are "small sanyang". In view of this, the "small Sanyang" are not necessarily light patients.
        In addition, when the immune dysfunction, "small Sanyang transformation" may be to "big 3 this world". So "big and small Sanyang" is not immutable and frozen, but can be transformed into each other. So the "small Sanyang" patients should closely observe the liver function test indicators, once every six months check blood routine, liver function (ALT, AST, BIL, TP / A), HBV DNA, quantitative B, according to the situation to decide whether to adopt what kind of treatment and treatment.

 

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