Is it always safe to be a “hepatitis B carrier”? What should I pay attention to in my daily life?…

The latest data from China’s hepatitis B seroprevalence survey shows that the general population aged 1-59 years old in China has a positive rate of hepatitis B virus surface antigen (HBsAg) of 7.18%, according to this ratio, China is currently infected with hepatitis B virus (HBV) number of about 93 million people, including about 20 million patients with chronic hepatitis, so the remaining more than 70 million is known as The remaining 70 million people are the well-known “hepatitis B virus carriers”. The “hepatitis B virus carrier” has a professional name, that is, inactive HBsAg carrier (inactive HBsAg carrier), refers to the laboratory serum HBsAg positive, hepatitis B virus e antigen (HBeAg) negative, hepatitis B virus quantitative (HBV DNA) below the lower limit of detection ( In addition, the hepatitis B virus has been tested more than three times in a row within one year, with at least three months between each test, and the liver transaminases (ALT) are normal in each test. Since you are a “hepatitis B virus carrier”, will everything be fine for the rest of your life? In addition to not donating blood and not sharing toothbrushes and razors, daily study, work or living contacts, such as working in the same office (including sharing office supplies such as computers), shaking hands, hugging, living in the same dormitory, eating in the same restaurant and sharing toilets, etc. without blood exposure, are not infectious. But not infecting others does not mean that HBV is not harmful to you, and your family members, especially your spouse and children, who have close contact with you, are still at risk of being infected by HBV, so for the health of yourself and your family, and for the happiness of your family, “hepatitis B carriers” need to understand themselves better and care for themselves. need to better understand themselves, care for themselves, and do not let HBV attack us. 1, the hepatitis B virus infection status may change at any time: that is, regular medical checkups are essential, and a normal annual checkup does not mean that there will be no problems. China’s “Guidelines for the Prevention and Treatment of Chronic Hepatitis B (2015 Edition)” stipulates that people with normal liver function and negative HBV DNA, that is, “hepatitis B virus carriers”, should be examined every six months, including: HBV DNA, liver function (ALT), alpha-fetoprotein (AFP) and B ultrasound, of which HBV DNA The HBV DNA is particularly important, because the health checkups on the market do not routinely test HBV DNA. 2, “hepatitis B virus carriers” diet note: As we all know, the liver is the body’s largest metabolic organ, a variety of nutrients, drugs, toxins, etc. need to be digested in the liver, decomposition, detoxification, transformation, etc., so that Therefore, “hepatitis B virus carriers” must ensure a balanced diet, with protein (lean meat, fish, egg whites, milk, soy products, etc.), carbohydrates (rice, noodles, coarse grains, potatoes, etc.), fats (vegetable oils, animal fats, etc.), vitamins, minerals, etc. in the food to maintain the appropriate ratio; try to eat less spicy food, eat more fresh vegetables, fruits, etc., and avoid overeating, Avoid overeating or “hungry and full”. 3, “hepatitis B virus carriers” must stay away from alcohol: the total amount of alcohol metabolized by the liver every day is very limited, long-term alcohol consumption or a large amount of alcohol can bring serious harm to the liver. Alcoholic hepatitis, fatty liver, alcoholic cirrhosis, liver cancer, are common in people who drink a lot of alcohol for a long time, if “hepatitis B virus carriers” drink alcohol for a long time, it is like adding insult to injury, making the already fragile liver more susceptible to disease, cirrhosis, liver cancer is mostly seen in chronic hepatitis B combined with alcohol drinkers. 4, “hepatitis B virus carriers” family members should be vaccinated against hepatitis B: China’s “Guidelines for the Prevention and Treatment of Chronic Hepatitis B” stipulates that the hepatitis B vaccination target is mainly newborns, followed by infants and children, unimmunized people under 15 years of age and high-risk groups, which also include family members of HBsAg-positive people. The hepatitis B vaccine requires 3 doses, according to the 0, 1 and 6 months procedure, i.e. after the first vaccination, the second and third doses are given at intervals of 1 month and 6 months. Newborns should be given hepatitis B immunoglobulin (HBIG) as early as possible within 24 h after birth (preferably 12 h after birth) at a dose of ≥100 IU, and 10 μg of recombinant yeast hepatitis B vaccine at different sites, at 1 month and 6 months, respectively. The second and third doses of hepatitis B vaccine to block the transmission of hepatitis B virus between mother and child. 6, “hepatitis B virus carriers” should avoid staying up late, fatigue: because it is easy to lead to immune dysfunction, inducing the hepatitis B virus to become active, and should also pay attention to the combination of work and rest, moderate exercise, in sunny weather, you can do more outdoor activities, such as walking, trekking, playing tai chi, etc., exercise, pay attention to moderation, not a large number of Exercise, do not exert yourself, and keep your mood relaxed. 7, do not blindly believe and accept the so-called “HBsAg to negative” treatment: once the hepatitis B virus infects the body, the DNA of the hepatitis B virus will be integrated with the DNA of our liver cells at one time, the existing means is unable to completely remove it, a variety of informal medical institutions advertising, a variety of publicity so-called “HBsAg to negative” treatment. The “HBsAg to negative” therapy is false advertising, not only will not bring benefits to the body, but will further damage the liver, and even activate the hepatitis virus, bringing more serious consequences.