Hepatitis B minor triplet and infectiousness

  Q: I found out last month that I have a small triplet (never had hepatitis before), the result of the DNA test is 2.78*103, the doctor said that it is contagious, and I do not have any symptoms myself, please ask if I need medication?  A: You now have a positive DNA result, the hepatitis B virus is in a state of replication and is contagious, and antiviral treatment is currently appropriate. However, some tests need to be performed to determine the treatment plan.  Q: Is it possible for a woman with hepatitis B to have children? Can it be transmitted to the child?  A: Women with hepatitis B can also have children, but the appropriate timing needs to be chosen based on the patient’s liver function and hepatitis B DNA results. If the liver function is normal and the hepatitis B DNA is negative, it is possible to get pregnant. The virus will not be transmitted to the child through the placenta when pregnant, and blocking therapy, mainly hepatitis B vaccine and high potency hepatitis B immunoglobulin, can be taken within 12 hours after the child is born to effectively prevent infection.  Q: I am a patient with hepatitis B minor tri-positive, I have been in good health for more than ten years, my diet is normal, and I have no adverse physical symptoms, because I am still young, so I would like to ask whether I need to take drugs to inhibit the replication of the virus? What health care measures should be paid attention to at ordinary times?  A: You should first do a hepatitis B DNA and liver function test, if they are normal, you need to closely observe, when the transaminases are not normal, hepatitis B DNA positive for antiviral treatment effect is best. You should pay attention to regular follow up. In addition, liver protection should also pay attention to the following points: 1, a good state of mind. Chinese medicine believes that “anger hurts the liver”, the emotional ups and downs too much, it is easy to affect the liver. The company’s main business is to provide a comprehensive range of products and services to the public. Medicine is better than food, so is the liver. Strengthen the gastrointestinal function, the liver can be fully nourished. “When a person sleeps, blood returns to the liver.” The liver can be fully repaired only when you get enough sleep. Between 11 p.m. and 3 a.m., blood flows through the liver and gallbladder, and the body should be allowed to get complete rest at this time. Patients with liver disease should pay attention to the combination of movement and exercise after their condition has improved.  Q: I am a small triple positive hepatitis B. Do I need to be isolated from my family?  A: How to get along with family members and relatives is always a concern for patients and their families. The key to whether and how to isolate patients with “minor triple-positive” depends on how infectious the hepatitis B patient is. Among the “small three positive” patients, 50-60% of them have turned negative for HBV-DNA, which means that there is no hepatitis B virus in their blood and body fluids, and of course their infectiousness is reduced or even gone. If the HBV-DNA is still positive, which means that the hepatitis B virus is still present in the blood and body fluids, it is still contagious and needs to be prevented, and the key to prevention is the hepatitis B vaccination. If your family has no antibodies to hepatitis B, it is best to get the hepatitis B vaccine.