Patient: Hepatitis B major third-positive
Laboratory tests and examination results (examination time and) May transaminase 75, took one month of pentosidine tablets and yunzhi intracellular glycopeptide capsules
Aminotransferase is normal, continue to reduce the dosage of medication
I’m planning to get pregnant in three or four months, can I use liver enzyme injections now? (We are in a hurry to have a baby, can we use this medicine in the next three to four months) I heard that this medicine can make the DNA turn negative. If I can’t use Heparin, is there any other treatment to stop it? I’m afraid of infecting my child with pregnancy. Zhao Zhixin, Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University: If you are planning to have a baby, don’t add too much medicine, otherwise you won’t be able to stop. When you stop, it will rebound.
This drug needs to be used for a long time to have the possibility of turning negative. The short term is generally not possible.
The actual lamivudine blockade is useful abroad, but it is not officially introduced to patients in China. There are no treatment guidelines.
Most people can take preventive injections to prevent it. Patient: Thank you, Director Zhao, I went to the hospital last Thursday to consult you, you are really a good doctor to save lives! I don’t know how we can thank you if our child is lucky enough not to be infected with hepatitis in the future! Thank you and bless you. Patient: Director Zhao, thank you for helping us in your busy schedule and caring about the safety of our patients! I have a lot of questions, thank you!
1. I heard that it takes six months after birth for a child to have all the vaccinations to determine if he or she has antibodies, right? Or can we use cord blood to determine the presence of antibodies at birth? So in the six months after birth, the child does not have antibodies very afraid that I will infect him, or everything will be all over!
2, we live in 2 rooms, more than 80 parties, but there is only one bathroom, bathroom, I am very afraid of sharing, ventilation is not good, afraid that I go to the bathroom, sneeze or shower body fluids will infect the child, or other people in the family to touch my body fluids touch the child’s very thin broken skin; we also have a duplex in the suburbs, have not lived for some time, although the traffic is not convenient, but there are three bathrooms, good ventilation, can be better isolated, to stop the infection. Can we isolate better and stop the infection? Or do we still live in a 2-bedroom house for fear of high risk of infection? Is it necessary to move for this?
3. What should we pay attention to if we don’t move in together? I think the chlorine powder I bought from the pharmacy after taking a shower or going to the bathroom is useful for disinfecting the hepatitis B virus? Or is it better to disinfect with what? Is it useful for hepatitis B to take a shower, wash your hands with Dilu shower gel, Dilu antibacterial hand soap, and Dilu? What can be used in life to kill hepatitis B?
4, the child 6 months before the vaccination I can not hold him, I think I do not scratch the scalp, scratch the itch, (I am afraid of the virus in the nails) my bowl, clothes wash themselves, use the cupboard, Dichlor disinfectant water disinfection, shoes, towels and family separate open, family do not touch; 2 room children and I sleep in separate rooms; often use disinfectant water to apply the table, touch the children’s things before washing hands; do you think life also pay attention to any practices? What are the necessary measures? I think no matter how hard I try, I have to survive these 6 months and try not to infect the children. Is it scary that many children born infected will have liver cancer by the age of 25. I hate myself for having this.
Thank you!
Zhao Zhixin, Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University: You are worrying too much.
1. When a child is born, you should give him the hepatitis B vaccine and other antibodies, but also give him hepatitis B antibodies, immune protein. Therefore, it is not necessary to wait until the sixth month.
2, do not need to move ah, the general life contact is not so infectious. Mainly through blood. Body fluids, you are worried about the general will not.
3, water rinsing is the best disinfection, eating utensils with disinfection cabinet can be. Not so terrible.
4, what you wrote is not necessary, the vaccination, can be more than 95% can be prevented, a small percentage do not have to get so nervous.
5.It is not true that all infected people will get liver cancer at birth, but only a small percentage will. Patient: Thank you Dr. Zhao! It’s so tragic to think that if you have a child and get cancer afterwards, it’s like having a child and raising a child for 20 years for nothing! My father also passed away 7 years ago because of liver disease. I was so nervous. But with Dr. Zhao saving us, I feel a lot better! Is it true that if we still go to the doctor for regular checkups, we will be saved from malignant changes?
I hope that you, the experts who save lives and help patients to solve their problems, can study good medicine for hepatitis B as soon as possible, and please give us good news to help us to stop the infection if you use lamivudine blocking in the future! Thank you very much!
By the way, I heard that when delivering a baby, doctors try to ensure that the placenta is intact and less wounds are made to expose the mother’s blood, so that there will be less infection. The doctor who operated on the baby was in his 50s, and my mother said that he would not be able to see well and would be prone to accidentally make small wounds with the aid of instruments during the birth. Would it be better to have a slightly younger surgeon, or is the family overly concerned that it’s okay to give birth to an older surgeon? Sorry to trouble you! Zhao Zhixin, Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University: Generally, it is not afraid. The doctor who delivered the baby will not make a small wound. You are too worried. For example, there is a possibility of traffic accidents in the car, which is a little more dangerous than at home, so you do not go out, you do not take the car. Hold the main line. Otherwise, how do you live in the future, and we now so many food is not safe, you still want to eat ah. So, think too much. I think it’s not good for you personally. Think more to the good place.
Just let nature take its course. I’m grateful for your help, you’re really a great benefactor in my life, please, there are more questions, please take your time to read it
I. May glutathione transaminase 75 high, glutathione transaminase 40 normal, eat a month of five ester tablets and yunzhi intracellular glucose peptide capsule, transaminase normal, ultrasound normal, continue to reduce the amount of medication to take 2 months, three times a day, each one; today review, glutathione transaminase 45, (normal maximum 40) glutathione transaminase 39, (normal 35) my condition is not serious, bad treatment? (I am so difficult to take off work, I want to ask here how to eat this medicine liver function is still not normal? I’m afraid? (The viral load test has not yet come out) This medicine should continue (one each time three times a day) to eat like this, right? The doctor said I can take it until I have a baby. I want to get pregnant in 2 months and give birth in Zhongshan Second Hospital, what else should I pay attention to in addition to regular checkups and medication so that my liver is not life-threatening?
Second, the child was born to play immunoprotein, is not born to play, a month to play, two months to play again, three times each time 200U; mother 7 8 9 months each play 400U, (and 0, 1, June three vaccines,) so you think it is the best plan for me at present?
Third, items 2 and 4 are positive for surface antibody and e antibody, but negative for the others. Does it mean that he developed antibodies on his own? He will never lose his antibodies in the future? Does he not need to get vaccinated again? (Almost 40 years old, I forget if he had been vaccinated when he was a child, but not in recent years.)
4. I had to go to bed at 4pm the night before, but I went to bed at 11pm last night. Should I review it again? Is it okay to get pregnant without retesting? (Some people say that you have to stop taking the medication for 3 months and get your liver function normal before you can get pregnant, but that’s not necessary, right? I don’t know how long it will take until then)
I have high blood lipids, high cholesterol, and lower than normal blood pressure. I am 157cm and only 84 pounds, my friends say I am much thinner than in previous years, how to eat is not fat, and hepatitis B is related?
Zhao Zhixin, Department of Infectious Diseases, The Third Hospital of Sun Yat-sen University.
1, is it often eat out int? Should not this this small have high blood lipids. If the ultrasound is not a problem, it does not matter if you are not fat.
2, if you can stop the drug of course good. But many people can not stop the drug, so some people are also serving the drug pregnant. Just need to recheck the liver function every month. Rest is not good, there may be a little impact, but also that the liver function is not good ah, if the liver is good, so the impact is not much.
3. Yes. It is self-infection. But it is best to recheck the antibody in about 3 years. Sometimes it will drop.
4, the focus of prevention for children is the immune protein and hepatitis B vaccine at birth. After the birth of the vaccine. There is no definite conclusion whether to play before birth. Many experts believe there is little difference between playing and not playing. Anyway, there is no harm.
5, all liver disease drugs need long-term treatment, so reduce too quickly will be repeated. The reaction to the drug reduction process does not mean that the disease is very serious. It is better to change some drugs that you can take when you are pregnant when you want to have children. Patient: Professor Zhao, thank you! I went to get the virus result today: 4.42e7; the virus is very high, right? I was in a bad mood and I wanted to cry, but is it okay to fight the virus now? How soon can I stop taking a course of antiviral treatment? I am planning to get pregnant as soon as possible in November, my husband is 40 in a hurry, and I also have cervical disease that was to be cone cut, but the doctor is afraid that later cut will be repeated miscarriage, so microwave first, and then cut after the birth of a child. So I want to get pregnant as soon as possible, but I’m afraid that the high viral load will infect my child. Can I still get pregnant with my hepatitis B? I don’t know when I will have to wait if I don’t get pregnant. Patient: By the way, Professor Zhao, do you think that Sodevol can fight the virus? Is it safe for pregnant women? Can I use it to fight the virus when I’m pregnant? Thank you! Patient: Professor Zhao, thank you so much. Thank you very much! I would like to change some of the medications that I can take when I am pregnant when I want to have a baby. What is the best way to use them? Is it appropriate to take pentosidine tablets and yunzhi intracellulose peptide capsules? I have a relative in the perinatal department there, and I would like to wait until I have a baby and then transfer to the third hospital for treatment. May your good deeds be rewarded! May your good people live in peace! Patient: Professor Zhao, my mother said I have a high virus is it dangerous to get pregnant? Should I fight the virus first and then have a baby? Thank you! Patient: Hello Professor Zhao, I heard that a child with a major triplet died in Zhongshan Second Hospital. I was told that my viral load is 4.42e7 and I am at risk of pregnancy, right? Do you think it will be necessary to rush to the hepatology department for resuscitation when I have a high viral load, and is it safer to have a baby in the third hospital in this case? （Do you think it is necessary for me to transfer my medical treatment from the second hospital to the third hospital and have my baby in the third hospital? I’m afraid that the second hospital will not be able to resuscitate me if I have liver failure or something like that? I heard you say last time that if I go to C.S.S. regularly every month, I won’t have such big trouble, but I didn’t know my virus was so high at that time. Is it still possible to have a baby in Form 2 with such a high virus now? Thank you so much! I am really a miserable person, thank you for always treating me and comforting me with concern!
Zhao Zhixin, Department of Infectious Diseases, The Third Hospital of Sun Yat-sen University.
1, the virus is high if the liver function is good, generally is not too worried.
2, if the pregnancy is really bad, and then use antiviral drugs is not too late. As long as you pay close attention to the liver function, there is no need to worry. Deaths happen all the time. You can’t know that someone has died and associate it with yourself, so of course it’s not a good day.
3, no one is immediately rescued because of the high virus, but also depends on liver function. You can first in the second. Their liver disease and infection department can also be ah, if necessary, you can always transfer our hospital ah.
The actual virus can be fought, but you should not use it at first. It is not officially used for women who are expecting a child, and most of them are still in the exploratory stage. Theoretically, the effect is certainly there. The effect on the child is not fully known, but it can be used when necessary. It may be safer than other antiviral drugs. Zhao Zhixin, Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-sen University: If you still have abnormal liver function when you have a child, you can use liver support treatment.