1, kissing will infect the hepatitis B virus doctor: hepatitis B virus mainly through blood, sexual contact and mother-to-child transmission, kissing is generally not transmitted, if the other body hepatitis B surface antibody positive, there is no need to worry. However, if the other party has a break in the oral mucosa and does not have antibodies, the virus may enter the other party’s body through the break, so you should be careful in this case. The best way to prevent infection is to get the hepatitis B vaccine. If you don’t have antibodies, don’t worry too much because about 95% of healthy adults can rely on their own immunity to destroy the hepatitis B virus after it invades their bodies and get antibodies to it. The hepatitis B virus is a virus that can’t be removed by the immune system, but it doesn’t mean that the overall immunity is high or low, and it doesn’t mean that the body is poor. It only means that their immunity to the hepatitis B virus is defective. The possibility of liver function damage is therefore higher. Infected patients should be observed through regular liver function tests, viral load (HBV DNA), liver ultrasound, etc., in order to detect abnormalities and provide timely treatment. Those with low viral load are generally not prone to liver function damage. However, the level of viral replication fluctuates, so regular medical checkups are an important means of observing changes in the condition. Plan to get married 4, one of the couple is a carrier, the other party will be infected Doctor: Hepatitis B virus can be sexually transmitted, if one of the couple is carrying the hepatitis B virus, the other party should take the necessary measures, medical examination before getting married, the uninfected party should be injected with hepatitis B vaccine, in the absence of antibodies before having sex should use condoms. Generally speaking, couples can have a triple line of defense against virus invasion: first, the body’s own immunity, second, the antibodies obtained after the hepatitis B vaccination, and third, good hygiene habits and safety measures. As long as the measures are in place, and will not be transmitted. 5. Do antibodies to the virus that are carried by ordinary people always exist? Doctor: This question should be analyzed in two cases. If the antibodies are obtained from vaccination, they usually last for 6-8 years. If antibodies are found to disappear during a medical checkup, you can get vaccinated again for insurance purposes. For those who have been infected with the hepatitis B virus and rely on their own immune system to overcome the virus and produce antibodies, a clone of immune cells against the hepatitis B virus is formed in the body, and it gradually assumes a sleeping state when there is no hepatitis B virus attack thereafter. But once the virus is present, it will start fighting again. This antibody is more durable. Of course, if a physical examination reveals weakened antibodies, you can also get a vaccination to awaken the antibodies through stimulation. 6, hepatitis B virus carriers will be because of the “liver fire” and grumpy doctor: we know, liver fire is the proper term in Chinese medicine, refers to people’s liver hyper-exuberant heat, mostly due to the seven emotions too extreme, liver Yang into fire or liver meridian contains heat. In modern times, due to the high pressure of work and fast pace of life, resulting in mental tension and emotional irritability, it is easy to have symptoms of exuberant liver fire. However, it is not true that all people with hepatitis will have high liver fire and short temper, it is related to personal character or cultivation. The most crucial thing for people with high liver fire is to develop good habits of living and resting. According to Chinese medicine, 11 pm to 1 am the next day is the time for the liver to work, if you don’t sleep at this time, it will make its workload too heavy, which over time will damage the liver and cause symptoms of high liver fire. Then also self-emotional regulation, always keep emotional stability. Preparing for childbirth 7. If the mother carries the virus, can she have a child Doctor: Before giving birth, the mother had better go to the hospital for a checkup, if she is only carrying the virus and her liver function is normal, she can safely get pregnant, but she should check her liver function regularly and, before giving birth, check the amount of hepatitis B virus. If it is developing, the first thing to see if the mother’s body can withstand, because pregnancy will increase the burden on the liver, if it is found that pregnancy makes the disease worse, then the pregnancy should be stopped; if there is just a little bit of liver function abnormal, you can continue the pregnancy under the guidance of a specialist, once the liver function is damaged and aggravated can not bear the pregnancy, we should terminate it in time to avoid making both mother and child health at risk. Of course, from the perspective of eugenics, women with abnormal liver function are not recommended to have children and should be treated and then have children after their liver function is normal. In other words, for women with hepatitis B, it is best to consider controlling the disease and having children first. 8, how to prevent mother-to-child transmission Doctor: now most hospitals, health centers, obstetricians and gynecologists are trained in mother-to-child blocking, as long as you tell the medical staff that you carry the hepatitis B virus, they will be blocking treatment for you. This means that the pregnant woman is given a high potency hepatitis B immunoglobulin injection in the later stages of pregnancy, a hepatitis B immunoglobulin injection within 24 hours of the baby’s birth, along with a hepatitis B vaccination at the opposite site, and another hepatitis B vaccination at full term and 6 months of age. Through scientific interruption treatment, the interruption rate of mother-to-child transmission can reach more than 85%. 9.If the father carries the virus and the mother is healthy, can he have a child? Doctor: The father has less influence on the child than the mother. When the father is only carrying the virus and does not have the disease, the child can be born. If the father has hepatitis B disease, the couple should consider whether to have children. This is because the father’s abnormal liver function may have an effect on the health of the baby. If the father carries the hepatitis B virus, giving the child the required hepatitis B vaccination as soon as he is born will protect the baby from hepatitis B virus infection. Reminder: Women should pay attention to menstrual hygiene Because the blood contains extremely high levels of virus, women carrying the hepatitis B virus should pay special attention to personal hygiene during their periods. Things like sanitary pads that have been contaminated with blood should be disposed of so as not to contaminate other places. In addition, underwear should be washed separately, do not put in the washing machine to avoid cross-infection. When you go to a public bathroom, you don’t have to worry about having a tampon discarded by a person with the hepatitis B virus. Because there must be a way for the hepatitis B virus to invade, as long as the skin is not broken, you will not be infected. Love them and be honest with them If you are a hepatitis B carrier, please do not hide your condition from your loving partner when you are in a relationship. Before having an intimate relationship, you should have the other person checked for hepatitis B two-to-one to see if they have hepatitis B antibodies. If the other person is neither infected with the hepatitis B virus nor has antibodies, you should have him/her get vaccinated immediately. After 3 doses (0, 1, 6) of hepatitis B vaccination, the other person will have antibodies and will no longer be susceptible to infection. Until the other person has acquired antibodies to hepatitis B, it is important to use a condom if the partners are having sex. Most importantly, both partners should gain mutual understanding. In addition, people who are carriers of hepatitis B should likewise remind their family members. This is because close contacts in life are also likely to be infected with the virus. For example, when a family member has a small wound on his hand and there happens to be hepatitis B virus around, the virus may invade his body through this route. Therefore, it is responsible to be honest with your family members and to remind them to take the necessary measures.