LuckCong's Health Blog

China's hepatitis B is a high prevalence areas, the surface of one or both of the couples antigen positive or husband and wife are very public. B of the impact on marriage and child rearing, marriage and child rearing on how to reduce the dangers of hepatitis B, is many issues of common concern. A correct understanding of these issues will help improve the quality of hepatitis B patients on marriage and child rearing, but also conducive to social stability. Some people may have noticed that a high degree of hepatitis B family is gathered. Hepatitis B so it will not be genetic? That the current, not genetic hepatitis B, hepatitis B family is gathered mainly due to transmission rather than genetic, and not through the egg or sperm evidence of transmission of hepatitis B, hepatitis B does not have a man Direct intrauterine infection in infants. However, the risk of hepatitis B virus, hepatitis B virus infection after the conclusion may be related to genetic factors. Many routes of transmission of hepatitis B, on the marriage of the two sides, in addition to social get-together, there are direct physical contact and sexual contact, infected each other's risk of a study proved that the newly married couple in the side surface antigen Positive and negative on the other, 27 months later, the other on the surface antigen positive up to 140%; and the two sides on the surface of the couples antigen were negative, surface antigen positive only 1.60 percent. Protection of the hepatitis B vaccination rate of 90% -95% if an appropriate increase in the number of vaccine doses or vaccination, and is expected to enhance the immune effect. As a result, the two sides of the marriage spread of the majority of each other can be prevented. It is important early screening, early detection, early prevention. If there is one hepatitis B, hepatitis B surface antibody positive on the other, without fear of transmission of hepatitis B; the surface of the absence of antibodies against hepatitis B vaccine immediately. In the event of being infected by the other side, there is no need to worry too much. The consequences of hepatitis B infection in adults with hepatitis B infection in infants and young children of very different consequences, which was more than 90% of acute, after which 98% will become chronically infected. At present, anti-HBV drugs continue to occur, there is also a great hope for cure. Therefore, if there is a strong foundation for love, do not let you destroy the hepatitis B virus feelings. Mother to child transmission of hepatitis B is the most important route of transmission. Surface antigen-positive children born to mothers, the positive rate as high as 30% -40%. Surface antigen, e antigen-positive mothers of the two-babies a year, almost all positive, of which 65% to 72% will become chronic carriers. Mother-to-child transmission, through the placenta in the intrauterine transmission of almost all become chronic carriers, so far no effective treatment, is the most terrible. However, a recent study shows that a single surface antigen-positive pregnant women, infants born to intrauterine infection rate was only 3.7 percent, on the surface antigen, e antigen-positive pregnant women, infants born to two-intrauterine infection rate was 9.80 percent. This shows that intrauterine infection rates up to less than 10%, if the e antigen negative wait until after the birth, intrauterine infection can be greatly reduced. The e antigen negative natural rate, a higher conversion rate after treatment. The birth and the birth mother to child transmission, prevention of good results encouraging. From 1986 to 1990 in four provinces and municipalities of China's pilot area population of 2,000,000 in the large-scale test of hepatitis B vaccine, inoculated newborns each year 30,000 people, immune from 3 to 4 years, 3 to 4-year-old children on the surface antigen positive rate by the immune ago The 16,2% to 1.78%, of which Shanghai has dropped to 0.98 percent. Even the surface antigen, e antigen two-positive mothers, infants born 24 hours after hepatitis B vaccination plus hepatitis B immunoglobulin high price to protect the rate of 92% to 95%. So as long as we take effective preventive measures, the vast majority of mother to child transmission can be avoided, but the probability of transmission of hepatitis B by a few, they should be able to accept the risk. The existence of breast milk hepatitis B virus, but by the hepatitis B infection in the digestive tract is difficult, and the concentration of virus in the milk is far lower than the concentration in the blood. If the baby was born within 24 hours of vaccination, the mother of the breast without damage, experts believe that breast-feeding is safe. In view of the superiority of breast-feeding, weighing the pros and cons, breast-feeding should be a reasonable choice. It is generally believed that hepatitis B virus infection and premature birth, abortion, fetal malformation has little to do. Hepatitis B virus carriers, chronic hepatitis in patients with mild to marriage, pregnancy, pregnancy on maternal and child do not have any impact, but during pregnancy, especially in the latter part of pregnancy on a regular basis to check liver function. Hepatitis B acute or chronic active hepatitis B should be suspended for marriage, marriage as a result of excessive physical exertion may increase the patient's condition and even give rise to serious consequences. Serious illness of chronic hepatitis B in stable condition after pregnancy, pregnancy may increase the disease, and even a threat to the safety of mother and child, so caution must be exercised, and intensive care. Hepatitis B patients with late stage of pregnancy appear dysfunction, in particular the emergence of jaundice, prothrombin time, it is bad trillion, to a high degree of vigilance liver in a coma, the possibility of postpartum hemorrhage. These patients should be hospitalized in good condition to save maternity hospital.