LuckCong's Health Blog

Since 1990, in Shanghai, Beijing and other big cities, neonatal hepatitis B vaccine inoculation rate has reached more than 90% of the surface antigen (HBsAg)-positive rate of immunization in children has dropped to less than 1%, but not vaccinated crowd HBsAg The positive rate of an average of more than 90% or more in many regions, it is our country there are still a large number of people living with hepatitis B virus, known as asymptomatic carriers of hepatitis B virus (ASC). 1, ASC's diagnostic criteria Diagnosis of ASC, should be in accordance with: ① HBsAg positive, including the so-called or Dasan Yang Xiao Sanyang; ② normal liver function tests; ③ not have symptoms and signs of liver disease; ④ B super-normal. 2, ASC's prognosis Recently, Wuhan City business for a long time to pay the hospital staff doctor on the Island 860 16 to 39-year-old ASC to conduct a 10-year follow-up observation, the results are: ① 10 years, no change in the indicators were 777 people, accounting for 90.2 percent; ② because of symptoms or signs of abnormal liver function, to correct for chronic hepatitis were 46, accounting for 5.3 percent; ③ as a result of symptoms and signs and B-ultrasound and diagnosed with cirrhosis were 42 cases, accounting for 4.9%, of which 39 cases in the 10-year observation period, found no increased transaminase, accounting for 92.9 percent of cirrhosis , As a result of complications of cirrhosis of the death of 1, indicating the vast majority of ASC prognosis is good, and the elimination of the virus is very slow. 3, ASC of liver disease Nanjing Military Region General Hospital Pathology and director of the Tai had normal ALT and HB-sAg positive recruits (17 to 20 years old) who has made more than 200 liver tissue pathology research and found that nearly 40% of liver inflammation, in which 18% More can be diagnosed as chronic active hepatitis (which is now known as chronic hepatitis or severe), more than can be diagnosed as chronic persistent type (this was mild chronic hepatitis), from the pathological point of view, these can be diagnosed with occult hepatitis B Hepatitis. Combination of 2 or more information on the 10% of the ASC will become chronic hepatitis or cirrhosis, which is part of the human hepatitis occurred in hiding. These are the results of the observation of 10 years, if longer, to develop into chronic hepatitis ratio will be more; also shows that nearly half of the virus on the basis of the liver is not good, these people do if the B-ultrasound is visible point The uneven diagnosed with chronic liver disease, timely treatment may prevent cirrhosis or other complications. 4, how to prevent from the ASC to develop into chronic hepatitis patients ASC from the development of a hepatitis patients are not necessarily a bad thing, because patients with hepatitis through the body's immune response to clear the virus back to health. China's population of hepatitis B virus infection rate of 60% on average a little more, the vast majority of infected through the normal immune response to clear the virus and recovered, but 10% to 20% of the conversion or develop into chronic liver cirrhosis, our The purpose is to avoid becoming chronic hepatitis or cirrhosis. No hepatitis symptoms, signs, liver function and B-ultrasound are normal, state your immune system, in particular cells of the immune system, that is, since the body of lymphocyte cells in the body of the virus does not respond lymphocytes can not be identified with the virus The liver cells, nor to damage liver cells, and peaceful coexistence with the virus; if it belongs to mother to child transmission or infection in infancy is often as immune tolerance, in which some people infected with the virus and liver cell nuclear integration is difficult to remove; if This is the infection, the change in the constitution, and to restore normal immune system, the lymphocytes will be able to identify the virus with the liver cells, damage to liver cells (elevated transaminase at this time) to clear the virus, the liver on performance Inflammation, that is, liver necrosis, the disease through in order to clear the virus back to health. According to scholars in Taiwan to observe the virus, each of the 3% to 7% of the virus disappear indicators (that the natural conversion of natural or conversion rate); immunity if the disease is less than the sustained, protracted and become chronic, plus some Liver adverse factors will gradually develop into cirrhosis. 5, how low to normal immune function and do not become a chronic hepatitis patients When the ASC to understand the truth, it is necessary to actively deal with, set a realistic goal. ① to maintain the spirit of mind to remove the ideological burden of having to live in fear every day. Identified itself as a healthy person to go to school as usual, the work (with the exception of eating behavior), to participate in physical within the scope of work and training, optimistic, open-minded, not to quarrel with the people, the comparison. Self-control, avoid angry, anxious to avoid over-exertion or cold, and emotional stability. The spirit of the nerves of people in favor of normal immune function returned to normal, knowing it will clear the virus out, beyond the transition to negative natural. If the rush to clear the virus to large or negative Xiao Sanyang. At present, no specific drug will only add to the annoyance and frustration. Science has confirmed that anxiety, frustration, and other negative factors in the spirit of the immune system can be further reduced, and there are a number of possible activation of the existence of genetic disease genes, complicated by other illnesses. ② prevent the spread of virus to others regardless of who is or Dasan Yang Xiao Sanyang, it is necessary to prevent the transmission of the virus to other people and especially those who live together. Wash personal items: toothpaste, toothbrush, tooth Cup, towel, basin, and so on have to go ... ... own. Do not share. Fencan diet should, as far as possible, outside a small restaurant, first, to avoid other people, and the other is also longer on anti-hepatitis B virus, so that the drug increased, or mass variation on the strain, increasing the difficulty of removal of the virus. ③ suitable for human consumption as much as possible to improve the quality of high-protein diet, high-fiber, high-vitamin, low-fat diet and Sik most of the sugar, if for the obese should be eating low-sugar, low-calorie diet in order to maintain standards for weight, avoid fat (caused by fatty liver Or diabetes-induced). Not a particular kind of food, grain cereals, fresh vegetables, fruit, a variety of lean meat, milk, fish, chickens and ducks, and so may, in addition to alcohol, tobacco free, eat less spicy, fried food, Needless to avoid certain food, but try to eat less Food and semi-finished products of liver damage have food or drugs, not trying everything, the credulity of negative advertising or the use of drug prescriptions Youyi, prescription or what ancestral side, so as not to increase the burden on the liver.