LuckCong's Health Blog

◆ patients with hepatitis B can be married my birth? A reader calls that they are suffering from Hepatitis B, are in love, her boyfriend, but I do not know that they have hepatitis B, can not be asked to marry, not to have children? A: First of all you have to protect her boyfriend, he should play hepatitis B vaccine, another concern for the next generation. Patients with hepatitis B can, of course, get married, there is no provision can not be married. As long as the right to take measures to block and is also able to reproductive health of the baby. Patients usually have to take care of themselves, do not drink, do not stay up all night because of alcohol on the liver damage, fatigue is not conducive to the health of hepatitis B patients.

◆ "positive" the mother during pregnancy need to fight hepatitis B immune globulin? Several pregnant mother said into the phone, and some doctors who recommended in late pregnancy 7, 8, 9 the three-month injection of hepatitis B immune globulin. However, some doctors also do not have to fight. How to do that in the end? A: With regard to this issue, currently on an academic dispute, the pregnant mother to fight hepatitis B immunoglobulin that is a pediatrician in Shanghai put forward. However, by the Chinese Medical Association credits liver disease and the Chinese Medical Association credits will be infected with a joint set of "guidelines for prevention and treatment of chronic hepatitis B China" is not recommended. Because, the experts agreed that for the time being, to fight hepatitis B immunoglobulin during pregnancy did not gain much from it, the placenta is a barrier, globulin is difficult to penetrate and pass it to the baby. Guidelines made it clear that "positive" the mother of the baby after birth within 24 hours of playing pin the first hepatitis B immune globulin and the hepatitis B vaccine 10ug (in different parts of the body), the sooner the better; in the month and then Six months and then were shot more than two injection. This efficient method of blocking up to 85% to 95%, but can not say 100%.

◆ "positive" mothers can breastfeed baby? A: As for the e antigen-negative (Xiao Sanyang), DNA-negative and liver function to normal mothers, WHO China and "B Guide" can be pointed out that breast-feeding children, there will not be much risk (of course, the baby should be vaccinated B Liver hepatitis B vaccine and immunoglobulin).

◆ immunoglobulin and vaccine facilities time to play out the error, how do? One reader said, because the children played hepatitis A vaccine, so other people in the recommendation of the hepatitis B vaccine needle in the second time in the future push for a whole month, I do not know will not affect the hepatitis B antibody production? Readers also said that needle in the second half of the immunoglobulin in advance, do not need to be in a month when an important qualification injection? A: If there is the inevitable difficulties in the second and third pin needle in terms of time can be a little deviation, the second needle in time before and after one week to play in the third ahead of a needle can be pushed on or after 2 months , That is, in the 5 to 8 months can be. However, in order to insurance purposes, or should be playing on time. If too much time on the deviation of the results can not be ascertained, the blind do not need to play up. In the third month after the end of the Zhenda check blood of hepatitis B surface antibody, in the absence of antibody concentration or have less than 10 international units, can be re-played.

◆ not have hepatitis B antibodies can not be pregnant right? A woman said her husband Huanyi Gan, all five of their negative hit consecutive three-pin in the security (for a hepatitis B vaccine), not search for blood antibodies, can you pregnant? A: All you show negative health, pregnancy can be, must not be pregnant antibodies. If you do not trust, can play a course of treatment, and then check antibody. There are about 10% of the people that do not produce antibodies to fight no matter how many times the dose did not play much, this is the gene.

◆ Heptodin resistance, when the dressing was changed so why should it take? A hepatitis B patients with calls that had been eating Heptodin, now resistance, doctors recommended dressing change, but I also insist on eating Heptodin three months, which is why? A: Yes, because of adefovir dipivoxil effect more slowly, so the dressing was changed before the Heptodin should eat at the same time the three-month Heptodin and adefovir dipivoxil, and then stopped Heptodin.

◆ surface-positive, the core-positive, normal liver function, and how this is going on? A: You have this situation that you are recovering, it is very gratifying. But there is 1% of the virus to hide or genetic mutation of the virus, the reagent can not find in general. But now there is a special reagent can be found out, blood can not fasting. In addition, the review recommended HBVDNA.