LuckCong's Health Blog

In general, hepatitis B mainly through blood, sex and mother-to-child transmission of the three, will not touch the daily life of the transmission. Many people believe that hepatitis B virus is not spread by the intestinal tract, that is, patients with hepatitis B virus carriers, or a total of meals will not be infected. However, clinically found that patients infected with hepatitis B part of the reason is indeed related to eating. Some patients with hepatitis B and the total meal occurred in the more unsanitary hotel or the street after the dinner table. Research shows that when people eat in the hepatitis B virus carriers, the traditional way of eating hepatitis B infection rate of 42%, while the rate of infection of hepatitis B Fencan system for 17%, which shows that hepatitis B is likely to digest Road-borne. In fact, the route of transmission of hepatitis B virus is more complex, people living with HIV or hepatitis B patients with a variety of body fluids are infectious, and its mode of transmission through blood transfusion and blood products, drug injection and acupuncture, and so on. If the medical equipment was contaminated after the hepatitis B virus is not thoroughly sterilized, so in the stomach, Enteroscopy, extraction, cleaning teeth, interventional treatment, surgery and anesthesia, such as intubation may cause the spread of hepatitis B virus. Hepatitis B virus is spread through the digestive tract? When hepatitis B patients and virus carriers or meal together, if your mouth was stabbed fishbone, the teeth bite through, the intestinal mucosa was rough cut of food, or suffering from mouth ulcers, gum bleeding, gastrointestinal Ulcer diseases such as hepatitis B virus gives an opportunity: The damaged mucosa into the blood, leading to infection. In fact, this is a form of blood-borne. When patients or carriers of hepatitis B and dinner, if you can guarantee your mucous membrane of the digestive system is complete, there is no damage, is generally not the hepatitis B infection. However, the gastrointestinal mucosa of the damage is often not easy to find, no one can guarantee their own did not damage the digestive tract, the food-borne disease through a total of the possibility of a great deal. Social life is an important content, but not entirely to the prevention of hepatitis B and the total meal is not possible. The best way to prevent hepatitis B vaccination is with hepatitis B vaccine, once you have had a hepatitis B antibody, the meal can be a total of infected to minimize the opportunity.

A mode of transmission of hepatitis XIE Yao: infectious hepatitis does not mean that the severity of the high and low, because the level of the virus, said the strength of infectious, I can not say that the emphasis on communicable strong, the light is not strong infectious. Some such as hepatitis B immune tolerance, disease, but he did not blood inside the high-virus, is also highly contagious. However, when the transmission of the virus in addition to outside sources of infection among most of my colleagues is that he was confused by the table and you can not touch, he used a pen or you can not, I think now there is no one single colleague will be shared between the glass, This small, the work environment inside the general possibility of infection is very small, because we are in the hands of the skin's integrity, and not to find a table with a virus I have a feeling on the infected, which is into the The do not. The process of the environment, I can not say that there are a colleague and I will not be able together, I ask you, in turn, take the bus here? You go to stores to buy anything? You have the money to each of disinfecting it? Hands on the bus do not know how many people have touched, because there are probably a hundred personal touch 9, 10 people are carrying the virus, you said to me on the bus did not move my move, we often joke virus, a doctor, How your money out how the ground, and I said next time I am rewarded every time I have put some polish on the ground floor, I do not want you over. If the integrity of your skin is very small, he touched on the table of the virus in particular was exceptionally low, do not spread because of a viral infection to a person of your own people depend on their immune status, depending on your virus infection The number you depend on the virulence of the virus, how strong you are infected with the virus can spread very small number, say, I estimate that a virus can not spread too few. Second: hepatitis B carriers Moderator: But I think on this issue, he actually represents a lot of people, because the virus to carry a relatively high rate, many people do not know the stranger who did not have the virus, we always have doubts inside. XIE Yao: Now that we own or carry hepatitis B virus carriers in the face of it more, for the sake of their own insurance, you are afraid of their own vaccines to fight the infection, to see every one of us must be born after the fight measles vaccine, diphtheria vaccine, which Have to fight, why? His aim is to meet you in the event such a situation, then there is immune, so you can not say no and hepatitis together, according to this logic, then we will be infected with ten thousand times, because every time I see a lot of patients. Moderator: Your body's antibody definitely a lot more than we do. XIE Yao: That is the result of vaccination, the vaccination is the most important, is not to say that my colleagues on how to get hepatitis. Three hepatitis B infection to eat it? Moderator: We like our colleague Xiao Sanyang is like a meal should not be spread, right? XIE Yao: this is also the possibility of the spread of small, is just that the people in formulating the "guidelines for hepatitis B," the time how to prevent infection, said people will not kiss? Said to avoid deep kissing, and certainly not to eat much kissing. Moderator: You said that so I guess there may be a lot of people very relieved, because a lot of people who have doubts, and colleagues have Xiaosan Yang colleagues or friends together for dinner every day, if not eat is also not appropriate, Also live in fear of eating can not be very obvious, so a lot of people say that's a relief.

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.

Hepatitis B infection is the hepatitis B virus (HBV) caused to the liver inflammatory disease mainly caused by multiple organ damage and a wide prevalence of extremely hazardous infectious diseases. First, the mode of transmission of hepatitis B virus. First, the hepatitis B virus through blood transfusion, needle, not the endoscope disinfection, dirty wounds, such as transmission of beauty. It must be fresh through the window of communication, wound more than 3 minutes would not be infected. As a result, tattoos, sharing razors are vulnerable to infection. The second is spread through sex: male homosexuality, the more partners a greater danger. Third, mother to child transmission, this is our most important route of transmission of HBV. Second, the main symptoms of hepatitis B patients. Occult Hepatitis B onset, the main symptoms of malaise, fatigue, anorexia, abdominal discomfort, a small number of patients have nausea, vomiting, jaundice or without mild jaundice, hepatomegaly check can be found, tenderness, splenomegaly, a small number of Patients with liver pain. Third, hepatitis B preventive measures. In addition to the prevention of hepatitis B prevention of nosocomial transmission, to strengthen the blood donors and blood products to manage these non-specific prevention measures, mainly to be taken to prevent specific immunity. Hepatitis B vaccine, hepatitis B immunoglobulin high price (HBIG) can prevent hepatitis B.

In China, there are 10 people who are carriers of hepatitis B virus, which can lead to persistent inflammation of the liver damage in some patients eventually develop liver cirrhosis, liver cancer, liver failure, thereby endangering the lives of       10 people in China who have to carry a hepatitis B virus, only 1 in 100 individuals who understand the hepatitis B. This shows that the vast majority of hepatitis B virus carriers are unknowingly spread the virus to the surrounding crowd.   is the hepatitis B virus, hepatitis B (referred to as HBV) infection and liver damage leading to a communicable disease. Hepatitis B virus is a small DNA virus, belonging to the liver tropic virus in a family. Hepatitis B virus attacks the normal liver cells, leading to persistent inflammation of the liver damage in some patients eventually develop liver cirrhosis, liver cancer, liver failure and thus life-threatening. Hepatitis B virus is how the disease?   hepatitis B virus does not directly damage the liver, primarily by stimulating the body's immune system indirectly lead to liver damage. Virus attacks the liver and enter the liver cells, liver cells as a base to produce copy of the new virus particles. In the virus to enter cells in the liver after being infected by stimulating the immune system to identify and attack the infected liver cells, this process can cause inflammation of the liver and liver cell damage, the formation of hepatitis. If the immune system to identify and complete eradication of the virus, the hepatitis B virus-infected people will be able to make a full recovery.   if the hepatitis B virus infection in the lower immune function, immune defects, or newborns, infants and young children due to the immature immune system can not be six months to the total eradication of the virus, causing virus in the body's long-standing, or chronic form Infection.   Most of the adults infected with the hepatitis B virus after removal of the body and the formation of protective antibodies. Only a small percentage of infected adults (5% to 10%) not completely clear the virus. The young hepatitis B virus infection after the period will be the majority of chronic. About 90% of birth (before) virus infection in the newborn and 25% to 30% in the period of infants and young children infected with young children to develop into chronic infection will be.   hepatitis B virus are the main mode of transmission: mother to child transmission: hepatitis B virus carried by the mother during childbirth, through blood and body fluid transmission to the fetus. In China, mother to child transmission is the main mode of transmission; blood-borne: input, such as with hepatitis B virus in the blood or blood products, the use of hepatitis B virus have been contaminated and not thoroughly disinfected or sterilized medical equipment and supplies; spread of body fluids: Including tissue fluid, semen, vaginal secretions, and other general day-to-day contact. If the speech, shaking hands, hugging, eating, working in the office, will not be the hepatitis B virus infection. How should the treatment of hepatitis B had?   hepatitis B, also known as the "silent killer" because most people were in their initial hepatitis B virus infection does not appear obvious symptoms. Many people have long become a medical examination found that when the hepatitis B virus carriers. Hepatitis B common symptoms of fever, fatigue, muscle or joint pain; loss of appetite; mild nausea and vomiting. Serious symptoms may occur when severe nausea, vomiting, jaundice, edema, and abdominal distension. Hepatitis B patients should establish the correct treatment goals, hepatitis B virus replication is the continued incidence of hepatitis B and the root causes of disease. The correct treatment of long-term goal is to curb the virus, slow disease progression to cirrhosis, liver cancer, to reach the final of the long-term disease control.   hepatitis B virus replication is the root cause of chronic hepatitis B. Therefore, anti-viral treatment is a result of treatment, as if drastic measure, the treatment of chronic hepatitis B is the key.   a large number of clinical studies confirm that only through long-term anti-retroviral therapy in order to achieve sustained viral replication inhibition, slow the progression of the disease, and the full realization of the objectives of chronic hepatitis B treatment. As a result, as long as patients with chronic hepatitis B treatment in line with the conditions, it should be positive for the system and standard anti-viral treatment. The liver to make more use of drugs there is harm   hepatitis B patients often eat a lot of the so-called "liver medicine", or even to eat a variety of health care or prescriptions. In fact, so do more harm than good. Hepatitis B virus replication is the root cause of chronic hepatitis B, the anti-viral treatment is a result of treatment, as if drastic measure, the key to the treatment of chronic hepatitis B. A lot of "liver medicine" through the liver metabolism, too much to take in patients with hepatitis B will only increase the burden on the fragile liver.   market, a lot of drug treatment of hepatitis B, Good and bad people mix. Many drugs are claimed to be more than 90% of negative results. If you blindly believe that the indiscriminate use of false advertising, not only can cure liver disease, it may be some side effects, causing damage to other organs. In fact, a rigorous large-scale clinical studies have confirmed the efficacy of anti-viral drugs are not many. Widely used internationally and have accumulated a great deal of experience in anti-HBV drugs, only lamivudine, adefovir and interferon. No need to isolate patients   mother to child transmission, blood and body fluids spread of hepatitis B virus is mainly spread channels. Therefore, in the prevention of mother to child transmission, as long as hepatitis B patients and healthy people to avoid the contact with blood and body fluids, such as in everyday life, such as the commonly used razor possible contact with the blood of others to separate supplies; suffering from hepatitis B The attention to women's menstrual health, is generally not the hepatitis B virus to others. Isolation of patients with hepatitis B is completely unnecessary and unfair. This misunderstanding of the hepatitis B disease will greatly affect the quality of life of patients with hepatitis B, and the health of people who do not have any significance.   In fact, patients with hepatitis B as long as the law of life, to avoid fatigue, avoid alcohol and tobacco, diet, and regular hospital and experienced doctors treatment and follow-up on a regular basis, can still work and normal life. The most important thing is certain from the hepatitis B disease is the culprit start with hepatitis B virus, inhibiting virus replication in a timely manner using the normal anti-virus treatment

A misunderstanding: hepatitis B antibody can protect the liver In the right perspective: Only the surface of Zhang Zhuren antibodies useful antibody is said that there are a variety of hepatitis antibodies, antibody protection, such as antibodies on the surface; antibodies are useless, such as antibodies and c-e, which was meant to explain the existence of the past, patients had infections or Are infected with hepatitis B virus. Miss Zhang test on the single-core antibody (HBcAb or anti-HBc), that she had in the past or are infected with hepatitis B virus infection. Injected with a hepatitis B vaccine, or do not produce antibodies on the surface or produce useful antibody (HBsAb), and will not stimulate the heart and e-antibody production, only the two antibodies from the previous infection or are infected with the B Liver virus. Second misunderstanding: hepatitis B virus directly to the liver poisoning In the right perspective: Hepatitis B virus replication continued to cause liver cirrhosis, many people think, cirrhosis and liver cancer is due to the long-term hepatitis B virus directly caused by poisoning. Zhang Zhuren pointed out that the hepatitis B virus itself does not directly cause liver damage, liver cell damage actually sustained as a result of hepatitis B virus replication and stimulate organisms have a sustained immune response, resulting in more damage to liver cells, a long time Normal liver fibrosis will be replaced by scar tissue and fibrosis when the very serious and widespread, there will be cirrhosis. Therefore, continued to block the replication of the hepatitis B virus to prevent hepatitis to cirrhosis and liver cancer development is all about. Three errors: hepatitis B only minutes, Xiao Sanyang In the right perspective: Hepatitis B can not be simply a variety of sub-Liver JiangMei by some of the effects of advertising, people generally believe that hepatitis B is only "Dasan Yang" and "Xiao Sanyang" points. For hepatitis B on the actual medical roughly be divided into acute hepatitis, chronic hepatitis, severe hepatitis, cholestatic hepatitis and cirrhosis. Many of the normal liver function infected (surface antigen positive) in patients with hepatitis B can not, can only be called carriers, these carriers can be positive HbeAg (commonly known as "Da Sanyang," infectious strong), but also HbeAg Negative (weak infectious). Zhang Zhuren reminded that some patients in long-term level of expertise Dr. Gao Di (even Youyi) under the guidance of non-standard treatment, only know that repeatedly JiangMei Liver, and the virus continued to replicate, so imperceptibly and gradually hiding fibrosis Accumulated, Chao B to wait until the day when all of a sudden found on the surface of the liver is uneven (sclerosis), it was too late.

Hepatitis B liver function in patients with a number of long-term stability, all of a sudden, the body does not feel to check liver function abnormalities; some patients with hepatitis, liver function better when the bad time. Why? Who is the hepatitis B recurrence of the seven main culprit? Overworked Overworked (including the heavy mental and physical) that can damage the body's immune state of relative balance, to aggravate the hepatitis B virus replication, increasing the burden on the liver, leading to recurrence of hepatitis. Overworked the situation as follows: to travel long distances, stay up all night, the spirit of high tension, work pressure, mood swings, and fury and sexual assault have been frequent, and so on. Non-food section When eating in patients with hepatitis to light, nutritious food mainly to avoid eating greasy, fried, spicy food, which is difficult to digest food, would increase the burden on the stomach, Feiganhouwei of goods, easy to stomach pent-up emotion, as the hot and humid , Damage to the spleen and stomach, to induce hepatitis attack. Drinking Drinking is caused by one of the main reasons for the recurrence of hepatitis, alcohol oxidation in the liver, the formation of harmful substances acetaldehyde, can damage the liver, alcohol enters the human body, the liver function and suppress the poisoning effect. Patients suffering from hepatitis, does not mean that moderate alcohol consumption and suicide and must be dry. Wrongly or drug abuse As a result of hepatitis patients to seek eager, often believe the advertising, taking a variety of home-made traditional Chinese medicine preparation; some long-term use of "folk" and "prescription", and some drug use is not in line with the indications, hard to use; some duplication of large-scale use of the so-called liver Medicine; mistaken for some toxic side effects of traditional Chinese medicine did not, without the use of random selection. In the liver of these messy, complicated drug to form a chemical reaction under the influence, poisoning and inflammation is getting more and more weight, add to the growing damage to liver function. Environmental Change Patients in stable condition shortly after the original change their way of life and living environment, such as business, travel, and so on, as a result of the living environment, water and soil conditions change, resulting in chaos and the environment in the body appear abnormal liver function. Seasonal changes Hepatitis outbreak of the different seasons, spring and summer season for hepatitis easy to attack, autumn and winter made the author a relatively small fluctuations in the liver function of the probability of the four seasons are: fluctuations in the spring, about 22.94 percent, accounting for 23.85 percent in the summer, autumn Accounting for 9.17 percent, accounting for 18.34 percent of winter. Suffering from other diseases Cold, diarrhea, cholecystitis, can also lead to massive fluctuations in liver function. As a result, patients with hepatitis usually have to pay attention to weather changes, to protect the spleen and stomach, feeling good conditioning, there are regular daily life, as far as possible to avoid suffering from other diseases. Although hepatitis B is a serious infectious disease hazards, but can be prevented as long as everyone is the prevention of hepatitis B have the knowledge, and do it carefully, it can reduce the risk of hepatitis B infection to a minimum.