She is a carrier of the hepatitis B virus. Around a very young age, she knew she was "sick." At that time, she didn't know what kind of disease it was, only that every morning when she got up and went to bed, she had to drink a bowl of very bitter Chinese medicine.
She asked her parents, why do you drink medicine every day? Is there something wrong with it? Mom and Dad's face was heavy, and they said not to talk about it to anyone around them, even the best friends.
Later she learned that she had hepatitis B. After drinking Chinese medicine for three years, my parents finally realized that they had been deceived and that hepatitis B could not be cured.
Growing up, the thing she feared most was the physical examination. Every time I got the medical report, I immediately stuffed the report form into my bag, for fear that someone would see it.
In college, she talked about a boyfriend, confessed to him about hepatitis B, and showed that through drug control, the current level of hepatitis B virus is very low, as long as he takes safety measures in sexual behavior and he goes to inject hepatitis B vaccine, the risk of infection is very low.
Despite this, when he learned that his girlfriend was a carrier of the hepatitis B virus, his face was suddenly frightened. A month later, he broke up because he told his parents and friends about his girlfriend's hepatitis B, and everyone advised him to break up.
She collapsed, couldn't she get married and have children in this life?
It is clear that such problems are no longer the problems of the individual, but of society as a whole. Some people miss out on a good job because of a test result, and others will be lonely until they are old because they carry the hepatitis B virus.
So Xiaobian feels it is necessary to tell you about hepatitis B is really so terrible?
Hepatitis B, not so easily contagious
Hepatitis B virus is mainly transmitted in the following ways:
Bloodborne
For example, blood transfusions, the use of medical equipment that is not strictly disinfected, tooth extraction, eyebrow tattoos, tattoos, ear piercings, etc.;
Mother-to-child transmission
Some fetuses can be infected in the mother's womb, while others are infected by close contact at or after birth;
Sexual transmission
In both sexes, semen and vaginal secretions containing hepatitis B virus are contagious, but this is not inevitable, but the chance of infection is increased than that of normal people.
Hepatitis B is not transmitted through the respiratory tract and digestive tract, so when you participate in the dinner, if there are hepatitis B patients in the small partner of the dinner, don't worry too much.
When you share a toilet, shake hands, hug, cough, sneeze and other contact without blood exposure, and you do not have skin defects or wounds, you will not be infected with hepatitis B virus.
Kissing between lovers, if the other person's teeth and mouth do not have mucosal breakage or bleeding caused by mouth ulcers, is generally not contagious. There is also no current evidence of hepatitis B virus infection from mosquito bites.
Carriers of hepatitis B virus
Are carriers of hepatitis B the chronic hepatitis B?
No.
Due to the different immune functions of people, the number of viruses, and the internal environment of the body, hepatitis B infection can be manifested in various forms, including hepatitis B carriers, chronic hepatitis B patients, liver cirrhosis patients and so on.
Normal liver function, hepatobiliary and spleen B ultranorrhy, and healthy people, do not need to take medication treatment, but need to be regularly reviewed every 3 to 6 months to the specialist.
However, it should be noted that cirrhosis and primary liver cancer can also occur in patients with no symptoms and normal liver function. For patients with a family history of liver cancer, even if liver function is normal, some specialists recommend close follow-up and the necessary antiviral therapy.
People with hepatitis B virus increase the risk of becoming chronic hepatitis B during exertion, alcohol consumption, medication, and mental trauma. Therefore, usually work and rest regularly, do not drink alcohol, eat less hot and dry food, and do not use drugs indiscriminately.
Patients with chronic hepatitis B
Abnormal liver function should be treated with antiviral therapy for many years and follow-up and monitoring under the guidance of a specialist.
Patients with cirrhosis
Cirrhosis, which is divided into compensated phase and decompensated cirrhosis, requires long-term medication.
Can't a woman get pregnant if she is infected with the hepatitis B virus?
Not. Women with hepatitis B can also have a normal pregnancy and have children.
The right way for a hepatitis B mom to give birth to a healthy baby is:
Before preparing for pregnancy, go to the regular hospital for liver function, hepatitis B five items, viral load (HBV-DNA), AFP (alpha-fetoprotein), hepatobiliary and spleen ultrasound and other tests, and judge whether it is suitable for pregnancy according to the results.
If the viral load is high during pregnancy, it is necessary to strengthen the monitoring of viral volume and liver function, and take oral antiviral drugs after 24 weeks to enhance the blocking effect of mother and baby.
After the baby is born, the hepatitis B vaccine + high-efficiency immunoglobulin is given within 12 hours for joint blockade, the sooner the better, and this blocking power can reach a success rate of more than 90%.
Can hepatitis B mothers breastfeed normally?
If you are a hepatitis B carrier, you can breastfeed normally without antiviral therapy during the breast milk period. Breast milk is not recommended if the mother has abnormal liver function or is on antiviral therapy.
How can uninfected people prevent hepatitis B?
Some high-risk groups, such as medical workers and people with family history, have to have two-and-a-half tests for hepatitis B on a regular basis.
If the hepatitis B surface antibody (HBsAb) is negative, it proves that you do not have hepatitis B antibodies, in this case, you need to follow the vaccination procedure to inject hepatitis B vaccine.
If the hepatitis B surface antibody (HBsAb) is weakly positive or the antibody titer < 10mIU/ml, you can strengthen the hepatitis B vaccine if the antibody level in your body is low.
If the antibody (HBsAb) level is high, it means that you have the ability to resist being infected, even if the people around you have hepatitis B, you will not be infected, so you do not need to be vaccinated.
Therefore, from a medical point of view, hepatitis B is no longer an insoluble terminal disease. Whether you are a hepatitis B patient or his family, you need to have a correct mindset and do not have a psychological burden.
Source: Shenzhen People's Hospital
Edited by: Yeah Reviewer: Xiao Ran