Care tips: hepatitis B (hereinafter referred to as hepatitis B) is the most widespread and most serious infectious disease in China. There are 130 million hepatitis B virus carriers in China. So hepatitis B virus carriers need to take medicine, this is a lot of hepatitis B virus carriers want to know.
Hepatitis B virus carriers refer to those who are in immune tolerance state after being infected with hepatitis B virus, have no symptoms and signs of hepatitis, have normal liver function and other examinations, and have been followed up for more than three times in a year, whose serum ALT and AST are in normal range, and generally have no obvious abnormal liver histology.
What circumstance does hepatitis B virus carrier need treatment
Hepatitis B virus carriers in 8 / 10 people do not get sick for life, only 2 / 10 people will be due to poor living habits, poor immunity and other reasons to develop into hepatitis B patients, so whether hepatitis B virus carriers need medication treatment should be based on objective reality, can not be used casually.
At present, there is no specific drug for the treatment of hepatitis B virus.
Hepatitis B virus carriers are mostly in the immune tolerance period. Hepatitis B virus has no obvious pathogenicity in liver cells and will not cause damage to the body. If hepatitis B virus carrier liver function is normal, without any symptoms, the condition continues to be stable in this state, then do not need to take medicine. Only when the body's immune system is activated due to some inducements, it starts to attack the infected liver cells and causes abnormal liver function.
What circumstance needs to be treated to child hepatitis B virus carrier
Most of the children with chronic hepatitis B have no typical clinical symptoms and signs. Even among the HBsAg carriers with normal ALT, 89.4% of them were confirmed to have inflammatory activity by liver puncture. This indicates that chronic hepatitis B in children includes two types: elevated ALT and normal hepatitis B. the treatment of children with hepatitis B virus carriers is rare It can be divided into the following situations:
1、 If the ALT level is normal, it can be reexamined according to the requirement of HBV carriers for 6 months. If the ALT level (& gt; detection value) is higher than 6 months, antiviral therapy is recommended. It is not necessary to wait for ALT to rise more than twice the normal value and continue to rise for more than 6 months before antiviral treatment.
2、 In the process of reexamination, if ALT is normal, if the child has poor diet, fatigue and dull skin color, liver biopsy should be done to determine the liver damage and determine whether antiviral treatment is needed as soon as possible. At present, ALT is used to evaluate whether there is active liver disease and whether antiviral treatment is needed. Therefore, when ALT is normal, it is not easy to conclude that ALT is not treated.
3、 If there is no such condition, regular reexamination is enough. There is no need to use any so-called liver protecting drugs and health care products.