Diagnosis and treatment of chronic hepatitis B.docVIP

 PAGE \* MERGEFORMAT 6 Diagnosis and treatment of chronic hepatitis B [Abstract] chronic viral hepatitis B is more than half of hepatitis B virus infection, the virus has not been completely removed, the body caused by hepatitis B or hepatitis virus latent. Chronic hepatitis B have a clear evolution from acute hepatitis B, six months before had acute jaundice or seizures without a history of jaundice hepatitis, treatment, or self-healing is not complete, leaving the seeds of latent down, after six months, or years after the disease again. but also for infants and young children infected with the hepatitis B virus during that time because immune function is still not perfect, and perfect, can not remove the virus, the virus lurks in the liver, the immune tolerance after a long period of silence, some to the young stage, they began to disease. much like the first attack of acute hepatitis, and some on the first attack already had cirrhosis of the liver. [Keywords:] diagnosis and treatment of chronic hepatitis B [Diagnostics] Patients with hepatitis B or HBsAg carriers with history of close contact or more of the history of family members, especially mothers born in the HBeAg-positive infants, the diagnosis of hepatitis B reference value. The history of blood transfusion or plasma. With acute and chronic Clinical manifestations of hepatitis, and serum HBsAg, anti-HBe, HBeAg, HBV-DNA or anti-HBcIgM which has a positive, can be diagnosed with hepatitis. separate anti-HBe or anti - HBc positive, be accompanied by the be among a positive diagnosis. anti-HBs positive alone, and its serum concentration is greater than 10mU/ml, you can basically rule out hepatitis. the lack of clinical manifestations and HBsAg positive, with or without other serum markers when , can be diagnosed as asymptomatic HBsAg carriers. [Therapy] 1. Symptomatic treatment without absolute bed rest, should be dynamic and static. In the active stage of the patient should be r