乙肝专题（Hepatitis B topics）.docVIP

乙肝专题（Hepatitis B topics） How to detect hepatitis early? To achieve early detection of hepatitis, we should first understand the general knowledge of hepatitis, followed by a symptom should be checked as soon as possible, asymptomatic, regular inspection, so as to achieve the purpose of early diagnosis. (1) on medical history Pay special attention to the history of the 4, namely: the contact history of nearly half a month -6 months and had close contact with the patients; eating unclean food eaten shellfish history: halfcooked; the blood transfusion and surgical trauma, history of blood transfusion, plasma albumin, globulin, placenta, used a sterile syringe not strictly, acupuncture, tattoos, and dental surgery; the unclean sexual contact. (2) symptomatic In recent days to systemic fatigue, do not want to eat, nausea, vomiting, abdominal distension, tired greasy, liver pain, abnormal stool and urine yellow like tea; the rest after the symptoms continued without improvement, but can not find other reasons, it should take into account the possibility of suffering from hepatitis. Should go to the hospital for examination in time. (3) signs Such as jaundice, hepatomegaly, should quickly do the necessary laboratory examination. If have already sclera, skin or mucous membrane yellow, can make uric three bravery examination immediately. If the Urine Bilirubin positive (normal urine bilirubin negative), while the detection of serum alanine aminotransferase increased, the possibility of hepatitis is greater. Slow onset, mild symptoms, suspected of non icteric hepatitis, occult infection or subclinical hepatitis, should be regularly laboratory tests. (4) etiological examination Is a clear indicator of the diagnosis, should be as soon as possible hepatitis virus antigen and antibody test, to determine which kind of hepatitis belongs to. When the hepatitis A virus antibody immunoglobulin M (anti - HAVlgM) can be considered as positive for hepatitis B core antibody; anti M immuno