Interview topics: how healthy marriage and child rearing
hepatitis B patients interviewed guests: PLA 302 Hospital the following interview with Professor Li Hanwei
Record:
Moderator: friends, good afternoon and welcome to Sohu health interview room. Today we say about invited to the People's Liberation Army 302 Hospital Infection Professor Li Hanwei, director of ten, the subject of today's interview is concern marriage and procreation topic hepatitis B patients. Today will friends of patients and users are generally concerned about hepatitis B, hepatitis B carriers of life, premarital, pregnancy testing, pre-marital therapy, pre-pregnancy precautions and other issues discussed with the experts, please give a reasonable proposal, Professor Lee, and the necessary treatment. and asked Professor Li with a wealth of clinical experience, netizens questions be answered and guidance .
first of all, Professor Lee told friends say hello.
defend Lee: you friends, good afternoon!
Moderator: Autumn is the harvest season is the season of colorful four seasons, this season Many newcomers to board the wedding hall. But for hepatitis B and hepatitis B carriers, this point seems to fall, always with the joy of fear and apprehension, many of my friends want to know patients with hepatitis B through the network related to marriage and child rearing topics. such as hepatitis B HIV in the end can marry and have children? what kind of attitude towards marriage and child rearing this? how scientific selection of the time of marriage and procreation reasonably hh also includes hepatitis B patients and the relatives the families of the other half of what protective measures should be taken, what kind of mentality to face these situations.
so today would like to invite you, Professor Lee with the clinical experience of treatment of hepatitis B, for the hot issues of concern to Internet users to analyze, for patients for a variety of fears and concerns of marriage and child rearing some science proposal, subsequently raised concerns for the users to answer. makes you friends and relatives of patients with a scientifically sound approach to marriage and child rearing phase of the health problems in order to build a happy family life, health protection.
hepatitis B patients can be normal marriage or birth do?
began to ask about the interview, Professor Lee, hepatitis B patients can now get married or a normal birth?
defend Lee: We all know that the incidence of hepatitis B in our country is relatively high, first speak of two concepts First, the rate of infection of the surface antigen positive rate of the general population of about 9.5%, the second is the hepatitis, hepatitis B patients Currently, there are 2-3 million, so the incidence is not large, and this part of the patient through our active treatment, most patients are already stable condition can be restored to the state, can be a normal marriage, birth, work, can return to normal society, a normal life.
Moderator: It is not premarital also This is an investigation of hepatitis B?
Lee to defend: premarital examination is mandatory in our country in the past, now is voluntary, indeed, a progressive society. In the past Australia is a mandatory inspection of anti-positive, 80's, 90's, when are mandatory, the check is very important to themselves for the future of children is beneficial. pre-marital examination in normal circumstances is a conventional item, we have to have hepatitis C as a regular item, it is beneficial to individuals, families and society.
premarital examination found no positive relationship between anti-Australian, with the love of the liver at the propaganda, ordinary people are now able to accept the normal, even after treatment of hepatitis can be a normal marriage, children, so do not be afraid premarital examination, but should pay attention to premarital examination, especially now that our country has not been fully hepatitis B infection rate reduced to very low levels, the more we should start from the individual to prevent hepatitis B infection. there is a major characteristic of hepatitis B is hidden, more than 60% of people do not know they are hepatitis, wait until the last 10 years, 20 years, 30 years later, suddenly because of school examination, examination of marriage, only to find their own examination of work had hepatitis B, he still do not believe that this is the biggest problem of hepatitis B is not easy to find. Therefore married couples, the premarital hepatitis B surface antigen should look up the first place.
have hepatitis B patients at home, daily life will be contagious < br> Host: users are more concerned about another key issue, if you are a hepatitis B virus carriers, not the family after the wedding is not safe, they fear the spread of daily life, the psychological burden is relatively large. how this to avoid?
Lee to defend: the last century, we propose a new point of view, hepatitis B is preventable, treatable, and that is preventable, treatable, but also can be controlled. We as the promotion of hepatitis B vaccine after 92 years, and now getting lower and lower the infection rate of hepatitis B, some cities children under the age of 7 hepatitis B surface antigen carrier rate less than 1% in the past this figure could reach 9% to 10 %, even more than 10% in some areas. This shows that the vaccine can prevent hepatitis B universal vaccination, especially the newly married or dating two people find one of them is the process of hepatitis B vaccine can prevent infection by vaccination. We know that the main mode of transmission of hepatitis B is four, blood transmission, mother to child transmission, through broken skin, mucous membranes, and the spread of sexual contact. If there is hepatitis B patients at home, then he should be in close contact with family to protection by vaccination. prevent mother to child transmission we now have a very good way of prevention is also very good.
Second, once the risk of hepatitis can be treated, with the development of antiviral drugs, especially nucleoside drug application, and the use of interferon in the formal treatment of the premise, can achieve very good therapeutic effect. So from this perspective, hepatitis B is preventable, treatable.
Moderator: Many users have not injected hepatitis B vaccine, or just not enough time to get married vaccination, they are worried about eating dinner were not hepatitis B virus infection.
Lee to defend: a normal life, work, shaking hands, hugging is not contagious. working together, learning is not infection, and even some say infected mosquito will have no evidence.
friends: My parents are hepatitis B carriers, I am now 3 years old child, with the elderly to live together, the children with poor immunity will not be infected?
defend Lee: First of all the hepatitis B example reflects the phenomenon of familial aggregation, which is a feature of infectious disease. Second, our immune immune speaking with ordinary people not the same as that for hepatitis B specific immunity, only hepatitis virus-specific immune strong and weak. normal people did say, our children and old cold, fever, hepatitis B is also low body resistance does not necessarily. like the kind of family, children do high-risk groups, likely to be infected. but now can be prevented, such as the birth of such children within 24 hours of injection of hepatitis B vaccine to produce antibodies can be maintained after the 12-year existence of the antibodies, for such high-risk families can be a years or three years after the first injection of vaccine, antibody levels to his higher and more protective. Hepatitis B can be prevented, vaccination can.
Moderator: Here to talk about fertility problems in patients with hepatitis B, hepatitis B carriers of hepatitis B patients, three positive, three positive, these people can do normal birth, can give birth to a healthy baby do?
Lee to defend: one is the question of perception. found positive in three Australian anti-meaning, one Australian Anti-positive patients had a small part in the chronic hepatitis B virus DNA in addition to these people other than positive, ALT is also high, these people really are chronic hepatitis B patients, which is a small part. Australian Anti-positive patients are a large portion of hepatitis B virus, hepatitis B virus carriers is divided into two categories, one that is chronic hepatitis B virus carriers, this part of the patient's sense that we usually positive, the positive is that DNA is, or three positive DNA was positive , and active viral replication, and liver function is normal, we call chronic hepatitis B virus carriers. The second, called non-active hepatitis B virus carriers, which is basically part of the patient's hepatitis B virus replication in non-or very low copy state, the virus DNA detected (PCR method), liver function is normal. we generally think that without active hepatitis B virus carriers in these states is the best. If the first two patients how to do? I am a chronic carriers, but also how to do pregnancy? First, we do not worry, even if this part of the patient became pregnant, and we generally intervene before pregnancy, post-production grant intervention, blocking rate of mother to child transmission of hepatitis B can be up to 87.8%, so this Hepatitis B carriers are also part of the problem do not worry about marriage and childbearing.
second category is for patients with chronic hepatitis. chronic hepatitis patients because of active viral replication, we first of all antiretroviral therapy treatment, first select the two aspects, one is interferon, one nucleoside analogue, long-acting interferon definitely better, there are nucleoside analogues lamivudine, adefovir, entecavir, telbivudine, listing some of the future will be a succession of , of course, listen to professional medical treatment to give you some general recommendations, to take the best treatment options, so you get long-term inhibition of the virus after the virus some patients can even be removed, even low copy state can give birth to children of normal .
User: normal liver function, has been 10 years, pregnant do this for?
Lee defended: that patients recommend a liver biopsy examination. because the pregnancy is a major event in life, if left sorry That child later in life or the future will be greatly affected, since the Australian anti-positive for 10 years, suggested a liver biopsy to see whether in a state of immune tolerance, if the liver is not inflammatory, antiviral therapy can do, if you do anti- HIV treatment is also very good, positive for the virus can also be pregnant, the probability of infection is small. but can not give up control of the virus the opportunity to have a better chance of prenatal and postnatal care.
Moderator: You just talked about mother to child transmission has been interrupted, a success rate of 87.8%, this process is how to achieve?
Lee to defend: this is our country has been advocated, especially for high-risk groups. mother to child transmission of hepatitis B transmission in our country the main way, ten years to do a lot of work and made a lot of experience, the current continuous efforts after so many years, now blocking rate can reach 87.8%, there are so few specific ways: the first one of the most common method Australian Anti-positive mothers for children, the mother is O positive blood, anti-exposure to the child, the child should be born within 24 hours or sooner the better, efficient injection of hepatitis B immunoglobulin, making this part of the child in the production process to for the protection, if there is interference in the production process can be integrated block. Second, we can also play in other parts of the hepatitis B vaccine. Again, the first hit high hepatitis B immunoglobulin, hepatitis B vaccine injection a month later. There is also a kinds of blocking methods 7,8,9 in the late months of pregnancy, usually after 28 weeks gestation, the fetal oxygen because the placenta ITG transport layer, we can efficiently hepatitis B immune globulin injection, into the uterus to prevent the baby infection, also made a very good result, we say that the pregnancy is normal 7,8,9 months, monthly injections to pregnant women 400 to 600 of hepatitis B immune globulin and efficient, to achieve very good results, but the injection After completion of immunoglobulin still remains active and passive immunization.
third, to pregnant women with antiviral drugs, but this method also requires a lot of medical evidence to prove its safety.
whole, We are blocking the way of mother to child transmission of hepatitis B has three, one, the child's active passive immunization after birth, the second, three months in late pregnancy 7,8,9 HBIG intervention, Third, some pregnant women with active viral replication Lamivudine can be used, of course, is conditional, or to safety, need to carefully.
Moderator: users are more concerned about, when after taking these measures can prove that the child has been completely immune successful, there is no infected?
Lee to defend: the general is the case, PMTCT were generally about a year to check that we are two pairs of semi hepatitis B, O, is not negative resistance, in particular, depends on the surface of produce do not produce antibodies, and surface antibodies are not more than 10%, if it is can not be improved. later, or to dynamically monitor, 1 year, 2 years, 3 years to 3 years of age usually is not a big problem at the age of .1 effect can be seen .
Moderator: There are hepatitis B patients or carriers on the issue of breastfeeding.
defend Lee: Most of the children playing in a month or so after the vaccine produced a number of antibodies, these antibodies produced only magnitude and level of difference, but we believe that as long as they did after active and passive immunization can, no problem.
friends: I am a 32-year-old woman, hepatitis B has been 10 years, 2003 to the present has been treatment, but the effect is not very good, would like to discontinuation of pregnancy, and then re-treatment, and now eat Chinese medicine, Western medicine has not eaten, how long this stop? specific attention to what to be pregnant?
Lee defense: I think that patients should not be discontinued, pregnancy. now we are very standardized treatment of hepatitis B, hepatitis B countries in 2005 on the diagnosis and treatment guidelines have been specified, so the four main aspects of the treatment. One of the most primary treatment is antiviral therapy, because now we have the drugs, the two had just said. Second, the anti-inflammatory liver reducing enzyme treatment. Third, the immune agents, and enhance their immunity. Fourth, the fibrosis treatment. This is the primary treatment among the four treatment is the anti-viral treatment, and the users continue to eat traditional Chinese medicine for 10 years, I think some of hepatitis in our field of medicine is indeed very effective, indeed make a significant contribution of chronic hepatitis B, but in terms of antiviral drugs now that can come up with medical evidence of both domestic and international approval, and there is no. This has been treating patients for 10 years, in particular, without western medicine treatment, treatment of the past 10 years can not reach the normal liver function, mean that treatment is failure, patients like me that should go to the hospital to find specialist doctors a good look.
Moderator: There are some patients may require treatment to achieve a certain effect after considering pregnancy, and now anti-viral drugs are many patients who want to become pregnant, there is no choice of medication should pay attention to some of the principles?
defend Lee: Now for hepatitis B treatment, the primary emphasis on specialty hospitals antiviral treatment, antiviral treatment of hepatitis B without other treatments in terms of the patient's recovery can not be said little, but it is difficult to contain, thoroughness, radical, controllable. There are two types of antiviral therapy, interferon and nucleoside analogues, interferon for Young, E antibodies to two-thirds efficacy in patients with a more stable and sustainable. In addition, a limited course of treatment with interferon, injections a year to. especially for young people, such as to marry and have children of these people, injection of interferon, if the result is very good, appeared after treatment E antigen negative, and basically there is no virus at a low copy or reproduction, marriage and fertility after treatment is very safe.
other nucleoside analogues, developed rapidly in recent years, nucleoside analogues Currently there are four listed, lamivudine, adefovir, entecavir, telbivudine. on the application of nucleoside analogues in general there are three principles, one, effectiveness, quickly and efficiently, quickly the virus down to very low levels or undetectable levels. Second, the resistance rate is lower, the virus gradually brought under control after rare virus resistance. Third, the toxic side effects is relatively small. Of course, these four types of domestic Drug safety is relatively good. principle is powerful, fast down the virus, drug resistance is low, basically this fundamental principle. Of course, due to price factors, as well as other factors and so on, we want to drug administration considered. Our industry has a word, different people at different points different dishes hotel, better economic conditions of people, entecavir, powerful quick drop virus, drug resistance is low. safety is the best in terms of lamivudine, including pregnant women is also very safe, but the biggest mistake of lamivudine resistance point is the high incidence. to present study data showed that four-year incidence of entecavir resistance is the best, powerful lower The role of the virus is also the best of entecavir, telbivudine, lamivudine is not bad. antiviral therapy, but long-term medication is mainly on account of resistance, as well as the virus can continue to be curtailed. of course, the patient's choice, by the State levels of development, health security system, etc. factors.
Professor Li Hanwei
Moderator: hepatitis B drugs are included in health insurance is now a do?
Li defend: for all drugs for hepatitis C have been incorporated into the health care, and treatment of hepatitis B, nucleoside analogues are not included in health insurance, I would definitely be included in future health care which.
Moderator: We have heard friends say a word, look at efficacy of treatment of hepatitis B a year, the two years to see resistance, pockets of more than three years will depend, indicating efficacy and drug resistance is also very important.
Lee to defend: this says is very good, but I do not agree for three years to see pockets, purses mean treatment the amount of money spent and the future of money to spend can pay, is not the case. see pockets of the three accounts would count, one, one with anti-viral drugs can control the disease, no other part of medicine to save economic costs. If a potent anti-viral drugs, the effect on the short term, and to use this drug, can cost several types of drugs than the control condition is also not the overall cost is lower. Second, if the anti-viral drugs, disease, repeated, and such as some patients repeated once or twice a year, then a few thousand or even million of investment. If you choose the right drugs, a low potent antiviral drug, to reduce recurrent disease , are equivalent to reducing the additional expenditures. The third is that the probability of cirrhosis of the liver disease is also repeated less less chance of the future liver cancer is also less time for the president of the health, life improved in this respect.
more thing , because the medicine with anti-virus, and hepatitis B virus levels in patients under control, the spread to others, for life on the family of relatively small impact on the community. less chance of infection to others, the whole society, health care costs will drop down. So from this angle, I think three years to see pockets may also save money. Of course, to see that effect one year, two years to see resistance, these words sum up very well.
Moderator: Now a lot of friends, patients referred to drug resistance. Some users have been using a lamivudine resistant afraid of two or three years. Are there other methods to prevent drug resistance?
Lee to defend: this issue is now on the resistance there is a relatively new formulation, treatment or prevention of drug resistance. now to prevent drug resistance is more important than treatment, the initial decision to use antiviral therapy in patients when the drug should take into account the issue in detail, considering both the efficacy and consider the resistance. recent liver Guide to the United States adefovir, entecavir both the low incidence of drug resistance as the preferred, and why on the first choice? mainly from the perspective of the low rate of drug resistance. should say, low-resistance medicine is the most willing to see the viral effect of drug reduction, and low frequency of drug resistance, the doctor or the patient will feel very safe, very good. in previous years we have only one nucleoside drugs - lamivudine when the drug did occur for two years, three years after the drug situation. the emergence of drug, the condition fluctuations, in particular, there are still some people stopping their situation, resulting in some adverse effects, including hepatitis itself repeatedly, part of the patient's condition worsened the impact of causing bad. but from now we have new weapons, and patient choice in treatment, when untreated, they should be in line with the above three principles I'm talking about.
now resistant This part of the crowd, the basic principle is that lamivudine resistance or adefovir can be used with entecavir, entecavir should be doubled. If the adefovir resistance also can be used to lamivudine plus telbivudine set, if the entecavir resistance can also be used adefovir, you can switch between drugs to deal with the occurrence of drug resistance. But it should be clear that if there is resistance, and to re-select the nucleoside analogues for the follow-up to bring a lot of trouble, because the effect is far less than untreated patients. such as lamivudine resistance, and may also produce some of adefovir resistance, so some patients resistant to lamivudine and then Adelaide dipivoxil effect is not very good, reason is that there is a compensatory process of resistance. So untreated patients must be carefully selected drugs.
Moderator: If you are using the lamivudine therapy, no resistance , Can you change the other nucleoside analogues?
Lee to defend: If current drug treatment, sustained viral DNA negative, and no emergence of drug resistance genes is not recommended dressing change. If there is a genotypic resistance, found by detecting lamivudine resistance gene, dressing better this time. Another point, genes that breakthrough, the virus mutates, the virus load up to an order of magnitude but has not caused a significant rebound when the virus re- switch to adefovir.
friends: I want a baby, the doctor made me pregnant taking telbivudine, ask that no effect on me?
defend Lee: We are now in the liver Guide , including the United States a guide to liver disease, in this regard are not proposals, not currently pregnant women nucleoside drugs clinical evidence. prenatal and postnatal care is a life science, we talk about science, to find some evidence, not to judge the seat of your pants Lamivudine is safe, people will not get entecavir, adefovir would be fine, I think the medication during pregnancy must be careful, because this is a scientific problem.
Moderator: One more question , nucleoside analogues take a long time, some young users can be discontinued when pregnancy care, how long before stopping pregnancy.
Lee defended: nucleoside analogues with antiviral treatment after the virus is not to, less and less viral replication, E antigen negative a, E antibodies, and then continue to consolidate the treatment of six months, six months after the drug to be gradually reduced, withdrawal, and generally 80% of people will not be repeated. discontinuation plan to be pregnant after six months.
Moderator: There is also a case, the patient is taking treatment, but do not care how pregnant?
Lee to defend: this problem is very difficult, if treatment with lamivudine pregnant, might better security, the other three drugs was pregnant I thought I'd be careful, especially now that child to a child, from the perspective of prenatal and postnatal care do not take the risk.
Moderator: If Pregnant women are three positive patients, pregnant, during pregnancy or need to do some specific inspection?
defend Lee: Yes. For such a routine examination of pregnant women than pregnancy, but also special attention to the virus, ALT changes. because some pregnant women during pregnancy or after the low level of the body's immune is some other reason, the body of the virus replication with immune changes.
User: girlfriend is three positive, shortly before the test is negative, they are 2 5 positive, the rest are negative, this case does not need sex life when the need to prevent?
Lee to defend: his girlfriend is three positive, low-copy or no copy of, and that users have their own immune force, and have generated specific immune to hepatitis B, the defense system has been established, so in the life of which there is no need to carry out the prevention of the other.
friends: I am a positive, the liver function normal, But the virus is high, this situation can not eat some of lamivudine, this drug has no effect on fetal development? When did you start to eat food with lamivudine? former doctor said that the fifth month of pregnancy to eat, is that right?
defend Lee: First of all I think it is in line with a principle, before the pregnancy, you need not require treatment on an assessment you are a chronic carrier or chronic hepatitis, hepatitis B patients can be high-profile anti- viral treatment, if not hepatitis B patients should wait and see. in accordance with the general principle, children should be before deciding to find a specialist to select the correct treatment program.
friends: I am twelve years ago suffering from acute jaundice hepatitis B . liver function are normal in recent years, most recently to do 2 on the half-time, the result is: HbsAG negative anti-HBs anti-HBe positive HbeAg negative negative negative anti-HBC
doctor says I'm all good! but I see some the book also said that hepatitis B can not be all the more of. I ask Professor Li, the results from this that my illness is really all that good? this year I want to have children, this child have any form of ringing? (I am male )
Lee to defend: this is called the clinical recognition of patients cured, and is completely cured, it seldom.
Moderator: Many users asked, if male, is a hepatitis B virus carriers, and some viruses replication, and some may not, have any effect on the pregnancy you?
Lee to defend: the general male transmission is relatively small, the parent child transmission rate of 1%, so infectious is relatively small.
Moderator: the need to take preventive approach?
Lee to defend: methods of prevention or treatment from a precise, from the perspective of prenatal and postnatal care, you must first define their status, and then decide whether a child, when you can have children. so on individuals, the children are good.
friends: I am hepatitis B HBeAg, DNA-positive, some time ago high transaminase (alanine and aspartate are high, but no more than 100), the doctor opened the Soviet Union and Vigan DDB pills, medication found to be pregnant, the child can either? If so what is the worst possible consequences? how likely is it?
like me, and if pregnancy take 7,8,9 injection of high protein, and within 12 hours after birth while injection of high protein, then the possibility of transmission between mother and child can be reduced to how much? there are other way to do a good block?
defend Lee: First Female blocking probability of infants and 87.8%, is nearly 90% of the children can control by blocking. Second, the Soviet Union and the DDB with Wigan pills when pregnant, if you consider this issue from the perspective of prenatal and postnatal care, Some of these drugs more or less, even if it is very safe in the future if in case a problem after giving birth, can cause life-long regret. so such an accident or in the course of pregnancy in patients with medication, I think still have to From the big focus, from the fine aspects, from a scientific point of view, should terminate the pregnancy.
PMTCT probability is close to 90%, 10% of people do because of intrauterine infection, or some other issues, including genetic factors blocking unsuccessful, but after all this is a minority.
believe that as technology continues to improve treatment and diagnosis, PMTCT since the situation will get better and better. We as students 92 years child immunization, China's cities, conditions are good cities, children under 7 years old Australian Anti-positive rate has dropped to 1% of the. even as Beijing, Shanghai's largest city, has been less than 1%. these children grow Congress, the positive rate of the Australian base for anti-less, equal to the later generations will be less and less hepatitis B or even completely disappear.
users: do viral DNA testing can determine whether the virus replication, is not as long as there antibodies can not control?
Lee to defend: It can be understood in general as long as the surface produced antibodies after vaccination can control basically. Our country is a country with high infection rates, 50% to 60% are infected, most people are subclinical infection, the infection cleared after the virus in the body, resulting in surface antibody, and these people because it will not have a re-infection defense.
users: If the parties are a hepatitis B patients, this situation is not the odds of transmission to the next generation high?
defend Lee: I think the probability of transmission to children, and both high and low viral load is also a positive correlation, such as two people are the three positive , the probability of transmission to children should also be very small. If the two are positive, the probability of infection may be higher, one is from the transmission point, the second from the genetic, anti-viral immunity in this light, it will higher.
friends: I am positive, the 27 years of age, married for two years want to have children, but the test results with high transaminase (79), virus index is 10 to the 8th power, the doctor finally recommended to eat A Defu Wei and JiangMei drugs, eat for two weeks after the drug reducing enzyme transaminase became 85, then injected with a liver Lixin and potassium magnesium aspartate for two weeks, aminotransferase was 28. enzymatic down, and makes me upset is that doctors that adefovir should eat a half years because as it is, I have 29 to have children, when too old. again although adefovir for the treatment of hepatitis B drugs, but to eat so long for can not harm the body? I now have to eat the medicine for 5 months. I urgently want to know I can not use adefovir short periods it? index reached the number of tests for pregnancy stopping it?
Lee to defend: the users through the anti-viral treatment can be controlled disease, liver function should be back to normal, the clinical name is healed. like this, things still have to continue to serve, when parked? first check, for example, antigen E , E antibody in the case, if there is conversion of E antigen, and then consolidation therapy can reduce withdrawal after six months, so from this perspective, to be monitored.
friends: I am positive, the liver function but my husband are normal, but in recent years ALT high, usually two pairs of the second half check, but positive for the fifth year examination, the doctor said that recent infection has returned, and this year has turned positive for two pairs of half a , more concerned, this phenomenon is to ask what kind of situation? is not the second, only be considered more than 10 antibodies, anti-life can you?
defend Lee: I think certainly the patient contact with each other or viral infection, but infection is two normal and five should be positive, and she sometimes positive, sometimes negative, but also pay attention to test results whether the Right, can go to some of the more hospital bigger check. Second, the play not vaccinated, the vaccine should be played, and can be further strengthened.
friends: I am a HBeAg is positive, never eaten any of the drugs, this pregnant, take 7,8,9 High immunoglobulin injection, and 12 hours after the birth of a child vaccination, general practitioner a healthy baby do?
Lee to defend: to give birth to healthy babies.
User: test results in September this year, HBV- DNA5.1502E +06 alanine aminotransferase, aspartate aminotransferase 29.7 Total red bile pigment 39.9H 41.9H direct bilirubin 7.7H albumin total protein 80.0 28.3 57.7 globulin albumin / globulin ratio of 1:8 r-valley amino peptidase 17.3 82.7 Alkaline phosphatase enzyme choline acid 1539.7H five: the virus surface antigen + virus surface antibody - virus e virus e antigen + antibody - virus core antibody + does not do B-, and 302 hospitals to I drive a grass cents hepatitis B capsules, October test results like this: HBV-DNA1.527E +07, 21, alanine aminotransferase, aspartate aminotransferase 27.9, the total red choline 28.9H, directly bilirubin 7.8H, 77.6 total protein, albumin 43.0, 34.6 globulin, albumin / globulin 1.2L r-valley amino peptidase 20.8 59.6 cholinesterase 1566.4H alkaline phosphatase did not do the five hepatitis B Chao said the uneven qualitative change in the liver, cholecystitis sex change, I now have a contagious it? the same room with her husband will be transmitted to him? When can I be baby?
Lee to defend: there will be as long as the DNA-positive infections, Of course, we can prevent that infectious. The second view on B ultrasonography, such patients are often infected with a certain time window after a damage of varying degrees of liver inflammation, such as liver HBeAg we only wear 50 % of the can, so that patients antiviral treatment as long as we ....
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