Hepatitis B big three Yang need medicine

summary

My boyfriend found that he was a patient with hepatitis B three positive in the physical examination, and then carried out active treatment. Now he is in the recovery period, and the symptoms of the disease are basically under control. Let me introduce the problem of hepatitis B three positive needing medicine.

Hepatitis B big three Yang need medicine

First of all, the so-called "big three yang" refers to the immune indexes of hepatitis B virus in patients with chronic hepatitis B or carriers of hepatitis B virus, that is, HBsAg, HBeAg and anti HBC are positive. The positive results of these three indexes indicate that the virus replication in the body is relatively active, but whether it causes serious liver cell damage still needs to be further studied Look at the liver function test and the patient's conscious symptoms, that is to say, it is not "big three yang" that means the disease is very serious, but the above three indicators are positive, which reflects the immune state of the virus in the body.

Second, hepatitis B big three Yang take medicine, one is to reduce transaminase liver protection, one is to control the virus replication rate. It is suggested that adefovir dipivoxil tablets (jiule) is suitable for the treatment of adult patients with chronic hepatitis B whose liver function is compensated by active replication of hepatitis B virus and continuous elevation of serum aminotransferase. Patients must use this product under the guidance of a doctor with experience in the treatment of chronic hepatitis B. 1. The recommended dose for adults (18-65 years old) is 10mg once a day, either before or after meals. 2. The best course of treatment has not been determined. Do not exceed the recommended dosage. 3. Patients should regularly monitor hepatitis B biochemical indicators, virological indicators and serum markers, at least once every six months.

Third, the antiviral drugs for the treatment of hepatitis B are mainly interferon and nucleoside. The advantages of interferon are fixed course of treatment, no drug resistance, HBeAg, high seroconversion rate of HBsAg, long-lasting efficacy, dual effects of immune regulation and antiviral. However, the price of interferon is high, and the side effects on patients are relatively large. So it is not recommended. The nucleoside drugs for the treatment of Da San Yang mainly include mivudine, adefovir dipivoxil, telbivudine, entecavir, tenofovir dipivoxil, clavudine and so on. These drugs have certain antiviral effect, but they can only inhibit the replication of the disease, and can not completely eliminate hepatitis B virus. They need long-term medication, and are prone to drug resistance and recurrence after drug withdrawal.

matters needing attention

Hepatitis B patients with big three yang should appropriately limit the fat diet: fat is one of the three major nutrients, the unsaturated fatty acids it provides are essential nutrients for the body, other foods can not be replaced, so it is not necessary to limit excessively. In addition, the intake of appropriate amount of fat is conducive to the absorption of fat soluble vitamins (such as vitamin A, e, K, etc.). Due to the loss of appetite in patients with chronic hepatitis, gallbladder disease is often associated, and the intake of fatty food is often insufficient. Patients with chronic hepatitis need to eat an appropriate amount of fatty food, but excessive fat restriction is not appropriate. The daily fat supply is generally 40-60g, or about 25% of the total energy. The patients with fatty liver, hyperlipidemia and chronic hepatitis in the acute stage of cholecystitis should be restricted.