Most hepatitis B carriers can carry the virus for life without getting sick. Such hepatitis B carriers can live for a long time even without treatment. However, the latter part of hepatitis B carriers will turn into chronic hepatitis B, and these people must receive treatment. In fact, many hepatitis B carriers have liver inflammation but do not show any symptoms or signs, so they ignore treatment and examination, which eventually leads to cirrhosis and even liver cancer. It can be seen that how long a hepatitis B carrier can live is closely related to the changes and outcome of the disease. Based on the above situation, the "Guidelines for the Prevention and Treatment of Chronic Hepatitis B" clearly divides hepatitis B carriers and divides hepatitis B carriers into two distinct stages: 1. Chronic hepatitis B carriers: Serum hepatitis B virus surface antigen HBsAg and hepatitis B virus DNA are positive , Hepatitis B virus carriers who are positive for hepatitis B virus surface antigen or e-antibody, but whose serum alanine aminotransferase ALT and aspartate aminotransferase AST are within the normal range for more than three consecutive follow-up visits within one year, and whose liver histological examination generally has no obvious abnormalities. For hepatitis B virus carriers whose serum hepatitis B virus DNA is positive, they should be mobilized for liver puncture examination for further diagnosis and corresponding treatment. Such hepatitis B virus carriers can have very active virus replication in their bodies and can be highly contagious. As the disease progresses, when the liver damage reaches a certain level, patients with chronic hepatitis B can be diagnosed even if the liver function is normal. Therefore, such chronic hepatitis B virus carriers should pay close attention to their physical condition and seize the opportunity to actively treat them once they enter the immune clearance period. 2. Inactive hepatitis B virus surface antigen carriers - Inactive hepatitis B virus surface antigen carriers: serum hepatitis B virus surface antigen positive, e antigen negative, e antibody positive or negative, hepatitis B virus DNA undetectable (PCR method) or Those whose alanine aminotransferase ALT is below the minimum detection limit and whose alanine aminotransferase ALT is within the normal range for more than three consecutive follow-ups within one year are called inactive hepatitis B virus surface antigen carriers. This type of carrier status is generally regarded as a short-term treatment goal. That is to say, treating chronic hepatitis B or chronic hepatitis B virus carriers to this extent will achieve the short-term treatment goal. Liver histological examination shows: Knodll hepatitis activity index (HAI) <4 or other semi-quantitative scoring system lesions are mild. The hepatitis B virus surface antigen of such hepatitis B virus carriers has turned negative or the e-antibody has turned positive, and the hepatitis B virus DNA is negative, and the patient has little or no infectivity. However, hepatitis B virus carriers can still have hepatitis B virus in the liver cell nuclei, but they just stop replicating and no longer release the virus into the blood. That is, the virus and lesions are inactive. Such inactive hepatitis B virus surface antigen carriers have relatively stable conditions and pay attention to the details of their lives, so they do not need to be treated. No matter what kind of carrier, if you don't pay attention to the details of life, it may lead to changes in the condition, thus affecting life span. Therefore, how long a hepatitis B carrier can live depends on whether the following five points are met: 1. Cautious use of medicine can protect the liver. "A medicine is three parts toxic", and the liver is the organ responsible for detoxification. Any medicine may increase the burden on the liver. , so try not to use medicines if possible. If you really need to use them, you should choose them carefully under the guidance of an experienced doctor. 2. Ensure adequate rest during work and rest. During work and study, you should avoid working overtime, sleeping less and staying up late; and excessive entertainment is also harmful. Playing cards all night, traveling and trekking, or participating in strenuous physical exercise will be harmful to the liver. 3. Eat a light diet and quit smoking and drinking. Your daily diet should be clear but not dry, light but not salty, and try not to be contaminated with any alcohol or alcoholic beverages. 4. Be content and happy and adjust your mentality. Emotions also have a great impact on the liver. It is best to maintain a contented and happy mentality in daily life, which is also a beneficial measure to protect the liver. 5. Always be alert for regular check-ups. The former is checked every 3-6 months and the latter is checked every 6-12 months. Liver function, hepatitis B, etc. should be observed at any time to be prepared. How long a hepatitis B carrier can live is affected by many factors, but as long as the above conditions are met, active treatment of the disease and prevention of cirrhosis and liver cancer can protect the body and help them live longer. Through the above introduction, the poster should have some understanding of this problem! If the poster has other questions, you can log on to the website of Nanjing 454 Liver Disease Hospital for detailed information.

(454gb.com Copy this URL to the browser and press Enter to browse the hospital’s web page)