The difference between chronic hepatitis and hepatitis B

1. The difference between chronic hepatitis and hepatitis B

Chronic hepatitis B virus carriers: also known as immune tolerance period. Refers to the persistence of hepatitis B virus surface antigen for more than 6 months, without symptoms and signs related to liver disease, and the transaminase is basically normal. This population has normal liver function, high hepatitis B virus load and HBeAg positive. This stage is not the time for antiviral treatment, but it is contagious. Therefore, some types of work, such as kindergarten, military, catering and field work, are restricted. But you can work and live normally, including getting married and having children. Patients with immune tolerance should be followed up 1-2 times a year.

patients with chronic hepatitis B: also known as immune clearance period. In this period, patients' liver function is abnormal, ALT is twice higher than the normal value, and the hepatitis B virus load is very high, which is the key period of antiviral treatment. After formal and effective antiviral treatment, a considerable number of patients' conditions have been controlled, the hepatitis B virus load has dropped significantly, even reaching an undetectable level, and E antigen seroconversion (E antigen turned negative or produced E antibody) has been realized, and ALT has returned to normal.

2. What is Hepatitis

Hepatitis (scientific name: hepatitis) is inflammation of the liver. The causes of hepatitis are different, the most common is caused by virus, in addition to autoimmune. Alcoholism can also lead to hepatitis. Hepatitis is divided into acute and chronic hepatitis. Hepatitis caused by viruses can be divided into six types according to their virus series: hepatitis A, hepatitis B, hepatitis C, hepatitis D, hepatitis E and hepatitis G.

3. Early symptoms and manifestations of hepatitis

Early symptoms and manifestations of hepatitis, such as loss of appetite, poor digestive function, abdominal distension after eating, and no hunger; Tired of eating greasy food, etc.

There is no effective preventive measures for hepatitis at present, and early detection and diagnosis is the key to the prevention and treatment of this disease. Fatty liver is an important cause of hepatitis. In recent years, liver diseases have increased significantly, which are often associated with obesity and diabetes. To stay away from fatty liver, we should start with adjusting diet. It is of course necessary to control the fat diet. To prevent fatty liver, we should also advocate exercise, which can consume excess fat in the body.

Early symptoms and manifestations of hepatitis, such as loss of appetite, poor digestive function, abdominal distension after eating, and no hunger; Hate to eat greasy food, if you eat it, it will cause nausea and vomiting, and you will be susceptible to fatigue after activities. Prevention of chronic hepatitis

1. Diet regulation of chronic hepatitis

2. Patients with chronic hepatitis should eat properly < P > When liver is damaged, digestive function is weakened, and overeating often leads to indigestion and aggravates the burden on the liver. It is best to eat 81% full, and overeating is not good for liver and gastrointestinal function.

3. Patients with chronic hepatitis should have a light diet

Cooking should be light, put less oil, eat less cold and irritating food, and quit smoking and drinking.

4. Chronic hepatitis wins. Rational application of traditional Chinese medicine tonics

Patients with hepatitis do not advocate taking tonics excessively, and a normal diet can provide enough nutrition. It is best to seek the advice of Chinese medicine doctors when taking tonics. It is no good to eat tonics blindly. What tests do you need for hepatitis?

1. Routine blood tests are needed for hepatitis. < P > At the initial stage of acute hepatitis, the total number of white blood cells is normal or slightly higher, generally less than 11? 119/L, the total number of white blood cells in jaundice stage is normal or slightly lower, and lymphocytes are relatively increased, with occasional atypical lymphocytes. Hepatitis cirrhosis with hypersplenism can have the phenomenon of thrombocytopenia, erythrocytosis and leukopenia.

2. Routine urine examination is needed for hepatitis

Detection of urinary bilirubin and urobilinogen is a simple and effective method for early detection of hepatitis, and it is also helpful for differential diagnosis of jaundice.

3. Hepatitis requires liver function examination

3.1, and serum enzyme determination

are the most commonly used indicators to reflect the function of liver cells. In acute hepatitis, ALT increased significantly, AST/ALT was often less than 1, and ALT began to decrease after jaundice appeared. In chronic hepatitis and liver cirrhosis, ALT is slightly or moderately elevated or repeatedly abnormal, and AST/ALT is often greater than 1. The higher the ratio, the worse the prognosis.

3.2, serum protein

In acute hepatitis, due to the long half-life of albumin, about 21 days, and the compensatory function of the liver, the serum protein sum can be within the normal range. Albumin decreased, Y globulin increased, and white/globular (A/G) ratio decreased or even inverted in chronic hepatitis, liver cirrhosis and severe hepatitis.