Xu Xiaorong
Bozhou Traditional Chinese Medicine Hospital Helopathy Department , deputy director, deputy chief Chinese medicine practitioner
Anhui Province Bozhou City Medical Science Member of the Standing Committee of the Infectious Diseases Branch
Member of the Portal Hypertension Alliance of Bozhou City, Anhui Province
3 graduated from Anhui University of Traditional Chinese Medicine in 1998 and has been engaged in clinical and teaching of infectious diseases for more than 20 years. He has accumulated rich clinical experience in the diagnosis and treatment of infectious diseases, especially in the diagnosis and treatment of liver diseases.
proficient in the use of combined traditional Chinese and Western medicine therapy to treat various viral hepatitis , alcoholic liver disease , non-alcoholic fatty liver disease , drug-induced liver injury , autoimmune liver disease, cirrhosis and middle- and advanced liver cancer due to various reasons, and has rich clinical experience in blockade of hepatitis B mother-to-child.
Interview text
Liver friend asked: Doctor Hello, Doctor, I am a hepatitis B carrier, so is my daughter. Now my daughter is pregnant again, want to know how to stop her child? Thanks!
Answer: It is recommended that your daughter go to the hospital for blood routine , hepatitis B two-half, liver function, HBV DNA, liver gallbladder spleen (upper abdomen) color ultrasound examination. If anti-HBV treatment is not required at present, regular review will be performed. If HBV DNA is ≥2×105IU/mL at 28W of pregnancy, it is recommended to give pregnancy B antiviral drugs for treatment. To reduce HBV DNA load and reduce the risk of maternal and child infection. Inject the baby with hepatitis B immunoglobulin as soon as possible within 12 hours after delivery, and inject hepatitis B vaccine once at the same time, and inject hepatitis B vaccine once at the age of 1 month and 6 months respectively, which can significantly reduce the risk of hepatitis B mother-to-child infection.
Liver friend asked: Hello doctor, can the child da Sanyang , can he go to kindergarten? The fingertip blood test of the kindergarten was slightly higher. The child took cold medicine on the day of the examination. The kindergarten asked for a follow-up examination and went to the hospital to check alanine aminotransferase 36.7, glutamate aminotransferase 49.5↑, serum total protein 63.3↓, white ball ratio 1.89↑, alkaline phosphatase 201.8↑, and the other indicators are within the range. The kindergarten believes that the aminotransferase abnormality allows five hepatitis B exercises, and parents have asked them to take their children home. After I went back, I checked some information. The physical examination of the childcare institution only checked for alanine aminotransferase, and children with hepatitis B surface antigen positive must not be rejected. I would like to consult an expert, can the child go to kindergarten in this case? Is the positive surface antigen of hepatitis B alone referring to the first positive condition or the situation that includes the third positive condition? Does the kindergarten have the right to check the five hepatitis B items and not allow admission to kindergarten.
Answer: Children have "big three yang". If the liver function is normal, they can enter the kindergarten normally. If the liver function is not normal, it is recommended to rest and receive liver protection and other treatments. After the liver function returns to normal, you can enter the kindergarten to go to school. Positive hepatitis B surface antigen refers to the first of the two and a half hepatitis B items. Children generally do not check the five hepatitis B items when they enter the kindergarten. However, if the liver function is abnormal, further check the five hepatitis B items to understand whether there are any infectious diseases of menstrual blood (body) fluid.
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