Can hepatitis B with positive results for items 1, 4, and 5 heal on its own?

Sep 20, 2024 Source: Cainiu Health

Dr. Gao Jun

Introduction

A positive result for hepatitis B markers 1, 4, and 5 indicates the presence of hepatitis B surface antigen (HBsAg), hepatitis B e antibody (anti-HBe), and hepatitis B core antibody (anti-HBc), which typically does not resolve spontaneously. The body is carrying the hepatitis B virus, which persists for life; therefore, self-resolution is unlikely. The hepatitis B virus is relatively active in replication, and the patient's immune system is usually insufficient to completely eliminate the virus.

HBV 145 positive refers to a positive result for hepatitis B surface antigen, hepatitis B e antibody, and hepatitis B core antibody, which typically does not resolve spontaneously. The specific analysis is as follows:

HBV 145 positivity, also known as "small three positive" (or "minor triad"), usually indicates that the body is carrying the hepatitis B virus. This virus tends to persist for life and therefore does not self-resolve. The hepatitis B virus is relatively active in replication, and the patient's own immune system is limited in its ability to completely eliminate the virus.

It is recommended to follow medical advice in using medications such as lamivudine capsules, bicyclol tablets, and reduced glutathione for injection, which can help eliminate the virus and improve liver function. In daily life, it is advisable to maintain a light diet, follow a healthy sleep schedule, avoid staying up late, and quit smoking and alcohol consumption promptly.

If any discomfort symptoms occur, it is recommended to seek timely medical attention and follow medical guidance for appropriate management.

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