Can "Xiao San Yang" be cured?
During my liver check-up this week, I was found to have a "small three positives" condition. I would like to ask, can "small three positives" be cured?
Doctor's answer (1)
"Small three positives" refers to a state after hepatitis B virus infection, characterized by positive results for hepatitis B surface antigen (HBsAg), hepatitis B e antibody (HBeAb), and hepatitis B core antibody (HBcAb). It generally indicates low viral replication activity, but does not mean the disease is completely harmless. Whether "small three positives" can be cured depends on multiple factors:
1. Chronic versus acute infection: For acute hepatitis B infection, some patients can spontaneously clear the virus. However, for most adults, especially those who become chronic carriers, complete viral clearance is difficult.
2. Viral load and liver function: If the viral load is low and liver function is normal, specific treatment may not be required, but regular monitoring is necessary.
3. Antiviral therapy: For certain chronic hepatitis B patients, especially those with abnormal liver function or at risk of cirrhosis, antiviral medications (such as entecavir, tenofovir, etc.) can effectively suppress viral replication and reduce hepatitis activity, although they do not guarantee complete elimination of the virus.
4. Immune regulation: In some cases, a patient's immune system may gradually control the virus without medication, although this is uncommon.
If concerned, it is recommended to seek medical advice promptly.
