How is "Xiao San Yang" treated?
Disease description:
I was checked for hepatitis B last week and found to have a "small three positives" condition. I would like to ask the doctor, how can "small three positives" be treated effectively?
Doctor's answer (1)
Dr. Yang Ziqi
"Small three positives" refers to a condition following 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). The treatment of "small three positives" typically involves the following aspects:
1. Evaluation of the disease condition: Doctors will determine whether the infection is active based on blood test results, such as liver function and viral load (HBV DNA). Inactive carriers generally do not require specific treatment, while patients with active hepatitis need further intervention.
2. Antiviral therapy: If the virus is active and causing liver damage, doctors may recommend antiviral medications such as entecavir or tenofovir. These drugs can suppress hepatitis B virus replication, reducing the risk of liver inflammation and fibrosis.
3. Regular monitoring: Regardless of whether treatment is undertaken, patients need regular follow-up tests for liver function, viral load, and liver ultrasound to promptly detect and manage any potential liver lesions.
4. Lifestyle modifications: Maintaining good lifestyle habits, including abstaining from alcohol, eating a balanced diet, avoiding excessive fatigue, and not sharing personal hygiene items to prevent virus transmission.
