“big three positive” and “small three positive”
Before the story starts, gives everybody to introduce that first anything is " big three positive " and " small three positive ". The examination hepatitis B virus infection condition's important target is the hepatitis B two fifty-fifty: HBsAg and anti-- HBs are the first pair, HBeAg and anti-- HBe are the second pair, because HBcAg is not easy in the blood to examine, therefore has only been left over the anti-- HBc half pair. In these five targets, if HBsAg, HBeAg and the anti-- HBc three targets are the masculine genders, is the hepatitis B which the people often said " big three positive " the infected person; If HBsAg, anti-- HBe and the anti-- HBc three targets are the masculine genders, is the hepatitis B which the people often said " small three positive " the infected person. Generally speaking, e antigen (HBeAg) is the hepatitis B virus duplication symbol. Therefore, the hepatitis B " big three positive " infected person's in vivo has the activity viral duplication, the viral gene (DNA) testing positive, possibly presents the liver function to be unusual; But the hepatitis B " small three positive " the infected person in vivo's virus is at the relatively static condition, the viral duplication are few, the DNA examination is the negative, the liver function many for normal.
“small three positive” also have “false”
Ms. Ding is a hepatitis B infected person, several years ago discovered when “Australia anti-” the masculine gender, the unit inspects the body, the transaminase is always high. Because Ms. Ding's hepatitis B two fifty-fifty test result is “small three positive”, and has not felt obvious ill, therefore has not performed to pay attention. Several years passed by. For the past two months, Ms. Ding always thinks the belly to swell, the leg feels fuzzy, eats meal was also inferior before was fragrant. To the hospital inspection, doctor said that her hepatitis already developed liver cirrhosis, the liver function has not been normal, but also had the few ascites. Doctor gave Ms. Ding to go through in hospital formalities immediately, let her be admitted to the hospital. After guarantees treatments and so on liver, diuresis, supplement albumin, the condition changes for the better gradually. Finally, doctor has carried on the anti-viral treatment for her. After the treatment, Ms. Ding recovered the health.
The hepatitis B virus “study” has met “the Mongolian person”
Ms. Ding cannot think through: “was not said that `small three positive ' were bigger than positive three `'? How could I result in liver cirrhosis?”Doctor tells her: “your `small three positive ' are the `vacation ', because your hepatitis B virus duplication target DNA titer is very high, the transaminase is not normal, explained that in vivo the virus in the duplication, and has the liver to harm the existence.”Ms. Ding only knew that the famous work "Monkey" has genuine and fake Sun Wukong, the movie "On Iceberg Guest" in has genuine and fake gullan Danmu, had not heard the hepatitis B “small three positive” also have “the vacation”. Has the hepatitis B virus also “study” met “the Mongolian person”, has come genuine and fake “slightly three positive”?
The hepatitis B virus is the meeting “the Mongolian person”. It will not only look like spy such quietly “the ambush” to the human body, will let the human not be easy to realize; Can also change in hepatitis B's examination target “the pattern”, “makes” “the vacation”, comes “false small three positive”, causes the people to lose the vigilance to it.
“false small three positive” the essence is the viral variation
Before this kind “false small three positive” are one kind, C area variation hepatitis B virus infection causes. Before this kind, C area variation's hepatitis B virus infection sees much in the European Mediterranean Sea area and the Asian area, its prevalence occupies chronic hepatitis B 40%~80%. This kind of variation virus when duplication does not produce the e antigen, therefore often the performance is the e antigen negative, but e immune body masculine gender. This kind of situation often is taken for by the human is the viral static condition has neglected its monitor and the treatment. But virus not “honest”, it has been at the duplication condition in vivo, the patient often is accompanied by long-enduring or the intermittent blood serum transaminase elevates, causes the condition to progress unceasingly. This condition's viral use