Patient's question:
NoDoctor's answer:
Please ask the doctor, my [male partner] was recently diagnosed with carrying the hepatitis B virus (but liver function is normal), and my wife [female partner] has no liver problems.Now, my wife and I want to have a child, but I’m afraid the child will also carry the virus, which would harm him for life. To avoid the child getting the virus, we’ve come to consult the doctor about the necessary measures for the wife.
I’ve heard that the wife needs to get the hepatitis B vaccine before pregnancy, but I’m not sure what specific steps to take.
What should be done about the "big three positive" (HBsAg, HBeAg, and anti-HBc are all positive)?
"Big three positive" refers to the presence of hepatitis B surface antigen (HBsAg), e antigen (HBeAg), and core antibody (anti-HBc).
People with the "big three positive" are hepatitis B carriers, which is fundamentally different from hepatitis B patients.
Since his liver function is normal, he generally does not need treatment.
However, the following points must be noted:
1. Due to the difficulty of various antiviral drugs in being effective, it is not advisable to solely pursue converting from positive to negative.
2. Combine proper rest, diet, and follow-up.
3. Improve personal immunity and antiviral ability, aiming to eliminate the hepatitis B virus and prevent further illness.
4. Regularly check liver function.
5. Avoid alcohol and smoking.
6. Avoid foods with strong irritants.
7. Ensure adequate sleep and rest.
8. Maintain a positive mood.
Therefore, there is no need for the wife to get the hepatitis B vaccine before pregnancy.