Patient's question:
HBV-DNA 6.12 x 10^6, positive. Liver function tests are normal except for AST at 42. Ultrasound shows mild diffuse liver parenchymal damage.Doctor's answer:
You currently have a high viral load, and the ultrasound shows diffuse damage to the liver parenchyma, which indicates that it doesn't require treatment. The current treatment for hepatitis B primarily involves antiviral therapy and stabilizing liver inflammation to prevent further liver fibrosis. Currently, there is no specific medication that can completely eliminate the hepatitis B virus, so the focus is on suppressing viral replication. As a result, the virus tends to rebound easily after stopping medication, and antiviral drugs often have poor efficacy with significant side effects, often worsening the condition. Additionally, it can lead to viral mutation. The key issue is to reduce the individual's immune function and antiviral capacity, enabling the body to completely eliminate the hepatitis B virus.