How to distinguish between hepatitis B big three positive, small three positive and negative?

Patient's question:

I went to get tested for two and a half pairs a few days ago. The results showed that the first and third were positive, while the others were negative. Could you please tell me if this is considered "big three positive" or "small three positive"?

Doctor's answer:

1,3 positive, which is neither (HBeAg positive) nor (HBeAg negative). It is, but similar to in terms of condition. is 1, 3, 5 positive; is 1, 4, 5 positive; 1, 3 positive is; 1, 4 positive is .
1. It is recommended to check liver function, DNA, and ultrasound to understand liver inflammation.
2. For abnormal liver function and positive DNA, antiviral treatment is necessary. Options include interferon, adefovir, or telbivudine ( interferon, choose only one).
3. If all these indicators are normal, it means you are a hepatitis B carrier, and periodic follow-ups are sufficient. Patients without treatment should directly face liver disease interference.

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