Patient's question:
Patient, female, 26 years old, with a history of chronic hepatitis B for 20 years. During this period, she has taken various Chinese and Western medicines for treatment, but the health check results still show chronic hepatitis B. Previously, her liver function was normal in the past two years, but the recent health check revealed that two liver enzymes in her liver function tests are elevated above the normal range, and the DNA viral load is high. The doctor recommended taking medication for anesthesia and implementing antiviral treatment. However, due to personal reasons, she did not reject the doctor's advice. Currently, she has not undergone any treatment or taken any medication. She feels that her sleep is poor and she is easily tired.Doctor's answer:
The treatment of hepatitis B currently lacks effective drugs and treatment methods, making it difficult to achieve complete negativity and spontaneous recovery. The main treatment approaches are symptomatic treatment and antiviral therapy. If the alanine aminotransferase (ALT) level in liver function is more than twice the normal value and the viral load exceeds 10^5, it is considered suitable for antiviral treatment. If the conditions do not permit, it is also important to focus on lowering enzyme levels, protecting the liver, and providing symptomatic treatment to reduce liver damage. The progression of hepatitis B to cirrhosis is not absolute, and its recurrence is also a long-term process, primarily related to sustained liver damage. In addition to treating chronic hepatitis B (CHB), patients are advised to pay attention to their diet and maintain a positive mood in daily life.