Is chronic hepatitis B with (antibody to HBeAg positive) requiring treatment?

Patient's question:

Does trichomoniasis require treatment? My friend was carefully diagnosed with trichomoniasis, and he told me that others told him that trichomoniasis does not require treatment, but he is a little upset. So I want to ask, does trichomoniasis require treatment?

Doctor's answer:

The term "small three positive" refers to the immunological indicators of the hepatitis B virus in chronic hepatitis B patients or hepatitis B virus carriers, specifically the presence of hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), and hepatitis B core antibody (anti-HBC). Small three positive patients are categorized into two types: one is the virus-negative small three positive, and the other is the virus-positive small three positive. Some people often believe that the "big three positive" is more severe while the "small three positive" is harmless, which is actually a common misconception. The harm of virus-positive small three positive is increasingly being recognized by people. Hello. The overall goal of treating chronic hepatitis B is to maximize long-term antiviral treatment, reduce liver cell inflammatory necrosis and liver fibrosis, slow down and prevent the recurrence of liver decompensation, cirrhosis, and its complications, thereby improving quality of life.

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