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QuestionHi doctor,
I have chronic hepatitis B for 7 years. I have tested results as Ast/Alt <=40U/L, HBV DNA 757.860,000H <= 250 copies/ml), 8.88 log10 (<= 2.4log10). Abdominal ultrasound within normal limits. The doctor said no medicine needed. The doctor asked me how to treat chronic hepatitis B test results? How is my medical condition? Thank you doctor.
Hiep (1998)
Reply
Hello,
To the question “How is the test result for chronic hepatitis B to be treated? ”, the doctor would like to answer as follows:
1. AST/ALT result <=40U/L.
This is your liver enzyme test result. Elevated liver enzymes is one of the manifestations of hepatitis (may be due to different causes). In normal people AST (GOT), ALT (GPT) is < 50 U/L). As such, your liver enzyme tests are within normal limits. Combined with abdominal ultrasonography, the indices are within normal range. Thus, by the time the test can conclude your liver function is still functioning normally.
2. HBV DNA results.
Normal people who are not infected with hepatitis B virus have negative HBV DNA. In cases of chronic hepatitis, HBV DNA varies from case to case. Your result is 757,860,000 copies/ml or 8.88 log10 which is about 757 million viruses in 1 ml of blood. This result shows that the number (your viral load) is quite high.
However, your liver enzymes and ultrasound images are normal, so your doctor has not prescribed it for you.
Your case needs regular monitoring of liver enzymes, viral load (at least once every 6 months) and need to do some other tests such as: HBeAg, Anti HBeAg, ... in combination with your age to consider treatment. Note that, the high number of viruses in the blood, the risk of infecting others will be high.
If you still have questions about how chronic hepatitis B test results should be treated, you can go to a hospital of Vinmec Health System for examination, examination and consultation. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
Answered by Master. Doctor Tran Thi Vuong - Laboratory Department - Vinmec Hai Phong International General Hospital.
