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Question
Hello doctor,
I am 27 years old this year, I have been infected with hepatitis B virus since I was 20 years old. When I went to the doctor, my liver enzymes were normal, but my viral load was very high > 1.7 x 10^8 IU/mL, HBeAg was positive. So the doctor asked me how to treat high hepatitis B virus? In the near future I plan to have a baby, what should I do to not affect the baby? I heard that people infected with this active virus usually do not live more than 20 years, is that true? Thank you.
Anonymous customer
Answer
Answered by Dr., Doctor Tran Thi Phuong Thuy - Department of General Internal Medicine, Vinmec Times City International General Hospital.
Hello,
With the question “How to treat high hepatitis B virus? ", the doctor would like to answer as follows:
You need to see a specialist for periodic monitoring and treatment appointment when needed. In your case, your doctor may consider prescribing antiretroviral therapy early to reduce the risk of cirrhosis and liver cancer. In cases where pregnancy is expected, treatment can be delayed until 24 weeks of pregnancy if no previous hepatitis events have occurred. The doctor will apply a regimen to prevent mother-child transmission to minimize the possibility of transmitting the disease to the baby. The news about not living more than 20 years is really gossip.
If you still have questions about the high level of hepatitis B virus, you can go to a hospital under Vinmec Health System for further testing and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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