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Question
Hello doctor,
I am suffering from chronic hepatitis B, just tested, the liver enzyme index AST 51.6 u/l, ALT 77.6 u/l, quantifies HBV 87,500,000 copies/ml. Ask your doctor for advice on how to treat chronic hepatitis B? What to pay attention to? I would like to thank the doctor.
Tran Quy Nhan (1993)
Answer
Answered by Master, Doctor Vu Tan Phuc - Gastroenterologist - Department of Medical Examination & Internal Medicine - Vinmec Phu Quoc International General Hospital
Hello,
With the question "What is the treatment for chronic hepatitis B?", the doctor would like to answer as follows:
Quantitative HBV-DNA test is also known as hepatitis B viral load measurement. in blood. This is a modern test technique to accurately determine the amount and concentration of virus in a unit volume of plasma/serum, using units of IU/ml or copies/ml (1IU will be equivalent to 5-6 copies). From there, assess the level of virus replication in liver cells.
Your HBV quantification result is 87,500,000, above the threshold of 10^7 copies/ml, the virus is in a very strong replication stage. The higher the virus content in the blood of the patient, the greater the risk of liver damage as well as complications of cirrhosis and liver cancer.
In addition, the rate of infection to others is very high. Combined with your liver enzymes ALT: 77.6 more than doubles the standard normal value (35). Therefore, your doctor advises you to go to a specialized medical facility for examination and take antiretroviral drugs immediately.
If you still have questions about how to treat chronic hepatitis B, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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