[MERGED] Hepatitis B

[butterflysword]

im an inactive hepa b, with HBV DNA level of 93000, sabi ng doc ko 100,000 daw ang borderline for chronic hepa b, normal ALT n normal liver, sabi nya walang treatment *** sa condition ko, ang question ko is, pano ko kaya mapapababa *** HBV DNA level ko?me magagawa ba ko?tnx po

[PrettyCool_Dude]

Sa ngayon, mababa pa ang level ng HBV DNA mo kaya hindi ka muna dapat mamroblema. Kapag tumaas na ang level ng HBV DNA mo, doon ka na dapat magconsider ng treatment. Kaya lang, medyo mahal ang gamot. Actually, meron kang at least 3 options: Lamivudine, Adefovir Dipivoxil, or Interferon. Ang Lamivudine, pag matagal mo ng tini-take, nagmu-mutate ang virus at nagdedevelop siya ng resistance against it. Habang tumatagal, nawawalan siya ng effect sa HBV. Effective ang Adefovir Dipivoxil for longer-term treatment, kaya lang marami itong side effect (headache, digestive, respiratory problems, etc.) Okay din ang interferon. May iba pa ring mga bagong drugs (entecavir, tenofovir, etc.) pero grabeng mahal. Tsaka iba-iba ang response ng bawat patient sa bawat gamot. Dapat, supervised ng doktor ang treatment using these drugs.

Importante din na ma-monitor mo ang hepa-B mo at ang atay mo, every six to twelve months. Dapat, ma-maintain mo ang ALT (or SGPT) mo. Kailangan din malaman kung HBeAg+ ka. Usually, tumataas ang HBV DNA kapag positive ang HBeAg. In that case, dapat mag-seroconvert ito into Anti-HBe. HBeAg is also indicative of the infectivity of your viral strain to other peolple. Also, whether active or inactive ang hepa-B mo, dapat ma-monitor ang atay mo yearly via ultrasound for early detection of liver cancer.

Wala kang pwedeng magawang natural na paraan para bumaba ang HBV DNA mo kundi ang umiwas sa bisyo (alak at sigarilyo) at palakasin ang resistensya mo. Iwasan ang stress para hindi bumaba ang level ng immune system mo. Habang inactive ang HBV mo, lesser ang risk mo sa liver cancer, at mas mapapababa pa ang risk mo kung hindi mo pahihirapan ang atay mo. Wag ka rin magse-self-medication. Dapat, bawat gamot na iinomin mo, may reseta ng doktor na alam ang case mo. Hindi kasi natin alam ang mga side-effect ng mga gamot na iniinom natin. Karamihan doon, nakasasama sa atay. Iyung iba naman, may effect sa mismong mutation ng virus (halimbawa doon ay yung ilang gamot sa rayuma).

Very tricky ang Hepatitis-B Virus. In fact, may mga gumaling na sa hepa-B nila na biglang naging active ulit after a long time. Pero mas manageable naman ito kaysa Hepa-C, kaya maswerte ka pa rin. And don't worry sa sakit mo. Educate yourself more and learn how to manage it and secure your family against it. Kung may sexual partner ka, tell him/her to have Anti-HB Vaccine... also your immediate family, kung hindi pa sila infected... so it's also important for them to have a Hepa-B test.

[yda]

is it ok for HBV carriers to take oral contaceptive pills? like yasmin for example? and what do u mean by inactive HBV BTW? tnks

[PrettyCool_Dude]

is it ok for HBV carriers to take oral contaceptive pills? like yasmin for example? and what do u mean by inactive HBV BTW? tnks

Inactive HBV means the hepa-B virus has considerably low activity in replicating itself, meaning there is less liver damage and relatively low risk of the illness leading to cirrosis or liver cancer, as compared to an active hepa-B (but still higher than those without HBV, of course). It has been the goal in Hepatitis-B management for those with the illness to minimize the activity of the HBV and lessen its effect on the patient since there is still no cure for it.

I'm not a doctor (but my wife is a midwife), but as far as I know, oral contraceptives are generally safe for hepa-B patients. But I've checked yasmin in particular, and here are its contraindications (reasons or factors that makes it inadvisable to prescribe a particular drug):

"Venous or arterial thromboembolic events including MI & CVA. Prodromi of thrombosis (transient ischaemic attack, angina pectoris), diabetes mellitus w/ vascular involvement. Severe or multiple risk factors for venous or arterial thrombosis. Severe hepatic disease, benign or malignant liver tumours. Malignant conditions of the genital organs or breasts, if sex steroid-influenced. Undiagnosed vag bleeding. Pregnancy. History of migraine w/ focal neurological symptoms, pancreatitis or a history thereof if associated w/ severe hypertriglyceridemia, renal impairment. "

If you're Hepa-B positive, don't self-medicate. Always ask your doctor regarding any drug that you wish to take, to be sure.

[fairymom]

hi, pls help **** kung ano result nito positive hepe b ako
cut off off value optical density result
HBsAG 0.073 3.100 reactive
Anti -HBs 0.095 0.017 non-reactive

----S.I units---- - - --Conventional----
Reference value result test ABN Result reference value
5.00-40.00 U/L 23 SGPT 23.00 5.00 - 40.00 Iu/I
100.00-290.00 U/L 88 alk.phospate L 88.00 100.00 - 290.00 U/L

then bka may marerefer *** na good doc for hepe b *** ob ko kc wala syang masyado alam about hepa b, basta monotor nya lang liver ko.. thank u..

[PrettyCool_Dude]

hi, pls help **** kung ano result nito positive hepe b ako
cut off off value optical density result
HBsAG 0.073 3.100 reactive
Anti -HBs 0.095 0.017 non-reactive

----S.I units---- - - --Conventional----
Reference value result test ABN Result reference value
5.00-40.00 U/L 23 SGPT 23.00 5.00 - 40.00 Iu/I
100.00-290.00 U/L 88 alk.phospate L 88.00 100.00 - 290.00 U/L

then bka may marerefer *** na good doc for hepe b *** ob ko kc wala syang masyado alam about hepa b, basta monotor nya lang liver ko.. thank u..

A reactive HBsAg indicates you've got the virus (you're a carrier).
A non-reactive Anti-HBs indicates your body defenses against the disease has not developed so far.

HBsAg must eventually seroconvert to Anti-HBs. Persistent reactive HBsAg and non-reactive Anti-HBs for a long time indicates that you got chronic Hepa-B case.

Your SGPT and Alkaline Phosphate tests are liver function tests. So far, they are not yet indicative of any liver damage.

But you must monitor your disease every 6 months to 1 year. You must have hepa-B profile and liver profile tests at this frequency. Please do consider including HVB DNA, Anti-HBc, HBeAg, and Anti-HBe on your tests as these also indicates your immune system's progress in battling your disease. Also include anti-HAV, HCV and Anti-Delta to rule out hepatitis A, C, and D respectively, as having these, combined with hepa-B may be deadly. Ask your doctor about it for referral.

Wala ako marerefer na doc sa yo pero so far, you don't need a hepa-B specialist to manage your disease. Maybe your OB could ask his fellow doctors in case he will need to refer you to one later. But if you still insist on knowing one now, go to the nearest reputable hospital and ask for an internal medicine doctor.

[fairymom]

prettycool_Dude thanks so much sa explanation mo, now i need to find a good doc talaga for may hepa..

[CA]

prettycool_Dude thanks so much sa explanation mo, now i need to find a good doc talaga for may hepa..

Try mo Virgin Coconut Oil. take 3X4 tablespoon after meal for 7 consecutive days. then 4 tablespoon a day nalang. Its natural.

[stopandpop]

san ba pwede magpatest para malaman? nagagamot po ba to kung sakali? naku, mahirap na magkasakit ngayon..

yung office or school doctor / nurse ninyo may alam yung for sure.

[blue_tooth]

where can i get tested po ba?
pano po ba ginagawa ang test? medyo kakaiba kasi nararamdam ko sa upper right abdomen ko..at saka gusto ko po talaga magpa-test..

any idea kung san po pwede and how much?

thanks!

[Kraven]

The procedure's fairly simple, they'll just extract some of your blood and you can get the result in about an hour. You may also immediately get a vaccine if you're negative.

The range varies from 300 to thousands of pesos. My doctor charged me 150 for the test and 550 for the first vaccine shot, discounted na for student price. But you can also buy a vaccine at mercury drug for 650 if you want.

[blue_tooth]

san ka po nagpatest? may discount ah..hehehe

[cessy]

hi pwede po patulong dito sa results ng hepa b test ng friend ko:

HbsAg 2502.0 Reactive
Anti-HBe 0.003 Reactive
HbeAG 0.110 Nonreactive
Anti-HbcIgC 0.007 Reactive

Anti-HBs 0.0505 Nonreactive

ALT(SGPT) 88 U/L
AST(SGOT) 66 U/L

Sonography of t he liver:

the liver is within normal size, with liver span measurement of 12.6 cm. There is smooth outline and homogenous parenshymal echogepattern. No focal solid or cystic mass lesion seen. The intrahepatic bile ducts and its radicles are not dilated.

Impression:

Normal sonogram of the liver.


** thanks po

[cessy]

^^ hey guys i hope somebody could help me out with this... thanks again..

[PrettyCool_Dude]

hi pwede po patulong dito sa results ng hepa b test ng friend ko:

HbsAg 2502.0 Reactive
Anti-HBe 0.003 Reactive
HbeAG 0.110 Nonreactive
Anti-HbcIgC 0.007 Reactive

Anti-HBs 0.0505 Nonreactive

HBsAg & Anti-HBc reactive - indicates Hepa-B infection
Anti-HBs nonreactive - indicates no seroconversion of the HBs-antigen has so far taken place.

If the above scenario persists for a long time (more than 6-months) then the Hepatis-B is chronic (long lasting).

HBeAg non-reactive &
Anti-HBe nonreactive - indicates the body's immune system has somehow was able to limit the infectivity of the virus as it indicates seroconversion of the HBe-antigen.

ALT(SGPT) 88 U/L
AST(SGOT) 66 U/L

Sonography of the liver:

the liver is within normal size, with liver span measurement of 12.6 cm. There is smooth outline and homogenous parenshymal echogepattern. No focal solid or cystic mass lesion seen. The intrahepatic bile ducts and its radicles are not dilated.

Impression:

Normal sonogram of the liver.

The above lab tests indicates an elevated SGOT and SGPT (liver enzymes). There are many things that can cause the SGOT and the SGPT to go up, as their elevation usually means there is some inflammation to the liver. The sonography of the liver, however indicates normal impression so far.

While elevation of the SGOT and SGPT do not necessarily mean something serious is going on, it’s generally worth looking into. Siguro, because of the HB infection and improper diet, medyo hirap lang ang atay. Your friend should avoid alcoholic drinks and fatty foods, and should also control his protein intake.

Nevertheless, your friend should consider consulting a liver specialist. Baka nagsisimula na madamage ang atay niya. More Hepa-B and liver tests are needed for proper diagnosis, particularly HBV DNA test. Mahirap magconclude so far kasi kulang pa ang info mo re your friend's history.

[cessy]

^^ thanks for the reply.. does this mean that *** HBV DNA test is really needed?

[PrettyCool_Dude]

^^ thanks for the reply.. does this mean that *** HBV DNA test is really needed?

THe HBV DNA test determines the activity of the virus. If the virus strain is highly active, then the patient may have to consider some medications to delay liver damage caused by the virus, as this may lead to liver cirrhosis or cancer... especially that his SGPT/SGOT results are high.

[cessy]

^^ thanks a lot for the info...very much appreciated..

[opal_october]

when i got pregnant last year, my Ob required me to have blood test for Hepa B and Blood counts etc... thank god negative **** ako... unaware rin ka ako dati about sa Hepa B...ask ko *** po... medyo naguguluhan *** po ako... nakakahawa po b or nakukuha ang hepa B sa mga nippers or nail cutters? for intance nasugatan ka habang nggugupit or naglilinis ng kuko... especially kpag sa mga parlors/salons ka nagpa manicure/pedicure....
tenx

Possible, kung meron kang OPEN Wound and you used a nipper/cutter contaminated with blood from a person with hepa, then the virus might enter your bloodstream, thus infecting you.

The best thing for you to do is to get yourself vaccinated ASAP. It is only through vaccination that you can prevent having the disease. Dapat pa screen ka ulit (having a negative screening last year doesn't mean that it is still negative today). Then if the repeat screening turned negative, punta ka sa gastroenterologist at magpabakuna

[opal_october]

san ba pwede magpatest para malaman? nagagamot po ba to kung sakali? naku, mahirap na magkasakit ngayon..

You can have yourself tested on any hospital laboratory. They get a little blood sample, antayin mo lang ang result. The screening is called HBsAg test or hepatitis B screening test.

I'm not sure though if you can directly go to the laboratory without a request coming from a doctor, but you can try.

Kung nagagamot ito, that is the big question. GlaxoSmithkline offers anti viral medication (very expensive though). But even GSK could not claim that it is a sure medication. "There is HOPE against Hepa", that's what they say, meaning it is only HOPE, get it?