驗血及超聲波測乙肝(下) | 羅兆棠醫生 腸胃肝臟科

乙型肝炎

Hepatitis B is also known as the "silent killer". If you want to know if you have been "infected", you can test the surface antigen of the hepatitis B virus by blood test. If you are positive, you will be diagnosed. If you are positive, you will be a carrier. However, even if you are infected with the virus, you may not have an immediate disease. It is recommended to do a targeted examination every six months to clearly understand the condition.

通過超聲波可快速檢測肝臟有沒有生腫瘤和肝硬化[象。如發現肝臟表面凹凸不平,即代表有肝硬化。雖然超聲波十分安全,但未必能一次過完全掌握所有腫瘤狀況,故仍須定期檢查。乙肝可藉藥物控制及抑制病毒繁殖速度,有兩種病人必須定期食藥,分別是有肝硬化加上驗出含菌量或酵素高病人,以及e抗原呈陽/陰性患者,如發現血液內含病毒量高於20,000IU/ml和肝酵素高於兩倍或以上,情況維持多於六個月便要食藥。

帶菌者提醒家人檢查

如發現自己是帶菌者,應加倍避免病毒傳染。雖然口水中也帶有病毒,但由於分量少,因此不會經接吻傳播,所以與他人同桌食飯、擁抱,也不成問題。不過,謹記別與他人共用個人用品如牙刷、剃刀及指甲鉗等,因病毒可經這類接觸傳播。患者應提醒伴侶檢查有否病毒抗體,性交時須用避孕套,做好防護措施。帶菌者應把病情告之家族成員,提醒他們及早檢查,原因是病毒是可能經母體傳染。

羅兆棠醫生

資料來源: 頭條日報

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