# Qingyun Plan # # Hepatitis B # # Baby #
China is a big country with hepatitis B, and Guangdong is a big province with hepatitis B. In the last century, due to the backward medical conditions, many people born in our generation failed to receive hepatitis B vaccine as planned, and many people told me that hepatitis B was transmitted from mother to child. Now, under the effective antiviral and immunoglobulin blocking treatment, the mother-to-child transmission rate of our generation has been greatly reduced, and hepatitis B mothers can rest assured of pregnancy and delivery. However, hepatitis B dads are anxious. As dads, they are also worried that they will pass on hepatitis B to the next generation! What shall we do?
Don't worry, keep looking down!
As early as 65438+ 1970' s, some scholars published a study in the authoritative medical journal The Lancet, and found hepatitis B surface antigen and nucleic acid in the semen of men infected with hepatitis B, suggesting that hepatitis B virus can enter sperm and may cause father-infant transmission. A study in Taiwan Province Province of China pointed out that the transmission rate from father to baby was as high as 65.4%.
But knock on the blackboard, please pay attention! In this study, there was no relevant test at birth, which means that it is impossible to determine whether the child's infection is caused by sperm carrying hepatitis B virus. Or do you usually live in close contact with infection?
Although the current research provides evidence of HBV DNA in sperm, there is no conclusive evidence that it is transmitted by HBV father and son. At present, the mainstream opinion at home and abroad still believes that the father-infant transmission is mainly due to the close contact between unprotected newborns and hepatitis B fathers.
Based on various literature reports, I personally think that it is unlikely that dad's sperm transmission will transmit the virus to his children. But knock on the blackboard again! Close contact with the father of hepatitis B after the child is born may lead to infection. Please pay attention to timely immunization as planned and regularly monitor your baby's hepatitis B antibody titer.
I'm Ma Dahe, and I like to show my baby around. Dahe is now 15 months old!
First of all, let me say one thing: at present, the technology to overcome hepatitis B infection is very mature. As long as you get the hepatitis B vaccine, the probability of being infected is almost zero.
Second, there are only three modes of transmission of hepatitis B: blood/sex/mother-to-child.
For the problem of hepatitis B, if the father is hepatitis B and the mother is healthy, as long as the mother has been vaccinated with hepatitis B vaccine, the probability of being infected is generally low. If the mother does not have hepatitis B, or only has hepatitis B antibodies, the baby is usually healthy and will not be inherited.
Next, I want to talk about a problem. What if mom is hepatitis B? Will the child be healthy?
Tell you from my experience, yes, the child will be healthy. Because I've been there.
After pregnancy, I began to pay attention to a problem and began to panic, because I knew that "mother and baby" was one of the ways of hepatitis B transmission.
The first prenatal examination, the doctor advised me to register in the hepatology department, and I went to see it that day. Take blood to check the DNA replication of hepatitis B virus, probably to see if your hepatitis B virus is active. If hepatitis B virus is inactive, you don't have to worry, you don't need to take medicine, you can eat according to the policy. If hepatitis B virus is active, the doctor will follow up the situation of pregnant women and prescribe some medicine.
I'm in good shape. Since then, during the whole pregnancy, I have never considered the problem of hepatitis B, that is, eating and drinking normally and maintaining a healthy work and rest, just like other pregnant women.
Until I give birth, the bed doctor will remind me that because the pregnant mother is hepatitis B, the newborn needs an injection called "immune ball" (I forget the specific scientific name), and the cost is probably less than 1000 yuan. At that time, I said without thinking, "everything is according to the doctor's requirements."
Later, after caesarean section, the baby was born. If I remember correctly, after returning to the delivery room, the nurse came to play one, that is, hepatitis B immune ball.
The next step is to go to the community to get a normal hepatitis B vaccine. Later, I was told by Dr. Shekang that because we had finished the third diagnosis of hepatitis B, we suggested going to the hospital to draw blood to check the two halves of hepatitis B to see if antibodies were produced.
As a result, the antibody was planted and the baby was fine.
Finally, I want to emphasize that there are about 654.38 billion hepatitis B carriers in China. Hepatitis B vaccine is recommended to everyone, whether you are male or female, for yourself and for the next generation. Hepatitis B vaccine is the most effective and mature vaccine at present.
Recently, Zhang Wenhong, director of Shanghai Infectious Diseases Department, gave a lecture on hepatitis B at CC Forum. The technology is very developed, so don't be afraid of hepatitis B.
Hepatitis B is not hereditary.
HBV DNA can be detected in the sperm of men with hepatitis B, but not every sperm contains HBV, so the probability of detection in the experiment is very small, and only one or several sperm can enter the egg cell, so the probability of infection is very low and almost negligible.
Of course, children of HBV positive fathers may also be infected. This kind of infection is mostly horizontal transmission in the family, mainly through daily contact, such as mouth-to-mouth feeding or kissing during breastfeeding, and through damaged skin and mucosa. This infection is not hereditary.
After the child is born, it is necessary to inject immunoglobulin and vaccine regularly. When the child is 7 months old, you can check whether the child has produced antibodies. If children have enough antibodies, they will not be infected. Before the child has not produced hepatitis B surface antibody, the father of hepatitis B should pay attention to avoid blood contact and lead to infection in the process of contact with the child. Of course, this probability is actually quite low! Pay attention to prevention consciously.
Hepatitis B is an infectious disease, which is not hereditary, but mainly contagious. Generally speaking, the vertical transmission of hepatitis B is mainly mother-to-child transmission, that is, the mother is transmitted to the child, and the probability of father-infant transmission is very small, so the father has hepatitis B, and as long as the mother is healthy, it is unlikely to be transmitted to the child.
Thank you for your invitation. I'm Shen Huan, a reproductive doctor. I'm glad to answer this question for you.
Father has hepatitis B, generally speaking, after the child is born. It is not easy to carry hepatitis B virus. Hepatitis B is mainly transmitted vertically from mother to child, but also through blood and sexual transmission. If the father has hepatitis B, after the child is born, it is necessary to inject hepatitis B vaccine and hepatitis B immunoglobulin in a systematic and standardized way. After this treatment, the child will not be infected with hepatitis B virus.
Hepatitis B is an infectious disease, not a genetic disease. According to the route of transmission of hepatitis B (blood, sex, mother and baby), hepatitis B will not be transmitted directly through parents. But there are many hepatitis B families in clinic (both father and son are hepatitis B). So what? Because the immune system is related to heredity, in the past, children were not injected with hepatitis B vaccine (or not vaccinated), and children were easily infected with hepatitis B (the source of infection was not necessarily their father), and the process of occurrence and development of hepatitis B was often the same as that of their parents.
Not necessarily. I know a few. During the premarital examination, the man was found to have hepatitis B, but they got married. The woman got married and got the hepatitis B vaccine. Now she has two children. After the child was born, he was also vaccinated against hepatitis B. Now the older children go to high school and the younger to primary school. After so many years, not only the mother of the child was not infected, but also the two children were not inherited, and now they are all safe and sound. Therefore, if the mother is healthy and the father has hepatitis B, as long as it is well protected, it may not be contagious or hereditary.
Don't worry too much about this problem, because this is a viral infectious disease, not a genetic disease. As long as you can see a doctor in time, you can recover.
The liver has the function of detoxification and has certain compensatory function. Choosing effective antiviral drugs is beneficial to recovery.
There is no need to think too much, especially about diseases. If you think too much, you will have pressure. You should believe in the reliability of drug treatment. Many people have caused chronic persistent diseases because of carelessness, so we should pay attention to our health and treat them thoroughly at one time. Thank you for your reference.
First of all, hepatitis B is not a genetic disease, but a vertically transmitted infectious disease. Secondly, hepatitis B is mainly transmitted from mother to fetus. It is generally believed that fathers rarely infect fetuses. Besides, hepatitis B can be prevented. To put it simply, pregnant women with hepatitis B are injected with high titer immunoglobulin in the third month of pregnancy and injected with hepatitis B vaccine within 24 hours after birth. I wonder if you are satisfied with the answer!