Hepatitis B, Big Three Yang, is a kind of hepatitis B. Usually, the virus replicates actively and is highly contagious. There are relevant documents in our country, which stipulate that patients with hepatitis B and big three positive diseases can apply for a health certificate if their liver function is normal, and they can participate in work and study normally. However, if the liver function is abnormal, it is considered that Da Sanyang has entered the active period of hepatitis and cannot apply for a health certificate.
It is necessary to carry out corresponding treatment in time, and then carry out corresponding procedures after the condition is stable. However, in special industries, such as food processing and preschool education. Even if the liver function of patients with hepatitis B is normal, they cannot apply for relevant health certificates. This kind of industry has very high requirements on the infectivity of hepatitis B, which is very contagious and not suitable for this kind of industry, so we should pay attention to avoid it.
Disease introduction:
In the new edition of "Guidelines for Prevention and Treatment of Hepatitis B in China", "Big Three Yang" should have two standardized medical names, namely, chronic HBV carriers and chronic hepatitis B with positive E antigen.
Chronic HBV carriers: most of them are HBsAg, HBeAg and HBV DNA positive during the immune tolerance period. 1 year for more than three consecutive follow-ups, serum ALT and AST were in the normal range, and there was no obvious abnormality in liver histology.
Chronic hepatitis B with positive E antigen: HBsAg and HBeAg in serum are positive, anti -HBe is negative, HBV DNA is positive, ALT rises continuously or repeatedly, or liver histology shows hepatitis.
To thoroughly understand what is E-antigen positive hepatitis B and E-antigen negative hepatitis B, it is necessary to understand the structure, replication, variation and natural history of hepatitis B virus, which is explained from many aspects as follows.
Refer to the above content: Baidu Encyclopedia-Hepatitis B Big Three Yang