Then, like this infectious disease, can hepatitis B patients have children? The answer is yes, but it is necessary to make a comprehensive plan, such as pre-pregnancy examination, pay attention to your health during pregnancy, and take preventive measures after pregnancy, so as to ensure the health of your child.
First of all, when you are a big three-yang patient and want to get pregnant, I suggest you check whether your body's liver function is damaged, whether it is normal, and your big three-yang situation. If the female's liver function is not damaged, there is no big problem with HBV DNA, and she can be pregnant under normal circumstances.
Pay attention to the following points when you are pregnant:
First, three months after giving birth, women should be injected with hepatitis B immunoglobulin and hepatitis B vaccine every month. Hepatitis B vaccine can be injected within 24 hours after the baby is born, and the dose should be doubled, so as to ensure that the child can effectively block the spread of hepatitis B in the mother's stomach.
Second, pregnant mothers can take telbivudine, which can minimize the content of hepatitis B virus, thus greatly reducing the infection rate of the baby in the abdomen.
Third, newborn babies should be artificially fed, although everyone knows that breast milk is the most nutritious and best food for babies. However, mother-to-child transmission is also one of the transmission routes of hepatitis B. For safety reasons, artificial feeding is more appropriate. Also, newborn babies should be vaccinated with hepatitis B vaccine, especially one month after birth and half a year after birth, which can improve the protection rate a lot.
Besides paying attention to these problems, pregnant women's own emotions are also a major influencing factor. Expectant mothers should maintain a positive and optimistic mental state and not be in a negative state for a long time, which will definitely affect the healthy development of children in the womb.
Instructor: Zhou Lijun, Deputy Chief Physician, Department of Infectious Diseases, General Hospital of Datong Coal Group. He is good at treating chronic liver disease, bacillary dysentery, typhoid fever, brucellosis and infectious diseases such as chickenpox, hand-foot-mouth disease, mumps, scarlet fever and measles in children.
You can pay attention to me and have answered many questions in this regard before. Hepatitis B is also commonly known as hepatitis B 1, 3,5 (HBsAg+) (HBeAg+) (HBCAB+) positive. Hepatitis B virus (HBV) is mainly infected by hepatitis B patients and virus carriers. The incubation period of hepatitis B is long (6~ 16 weeks), and the blood, saliva, semen, vaginal secretions and milk of patients are infectious, especially asymptomatic surface antigen carriers, which are not easy to be found and more harmful.
There are three main modes of transmission of hepatitis B virus:
1. The spread of blood and blood products. Blood transfusion, injection, surgery or dental surgery, acupuncture, etc. Can spread. Contaminated equipment in hospitals will also spread in hospitals.
2. Contact transmission. Using toothbrushes, mouthwash cups, razors, etc. for people infected with hepatitis B virus will lead to hepatitis B virus infection. Sexual behavior, especially gay men, can also spread hepatitis B virus. In addition, it can also be transmitted through saliva, but it is unlikely to be transmitted through urine, nasal fluid and liver fluid.
3. Vertical mother-to-child transmission. Including maternal intrauterine infection, perinatal infection and postpartum close contact infection, of which perinatal infection is the main one, and breastfeeding can also cause infant infection. The fetus with intrauterine infection has viremia, and the liver has virus replication, but it does not produce antibodies. Perinatal neonatal infection, due to immune tolerance, most of them may become asymptomatic surface antigen carriers. The probability that the mother of a carrier of surface antigen will transmit the virus to the fetus is about 5%.
Hepatitis B, hepatitis B and pregnant mothers should be injected with hepatitis B immunoglobulin (HBIG >: 100 unit) and hepatitis B vaccine (>; 10ug), and the other two hepatitis B vaccines were inoculated in the next month. If the pregnant mother has a high number of hepatitis B DNA viruses, the baby should replant hepatitis B immunoglobulin when he is six months old. In this way, the probability that the baby will not be infected by hepatitis B virus after birth can be increased to 95% to 98%.
Every answer is a work of conscience! Welcome to pay attention, like and comment and give encouragement! Thank you. Of course, the child can be born normally and the child will not be infected. I am also a relative of hepatitis B patients. I hope to tell you what I know and reduce the discrimination and misunderstanding of hepatitis B.
First, who do you usually talk about hepatitis B? I'm not a doctor, and I don't know the technical terms. The hepatitis B we usually talk about is mainly hepatitis B virus carriers, and the number of this group is very large. Such people don't need to take medicine. They are no different from ordinary people in life. Hepatitis B virus carriers are divided into big three-yang and small three-yang according to the results of two and a half tests, which are similar, but the virus of big three-yang is highly reproducible and contagious. At this point, some people think that the "three suns" are terrible and unnecessary. The main route of transmission of hepatitis B is blood. As long as you don't touch the blood of the wound, you don't have to worry about infection. Many couples have lived for decades without being infected, so when they hear that there is hepatitis B, they even dare not look at it. Now they have a lot of knowledge in this field, which is true.
If hepatitis B virus carriers have to be actively treated if their condition develops, they will not be infected after treatment, because the treatment is antiviral, so don't worry too much about infection.
Second, the precautions for pregnant women with hepatitis B are almost the same as those for other pregnant women. The difference is that they have to explain to the doctor that they have hepatitis B. If they are not in the same hospital as the pregnancy test, they need to explain to the doctor that the doctor has hepatitis B epidemic and hepatitis B immunoglobulin within 24 hours of the child's birth, so that the child can effectively block hepatitis B. In the future, hepatitis B vaccine must be given on time. I really don't trust. You can check it in half. Or 1 month, do you need to add hepatitis B immunoglobulin? How to do this is not clear, please ask the doctor. You don't need to do this under normal circumstances. And this is milk powder feeding.
Third, hepatitis B mothers need their husbands' care for hepatitis B virus carriers, especially in the third world. Although it is normal, it should not be too tired. Being a mother is hard. A husband must be considerate of his wife and help more.
Parents' Hall will answer for you: Hepatitis B can be transmitted from mother to child, but patients with hepatitis B can get pregnant.
It should be noted that hepatitis B is in the stage of virus activity, with abnormal liver function, fatigue, loss of appetite and abdominal distension. It should be checked. Pregnancy should be avoided at this time. In the active stage of hepatitis B virus, hard pregnancy will increase the burden on the body, and the liver will have to complete more work. Hepatitis is not easy to recover, but it can easily lead to the aggravation of hepatitis B and endanger the life of pregnant women. In addition, it is also unfavorable to the development and growth of the fetus.
Patients with active hepatitis B, hepatitis B and hepatitis B need regular and personalized treatment, and it is safer to get pregnant after half a year (preferably two years) after liver function returns to normal. In daily life, if you are in a state that is not suitable for pregnancy, you should take contraceptive measures. If B-ultrasound examination finds that hepatitis B has developed to the degree of cirrhosis, it is best not to get pregnant.
Pay attention to: 1 after pregnancy, and check regularly.
It is suggested that patients go to the hospital regularly to review liver function and other items to keep abreast of the development of the disease and prevent it from getting worse.
Step 2 improve your eating habits
Pay attention to balanced nutrition, light diet, eat more fresh fruits and vegetables, and stay away from spicy and positive food.
3. Pay attention to blocking infection
Mother-to-child transmission is one of the main routes of transmission of hepatitis B, so for the health of the baby, we must pay attention to blocking hepatitis B during pregnancy. We can inject immunoglobulin once a month in the seventh, eighth and ninth months of pregnancy, and then inject hepatitis B vaccine according to the plan of 0,/kloc-0, 6 after birth.
4, when the deterioration must be actively treated.
During the pregnancy of hepatitis B, once the condition is abnormal and deteriorated, you should go to the hospital for examination and treatment in time, so as not to miss the best treatment opportunity, which will not only seriously endanger the patient's own health, but also be unfavorable to the baby's development.
Can Big Sanyang have children?
Three-Yang Can patients need to evaluate the actual condition before deciding whether to have children. Generally speaking, it is not recommended to have children during the active period.
Hepatitis B virus exists in both husband and wife, and may cause infection during pregnancy, after pregnancy, during childbirth and after the baby is born. A mother with hepatitis B is likely to transmit the virus to her children. During the active period of hepatitis B virus, the pregnancy is hard, the physical burden increases, the liver needs to complete more work, and the liver function is not easy to recover. On the contrary, it is easy to lead to the aggravation of hepatitis B, endangering the life of pregnant women and adversely affecting the growth and development of the fetus. Therefore, patients with active hepatitis B should receive regular treatment first, and then get pregnant when the liver function returns to normal, the virus replication index turns negative or the replication ability decreases, which is beneficial to both mother and baby.
This content was reviewed by Zhang Hongwei, chief physician of STD/AIDS clinic of Beijing You 'an Hospital affiliated to Capital Medical University.
Click here to see the details of the doctor's answer.
The answer is yes, of course you can have children! Hepatitis B virus is a familiar virus, but we still don't know enough about it. Sometimes it is alarmist, as if every hepatitis B virus carrier is dangerous. Yes, hepatitis B virus spreads widely, including sexual transmission, mother-to-child transmission and body fluid transmission. However, hepatitis B can be prevented. Even if there are hepatitis B virus carriers around, even small sanyang and big sanyang, as long as preventive measures are taken, you can still avoid being infected! With the development of medical technology, this aspect will definitely get better and better! Even if it is a big, infectious disease, you can still have a healthy and lovely baby as long as you go to the hospital for examination and take preventive measures according to the doctor's advice!
I have many answers to this question on the website, please see the following links:
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Big sanyang can have children. In order to make the baby healthier, it should be treated before pregnancy until the liver function is normal, the virus amount turns negative or the virus amount is low. Check the liver function and gynecological examination regularly after pregnancy. If the amount of virus in the second trimester is high, antiviral treatment can be taken. You need kanzo sensei to choose medicine, don't choose it at will. Pay more attention to rest after pregnancy, prevent overwork, keep an optimistic attitude, eat properly, and ensure adequate nutrition for mother and fetus.