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How to do next if hepatitis B with five items 245 positive?

How to do next if hepatitis B with five items 245 positive? If you have ever been infected with hepatitis B, even in the recovery period, the second antibody is positive. Over time, changes in the body’s immunity, such as anti-tumor and hormone applications, will also cause the virus to reignite.

This kind of problem is often encountered in clinical practice.

What does hepatitis B five items 245 positive or 25 positive mean and what should I do?

Patients often ask me these questions, and I think it is necessary to give you some popular science in this area.

The second item of the five items of hepatitis B is the hepatitis B surface antibody, which is a protective antibody. We usually say vaccinations in order to have this antibody, this antibody positive will have a protective effect on our body.

But some people will say, I have not been vaccinated, how can I be 245 positive?

It turns out that due to the relatively sound immune function of adults, once they are exposed to the hepatitis B virus, they will recognize the virus and eliminate the virus from the body, and this protective antibody will also be produced. Many people show this 245 positive. As time goes by, the fourth item will slowly disappear, which is 25 positive. This is what we call the hepatitis B rehabilitation period.

In addition, there is also a situation, that is, he has been injected with hepatitis B vaccine, and then there are protective antibodies. At this time, contact with the virus will also clear the virus from the body, and at the same time, a 245 positive situation will occur.

Of course, in clinical work, the situation is far more complicated than these, and some patients will be 245 positive due to the mutation of the hepatitis B virus surface antigen. The feature at this time is that if you check high-sensitivity HBV DNA, a small amount of virus replication will be detected.

So how to judge the hepatitis B recovery period or the hepatitis B virus mutation?

That is what we said to check high-sensitivity HBVDNA. If there is no problem, we can review it regularly.

It should be added that if you have ever been infected with hepatitis B, even during the recovery period, the second antibody is positive. Over time, changes in the body’s immunity, such as anti-tumor and hormone applications, will also cause the virus to reignite of. Therefore, even if you recover, do not take it lightly, but pay attention to regular review.