2024-03-17 19:38:55
March 18, 2024
Dr. Choi Wai-lok
Gastroenterology
“Doctor, the main route of hepatitis B infection is mother-to-child transmission, but my parents recently tested negative for hepatitis B antigen. Where did I get the infection?”
“Mr. Chen, in addition to mother-to-child infection, blood and body fluids can be transmitted. Other infection routes include syringes, tattoos, ear piercings, unsterilized medical instruments and sexual contact. In addition, razors, shavers, toothbrushes and nails Pliers, etc., can cause wounds during use and can become germ-carrying tools when they come into contact with blood. If other people also cause wounds when using them, the virus can be transmitted. Hepatitis B virus can survive outside the body for a week, even if there are no blood stains or blood stains visible to the naked eye. Body fluids and the use of unsterilized utensils for the above-mentioned high-risk behaviors have a chance of infection. If you are exposed to hepatitis B before the age of 5, the chance of becoming a chronic carrier is 95%; if you are exposed following adulthood, the chance of becoming a chronic carrier is less than 5%. That is It is said that adults may also be infected and become carriers.”
“Doctor, my wife is my first love. She has been vaccinated and has antibodies. I definitely don’t have the above risk factors. Where did I contract hepatitis B? Was it caused by eating at the same table?”
“Mr. Chen, eating at the same table will not spread hepatitis B. Although hepatitis B virus also exists in saliva, the number of hepatitis viruses in saliva is 10,000 times less than that in blood. Therefore, medical science believes that sharing food and tableware is not harmful. Hepatitis B can be transmitted. In fact, many people are in the same situation as you and do not know where they were infected with hepatitis B. Many times, when patients know that they have hepatitis B, they will arrange for their parents to do a test. This may This is the first time in your parents’ lives that you have been tested for hepatitis. Some hepatitis B carriers have become inactive following a period of time, and the hepatitis B surface antigen in their blood has even become negative. That is to say, even if your parents are now negative for hepatitis B antigen, they may have been carriers of the hepatitis B virus. There is hepatitis B. That explains why there appear to be no risk factors and there are no apparent hepatitis B carriers in the home, but some people can still be infected with hepatitis B.”
The author is a specialist in gastroenterology and hepatology
[信健康] Discuss the myths regarding hepatitis B and pay attention to specialist information![Morehealthinformation:health.hkej.com】
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