What Does It Mean to Transition from Big Three Yang to Small Two Yang? How Should I Handle It?

Update Date: 2024-05-20 Source: Network

The transition of hepatitis B big three positives to small two positives is generally believed to be due to the inhibition of hepatitis B virus by human immunity or antiviral drugs, resulting in reduced virus replication, improved condition, and lower infectivity. However, strictly speaking, hepatitis B big three positives and small two positives do not necessarily indicate the severity of the condition, which requires a combination of liver function, ultrasound, and HBV-DNA tests for accurate diagnosis. If HBV-DNA test results indicate that the virus has mutated in hepatitis B patients, leading to the transition from big three positives to small two positives, prompt treatment is necessary to prevent further deterioration of the condition. If there is no virus mutation after the transition, and the patient's liver function and ultrasound results are normal, it indicates that the condition is improving.

How to deal with the transition of hepatitis B big three positives to small two positives? It can be said that the need for treatment of hepatitis B is determined based on liver function, ultrasound results, and the overall condition of the patient. Additionally, whether liver function remains normal for a prolonged period is the most significant difference between hepatitis B carriers and patients. Therefore, the need for treatment of small two positives depends on the presence and extent of replication of surface antigen virus and the strength of infectivity detected in hepatitis B tests. Currently, there is no specific curative treatment for hepatitis B. It is recommended that patients undergo liver function tests, and if the results are normal, they should not worry as it indicates improvement, but continue with their treatment.