The difference between big triple positive and small triple positive

When it comes to hepatitis B, I believe many people will think of viruses related to hepatitis B. The country has long required that every newborn baby be vaccinated against hepatitis B, because the chance of being cured after contracting hepatitis B is very low. Hepatitis B is medically divided into small triple positive and big triple positive. These two types of diseases are different. So how do we distinguish between small triple positive and big triple positive in life?

1. Differences in illness

1.1. Hepatitis B virus (HBV) positive: Hepatitis B virus (HBV) positive means that in the hepatitis B two-pair-half test, the surface antigen, e antigen and core antibody are positive, indicating that the patient has a large number of viruses in his body, actively replicates, and is highly contagious. At the same time, the possibility of developing chronic hepatitis B is relatively high.

1.2. Hepatitis B virus (HBV) positive: Hepatitis B virus (HBV) positive refers to positive surface antigen, e antibody and core antibody in the hepatitis B two-pair-half test. Usually, the small three positives are transformed from the big three positives, which means that the human body has developed a certain degree of immunity against the e antigen, indicating that the patient has a small amount of virus in the body and is weakly contagious. However, if it persists for a long time, it is prone to cancer.

2. Differences in infectiousness

2.1. Big triple positive: Big triple positive indicates that the hepatitis B virus is actively replicating in the human body. The blood, saliva, semen, milk, and cervical secretions of these patients can be contagious. If the patient also has elevated transaminase, the first thing to do is to isolate him/her. The patient's daily utensils at home should be used separately from those of family members and disinfected regularly. The difference between big triple positive and small triple positive

2.2. Small triple positive: Small triple positive indicates that the replication of hepatitis B virus is reduced, the virus content in the blood circulation is relatively low, and the infectiousness is relatively low. However, it is also necessary to pay attention to rechecking liver function. When the condition of small triple positive is unstable, the infectiousness may also become higher.

3. Differences in severity

3.1. Big three Yang: Big three Yang is also likely to develop into chronic hepatitis B. However, because it is highly contagious, patients will take it seriously and generally receive active treatment, so the chance of developing into cirrhosis or liver cancer is relatively low.

3.2. Small triple positive: In most cases, the virus does not replicate and is not contagious. However, there is a most serious type of disease progression among the hepatitis B virus (HBV), which accounts for about 10% of the total number of patients with HBV. It is characterized by active viral replication and strong infectiousness, and is caused by the mutation of the hepatitis B virus. This situation is more likely to develop into cirrhosis and liver cancer.