For patients with hepatitis B, it has always been recommended that everyone should try to improve their re-examination to avoid missing some important questions.
And many patients only have liver function tests at the time of re-examination, what are the risks?
Viral changes are not clear.
Hepatitis B is a disease caused by hepatitis virus infection, and viral load is an important indicator of the condition and is associated with the risk of many subsequent problems**. Especially in hepatitis B patients who are receiving antiviral**, changes in viral load not only reflect the effectiveness of medications, but also can detect drug resistance in time.
Ignore hidden progression.
Although liver function can be used to monitor liver damage, a large number of studies have proven that in the case of normal liver function, the occurrence of inflammatory necrosis and fibrosis progression can still be found through liver biopsy, and even some patients have reached early cirrhosis.
Missing liver cancer. The biggest danger of hepatitis B is to induce liver cancer, and before the cancer cells become climate, it usually does not significantly affect the liver function, so everyone often has the illusion that "liver cancer is found to be advanced", and if it can be detected in early screening, it can greatly improve the chance of survival and **.
These tests are important.
hbv dna
Measure the serum viral load of hepatitis B patients to understand the degree of viral activity of patients, and the level of viral load is also related to the risk of infectivity and liver cancer.
Transient elasticity of the liver.
It is currently the preferred non-invasive detection method for liver fibrosis, which can detect the progression of liver fibrosis in hepatitis B patients early.
Color ultrasound. Color ultrasound can show the shape, size, and blood flow of the liver through sound images, which is very important in identifying liver cancer, liver cirrhosis, liver ascites and other problems.
Alpha-fetoprotein. Alpha-fetoprotein is a marker of primary liver cancer, and its abnormal level is highly suggestive of liver cancer risk, and can even be detected earlier than imaging examination.