臺灣地區由於都市化的結果,整體環境衛生提昇使得A型肝炎的發生大幅減少,且依血清流行病學之研究顯示,大部分的年輕人體內並無A型肝炎抗體,一旦爆發流行,對國人的健康威脅不可忽視。 有鑒於此,「保肝大使」將深入校園、夜市…等人羣聚集處,進行A型肝炎宣導活動,期望透過直接面對面的方式,促使民眾認識A型肝炎,進而做好相關防護措施。 對於B型肝炎而言,幹擾素治療通常是用於肝功能不正常(GOT、GPT上升兩倍以上)、e抗原陽性,沒有肝硬化的病人。 用幹擾素來治療慢性B型肝炎可使病毒的活性降低以及抑制肝臟的發炎。 如果有效的話,臨牀上可見到e抗原消失,e抗體出現,肝功能變成正常,同時在病理上肝發炎的情況也較緩解。
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” width=”602px” alt=”abc型肝炎”/>
答:核心抗原是 B 型肝炎病毒所製造的一種蛋白,存在於病毒的核心中,因此叫做核心抗原。 核心抗原在血液中無法檢驗,核心抗體則可以檢驗。 答:我們的身體,為了保護自己的安全和健康,對不屬於自己身體的物質或成份 —「外來的異物」,進入自己體內 時,會有排斥這些外來異物的動作。
abc型肝炎: 肝炎到底有幾種?一次清楚報你知~
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HCV 之所以有高度變異性,與細胞毒性T細胞和輔助T細胞有關,在不斷突變與發展下,導致感染後易轉為慢性化,進而反覆感染肝細胞或嚴重損害肝細胞。 C型肝炎 ,簡稱C肝,是由病毒 所引起的病毒性感染,潛伏期通常為6-9週,約有70%-80%的感染者會演變成為慢性肝炎,更可能進一步演變成肝硬化或肝癌。 特別的是,B肝主要不是經由唾液及飲食傳染,而是經由血液或透過傷口感染,所以刻意使用免洗餐盤或與患者碗筷分開,都不是有效的預防方法。 另外一種為水平感染,是指帶有病毒的血液或體液,進入有傷口的皮膚,或經由黏膜進入人體而傳染(特別是血液中),如性交、輸血、打針、針灸、刺青、穿耳洞、共用牙刷或刮鬍刀、血液透析,這些都可能是B肝的感染途徑。 病毒型肝炎已在全世界造成超過五億人死亡,且每年的死亡人數更超過一百萬人,特別是B型與C型為數億人引發慢性肝病的主因,也是造成肝硬化與肝癌的常見原因。 慢性肝炎指的是肝臟組織發炎或壞死的情況超過六個月。
abc型肝炎: 肝炎のA型、B型、C型って何が違うの?~なぜC型肝炎は怖いのか
中醫師陳玫妃表示,肝炎指的是肝臟出現發炎病變,常見病毒性肝炎以A、B、C三種類型為主,傳統中醫辨證常見濕熱、脾虛肝熱、肝腎虛損、氣滯血瘀等四大類型。 陳玫妃醫師指出,中醫認為,肝炎和肝脾兩臟相關,如果進展至肝硬化,就變成肝積、脾積,通常肝炎早期會出現食慾減退、消化不好、腹脹、臉色黑,甚至出現肝區隱痛、黃疸等症狀。 辨證後常分為濕熱、脾虛肝熱、肝腎虛損、氣滯血瘀。 肝炎患者特別需要注重保健措施,以便避免影響病情,建議平常要多休息、不熬夜、遠離酒精、禁止濫服藥物,以減輕肝臟負擔。
兒童或成人皆建議施打2 劑, 每劑間隔6-12個月。 1-18歲兒童及青少年,使用Havrix 720(0.5ml);19歲以上成人,使用Havrix1440(1ml)。 此外,病毒性肝炎還有C型肝炎、D型肝炎、E型肝炎和G型肝炎。
abc型肝炎: ABC型肝炎 傳染途徑不同
HCV 為血液傳染型肝炎,當C型肝炎抗體呈現陽性時,表示已感染C型肝炎或具有傳染性,恐將C型肝炎病毒散佈出去感染他人,常見的感染路徑為-輸血,感染C型肝炎將增加慢性肝炎、肝硬化及增加肝癌之風險性。 自身無B型肝炎帶原者,且也無表面抗體(Anti-HBs)及核心抗體者(Anti-HBc)者,應主動接受B肝疫苗注射,讓自身產生保護抵抗力,避免被B型肝炎病毒傳染。 黃疸:肝臟一旦受損,膽紅素就無法順利處理排入膽汁,並會積存於血液中產生黃疸症狀,讓皮膚或眼白處呈現濁黃感。
- 通過推進種疫苗的方法在北歐、西歐、美國、加拿大、墨西哥和南美洲南部乙型肝炎的分佈得以下降到所有慢性病毒病的0.1%以下。
- 例如注射B型肝炎疫苗或曾感染過B型肝炎而復原且目前沒有B型肝炎者(即表面抗原陰性)。
- 答:是不是會感染到 B 型肝炎,主要與感染途徑有關,而與身體抵抗力的強弱並無直接關係,但身體抵抗力較差者比抵抗力較強者不易產生抗體,因此有較容易變成帶原者的可能性。
- 乳酸去氫酶LDH,不但存在於肝內,體內其他器官,包括腎、心肌、骨骼肌、胰臟、脾臟、肺臟等,亦均有分佈。
- 如果是表面抗原陽性者,可能是B型肝炎感染者,應接受定期追蹤檢查;如果表面抗原呈現陰性,建議再加測B型肝炎病毒表面抗體。
其實,健康帶原者或情況輕微的肝炎病人並不需要特別的保養,只要保持均衡飲食及正常作息就可以了,只有肝炎發作或情況較嚴重的病人需要特別的保養。 海鮮、水產類食物一定要充分煮熟才能喫,因為有許多水產(例如:生蠔、牡蠣、蛤蠣)容易受到A型肝炎病毒污染。 此外,化糞池的設置應該遠離水源以避免地下水的污染。
abc型肝炎: 帶原者可不可以與異性接吻和有性行為?
您的帳號及密碼由您自行保管,您必須確保帳號及密碼的機密性及安全性,本網站將不承擔您未確保帳號及密碼之機密性及安全性而產生的風險或損失。 abc型肝炎 黃疸前期:類似流行性感冒的症狀,頭疼不適、倦怠、厭食、懶散、發燒、噁心、嘔吐、腹脹。 黃疸期:鞏膜發黃、黃疸、肝脾腫大、茶色尿。 網紅CEO森田耕耘演藝事業之餘,另攜手「丫頭」詹子晴開設快電商「CHECK2CHECK」,今年工作迎來大豐收,當時成立記者會上,他曾喊話1年設定3億目標,僅花1季就迅速達成,今年粗估創下10億營業額。
二對半(兩對半)包括5項內容:乙肝表面抗原、乙肝表面抗體、乙肝e抗原、乙肝e抗體、乙肝核心抗體。 則出現於急性乙型肝炎末期或者病人剛剛康復的時候。 在慢性乙型肝炎時能夠化驗出這些抗體說明病況有好轉,而且感染力下降。 成人(這裏指≥6週歲)感染乙型肝炎病毒後,90%以上的病例將自動清除病毒康復,僅約5%至10%的人發展爲慢性或成爲帶原者。 在低 (非) 複製期,部分患者又可再活動,出現乙肝e抗原陽轉;或發生前C或C區啓動子變異,HBV再度活動,但e抗原陰性.兩者均表現爲活動性慢性乙型肝炎。 目前雖有B型肝炎疫苗,部份研究團隊正在研究口服劑型的疫苗。
abc型肝炎: 今村 顕史(がん・感染症センター 都立駒込病院 感染症科 部長)
可是幹擾素並沒有辦法完全將B型肝炎病毒徹底清除掉,所以,儘管e抗體出現了,表面抗原仍然是存在的,病人仍然是帶原者。 幹擾素的作用,乃是使B型肝炎病毒由高活性變成低活性,肝發炎嚴重變成輕微,這樣轉變的好處是,可以使日後發生肝硬化甚至肝癌的機會降低。 是一種較常見的情形,感染者可能完全沒有病徵。 目前沒有藥物完全根治,但有藥物可以幫助患者的身體對抗和清除乙型肝炎病毒以控制病情,只有少數可以忽然痊癒。 治療後有可能使病毒基因的含量少於可偵測的水平,即為健康且傳染性低的帶原者。
答:E 型肝炎抗體據研究結果是具有保護作用,因此只要血液中有 abc型肝炎 E 型肝炎抗體就不怕再被 E 型肝炎病毒所感染。 答:目前雖然有檢驗E型肝炎的試劑,但其正確性尚未被肯定,還在繼續測試及發展中。 檢驗的方法也是檢驗血液中的 E 型肝炎病毒的抗體。 答:可能是為了確定懷孕後期時,B 型肝炎感染情況是否與懷孕初期有所不同。
abc型肝炎: 肝炎ABC
D型肝炎:容易發生在已感染B 型肝炎,再經由水平感染的人,尤其是涉足色情場所者,因此,預防的方式與B型肝炎相同,並要避免涉足風化場所;主要的症狀與B型肝炎相似,但更易造成猛爆性肝炎或肝硬化。 Bowtie 醫療資訊團隊由持牌的醫生、中醫師、營養師、物理治療師等組成,致力為香港人提供專業的健康資訊。 由疾病症狀、治療方案、預防檢查,到健康生活和養生貼士,解答你種種健康疑問。
LDH分有五組,就是LDH-1、LDH-2、LDH-3、LDH-4、LDH-5。 乳酸去氫酶LDH,不但存在於肝內,體內其他器官,包括腎、心肌、骨骼肌、胰臟、脾臟、肺臟等,亦均有分佈。 • 表格內費用為目前健保未給付的自費價格,各醫院略有不同。 未來價格可能隨時會有變動,表列為目前大約價格,僅供參考。
abc型肝炎: 帶原者是不是都會傳染給別人?
Hello 醫師期待成為您最值得信任的專業醫療訊息平臺,我們提供您完整豐富且正確之醫療新訊,協助您時刻在健康保健的道路做出最佳決定,擁有富足美好的健康人生。 ● 人類免疫缺乏病毒(HIV)感染者,於1977年1月1日以前出生未具A肝抗體者,或1977年1月1日以後出生滿12個月以上者。 這種病例叫做 abc型肝炎2025 “散發性 C 型肝炎” 其傳染途徑與 B 型肝炎的傳染途徑相同。 實際上,C 型肝炎病例,有一半是不知道怎麼樣感染來的。
abc型肝炎: C型肝炎會傳染嗎? 症狀與傳染途徑是什麼?
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若C肝表面抗體陰性、核酸試驗卻「陽性」,捐血人會接到「暫緩捐血6個月」的通知。 因此時無法確認核酸試驗是否為「偽陽性」,所以需要追蹤6個月(因檢驗C肝感染空窗期短於6個月),之後再次複驗,視結果來決定是否能繼續捐血。 不同的藥物以及病人對藥物的反應可以使得藥物性肝炎的發展非常不同。 比如三氟溴氯乙烷和異煙肼造成的肝炎可以非常緩和,但也可以致命。
常見的肝臟發炎有:病毒型肝炎、酒精性肝炎、自體免疫性肝炎、藥物性肝炎等。 其中又以病毒型肝炎所引起的危害最廣,也是本篇文章討論的重點。 肝臟是人體內最大的器官,有消化食物、儲存能量、去除毒素的功能,總是盡心盡力地為健康把關,就算生病發炎,也不易在第一時間反應出來,尤其是慢性肝炎的情況。
不過若有膽道、胰臟、部分血液或先天性的慢性疾病,也可能造成黃疸或尿液顏色變深。 不過,如果連續大量食用紅蘿蔔、木瓜等含有胡蘿蔔色素的食物,也會暫時造成色素沉澱的現象,使得膚色轉黃(但眼白不會變黃)。 根據衛福部桃園醫院表示,當因飲食不當、經常性熬夜或過度工作等原因而引起的肝臟發炎,進而造成肝細胞的破壞,都稱之為「肝炎」。 人體的免疫系統會在外來物質或病毒侵入時,自主發動如淋巴球等炎性細胞至組織內,並釋放出免疫物質來對抗侵入病毒物,而造成所謂的「炎性反應」或「發炎」。
2017年,香港約有8%帶有乙型肝炎病毒,即約六十萬人。 香港常見傳播途徑為母嬰感染,其餘途徑包括血液傳播及性接觸。 香港自1988年引入乙肝疫苗,免費為初生嬰注射,乙肝帶原者數目呈下降趨勢。 表面抗體陽性者,表示對B型肝炎病毒的感染已有免疫力. 表面抗體陽性可因打B型肝炎疫苗,或者是過去曾感染過B型肝炎但現在已痊癒而產生。 Ribavirin的副作用主要是會產生溶血性貧血。
治療過程中,醫師會定期檢查血紅素,若血紅素下降至相當程度要減低使用劑量甚至停藥。 除此之外,也可能會造成畸型胎,所以在治療當中及停藥後六個月至一年內都需要避孕。 A型肝炎是經由糞口感染的急性傳染病,當喫到遭A型肝炎病毒污染的食物和水就有可能受到感染,好發於衛生條件不佳的地區。 比較嚴重的肝病患者或是肝炎急性發作的人有時可能會有下列的症狀出現。
1997年二月才通過在美國使用,目前已有數十萬人使用過此疫苗,效果及安全性目前都很好。 實際操作上,捐血中心會將8個捐血人的檢體混合成一管,一次篩檢3種病毒(即B肝、C肝、愛滋病毒),所以此項目稱多項病毒核酸篩檢試驗(multiplex abc型肝炎 NAT)。 若這管血檢驗結果呈現陽性,再將8個檢體分開進行「個別」核酸篩檢試驗,找出哪一支檢體、哪一種病毒呈陽性。 診斷方法含參考病史、監察生理、驗血、透視,偶爾肝臟生檢。 第一步診斷的手段一般是透視,比如使用超聲波、X射線斷層成像或核磁共振造影。