To judge whether hepatitis B is severe or not, these indicators are very critical!

In the face of hepatitis B, many people often think that it is enough to pay attention to viral DNA and surface antigen, but the fact is not so simple. To comprehensively and accurately judge the severity of hepatitis B, the following indicators are also important.

1、 Liver function test

First of all, liver function examination is indispensable. It includes indicators such as glutamic pyruvic transaminase and glutamic oxaloacetic transaminase, which can directly reflect the degree of liver cell damage. If these indicators are significantly elevated, it often indicates that there is inflammatory activity in the liver, and the condition may be more serious. Even though the viral DNA and surface antigen values seem to be "normal", abnormal liver function cannot be ignored.

2、 Ultrasonography of liver

Secondly, ultrasound examination of liver is of great significance. It can clearly observe the shape, size and texture of the liver, as well as whether there is cirrhosis and ascites. Sometimes, even if the virus is at a relatively low level, the liver may have had substantial lesions unknowingly, and ultrasound can detect these potential problems in time.

3、 Coagulation function

Coagulation function can not be ignored. Prothrombin time and other coagulation indicators can reflect the ability of liver to synthesize coagulation factors. When the liver is severely damaged, the coagulation function will be abnormal, which may lead to increased bleeding tendency, further indicating the severity of the disease.

4、 Alpha fetoprotein

In addition, the detection of alpha fetoprotein is also critical. This indicator has an important role in early detection of liver cancer. If the alpha fetoprotein in patients with hepatitis B continues to rise or is significantly abnormal, they need to be highly alert to the occurrence of liver cancer.

In a word, judging the severity of hepatitis B can not only rely on viral DNA and surface antigen. We need to comprehensively consider liver function, liver ultrasound, blood coagulation function, alpha fetoprotein and other indicators. Only in this way can we have a comprehensive and accurate assessment of the condition, so as to develop a more reasonable and effective treatment plan.