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Ye Xi Yong
Infectious Diseases
About me
Secretary of the Infection Management Professional Committee of the Hospital of Traditional Chinese Medicine and Integrated Chinese and Western Medicine Association of Hunan Province, member of the Youth Committee of the Microecology Professional Committee of the Hunan Provincial Preventive Medicine Association. Has studied at the Infection Control Center of Xiangya Hospital.
Proficient in diseases
Proficient in the diagnosis and treatment of common infections in the respiratory and urinary systems, as well as surgical site infections. Also skilled in treating common infectious diseases such as viral hepatitis and rabies.
Voices
What is the prognosis of viral hepatitis?
China is a country with a high incidence of liver disease, especially hepatitis B. Viral hepatitis is categorized into five types: A, B, C, D, and E. Hepatitis A and E are acute diseases, somewhat similar to the common cold in nature. Many patients with hepatitis A or E recover without seeking hospital treatment. However, hepatitis B and C often progress to chronic hepatitis and require timely and standardized intervention and treatment. If treated promptly and properly, patients can recover just like healthy individuals.
How to prevent viral hepatitis
For Hepatitis A and E, the main mode of transmission is fecal-oral, thus the key to prevention is to prevent fecal-oral transmission by enhancing protection of water sources and food, such as personal hygiene and improved management of feces. Hepatitis B, C, and D are mainly transmitted through blood and bodily fluids. Therefore, to prevent these types of hepatitis, it is necessary to avoid unsafe sexual practices with infected individuals, avoid contact with their blood, and for mothers with hepatitis B, antiviral treatment is necessary to prevent transmission to newborns.
What are the symptoms of viral hepatitis?
The clinical manifestations of viral hepatitis primarily include impaired liver function, characterized by fatigue, nausea, loss of appetite, vomiting, fever, abdominal pain, etc. Some patients with viral hepatitis may also exhibit jaundice of the skin and sclera, dark urine, and itchy skin. Additionally, a majority of patients may only experience a decrease in energy without other symptoms.
What are the hazards of viral hepatitis?
Viral hepatitis can be categorized based on its cause into hepatitis A, B, C, E, and D. For hepatitis A and E, it is generally acute and usually has a good prognosis without severe consequences. However, hepatitis B and C often lead to chronic hepatitis, progressing into chronic viral hepatitis, then to cirrhosis and even liver cancer, which can affect quality of life and lifespan.
How is AIDS transmitted?
The HIV virus primarily exists in the blood, semen, vaginal secretions, ascitic fluid, and bodily fluids of infected persons. There are three main transmission pathways: sexual contact, blood products, and mother-to-child transmission, which include homosexual, heterosexual, and bisexual contact; sharing needles for intravenous drug use, invasive medical procedures, tattooing, as well as transmission from an HIV-positive mother through placental delivery and breastfeeding. Normal activities such as handshaking, hugging, polite kissing, sharing meals, and living together do not transmit the HIV virus.
How to prevent viral hepatitis
Viral hepatitis is a class of diseases that specifically includes five types: hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. Each type has a different mode of transmission, hence the prevention methods vary for each. Specifically, hepatitis A and E are transmitted via the fecal-oral route, meaning the disease is mainly spread through consuming water and cold foods contaminated with the viruses, and foods that have not been fully cooked, leading to infection. Hepatitis B and C, on the other hand, are mainly transmitted through blood and sexual contact. Prevention of hepatitis B and C involves avoiding contact with blood products from infected individuals and unsafe sexual practices.
How to test for viral hepatitis?
Viral hepatitis is primarily caused by hepatitis A, B, C, D, and E viruses. However, its diagnosis is mainly confirmed through blood tests by examining serological results. It is generally difficult to differentiate clinically because conditions like hepatitis A and E have very similar clinical manifestations. Similarly, hepatitis B and C can show similar symptoms during certain stages of the disease. Therefore, the examination of viral hepatitis primarily involves blood tests for serological studies of the hepatitis virus.
What are the manifestations of viral hepatitis?
Firstly, viral hepatitis is a category of diseases, mainly consisting of five types: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Hepatitis A and E are primarily acute hepatitis, while Hepatitis B, C, and D, especially Hepatitis B and C, are mainly chronic processes. If there is an acute outbreak, viral hepatitis generally shares some common characteristics such as jaundice, nausea, aversion to oil, fatigue, and some even exhibit fever. To confirm which type of viral hepatitis it is, one can undergo a blood test to screen for a comprehensive hepatitis virus panel.
How is chronic viral hepatitis treated?
Chronic viral hepatitis is most commonly found in chronic hepatitis B and C, both of which have long disease courses and complex treatments, and some cases may even lead to lifelong infection. The key to their treatment actually lies in the timely initiation of standardized antiviral therapy. For hepatitis B, the antiviral treatment mainly includes interferon and nucleoside analogues, while the antiviral treatment for hepatitis C can also use interferon, as well as direct-acting antiviral drugs. The treatment for both diseases involves timely, standardized, and complete courses of antiviral therapy.
Will "small three yang" lead to liver cancer?
Hepatitis B "minor three positives" refers to positivity in the first, fourth, and fifth items of the complete hepatitis B panel. It is common among patients with acute and chronic hepatitis B. There is no necessary correlation between "minor three positives" and cancer. While some patients with "minor three positives" may develop liver cancer, not all liver cancer patients necessarily progress from this condition, indicating no inevitable link between the two.