my feedback

[flyinsky]

hi everybody
here is my feedback from i know that i have heb till now
my biliburine prothrombine all in normal range


  05/06/2011(pregnant)
alt                   12
ast                   09
hbsag              2700ui
adnhbv            2500ui
hbeag and ab not done            
fibroscan          0.16kps
ultra sound       normal

     //11/2011(pregnant)
alt                   09
ast                  04
hbsag            3000ui
adnhbv          <20ui
ultrasound     normal
fibroscan        0.24kp
hbe not done

     03/2012'  (after delivery baby in january 2012)
alt                 16
ast                 12
adn undetectable  <12ui
ultrasound        normal
hbeag        ----
hbeab        ++99%inhibition
hbsag             3500ui
pre c mutant

    12/2012
nearly same results with march2012

     7/2013   (pregnant)
alat        26
asat       19
hbv adn    2600ui
hbsag       3700ui
ultrasound    normal
fibroscan      2.5kp
hbe ag -
hbeab+

january(feeling pains in arms and every where lUck of vit d  17ui
4/03/2014)
alat      166ul
asat       87
adn        44million

24/4/2014
alat   123
asat    65

7/4/2014
alat  111
asat 60

  22/4/2014
alat     169
asat    97

  10/05/2014
alat209
asat 102
adn   54 million

29/5/2014
fibroscan 6.1
  
7/06/2014
alat   156
asat    83

21/6/2014
alat     80
asat     49
fibroscan   7.4

05/07/2014
asat    49
alat     80

26/07/2014
asat    50
alat     78
adn     119 million
fibroscan  4.2

29/10/2014
asat   48
alat    70  waiting for check for 18/11(maybe fibroscan or biopsy)
viral load  80million
thans i  advance  about your opinions





    

  

[stef2011]

i think what happened is very clear, during pregnancy there is immune suppression by a rise of our own produced nagalase (it has same effect as that produced by hbv or cancer cells but it is a little difference chemically), we produce nagalase only for preganancy to avoid rejection of fetus by our own immune system

so i think hbv rose because of that but slowly by time everything will get back close to baseline because once we stop making nagalase after delivery the balance of immune system/virus should get back close to baseline, unless there are virus mutation immune escape changes

i would monitor hbsag quant, hbvdna and fibroscan to see if everything keeps going in the right direction

i d make vit d3 optimum levels (vitd25oh and intact pth), i d start a diet to make liver repair easier and when hbsag and hbvdna stop the decline i d think about peg or nucs or sequentil first nucs and then peg add on years later

[flyinsky]

Any comment?especially now I don't know in such phase I am?

[StephenCastlecrag]

Your ALT has normalized, but your hbvdna is still a bit high. To get a better picture, you must test your HBeAg. Very likely, you are at the end of Immune Clearance and beginning of inactive phase.  This is just a guess.

[flyinsky]

M'y hbeag is negative.i was already in inactive phase.then activatin and now maybe again in inactive phase. could I get again in this phase without treatment?and the decrease in my DNA is it significant or not?ths

[StephenCastlecrag]

The decrease in your hbvdna is significant, but the issue is whether it will keep decreasing to below 2,000 iu/ml and stay below under immune control. With your liver in F0, I will observe for another 6 months. I am scratching my head here, sorry I cannot be more helpful.

[flyinsky]

Thanks lot

[flyinsky]

Hi members here are m'y new result
February.          november
Alat 69.                18
ASAT high.           12
Viral load. 17million ui.  Now 199000ui
M'y platelet come finally I normal range.
What do you think members and what should I expect from my doc in my next check?
All other tests are in normal range.
Is the decrease is significant?I don't take treatment only black seeds and hony wich I stopped it last month to see it effect.but I think I will take again.
Your comments please

[flyinsky]

So thanks god because I don't know what I do if she got infection!
My first son is delivered by cesarean whereas she is delivered normal so I think it is better for infected woman to get their babies by caesarian to avoid blood contact during delivery (just my point of view)
Also during delivery I don't have a high viral load so I ask what really happened?
Thank you for answering

[sorte]

Seems so,

What is the hepatitis B core antibody (HBcAb)?

The HBcAb is an antibody that is part of the virus- it does not provide protection. A "positive" or "reactive" HBcAb (or anti-HBc) test result indicates a past or present infection, but it could also be a false positive. The interpretation of this test result depends on the results of the other two tests. Its appearance with the protective surface antibody (positive HBsAb or anti-HBs) indicates prior infection and recovery. For chronically infected persons, it will usually appear with the virus (positive HBsAg).

[flyinsky]

Yes I think like that but I gave her at birth the immunoglobulin against hbv with the 3injection of vaccin.does it mean it didn't work?