If you had Hepatitis-B 4 years ago and you are now HBs-Ag positive that means that you couldn’t overcome the acute hepatitis-B infection. There are three possible ways a B-hepatitis virus (HBV) can manifest:
1. 90% of people infected with Hepatitis-B successfully overcome the infection and become immune to infection for life. The immune system cleans the virus completely.
2. 2% of people infected with a B-hepatitis virus (HBV) become carriers of the infection. These people can la ive normal life because the virus does not damage the liver and the immune system doesn’t fight the virus. But carriers can transmit the infection to other people by unprotected sexual contact, from mother to fetus, using the same needle for intra venous injecting drug etc.
3. 8% of people infected with Hep-B develop chronic Hepatitis-B. These people experience slower or faster (progressive) liver damage that finally ends with cirrhosis or liver cancer. The virus does not damage the liver directly but the infected liver cells are destroyed by the immune system that fights the virus. The immune system can’t clean the virus completely and continues to destroy more and more infected liver cells.
In your case, it must first be determined if you are a carrier or if you have chronic Hepatitis-B. Carriers don’t need therapy. People diagnosed with chronic Hepatitis-B are treated with ribavarin and alpha-interpherone. You can consult an infectologist about this condition, ask for the necessary diagnostic tests, and get further advice.
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