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消除“艾梅乙”母婴传播之“乙肝”篇

2024-06-02 15:34:56
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「导读」乙肝作为一种常见的病毒性肝炎，母婴传播是其重要的传播途径之一。这种垂直传播不仅危害着母亲的健康，更对新生儿的生命和未来构成潜在威胁。预防、消除乙肝母婴传播成为我们亟待解决的重要问题。

乙肝作为一种常见的病毒性肝炎，母婴传播是其重要的传播途径之一。这种垂直传播不仅危害着母亲的健康，更对新生儿的生命和未来构成潜在威胁。预防、消除乙肝母婴传播成为我们亟待解决的重要问题。

一、什么是乙肝？

乙肝是由乙型肝炎病毒（HBV）感染所致的病毒性肝炎。乙肝病毒感染可引发急性、慢性肝炎，根据病情进展，可导致肝脏不同程度炎症坏死或肝纤维化，少数患者可转化为肝硬化或肝癌。

二、乙肝的传播途径

血液传播、母婴传播、性传播等。

母婴传播是我国慢性乙型肝炎传播的主要原因，因此，预防HBV母婴传播是控制慢性乙肝的关键。

三、孕妇感染乙肝有哪些危害？

感染乙肝对母体的影响包括可能加重早孕反应、增加子痫前期发病率、容易发生产后出血、继发重型肝炎增加孕产妇死亡率等。对围产儿的影响包括增加流产、早产、死胎、新生儿死亡的发生率及继发肝硬化或原发性肝癌等。

四、如何预防乙肝母婴传播？

1.早检测、早发现

孕妇均应在首次产前检查时（最好在孕早期3个月内）进行乙肝两对半检测，尽早明确感染状况。乙肝病毒表面抗原阳性的孕妇，则需要进一步检测肝功能和HBV DNA了解感染严重程度。

2.早干预

HBeAg阳性、HBVDNA≥2×105IU/ml和慢性乙型肝炎孕妇需在专业医生指导下进行规范的抗病毒治疗。孕期推荐使用替诺福韦或替比夫定进行抗病毒治疗。

3.儿童的干预治疗

乙肝感染孕产妇所生儿童在出生后12小时内尽早接种乙肝免疫球蛋白100国际单位，同时注射首剂乙肝疫苗，并按照国家免疫程序完成后续乙肝疫苗接种。儿童在完成最后剂次乙肝疫苗接种后 1-2 个月，及时进行乙肝病毒表面抗原和表面抗体检测 ，明确母婴传播干预效果。

五、乙肝感染母亲可以母乳喂养吗?

乙肝表面抗原阳性孕产妇可以进行母乳喂养。但需注意有无乳头破裂，WHO认为，不能将乙肝病毒感染作为禁止母乳喂养的指征。也就是说母乳喂养本身并不增加婴儿感染乙肝病毒的风险。

上一篇 消除“艾梅乙”母婴传播之“梅毒”篇
下一篇 单阳家庭（一方为HIV阳性感染者）也能生育健康的宝宝吗？

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article------>{"id":167,"cid":43,"subCid":null,"title":"消除“艾梅乙”母婴传播之“乙肝”篇","shortTitle":"","tagId":"","attr":"","articleView":"","source":"","author":"","description":"乙肝作为一种常见的病毒性肝炎，母婴传播是其重要的传播途径之一。这种垂直传播不仅危害着母亲的健康，更对新生儿的生命和未来构成潜在威胁。预防、消除乙肝母婴传播成为我们亟待解决的重要问题。","img":"/public/uploads/default/2025/04/08/1744101821675_source_7.png","content":"<section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">乙肝作为一种常见的病毒性肝炎，母婴传播是其重要的传播途径之一。这种垂直传播不仅危害着母亲的健康，更对新生儿的生命和未来构成潜在威胁。预防、消除乙肝母婴传播成为我们亟待解决的重要问题。</span></p>\n<p> </p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">一、什么是乙肝？</span></p>\n<p> </p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">乙肝是由乙型肝炎病毒（HBV）感染所致的病毒性肝炎。乙肝病毒感染可引发急性、慢性肝炎，根据病情进展，可导致肝脏不同程度炎症坏死或肝纤维化，少数患者可转化为肝硬化或肝癌。</span></p>\n</section>\n</section>\n</section>\n<p> </p>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">二、乙肝的传播途径</span></p>\n<p> </p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">血液传播、母婴传播、性传播等。</span></p>\n<p> </p>\n</section>\n<section>\n<section>\n<section>\n<section><span style=\"font-size: 18px;\"><img src=\"/public/uploads/default/2025/04/08/1744101902060_source_7.png\" alt=\"\" width=\"473\" height=\"358\"></span></section>\n</section>\n</section>\n</section>\n<section>\n<p> </p>\n</section>\n<section>\n<p><span style=\"font-size: 18px;\">母婴传播是我国慢性乙型肝炎传播的主要原因，因此，预防HBV母婴传播是控制慢性乙肝的关键。</span></p>\n</section>\n</section>\n</section>\n<p> </p>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">三、孕妇感染乙肝有哪些危害？</span></p>\n<p> </p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">感染乙肝对母体的影响包括可能加重早孕反应、增加子痫前期发病率、容易发生产后出血、继发重型肝炎增加孕产妇死亡率等。对围产儿的影响包括增加流产、早产、死胎、新生儿死亡的发生率及继发肝硬化或原发性肝癌等。</span></p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p> </p>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">四、如何预防乙肝母婴传播？</span></p>\n<p> </p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">1.早检测、早发现</span></p>\n<p> </p>\n</section>\n</section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<p><span style=\"font-size: 18px;\">孕妇均应在首次产前检查时（最好在孕早期3个月内）进行乙肝两对半检测，尽早明确感染状况。乙肝病毒表面抗原阳性的孕妇，则需要进一步检测肝功能和HBV DNA了解感染严重程度。</span></p>\n</section>\n<section>\n<p> </p>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">2.早干预</span></p>\n<p> </p>\n</section>\n</section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<p><span style=\"font-size: 18px;\">HBeAg阳性、HBVDNA&ge;2&times;105IU/ml和慢性乙型肝炎孕妇需在专业医生指导下进行规范的抗病毒治疗。孕期推荐使用替诺福韦或替比夫定进行抗病毒治疗。</span></p>\n<p> </p>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">3.儿童的干预治疗</span></p>\n<p> </p>\n</section>\n</section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<p><span style=\"font-size: 18px;\">乙肝感染孕产妇所生儿童在出生后12小时内尽早接种乙肝免疫球蛋白100国际单位，同时注射首剂乙肝疫苗，并按照国家免疫程序完成后续乙肝疫苗接种。儿童在完成最后剂次乙肝疫苗接种后 1-2 个月，及时进行乙肝病毒表面抗原和表面抗体检测 ，明确母婴传播干预效果。</span></p>\n</section>\n</section>\n</section>\n<p> </p>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">五、乙肝感染母亲可以母乳喂养吗?</span></p>\n<p> </p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p><span style=\"font-size: 18px;\">乙肝表面抗原阳性孕产妇可以进行母乳喂养。但需注意有无乳头破裂，WHO认为，不能将乙肝病毒感染作为禁止母乳喂养的指征。也就是说母乳喂养本身并不增加婴儿感染乙肝病毒的风险。</span></p>\n</section>\n</section>\n</section>","status":0,"pv":46,"link":"","createdAt":"2024-06-02T07:34:56.000Z","updatedAt":"2025-08-06T21:32:26.000Z","bigfile":[],"simpleintroduce":"","sortId":0,"field":{},"tags":[]}

article.tags------>[]

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