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Burmese

အသည်းရောင် အသားဝါ ဘီ (သို့မဟုတ် hep B) သည် ပြင်းထန်သော အသည်းရောဂါ ဖြစ်ပြီး ကမ္ဘာတစ်လွှားတွင် လူပေါင်း သန်းနှင့်ချီ၍ ဖြစ်နေ၊ အကျိုးသက်ရောက်မှုဖြစ်နေသည်။ ဤလက်ကမ်း စာစောင်သည် အသည်းရောင် အသားဝါ ဘီ ကို ပိုမို သိနားလည်ပြီး ယင်းကို မည်သို့ ကိုင်တွယ်ဖြေရှင်းရမည်ကို လေ့လာရာတွင် ကူညီပေးရန် ဖြစ်သည်။

ဤလက်ကမ်းစာစောင်တွင် အောက်ပါ အကြောင်းအရာ များကို လေ့လာနိုင်သည် -

  • နာတာရှည် hep B က အသည်းကို မည်သို့ ထိခိုက်စေသနည်း
  • hep B မည်သို့ ကူးစက်ပြန့်ပွားသနည်း
  • စမ်းသပ်စစ်ဆေးမှုနှင့် ကာကွယ်ဆေးထိုးခြင်း
  • နာတာရှည် hep B ကို မည်သို့ ကုသ သနည်း

Hepatitis B (or hep B) is a serious liver disease that affects millions of people across the world. This brochure is here to help you better understand hep B and learn how to manage it.

Inside this brochure, we will explore the following topics:

  • How chronic hep B affects the liver
  • How hep B is spread
  • Testing and vaccination
  • How chronic hep B is treated

Cambodian

ជំងឺរលាកថ្លើមប្រភេទ Bប(ឬ hep B)គឺជាជំងឺថ្លើមធ្ងន់ធ្ងរ ដែលប៉ះពាល់មនុស្សរាប់លាននាក់ទូទាំងពិភពលោក។ កូនសៀវភៅ មានបំណងជួយលោកអ្នកឲ្យយល់ដឹងកាន់តែប្រសើរអំពីជំងឺរលាកថ្លើមប្រភេទ B ហើយរៀនសូត្រអំពីរបៀបគ្រប់គ្រងជំងឺនេះ។

នៅខាងក្នុងកូនសៀវភៅនេះ យើងនឹងស្វែងយល់អំពីប្រធានបទ ដូចខាងក្រោម៖

  • របៀបដែលជំងឺរលាកថ្លើមប្រភេទ B រ៉ាំរៃប៉ះពាល់ដល់សុខភាពថ្លើម
  • របៀបដែលជំងឺរលាកថ្លើមប្រភេទ B ឆ្លង
  • ការធ្វើតេស្ត និងការចាក់ថ្នាំបង្ការ
  • របៀបដែលជំងឺរលាកថ្លើមប្រភេទ B រ៉ាំរៃ ត្រូវបានព្យាបាល

Hepatitis B (or hep B) is a serious liver disease that affects millions of people across the world. This brochure is here to help you better understand hep B and learn how to manage it.

Inside this brochure, we will explore the following topics:

  • How chronic hep B affects the liver
  • How hep B is spread
  • Testing and vaccination
  • How chronic hep B is treated

Hmong

Hom kab mob siab B (lossis hep B) yog ib hom kab mob siab txaus ntshai heev uas muaj ntau 100 vam tus tib neeg nyob thoob hauv ntiaj teb no mob. Phau me nyuam ntawv ntawm no yog los pab koj nkag siab zoo dua qub txog hom kab mob siab B thiab kawm los tswj tus mob no.

Nyob hauv phau me nyuam ntawv no, peb yuav tshawb txog cov ntsiab lus nram qab no:

  • Saib seb hom kab mob siab B tsis txawj zoo (chronic hep B) yuav ua li cas rau lub siab
  • Saib seb hom kab mob siab B yog sib kis tau zoo li cas
  • Kev kuaj thiab kev txhaj tshuaj tiv thaiv
  • Saib seb hom kab mob siab B tsis txawj zoo yog kho li cas

Hepatitis B (or hep B) is a serious liver disease that affects millions of people across the world. This brochure is here to help you better understand hep B and learn how to manage it.

Inside this brochure, we will explore the following topics:

  • How chronic hep B affects the liver
  • How hep B is spread
  • Testing and vaccination
  • How chronic hep B is treated

Somali

Cagaarshowga [Hepatitis B] (ama hep B) waa cudur caam ah ee saameeya malaayiin qof oo dunida dacaladeeda ku nool. Buugyarahan waxaa loogu talagalay inuu kaa caawiyo si aad wax uga fahamto xanuunka hep B iyo in aad barato sida aad u maarayn la hayd.

Buugyarahan dhexdiisa, waxaan ku faahfaahinnaynaa qodobaddan soo socda:

  • Sida xanuunkan raaga ee hep B beerkaaga u waxyeeleeyo
  • Sida cagaarshowga [hep B] u faafo
  • Baaritaanka iyo tallaalka
  • Sida xanuunkan raaga ee hep B beerkaaga u waxyeeleeyo

Hepatitis B (or hep B) is a serious liver disease that affects millions of people across the world. This brochure is here to help you better understand hep B and learn how to manage it.

Inside this brochure, we will explore the following topics:

  • How chronic hep B affects the liver
  • How hep B is spread
  • Testing and vaccination
  • How chronic hep B is treated

TOP

Living with hep B

ONGOING MONITORING OF CHRONIC HEP B

Living with hep B

Having chronic hep B means that you will have it for a long time and maybe the rest of your life. Ignoring it may lead to long-term consequences, such as serious liver damage. But there are many ways to manage chronic hep B.

Getting tested regularly is an extremely important part of managing your chronic hep B.

Some tests that your doctor may do are:

  • HBV DNA (Viral Load) Test

    Hep B DNA
    (Viral Load) Test

    This test measures how much hep B virus is in your body (your viral load)

    If your viral load is above 2,000 IU/mL (HBeAg negative) or above 20,000 IU/mL (HBeAg positive), your doctor may prescribe you medicine that may help reduce your viral load

    Your viral load should be as close to undetectable as possible. Undetectable means that your viral load is so low that it cannot be measured by a lab test

    Being undetectable does not mean you are cured from chronic hep B. Always talk to your doctor about your test results and what they mean.

    Even if your viral load and ALT levels are low, they can change over time. That’s why it’s so important to get tested regularly. Seeing your doctor for routine testing will help him or her monitor the hep B virus and start you on treatment if it’s appropriate.

  • There is no such thing as "only a carrier" of hep B

    ALT
    (Alanine Aminotransferase)
    Test

    ALT is an enzyme found in liver cells. It can leak into the bloodstream if there is damage to the liver

    In general, normal ALT levels are 35 IU/mL for men and 25 IU/mL for women.

    If ALT levels are high, it may indicate that you have active liver damage. Your doctor may consider treatment to help normalize your ALT levels

    Even if your viral load and ALT levels are low, they can change over time. That’s why it’s so important to get tested regularly. Seeing your doctor for routine testing will help him or her monitor the hep B virus and start you on treatment if it’s appropriate.

  • Liver Cancer Screening (AFP/Liver Ultrasound)

    Liver Cancer Screening
    (AFP/Liver Ultrasound)

    The AFP (alpha-fetoprotein) test may be used to screen for liver cancer. The test will measure the levels of this protein in the blood. If AFP levels are high, your doctor may do more blood tests or an imaging study, such as a liver ultrasound

    A liver ultrasound is when the doctor scans an image of your liver. The doctor can use the imaging to screen for liver cancer

    Even if your viral load and ALT levels are low, they can change over time. That’s why it’s so important to get tested regularly. Seeing your doctor for routine testing will help him or her monitor the hep B virus and start you on treatment if it’s appropriate.

Even if your viral load and ALT levels are low, they can change over time. That’s why it’s so important to get tested regularly. Seeing your doctor for routine testing will help him or her monitor the hep B virus and start you on treatment if it’s appropriate.

5 KEYS
TO MANAGING HEP B

Taking care of yourself can have many health benefits, but if you have chronic hep B, self-care may not be enough.

It can be managed with the support of family, friends, and your doctor. Your first step is to talk to your doctor to see if medicine is right for you.

Here are 5 things you can do to help manage your chronic hep B.

Take care of your body

  • Keep a healthy, balanced diet

    Keep a healthy, balanced diet

  • Tell your doctor about your other medications, vitamins, or herbal remedies

    Tell your doctor about any medications, vitamins, or herbal remedies you’re taking (some may be harmful to your liver)

  • Avoid drinking alcohol

    Avoid drinking alcohol (alcohol can speed up progression of liver disease)

  • Avoid smoking

    Avoid smoking

Get tested regularly

Because the amount of the hep B virus varies over time and may never go away, it’s important to see your doctor regularly. Your doctor will determine how often you should be tested to monitor your hep B.

Routine monitoring may include measuring your viral load and ALT levels, and possibly screening for disease progression, including liver cancer.

Skipping appointments and lab tests may affect
the management of your condition.

Remember to remind your doctor

Remember to remind your doctor, dentist, and other healthcare providers that you have chronic hep B.

Prevent it from spreading

Ways to protect yourself and others:

  • Never share anything that could be contaminated with blood

    Never share anything that could be contaminated with blood, like toothbrushes, razors, or nail clippers

  • Never share needles

    Never share needles used for tattooing, acupuncture, or injections of any kind

  • Avoid donating blood, sperm, or body organs

    Avoid donating blood, sperm, or body organs

  • Use condoms during sexual contact

    Use condoms during sexual contact

  • Cover any cuts or scratches

    Cover any cuts or scratches

  • Clean up any blood using bleach

    Clean up any blood using bleach

  • Encourage family to get tested

    Encourage family to get tested and, if possible, to get vaccinated for hep B

Take your medicine

Always take your medicine as instructed.

When tests show you have high amounts of the hep B virus in your liver, your doctor may prescribe a medicine called an antiviral that may lower the amount of virus in your blood.

It may be dangerous to stop taking your medications without talking to your doctor.

Talk openly with your doctor

The more information your doctor has, the better he/she can help you with managing your health.

Before your visits:

  • Ask a family member or friend to come with you
  • Bring a notebook with questions or concerns

During your visits:

  • Take notes so you will remember what you discuss during your appointment
  • Be honest and open and say, “I don’t really understand…” when you need clarification
LEARN THE TRUTH
ABOUT HEP B

Hepatitis B is a disease that affects each person differently. It is also a disease that often does not have any symptoms, so sometimes people with hep B do not know how sick they may be.

Here are some things that people commonly think or hear about hep B. Make sure you learn about the disease, so you can tell your family and friends the truth about hep B.

  • IF I DON’T FEEL SICK, AM I REALLY SICK?

    • You may feel fine and have no symptoms, but the hep B virus is still in the body

      CONCERN:

      TRUTH:

      CONCERN:

      “I don't trust that I have chronic hepatitis B because I don't feel sick.”

      TRUTH:

      You may feel fine and have no symptoms, but the virus is still in the body and may be doing harm to your liver. Make sure to see your doctor regularly even if you do not feel sick.

    • People with hep B who do not feel sick can spread the virus just as easily as people with hep B who do feel sick

      CONCERN:

      TRUTH:

      CONCERN:

      “I can’t spread hepatitis B because I don’t feel sick.”

      TRUTH:

      People with hep B who do not feel sick can spread the virus just as easily as people with hep B who do feel sick.

  • CAN I GET MYSELF OR OTHERS SICK?

    • CONCERN:

      TRUTH:

      CONCERN:

      “I’m afraid I can get hepatitis B from the vaccine.”

      TRUTH:

      It is not possible to get hep B from the vaccine because the vaccine does not contain the live virus.

    • It is not possible to get hepatitis B from the vaccine

      CONCERN:

      TRUTH:

      CONCERN:

      “I have hepatitis B. Maybe getting the vaccine will keep me from getting sick.”

      TRUTH:

      The hep B vaccine will only work for people who do not have hep B. It will not work for people who already have been infected with the virus. Get tested today and talk to your friends and family about getting tested too.

    • The hep B vaccine will only work for people who do not have hep B

      CONCERN:

      TRUTH:

      CONCERN:

      “I am worried that I can spread hepatitis B so I do not eat with my family.”

      TRUTH:

      If you have hep B, it is ok to eat with your family. Hep B can only be spread through close contact, such as sharing bodily fluids through unprotected sex or contact with blood. If you were born in a high-risk area, the most common way to get hep B is if your mother had hep B when you were born.

  • DO I HAVE MY HEP B UNDER CONTROL?

    • There is no such thing as “only a carrier” of hep b

      CONCERN:

      TRUTH:

      CONCERN:

      “I have heard that I don't need to worry because I'm only a carrier, but my doctor says I need treatment.”

      TRUTH:

      There is no such thing as “only a carrier.” When you have chronic hep B, the virus is still in the body and can lead to serious liver problems over time. Your doctor can monitor the virus and start you on treatment, if necessary. Make sure to schedule regular checkups.

    • Talk to your doctor about all the medicines you are taking

      CONCERN:

      TRUTH:

      CONCERN:

      “I am taking care of my liver by eating healthy and taking vitamins and herbal supplements.”

      TRUTH:

      Taking good care of yourself can have many benefits. However, self-care may not be enough for some patients with chronic hep B. Also, alternative or over-the-counter medicines and supplements may interact with prescription medicines, so it is really important to talk to your doctor about all the medicines you are taking.

  • ARE THERE ANY OPTIONS OUT THERE FOR ME?

    • Chronic hep B can be treated with medicine

      CONCERN:

      TRUTH:

      CONCERN:

      “I feel hopeless because there is no way to treat my chronic hepatitis B.”

      TRUTH:

      For some patients, chronic hep B can be treated with medicine. Some medicines may lower the amount of virus in your body and reduce the risk of liver problems. All chronically infected patients need lifelong monitoring. A doctor will be able to determine if treatment is right for you.

    • There are programs available to assist you with paying for hep B treatment

      CONCERN:

      TRUTH:

      CONCERN:

      “Medicines are too expensive. I cannot afford treatment.”

      TRUTH:

      Many people have financial concerns. There are programs available to assist you if you are eligible. Ask your healthcare provider for more information.