Hepatitis B: Information for teenagersHHepatitis B: Information for teenagersHepatitis B: Information for teenagersEnglishGastrointestinalChild (0-12 years);Teen (13-18 years)LiverImmune systemConditions and diseasesTeen (13-18 years)NA2014-06-02T04:00:00ZConstance O'Connor, NP;Simon Ling, MD9.0000000000000059.00000000000001780.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Overview of life with hepatitis B as a teenager.</p><h2>What is hepatitis B?</h2> <p><a href="/Article?contentid=827&language=English">Hepatitis B</a> is a <a href="/Article?contentid=1468&language=English">liver</a> disease caused by a virus.</p> <p>The liver is an organ in our abdomen (belly). It helps our bodies remove toxins and waste. It also helps us digest food and stores the energy we get from food. </p> <p>The word hepatitis means that there is inflammation of the liver. Inflammation of the liver can affect the liver's ability to work properly. Hepatitis can be caused by infections (virus, bacteria or parasites), drugs or toxins (including alcohol). There are several types of viruses that can cause hepatitis. One of these viruses is the hepatitis B virus. Over time, hepatitis B may cause irritation and scarring in the liver, making it difficult for your liver to work properly.</p> <figure> <span class="asset-image-title">Liver</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_liver_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The liver is an organ that is part of our digestive system. It helps us get rid of toxins, digest food, and store energy from food.</figcaption> </figure><h2>Key points</h2> <ul> <li>Hepatitis B is an infection due to a virus called hepatitis B virus. People can get hepatitis B by contact with blood and bodily fluids, by sexual contact and during pregnancy or delivery from mother to baby.</li> <li>You can protect your family and partners from hepatitis B by having them get the proper vaccination.</li> <li>Always protect yourself and your partner with condoms and other barrier protection methods during sexual contact.</li> <li>Alcohol and drugs can further damage your liver.</li> <li>When you are ready to have a baby, talk to your health-care team about your hepatitis B status. They will protect your baby from getting hepatitis B.</li> </ul><h2>How do people get hepatitis B?</h2> <p>The hepatitis B virus may be spread from person to person by blood contact, by sexual contact, and during pregnancy or delivery from mother to baby.</p> <ul> <li>Most children with hepatitis B were born to mothers who are also infected with the virus, which is passed to the baby either during pregnancy or delivery. </li> <li>Rarely, people can get hepatitis B if they share personal items that may have the blood of someone with hepatitis B on them (such as toothbrushes, nail clippers or razors).</li> <li>It is possible to get the virus from a blood transfusion, from other blood products, or from improperly cleaned medical equipment. This almost never happens in Canada.</li> <li>Anyone can get hepatitis B from unprotected sex or from sharing needles, such as the needles used for body piercing, tattooing, acupuncture or intravenous drug use.</li> </ul> <p>Hepatitis B cannot be spread to other people by hugging, kissing, sneezing, coughing or breastfeeding. Because the amount of virus in saliva is low, it is unnecessary to have two sets of eating utensils or dishes at home. You and your family can safely use the same sets.</p><h2>What tests can tell me how I am doing with hepatitis B?</h2> <p>Blood work can tell many things about the hepatitis B virus and how it is affecting your liver. Common tests that are helpful include:</p> <ul> <li>Liver enzymes (ALT and AST): The levels of these enzymes in the blood indicate how much inflammation is occurring in your liver. High levels mean there is more liver inflammation. A lot of inflammation over time can lead to scarring of the liver.</li> <li>Hepatitis B viral load: This test tells how much hepatitis B virus is in your blood. </li> </ul> <h3>What do liver enzymes in the blood and viral load mean?</h3> <p>Many young people have a high viral load because their immune system does not recognize and control the hepatitis B virus. As long as the liver enzyme levels are normal and you have regular checkups, a high viral load is common and does not mean you will be unwell.</p> <p>Higher than normal levels of liver enzymes in your blood usually mean that your immune system has recognized the virus and is trying to fight it. In many people, the immune system will be able to reduce the amount of hepatitis B virus in the blood. This is good because it means the risk of scarring in the liver because of hepatitis B is reduced. In some people, this inflammation may go away on its own over a short period of time. For people with liver enzymes that are high for a long time (six to 12 months), your healthcare provider may recommend treatment to help control the inflammation in the liver before scarring can develop. </p> <h3>What happens if I get scarring in my liver?</h3> <p>Many people live their whole lives with hepatitis B without significant damage to their liver. However, as people age the risk of scarring in the liver increases. Mild scarring in the liver does not usually affect the way the liver works. Severe scarring (cirrhosis) may make it difficult for the liver to work properly. Cirrhosis only rarely happens in children and teenagers with hepatitis B. Chronic hepatitis B infection also increases the risk for liver cancer, especially if it has caused bad liver scarring. However, liver cancer is very rare in children and teenagers with hepatitis B.</p> <p>Regular medical follow up throughout your life is important. This should allow problems in your liver to be identified and treated early, which may prevent you from becoming sick.</p>
Hépatite B : renseignements pour les jeunesHHépatite B : renseignements pour les jeunesHepatitis B: Information for teenagersFrenchGastrointestinalChild (0-12 years);Teen (13-18 years)LiverImmune systemConditions and diseasesTeen (13-18 years)NA2014-06-02T04:00:00ZConstance O'Connor, NP;Simon Ling, MD9.0000000000000059.00000000000001780.00000000000Health (A-Z) - ConditionsHealth A-Z<p> Aperçu de la vie avec l’hépatite B à l’adolescence.</p> <h2>Qu’est-ce que l’hépatite B?​​</h2> <p>L’<a href="/Article?contentid=827&language=French">hépatite</a> B est une maladie du <a href="/Article?contentid=1468&language=French">foie​</a> causée par un virus.</p> <p>Le <a href="/Article?contentid=1468&language=French">foie</a> est un organe dans l’abdomen (le ventre). Il aide l’organisme à se débarrasser des toxines et des déchets. Il nous aide aussi à digérer les aliments et à stocker l’énergie que nous en tirons.</p> <p>Le terme « hépatite » signifie inflammation du foie. Cette inflammation peut avoir un effet sur la capacité du foie à remplir correctement sa fonction. L’hépatite peut être provoquée par une infection (virale, bactérienne ou parasitaire), des médicaments ou des toxines (dont l’alcool). Plusieurs types de virus peuvent causer l’hépatite. Le virus de l’hépatite B est l’un d’eux. Au fil du temps, l’hépatite B peut entraîner une irritation et une fibrose du foie, ce qui nuit au bon fonctionnement de celui-ci.</p> <figure> <span class="asset-image-title">Foie <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_liver_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Le foie est un organe qui fait partie du système digestif. Il nous aide à nous débarrasser des toxines, à digérer la nourriture et à stocker l’énergie provenant des aliments.</figcaption> </span></figure><h2>À retenir</h2> <ul> <li>L’hépatite B est une infection causée par un virus, le virus de l’hépatite B. L’hépatite B se transmet par contact avec du sang ou des liquides organiques, par contact sexuel et de la mère à l’enfant, pendant la grossesse ou l’accouchement.</li> <li>Vous pouvez protéger votre famille et vos partenaires de l’hépatite B en veillant à ce qu’ils se fassent vacciner.</li> <li>Lors des contacts sexuels, protégez-vous toujours et protégez votre partenaire à l’aide d’un préservatif ou d’autres moyens de protection.</li> <li>L’alcool et les drogues peuvent empirer les atteintes au foie.</li> <li>Si vous vous apprêtez à avoir un bébé, parlez de votre hépatite B à l’équipe qui vous fournit des soins de santé. Elle protégera votre bébé de l’hépatite B.</li> </ul><h2>Comment attrape-t-on l’hépatite B?​​</h2> <p>Le virus de l’hépatite B peut se transmettre de personne à personne par contact avec du sang, par contact sexuel et de la mère à l’enfant, pendant la grossesse ou l’accouchement.</p> <ul> <li>La plupart des enfants qui ont l’hépatite B sont nés d’une mère elle aussi infectée. Le virus se transmet au bébé pendant la grossesse ou à l’accouchement.</li> <li>Dans de rares cas, l’hépatite B peut se contracter après avoir utilisé des objets personnels portant des traces du sang d’une personne atteinte (par exemple une brosse à dents, un coupe-ongle ou un rasoir).</li> <li>Il est possible d’attraper le virus à la suite d’une transfusion de sang, par l’intermédiaire d’autres produits sanguins ou par du matériel médical mal nettoyé. Cela n’arrive presque jamais au Canada.</li> <li>N’importe qui peut attraper l’hépatite B à la suite de rapports sexuels non protégés ou de la réutilisation d’une aiguille contaminée, par exemple dans le cadre d’une séance de perçage corporel, de tatouage ou d’acupuncture, ou en cas d’injection de drogue par voie intraveineuse.</li> </ul> <p>L’hépatite B ne se transmet pas par les accolades, les baisers, les éternuements, la toux ni l’allaitement. Comme la quantité de virus dans la salive est faible, il n’est pas nécessaire d’avoir deux jeux d’ustensiles de table ou de plats à la maison. Vous et votre famille pouvez utiliser en toute sécurité les mêmes ustensiles.</p><h2>Quels tests permettent de suivre l’évolution de l’hépatite B?</h2> <p>Une analyse sanguine peut fournir de nombreux renseignements sur le virus de l’hépatite B et son action sur le foie. Les tests suivants sont utiles et effectués couramment :</p> <ul> <li>Enzymes hépatiques (ALAT et ASAT) : le taux de ces enzymes dans le sang est un indicateur de l’inflammation du foie. Des taux élevés indiquent une forte inflammation. Avec le temps, une telle inflammation peut entraîner une fibrose hépatique.</li> <li>Charge virale de l’hépatite B : ce test indique la quantité de virus de l’hépatite B dans le sang.<br></li> </ul> <h3>Quels renseignements donnent la charge virale et les enzymes hépatiques dans le sang?</h3> <p>Beaucoup de jeunes ont une charge virale élevée parce que leur système immunitaire ne reconnaît pas et ne contrôle pas le virus de l’hépatite B. Tant que les taux d’enzymes hépatiques sont normaux et que vous bénéficiez d’un suivi régulier, une charge virale élevée n’a rien d’exceptionnel et ne signifie pas que vous allez avoir des symptômes.</p> <p>Des taux d’enzymes hépatiques plus élevés que la normale dans le sang sont en général un signe que le système immunitaire a reconnu le virus et tente de le combattre. Dans bien des cas, le système immunitaire est capable de réduire la quantité de virus de l’hépatite B dans le sang. C’est souhaitable, car cela réduit le risque de fibrose hépatique due à l’hépatite B. Chez certaines personnes, cette inflammation peut disparaître d’elle-même rapidement. Si les taux d’enzymes hépatiques restent longtemps élevés (6 à 12 mois), le fournisseur de soins de santé peut recommander un traitement pour maîtriser l’inflammation dans le foie avant que la fibrose ne puisse se développer.</p> <h3>Et si j’ai une fibrose hépatique?</h3> <p>Beaucoup de gens gardent l’hépatite B toute leur vie sans subir de dommage important au foie. Cependant, le risque de fibrose hépatique augmente avec l’âge. En général, une fibrose légère du foie est sans effet sur la fonction hépatique. Une fibrose aiguë (cirrhose) peut nuire au bon fonctionnement du foie. La cirrhose est rare chez les enfants et les adolescents atteints d’hépatite B. L’infection chronique par le virus de l’hépatite B augmente également le risque de cancer du foie, surtout si elle a provoqué une forte fibrose hépatique. Toutefois, le cancer du foie est très rare chez les enfants et les adolescents qui ont l’hépatite B.</p> <p>Un suivi médical régulier tout au long de votre vie est important. Ainsi, vos éventuels problèmes hépatiques seront décelés et traités à un stade précoce, ce qui pourrait avoir un effet préventif.</p>

 

 

Hepatitis B: Information for teenagers828.000000000000Hepatitis B: Information for teenagersHepatitis B: Information for teenagersHEnglishGastrointestinalChild (0-12 years);Teen (13-18 years)LiverImmune systemConditions and diseasesTeen (13-18 years)NA2014-06-02T04:00:00ZConstance O'Connor, NP;Simon Ling, MD9.0000000000000059.00000000000001780.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Overview of life with hepatitis B as a teenager.</p><h2>What is hepatitis B?</h2> <p><a href="/Article?contentid=827&language=English">Hepatitis B</a> is a <a href="/Article?contentid=1468&language=English">liver</a> disease caused by a virus.</p> <p>The liver is an organ in our abdomen (belly). It helps our bodies remove toxins and waste. It also helps us digest food and stores the energy we get from food. </p> <p>The word hepatitis means that there is inflammation of the liver. Inflammation of the liver can affect the liver's ability to work properly. Hepatitis can be caused by infections (virus, bacteria or parasites), drugs or toxins (including alcohol). There are several types of viruses that can cause hepatitis. One of these viruses is the hepatitis B virus. Over time, hepatitis B may cause irritation and scarring in the liver, making it difficult for your liver to work properly.</p> <figure> <span class="asset-image-title">Liver</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_liver_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The liver is an organ that is part of our digestive system. It helps us get rid of toxins, digest food, and store energy from food.</figcaption> </figure><h2>Key points</h2> <ul> <li>Hepatitis B is an infection due to a virus called hepatitis B virus. People can get hepatitis B by contact with blood and bodily fluids, by sexual contact and during pregnancy or delivery from mother to baby.</li> <li>You can protect your family and partners from hepatitis B by having them get the proper vaccination.</li> <li>Always protect yourself and your partner with condoms and other barrier protection methods during sexual contact.</li> <li>Alcohol and drugs can further damage your liver.</li> <li>When you are ready to have a baby, talk to your health-care team about your hepatitis B status. They will protect your baby from getting hepatitis B.</li> </ul><h2>How do people get hepatitis B?</h2> <p>The hepatitis B virus may be spread from person to person by blood contact, by sexual contact, and during pregnancy or delivery from mother to baby.</p> <ul> <li>Most children with hepatitis B were born to mothers who are also infected with the virus, which is passed to the baby either during pregnancy or delivery. </li> <li>Rarely, people can get hepatitis B if they share personal items that may have the blood of someone with hepatitis B on them (such as toothbrushes, nail clippers or razors).</li> <li>It is possible to get the virus from a blood transfusion, from other blood products, or from improperly cleaned medical equipment. This almost never happens in Canada.</li> <li>Anyone can get hepatitis B from unprotected sex or from sharing needles, such as the needles used for body piercing, tattooing, acupuncture or intravenous drug use.</li> </ul> <p>Hepatitis B cannot be spread to other people by hugging, kissing, sneezing, coughing or breastfeeding. Because the amount of virus in saliva is low, it is unnecessary to have two sets of eating utensils or dishes at home. You and your family can safely use the same sets.</p><h2>How can I protect others from hepatitis B?</h2> <p>The risk of spreading hepatitis B infection is very low in regular day-to-day activity. If you or someone in your home has hepatitis B then all other people living there should be immunized against it with the vaccine against the hepatitis B virus. If you have hepatitis B you should not share your toothbrush or other personal items that may have traces of blood on them (razors and nail clippers). You should not let other people touch your blood, and you should not touch the blood of others.</p> <p>Hepatitis B is also spread through unprotected sexual contact. To avoid spreading hepatitis B and also protect yourself and your partner from other sexually transmitted infections, you should practice safe sex. You should prevent any bodily fluid exchange between your body and your partner's by using barrier protection such as condoms.</p> <p>It is unclear whether you can get hepatitis B from oral sex thus it would be safer to also use other barrier protection devices such as dental dams. For more information on safe sex practices, please visit <a href="http://www.sexualityandu.ca/" target="_blank">sexualityandu.ca</a>.</p> <p>To prevent infecting your partner you should make sure they are immunized against the hepatitis B virus. If they have not been immunized against hepatitis B, they should ask for the vaccine at their doctor's office. If they have been immunized before or cannot remember if they have been immunized, they should have a blood test to make sure the immunization worked. </p><h2>What tests can tell me how I am doing with hepatitis B?</h2> <p>Blood work can tell many things about the hepatitis B virus and how it is affecting your liver. Common tests that are helpful include:</p> <ul> <li>Liver enzymes (ALT and AST): The levels of these enzymes in the blood indicate how much inflammation is occurring in your liver. High levels mean there is more liver inflammation. A lot of inflammation over time can lead to scarring of the liver.</li> <li>Hepatitis B viral load: This test tells how much hepatitis B virus is in your blood. </li> </ul> <h3>What do liver enzymes in the blood and viral load mean?</h3> <p>Many young people have a high viral load because their immune system does not recognize and control the hepatitis B virus. As long as the liver enzyme levels are normal and you have regular checkups, a high viral load is common and does not mean you will be unwell.</p> <p>Higher than normal levels of liver enzymes in your blood usually mean that your immune system has recognized the virus and is trying to fight it. In many people, the immune system will be able to reduce the amount of hepatitis B virus in the blood. This is good because it means the risk of scarring in the liver because of hepatitis B is reduced. In some people, this inflammation may go away on its own over a short period of time. For people with liver enzymes that are high for a long time (six to 12 months), your healthcare provider may recommend treatment to help control the inflammation in the liver before scarring can develop. </p> <h3>What happens if I get scarring in my liver?</h3> <p>Many people live their whole lives with hepatitis B without significant damage to their liver. However, as people age the risk of scarring in the liver increases. Mild scarring in the liver does not usually affect the way the liver works. Severe scarring (cirrhosis) may make it difficult for the liver to work properly. Cirrhosis only rarely happens in children and teenagers with hepatitis B. Chronic hepatitis B infection also increases the risk for liver cancer, especially if it has caused bad liver scarring. However, liver cancer is very rare in children and teenagers with hepatitis B.</p> <p>Regular medical follow up throughout your life is important. This should allow problems in your liver to be identified and treated early, which may prevent you from becoming sick.</p><h2>Will my hepatitis B infection disappear?</h2> <p>It is most likely you will keep the infection throughout your life. This is called <a href="/Article?contentid=827&language=English">chronic hepatitis B</a> infection. Only very rarely do people get rid of the virus completely.</p> <h3>Can people tell I have hepatitis B?</h3> <p>Most young people with hepatitis B look completely well and do not have any symptoms or signs that they have the virus. Most people with hepatitis B usually feel well and participate in school, work and other activities.</p> <h2>How can I keep my liver healthy?</h2> <p>There are many things that help your liver stay healthy. </p> <ul> <li>A healthy diet with plenty of fresh vegetables and fruit helps provide antioxidants that protect the liver from the bad effects of inflammation.</li> <li>Regular physical activity when combined with a healthy diet keeps weight under control. Being overweight will often cause extra difficulty for the liver.</li> <li>Be careful with herbal, natural or other alternative or complimentary treatments. Check with your doctor before taking any herbal medications as some of these may be harmful to the liver. </li> <li>Be careful about other medications because some medications are processed by the liver. If you need medication for other health conditions, it is important to follow the instructions carefully, or to ask your healthcare provider or pharmacist for advice. </li> <li>Get immunized. You should have all of the recommended immunizations available and should be immunized against hepatitis A.</li> <li>Avoid alcohol and other types of drugs which may cause damage to the liver.</li> </ul> <h3>Does drinking alcohol or taking drugs hurt my liver?</h3> <p>Drinking alcohol often or drinking alcohol in large amounts can cause irritation in your liver and may lead to scarring over time. When you have hepatitis B, this scarring may happen sooner and be worse than in a person who does not have hepatitis B. It is unknown how much alcohol you can drink safely before it starts to damage your liver. The best thing to do is to either drink no alcohol, or as little as possible.</p> <p>Taking street drugs may also cause damage to your liver or other organs, even smoking marijuana. Some drugs may cause severe liver damage the first time you try them. Avoid street drugs if you do not want to further damage your liver.</p> <h2>Who do I have to tell about my hepatitis B status?</h2> <p>People who should know about your hepatitis B are your health-care providers, such as your doctors, nurses and dentist. Not everyone needs to know about hepatitis B. It is up to you who you tell about your hepatitis B infection. Friends, family and teachers do not have to be told unless you feel comfortable doing so.</p> <p>It is important to talk about hepatitis B with your sexual partners as they should be immunized against hepatitis B to protect themselves from getting the virus. </p> <p>Some university courses and jobs, like medical school and being a doctor or dentist, require you to share information about your hepatitis B status with them. If you are unsure about the need to tell someone about your hepatitis B infection, discuss this with your parents, caregiver and your health-care provider.</p><h2>If I have children someday, will they have hepatitis B?</h2> <p>There are many things that can be done to help prevent your children from getting hepatitis B.</p> <p>If you are pregnant, you may be given medication during pregnancy that will help reduce the amount of hepatitis B in your blood (your viral load). On the day of birth, your baby should be given the first dose of the hepatitis B vaccine and given another medicine, hepatitis B immunoglobulin, that helps their immune system fight hepatitis B. Your child will then need at least two additional doses of the hepatitis B vaccine at one month and six months of age.</p> <p>If you are a father-to-be, your baby will not be at risk for hepatitis B before they are born, unless the mother is also infected. All children who have a parent with hepatitis B should be immunized against the virus as soon as possible. Before having a child it is important to discuss your hepatitis B status with your health-care provider and with the health-care provider looking after the pregnancy.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_liver_EN.jpgHepatitis B: Information for teenagers

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