с сервера - Белорусский государственный медицинский

_______________
« »
.
20 __ .
116-1114
:
«
»
:
.,
.,
.,
.,
.
.,
.,
.
, 2014
(
-
)
,
,
,
,
,
,
.
,
,
.
,
,
.
:
.
:
.
:
HBV
,
350-400
(HBsAg).
HBV
:
,
B,
).
HBV,
,
5-10%
“ ”,
1
.
(
HBeAgHBeAg-
)
HBeAg-
.
,
,
HBV.
,
(
,
REVEAL).
5
8%
,
20%.
5
20%.
HBV14-35%.
.
,
2
,
HBs
,
.
B
,
,
.
HBV
,
,
,
.
HBV
(cccDNA).
,
HBV.
HBV
,
,
,
.
,
,
.
HBsAg,
,
,
.
,
.
.
:
;
;
;
.
,
,
.
,
,
(
),
,
.
.
,
,
1
3
.
,
,
(
3
)
.
3
2
.
HBeAg
HBeAg-
,
HBeAg
-HBe.
HBsAg
HBsAg
-HBs.
.
(
(
)/
):
.
HBV
2000
,
.
6 12
HBV
6
.
2000
12
.
(-
HBV
(
):
1 log10
3
.
HBV
.
,
3-6
.
.
,
HBV
(
–
1 log10
.
–
,
6
)
HBV
,
1 log10
;
–
4
.
,
(,
.
.
,
,
,
(
HBV
, 12
,
2000
).
:
(
2
HAI
Ishak)
.
,
,
,
.
3
,
5
348
,
,
,
,
51%
1
,
71
96 (74%)
.
:
HBsAg.
.
HBeAg,
HBeAg.
:
HBV,
,
.
,
HBV
,
2000
:
;
;
(A2-A3),
(F2
METAVIR).
.
HBV>20000
,
2
5
,
.
,
HBV<20000
,
>2000
,
,
,
40
,
.
,
.
HBeAg
(
3
2000
)
.,
,
20000
,
.
3
3
HBV
.
6-12
.
3
,
HBV.
.
HBeAg
2
.
HBeAg
HBV
20000
.
(
).
HBV
.
HBV
.
.
.
HBeAg1)
2)
HBeAg:
HBV;
,
,
,
.
.
(
),
,
6
.
,
,
-
,
.
,
,
,
2-3
.
(
)
: L-
(
,
(
);
).
,
–
-
,
),
.
.
.
HBeAg-
.
6
12-
12
1.
1.
HBeAg12-
6
12
(-
-2a
180
-HBe,%
HBV<60-80
,%
,b
100
600
245
32
16-18
22
21
14
36-44
60
76
41
41-72
77
68
3
0-1
0,5
3
%
HBsAg, %
1
,
(-
1
.
b
(
<1,25
(
)
<1,3
).
7
HBeAg-
.
6
12-
12
2.
2.
HBeAg12-
6
12
(-
-2a
180
HBV<60-80
,%
,b %
HBsAg, %
100
600
245
19
72-73
88
93
59
71-79
74
76
4
0
0
0
1
,
(-
1
.
b
(
<1,25
(
)
<1,3
).
,
-HBe
HBV
HBV C
,
D.
(APASL)
,
5
,
.
.
,
:
HBeAg-
HBeAg
6
6
12
HBe-
anti-HBe
12
.
HBV
–
2000
.
–
HBV
:
12
HBsAg.
HBe-
,
8
HBsAg
,
HBsAg
HBV
.
HBV
HBsAg
anti-HBs.
3
.
HBsAg
6
HBeAg-
,
<20000
HBV
HBe
12
,
-
50%;
HBV
.
-HBe
,
HBsAg
1500
12
-HBe
HBsAg
HBeAg
-HBe
,
20000
-HBe
.
24
.
<20000
HBV
12
HBeAg50%
.
HBsAg
<2 log10
HBV
HBeAg-
HBV
D.
(
),
. 48HBeAg-
,
-HBe
.
1
,
.
12
12
,
.
HBeAg24
.
)
12
,
4
12
HBV
HBsAg
HBeAg
, HBeAg
24
HBV
9
anti-HBe
anti-HBe (
12
HBeAg. APASL
3
,
3
.
HBeAg-
HBsAg
6-12
HBV.
.
,
.
,
.
,
.
:
3
HBeAgHBsAg<20000
HBsAg,
HBe.
.
HBeAg-
,
D,
3
HBsAg
HBV<2 log10 ME/
,
.
.
.
.
,
:
(
HBV)
24
48
.
HBeAgHBeAg
HBsAg
HBsAg.
.
HBV
,
.
,
)
HBV,
.
10
.
HBV,
,
,
,
HBV,
6
,
(<2x108
HBeAg-
<2x106
HBV
HBeAg6
.
),
.
.
HBeHBV < 2000
HBsAg.
–
HBeAg
anti-HBe
HBV
.
6
.
3-6
,
-HBe
.
-HBe
,
,
,
.
HBV(
).
HBV,
.
HBeAg
12
(
);
-HBe
)
40-80%
,
HBsAg
12
,
. HBsAg
.
HBe-
.
,
11
.
,
HBeAg-
,
-HBe
.
HBeAg
-HBe
.
10-15
(
)
HBV
HBV,
.
3
,
,
–
3-6
.
,
.
,
.
,
,
HBV
.
,
,
.
:
.
,
–
.
.
.
.
.
,
(
24
),
(
,
48
.
)
HBV.
HBV
,
.
12
,
,
HBV
.
,
.
,
HBV
,
.
,
,
.
,
,
,
,
.
,
,
,
.
.
.
.
(
,
).
(
).
.
.
.
,
.
,
.
HBV
,
.
3
HBV
.
HBV
13
.
.
,
.
.
12HBe-
,
HBeHBs-
HBsAg
,
–
HBeAgHBsAg
HBs-
.
.
HBV
.
.
.
,
.
MELD
,
,
HBV
HBV-
.
.
HBsAgHBVHBV.
(HBIg)
10%.
,
HBIg
.
,
,
,
,
.
.
,
HBV
14
,
.
HBV
.
,
.
:
,
.
CD4>500/
HBV-
.
,
.
,
12
HBV,
.
HBV
HDV.
HDV
,
,
HDV
,
D)
D (
.
HDV,
70-90%
HDVHDV
anti- HDV IgM.
HDV
4
–
HDV3-6
1
2,8%
,
.
.
HDV.
,
,
.
25-40%
HDV
,
HBsAg.
HDV
,
,
.
HDV
,
15
,
HBV
HBV
2000
.
HCV.
HBV-
.
HCV
HBV
HBV
,
.
, HCV
.
.
HCV-
HCVHBV-
.
HCV-
HBV
HCV.
HBV:
.
.
95-99%
HBVanti-HBs
.
.
,
.
HBV-
.
,
3
12
HBs-
HBe-
HBsAg.
.
HBV
9%
(>7-8 log10
39%
).
.
FDA
–
,
.
,
.
(Antiretroviral Pregnancy Registry)
,
.
16
.
,
,
.
,
,
.
.
,
.
.
HBV-
,
,
,
HBV.
,
,
,
.
,
FDA (
,
).
HBV,
,
,
HBIg
HBV(
10 000 000
.
HBV
HBe-
),
1 000 000.
10%
HBIg
HBV
.
,
HBIg
.
,
(
30
)
(
1 000 000-10 000 000
).
,
17
HBsHBV
3
.
.
.
,
HBV.
.
,
10
.
,
.
,
,
.
HBsAg-
,
,
HBV-
.
,
.
HBsAg-
,
-
,
,
,
.
anti-HBcore.
HBVanti-HBs
HBsAg-
HBsAg
.
.
,
HBV.
,
,
HBV,
,
12
.
,
(<2000
)
HBV
.
HBV
.
HBV,
18
,
.
HBsAg-
anti-HBcore
HBV
HBV.
,
HBsAg-
.
HBsAg-
anti-HBcore
anti-HBs),
,
HBV.
HBV (
-
HBV
.
–
1-3
.
HBsAg-
anti-HBcore,
,
anti-HBs
HBV.
anti-HBcore
.
.
(
)
HBV;
HBe,
HBe-
;
,
)
(
;
;
HBV-
;
;
HBsAg).
19