# HBV Action Pathways

URL: https://openhbv.bangbo.dev/pathways?locale=en
Canonical Markdown: https://openhbv.bangbo.dev/pathways.md?locale=en
Language: en

## Summary

OpenHBV articles, tools, and sources organized around real-life situations, helping you move from what is happening now to what to prepare next.

## Retrieval Guidance

Use this page when the user describes a real-life HBV situation rather than a precise article title. Each pathway links to patient-facing articles, relevant tools, and source records. OpenHBV is educational and does not provide personal diagnosis or treatment decisions.

## Pathways

### 1. 刚发现 HBsAg 阳性或可能感染乙肝

Anchor: https://openhbv.bangbo.dev/pathways?locale=en#newly_diagnosed
Audience: 新发现异常结果的人
Summary: 先确认报告完整性，再整理 HBV DNA、ALT/AST、血清学和家人伴侣筛查问题。

#### Suggested Reading Order

- 刚发现可能感染乙肝：先做这几步
  URL: https://openhbv.bangbo.dev/articles/6094d6ea-7dcd-4402-a97b-05b936579b25?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/6094d6ea-7dcd-4402-a97b-05b936579b25.md?locale=en
  Summary: 给刚看到异常检查结果的人一个温和、清晰的起点：确认报告、避免恐慌、准备就医问题。
- HBsAg 阳性后应该做什么
  URL: https://openhbv.bangbo.dev/articles/hbsag?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/hbsag.md?locale=en
  Summary: 帮助理解 HBsAg 阳性可能意味着什么，以及常见后续检查和就医讨论重点。
- HBV DNA、ALT/AST 和肝功能：复查报告怎么看趋势
  URL: https://openhbv.bangbo.dev/articles/hbv-dna-alt-ast?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/hbv-dna-alt-ast.md?locale=en
  Summary: 解释 HBV DNA、ALT/AST、胆红素、白蛋白、INR、血小板等结果如何用于慢性乙肝随访，并给出保存趋势和复诊提问清单。
- 乙肝相关症状：什么时候不要等复诊
  URL: https://openhbv.bangbo.dev/articles/a772be6a-96b6-490f-a335-607ba0d1f7e8?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/a772be6a-96b6-490f-a335-607ba0d1f7e8.md?locale=en
  Summary: 整理乙肝和肝病常见症状、急诊警示信号，以及就医前应准备的报告和用药信息，帮助读者知道什么时候不能继续观望。

#### Tools

- HBV serology interpretation tool: https://openhbv.bangbo.dev/tools/hbv-serology?locale=en
- HBV follow-up planning tool: https://openhbv.bangbo.dev/tools/hbv-follow-up?locale=en

#### Source Backing

- CDC Hepatitis B Testing and Diagnosis
  Source record: https://openhbv.bangbo.dev/sources/cdc-hepatitis-b-testing-and-diagnosis?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/cdc-hepatitis-b-testing-and-diagnosis.md?locale=en
  Original URL: https://www.cdc.gov/hepatitis-b/hcp/diagnosis-testing/index.html
  Organization: Centers for Disease Control and Prevention
- WHO 2024 Chronic Hepatitis B Guidelines
  Source record: https://openhbv.bangbo.dev/sources/who-2024-chronic-hepatitis-b-guidelines?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/who-2024-chronic-hepatitis-b-guidelines.md?locale=en
  Original URL: https://www.who.int/publications/i/item/9789240090903
  Organization: World Health Organization

### 2. 伴侣或家人有乙肝

Anchor: https://openhbv.bangbo.dev/pathways?locale=en#family_and_partner
Audience: 伴侣、家人和同住照护者
Summary: 把日常接触、疫苗、血液暴露、性伴侣筛查和家庭用品边界分清楚。

#### Suggested Reading Order

- 家人或伴侣感染乙肝：日常相处和预防
  URL: https://openhbv.bangbo.dev/articles/1941d0e9-f817-4ef9-a22a-0ba118a84d90?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/1941d0e9-f817-4ef9-a22a-0ba118a84d90.md?locale=en
  Summary: 解释乙肝在家庭和伴侣关系中的传播风险，重点说明什么是血液暴露、如何避免，以及哪些日常接触不传播乙肝。
- 乙肝疫苗如何提供保护
  URL: https://openhbv.bangbo.dev/articles/3ee4aea8-6adc-427f-9ccc-a21fad38d5a3?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/3ee4aea8-6adc-427f-9ccc-a21fad38d5a3.md?locale=en
  Summary: 介绍乙肝疫苗、anti-HBs、接种记录、家人伴侣补种和暴露后处理的实用步骤。
- 看牙、手术、纹身或针灸时：乙肝感染者要注意什么
  URL: https://openhbv.bangbo.dev/articles/5f90a311-1df1-49f7-b405-ab2cd25882ca?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/5f90a311-1df1-49f7-b405-ab2cd25882ca.md?locale=en
  Summary: 把看牙、手术、穿孔、纹身、针灸、美甲等可能接触血液或刺破皮肤的场景拆成预约前、现场和暴露后的实用清单。

#### Tools

- HBV serology interpretation tool: https://openhbv.bangbo.dev/tools/hbv-serology?locale=en
- HBV exposure action tool: https://openhbv.bangbo.dev/tools/hbv-exposure?locale=en

#### Source Backing

- CDC Hepatitis B Prevention and Control
  Source record: https://openhbv.bangbo.dev/sources/cdc-hepatitis-b-prevention-and-control?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/cdc-hepatitis-b-prevention-and-control.md?locale=en
  Original URL: https://www.cdc.gov/hepatitis-b/prevention/index.html
  Organization: Centers for Disease Control and Prevention
- Hepatitis B Foundation Transmission
  Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-transmission?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-transmission.md?locale=en
  Original URL: https://www.hepb.org/prevention-and-diagnosis/transmission/
  Organization: Hepatitis B Foundation

### 3. 备孕、怀孕、产后和宝宝复查

Anchor: https://openhbv.bangbo.dev/pathways?locale=en#pregnancy_and_baby
Audience: 孕产妇、备孕家庭和新生儿照护者
Summary: 把孕期 HBV DNA、围产期预防、出生后疫苗/HBIG、母乳喂养和宝宝复查时间线放到一起。

#### Suggested Reading Order

- 怀孕时发现 HBsAg 阳性：母婴传播预防清单
  URL: https://openhbv.bangbo.dev/articles/hbsag-2e3bd471-a530-4018-9ca5-31e2ce46e76a?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/hbsag-2e3bd471-a530-4018-9ca5-31e2ce46e76a.md?locale=en
  Summary: 帮助孕妇和家人把母婴传播预防拆成可执行清单：孕期确认检查、分娩时准备、新生儿接种和后续复查。
- 乙肝妈妈产后：母乳喂养、宝宝复查和自己的随访
  URL: https://openhbv.bangbo.dev/articles/4b00a0d5-f2a7-448f-8b25-faf35e1e2690?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/4b00a0d5-f2a7-448f-8b25-faf35e1e2690.md?locale=en
  Summary: 回答 HBsAg 阳性产后常见问题：能不能母乳喂养、乳头破裂出血怎么办、宝宝什么时候补针和复查、妈妈产后如何复查肝功能与 HBV DNA。
- 乙肝疫苗如何提供保护
  URL: https://openhbv.bangbo.dev/articles/3ee4aea8-6adc-427f-9ccc-a21fad38d5a3?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/3ee4aea8-6adc-427f-9ccc-a21fad38d5a3.md?locale=en
  Summary: 介绍乙肝疫苗、anti-HBs、接种记录、家人伴侣补种和暴露后处理的实用步骤。

#### Tools

- HBV follow-up planning tool: https://openhbv.bangbo.dev/tools/hbv-follow-up?locale=en

#### Source Backing

- CDC Perinatal Hepatitis B Vaccine Administration
  Source record: https://openhbv.bangbo.dev/sources/cdc-perinatal-hepatitis-b-vaccine-administration?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/cdc-perinatal-hepatitis-b-vaccine-administration.md?locale=en
  Original URL: https://www.cdc.gov/hepatitis-b/hcp/perinatal-provider-overview/vaccine-administration.html
  Organization: Centers for Disease Control and Prevention
- WHO Prevention of Mother-to-child Transmission of Hepatitis B
  Source record: https://openhbv.bangbo.dev/sources/who-prevention-of-mother-to-child-transmission-of-hepatitis-b?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/who-prevention-of-mother-to-child-transmission-of-hepatitis-b.md?locale=en
  Original URL: https://www.who.int/publications/i/item/978-92-4-000270-8
  Organization: World Health Organization

### 4. 慢性乙肝治疗和长期随访

Anchor: https://openhbv.bangbo.dev/pathways?locale=en#treatment_monitoring
Audience: 慢性乙肝患者和长期用药者
Summary: 围绕抗病毒药、HBV DNA 趋势、肾功能/骨骼安全、肝癌筛查和复诊问题建立长期计划。

#### Suggested Reading Order

- 抗病毒治疗和随访：每次复诊前准备什么
  URL: https://openhbv.bangbo.dev/articles/6be0ae04-a4fb-451d-85d7-f952e8c25144?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/6be0ae04-a4fb-451d-85d7-f952e8c25144.md?locale=en
  Summary: 把慢性乙肝治疗和随访拆成复诊准备清单，帮助患者理解 HBV DNA、ALT、肝癌筛查和用药依从性。
- 长期吃乙肝抗病毒药：怎样安全坚持和复查
  URL: https://openhbv.bangbo.dev/articles/c1c850df-61d3-4311-a7f4-5e05770359be?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/c1c850df-61d3-4311-a7f4-5e05770359be.md?locale=en
  Summary: 面向正在使用或即将开始恩替卡韦、替诺福韦等口服抗病毒药的人，整理漏服、停药、肾功能、骨骼、妊娠和复诊监测的实用清单。
- 慢性乙肝和肝癌筛查：什么时候查超声和 AFP
  URL: https://openhbv.bangbo.dev/articles/afp?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/afp.md?locale=en
  Summary: 把肝癌筛查拆成可执行问题：谁需要筛查、常见检查是什么、多久复查一次，以及异常结果后如何追踪。
- 如何阅读乙肝指南和来源链接
  URL: https://openhbv.bangbo.dev/articles/0a37894c-cddf-44b8-8913-b78c84f46377?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/0a37894c-cddf-44b8-8913-b78c84f46377.md?locale=en
  Summary: 帮助读者理解 WHO、EASL、AASLD、中国指南和 CDC 等来源的适用范围，学会把指南差异转化成复诊问题，而不是自行决定治疗。

#### Tools

- HBV follow-up planning tool: https://openhbv.bangbo.dev/tools/hbv-follow-up?locale=en

#### Source Backing

- Hepatitis B Online Monitoring Persons On and Off HBV Therapy
  Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-online-monitoring-persons-on-and-off-hbv-therapy?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-online-monitoring-persons-on-and-off-hbv-therapy.md?locale=en
  Original URL: https://www.hepatitisb.uw.edu/go/hbv/monitoring-persons-on-hbv-therapy
  Organization: University of Washington Hepatitis B Online
- EASL 2025 Clinical Practice Guidelines on Hepatitis B
  Source record: https://openhbv.bangbo.dev/sources/easl-2025-clinical-practice-guidelines-on-hepatitis-b?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/easl-2025-clinical-practice-guidelines-on-hepatitis-b.md?locale=en
  Original URL: https://easl.eu/publication/cpg-hbv/
  Organization: European Association for the Study of the Liver
- China Chronic Hepatitis B Guideline 2022
  Source record: https://openhbv.bangbo.dev/sources/china-chronic-hepatitis-b-guideline-2022?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/china-chronic-hepatitis-b-guideline-2022.md?locale=en
  Original URL: https://www.lcgdbzz.org/custom/news/id/f8240ce7-2e80-46de-b95b-b07d8fda9ae9
  Organization: Chinese Society of Hepatology and Chinese Society of Infectious Diseases

### 5. 化疗、免疫抑制、HIV/丙肝或丁肝相关问题

Anchor: https://openhbv.bangbo.dev/pathways?locale=en#immunosuppression_or_coinfection
Audience: 即将免疫抑制治疗、有合并感染或特殊风险的人
Summary: 在开始高风险治疗或处理合并感染前，先把 HBV 筛查、再激活风险、药物相互作用和监测计划问清楚。

#### Suggested Reading Order

- 化疗、免疫抑制或生物制剂前：别漏掉乙肝再激活风险
  URL: https://openhbv.bangbo.dev/articles/0b506371-1bb1-4719-ba5e-7f82c8cc30c0?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/0b506371-1bb1-4719-ba5e-7f82c8cc30c0.md?locale=en
  Summary: 解释什么是乙肝再激活，哪些治疗前要主动筛查乙肝，以及如何把检查、用药和复查问题提前问清楚。
- 乙肝合并 HIV 或丙肝：检查、用药和复诊要点
  URL: https://openhbv.bangbo.dev/articles/hiv?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/hiv.md?locale=en
  Summary: 解释 HBsAg 阳性或 anti-HBc 阳性的人在 HIV、丙肝或相关治疗场景中应准备哪些检查，为什么不能自行停含 HBV 活性的药，以及丙肝治疗前为什么要提醒医生乙肝结果。
- HBsAg 阳性的人要不要查丁肝（HDV）？
  URL: https://openhbv.bangbo.dev/articles/hbsag-hdv?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/hbsag-hdv.md?locale=en
  Summary: 解释丁型肝炎为什么只发生在乙肝感染背景下、哪些 HBsAg 阳性人群应和医生讨论 HDV 检测，以及阳性或高风险时下一步怎么做。

#### Tools

- HBV serology interpretation tool: https://openhbv.bangbo.dev/tools/hbv-serology?locale=en
- HBV follow-up planning tool: https://openhbv.bangbo.dev/tools/hbv-follow-up?locale=en
- HBV exposure action tool: https://openhbv.bangbo.dev/tools/hbv-exposure?locale=en

#### Source Backing

- CDC 2023 Hepatitis B Screening and Testing Recommendations
  Source record: https://openhbv.bangbo.dev/sources/cdc-2023-hepatitis-b-screening-and-testing-recommendations?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/cdc-2023-hepatitis-b-screening-and-testing-recommendations.md?locale=en
  Original URL: https://www.cdc.gov/mmwr/volumes/72/rr/rr7201a1.htm
  Organization: Centers for Disease Control and Prevention
- AASLD 2018 Hepatitis B Guidance on Immunosuppressive Therapy
  Source record: https://openhbv.bangbo.dev/sources/aasld-2018-hepatitis-b-guidance-on-immunosuppressive-therapy?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/aasld-2018-hepatitis-b-guidance-on-immunosuppressive-therapy.md?locale=en
  Original URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC5975958/
  Organization: American Association for the Study of Liver Diseases
- NIH HIV and Hepatitis B Coinfection Guidelines
  Source record: https://openhbv.bangbo.dev/sources/nih-hiv-and-hepatitis-b-coinfection-guidelines?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/nih-hiv-and-hepatitis-b-coinfection-guidelines.md?locale=en
  Original URL: https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-arv/hepatitis-b-virus-hiv-coinfection
  Organization: National Institutes of Health

### 6. 儿童、学校、就业、生活方式和权益

Anchor: https://openhbv.bangbo.dev/pathways?locale=en#life_rights_and_children
Audience: 儿童青少年家庭、学生、求职者和长期生活管理者
Summary: 把上学运动、隐私披露、就业体检、饮酒、脂肪肝和家庭长期支持放进现实生活清单。

#### Suggested Reading Order

- 儿童和青少年有乙肝：上学、运动、随访和家长清单
  URL: https://openhbv.bangbo.dev/articles/7e2a5507-9430-43d9-9cf0-732417c57f72?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/7e2a5507-9430-43d9-9cf0-732417c57f72.md?locale=en
  Summary: 帮助家长把儿童或青少年乙肝管理分成四件事：确认完整诊断和随访、避免不必要隔离、处理学校和运动场景、保存疫苗与复查记录。
- 乙肝、入学和就业：遇到体检或隐私问题时先做什么
  URL: https://openhbv.bangbo.dev/articles/28b20aa9-f725-4407-bfd9-fc25b55fbe01?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/28b20aa9-f725-4407-bfd9-fc25b55fbe01.md?locale=en
  Summary: 用公共卫生事实和中国政策来源解释乙肝相关入学、就业、体检和隐私问题，并给出记录、沟通和求助清单。
- 乙肝和饮酒：为什么建议认真减少或避免
  URL: https://openhbv.bangbo.dev/articles/5a26ef92-b8e1-4d14-8d1f-6be87b0f2e19?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/5a26ef92-b8e1-4d14-8d1f-6be87b0f2e19.md?locale=en
  Summary: 解释慢性乙肝人群为什么应把饮酒当作重要风险因素，并给出可执行的减少饮酒和就医沟通步骤。
- 乙肝和脂肪肝：体重、饮食和运动怎么一起管理
  URL: https://openhbv.bangbo.dev/articles/d073fbe1-bff4-4138-a9b1-ca72b08c10dd?locale=en
  Markdown: https://openhbv.bangbo.dev/articles/d073fbe1-bff4-4138-a9b1-ca72b08c10dd.md?locale=en
  Summary: 帮助慢性乙肝患者理解脂肪肝、体重、血糖血脂和饮食运动为什么会影响长期肝脏健康，并给出可执行的生活记录和复诊问题清单。

#### Tools

- HBV follow-up planning tool: https://openhbv.bangbo.dev/tools/hbv-follow-up?locale=en

#### Source Backing

- Hepatitis B Foundation Children and Hepatitis B
  Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-children-and-hepatitis-b?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-children-and-hepatitis-b.md?locale=en
  Original URL: https://www.hepb.org/treatment-and-management/children-with-hepatitis-b/
  Organization: Hepatitis B Foundation
- MOE China HBV School and Employment Examination Notice
  Source record: https://openhbv.bangbo.dev/sources/moe-china-hbv-school-and-employment-examination-notice?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/moe-china-hbv-school-and-employment-examination-notice.md?locale=en
  Original URL: https://www.moe.gov.cn/jyb_xxgk/moe_1777/moe_1779/201005/t20100517_88249.html
  Organization: Ministry of Education of the People's Republic of China
- MedlinePlus Fatty Liver Disease
  Source record: https://openhbv.bangbo.dev/sources/medlineplus-fatty-liver-disease?locale=en
  Source Markdown: https://openhbv.bangbo.dev/sources/medlineplus-fatty-liver-disease.md?locale=en
  Original URL: https://medlineplus.gov/fattyliverdisease.html
  Organization: U.S. National Library of Medicine