# Treatment and Follow-up URL: https://openhbv.bangbo.dev/topics/b2084429-52ac-4df3-bd73-a1f0476add88?locale=en Canonical Markdown: https://openhbv.bangbo.dev/topics/b2084429-52ac-4df3-bd73-a1f0476add88.md?locale=en Language: en ## Summary Introduces monitoring, antiviral treatment concepts, and long-term management education. ## Related OpenHBV Articles - When hepatitis B has progressed to cirrhosis: follow-up, complications, and emergency signs URL: https://openhbv.bangbo.dev/articles/when-hepatitis-b-has-progressed-to-cirrhosis-follow-up-complications-and-emergency-signs?locale=en Markdown: https://openhbv.bangbo.dev/articles/when-hepatitis-b-has-progressed-to-cirrhosis-follow-up-complications-and-emergency-signs.md?locale=en Translation key: article-ec1cc9c91667 Language: en Published: 2026-06-26 Review status: source_backed Last reviewed: 2026-06-26 Tags: Treatment, Monitoring, Guidelines Summary: A practical guide for people told they have cirrhosis or advanced fibrosis: antiviral care, cancer surveillance, varices, ascites, medicine safety, nutrition, and emergency signs. - Antiviral treatment and monitoring: what to prepare before each hepatitis B visit URL: https://openhbv.bangbo.dev/articles/antiviral-treatment-and-monitoring-what-to-prepare-before-each-hepatitis-b-visit?locale=en Markdown: https://openhbv.bangbo.dev/articles/antiviral-treatment-and-monitoring-what-to-prepare-before-each-hepatitis-b-visit.md?locale=en Translation key: article-79c3b2c2fac4 Language: en Published: 2026-06-26 Review status: source_backed Last reviewed: 2026-06-26 Tags: Treatment, Monitoring, Guidelines Summary: A visit-preparation checklist for chronic hepatitis B care, including HBV DNA, ALT, liver cancer surveillance, medicine adherence, and questions to ask. - Before chemotherapy, immunosuppression, or biologics: do not miss hepatitis B reactivation risk URL: https://openhbv.bangbo.dev/articles/before-chemotherapy-immunosuppression-or-biologics-do-not-miss-hepatitis-b-reactivation-risk?locale=en Markdown: https://openhbv.bangbo.dev/articles/before-chemotherapy-immunosuppression-or-biologics-do-not-miss-hepatitis-b-reactivation-risk.md?locale=en Translation key: article-8c0fbf61e461 Language: en Published: 2026-06-26 Review status: source_backed Last reviewed: 2026-06-26 Tags: Immunosuppression, Cancer therapy, Monitoring, Treatment Summary: What HBV reactivation means, which treatments should trigger screening, and what to ask before cancer or immune-suppressing therapy starts. - Chronic hepatitis B and liver cancer screening: when to ask about ultrasound and AFP URL: https://openhbv.bangbo.dev/articles/chronic-hepatitis-b-and-liver-cancer-screening-when-to-ask-about-ultrasound-and-afp?locale=en Markdown: https://openhbv.bangbo.dev/articles/chronic-hepatitis-b-and-liver-cancer-screening-when-to-ask-about-ultrasound-and-afp.md?locale=en Translation key: article-1dc6d18ba098 Language: en Published: 2026-06-26 Review status: source_backed Last reviewed: 2026-06-26 Tags: Monitoring, Guidelines, Treatment Summary: A practical guide to who may need liver cancer surveillance, common tests, follow-up intervals, and what to do after abnormal results. - Taking hepatitis B antivirals long term: how to stay on treatment safely and follow up URL: https://openhbv.bangbo.dev/articles/taking-hepatitis-b-antivirals-long-term-how-to-stay-on-treatment-safely-and-follow-up?locale=en Markdown: https://openhbv.bangbo.dev/articles/taking-hepatitis-b-antivirals-long-term-how-to-stay-on-treatment-safely-and-follow-up.md?locale=en Translation key: article-b03418df0420 Language: en Published: 2026-06-26 Review status: source_backed Last reviewed: 2026-06-26 Tags: Treatment, Monitoring, Guidelines Summary: A practical guide for people taking or starting oral hepatitis B antivirals, covering missed doses, stopping risk, kidney and bone monitoring, pregnancy planning, and follow-up records. - Questions to ask about hepatitis B monitoring URL: https://openhbv.bangbo.dev/articles/questions-to-ask-about-hepatitis-b-monitoring?locale=en Markdown: https://openhbv.bangbo.dev/articles/questions-to-ask-about-hepatitis-b-monitoring.md?locale=en Translation key: questions-to-ask-about-hbv-monitoring Language: en Published: 2026-06-26 Review status: source_backed Last reviewed: 2026-06-26 Tags: Treatment, Monitoring, Guidelines Summary: A practical visit checklist for chronic hepatitis B monitoring: what to bring, what to ask, and what should trigger earlier contact. ## Related Sources - Hepatitis B Foundation Cirrhosis Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-cirrhosis?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-cirrhosis.md?locale=en Original URL: https://www.hepb.org/treatment-and-management/adults-with-hepatitis-b/cirrhosis/ Organization: Hepatitis B Foundation Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业非营利患者资源 Summary: 面向乙肝患者的肝硬化说明，介绍肝硬化、代偿期与失代偿期、并发症、抗病毒治疗和定期随访的重要性。 - NIDDK Cirrhosis Symptoms and Causes Source record: https://openhbv.bangbo.dev/sources/niddk-cirrhosis-symptoms-and-causes?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/niddk-cirrhosis-symptoms-and-causes.md?locale=en Original URL: https://www.niddk.nih.gov/health-information/liver-disease/cirrhosis/symptoms-causes Organization: National Institute of Diabetes and Digestive and Kidney Diseases Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 美国国立卫生研究院患者教育资源 Summary: NIDDK 关于肝硬化症状和原因的患者说明，涵盖疲乏、瘙痒、黄疸、腹水、出血、意识改变等症状。 - VA Cirrhosis Patient Guide Source record: https://openhbv.bangbo.dev/sources/va-cirrhosis-patient-guide?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/va-cirrhosis-patient-guide.md?locale=en Original URL: https://www.hepatitis.va.gov/cirrhosis/patient/single-page.asp Organization: U.S. Department of Veterans Affairs Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 政府患者教育资源 Summary: 美国退伍军人事务部面向患者的肝硬化指南，解释腹水、静脉曲张出血、脑病等并发症和需要急诊处理的警示情况。 - Hepatitis B Online Choosing an Initial HBV Treatment Regimen Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-online-choosing-an-initial-hbv-treatment-regimen?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-online-choosing-an-initial-hbv-treatment-regimen.md?locale=en Original URL: https://www.hepatitisb.uw.edu/go/hbv/medications-used-to-treat-hbv Organization: University of Washington Hepatitis B Online Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 大学医学教育资源 Summary: 面向临床学习者的慢性乙肝初始治疗方案说明，比较恩替卡韦、TDF、TAF 等药物，并讨论肾功能、骨密度、妊娠和合并疾病等用药安全考虑。 - Hepatitis B Foundation Liver Cancer Screening Recommendations Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-liver-cancer-screening-recommendations?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-liver-cancer-screening-recommendations.md?locale=en Original URL: https://www.hepb.org/research-and-programs/liver/screening-for-liver-cancer/general-screening-recommendations/ Organization: Hepatitis B Foundation Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业非营利患者资源 Summary: 面向慢性乙肝患者的肝癌筛查说明，强调超声检查、AFP 不能单独用于筛查或诊断，以及慢性乙肝或丙肝患者通常按 6 个月间隔筛查。 - AASLD Practice Guidance on Prevention, Diagnosis, and Treatment of Hepatocellular Carcinoma Source record: https://openhbv.bangbo.dev/sources/aasld-practice-guidance-on-prevention-diagnosis-and-treatment-of-hepatocellular-carcinoma?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/aasld-practice-guidance-on-prevention-diagnosis-and-treatment-of-hepatocellular-carcinoma.md?locale=en Original URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC10663390/ Organization: American Association for the Study of Liver Diseases Source type: guideline Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业肝病学会指南 Summary: AASLD 关于肝细胞癌预防、诊断和治疗的实践指导，包含高风险人群监测、超声联合 AFP、约每 6 个月监测和异常结果后进一步诊断评估等建议。 - 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 Source type: guideline Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业肝病学会指南 Summary: AASLD 2018 乙肝指导中关于免疫抑制或细胞毒性治疗相关 HBV 再激活预防、筛查、预防性抗病毒治疗和监测的建议。 - ASCO HBV Screening and Management for Patients With Cancer Prior to Therapy Source record: https://openhbv.bangbo.dev/sources/asco-hbv-screening-and-management-for-patients-with-cancer-prior-to-therapy?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/asco-hbv-screening-and-management-for-patients-with-cancer-prior-to-therapy.md?locale=en Original URL: https://ascopubs.org/doi/10.1200/JCO.20.01757 Organization: American Society of Clinical Oncology Source type: guideline Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业肿瘤学会临床指导 Summary: ASCO 关于癌症系统治疗前乙肝筛查和管理的临床意见更新，建议系统抗癌治疗前进行 HBsAg、anti-HBc 和 anti-HBs 检测，并根据风险管理。 - 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 Source type: guideline Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 国家公共卫生机构 Summary: CDC 2023 年乙肝筛查和检测建议，包含成人一次性三项筛查，以及接受或需要细胞毒性、免疫抑制或免疫调节治疗人群的检测建议。 - 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 Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 大学医学教育资源 Summary: 面向临床学习者的慢性乙肝治疗前后监测说明，涵盖 ALT、HBV DNA、HBeAg/HBsAg 和肝癌筛查等随访项目。 - 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 Source type: guideline Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 权威公共卫生指南 Summary: WHO 2024 年慢性乙肝预防、诊断、照护和治疗指南，覆盖检测、治疗、随访和公共卫生策略。 - AASLD Hepatitis B Guidance Source record: https://openhbv.bangbo.dev/sources/aasld-hepatitis-b-guidance?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/aasld-hepatitis-b-guidance.md?locale=en Original URL: https://www.aasld.org/ Organization: American Association for the Study of Liver Diseases Source type: guideline Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业肝病学会 Summary: 乙肝管理相关临床指导和实践资源。 - Hepatitis B Foundation Patient Resources Source record: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-patient-resources?locale=en Source Markdown: https://openhbv.bangbo.dev/sources/hepatitis-b-foundation-patient-resources.md?locale=en Original URL: https://www.hepb.org/ Organization: Hepatitis B Foundation Source type: patient_resource Published: not listed Source updated: not listed Last checked: 2026-06-26 Credibility note: 专业非营利患者资源 Summary: 面向患者的乙肝诊断、监测、治疗、预防和日常生活资源。 ## Use Notes Topic Markdown is a content navigation page, not standalone medical advice. Continue to the related article Markdown and source Markdown pages to verify specific medical claims, action guidance, and source dates.