兒子患有乙型肝炎，治療方案是否需要調整？-肝膽腸胃科

HBV-DNA？

My son 24y.o,study his master degree in America,HBe P,A-HBe N,1.on lamivudine since Jan 20082.2008/12/29AST 31,ALT 46,HBV-DNA 約5億copies/ml,產生抗藥性,改lamivudine+Adefovir3.2009/03/24AST 44,ALT 110,HBV-DNA 約45萬copies/ml,續lamivudine+Adefovir4.2009/06/24AST 29,ALT 78,HBV-DNA 約15萬copies/ml(6萬IU),續lamivudine+Adefovir但是醫生建議如下,請問產生抗藥性了嗎?Thank you very muchWe did receive your son’ s lab reports. There is still HBV DNA at 60,300 International Units with Liver enzymes still mildly elevated, AST of 29, (normal) and an ALT of 78, (mildly elevated). Everything else was fine.Dr Jensen would like to get a lab test called the Hepatitis B Resistance panel. That way he can tell if the drugs he is on are working or that we may need to change him.