Since Professor Marshall, who discovered Helicobacter pylori (hereinafter referred to as HP), won the Nobel Prize in Medicine, this originally unknown bacteria has gradually become a prosperous and purple-red Internet celebrity bacteria.
More and more people know that it is not only related to gastritis and peptic ulcer , but also closely related to gastric cancer .
But many people only know it in one way or another, just one-sided hearing.
Today, we will talk about the 28 issues that everyone is most concerned about from a professional perspective, which is the common misunderstandings about Helicobacter pylori.
htm around us are many people infected with Helicobacter pylori?
Answer:
more, and the proportion is not low!
The current Hp infection rate in my country is 40%~60%, with an average of 56%. There are differences in the infection rates of
in different age groups. The infection rates of Hp in different age groups are higher in older people. It is worth noting that the Hp infection rate of teenagers <20>
Helobacter pylori infection to us?
Answer:
111111119% of all HP-infected patients have chronic active gastritis, namely HP gastritis.
In addition, peptic ulcers occur in 15% to 20% of patients with Hp infection (including gastric ulcers or duodenal ulcers ), 5% to 10% occur in HP-related indigestion (bloating, hiccups , acid reflux, belching ), and 1-3% occur in gastric malignant tumors (gastric cancer, MALT lymphoma).
Although most infected people still have no symptoms or complications, the lesions in the stomach are occurring and aggravating. How is
Hp infected? How to prevent it?
Answer:
Hp can be spread between people, mainly through oral transmission.
China's shared dietary habits are an important reason for the high incidence of Hp infection.
share bowls and chopsticks, and have a water cup. Picking the same dish may increase the risk of Hp infection.
In fact, it is unrealistic and unnecessary to completely change the eating habits of Chinese people. This is part of Chinese traditional culture and a way for relatives to contact each other.
A reasonable suggestion is for the whole family to check for Hp infection and treat it together to eliminate the source of infection.
You can use public chopsticks or separate meals when having dinner and social gatherings, which is more in line with social etiquette.
Hollicle pylori (Hp) infection causes gastric cancer?
Answer:
Hp infection is the most important factor in the occurrence of gastric cancer. In 2015, the incidence of gastric cancer in my country was second only to lung cancer, ranking second among all malignant tumors. my country accounts for nearly half of the number of new cases of gastric cancer and deaths in the world! Such a high incidence of gastric cancer has a very strong relationship with the high Hp infection rate in my country.
is the majority of gastric cancers. We now know that the occurrence pattern of intestinal gastric cancer is as follows: Normal gastric mucosa → superficial gastritis → atrophic gastritis → intestinal metaplasia → dysplasia → gastric cancer.
Hp infections all cause chronic active gastritis, which also plays an important role in the occurrence and development of gastric mucosa atrophy and intestinal metaplasia. Therefore, Hp infection plays a key role in the occurrence of intestinal gastric carcinoma.
doesn't seem to be a big deal, can Hp be treated without treatment?
Answer:
Hp infection does not necessarily lead to gastric cancer, but the risk of gastric cancer is much higher than that of people without Hp infection.
Although many people do not have any symptoms of self-consciousness, this does not mean that they can be taken lightly.
now has no symptoms, which may be because the lesions caused by Hp have not reached a certain level.
It can be confirmed that Hp is a harmful bacteria to the human body. Once Hp is infected, it is difficult to heal itself without treatment. Unless proactive intervention measures are taken, the Hp infection rate will not decrease on its own.
Can Hp eradication prevent gastric cancer?
Answer:
There are many factors that induce gastric cancer, and Hp is just one of them. Although it cannot be said that gastric cancer will not be caused by eradicating Hp, this is the most accurate way we can do to reduce the incidence of gastric cancer.
Hp infection is the most important risk factor for gastric cancer. Elimination of Hp can reduce the incidence of gastric cancer. It is especially beneficial for asymptomatic patients and patients after endoscopic premature cancer resection, with a 34% reduction in gastric cancer risk.
eradication in the superficial gastritis stage can almost 100% prevent intestinal gastric cancer (most gastric cancers are of this type).
7
HP will it still be infected repeatedly after radical treatment?
Answer:
may be infected repeatedly. However, the reinfection rate of the year after the eradication is successful is less than 3%!
If the person who eats with you does not cure it together, there is still a chance of being infected again.
8
Can it be treated during pregnancy?
Answer:
Unless it is necessary, pregnancy examination and treatment are generally not recommended.
9
How can I be considered a cure?
Answer:
Answer:
Take test again, and the result was negative. But be careful to get infected again.
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Which department number to hang in the hospital?
Answer: For treatment of
Hp and gastritis, please go to the Department of Gastroenterology of the General Hospital.
1
Hp How to detect it? What's going on with the exhalation experiment?
Answer:
Expiration test (13C or 14C) is the most commonly used non-invasive test in clinical practice, with the advantages of high detection accuracy, easy operation and no influence of intragastric focal distribution.
Other detection methods include serological testing (blood drawing), fecal antigen testing (fecal examination) is rarely used.
Hp can also detect Hp by biopsy when gastroscopy , which is suitable for people who need gastroscopy.
2
HP treatment? How long does it take to take medicine?
Answer: For specific treatment plans, please consult a specialist in the Department of Gastroenterology and formulate treatment plans based on your personal specific situation.
recommended to use a standard bismuth quadruple-linked regimen. The clinical trials of the seven empirical Hp eradication treatment plans recommended by the domestic consensus all adopt a 10-14-day course of treatment, with an eradication rate of 90%.
Extending the course of treatment from 10 days to 14 days can improve the Hp eradication rate to a certain extent. However, given that there may be significant regional differences in the antibiotic resistance rate in my country, if it can be confirmed that the eradication rate of 10-day courses of local programs is close to or exceeds 90%, a 10-day course of treatment can be selected.
3
anti-Hp treatment is really harmful to the body?
Answer: The treatment plan for Hp eradication includes at least 2 antibiotics , and the course of treatment is 10 to 14 days. The use of antibiotics will change the intestinal flora in the short term, but the changes in the diversity and composition of the intestinal flora can be restored after 2 months.
Therefore, generally carrying out standardized eradication of Hp will not bring serious adverse consequences (antibiotic abuse, drug-resistant bacteria spread, obesity, gastroesophageal reflux disease, inflammatory bowel disease , allergic asthma , etc.).
However, you should choose drugs according to your personal constitution. It was previously clear that patients who are allergic to certain antibiotics should inform your doctor of the allergy history, and use it as a reference when choosing drugs.
4
What foods will cause HP to be infected?
Answer:
Hp is an oral transmission disease transmitted by humans and humans. Humans are its hosts and there is no Hp in food.
But unclean raw water and raw food may be infected by Hp; the main reasons for the index of shared tableware and toiletry utensils.
5
What foods or Chinese medicines are there, such as garlic, honey, dandelion, etc., that can treat Hp?
Answer:
No. Please go to the standardized hospital for treatment.
6
A few days ago, he had dinner with his blind date partner. He kept hiccups and said he had a bad stomach. What should he do?
Answer:
It is recommended to test the Hp in the expiration test, which is better if you can do a gastroscopy.
7
6 Boyfriend has bad breath. Is he infected with Hp?
Answer:
is possible, but bad breath is 80% due to oral and periodontal diseases. Not much HP was found.
8
I am already atrophic gastritis. Is there any useful treatment for HP?
Answer:
Atrophic gastritis must eradicate hP; although the treatment benefits are the most in the superficial gastritis stage, as long as there are no countermeasures, the benefits will be obtained at any time for eradication of treatment.
9
6 After I treated it, my stomach felt even more uncomfortable. What's going on?
Answer:
Pay attention to diet and living habits, and wait for a while and you will feel that you have improved significantly.
0
Does children use treatment?
Answer:
Unless necessary, children under 14 years old do not recommend examination and treatment; the focus is on preventing infection. About 10% of children may be automatically cleared.
1
What should I do after I treated it, but the re-examination was still positive?
Answer:
Don’t rush to treat again; temporarily stop the medication for more than 3 months, it is best to stop the medication for 6 months; find a doctor you can trust to treat again.
2
Who needs treatment?
Answer:
See the table below:
3
Is there a vaccine? You don’t have to worry about being infected with
Answer:
HD vaccine is under research, but it is not available now.
4
Does the aunt who cares for the baby at home check and will it be passed on to the baby?
Answer:
Ask:
Aunts at home who care for the baby will check it and it will pass it to the baby
5
Are you ready to have a child, will I pass it to the child?
Answer:
It is recommended that couples before pregnancy should test and treat Helicobacter pylori; about 70% of adult infected people are infected before the age of 10.
6
kissing, will you be infected?
Answer:
is possible; since you choose to marry him, why don’t you check it?
7
I would like to ask, I don’t have stomach disease , at what age is the most suitable eradication?
Answer:
Actually, it is recommended that all adults without countermeasures (over 14 years old) recommend eradication treatment, which will benefit the most before the age of 40.
8
I am diagnosed with infection and must be isolated from my family? ?
Answer:
No need, just develop good living habits.
Infected with Helicobacter pylori is not infected with the new coronavirus, so don’t panic. The transmission of Helicobacter pylori between adults is very, very limited.
At home, you must say something to pay attention to, be careful not to share towels, separate meals during meals, or use public chopsticks. This is not to prevent the spread of Helicobacter pylori, but a living habit we should develop in our daily lives.
