A friend told Hanako that he went to the hospital a while ago because of stomach discomfort and found that he had Helicobacter pylori (Hp) infection, but he was very busy at work and had no treatment. Recently he is preparing to go home for the New Year, there may be a lot of liquor bureaus, he asked Hanako, with Helicobacter pylori infection can not drink alcohol, what to pay attention to?
Hanako told him that alcohol and Helicobacter pylori would damage the gastric mucosa, which would most likely worsen his condition, and it was best not to drink alcohol. Moreover, when reuniting with relatives and friends, it is necessary to adopt a meal sharing system, otherwise he is likely to "pit" his relatives and friends.
I. An "oncogenic bacteria" with an infection rate of 60%
According to the data in the "Expert Consensus on The Eradication of Helicobacter pylori and gastric cancer prevention and control in China", the infection rate of Helicobacter pylori in mainland China is 40% to 60%. Moreover, Helicobacter pylori infection can cause chronic active gastritis, which can cause gastric mucosa atrophy and intestinal metaplasia, and there is a risk of inducing intestinal gastric cancer.
The opinion in the expert consensus is that Helicobacter pylori infection is the main cause of stomach cancer in mainland China. Eradication of Helicobacter pylori can reduce the risk of stomach cancer and effectively prevent stomach cancer. However, after eradication, Helicobacter pylori may still have the possibility of repeated infection, so it is necessary to actively prevent it.
Second, Helicobacter pylori is mainly transmitted by families
Helicobacter pylori is an infectious disease that is transmitted through mouth-to-mouth, fecal-oral transmission, and sharing utensils with infected people is an important route of infection. When eating out, if the tableware is not thoroughly disinfected, or the diet is not fully cooked, it is easy to infect Helicobacter pylori.
Moreover, when one family member is infected with germs, it is very easy to cause infection of other family members, and intra-family transmission is the main transmission route of Helicobacter pylori.
Therefore, when returning home for the New Year to reunite with relatives and friends, people can get together, but it is best to adopt a meal sharing system, and use chopsticks and spoons when sandwiching dishes with each other, which can block the spread of Helicobacter pylori.
Third, whether Helicobacter pylori should be eradicated
In the treatment of Helicobacter pylori, the traditional view is that most people infected with Helicobacter pylori will coexist with the bacteria without disease. If gastrointestinal symptoms do not occur, treatment may be left untreated or according to the patient's personal wishes.
However, the current expert consensus believes that Helicobacter pylori infection has chronic inflammation of the gastric mucosa, which is closely related to the occurrence of gastric cancer, and after eradication of Helicobacter pylori, it can improve the inflammatory response of the gastric mucosa, prevent or delay the atrophy of the gastric mucosa, intestinal metaplasia.
Gastric mucosal atrophy can be reversed, but intestinal metaplasia is difficult to reverse, so the earlier the discovery of Helicobacter pylori infection, the earlier eradication, the better the preventive effect on gastric cancer.
Fourth, what to pay attention to when removing Helicobacter pylori
Expert consensus points out that Helicobacter pylori is a contagious disease, and paying attention to dietary hygiene can effectively prevent its infection. However, after the infection occurs, if there is no active intervention, the Helicobacter pylori infection will not eliminate on its own.
When treating Helicobacter pylori, it should be noted that drinking liquor, eating peppers, garlic, honey, yogurt, tea and some health care products that claim to have cleared Helicobacter pylori are not reliable.
The eradication of Helicobacter pylori is usually based on "4 combination therapy", that is, 1 proton pump inhibitor + 1 bismuth preparation + 2 antibiotics to form a combination of drugs and carry out treatment for about 14 days. Because of drug resistance, the eradication rate of a single treatment is about 60% to 70%. If eradication fails, after 3 to 6 months of intervals, antibiotics should be changed to re-treatment.
To sum up, when the Spring Festival returns home for the New Year, when reuniting with relatives and friends for dinner, it is best to adopt a meal sharing system and use a male chopstick spoon to avoid the spread of Helicobacter pylori within the family, especially parents do not feed their children mouth-to-mouth. If Helicobacter pylori infection is found, prompt eradication therapy is recommended to reduce the risk of stomach cancer. Drugs need to be used under the guidance of a doctor, have doubts about the use of drugs, please consult a doctor or pharmacist, I am a pharmacist Huazi, welcome to pay attention to me, share more health knowledge.