Today, a news story about #Have you been harvested by the Helicobacter pylori concept has rushed to the hot search.
We also did not expect that there is a lot of hype for this now. Today I will talk to you again, how should Helicobacter pylori be handled? Which commodities are just pure concept hype?
Image source: Weibo
First of all, the conclusion: to stay away from the threat of stomach cancer, there is only one really effective way at present: to check and treat Helicobacter pylori.
In the past 10 years, new research results have been released, covering many countries and regions with different stomach cancer burdens, and successful eradication of Helicobacter pylori can reduce the incidence of gastric cancer by 34% to 53%.
But similar to the following figure to treat Helicobacter pylori mouthwash, toothpaste, bacteriostatic ointment what is the IQ tax Ha.
Don't believe it, do a test, and determine the treatment plan for Helicobacter pylori based on the results, which is better than anything.
Other questions about Helicobacter pylori are listed below.
Myth 1: If You cure Helicobacter pylori, you will be re-infected
Before the lilac doctor talked about the topic of Helicobacter pylori, there would be many messages saying: "What to cure, after curing the outside to eat together, you will have it again." This is not the case.
Helicobacter pylori infection is indeed an infectious disease, and we do not have a very clear understanding of all the details of the infection. However, from various evidence, it can be known that these infections mainly occur in early childhood, and it is difficult to be re-infected without infection after adulthood, and it is rare to be re-infected after being cured.
The latest research meta-analysis has observed that those who have cured Helicobacter pylori Chinese, different living environments and living habits, are consistently rarely re-infected, and what is done does not affect re-infection or not.
After years of observation, the proportion of cured people with Helicobacter pylori infection in the family was 5.5%, and the proportion of cured people with no Helicobacter pylori infection in the family was 3.9%, with no statistical difference.
In other words, if adults are completely cured, they are likely not to worry about being infected again.
Myth 2: Helicobacter pylori is beneficial and cannot be completely extinguished
Anything has both pros and cons, and Helicobacter pylori is no exception.
In the 1990s, Professor MJ Blaser, a major bull in the industry, conducted a series of studies that may be beneficial to Helicobacter pylori, including findings such as reducing asthma and reducing reflux.
But time has changed, and today the MJ Blaser team is no longer vocal around this topic, because these possible small gains are compared to the exact harm of carcinogenicity.
Disease treatment is the pursuit of advantages outweighing the disadvantages, picking watermelons can throw away sesame seeds at the same time.
Myth three: The United States does not recommend treatment, so we do not have to treat it
The difference here is that we are a completely different country from the United States in terms of stomach cancer burden. In two countries where the incidence of stomach cancer is 5 times different, some things are not easy to copy completely. When the risks we face are large enough, the decisions should naturally be slightly more radical.
It is more appropriate to compare Japan, which is also a big country for stomach cancer. Because of the improvement of the health environment and the recommendation of universal treatment, the next generation of Helicobacter pylori infection rate in Japan is getting lower and lower, from 70% to 80% of the same grade as China in that year to about 10%, and the occurrence of stomach cancer in the future is expected to gradually decrease. The radical measures taken by Japan in this regard are even more worthy of our reference.
Myth 4: The medical books do not say that they should be cured
Older medical textbooks do not pay enough attention to Helicobacter pylori. After all, its discovery is only 30 years, and it is determined that it is related to stomach cancer for only 20 years.
And as mentioned above, the clear conclusion that the treatment of pylorus can reduce the risk of stomach cancer is only a matter of recent years.
Some doctors' ideas may not be so up-to-date, and the revision of books may take many years, but the latest national consensus is to encourage treatment.
Picture Note: There is a clear recommendation in the national consensus that the infection should be treated
Image source: Reference 1
Myth Five: There seems to be no policy to encourage treatment
The problem here is the difference between individual interests and group interests.
From an evidentiary perspective, individuals benefit from treating Helicobacter pylori infection. But China's infection rate is as high as nearly 60 percent, and when everyone does, public health comes under enormous pressure.
Moreover, the treatment of Helicobacter pylori requires the use of antibiotics, and if the treatment is not standardized, large-scale policy promotion may become a public health problem to increase antibiotic resistance.
Isn't that incurable? Of course not.
People who are threatened by Helicobacter pylori should seek help from a professional doctor to obtain a more professional and standardized treatment plan, and try to hit it as soon as possible to reduce the impact on drug resistance. Individual interests can be taken care of first, taking into account the interests of the group.
In the face of terrible stomach cancer, none of these concerns should be justified.
Here are some of the small details we have prepared about Helicobacter pylori.
1. Active examination for Helicobacter pylori is not recommended for children at this time. Although the infection begins in young children, the treatment of young children is not mature, and they may be re-infected after treatment, and it is completely too late to treat them after adulthood.
2. Examination and treatment of Helicobacter pylori is necessary in adulthood, and the earlier it is carried out, the greater the benefit.
3. Helicobacter pylori treatment regimen is not generalized, and doctors can choose based on individual conditions and antibiotic resistance in the region. In general, it is composed of 4 drugs, one so-and-soprazole, one with the word "bismuth" in the name, and two antibiotics.
4. Helicobacter pylori treatment is inevitable to have some side effects, before the start of treatment, communicate with the doctor clearly, according to the different drug choice options, make psychological expectations and preparations for different side effects.
5. Not all Helicobacter pylori infections can be treated successfully, and after trying unsuccessfully, gastric cancer screening can be carried out after the age of 40 to reduce the threat of stomach cancer.
6. If you have passed the age of 40 and first find Helicobacter pylori infection, it is best to perform gastroscopy for gastric cancer screening before treating Helicobacter pylori. There are also many types of gastroscopes, so check with your doctor that "I'm here to do gastric cancer screening gastroscopes."
7. In addition to the underlying cause of Helicobacter pylori infection, there are other factors that can also affect the occurrence of stomach cancer. Do not smoke, eat more fresh vegetables and fruits, eat less salt and less pickling also pay attention to.
Planning and production
Author: Eric | Planner: Jiu | Executive Producer: Feidi
Cover image source: Dr. Lilac design team