#常德头条 ##汉寿县人民医院#
With the progress of the information age, the term "Helicobacter pylori" frequently appears in the public eye.
On the mainland, nearly half of the population is infected with H. pylori, making it the most infected country in the world. It is no exaggeration to say that when one person is infected, the whole family suffers.
Moreover, the World Health Organization has classified Helicobacter pylori as a class I carcinogen, so the detection of Helicobacter pylori has become a must-do physical examination item for many people.
What is Helicobacter pylori?Where does Helicobacter pylori come from?How to check for Helicobacter pylori?What should we pay attention to?Today, Hanshou County People's Hospital is here to popularize science for you~
What is Helicobacter pylori?
Helicobacter pylori (Hp) is a micro-anaerobic, parasitic bacterium in the stomach that adheres to the gastric mucosa and intercellular spaces. At present, the Hp infection rate in the mainland is about 50%. HP infection is currently the most definite risk factor for gastric cancer.
Where does Helicobacter pylori come from?
Humans are the only source of infection with Helicobacter pylori, and the route of transmission is through the digestive tract.
Helicobacter pylori is transmitted in the following ways:
In these scenarios, HP may be infected
What are the symptoms after infection?
1. The main symptoms are acid reflux, heartburn, stomach pain, and bad breath.
2. It can cause chronic gastritis, the main clinical manifestations are: epigastric discomfort, vague pain, sometimes belching, acid reflux, nausea, vomiting, the course of the disease is slow, but it is easy to recur.
3. It may cause gastric mucosal damage, and the occurrence of clinical diseases is diverse, and patients often have acid reflux, belching, and fullness.
What happens to the stomach after a H. pylori infection?
Atrophic gastritis
Peptic pupils
Erosive gastritis
gastric cancer
肠化
Gooseskin gastritis
Helicobacter pylori test
Early detection and early eradication are more effective
The Fifth National Consensus Report on the Treatment of Helicobacter Pylori Infection has pointed out that the detection of Hp positive and eradication of Hp before the occurrence of gastric mucosal atrophy and/or intestinal metaplasia can almost completely prevent the occurrence of intestinal gastric cancer, but if Hp is detected and eradicated after gastric mucosal atrophy and/or intestinal metaplasia has occurred, although it can delay the development of gastric mucosal atrophy and intestinal metaplasia, it is not enough to completely eliminate this risk.
Therefore, Hp testing through routine health check-ups may be able to detect Hp positivity as early as possible, thereby eliminating the potential risk of bowel gastric cancer as early as possible.
So which groups of people are the key screening targets for Helicobacter pylori?
1. People with a history of peptic ulcer: Helicobacter pylori testing should be considered regardless of whether they are active or not, and whether there is a history of complications;
2. Patients with chronic gastritis: especially those in the active phase with gastric mucosal atrophy and erosion, as well as patients with chronic gastritis with symptoms of dyspepsia;
3. People with a history of gastric cancer or lymphoma: Since Helicobacter pylori is closely related to the occurrence of malignant tumors such as gastric cancer, these patients should be tested for Helicobacter pylori regularly;
4. People who take specific drugs for a long time: such as patients who have been taking non-steroidal anti-inflammatory drugs (aspirin, ibuprofen, acetaminophen, etc.) for a long time, these drugs may affect the gastric mucosa and increase the risk of Helicobacter pylori infection;
5. People with a history of chronic diseases such as other blood: iron deficiency anemia, idiopathic thrombocytopenic purpura, etc., which may be related to Helicobacter pylori infection;
6. People with poor hygiene habits: not washing hands before and after meals, often grabbing food directly with their hands, or not doing good oral hygiene, not brushing their teeth actively, not regularly disinfecting tableware, etc., may also transmit and be infected with Helicobacter pylori.
7. Those who have symptoms related to Helicobacter pylori infection.
The most cost-effective, easy and efficient test for Helicobacter pylori: carbon-13 or carbon-14 breath test
To put it simply, two breaths can detect the presence of Helicobacter pylori in the stomach.
The C13 and C14 examination methods are very simple, can be completed by blowing breath, and have the characteristics of painless, high sensitivity, high detection rate and coincidence rate, and are very popular methods for detecting Helicobacter pylori.
The Endoscopy Center and the Department of Gastroenterology of Hanshou County People's Hospital have been carrying out C13 and C14 Helicobacter pylori testing for many years, and the Health Management Center has also listed C14 Helicobacter pylori testing as a routine physical examination item.
What do I need to pay attention to in the carbon 13 carbon 14 breath test?
1. Need to be fasting (not eating, not drinking water);
2. Have not taken stomach medicine and anti-inflammatory drugs (such as: bismuth potassium citrate, omeprazole, amoxicillin, etc.) within half a month;
3. Do not plan to have children within half a year (female lactation).
Do I need to do gastroscopy if I test positive for Helicobacter pylori?
A positive H. pylori test indicates the presence of H. pylori in the human body, but the H. pylori test is not a substitute for gastroscopy. The presence of Helicobacter pylori can continue to damage the gastric mucosa, causing inflammation, erosions, ulcers, polyps and even stomach cancer.
Therefore, if you are positive for Helicobacter pylori infection, if there are no obvious contraindications, it is recommended to have a gastroscopy!
What are the indications for Helicobacter pylori eradication?
The Sixth National Expert Consensus on the Treatment of Helicobacter pylori Infection gave a clear recommendation. According to the benefit ratio after H. pylori eradication, the general population has confirmed the presence of H. pylori infection, and if there are no counter-factors, eradication therapy is highly recommended.
Choice of treatment regimen
The expert consensus has clear regulations on the treatment plan and course of treatment, and the concept of "eradication at the first treatment" of Hp has been widely promoted. It is recommended that you go to a regular hospital for specialized treatment to avoid irregular medication, which will greatly reduce the treatment effect, and it will be more difficult to consider eradication later.
Health tips to prevent H. pylori infection
1. Wash your hands before eating.
2. The dining environment should be hygienic, especially for roadside stalls and takeaways.
3. Use male chopsticks and spoons when eating, eat cooked food, eat less spicy and stimulating food, eat a light diet, and eat more fresh vegetables and fruits.
4. Regular disinfection of tableware, high temperature can kill Helicobacter pylori, boil with boiling water for 15-30 minutes.
5. Pay attention to safe and clean drinking water.
6. Personal daily necessities should be used separately, and toothbrushes, dishes and chopsticks should not be shared.
7. Do not chew the food and feed it to children.
8. Exercise more to improve your own immunity.
9. Pay attention to physical examination.
Early detection, early diagnosis, early treatment, health check-up helps you strangle the disease in the cradle!
Hunan Medical Chat Special Author: Qu Hui, Hanshou County People's Hospital
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(Editor YH)