Scientific medical treatment I act | Helicobacter pylori infection, how to check? How to cure? How to prevent?

Who often feels stomach pain, indigestion, Acid reflux, hiccups?

It’s you!

Who panicked when they saw a “H. pylori positive” result on their medical report

?

It’s you!

What to do in the face of this most common chronic bacterial infection in humans

Let’s find out together!

01

What is Helicobacter pylori

Helicobacter pylori (Hp for short), as one of the bacteria with the highest infection rate in the world, has a wide spread, high infection rate. It is a major pathogenic factor in chronic active gastritis, peptic ulcer, gastric mucosa-associated lymphoid tissue (MALT) lymphoma, and gastric cancer. After infection, symptoms such as epigastric pain, early satiety, bad breath, nausea and vomiting, and abdominal distension may appear, but some patients with Helicobacter pylori infection have no obvious symptoms.

Routes of transmission

Humans are the only source of infection for Helicobacter pylori. Helicobacter pylori mainly hides in saliva, dental plaque, stomach and feces, and is transmitted through oral-oral and fecal-oral routes.

02

Detection of Helicobacter pylori

Helicobacter pylori The detection methods are divided into invasive methods (endoscopic observation diagnosis, rapid urease test, histological detection, etc.) and non-invasive methods (urea breath test, stool antigen test, etc.). Generally, the appropriate method can be selected according to the specific situation of the patient. Detection method.

The urea breath test is the most commonly used health check.

Special Tips

Before the urea breath test, all antibiotics should be stopped for at least 4 weeks, and proton pump inhibitors (PPI), bismuth, and H2 receptor antagonists should be stopped. Wait for 2 weeks, and stop using traditional Chinese medicine with antibacterial effect for 4 weeks;

It is best to fast on an empty stomach before the test, and strenuous exercise should not be performed during the test, so as not to affect the test results.

If you find out that you are infected with Helicobacter pylori, remember to remind your family members who live together to get tested too!

03

Treatment after H. pylori infection

Don’t panic if you have H. pylori infection, not all infected people need treatment. The following four categories of people are currently recommended for eradication therapy:

Patients with peptic ulcers (gastric ulcers, duodenal ulcers)

Postoperative patients with early gastric cancer

Patients with gastric MALT lymphoma

Patients with chronic gastritis (with mucosal atrophy or erosion)

Eradication measures

Currently, the clinical application for eradication of helicobacter pylorus is There are three main measures for bacilli:

quadruple therapy

that is, a gastric acid inhibitor + a gastric mucosal protective agent + two or more antibiotics.

Reminder: Due to the wide variety of medications used during treatment, patients must strictly follow the doctor’s orders and take the dose on time.

Recheck in time

After stopping the drug, patients need to recheck in time within the review time prescribed by the doctor to understand the treatment dynamics and confirm the treatment effect. Do not make subjective assumptions and judge your own condition.

Prevention of reinfection

Exercise care should be exercised in patients following eradication therapy to prevent reinfection.

In daily life, wash your hands before and after meals;

Avoid contact with polluted water sources;

Try to divide meals as much as possible and when serving others Use public chopsticks;

Don’t eat at roadside stalls with unsanitary conditions, etc.

In a family, if a member is diagnosed with Helicobacter pylori infection, they must use special personal tableware and do not mix it with others to prevent mutual infection due to cross-use of tableware.

Helicobacter pylori, one person was infected and the whole family suffered. To protect yourself and your family, start with paying attention to dietary hygiene and personal hygiene, and take active precautions to avoid “bacteria entering through the mouth”.

Source: Beijing 12320

Editor: Guo Lei

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