Recently, Kunming, Yunnan female white-collar Liu Xiaomei organization medical examination, get a medical report, she was down! One of the indicators, the value of up to 678, normal can not exceed 50 ah! She's full 13 times more! The experience of her colleagues is even more terrible, six people in the same office in the collective shot, but also all numerical burst table, infected with the same bacteria!
Helicobacter pylori or not to kill?
Indeed, many people will be told Helicobacter pylori infection in the medical examination. Kill or not kill, how to kill, after sterilization will not be infected? These problems plague many people.
Under 18 years old: not recommended treatment
'If it is a child, we are not treated.' Lu Hong, chief physician of Gastroenterology, Renji Hospital, Shanghai, explained that children have poor treatment compliance.
Helicobacter pylori treatment process a bit hard.Medical drugs have some stimulation of the digestive tract, so patients may be repeated in the course of treatment. 'Lu Hong bluntly, not to mention children, many adults in the treatment is also difficult to adhere to. If the patient does not cooperate, such as failure to complete the course of treatment as required by the doctor, taking medication from time to time, reduce the amount of Dengjun can lead to eradication therapy failure.The study found that if the initial eradication unsuccessful, due to antibiotic resistance, the success rate of re-eradication will be greatly reduced .
Japan recommends that children should be treated after the age of 12, and China does not have any guidelines in this regard. "From the clinical experience, Lu Hong thinks that the treatment will be better after the age of 18. 'At this time, the immune system is stable and the infection rate after treatment is relatively good Low.
So what is the radical cure? Lu Hong explained that patients need to be discontinued after treatment for at least 4 weeks .4 weeks, all stomach medicine, antibiotics and bismuth, and some proprietary Chinese medicines can not eat. Experiment review, no problem that is really good.
Once the cure, Helicobacter pylori re-infection rate is not high.Although the mainland temporarily no such data, but the study in Taiwan showed that the general re-infection rate of about 1%. Even in Brazil, such conditions are relatively poor Area, the rate of re-infection is only 10%. 'That is, healed, as long as their own attention to health, then the infection rate is very low.
Adults: No symptoms are also recommended treatment
Helicobacter pylori detected, the doctor whether there is a need for immediate treatment have different opinions.
According to our consensus on the fourth treatment of Helicobacter pylori infection, such as Helicobacter pylori-positive patients accompanied by peptic ulcer (with or without activity and history of complications), gastric MALT lymphoma, chronic gastritis with indigestion, chronic gastritis Gastric mucosal atrophy, erosion, early gastric cancer have undergone endoscopic resection or surgical subtotal gastrectomy, family history of gastric cancer, cure as soon as possible.
However, the long incubation period of Helicobacter pylori infection is difficult to detect, and 20% of the infected people have no obvious symptoms.Whether treatment is needed for those 20% who have no obvious symptoms?
Lu Hong believes that this involves the concept of 'prophylactic treatment.' Many young people think that stomach infection is not uncomfortable, so infection of Helicobacter pylori is not the same thing, but stomach diseases such as stomach cancer often have no early symptom.
Our stomach is like a balloon, and sometimes the tumor grows too large inside you will find that even if you are young and good, but there are bacteria certainly inflammation, but now it did not cause any impact, but 10 years later, 20 years later Can you ensure that it has no effect?
'Just like a smoker will not necessarily get lung cancer and emphysema but it will be too late to wait for it.' "Lu Hong said Helicobacter pylori infection is associated with gastric cancer and with smoking and lung cancer are similar Do not think there is no harm to smoking lung cancer it?
A harmful bacterium survives in the body, and if it is not treated, it can not be done any day to do something bad for you. Clinical studies have shown that eradicating Helicobacter pylori can reduce the risk of gastric cancer by about 39%.
'Japan is advocating that once an infection is detected, treatment is required regardless of any symptoms of discomfort.' "Hong said that preventive treatment is indeed a rather controversial topic. 'Here, the treatment of Helicobacter pylori is still in its infancy, so everyone's There is a little bit of disagreement about the concept, and until after treatment more and more, our own research has followed, and everyone can accept the idea of prophylactic treatment.
