Helicobacter pylori positive, can it be cured?

Now many routine physical examinations are about Helicobacter pylori (Hp) tests, and most of the examiners will feel nervous when they see the results show "positiv.

Now many routine physical examinations are about Helicobacter pylori (Hp) tests, and most of the examiners will feel nervous when they see the results show "positiv.

What are the dangers of Helicobacter pylori infection ? Do you need treatment? Infect

What is Helicobacter pylori?

What is Helicobacter pylori? What is Helicobacter pylori?

Helicobacter pylori is a helical bacterium that exists in the stomach and duoden.

Helicobacter pylori is a helical bacterium that exists in the stomach and duoden.

It is currently believed that it is caused by enterotypeThe most important and controllable factor in gastric cance.

Helicobacter pylori infectionHelicobacter pylori infectionHelicobacter pylori infection

Helicobacter pylori infection is one of the common chronic infections in humans, and it is called "super bacteria" due to its strong survivability and transmission abili.

Helicobacter pylori infection is one of the common chronic infections in humans, and it is called "super bacteria" due to its strong survivability and transmission abili.

(1) The Hp infection rate of the population in developing countries is 50% to 80%;

(2) The Hp infection rate of the population in developed countries is 25% to 5

(2) The Hp infection rate of the population in developed countries is 25% to 5

(3) About 600 million people in China are infected with.

(4) After Hp infection, unless treated, the body is generally difficult to clear, and most of them cause life-long infecti.

(5) Hp infection has a tendency of family aggregation and can be transmitted within the fami.

(6) Medical staff, especially doctors engaged in digestive endoscopy, are at high risk of Hp infecti.

2, 2, Helicobacter pylori transmission route Helicobacter pylori transmission route

The transmission routes of Helicobacter pylori include fecal-oral transmission, oral-oral transmission and iatrogenic transmissi.

The transmission routes of Helicobacter pylori include fecal-oral transmission, oral-oral transmission and iatrogenic transmissi.

(1) Bacteria can be detected in the saliva, vomit, and dental plaque of Hp-infected patients;

(2) The gastric mucosa of infected persons is renewed and shed, and is excreted from the feces through the gastrointestinal tract, and exposure can cause Hp infection;

(2) The gastric mucosa of infected persons is renewed and shed, and is excreted from the feces through the gastrointestinal tract, and exposure can cause Hp infection;

(3) Contamination of medical devices can also cause Hp transmissi.

(3) Contamination of medical devices can also cause Hp transmissi.

Common symptoms of Helicobacter pylori infection

Common symptoms of Helicobacter pylori infection 3, 3, Helicobacter pylori infection Common symptoms of

Most of those who are positive may have no symptoms;

Most of those who are positive may have no symptoms;
pylori infection may also have symptoms such as acid reflux, nausea, vomiting, severe bad breath, belching, heartburn, abdominal distension, epigastric pain, and loss of appeti.


pylori infection may also have symptoms such as acid reflux, nausea, vomiting, severe bad breath, belching, heartburn, abdominal distension, epigastric pain, and loss of appeti.

What diseases can Helicobacter pylori infection cause?

What diseases can Helicobacter pylori infection cause?What diseases can Helicobacter pylori infection cause?What diseases can Helicobacter pylori infection cause?

(1) Chronic gastritis

(1) Chronic gastritis

Hp infection is the main cause of chronic gastritis, and the rate of Hp infection in the gastric mucosa of chronic gastritis is 80% to 9

Hp infection is the main cause of chronic gastritis, and the rate of Hp infection in the gastric mucosa of chronic gastritis is 80% to 9

(2) peptic ulcer

(2) peptic ulcer digestion
pylori infection is the main cause of peptic ulcer, duodenal ulcer.

pylori infection rate of 90% to 100%, gastric ulcer.

pylori infection rate of 85% to 9

pylori infection is the main cause of peptic ulcer, duodenal ulcer.

pylori infection rate of 90% to 100%, gastric ulcer.

pylori infection rate of 85% to 9

(3) Gastric cancer

(3) Gastric cancer

The occurrence of gastric cancer is related to Hp infecti.

Hp infection is only one of the factors of gastric cancer incidence, human, environmental and other factors are also cruci.

The occurrence of gastric cancer is related to Hp infecti.

Hp infection is only one of the factors of gastric cancer incidence, human, environmental and other factors are also cruci.

(4) Extragastric diseases

(4) Extragastric diseases

Such as anemia, thrombocytopenic purpura, leukemia and so .

Such as anemia, thrombocytopenic purpura, leukemia and so .

leukemia

Diagnosis method

Diagnosis methodDiagnosis methodDiagnosis methodDiagnosis

The methods for diagnosing Hp infection include:

The methods for diagnosing Hp infection include:

(1) Rapid urease test;

(1) Rapid urease test;

(2) Staining of tissue sections;

(2) Staining of tissue sections;

(3) Gram staining of mucosal smears;

(3) Gram staining of mucosal smears;

(4) 13C or 14C breath test;

(4) 13C or 14C breath test;

(5) Anti-Hp antibodies in serum,e.

(5) Anti-Hp antibodies in serum,e.

The breath test is the most convenient, quickest, most accurate and most commonly us.

The breath test is the most convenient, quickest, most accurate and most commonly us.

Helicobacter pylori eradication therapy

Helicobacter pylori eradication therapyHelicobacter pylori eradication therapyHelicobacter pylori eradication therapy

The current recommended eradication therapy is generally 10 or 14 days of quadruple therapy, including a proton pump inhibitor, bismuth, and two antibioti.

The current recommended eradication therapy is generally 10 or 14 days of quadruple therapy, including a proton pump inhibitor, bismuth, and two antibioti.

(1) Antibiotic selection:

(1) Antibiotic selection: (1) Antibiotic selection: antibiotics

1) Amoxicillin + Clarithromycin;

1) Amoxicillin + Clarithromycin;

2) Amoxicillin + Levofloxacin;

2) Amoxicillin + Levofloxacin;

3) amoxicillin+furazolidone;

3) amoxicillin+furazolidone;

4) Tetracycline + Metronidazole or Furazolidone

4) Tetracycline + Metronidazole or Furazolidone

(2) Those allergic to penicillin:

(2) Penicillin allergy: (2) Penicillin allergy:

1) clarithromycin + levofloxacin;

1) clarithromycin + levofloxacin;

2) clarithromycin+furazolidone;

2) clarithromycin+furazolidone;

3) tetracycline + metronidazole or furazolidone;

3) tetracycline + metronidazole or furazolidone;

4) Clarithromycin + Metronidazole

4) Clarithromycin + Metronidazole

(3) The standard dose of proton pump inhibitor is:

(3) The standard dose of proton pump inhibitor is: (3) The standard dose of proton pump inhibitor is:

esomeprazole 20 mg, omeprazole 20 mg or lansoprazole 30 mg/time, 2 times/day, 30 minutes before meals;

esomeprazole 20 mg, omeprazole 20 mg or lansoprazole 30 mg/time, 2 times/day, 30 minutes before meals;

(4) The standard dose of bismuth is:

(4) The standard dose of bismuth is: (4) The standard dose of bismuth is:

Potassium bismuth citrate 220 mg/time, 2 times/day, 30 minutes before mea.

Potassium bismuth citrate 220 mg/time, 2 times/day, 30 minutes before mea.

Who needs treatment?

Who needs treatment?Who needs treatment?Who needs treatment?

All live Helicobacter pylori is harmful!

All live Helicobacter pylori is harmful! All live Helicobacter pylori is harmful!

Eradication of Helicobacter pylori is the most important way to prevent gastric cancer! ! !

Eradication of Helicobacter pylori is the most important way to prevent gastric cancer! ! ! Eradication of Helicobacter pylori is the most important way to prevent gastric cancer! ! ! prevention

The "Expert Consensus Opinions on Helicobacter pylori Eradication and Gastric Cancer Prevention and Control in China" released in April 2019 clearly pointed out:

The "Expert Consensus Opinions on Helicobacter pylori Eradication and Gastric Cancer Prevention and Control in China" released in April 2019 clearly pointed out: the consensus

(1) On the basis of.

pylori eradication in high-risk areas of gastric cancer, the extensive eradication of.

pylori should be gradually promoted to prevent gastric cancer;

(2) eradication between the ages of 18 and 40 will benefit the most; eradication after the age of 60 can also benefit;

(2) eradication between the ages of 18 and 40, the greatest benefit; eradication after the age of 60 can also benefit; (2) eradication between the ages of 18 and 40, the greatest benefit; eradication after the age of 60 can also benefit;

(3) The normative eradication of.

pylori will not bring adverse consequences;

(3) Carrying out the normative eradication of.

pylori will not bring adverse consequences; (3) Carrying out the normative eradication of.

pylori will not bring adverse consequences;

(4) Eradication of Helicobacter pylori is the most important means to prevent intestinal gastric cancer;

(5) Hp screening and treatment strategies are recommended in both the population in the high incidence area of ​​gastric cancer and the general community populati.

screening

(6) Those who have one of the following circumstances should be eradicated under the guidance of a physician:

(6) Those who have one of the following circumstances should be eradicated under the guidance of a physician:

Those people can go without treatment?

Those people can go without treatment?Those people can go without treatment?Those people can go without treatment?

(1) Patients with severe disease

(1) Patients with severe disease (1) Patients with severe disease

Such as systemic diseases, malignant tumors, senile dementia, mental diseases, liver/kidney/heart and other important organ failure or more serious diseas.

Such as systemic diseases, malignant tumors, senile dementia, mental diseases, liver/kidney/heart and other important organ failure or more serious diseas.

These patients do not benefit from.

pylori eradication and do not need.

pylori eradicati.

These patients do not benefit from.

pylori eradication and do not need.

pylori eradicati.

(2) The elderly

(2) Seniors (2) Seniors

Advanced age is a counteracting factor for Hp eradication, but there is still no conclusion about the specific age above which Hp eradication is not requir.

Advanced age is a counteracting factor for Hp eradication, but there is still no conclusion about the specific age above which Hp eradication is not requir.

The optimal age for eradication of.

pylori is 18 to 40 years o.

The maximum benefit is generally 10 years after eradicati.

The optimal age for eradication of.

pylori is 18 to 40 years o.

The maximum benefit is generally 10 years after eradicati.

In 2017, the average life expectancy of Chinese residents was 77 years, and the peak incidence of gastric cancer was 40 to 80 years old, and the incidence increased with ag.

In 2017, the average life expectancy of Chinese residents was 77 years, and the peak incidence of gastric cancer was 40 to 80 years old, and the incidence increased with ag.

statistics

If the patient is 70 years old and there is no serious disease in the vital organs of the body, eradication of.

pylori is still beneficial to prevent the occurrence of gastric canc.

If the patient is 70 years old and there is no serious disease in the vital organs of the body, eradication of.

pylori is still beneficial to prevent the occurrence of gastric canc.

If the patient is 80 years old , although.

pylori eradication itself has little benefit in preventing gastric cancer, if the patient's systemic condition is good and can tolerate.

pylori eradication drugs,.

pylori eradication therapy can also be considered, because it can reduce.

The source of infection to prevent the mutual infection of Hp among family members ; but if the patient lives alone, it is not necessa.

If the patient is 80 years old , although.

pylori eradication itself has little benefit in preventing gastric cancer, if the patient's systemic condition is good and can tolerate.

pylori eradication drugs,.

pylori eradication therapy can also be considered, because it can reduce.

The source of infection to prevent the mutual infection of Hp among family members ; but if the patient lives alone, it is not necessa.

Therefore, it is not necessary to eradicate.

pylori in people over a specific a.

There is currently no specific regulati.

It needs to be determined based on the patient's age, general condition and family facto.

Therefore, it is not necessary to eradicate.

pylori in people over a specific a.

There is currently no specific regulati.

It needs to be determined based on the patient's age, general condition and family facto.

Therefore, it is not necessary to eradicate.

pylori in people over a specific a.

There is currently no specific regulati.

It needs to be determined based on the patient's age, general condition and family facto.

(3) Children under 14 years old

(3) Children under 14 (3) Children under 14
pylori infection is usually acquired in childhood, but unlike adults, children and adolescents rarely develop severe disea.

.

pylori infection in childhood may also be beneficial to the development of the immune system of the infected person later in life, and it is also negatively related to childhood asthma and other diseas.


pylori infection is usually acquired in childhood, but unlike adults, children and adolescents rarely develop severe disea.

.

pylori infection in childhood may also be beneficial to the development of the immune system of the infected person later in life, and it is also negatively related to childhood asthma and other diseas.

Children's medication compliance and tolerance are poor; the treatment drugs are limited, the adverse drug reactions are relatively severe than adults, and have a greater impact on the intestinal flora; and there is a certain self-clearing rate (about 10.

Children's medication compliance and tolerance are poor; the treatment drugs are limited, the adverse drug reactions are relatively severe than adults, and have a greater impact on the intestinal flora; and there is a certain self-clearing rate (about 10.

Therefore, the 2016 consensus on the diagnosis and treatment of Hp infection in Chinese children clearly pointed out that children under 14 years old should not be screened and treated for Hp unless there are clear indicatio.

Hp screening is mainly for adults over the age of 1

Therefore, the 2016 consensus on the diagnosis and treatment of Hp infection in Chinese children clearly pointed out that children under 14 years old should not be screened and treated for Hp unless there are clear indicatio.

For children under the age of 14, unless there is a clear indication,.

pylori screening and treatment are not perform.

Hp screening is mainly for adults over the age of 1

(4) Gastroesophageal reflux disease, obesity, e.

(4) Gastroesophageal reflux disease, obesity, e.

(4) Gastroesophageal reflux disease, obesity, e.

Whether to eradicate.

pylori in patients with gastroesophageal reflux disease, obesity, inflammatory bowel disease, allergic disease, and asthma is currently divided and debat.

Whether to eradicate.

pylori in patients with gastroesophageal reflux disease, obesity, inflammatory bowel disease, allergic disease, and asthma is currently divided and debat.

It should be analyzed on a case-by-case basis and cannot be generaliz.

It should be analyzed on a case-by-case basis and cannot be generaliz.

I am positive, but I have no symptoms, can I cure it?

I am positive, but I have no symptoms, can I cure it?I am positive, but I have no symptoms, can I cure it?

Studies have shown that as long as Helicobacter pylori is infected, 100% will have active gastritis, and there will be inflammatory reactions in the gastric mucosa, including chronic and active inflammatory reactio.

Studies have shown that as long as Helicobacter pylori is infected, 100% will have active gastritis, and there will be inflammatory reactions in the gastric mucosa, including chronic and active inflammatory reactio.

Chronic inflammatory reaction is manifested as gastric mucosal lymphocyte infiltration, proliferation, and formation of lymphoid follicles; active inflammation is mainly manifested by gastric mucosal neutrophil infiltrati.

Chronic inflammatory reaction is manifested as gastric mucosal lymphocyte infiltration, proliferation, and formation of lymphoid follicles; active inflammation is mainly manifested by gastric mucosal neutrophil infiltrati.

These manifestations can be clearly observed under endoscopy, or under pathological sections, but are not necessarily felt by infected perso.

These manifestations can be clearly observed under endoscopy, or under pathological sections, but are not necessarily felt by infected perso.

"The early symptoms of digestive tract tumors are no symptoms!"

"The early symptoms of digestive tract tumors are no symptoms!"

Many chronic gastritis, atrophic gastritis, and even moderate to severe dysplasia and gastric cancer patients do not have any obvious symptoms, or even if there are some symptoms, most of them are nonspecific and difficult to identi.

Many chronic gastritis, atrophic gastritis, and even moderate to severe dysplasia and gastric cancer patients do not have any obvious symptoms, or even if there are some symptoms, most of them are nonspecific and difficult to identi.

70%-80% of gastric cancer patients in our country are in the middle and late stages when they are found, because they are ignored in the early stage when they have no symptoms, and endoscopy is performed only when they have sympto.

As a result, many people do not live beyond 5 years (the 5-year survival rate for advanced gastric cancer is <30.

70%-80% of gastric cancer patients in our country are in the middle and late stages when they are found, because they are ignored in the early stage when they have no symptoms, and endoscopy is performed only when they have sympto.

As a result, many people do not live beyond 5 years (the 5-year survival rate for advanced gastric cancer is <30.

In a word, if you are infected with Helicobacter pylori and you do not feel symptoms, it does not mean that it is very friendly to you, but it is not yet ti.

In a word, if you are infected with Helicobacter pylori and you do not feel symptoms, it does not mean that it is very friendly to you, but it is not yet ti.

In conclusion, Helicobacter pylori gastritis is an infectious disea.

Regardless of symptoms or complications, Helicobacter pylori is always a harmful bacteria to the human bo.

Therefore, unless there are countervailing factors, in principle, all infected people should be cur.

In conclusion, Helicobacter pylori gastritis is an infectious disea.

Regardless of symptoms or complications, Helicobacter pylori is always a harmful bacteria to the human bo.

Therefore, unless there are countervailing factors, in principle, all infected people should be cur.

In conclusion, Helicobacter pylori gastritis is an infectious disea.

Regardless of symptoms or complications, Helicobacter pylori is always a harmful bacteria to the human bo.

Therefore, unless there are countervailing factors, in principle, all infected people should be cur.

1 How to prevent?

1 How to prevent? 1 How to prevent? 1 How to prevent?

(1) Develop good hygiene habits, prevent the elderly from chewing or biting food to feed children, separate sanitary ware and tableware, sterilize tableware at high temperature, and use public chopsticks, and family members should also pay attention to avoid sharing vegetabl.

(1) Develop good hygiene habits, prevent the elderly from chewing or biting food to feed children, separate sanitary ware and tableware, sterilize tableware at high temperature, and use public chopsticks, and family members should also pay attention to avoid sharing vegetabl.

(2) Pay attention to the regular and quantitative diet, rich in nutrients, and the food is soft and easy to dige.

(2) Pay attention to the regular and quantitative diet, rich in nutrients, and the food is soft and easy to dige.

(3) Do not eat cold, fried, smoked and pickled foo.

(3) Do not eat cold, fried, smoked and pickled foo.

(4) Once infected with Hp, be sure to go to a regular hospital for examination and treatme.

(4) Once infected with Hp, be sure to go to a regular hospital for examination and treatme.

(5) Pay attention to review after treatme.

(5) Pay attention to review after treatme.

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