Beiping said | Correctly understand Helicobacter pylori

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The spleen and stomach are the basis of the day after tomorrow. The spleen and stomach plays an important role in maintaining physical health.

Zhang Beiping, chief physician of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine, and the Integrated Traditional Chinese and Western Medicine Prevention Team of the Gastrointestinal Cancer will regularly push the knowledge of health care and Chinese and Western medicine to escort your digestive health through this column to escort your digestive and health! Welcome to follow.

Earlier this year, Xiao Wang often had abdominal pain, so he came to the Department of Spleen and Stomach Diseases in Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital. The doctor suggested that he do a 13C urea exhalation test. Infect. The doctor suggested that Xiao Wangxing HP eradicated treatment and patiently instructed Xiao Wang: "HP mainly spreads through oral channels, and in -family transmission is one of the main ways of infection. Therefore During the time when HP infection, and during the period when HP had not been eradicated, try to use meals or use public chopsticks to avoid repeated cross -infections. "

Because Xiao Wang had to rush forward recently, he did not immediately remove HP root treatment according to the doctor's suggestion, and he did not have time to take his parents to screen HP infection. Xiao Wang, who was at work, quickly threw the doctor's instructions to his head. After returning home, he still ate with his family according to his original habits, and did not use public chopsticks. It didn't take long for his parents to have a pain in the upper abdomen, and his appetite decreased. Looking at his parents' uncomfortable appearance, Xiao Wang remembered the previous instructions of the doctor, so he quickly took his parents to the clinic of the Department of Spleen and Stomach Diseases in Guangdong Province in Guangdong Province, so that his parents also did a 13C urea exhalation test. The results of the little king's parents were prompted HP infection. After understanding the relevant situation, the doctor suggested that his family must conduct standardized treatment, and once again emphasize the importance of public chopsticks to avoid cross -infection. This time, Xiao Wang dare not care about it anymore. He had a standardized treatment with his parents. The meal was used for public chopsticks. The family of three laughed.

【Beiping Say】

1. Correct understanding of Helicobacter pylori

Speaking of Helicobacter pylori (HP), everyone must be familiar to everyone. Once the family and friends around them have a bad appetite and full of stomach, some people naturally advise him to check if there is a HP infection. However, after many friends diagnosed HP infection, they only paid attention to sterilization treatment, but did not understand its infectiousness, ignoring family management and hygiene habits. Why do people infection with HP, the whole family may be recruited?

This is because HP, as a bacterial pathogen in human stomach, has certain contagiousness. It is mainly transmitted through dung-mouth, mouth-mouth and water source channels, and home communication is one of the main methods of infection. Due to the habit of meal in my country, the family eats a bowl of dishes. When many people do not use public chopsticks when they eat together, HP is easy to spread through oral channels. According to surveys, the infection rate of Helicobacter pylori in my country is as high as 50-80%. Most HP infections occur during children and adolescents, and they will also occur in adults. Therefore, the internal dietary hygiene habits are particularly important in the prevention and treatment of HP.

Second, the harm of Helicobacter pylori

At present, it is known that a variety of diseases are related to the infection of Helicobacter pylori. Almost all HP infection can cause gastric mucosa activity inflammation, and it is also important cause of most duodenal ulcers and gastric ulcers of about 2/3.

HP infection is related to the occurrence of gastric cancer. The World Health Organization has attributed HP to Class I carcinogenic factors. According to statistics, the risk of HP infection with gastric cancer in life is 1.5%to 2.0%. The long -term chronic mobilization gastritis induced by HP infection may gradually develop into pre -cancer lesions such as gastric mucosa atrophy, (or) accompanying intestinalization. In a few cases, this gastric mucosal cancer lesions may even progress as gastric cancer. Although this process is very slow, once the damage progresses to a certain degree, treatment will become very difficult. In addition, a small number of patients with HP infection will have gastric malt lymphoma.

3. How to prevent Helicobacter pylori infection?

The effective way to prevent HP infection is to cut off the channels of communication, improve family management awareness, and protect people with susceptible people!

1. Adult examination and HP root treatment are the most effective and fundamental way to prevent HP in the family.

2. Keep good hygiene in family space and help children build good hand hygiene habits;

3. Avoid bad habits such as oral pair feeding.

4. Promote the use of public chopsticks and public spoons. If family members are infected, they must be divided into meals;

5. Don’t go to a restaurant with poor hygiene;

6. For the time being, you don't have to take the initiative to perform HP screening and treatment for children under the age of 12.

4. Which groups need to receive root era treatment?

The Sixth National Helicobacter Cleefoxybiasis Infection Treatment Consensus Report "and" Consensus and Management Expert Consensus on the Prevention and Control and Management Expert (2021) of Family Family Family Family Family P. Adults who live together and have no counter -competing factors, it is recommended to detect and eradicate HP to block the spread of HP among family members. There are differences between different individuals to eliminate HP benefits. Therefore, those who meet the HP infection that meets the indicators (Table 1) in accordance with the root cause (Table 1) should be fully evaluated by the specialist and the beneficiary of the root treatment and the drug treatment may bring it. The adverse reactions come, so as to individualized the root removal of the root. Table 1 HP infected person with root treatment indications

【Expert Introduction】

Zhang Beiping

PhD, chief physician, doctoral tutor. Guangdong Provincial Hospital of Traditional Chinese Medicine (No. 2 Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine) Deputy Director of the Department of Science and Diseases of the Science and Disease Diseases, the third batch of national old Chinese medicine experts Ji Liangchen Professor Ji Liangchen, academic heir, training doctor in Beili University Hospital in Japan, and the sixth national tens of thousands of talents The target of colleges and universities, the first batch of outstanding young medical talents in Guangdong Province, the second batch of outstanding Chinese medicine talents in Guangdong Province, was selected as the 8th batch of Lingnan famous medical records, and the first batch of Hu Run Ping An China good doctors in 2017. Chairman of the Commissioner of the Early Early Cancer Cancer Committee of the Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Chinese and Western Medicine; Chairman of the Communication Tumor Prevention Professional Committee of the Guangdong Provincial Traditional Chinese Medicine Society; chairman of the Guangdong Health Association Spleen Health Branch.

Good at: gastrointestinal, esophageal tumors and anterior cancer lesions, endoscopic diagnosis of endoscopic diseases with bile pancreas; combination of traditional Chinese and western medicine; endoscopic treatment of various digestive tract obstruction; inflammatory bowel disease (ulcerative colitis and Crole Grace) The combination of traditional Chinese and western medicine.

Introduction

The Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine is a key specialty of the "Eleventh Five -Year Plan" of the State Administration of Traditional Chinese Medicine, a key specialty of the Guangdong Provincial Administration of Traditional Chinese Medicine, the National Poor Battle Management Project Sub -Center, the National Capsule Endoscopy Research Center Clinical Training Base, Guangzhou Branch Center, National Helicobacter Pylori Molecular Diagnosis Center. Lead the establishment of the Society of Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Digestion of Endoscopy, Early Early Cancer Expert Committee, the Guangdong Provincial Society of Traditional Chinese Medicine Society, the Guangdong Provincial Chinese and Western Medicine Society Gastroscopy Professionals Professional committees, Lingnan Traditional Chinese Medicine Digestive Endoscopy Medical Alliance and Lingnan (South China) Chinese and Western Medicine Integrated Cynefront Clear Screw -related Stomach Diseases Academic Alliance

Under the guidance of the three professors of the academic leader Yu Shaoyuan, Luo Yunjian and Huang Suiping, under the leadership of the subject leader, the deputy director of the spleen and stomach disease and digestive endoscopic center, Zhang Beiping, Zhang Haiyan, Director of the Director of the Department of Spleen and Stomach Diseases of the General Hospital of Dade Road Wang Jing, director of the Department of Spleen and Stomach Diseases of the Hospital, Chen Yan, Director of the Department of Spleen and Stomach Diseases of Fangcun Hospital, and Liu Tianwen, Director of the Department of Spleen and Stomach Diseases of the College City Hospital, led the team to follow the team and bring the team for progress. The combination of traditional Chinese and western medicine to prevent early cancer and inflammatory cancer transformation diseases such as chronic atrophic gastritis, colorectal adenoma, inflammatory bowel disease, biler and pancreas, etc., especially at 3E technology (ESD, ERCP, EUS ) Waiting for various surgical treatment and postoperative Chinese medicine to promote rehabilitation, achieve good clinical efficacy, and be welcomed by patients.

Supply: Yang Xinlong Zhang Jiahui Han Lu

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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