Hello! I am 42 years old. I am engaged in company procurement and usually have a large amount of entertainment. I did a full-body examination last week to find out that Helicobacter pylori is positive, but I do not feel any discomfort at ordinary times. Do I know how to get it? Will it infect my family?
Helicobacter pylori infection rate as high as 50% to 60% is currently the most common human infection of bacteria, about half of the world's population infected with Helicobacter pylori.
It is a kind of Gram-negative bacteria with spiral micro-oxygen. It is planted in the human gastric mucosa and is the main cause of chronic gastritis and ulcer, approximately 67% to 80% of gastric ulcer and 95% of duodenal ulcer are caused by Helicobacter pylori. The infection is also closely related to the occurrence of gastric and gastric-related lymphatic tissue lymphoma.
Zheng Qing, associate professor at the Department of Gastroenterology of Renji Hospital and the Shanghai Institute of digestive diseases, said that a person is the only natural host of Helicobacter pylori, which mainly passes through the gastrointestinal tract in the population, it is spread through the "mouth-Mouth" and "dung-Mouth" channels. The infection rate of Helicobacter pylori in the population is as high as 50% to 60%, which may lead to different outcomes after infection: some do not have symptoms, but most of them cause chronic gastritis to varying degrees, about 10% to 15% may have ulcer disease, and a very small number may even have stomach cancer.
Note that this bacteria may cause gastric cancer.
After being infected with Helicobacter pylori, the breath may be heavy, that is, the mouth has a bad breath. In severe cases, there is often a special bad breath in the mouth. No matter how clean, it cannot be removed.
In addition, the risk of gastric cancer may be increased by 2.7 to 12 times after infection with Helicobacter pylori. If there is no Helicobacter pylori infection, at least a considerable number of patients will not have gastric cancer. The International Institute of cancer, affiliated to the World Health Organization, has set Helicobacter Pylori as a human class I laboratory. China is one of the countries with high incidence of Helicobacter pylori infection. as a major cause of chronic gastritis, ulcer and gastric cancer, it is a feasible measure to prevent and eradicate Helicobacter pylori infection. Because about 80% of early-stage cancer patients have no symptoms, a few patients have some non-specific symptoms, such as loss of appetite, early satiety, and abdominal discomfort, it is easily ignored as a ulcer or other gastrointestinal disease.
Shared tableware and kisses are contagious.
The transmission characteristics of Helicobacter pylori cause obvious aggregation of infection in the family. The chance of infection of its child is much higher than that of other families. Helicobacter pylori is widely used in the saliva and plaque of infected people. Associate Professor Zheng Qing reminded that the saliva of infected people and food contaminated with Helicobacter pylori can cause infection, for example: sharing tableware, chewing food by the mother before feeding the baby, and even kissing the infected person may also cause infection. In addition, hand washing before and after meals is also a way to reduce the spread of "dung-mouth. If you find that you have an infection, your family will have an increased chance of infection. Once family members are confirmed to have Helicobacter pylori infection, they can be treated at the same time if necessary.
Detection and treatment
Select an appropriate detection method
There are multiple methods for detecting Helicobacter pylori, which are roughly divided into invasive (such as rapid urea enzyme test and serum antibody test) and non-invasive (such as 13C or 14C breath test and fecal antigen test) two categories.
No need to worry about healing
The infection of Helicobacter pylori can be cured. Associate Professor Zheng Qing said that after 1 to 2 weeks of regular treatment against Helicobacter pylori, the vast majority of infected people can be cured. The commonly used antibiotics include hydroxyalexin, clarithromycin and metronidazole.
Not all infected people must be treated with eradication.
All patients with gastric ulcer, whether active or healing, should eradicate Helicobacter pylori. After the operation of Helicobacter pylori-positive gastric-related lymphatic tissue lymphoma and early gastric cancer, they must be eradicate. For patients with chronic gastritis, who have a family history of gastric cancer, those with indigestion symptoms who have poor curative effect after routine treatment, reflux esophagitis who need long-term acid suppression treatment, and those who need long-term use of non-inflammatory drugs, it is also recommended to cure. If an infected person does not meet these conditions, the doctor will explain the advantages and disadvantages to the patient and then choose.
Health Management Plan
Inspection and prevention are more critical
The method to prevent gastrology is to cut the infection route of Helicobacter pylori. If people who often feel stomachache, bloating, stomach discomfort, or belching, they should be examined by gastroscopy and Helicobacter pylori as soon as possible;
Meal splitting can effectively prevent infection
Helicobacter pylori is a standard "from the mouth" virus. Its meal splitting system reduces the chance of being infected with Helicobacter pylori. If someone in the house is infected with Helicobacter pylori, take a meal for the time being until it is completely cured. In the face of social activity at the end of the year, try to adopt a meal splitting system. Using Public chopsticks and public spoons can reduce the chance of Helicobacter pylori infection.