Holidays are often indispensable for gatherings of relatives and friends, family banquets, and at this time, we must be wary of an "assassin".Helicobacter pyloriHelicobacter pylori, which "one person can infect the whole family", has troubled many people.
Previous topicH. pylori infection is often asymptomaticHelicobacter pylori is directly related to stomach cancerWhy is Helicobacter pylori a carcinogen?once rushed to the hot search.
Recently. The First Affiliated Hospital of Zhejiang University School of Medicine.
Gastroenterologists treated a patient who had suffered from stomach cancer due to Helicobacter pylori infection for many years, but unfortunately the patient's family of five was "targeted" by the bacteria.
One person was inspired, and the whole family was infected
This bacterium, which has been dormant for many years, "grows".
Towards the end of the year, A Yang (pseudonym) from Fuyang, Hangzhou, participated in a physical examination organized by his company and was tested positive for Helicobacter pylori. Ah Yang rarely goes out to dinner, and he has no idea when he was recruited.
Ah Yang thought that his father was inLong-term bad breath and stomach upset, in 2019, he had a gastrointestinal endoscopy in the hospital, and the doctor said that he had chronic gastritis,May be infected with Helicobacter pylori (HP).
But Ah Yang's father Li Bo (pseudonym) felt that adults basically had it, so he didn't take it seriously, and he didn't do a breath test to make a clear diagnosis.
In the past few years, when Li Bo opened his mouth, a peculiar smell wafted out of his mouth, and he had stomach pain when he caught a cold, and he drank a little wine not only had his stomach distended but also had unformed stools.
However, Lieber's condition was not as simple as he imagined. After testing, the Helicobacter pylori value of Lieber exceeded 1000dpm (the normal range should be less than 100dpm), and the infection was serious.
The doctor said that Li Bo's stomach was mottled, the gastric mucosa was white and atrophied, there were multiple intestinal foci, and there was an abnormal mucosal lesion on the anterior wall of the antralConsider early-stage stomach cancer. These stomach scars are inextricably linked to Helicobacter pylori.
Li Bo was later diagnosed by pathologyModerately differentiated adenocarcinoma (early cancer type C).Ah Yang took his mother, wife and sisterI did an HP testAs a result, they all hit
Is stomach cancer closely related to HP infection?
Gastric cancer is a malignant tumor originating from the gastric mucosal epithelium with a high incidence worldwide. According to the data of the 2022 edition of China's "Guidelines for the Diagnosis and Treatment of Gastric Cancer".The incidence and mortality of gastric cancer in China rank third among all kinds of malignant tumors. There are about 1.2 million new cases of gastric cancer in the world every year, and China accounts for about 40% of them, so gastric cancer is also known as "Chinese-style cancer".
Although in the past 30 years, due to the development of China's economy and changes in lifestyle, the overall incidence and mortality of gastric cancer have decreased. However, the proportion of early-stage gastric cancer in China is very low, only about 20%, and most of them are already in the advanced stage when they are discovered, and the overall 5-year survival rate is less than 50%. In recent years, with the popularization of gastroscopy, the proportion of early-stage gastric cancer has increased year by year.
It is currently generally accepted that:Normal gastric mucosa, chronic superficial gastritis, atrophic gastritis, intestinal metaplasia, dysplasia, and finally gastric cancer.
Onset of stomach cancer
It is often related to these factors
OneGenetic factors:For those with a family history of gastric cancer, the incidence of gastric cancer will be significantly higher than that of the general population;
IIHelicobacter pylori (HP) infection, gastric cancer grade 1 carcinogen;
IIIDietary factors, such as long-term high-salt diet, consumption of moldy, smoked fried food, excessive alcohol consumption and smoking, etc.;
FourthChronic stomach problems, such as chronic gastritis, gastric polyps, gastric mucosal atrophy and intestinal metaplasia, etc., these lesions may also transform into gastric cancer over time.
Doctor's reminder: Regular screening is necessary
Song Jindong, chief physician of the Department of Gastroenterology of Deqing County People's Hospital, reminded: With the attention of people to early gastrointestinal cancer, clinicians are also paying more and more attention to Helicobacter pylori infection, according to the latest version of the Helicobacter pylori ** guidelinesThe presence of this bacterium infection is an indication for sterilizationIt is recommended that people who are positive for Helicobacter pylori go to the Department of Gastroenterology of a regular hospital for sterilization**, the choice of drugs and the method of taking them are very important, and timely gastroscopy is recommended to identify the related gastric mucosal lesions after bacterial infection.
How to prevent it
1. Develop good hygiene habits to avoid the elderly at home chewing or biting off food to feed their children. Whether at home or out for dinner, the sanitary ware and tableware are separated, and the dishes and chopsticks are sterilized at high temperatureThe chopsticks system is used, and family members should also be careful not to pick up each other's dishes.
2. Pay attention to the regular and quantitative diet, rich in nutrients, and the food is soft and easy to digest.
3. Avoid eating raw and cold, fried, smoked, and pickled foods.
Fourth, once infected with HP,Be sure to go to a regular hospital for a check-up**.
Five**Pay attention to the review after that.
-end-
Comprehensive: The First Hospital of Zhejiang University, CCTV News, News Workshop, etc. Editor: Huang Peiwen Review: Kang Huana.
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