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Is Helicobacter pylori infection treated?
Cheng Rui, Deputy Chief Physician of the Department of Gastroenterology, Beijing Friendship Hospital:It needs to be treated, but not for everyone**.
Although there is still a long process from infection to progression to gastric cancer, it is still necessary to respond actively and scientifically.
Patients with liver and kidney dysfunction are not recommended immediately**Even if Helicobacter pylori infection is detected, not everyone is suitable for immediate antibiotics to the human body, for patients with liver and kidney dysfunction and other diseases, if Helicobacter pylori does not cause serious effects in the short term, it is not recommended to do *** but should give priority to other more imminent diseases, and then evaluate after the liver and kidney function is normal.
Infected children wait until they reach adulthood**Most infected children are also advised to wait until adulthood if they do not have any symptoms, but if symptoms such as stomach pain have already appeared, and diseases such as peptic ulcer and gastric mucosal lymphoid tissue (MALT) lymphoma have been identified, it is still necessary to do it according to the situation** to avoid aggravation of the condition. If the child has a family history of stomach cancer, chronic gastritis, refractory anemia or plans to take non-steroidal anti-inflammatory drugs for a long time, it is up to the doctor to determine whether it is suitable to do *** Parents should not give their children drugs without authorization.
Do you have to take so many medicines to sterilize?
Cheng Rui:Yes, it is generally necessary to take it for 14 days.
At present, Helicobacter pylori *** recommends a quadruple regimen of bismuth, if you are allergic to or cannot tolerate bismuth, you can choose a triple regimen, and it is recommended to re-examine at least four weeks after the end of ***.
The combination takes 14 daysAt present, there are two main internationally accepted protocols for Helicobacter pylori. The first is "triple **", which requires a combination of three different drugs (proton pump inhibitors + two antibiotics); The second is the "quadruple **", which is also the more recommended common regimen at present, which requires the combination of four different drugs, including proton pump inhibitor + bismuth + two antibiotics.
You can't forget to eat, and you can't skip a mealIf you choose sterilization, you must insist on taking the medicine according to the doctor's instructions when there are no serious adverse reactions and allergies. Interrupting or taking medication irregularly can easily lead to failure or "due to Helicobacter pylori", it is generally necessary to use antibiotics in combination and insist on taking them for 14 days, and shortening the course of treatment or forgetting to take medicine halfway will lead to poor treatment results.
Can you kill bacteria without taking antibiotics?
Cheng Rui:At present, there is no better way to ** Helicobacter pylori except for combination drugs.
Brushing your teeth to "kill the ghost" is unreliableSome so-called anti-phloric and anti-phantom ointments, mouthwashes, etc., if they are really effective, may only be short-term inhibition and cannot be completely killed, which may have added antibiotics, but antibiotics must first be selected to the appropriate type, and secondly, a certain dose and course of treatment can have a complete sterilization effect, and the dose in these products is far from enough. The casual use of these products not only does not achieve the effect of eliminating or preventing Helicobacter pylori infection, but long-term use may also disrupt the original balance of flora in the oral cavity and affect oral health.
"Home remedies" cannot cure Helicobacter pyloriIn addition, there is no scientific basis for the claim that "eating garlic regularly kills Helicobacter pylori". The amount of garlic eaten daily cannot meet the requirements for killing Helicobacter pylori.
There are also people who say that eating onions and drinking green tea can be Helicobacter pylori, which is also unfounded. **Pay attention to taking the medication on time and in accordance with the amount; If there are serious adverse reactions, it is necessary to revisit in time, and avoid smoking, alcohol and spicy food during the process.
Ning Huijuan (second from right), deputy chief physician of the Department of Gastroenterology of the Capital Institute of Pediatrics, is rescuing a newborn. Photo courtesy of the interviewee.
After sterilization, everything will be fine?
Ning Huijuan, Deputy Chief Physician of the Department of Gastroenterology, Capital Institute of Pediatrics:Not. **Also avoid reinfection after the end.
Since there is no habit of dividing meals in my country's diet, often you finish sandwiching me, and sometimes you will also pick up dishes for the people around you, and you should try to improve your dining habits as much as possible in your life.
Eat more with chopsticksEvery time you go out to eat, you should ask the waiter for an extra pair of chopsticks, although adults are more resistant, but an extra pair of chopsticks, a little more peace of mind, which is not only to protect yourself, but also to protect your friends. Be sure to wash your hands before eating, and try to use chopsticks and spoons when eating. Try to bring your own bowls, chopsticks and spoons when eating out, especially for some children with weak resistance, it is best to bring your own utensils.
Learn to wash chopsticksHelicobacter pylori can attach to used chopsticks, especially bamboo chopsticks that have been used for a long time and have been scratched by the ravines. Tableware must be cleaned thoroughly as soon as possible after use, after a period of time, you can boil chopsticks with boiling water, which can achieve a good sterilization effect. After washing, put the chopsticks head up, put them in the chopstick cage, and air dry them naturally, do not wipe them with a rag. It is best to replace bamboo and wooden chopsticks after half a year or a year of use.
Related Reading:
How can you get infected at a young age?
Ning Huijuan:Many patients are infected in adolescence, but there will be no obvious symptoms in the early stage, coupled with the patient's lack of understanding of Helicobacter pylori, and will not take the initiative to do screening, it is likely to delay the progression of the disease, and at the same time will be transmitted to people around them.
If the child is too young, he or she may feed the child mouth-to-mouth, and H. pylori may be transmitted to the people with whom he or she eats through saliva, utensils, food, etc. In particular, it is necessary to avoid feeding food to children after chewing, and disinfect the utensils after eating, which can greatly reduce the transmission of Helicobacter pylori.
What you think is bloating is actually an infection?
Ning Huijuan:If there are some clinical signs of the digestive system in daily life, there will be a significant feeling of fullness as soon as you eat, but it will disappear after you stop eating; Often indigestion after meals, abdominal pain when hungry, etc., or people who have been exposed to Helicobacter pylori infection, or are taking aspirin and other drugs that cause damage to the gastric mucosa, first of all, follow the routine gastritis**, if the effect is not good, then it is best to go to the hospital gastroenterology department or Helicobacter pylori clinic to do a Helicobacter pylori test. There are many ways to detect Helicobacter pylori, and the more recommended is the 13C breath test, which requires the person to fasting for more than two hours before the test. Once infected with Helicobacter pylori, **bacteria**; If you are older than 40 years old, it is recommended to have a gastroscopy. Once infected with H. pylori, **Helicobacter pylori** should be done as appropriate according to the child's specific situation.
* |Health Times.
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