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Helicobacter pylori, should be killed off

“Heard that the treatment of helicobacter pylori drugs are particularly fierce, not only can kill helicobacter pylori, but also all the bacteria in the intestinal tract to kill, and even some people did not eliminate helicobacter pylori, but almost to eliminate themselves.”

“I see a lot of people who have been diagnosed with H. pylori for years and are fine without treatment. So, it’s nothing, don’t worry about it.”

“I can’t stand having health problems. I must eliminate helicobacter pylori, in order to prevent future diseases.”

Which of the above statements is correct?

In recent years, Helicobacter pylori more and more attention, many patients once found infected with this bacteria, have come to the clinic as soon as possible to remove their own helicobacter pylori.

Helicobacterpylori, English name Helicobacterpylori, referred to as h. pylori. This bacterium is called Hp for short in China.

Current studies show that Hp is the main pathogenic factor of human peptic ulcer, and peptic ulcer is a common disease in modern people. Hp is one of the main causes of chronic gastritis in humans, which often leaves sufferers feeling upset in the stomach. Years of uncontrolled Hp infection may also lead to gastric cancer or gastric lymphoma.

Therefore, in 1994, Hp was identified as a class ⅰ carcinogen by the World Health Organization and the International Agency for Research on Cancer!

So Hp seems like a “bad” bacterium!

However, the current study also found that in some populations, the infection rate of Hp is high, but the incidence of gastric cancer does not rise. For some people, the elimination of Hp increases the incidence of reflux esophagitis, and some people are even more susceptible to allergies.

Hp, it seems, is not all bad after all.

As far as published studies are concerned, more and more HP-related diseases have been found, and the effects of Hp on human health have attracted much attention.

Both in 2007 and 2012, domestic experts agreed that hP-related diseases were infectious diseases with a clear pathogen. In particular, peptic ulcers, stomach cancer, and certain types of lymphoma of the stomach tend to “eradicate Hp.”

The consensus of the International Hp Expert Conference in Kyoto, Japan in 2015 even suggested that “reducing gastric cancer and gastritis often makes patients feel uncomfortable in the stomach. Once Hp is detected, it should be eradicated.

Is that “kill” every Hp?

Hp is just one of the most studied bacteria that lives in the stomach.

With the progress of science and technology, people’s understanding has changed from no bacteria in the stomach, to pathogenic Hp in the stomach, to Hp in the stomach producing toxins and not producing toxins, to more than one type of BACTERIA can live in the stomach. Therefore, it is not clear in the medical community what the ecology of the stomach should be and whether Hp is the only pathogen causing stomach diseases.

At present, it is believed that the so-called Hp infection is actually a special case of gastrointestinal flora disorder, suggesting that the disorder of human body environment, in essence, should adjust the balance of the internal environment of the body, rather than chasing after an Hp, let alone causing ecological imbalance of the probiotic community in the body in order to eradicate Hp.

Secondly, the current classical eradication scheme of Hp often requires the coordination of multiple antibiotics to have a good eradication effect, while the abuse of antibiotics or irregular use of antibiotics is easy to produce drug-resistant bacteria, resulting in the failure of Hp eradication for many times.

Repeated eradication of Hp is not only easy to increase the burden of liver and kidney, but also easy to cause intestinal flora disorder, resulting in the imbalance of human body environment, resulting in more disease states. Not to mention the current recommended eradication of Hp is a combination of four drugs, nearly 2 weeks of the cost of nearly 1000 yuan. Studies have reported that the infection rate of Hp in China is as high as over 50%. From the point of view of health economics, this is also a great medical burden.

However, for those patients suffering from HP-related diseases, such as peptic ulcer, gastric cancer and gastric malignant lymphoma (MALT), the consensus of doctors in the field of digestion is that they should be eradicated if conditions exist. For urticaria of unknown cause, anemia of unknown cause, eradication of Hp is also sometimes required.

However, sterilization should be careful!

At present, based on expert consensus, we suggest:

1. Definite peptic ulcer and certain MALT lymphoma strongly recommend active eradication of Hp.

2. Hp is recommended to be eradicated for gastric cancer, partial gastritis, post-gastric cancer, post-gastrectomy, long-term use of analgesics, planned long-term use of aspirin, and some unknown blood diseases.

3. There is no clear recommendation on whether eradication of Hp is necessary for other diseases that are found to coexist with Hp.

All kinds of patients who have failed to eradicate Hp for many times should think about whether their life is healthy or not. Are you taking proper medications? Are you taking your medication regularly? Are there any Hp infected people in close contact with you?

Sometimes, you get a resistant bacterium, which can be one of the reasons why repeated eradication doesn’t work well. If so, it is recommended that you complete gastroscopy, take tissue and mucosa under endoscopy for bacterial culture, select appropriate antibiotics according to the resistance of Hp, and then conduct the standard treatment of sensitive antibiotic prescription.

First of all, we need to understand the common ways of Hp infection so that we can know ourselves and our enemies.

Helicobacter pylori infection is due to “disease from the mouth”. Therefore, it is very important to pay attention to personal hygiene.

Maintaining a healthy lifestyle in daily life, maintaining the stability of the internal environment, and avoiding the imbalance of bacteria in the body are the most fundamental ways to avoid suffering from HP-related diseases.

In daily life, we should consciously maintain a healthy life, and do not let “word of mouth” hygiene problems become the source of Hp infection. Please note the following aspects:

1. Wash your hands frequently, especially before meals.

2. Disinfect bowls and chopsticks, especially when eating with HP-positive people, and separate the utensils.

3.Hp infected people should share meals with others.

4. Encourage the use of chopsticks when dining together, strengthen publicity, and advocate the national action of chopsticks.

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