"Small problems" in the physical examination report
Helicobacter pylori: the "irregular bomb" in the stomach
"As long as I don't go to the physical examination, I am not sick" "I don't read the physical examination report, and I don't want to add to myself"... Among some young people, the physical examination report seems to be more terrifying than the school report card.
As early as 2019, a survey conducted by this newspaper on 1979 young people aged between 18 and 35 showed that 63.6% of the interviewed youths had the experience of being afraid of seeing the medical examination report; 62.6% of the interviewed youths expressed that they were under pressure and feared. There is a problem with the physical examination.
However, some diseases really require physical examination.
A few days ago, in an interview with a reporter from China Youth Daily and China Youth Daily, Li Pei, chief physician of the Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, introduced that for many people, Helicobacter pylori infection was discovered during physical examinations.
This is because about 90% of people infected with Helicobacter pylori have no symptoms, and this disease is ignored by everyone.
"However, the absence of symptoms does not mean that there is no disease. It may be found that there is gastritis after a gastroscope." Member Li Pei said.
Helicobacter pylori is a kind of bacteria that exists in the human stomach. Its infection is closely related to the occurrence and development of many digestive tract diseases. For some people, it is like a "time bomb".
At the same time, Helicobacter pylori can also be transmitted to family members and friends through close contact. Sharing a glass of water or eating a dish can all be infected.
Although Helicobacter pylori infection is the most common cause of gastric diseases such as dyspepsia, gastritis, stomach and duodenal ulcers, and even the most important factor for gastric cancer. The World Health Organization has included it as a Class I carcinogen, but Helicobacter pylori It is not very hidden, and the technical means of examination and treatment are relatively mature at present.
Li Pei reminded everyone that they should be careful about whether they are infected with Helicobacter pylori if they often have stomach upset, nausea, bloating, belching, stomach pain, and bad breath.
He introduced two common detection methods.
"The Helicobacter pylori insufflation test during the physical examination is a non-invasive and convenient test method, but this method is not suitable for everyone. The drug (carbon 14) taken before the test has a very small amount of radioactivity. It is not suitable for inspection. People who take stomach medicine and antibiotics should stop taking the medicine for a period of time and then check again. Another method is Helicobacter pylori stool antigen test. Since Helicobacter pylori lives in the stomach, it will fall off and be excreted after metabolism. You can visit the pharmacy Buy test paper and test at home. The accuracy of this method can reach more than 90%."
"If the test result is positive, it means there is Helicobacter pylori infection. It is impossible for adults to get better without taking medicine. Standard treatment is required." According to Li Pei, quadruple therapy is generally used to choose two antibiotics: La The azole drugs and bismuth can be taken by the patient for two weeks.
Do not drink alcohol while taking the drug, and eat a healthy diet.
"After the eradication of Helicobacter pylori, the annual re-infection rate is less than 1.5%. Therefore, those who have a negative re-examination result after treatment do not necessarily need to be re-examined every year."
Regarding the spread on the Internet that "taking certain probiotics can eliminate Helicobacter pylori", member Li Pei said: "Some studies believe that the use of probiotics can improve the effect of quadruple therapy, but there is currently no scientific basis to prove that the use of probiotics alone can eliminate Helicobacter pylori. If Helicobacter pylori is found to be infected, you still have to follow the doctor's advice for treatment."
Related investigations and studies have shown that in recent years, as the health status is getting better, the number of young people infected with Helicobacter pylori has gradually decreased.
Li Pei said that the sharing of meals and the use of public chopsticks and spoons have reduced the incidence of cross-infection.
He reminded everyone that Helicobacter pylori infection and bad living habits may cause stomach problems in young people.
Gastric cancer caused by Helicobacter pylori is a very long process, and the probability of occurrence is relatively low. Most of the patients are middle-aged and elderly people.
Affected by high-risk factors such as smoking, drinking, and unhealthy diet, there are more male patients.
If young people get stomach cancer, most of them have little to do with Helicobacter pylori infection.
To maintain a healthy stomach, Li Pei reminded everyone that in addition to eradicating Helicobacter pylori infection, healthy eating, not smoking or drinking, not staying up often, exercising moderately, and regulating personal emotions are all important, so that you can have a healthy stomach and a healthy person. body.
China Youth Daily · China Youth Daily reporter Zhang Manyu Source: China Youth Daily