幽门螺杆菌(Hp)全科普

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导读

幽门螺杆菌是世界上人群感染率最高的细菌之一,幽门螺杆菌感染者患癌的危险性与正常人群相比可增加4-6倍左右。到底什么是幽门螺杆菌(简称:Hp)?Hp怎样传染?感染Hp一定会致癌吗?

幽门螺杆菌(Hp)全科普

您是不是经常对路边摊的小吃嘴馋,或者随便订个外卖几分钟吃掉?

您是不是时常感到胃痛、不消化、反酸烧心腹胀、嗝气?

您是不是在自己的体检报告上见到幽门螺旋杆菌阳性的诊断后惊慌失措?你是不是担心会得胃癌

幽门螺杆菌(Hp)全科普

今天一起了解一下这个糟心的HP!

1、什么是幽门螺杆菌?

幽门螺杆菌 (通常说的Hp)是一种寄生在胃内的细菌,粘附于胃黏膜以及细胞间隙,即可引起炎症1

Hp感染是最常见的细菌感染之一,目前我国感染率约50%2

幽门螺杆菌(Hp)全科普

2、幽门螺杆菌从何而来?

人是幽门螺杆菌的唯一传染源,传播途径是消化道

幽门螺杆菌通过以下途径传播1

幽门螺杆菌(Hp)全科普

儿童高感染现象与家族聚集性是Hp感染的显著特征,家庭内传播可能是Hp感染的主要途径2

3、这些场景下,可能感染幽门螺杆菌

幽门螺杆菌(Hp)全科普

4、各年龄段幽门螺杆菌感染率

幽门螺杆菌(Hp)全科普

统计显示,在我国20—50岁的人群中幽门螺杆菌的感染率呈递增趋势,50岁以上高达69%。

5、幽门螺杆菌感染后可能出现哪些症状?

幽门螺杆菌(Hp)全科普

6、哪些人需要检查Hp?
幽门螺杆菌(Hp)全科普
7、幽门螺杆菌的检查:胃镜检查法
在胃镜检查时取一小块胃组织,通过以下方法进行检查。
幽门螺杆菌(Hp)全科普

培养法

在幽门螺杆菌能生长的环境下培养幽门螺杆菌,进行检测。

幽门螺杆菌(Hp)全科普

快速尿素酶法

使用试剂,检测是否有尿素酶。

幽门螺杆菌(Hp)全科普

组织学镜检法

在显微镜下观察组织,直接确认是否有幽门螺杆菌的存在。

8、幽门螺杆菌的检查:不使用胃镜检查的方法
幽门螺杆菌(Hp)全科普

13C-或14C-

尿素呼气试法

让患者服用诊断药,对比服药前后的呼气进行检测。

幽门螺杆菌(Hp)全科普

抗体测定法

检查血液和尿液中是否有抗体。

幽门螺杆菌(Hp)全科普

抗原测定法

检查粪便中是否有幽门螺杆菌抗原。

9、13C呼气试验是检测Hp的常用方法

简单来说,吹两口气就可以检测胃内是否有Hp?

吹气试验有以下三步骤:

幽门螺杆菌(Hp)全科普

那么幽门螺杆菌感染有哪些危害?根除有什么益处?

10、幽门螺杆菌感染是一系列胃部疾病的罪魁祸首

幽门螺杆菌感染与慢性胃炎、消化性溃疡和胃癌的发病密切相关

幽门螺杆菌(Hp)全科普
11、感染了Hp一定会得胃溃疡吗?

并非一定会得溃疡病。

但大多数胃溃疡与十二指肠溃疡患者都存在幽门螺杆菌感染,因此认为幽门螺杆菌是引发溃疡病的主要原因。

幽门螺杆菌(Hp)全科普

12、感染了Hp就会得胃癌吗?

胃癌患者感染幽门螺杆菌的比例很高,因此认为:

胃癌的发病与幽门螺杆菌有一定的关联

幽门螺杆菌(Hp)全科普

13、根除后会得到这些收益:

幽门螺杆菌(Hp)全科普

☆根除幽门螺杆菌,有效预防溃疡复发,降低胃癌发生。此外,还可快速消除胃粘膜活动性炎症,有效阻滞胃萎缩。

那么如何根除幽门螺杆菌?根除后还要做什么?

14、幽门螺杆菌是如何根除的?

根除幽门螺杆菌,需服用抑制胃酸的药物(PPI)、两种抗生素以及铋剂,共计四种药物,每日2次,连服10日或14日。

幽门螺杆菌(Hp)全科普

根除治疗按以下流程进行:

幽门螺杆菌(Hp)全科普

15、根除幽门螺杆菌出现不适怎么办?
幽门螺杆菌(Hp)全科普
16、需要停药情况

一旦出现以下情况或其它明显不适,马上停药并及时去医院就诊

幽门螺杆菌(Hp)全科普

17、根除治疗后的就医
幽门螺杆菌(Hp)全科普
18、根除治疗中的注意事项

幽门螺杆菌(Hp)全科普

19.日常如何预防?

理论上说起来简单只要不让这种细菌进入口中就可以预防,但这能让人群普遍感染的小细菌自然有生存的策略,那就是容易互相传染。光自己预防幽门螺杆菌还不够家人同时治疗、碗筷消毒、分餐、注意口腔卫生、定期换牙刷、多锻炼身体增强免疫力是预防该菌感染最关键措施。

幽门螺杆菌(Hp)全科普

在外就餐若餐具循环使用,没有及时消毒也可能会传染幽门螺杆菌。此外,父母与儿童的餐具应分开使用,更是要摒弃用嘴对嘴的方式给婴幼儿喂食或将咀嚼后的食物给孩子吃的习惯。

幽门螺杆菌(Hp)全科普

根治后的患者一样也要注意预防再次感染,主要是预防日常亲密接触再次传染,因此,家人一同治疗是避免相互传染、再次感染的关键。

幽门螺杆菌(Hp)全科普

参考文献:

1.代丽萍, 段广才. 胃肠病学和肝病学杂志 2002; 11(2):164-167

2.中华医学会消化病学分会幽门螺杆菌和消化性溃疡学组. 中华消化杂志 2017; 37(6):364-378.

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诺辉健康幽幽管胃幽门螺杆菌抗原试剂盒检测试纸hp家用检测自检 券后价¥49.00 天猫 优惠券¥100.00 立即领券
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