It's trending again, please don't ignore it! A family of 5, 4 of them were found to be infected with Helicobacter pylori, the youngest was only 6 years old

Today, a topic about Helicobacter pylori once again topped the hot search list.

According to Henan TV's "Da Cankao" program, 6-year-old Mingming (pseudonym) from Zhengzhou was receiving treatment in the respiratory department for an acute asthma attack when he suddenly felt pain in his stomach. He rolled over in pain. After careful examination, the doctor found that Mingming was infected with Helicobacter pylori and had problems with his stomach and intestines.

Mingming's mother said that four out of five people in their family were found to be infected with Helicobacter pylori.

Doctors say that the incidence of Helicobacter pylori in children is not as high as that in adults. Adults come into contact with more people and the risk of mutual infection is also greater. However, children are young and have relatively poor resistance, and most of the infections are family clusters.

It should be noted that the infection rate of Helicobacter pylori in our country is about 50%. It is also listed as a Class I carcinogen by the World Health Organization, and 63.4% of gastric cancer is related to it.

However, Helicobacter pylori can be cured. If you find that you or your family is infected with Helicobacter pylori, don't panic too much and go to the hospital for treatment in time.

Hot comments from netizens

Sunshine Rainbow Orange: That is too difficult to avoid, unless you don't have any contact with the outside world.

Nestumitu: That’s why it is so important to separate meals.

LK brother MK sister: I especially advocate the use of serving chopsticks! We won’t let children eat anything that adults have touched. We couldn’t do that when we were young, but now we must teach our children from an early age! My child, who is less than two years old, knows that helicobacter pylori can’t eat anything that others have eaten.

Two skins equal eight ounces: My colleague had this. After the company's physical examination results came out, he kept thinking about eating at the group dinner. I refused.

Unintentional Review ZM: I was also diagnosed with Helicobacter pylori during my physical examination two years ago. The first thing I did when I got home was to disinfect all the tableware and cups for the whole family to eat separately. Then I took my husband and daughter to the hospital for a check-up. Fortunately, they both had no symptoms. Then I strictly followed the doctor's instructions and took the quadruple therapy. I went for a follow-up check-up two months later and it was cured! The physical examinations last year and this year were all normal.

遥寄星河0202: I have atrophic gastritis caused by Helicobacter pylori. It is very uncomfortable to take the quadruple combination. I hope the sterilization is successful.

Gege has been here: In my family, grandparents, dad and I all tested positive for Helicobacter pylori. The child hasn't been checked for more than three weeks, but I think he might have it too. He hasn't felt any discomfort yet, including the adults. After the physical examination, I asked the doctor if he needed treatment. The doctor said he could take medicine or not, because not all positive tests have symptoms. If you want to confirm whether there are intestinal problems, you need to undergo a gastroscopy.

News

Helicobacter pylori

Will it lead to stomach cancer step by step?

Helicobacter pylori is a Gram-negative, spiral-shaped bacterium that is mainly transmitted from person to person through the oral-oral and fecal-oral routes.

Most people infected with Helicobacter pylori do not have digestive tract symptoms, but some patients may experience symptoms of peptic ulcer and indigestion such as stomach pain, bloating, early satiety, belching, etc. However, almost all people infected with Helicobacter pylori have chronic active gastritis.

Will Helicobacter pylori eventually cause stomach cancer?

Luo Linghe, chief physician of the Department of Gastroenterology at Zhejiang Provincial Tongde Hospital, explained that this is a relatively long process, which may take several years or even more than ten years. Generally speaking, Helicobacter pylori infection can lead to long-term inflammation of the gastric mucosa, such as atrophic gastritis; further progression of atrophic gastritis may be accompanied by intestinal metaplasia, but the cancer rate is very low at this time; only when it reaches the stage of dysplasia (also called atypical hyperplasia, atypical hyperplasia, intraepithelial neoplasia) is it a true precancerous lesion, and the risk of gastric cancer increases sharply at this time.

As early as the 1990s, my country had conducted a large-scale study entitled "Eradication of Helicobacter pylori infection in gastric cancer high-incidence areas to prevent gastric cancer", which was jointly carried out by the Peking University School of Clinical Oncology, the International Gastrointestinal Tumor Union and the Linqu County Health Bureau of Shandong Province. The trial involved two groups of people infected with Helicobacter pylori, one group underwent eradication of Helicobacter pylori and the other group was not treated. After a long-term follow-up of 14.7 years, it was found that the risk of gastric cancer was 39% lower after eradication of Helicobacter pylori.

The University of Hong Kong once conducted a study on people infected with Helicobacter pylori in Changle City, Fujian Province. The population was divided into a treatment group and a control group, with more than 1,000 people in each group. The people in the treatment group were given Helicobacter pylori eradication treatment. After 7.5 years of observation and follow-up, it was found that 7 people in the treatment group developed gastric cancer; 11 people in the control group developed gastric cancer.

However, if you are diagnosed with Helicobacter pylori, don't worry too much. It doesn't mean that if you are infected with Helicobacter pylori, you will definitely get gastric cancer. The occurrence of gastric cancer is multifactorial.

Chen Binrui, attending physician of the Department of Gastroenterology at the Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine, said that the proportion of people infected with Helicobacter pylori who eventually develop gastric cancer is about 1%. Of course, based on the total population of my country, this number is still relatively large.

Chief Physician Luo Linghe believes that people without stomach diseases are much less likely to develop stomach cancer after being infected with Helicobacter pylori than those with diseases such as gastritis.

Helicobacter pylori positive for many years without regular treatment

50-year-old man diagnosed with gastric cancer and underwent subtotal gastrectomy

"We emphasize the importance of regular treatment. The first sterilization and individualized treatment are very important for Helicobacter pylori to turn from positive to negative."

Chief Physician Chen Binrui once treated a 50-year-old male patient, Mr. Shen. Mr. Shen was found to be positive for Helicobacter pylori during a physical examination at his workplace three years ago. At that time, several of his colleagues were positive, so he did not take it seriously.

In the second and third years, he was still positive for Helicobacter pylori in his annual physical examinations. However, several colleagues who were positive turned negative after bactericidal treatment. Mr. Shen went to a pharmacy near his home to get a triple bactericidal drug and took it for 14 days. After that, he did not go to the hospital for a follow-up examination. He felt that the Helicobacter pylori had been killed.

It was time for his annual physical examination again. When Mr. Shen saw the report that the result was positive for Helicobacter pylori, he was shocked. "I have already taken medicine, why is it still positive?" Mr. Shen was a little panicked. Not long ago, a relative of his was diagnosed with gastric cancer, and he often felt discomfort in his upper abdomen. Not daring to neglect it any longer, Mr. Shen quickly went to the Department of Gastroenterology at the Run Run Shaw Hospital for treatment.

According to Mr. Shen's condition, Dr. Chen Binrui, the attending physician, suggested that he undergo a gastroscopy before sterilization. "The gastroscopy revealed an ulcer in the stomach, and the final pathology confirmed gastric cancer," said Dr. Chen.

Mr. Shen was immediately admitted to the hospital for treatment. Fortunately, after evaluation, no metastasis had occurred, and the surgeon performed a subtotal gastrectomy on him.

Is Mr. Shen's gastric cancer related to his lack of attention to Helicobacter pylori treatment? Chen Binrui said, "Helicobacter pylori is indeed a high-risk factor for gastric cancer. In addition, Mr. Shen likes to drink, has many social events, has an irregular work and rest schedule, and has a family history of gastric cancer. These are also risk factors for tumor development."

Two groups of people should be cautious in sterilization

The susceptible population of Helicobacter pylori is mainly children under 13 years old, and adults over 20 years old are not very likely to be infected with Helicobacter pylori. Many people are found to be infected with Helicobacter pylori during physical examinations, and they are often infected in childhood.

Ye Jun said that compared with adults, children have weaker resistance and are more susceptible to infection. However, the immune function of minors is not yet sound, and even if they are treated with sterilization, the recurrence rate is relatively high. At the same time, the probability of side effects during drug treatment in children is also higher than that of adults, which will affect the overall treatment effect; and some adolescents and children may clear Helicobacter pylori by their own immunity when they grow up.

Therefore, it is not recommended to intervene in the treatment of children before they reach adulthood. Parents can wait until their children reach adulthood and then do another test. If the result is still positive, it is not too late to start treatment.

For the elderly, whether to cure Helicobacter pylori infection requires a full assessment of risks and benefits. Because eradication treatment to prevent gastric cancer risk does not mean that curing it today will immediately play a preventive role. Many elderly people have some underlying diseases, and when taking medication for a long time, they must also consider the interactions and effects between different drugs.

Zhang Wenhong: When we eat like this at home, all I see are germs!

As mentioned earlier, some people will be repeatedly infected with Helicobacter pylori. In some families, if one person is infected, the others will also be infected. This requires us to talk about how to scientifically prevent Helicobacter pylori.

Chief Physician Luo Linghe suggested that eating together, kissing, and sharing toothbrushes can all lead to infection. He recommended that everyone use public chopsticks when dining to avoid cross infection, use their own toothbrushes, wash hands frequently, and clean food dishes.

Professor Zhang Wenhong, director of the Department of Infectious Diseases at Huashan Hospital Affiliated to Fudan University, also mentioned that the system of separate meals should be implemented at home. In addition to preventing the new coronavirus, it is also necessary to prevent the spread of Helicobacter pylori.

Zhang Wenhong said bluntly: "I can't stand people eating together. When eating together, they use one chopstick to pick up food and drink. You see the cup and chopsticks, but I see germs."

Mao Di, reporter of Orange Persimmon Interactive

The content is based on earlier reports from Sina Weibo and Metropolis Express