一家七口,全部确诊!
<p data-mpa-powered-by="yiban.io"></p><p><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="92620"><section style="padding-right: 3px;padding-bottom: 3px;"><section style="padding: 20px 15px;border-width: 1px;border-style: solid;border-color: rgb(67, 97, 101);box-shadow: rgb(207, 207, 206) 3px 3px 0px;"><section style="color:#494948;font-size:14px;"><p style="text-align: center;"></p><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><br/></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 15px;">近日,</span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 15px;">34岁的刘先生</span><span style="font-size: 15px;letter-spacing: 0.578px;"></span><span style="font-size: 15px;letter-spacing: 0.578px;">因</span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 15px;letter-spacing: 0.578px;">胃胀、反酸等不适,</span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 15px;">到</span><span style="font-size: 15px;letter-spacing: 0.578px;">消化内科门诊就诊,</span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: rgb(2, 30, 170);font-size: 15px;"><strong>发现</strong></span><strong style="color: rgb(2, 30, 170);font-size: 15px;letter-spacing: 0.578px;caret-color: transparent;">感染了幽门螺杆菌。</strong></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 15px;"></span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 15px;">医生建议他让全家都做一个筛查,</span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: rgb(2, 30, 170);font-size: 15px;"><strong>结果令人吃惊:一家人都感染了,</strong></span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: rgb(2, 30, 170);font-size: 15px;"><strong>包括刘先生的</strong></span></section><section style="margin-right: 8px;margin-left: 8px;color: rgba(0, 0, 0, 0.9);font-size: 17px;letter-spacing: 0.578px;line-height: 1.6em;text-align: center;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: rgb(2, 30, 170);font-size: 15px;"><strong>孩子、妻子、父母和岳父母<span style="color: rgb(2, 30, 170);letter-spacing: 0.034em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">。</span></strong></span></section><section style="text-align: center;"><span style="font-size: 15px;"></span></section></section></section></section></section><section data-role="paragraph"><section style="margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;letter-spacing: 0.034em;"><br/></span></section><section style="margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;letter-spacing: 0.034em;">考虑到四位老人都已年过六旬,之前从未做过胃肠镜,刘先生陆续安排老人都做了胃肠镜检查。没想到,<span style="letter-spacing: 0.034em;color: rgb(2, 30, 170);"><strong>在检查中,刘先生的父亲被发现一处病灶,考虑胃癌,经过放大内镜和共聚焦内镜精确评估,属于胃早癌,</strong></span>可以进行内镜下微创治疗,避免外科“开大刀”,达到治愈性切除,后续也不用放化疗。</span></section><section style="margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;letter-spacing: 0.034em;"><br/></span></section><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="118511"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section style="display: flex;justify-content: center;align-items: center;"><section style="flex-shrink: 0;"><section style="width: 0px;height: 1px;border-left: 5px solid rgb(250, 187, 17);border-top: 5px solid transparent;border-bottom: 5px solid transparent;overflow: hidden;"><br/></section></section><section style="transform-style: preserve-3d;padding-right: 6px;padding-left: 6px;"><section style="font-size: 16px;color: rgb(38, 88, 169);text-align: center;letter-spacing: 1.5px;padding-right: 6px;padding-left: 6px;transform: translateZ(10px);"><strong data-brushtype="text"><p>有阳性感染者 </p><p>家庭成员均是高危人群</p></strong></section><section style="width: 100%;height: 10px;background-color: rgb(229, 236, 248);margin-top: -10px;transform: translateZ(5px);overflow: hidden;" data-width="100%"><br/></section></section><section style="flex-shrink: 0;"><section style="width: 0px;height: 1px;border-right: 5px solid rgb(250, 187, 17);border-top: 5px solid transparent;border-bottom: 5px solid transparent;overflow: hidden;"><br/></section></section></section></section></section></section></section></section></section><section style="margin-bottom: 0px;line-height: 1.6em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">“根据 2023 年中国疾控中心传染病预防控制所等发布的《中国幽门螺杆菌感染防控》数据显示,<span style="font-size: 15px;color: rgb(2, 30, 170);"><strong>我国幽门螺杆菌人群感染率近50%。</strong></span>”浙中医大二院刘英超教授说,幽门螺杆菌可引发包括慢性胃炎、消化性溃疡等多种胃肠道内外疾病,严重情况下可引发胃癌。</span></section><section style="margin-bottom: 0px;line-height: 1.6em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;"><br/></span></section><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="95447"><section style="width: 100%;margin: 1em auto;" data-width="100%"><section style="width: 40px;margin-right: auto;margin-left: auto;background: rgb(254, 254, 254);transform: rotate(0deg);"></section><section style="margin-top: -10px;border-width: 1px;border-style: solid;border-color: rgb(51, 51, 51);padding: 1em;"><section data-autoskip="1" style="line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;color: rgb(51, 51, 51);"><p style="vertical-align:inherit;"><span style="font-size: 15px;">幽门螺杆菌(Helicobacter pylori,简称 Hp),是一种寄生在人类消化道中的微需氧革兰氏阴性杆菌,呈螺旋或 S 形,一端带有鞭毛,能在胃中强酸性环境中生存并穿过黏液层,到达上皮表面并牢牢连接,避免被胃排空。最喜欢胃的幽门、胃窦部位,便因此而得名。</span></p></section></section></section></section></section></p><p style="margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">“幽门螺杆菌的传染性比较强,一般通过手、不洁食物、不洁餐具、家庭共同用餐、接吻、粪口传播等途径传染。”刘英超教授说,同吃同住且不分餐,确实存在比较高的传染风险。</span></p><p><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="118511"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section style="display: flex;justify-content: center;align-items: center;"><section style="flex-shrink: 0;"><section style="width: 0px;height: 1px;border-left: 5px solid rgb(250, 187, 17);border-top: 5px solid transparent;border-bottom: 5px solid transparent;overflow: hidden;"><br/></section></section><section style="transform-style: preserve-3d;padding-right: 6px;padding-left: 6px;"><section style="font-size: 16px;color: rgb(38, 88, 169);text-align: center;letter-spacing: 1.5px;padding-right: 6px;padding-left: 6px;transform: translateZ(10px);"><strong data-brushtype="text"><p>感染了幽门螺杆菌 </p><p><span style="text-decoration: none;">可以自行吃药治疗吗?</span></p></strong></section><section style="width: 100%;height: 10px;background-color: rgb(229, 236, 248);margin-top: -10px;transform: translateZ(5px);overflow: hidden;" data-width="100%"><br/></section></section><section style="flex-shrink: 0;"><section style="width: 0px;height: 1px;border-right: 5px solid rgb(250, 187, 17);border-top: 5px solid transparent;border-bottom: 5px solid transparent;overflow: hidden;"><span style="font-size: 15px;letter-spacing: 0.034em;">“大多数人在感染幽门螺杆菌后可能并没有明显的临床症状。”刘英超教授认为,Hp感染临床症状多不典型,常见的可能有慢性上腹疼痛、饱胀、反酸、嗳气、晨起恶心等,也有病人会伴随口臭。据调查统计,感染幽门螺杆菌的患者,约15%—20%发生消化性溃疡,5%—10%发生消化不良。</span></section></section></section></section></section></section></section><section style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">“特别要引起重视的是,<span style="color: rgb(2, 30, 170);"><strong>幽门螺杆菌感染者中有约1%的人,会发生胃癌等胃恶性肿瘤。</strong></span>”刘英超教授说。</span></section><section style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><br/></section><section style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">有些患者认为幽门螺杆菌的治疗无非是那几类药物,自己服用似乎也无大碍,但事实上绝不能如此。由于每个地区甚至每个人感染的幽门螺杆菌菌株不同,个体用药史及地方用药习惯也存在差异,自行用药存在较大的失败风险。</span></section><section style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><br/></section><section style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">“<span style="color: rgb(2, 30, 170);"><strong>不规范的治疗会产生耐药性,反而会导致治疗失败。</strong></span>”刘英超教授说,医生会根据患者自身耐药情况,选择敏感抗生素,避开已知耐药的抗生素,这样可以大幅提升首次根除的成功率。</span></section><section style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><br/></section><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="118511"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section style="display: flex;justify-content: center;align-items: center;"><section style="flex-shrink: 0;"><section style="width: 0px;height: 1px;border-left: 5px solid rgb(250, 187, 17);border-top: 5px solid transparent;border-bottom: 5px solid transparent;overflow: hidden;"><br/></section></section><section style="transform-style: preserve-3d;padding-right: 6px;padding-left: 6px;"><section style="font-size: 16px;color: rgb(38, 88, 169);text-align: center;letter-spacing: 1.5px;padding-right: 6px;padding-left: 6px;transform: translateZ(10px);"><strong data-brushtype="text"><p><span style="font-size: 15px;">预防感染幽门螺旋菌 牢记这几点</span></p></strong></section><section style="width: 100%;height: 10px;background-color: rgb(229, 236, 248);margin-top: -10px;transform: translateZ(5px);overflow: hidden;" data-width="100%"><br/></section></section><section style="flex-shrink: 0;"><section style="width: 0px;height: 1px;border-right: 5px solid rgb(250, 187, 17);border-top: 5px solid transparent;border-bottom: 5px solid transparent;overflow: hidden;"><br/></section></section></section></section></section></section></section></p><p style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">个人是预防和降低幽门螺杆菌感染危害、保障身体健康的第一责任人。<span style="font-size: 15px;color: rgb(2, 30, 170);"><strong>日常生活中需要注意以下这些:</strong></span></span></p><p style="margin-bottom: 0px;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;"><br/></span></p><p><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 8px;"><span style="font-size: 15px;">(1)饭前、便后要洗手,杜绝吃生肉,尽量吃经过高温加热的熟食;</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 8px;"><span style="font-size: 15px;">(2)注意口腔卫生,提倡餐后刷牙漱口、定期更换牙刷;</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 8px;"><span style="font-size: 15px;">(3)如果家庭中有成员感染了幽门螺杆菌,感染者尽量用自己的专属餐具,直至完全治愈;</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 8px;"><span style="font-size: 15px;">(4)集体用餐时提倡分餐制、使用公勺公筷,餐具注意消毒;</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 8px;"><span style="font-size: 15px;">(5)孩子是易感人群,给孩子使用专用的餐具,杜绝家长将食物嚼碎后喂给宝宝;</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 8px;"><span style="font-size: 15px;">(6)避免吸烟、饮酒,不吃辛辣、生冷等刺激性食物;饮食要营养均衡,细嚼慢咽。</span></section><section style="margin-bottom: 0px;"><br/></section></p><p style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: right;visibility: visible;"></p><p><section style="margin-bottom: 0px;outline: 0px;white-space: normal;letter-spacing: 0.578px;background-color: rgb(255, 255, 255);color: rgb(34, 34, 34);font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;caret-color: rgba(0, 0, 0, 0);font-size: 15px;text-align: left;line-height: 1.6em;visibility: visible;"><span style="outline: 0px;color: rgb(136, 136, 136);letter-spacing: 0.578px;font-size: 14px;visibility: visible;">来源 杭州交通918</span></section></p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_Mk3" id="wcn_editor_css"/> 建议实行公筷 每个人都有螺旋杆菌只是数量多少问题
多了就是阳 少了就是阴性 注意卫生 注意卫生 注意安全 注意卫生 这确实要注意
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