A few days ago, the article “H. pylori Confessions: How the dominant stomach cancer fell in love with me” was a small fire, and many friends expressed their dissatisfaction that the treatment part of the article was too superficial. For this reason, I immediately contacted Mr. Li to make up the sequel of this article for you urgently.
(The wild “H. pylori” has been imprisoned by the editor, today continue to call it a deep confession!)
I’ve got a lot of fans in the last issue (is that your fan?! (p皿)), I’ll tell you how I was torn apart by you with stomach cancer Opa!
People who don’t want to get stomach cancer and need to eradicate me
Some people may still ask, is it necessary to eradicate our pyloric family as soon as they are found to exist (carbon 14 test value > 100, carbon 13 test > 4)?
Here I repeat, those who suffer from peptic ulcer, gastric MALT lymphoma, chronic gastritis with erosion and atrophy, and early gastric tumor (with surgery also counted) belong to the most favored people of my gastric cancer Opa, I will bring Opa to you oh (￣￣).
So human experts have been talking all day long: people who have these problems, must eradicate H. pylori!
If the above category of people is the true love of stomach cancer, then the following category of people belongs to the occasional flirtation of Opa. Who are these people? They are people who have frequent indigestion, GERD, or take antipyretic and anti-inflammatory drugs (such as aspirin), and people who have family members with stomach cancer.
The experts again: if you can get rid of H. pylori, that is also excellent, although it is not necessary, but keep them is always a hidden danger ah (experts, my heart is so stuffed.).
The people who do not have any symptoms to eradicate me?
Well, you do not speak first, I know you will certainly ask – “I do not belong to the above people, and do not have any gastrointestinal symptoms, but I tested positive for HP, I am afraid of getting stomach cancer, should I treat ah?”
In fact, we are more afraid of human’s own immunity as opposed to drugs.
Of course if you strongly request to eradicate us, the doctor will comply with your wishes. Anyway, you have nothing to eat antibiotics, which is equivalent to giving us the opportunity to practice, and in time we will not be afraid of any antibiotics (drug resistance), hahahaha
The human experts always say: do not support the eradication of HP for people without symptoms! You can adjust your diet, eat less spicy and meat and greasy things; at the same time exercise to enhance physical fitness and improve immunity. This is the best choice to fight the pyloric family.
Of course, HP carriers are contagious, so if you don’t want to infect others, you should pay attention to sharing meals with people.
Introducing the “Pylori Slaughter” combat unit
I’m going to call your H. pylori slaughter force, for now, the “Butchers” combat force (even if you say I’m not related to a celebrity, that doesn’t quench my enthusiasm for backing up Netflix). Here I will talk about your tactics.
I mentioned in the last article your human “triple” “quadruple” combat program, as the name implies is three drugs or four drugs “joint army”, which mainly includes these units.
First, the “vanguard” – acid suppressing drugs (proton pump inhibitors). You know the stomach acid to create a home I rely on, just like the air to make the earth suitable for human habitation is the same. But acid suppressants actually reduce! Reduce! Stomach! Acid! Form! The result! And will take advantage of the opportunity to put a cold arrow on us whoosh. So, we H. pylori from then on the road to the destruction of the family bacteria.
This team, we are most familiar with omeprazole, rabeprazole, etc..
Second, the “guard” – bismuth citrate (jǔ yuán suān bì), the name is a good tongue-twister.
Bismuth citrate this escort is not to be missed, they can lay a protective net in the gastric mucosa, especially where there are ulcers, to prevent stomach acid from continuing to attack the ulcer. What’s even scarier is that it protects the gastric mucosa while also having some killing power against us.
The most familiar of this team is bismuth potassium citrate.
Third, the “main force” – antibiotics, yes, I am bacteria, so the most afraid of antibiotics! Whether it is a triple or quadruple program, there will be two antibiotics in the war, used to carry out the annihilation of our massacre.
The most familiar faces in this army are amoxicillin (penicillin), clarithromycin, etc.
I’m evolving too, and many antibiotics don’t work against me
But we, the Pylori family, are not sitting still. After so many years of fighting, we have also begun to refine and evolve ourselves, so that many antibiotics are helpless against us, or “drug-resistant” as you often call it.
Currently, amoxicillin is your best performing antibiotic, followed by clarithromycin. So currently, they are the mainstay of your combat force. Of course there are also cephalosporins, furazolidone, tetracycline, and other aspects of the field army, and whether they want to send troops or not, that depends on the situation.
【 Next, I will give you the specific combat plan. The front dry goods warning, energy index 5 stars. Don’t miss it, collect a copy is always right ~ 】
“Triad” combat program, basically OUT!
Although the “triple” program has been OUT, but it is the ancestor of human beings against our pyloric family and the foundation, or and you briefly talk about. (Editorial: the following program is the latest international and domestic guidelines, combined with years of clinical experience summed up by Mr. Li Oh)
This “triple” program initially made us suffer a lot, but since our pyloric family upgraded from bronze to silver saints, the eradication success rate of the “triple” program can only reach 70%.
The “Quadruple Alliance” battle plan, both offensive and defensive, bull!
You humans have questioned the ability of the “triple” program, so the “quadruple” program was developed, which added the “bismuth citrate escort” to our eradication rate The kill rate for us reached over 90%. (Hm, when I upgrade to a golden saint)
The “Baton Relay” scenario, weaken first and then kill!
This day two rounds, four teams in turn bombing, has made us dizzy, you humans still do not know enough, and now also developed a “baton” combat scheme.
Because you found that amoxicillin (penicillin type) can destroy our armor (HP cell wall), so that when the troops behind us come up, we will be defenseless.
It’s like heavily armed soldiers slaughtering unarmed civilians, you humans are so cruel (┬á┬á┬á┬á), so this combat scenario is divided into two phases of 7+7.
(Editor’s note: The success rate of this program is similar to that of the quadruplex program, which can reach more than 90%, but with less medication, less stomach irritation and fewer side effects, which is the more recommended combat program by Mr. Li~).
Listener question “What should I do if I am allergic to penicillin?”
Okay, okay, I’m already dry-mouthed. If someone has a severe allergy to penicillin, they can replace the amoxicillin (penicillin-like) in the quadruple combat plan with tinidazole.
We are very fond of people who grew up sneezing and using antibiotics indiscriminately. These people have bacteria in their bodies that have seen the world and know all kinds of antibiotics by heart, and the doctors don’t know what antibiotics will work.
So, these people who use antibiotics indiscriminately test the doctor the most, with different troops, different ways to fight, maybe they can beat us, just maybe oh. (Bahahahahahaha~~)
Chinese medicine also from time to time to send troops to help
From time to time I still see TCM troops, such as when we gloat and watch, when Western medicine troops make the gastrointestinal tract uncomfortable (drug side effects), TCM will send troops to do soothing work.
Then there was the time when we had fought off three hard attacks by regular troops and would have been relieved. Your doctor may also develop a joint Chinese and Western medicine battle plan, a variety of Western medicine antibiotics combined with Chinese medicine “strengthen the spleen to resolve dampness” army again attack, we are often caught off guard.
The audience asked, “Why do you take medicine at 6 am?”
Lazy human beings, do you think it is so easy to kill me? As long as you don’t take your medication on time, I will take advantage of the opportunity to grow again!
Why do you think you have to take every medicine twice? It’s to maintain the drug level in your blood and to ensure that you have enough ammunition. When you take one pill, you can fight for 12 hours, and after 12 hours your ammunition will be used up. In order to replenish ammunition, you have to take a drug every 12 hours.
If you have to sleep in and take your medication at 9:00 am, then you have to wait until 9:00 pm to take your second medication, because rabeprazole sodium enteric tablets have to be taken before meals, then you can only eat dinner after 9:00 pm.
Antibiotics to be 2 hours later and to eat after meals, then you may have to eat all the medication at 12:00 at night! (Do not forget that you have to eat also time Oh ~)
The battle is over a month before the results can be accepted
The last bit of dry goods in my stomach, finished please do not force me again (┬á┬á┬á). After taking the medication you must want to know if I have been driven to extinction, then you have to go to the hospital 1 month after stopping the medication “blow” review (what is “blow” test, please click → “H. pylori self-report: how the dominant stomach cancer love me” remedial lessons).
As I said before, the quadruple therapy has more than 90% chance of winning, but there is still less than 10% chance of failure, and if it fails, you can only start over with a different strategy~!
Of course, your doctor will also advise you to test what antibiotics are killing me, and find the nemesis we can’t do anything about it.
Relapse prevention, the whole family to “blow the air”
If it has been determined that I am gone, do you think it will be okay? Have you ever thought that the family members you spend time with are not also infected early? So it is recommended that you bring your family for a checkup.
You should also remember to.
● Wash your hands carefully before and after meals.
● Let things out of the fridge for a while before eating them, because we are very high in the cold and oxygen deprived environment, but will hang up quickly in the air.
● Use communal chopsticks and spoons when eating out to avoid getting infected by me again. (If you like me, I’m actually not opposed to being with you oh~)
For people who have been infected with me, they should be re-examined after six months. The frequency of re-examinations will be set by your doctor based on your previous infections (ask me ~~ so hard to answer ~~).
You want to resist me also have to strengthen the body, I said before I am bullying soft bacteria, your immunity is poor I will be easy to take advantage of, so you humans will be good for it.