Categories: Medicina

Cum îți dai seama că ai o infecție cu Helicobacter Pylori

&NewLine;<&excl;-- WP QUADS Content Ad Plugin v&period; 2&period;0&period;92 -->&NewLine;<div class&equals;"quads-location quads-ad3954 " id&equals;"quads-ad3954" style&equals;"float&colon;none&semi;text-align&colon;center&semi;padding&colon;0px 0 0px 0&semi;" data-lazydelay&equals;"3000">&NewLine;<div class&equals;"quads-ad-label quads-ad-label-new">Advertisement<&sol;div><&excl;-- responsive 1 -->&NewLine;<script async src&equals;"https&colon;&sol;&sol;securepubads&period;g&period;doubleclick&period;net&sol;tag&sol;js&sol;gpt&period;js"><&sol;script>&NewLine;<div id&equals;"ghidulmedicului&period;com&lowbar;responsive&lowbar;1">&NewLine; <script>&NewLine; window&period;googletag &equals; window&period;googletag &vert;&vert; &lbrace; cmd&colon; &lbrack;&rsqb; &rcub;&semi;&NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &lbrace;&NewLine; var slot &equals; googletag&period;defineSlot&lpar;'&sol;23293390090&sol;ghidulmedicului&period;com&sol;ghidulmedicului&period;com&lowbar;responsive&lowbar;1'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;728&comma; 90&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; 'fluid'&rsqb;&comma; 'ghidulmedicului&period;com&lowbar;responsive&lowbar;1'&rpar;&semi;&NewLine; var mapping1 &equals; googletag&period;sizeMapping&lpar;&rpar;&NewLine; &period;addSize&lpar;&lbrack;980&comma; 0&rsqb;&comma; &lbrack;&lbrack;728&comma; 90&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;750&comma; 0&rsqb;&comma; &lbrack;&lbrack;728&comma; 90&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;320&comma; 0&rsqb;&comma; &lbrack;&lbrack;336&comma; 280&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;build&lpar;&rpar;&semi;&NewLine; slot&period;defineSizeMapping&lpar;mapping1&rpar;&semi;&NewLine; slot&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; googletag&period;enableServices&lpar;&rpar;&semi;&NewLine; googletag&period;display&lpar;'ghidulmedicului&period;com&lowbar;responsive&lowbar;1'&rpar;&semi;&NewLine; &rcub;&rpar;&semi;&NewLine; <&sol;script>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p>Helicobacter Pylori&comma; adesea prescurtata H&period; Pylori&comma; este o bacterie care infecteaza stomacul si intestinul subtire&period; Aceasta a fost descoperita in anul 1982&comma; de catre doi cercetatori de origine australiana care cercetau cauzele ulcerului peptic&period;<&sol;p>&NewLine;<p>1&period; Ce este infectia cu Helicobacter Pylori&quest;<&sol;p>&NewLine;<&excl;-- WP QUADS Content Ad Plugin v&period; 2&period;0&period;92 -->&NewLine;<div class&equals;"quads-location quads-ad3955 " id&equals;"quads-ad3955" style&equals;"float&colon;none&semi;text-align&colon;center&semi;padding&colon;0px 0 0px 0&semi;" data-lazydelay&equals;"3000">&NewLine;<div class&equals;"quads-ad-label quads-ad-label-new">Advertisement<&sol;div><&excl;-- responsive 2 -->&NewLine;<script async src&equals;"https&colon;&sol;&sol;securepubads&period;g&period;doubleclick&period;net&sol;tag&sol;js&sol;gpt&period;js"><&sol;script>&NewLine;<div id&equals;"ghidulmedicului&period;com&lowbar;responsive&lowbar;2">&NewLine; <script>&NewLine; window&period;googletag &equals; window&period;googletag &vert;&vert; &lbrace; cmd&colon; &lbrack;&rsqb; &rcub;&semi;&NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &lbrace;&NewLine; var slot &equals; googletag&period;defineSlot&lpar;'&sol;23293390090&sol;ghidulmedicului&period;com&sol;ghidulmedicului&period;com&lowbar;responsive&lowbar;2'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; 'fluid'&rsqb;&comma; 'ghidulmedicului&period;com&lowbar;responsive&lowbar;2'&rpar;&semi;&NewLine; var mapping2 &equals; googletag&period;sizeMapping&lpar;&rpar;&NewLine; &period;addSize&lpar;&lbrack;980&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;750&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;320&comma; 0&rsqb;&comma; &lbrack;&lbrack;336&comma; 280&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;build&lpar;&rpar;&semi;&NewLine; slot&period;defineSizeMapping&lpar;mapping2&rpar;&semi;&NewLine; slot&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; googletag&period;enableServices&lpar;&rpar;&semi;&NewLine; googletag&period;display&lpar;'ghidulmedicului&period;com&lowbar;responsive&lowbar;2'&rpar;&semi;&NewLine; &rcub;&rpar;&semi;&NewLine; <&sol;script>&NewLine;<&sol;div>&NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Helicobacter Pylori reprezinta o specie microbiana caracterizata printr-o forma curba sau spirala care este adaptata la mediul acid si care colonizeaza mucoasa stomacului sau a duodenului&comma; respectiv a segmentului proximal al intestinului subtire&period;<&sol;p>&NewLine;<&excl;-- WP QUADS Content Ad Plugin v&period; 2&period;0&period;92 -->&NewLine;<div class&equals;"quads-location quads-ad3956 " id&equals;"quads-ad3956" style&equals;"float&colon;none&semi;text-align&colon;center&semi;padding&colon;0px 0 0px 0&semi;" data-lazydelay&equals;"3000">&NewLine;<div class&equals;"quads-ad-label quads-ad-label-new">Advertisement<&sol;div><&excl;-- responsive 3 -->&NewLine;<script async src&equals;"https&colon;&sol;&sol;securepubads&period;g&period;doubleclick&period;net&sol;tag&sol;js&sol;gpt&period;js"><&sol;script>&NewLine;<div id&equals;"ghidulmedicului&period;com&lowbar;responsive&lowbar;3">&NewLine; <script>&NewLine; window&period;googletag &equals; window&period;googletag &vert;&vert; &lbrace; cmd&colon; &lbrack;&rsqb; &rcub;&semi;&NewLine; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &lbrace;&NewLine; var slot &equals; googletag&period;defineSlot&lpar;'&sol;23293390090&sol;ghidulmedicului&period;com&sol;ghidulmedicului&period;com&lowbar;responsive&lowbar;3'&comma; &lbrack;&lbrack;300&comma; 250&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; 'fluid'&rsqb;&comma; 'ghidulmedicului&period;com&lowbar;responsive&lowbar;3'&rpar;&semi;&NewLine; var mapping3 &equals; googletag&period;sizeMapping&lpar;&rpar;&NewLine; &period;addSize&lpar;&lbrack;980&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;750&comma; 0&rsqb;&comma; &lbrack;&lbrack;468&comma; 60&rsqb;&comma; &lbrack;336&comma; 280&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;addSize&lpar;&lbrack;320&comma; 0&rsqb;&comma; &lbrack;&lbrack;336&comma; 280&rsqb;&comma; &lbrack;320&comma; 50&rsqb;&comma; &lbrack;300&comma; 250&rsqb;&comma; 'fluid'&rsqb;&rpar;&NewLine; &period;build&lpar;&rpar;&semi;&NewLine; slot&period;defineSizeMapping&lpar;mapping3&rpar;&semi;&NewLine; slot&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; googletag&period;enableServices&lpar;&rpar;&semi;&NewLine; googletag&period;display&lpar;'ghidulmedicului&period;com&lowbar;responsive&lowbar;3'&rpar;&semi;&NewLine; &rcub;&rpar;&semi;&NewLine; <&sol;script>&NewLine;<&sol;div>&NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<p>Modalitatea de transmitere este orala&comma; infectia fiind cel mai frecvent dobandita in copilarie&period; Calea de infectie in unele tari poate fi apa netratata&period; Helicobacter Pylori ramane una dintre cele mai raspandite infectii la om&comma; prevalenta infectiei fiind inalt corelata cu statusul socio-economic si variaza intre 50-80&percnt;&period;<&sol;p>&NewLine;<p>2&period; Cum se manifesta infectia cu Helicobacter Pylori&quest;<&sol;p>&NewLine;<p>In 50&percnt; din cazuri&comma; infectia nu produce simptome&period; Atunci cand se manifesta&comma; pacientul poate acuza izolat sau in asociere durere in partea superioara a abdomenului&comma; balonare&comma; senzatia de plenitudine dupa ingestia unor cantitati mici de alimente&comma; greata&comma; varsaturi sau lipsa apetitului alimentar&period; In unele cazuri&comma; manifestarile clinice pot fi expresia directa a unor complicatii&comma; cum ar fi sangerarile gastrointestinale &lpar;emisia de scaune negre&comma; lucioase&rpar;&period;<&sol;p>&NewLine;<p>Infectia este asociata cu numeroase afectiuni gastrointestinale incluzand gastrita cronica &lpar;inflamatia cronica a mucoasei gastrice&rpar;&comma; ulcerul gastric sau duodenal si neoplaziile gastrice &lpar;adenocarcinomul gastric si limfomul gastric&rpar;&period;<&sol;p>&NewLine;<p>Manifestarile extragastrice in care implicarea infectiei cu Helicobacter Pylori a fost dovedita sunt&colon; anemia feripriva de cauza necunoscuta&comma; deficienta vitaminei B12 si purpura trombocitopenica idiopatica&period;<&sol;p>&NewLine;<p>3&period; Cum se diagnosticheaza infectia cu Helicobacter Pylori&quest;<&sol;p>&NewLine;<p>Pentru diagnosticul infectiei cu Helicobacter Pylori se folosesc o serie de teste noninvazive&colon;<&sol;p>&NewLine;<p>Testul respirator care masoara anumite substante in aerul expirat dupa ingestia unui lichid special&comma; cu mare acuratete diagnostica &lpar;sensibilitate si specificitate de peste 90&percnt;&rpar;<&sol;p>&NewLine;<p>Testarea antigenica dintr-o proba prelevata din materiile fecale &lpar;cu acuratete similara cu cea a testului respirator&rpar;<&sol;p>&NewLine;<p>Teste serologice cu determinarea anticorpilor anti Helicobacter Pylori dar care au o acuratete diagnostica scazuta &lpar;cu multe rezultate fals positive sau fals negative&rpar;&period;<&sol;p>&NewLine;<p>Aceste teste pot fi recomandate in conditii special&comma; cum ar fi in cazul consumului recent de antibiotice si de medicamente care scad secretia gastrica&comma; in cazul ulcerelor complicate cu hemoragii sau in cazul afectiunilor gastrice maligne&period;<&sol;p>&NewLine;<p>Exista si teste invazive de diagnostic al infectiei cu Helicobacter Pylori&colon; prelevarea unei biopsii&comma; respectiv a unui mic fragment superficial din mucoasa stomacului&comma; manevra care se efectueaza de catre medicul gastroenterolog cu ocazia endoscopiei digestive superioare&period;<&sol;p>&NewLine;<p>4&period; Cand se recomanda testarea infectiei cu Helicobacter Pylori&quest;<&sol;p>&NewLine;<p>Testele de identificare a infectiei cu Helicobacter pylori sunt indicate&colon;<&sol;p>&NewLine;<p>La pacientii diagnosticati cu ulcer gastric sau duodenal sau care au istoric de ulcer<&sol;p>&NewLine;<p>La pacientii cu manifestari dispeptice descrise mai sus<&sol;p>&NewLine;<p>In cazul existentei unui istoric familial de cancer gastric la rudele de gradul I<&sol;p>&NewLine;<p>Anterior initierii tratamentului de lunga durata cu Aspirina sau cu antiinflamatorii nonsteroidiene&comma; indeosebi la pacientii cu istoric de ulcer gastroduodenal<&sol;p>&NewLine;<p>5&period; Cand se impune efectuarea endoscopiei digestive superioare&quest;<&sol;p>&NewLine;<p>Abordarea strategiei &OpenCurlyDoubleQuote;Testeaza si Trateaza” in cazul infectiei cu Helicobacter Pylori este adecvata in situatiile in care riscul pacientului de a avea cancer gastric este scazut&period;<&sol;p>&NewLine;<p>In urmatoarele doua situatii tratamentul infectiei cu Helicobacter Pylori trebuie precedat de o evaluare endoscopica digestiva superioara&colon;<&sol;p>&NewLine;<p>Varsta peste 45 ani<&sol;p>&NewLine;<p>Prezenta manifestarilor clinice de alarma&colon; scaderea in greutate&comma; dificultatea la inghitire&comma; prezenta anemiei si a sangerarilor gastro-intestinale manifeste<&sol;p>&NewLine;<p>6&period; Cum se trateaza infectia cu Helicobacter Pylori&quest;<&sol;p>&NewLine;<p>Terapia infectiei cu Helicobacter Pylori include trei sau patru medicamente &&num;8211&semi; medicamente ce scad secretia gastrica acida si diferite tipuri de antibiotice – care se administreaza timp de 10-14 zile&period;<&sol;p>&NewLine;<p>Obiectivele tratamentului sunt vindecarea infectiei si respectiv vindecarea afectiunii ulceroase&comma; prevenirea recidivelor ulcerului&comma; a complicatiilor legate de boala ulceroasa si totodata reducerea riscului dezvoltarii cancerului gastric&period;<&sol;p>&NewLine;<p>Pentru ca sansele de vindecare a infectiei sa fie maxime este foarte importanta aderenta la tratament&comma; respectiv urmarirea intocmai a instructiunilor legate de administrarea medicamentelor si informarea medicului curant in legatura cu orice reactie adversa survenita in timpul tratmentului&period;<&sol;p>&NewLine;<p>7&period; Ce se intampla dupa tratament&quest;<&sol;p>&NewLine;<p>Tratamentul infectiei cu Helicobacter Pylori este urmat la majoritatea pacientilor de o testare a eficientei eradicarii fie prin test respirator&comma; fie prin testarea antigenica din materii fecale efectuata la minim 4 saptamani de la incheierea terapiei&period;<&sol;p>&NewLine;<p>In majoritatea cazurilor terapia anti Helicobacter Pylori este curativa&period; In situatiile in care testele arata persistenta infectiei dupa tratament se poate impune o terapie de linia a II-a&period;<&sol;p>&NewLine;<div class&equals;"7d52d962a67f455245a34c2a2d47cf6c" data-index&equals;"3" style&equals;"float&colon; none&semi; margin&colon;10px 0 10px 0&semi; text-align&colon;center&semi;">&NewLine;<&excl;-- ghidulmedicului responsiv --> &NewLine;<ins class&equals;"adsbygoogle" &NewLine; style&equals;"display&colon;block" &NewLine; data-ad-client&equals;"ca-pub-9353012245817679" &NewLine; data-ad-slot&equals;"6634646486" &NewLine; data-ad-format&equals;"auto" &NewLine; data-full-width-responsive&equals;"true"><&sol;ins> &NewLine;<script> &NewLine; &lpar;adsbygoogle &equals; window&period;adsbygoogle &vert;&vert; &lbrack;&rsqb;&rpar;&period;push&lpar;&lbrace;&rcub;&rpar;&semi; &NewLine;<&sol;script> &NewLine; &NewLine; &NewLine;<ins class&equals;"adsbygoogle" &NewLine; style&equals;"display&colon;block" &NewLine; data-ad-format&equals;"autorelaxed" &NewLine; data-ad-client&equals;"ca-pub-9353012245817679" &NewLine; data-ad-slot&equals;"3605158462"><&sol;ins> &NewLine;<script>&lpar;adsbygoogle &equals; window&period;adsbygoogle &vert;&vert; &lbrack;&rsqb;&rpar;&period;push&lpar;&lbrace;&rcub;&rpar;&semi;<&sol;script> &NewLine;<div data-type&equals;"&lowbar;mgwidget" data-widget-id&equals;"1824277"> &NewLine;<&sol;div> &NewLine;<script>&lpar;function&lpar;w&comma;q&rpar;&lbrace;w&lbrack;q&rsqb;&equals;w&lbrack;q&rsqb;&vert;&vert;&lbrack;&rsqb;&semi;w&lbrack;q&rsqb;&period;push&lpar;&lbrack;"&lowbar;mgc&period;load"&rsqb;&rpar;&rcub;&rpar;&lpar;window&comma;"&lowbar;mgq"&rpar;&semi; &NewLine;<&sol;script> &NewLine;&NewLine;<&sol;div>&NewLine;&NewLine;<div style&equals;"font-size&colon; 0px&semi; height&colon; 0px&semi; line-height&colon; 0px&semi; margin&colon; 0&semi; padding&colon; 0&semi; clear&colon; both&semi;"><&sol;div><&sol;p>&NewLine;

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