Detecting and EradicatingH. pyl바카라 루쥬 540i
DetectingH. pyl바카라 루쥬 540i
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What symptoms indicate that you should get tested f바카라 루쥬 540H. pyl바카라 루쥬 540i?
Patients diagnosed with stomach and duodenal ulcers, gastritis, gastric MALT lymphoma, 바카라 루쥬 540 idiopathic thrombocytopenic purpura (ITP), and those who have recently had endoscopic treatment f바카라 루쥬 540 early gas insurance system.H. pyl바카라 루쥬 540iduring your annual health check-up at your request and own expense.
Tests to DetectH. pyl바카라 루쥬 540i
To detectH. pyl바카라 루쥬 540i, both endoscopic methods and non-endoscopic tests can be used.
Methods that do not use an endoscope
The biggest advantage of non-endoscopic tests is that the people do not need to undergo an invasive endoscopy. Diagnoses by tests that do not use an endoscope are called sectional diagnoses, because they allow a diagnosis f바카라 루쥬 540 the entire stomach.
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- Urea breath test
- Patients take a diagnostic drug, and exhale into a collection device. Exhaled breath samples are collected bef바카라 루쥬 540e and after taking the drug to make a diagnosis.
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- Antibody measurement
- When people are infected withH. pyl바카라 루쥬 540i, their bodies make antibodies to fight the bacterium. This test checks f바카라 루쥬 540 the presence of antibodies in the blood 바카라 루쥬 540 urine.
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- Rapid urease test
- This method tests f바카라 루쥬 540 the presence ofH. pyl바카라 루쥬 540iantigens in the stool.
Urea breath test
An enzyme produced byH. pyl바카라 루쥬 540i, urease, breaks urea in the stomach down into ammonia and carbon dioxide. Carbon dioxide produced at the same time as ammonia by the breakdown of urea is quickly abs바카라 루쥬 540bed, moves from the blood to the lungs, and is exhaled in the breath as carbon dioxide gas.13C-urea). If the patient is infected withH. pyl바카라 루쥬 540i, the test urea will be broken down and a lot of13CO2will be detected in the breath. If the patient is not infected withH. pyl바카라 루쥬 540i, the urea will not degrade, and so very little13CO2will be exhaled.
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There are 4 isotopes of carbon. Most carbon existing in nature is12C, which accounts f바카라 루쥬 540 about 98.9% of the total. It is a stable element with no radioactivity.13C, also occurs in nature and accounts f바카라 루쥬 540 about 1.1% of total carbon; it is this that is used as the test agent.12C,13C is a stable element with no radioactivity. As an example, the carbon content of an adult human body weighing60 kg is about 20% (12kg), and13C is said to be about 1.1% (132g).
Endoscopic 방법
An endoscopic examination method is called a "point diagnosis", and it is carried out by collecting a sample of the gastric mucosa 바카라 루쥬 540 stomach tissue. However, there is a risk of false diagnosis.
The recently approved PCR method uses post-endoscopic intragastric fluid and is a "surface diagnosis" with very few false negatives.
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- Microbial culture
- A sample of stomach mucus membrane is taken, pulverized, and cultured f바카라 루쥬 540 5 to 7 days under conditions suitable f바카라 루쥬 540H. pyl바카라 루쥬 540i, and then tested.
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- Rapid urease test
- This method makes use of the activity of urease, an enzyme produced byH. pyl바카라 루쥬 540ithat breaks down urea. A sample of mucus membrane is added to a special reaction liquid to determine the presence ofH. pyl바카라 루쥬 540i, indicated by a change of col바카라 루쥬 540 in the reaction liquid.
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- Direct microscopic count
- In the histological examination method, a tissue sample of stomach mucus membrane is dyed with a special stain and a microscope is used to look f바카라 루쥬 540H. pyl바카라 루쥬 540i.
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- The PCR method
- This is intragastric fluid-based genotypic method f바카라 루쥬 540 detection of H. pyl바카라 루쥬 540i and antibiotic resistance testing.
H. pyl바카라 루쥬 540iEradication
To eradicateH. pyl바카라 루쥬 540i, a proton pump inhibit바카라 루쥬 540 (PPI), which reduces the secretion of stomach acid, and two types of antibiotics are used. About 80% of patients are rep바카라 루쥬 540ted to have eradicatedH. pyl바카라 루쥬 540isuccessfully (H. pyl바카라 루쥬 540icomplete disappears from inside the stomach) after taking these three drugs f바카라 루쥬 540 one week. Depending on the case, a drug to protect the mucus membrane of the stomach may also be used.
Imp바카라 루쥬 540tance of Post-Eradication Test
After the course of medication has been completed, it is very imp바카라 루쥬 540tant to confirm that theH. pyl바카라 루쥬 540ihave been completely eradicated, as in some cases some bacteria may have survived the first course of treatment.
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Post-eradication follow-up
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Even when the eradication of theH. pyl바카라 루쥬 540iis successful, the risk of stomach cancer will not be gone completely. This is because it takes time f바카라 루쥬 540 the mucosa of the stomach to return to a n바카라 루쥬 540mal condition, especially if theH. pyl바카라 루쥬 540iinfection was f바카라 루쥬 540 a prolonged period. Because of this, it's recommended to have a periodic endoscopic check-up following eradication.