十二指腸潰瘍 | Duodenal Ulcer

如你有此疾病,請遵照閣下醫生的完整醫療方案;而是否使用多學科復康方案前,你必須咨詢主診醫生的意見,如果閣下的主診醫生不建議您加入補充劑調理組合,請你不要使用。如果你需要尋求其他醫生作第二咨詢,閣下可聯絡我們線上<無邊界醫生>或你自己城市內的其他專業醫生的再診斷。

十二指腸潰瘍

關於幽門螺桿菌在十二指腸潰瘍中的致病作用存在爭議。幽門螺桿菌（helicobacterpylori）是一種彎曲的革蘭氏陰性微需氧菌，存在於胃粘膜層或粘附於胃上皮層。從細菌的發現開始，它就對公眾健康具有重要意義，而且感染的流行率和嚴重程度在不同人群中差异很大。H、幽門螺桿菌是各種疾病的風險，而宿主反應的程度，如胃部炎症和壁細胞的酸分泌量影響感染的結果。

綜述證據支持幽門螺桿菌感染和十二指腸潰瘍之間的强烈因果關係，因為患者更可能被隨後引起十二指腸潰瘍的毒株感染。因此，根除幽門螺桿菌感染可降低十二指腸潰瘍的發生率，並通過减少基礎胃泌素釋放和胃酸分泌而防止其復發，而不影響壁細胞敏感性。另一方面，一些研究表明，幽門螺桿菌感染與十二指腸潰瘍的發生無關，這種缺乏關聯性表明十二指腸潰瘍有不同的發病機制。儘管各種研究對幽門螺桿菌與十二指腸潰瘍的因果關係存在爭議，但因果關係標準證明幽門螺桿菌感染與十二指腸潰瘍之間存在因果關係。其他因素也與十二指腸潰瘍的發生有關，這些因素也與疾病患病率的差异有關。

There are controversies on the causal role of H. pylori in duodenal ulceration. Helicobacter pylori are curved gram-negative microaerophilic bacteria found at the layer of gastric mucous or adherent to the epithelial lining of the stomach. It’s a public health significance bacteria starting from discovery, and the prevalence and severity of the infection varies considerably among populations. H. pylori are a risk for various diseases, while the extent of host response like gastric inflammation and the amount of acid secretion by parietal cells affects the outcome of infection.

The review evidence supports a strong causal relation between H. pylori infection and duodenal ulcer, as patients are more likely to be infected by virulent strains which later cause duodenal ulceration. Thus, eradication of H. pylori infection decreases the incidence of duodenal ulcers, and prevents its recurrence by reducing both basal gastrin release and acid secretion without affecting parietal cell sensitivity. On the other hand, some studies show that H. pylori infection is not associated with the development of duodenal ulcers and such a lack of association revealed that duodenal ulceration has different pathogenesis. Despite controversies observed in the causal role of H. pylori to duodenal ulceration by various studies, Hill criteria of causation proved the presence of a causal relation between H. pylori infection and duodenal ulcers. Other factors are also responsible for the development of duodenal ulcers and such factors are responsible for the differences in the prevalence of the diseases.

If you have this disease, please follow your doctor's complete medical plan. You must consult the attending doctor before using the multidisciplinary rehabilitation plan. If your attending doctor does not recommend you to join the supplement conditioning combination, please do not use it. If you need to seek second opinion from other doctors, you can contact our online "Doctors Without Borders", or another professional doctor in your own city.