细说幽门螺杆菌
细说幽门螺杆菌
防治幽门螺杆菌是预防医学、社会医学和公共卫生行政主管部门共同面临的重大课题
内容简介本书是一本详细介绍幽门螺杆菌相关知识的医学科普书籍。国内外的...
防治幽门螺杆菌是预防医学、社会医学和公共卫生行政主管部门共同面临的重大课题
本书是一本详细介绍幽门螺杆菌相关知识的医学科普书籍。国内外的研究表明，幽门螺杆菌是慢性活动性胃炎、消化性溃疡、胃恶性肿瘤等疾病的主要致病因子，已被世界卫生组织列为I类致癌因子，而且幽门螺杆菌可能还与某些胃肠外疾病（如动脉粥样硬化相关心血管病、血液系统疾病、皮肤病等）相关，我国幽门螺杆菌的感染率约为40%-80%，幽门螺杆菌已成为全球包括我国在内的感染率的慢性感染病之一。
幽门螺杆菌的防治不但是临床医学问题，也是预防医学、社会医学和公共卫生行政主管部门共同面临的重大课题。如果能做到疾病的早发现、早诊断、早治疗，在群众中提高疾病的知晓率、控制率，对于减少重大疾病的发生率具有积极的社会效益和经济效益。而要真正提高中国幽门螺杆菌的防治水平，唯有走"群众路线"，全民普及幽门螺杆菌的防治知识。
本书的撰写及出版，旨在为广大的幽门螺杆菌患者及其市民提供通俗易懂的学习材料，以促进广大群众对幽门螺杆菌的正确认识，加强预防感染，增强幽门螺杆菌患者的自我管理能力，提高治疗和随访的依从性，限度地降低幽门螺杆菌感染率，改善幽门螺杆菌患者的预后。
保志军，医学博士，消化科、老年科主任医师，教授，博士研究生导师。现为复旦大学附属华东医院副院长，上海市老年医学临床重点实验室主任，入选"上海市卫生系统优秀学科带头人"培养计划。
兼任中国老年医学研究机构联盟副主任委员，中国医师协会老年医学分会常委，中国老年学学会老年医学委员会常委，中国老年学学会抗衰老科学委员会常委，中国老年医学学会消化分会委员，上海市老年学学会副会长，上海老年学学会老年医疗保健专业委员会常务副主任委员，上海市静安区科协副主席，复旦大学中西医结合研究院老年病研究所名誉所长。
任《老年医学与保健》编辑部主任，《中华消化杂志》、《复旦学报（医学版）》、《上海医学》、《中华消化内镜杂志》、《肝脏》、《国际消化病杂志》、《中国药物评价》等期刊杂志编委。
1、居住在胃内高酸环境中
长期被认为不可能存在
小知识：正常胃壁的结构是什么样的？
2、治疗史上经历了二次革命
是消化性溃疡反复发作的元凶
小知识：人类何时开始注意到胃内存在螺旋形微生物？
3、有致病毒力因子
细菌的形态会发生变化
小知识：幽门螺杆菌的名称由来
4、人是主要的传染源
知晓5种传播方式
5、关于幽门螺杆菌的流行病学特点
胃镜检查不会成为传染源
30多年前，当澳大利亚皇家佩斯医院的两位医生巴里﹒马歇尔（内科住院医生）和罗宾﹒沃伦（病理科医生）从胃炎患者的胃窦黏膜中分离并培养出一种螺旋形、微需氧的微生物时，或许未曾预料，这个帮助他们荣膺2005年诺贝尔生理学与医学奖的细菌，足以颠覆人类对一些传统疾病的认识。
当时人们的传统观点认为：无酸便无溃疡，胃酸有杀菌作用，胃内不适合细菌生长。巴里﹒马歇尔和罗宾﹒沃伦于1983年2月将一篇题目为"Spiral bacteria in gastritis and associated disease（在胃炎和相关疾病中的螺旋菌）"的论文摘要投送至澳大利亚胃肠病学年会，随后不出所料，他们的摘要遭到大会秘书处的拒绝。多年后，成名的巴里﹒马歇尔每次在做相关演讲报告时均会风趣地自嘲说："我当时是一个名不见经传的小人物（内科轮转医生），这样的发现应该大人物报道才有人相信。"
胃上接食管，下通小肠，口、咽、食管和小肠等部位的细菌均可进入胃内。由于胃腔内酸度很高，在这种环境下，多数细菌均可被胃酸杀灭。目前研究已经确认，健康人胃内有100多个亚类的细菌，主要包括厚壁菌门、变形菌门、拟杆菌门和放线菌门等，幽门螺杆菌（网上参考图）属于变形菌门。相比之下，人们对于幽门螺杆菌以外的其他胃内细菌的了解相当有限。虽然胃酸不足以杀灭胃内所有细菌，但胃酸可以限制胃内微生物的过度生长，减少进入小肠的微生物数量并降低致病菌感染风险。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
防治幽门螺杆菌是预防医学、社会医学和公共卫生行政主管部门共同面临的重大课题
本书是一本详细介绍幽门螺杆菌相关知识的医学科普书籍。国内外的研究表明，幽门螺杆菌是慢性活动性胃炎、消化性溃疡、胃恶性肿瘤等疾病的主要致病因子，已被世界卫生组织列为I类致癌因子，而且幽门螺杆菌可能还与某些胃肠外疾病（如动脉粥样硬化相关心血管病、血液系统疾病、皮肤病等）相关，我国幽门螺杆菌的感染率约为40%-80%，幽门螺杆菌已成为全球包括我国在内的感染率的慢性感染病之一。
幽门螺杆菌的防治不但是临床医学问题，也是预防医学、社会医学和公共卫生行政主管部门共同面临的重大课题。如果能做到疾病的早发现、早诊断、早治疗，在群众中提高疾病的知晓率、控制率，对于减少重大疾病的发生率具有积极的社会效益和经济效益。而要真正提高中国幽门螺杆菌的防治水平，唯有走"群众路线"，全民普及幽门螺杆菌的防治知识。
本书的撰写及出版，旨在为广大的幽门螺杆菌患者及其市民提供通俗易懂的学习材料，以促进广大群众对幽门螺杆菌的正确认识，加强预防感染，增强幽门螺杆菌患者的自我管理能力，提高治疗和随访的依从性，限度地降低幽门螺杆菌感染率，改善幽门螺杆菌患者的预后。
保志军，医学博士，消化科、老年科主任医师，教授，博士研究生导师。现为复旦大学附属华东医院副院长，上海市老年医学临床重点实验室主任，入选"上海市卫生系统优秀学科带头人"培养计划。
兼任中国老年医学研究机构联盟副主任委员，中国医师协会老年医学分会常委，中国老年学学会老年医学委员会常委，中国老年学学会抗衰老科学委员会常委，中国老年医学学会消化分会委员，上海市老年学学会副会长，上海老年学学会老年医疗保健专业委员会常务副主任委员，上海市静安区科协副主席，复旦大学中西医结合研究院老年病研究所名誉所长。
任《老年医学与保健》编辑部主任，《中华消化杂志》、《复旦学报（医学版）》、《上海医学》、《中华消化内镜杂志》、《肝脏》、《国际消化病杂志》、《中国药物评价》等期刊杂志编委。
1、居住在胃内高酸环境中
长期被认为不可能存在
小知识：正常胃壁的结构是什么样的？
2、治疗史上经历了二次革命
是消化性溃疡反复发作的元凶
小知识：人类何时开始注意到胃内存在螺旋形微生物？
3、有致病毒力因子
细菌的形态会发生变化
小知识：幽门螺杆菌的名称由来
4、人是主要的传染源
知晓5种传播方式
5、关于幽门螺杆菌的流行病学特点
胃镜检查不会成为传染源
30多年前，当澳大利亚皇家佩斯医院的两位医生巴里﹒马歇尔（内科住院医生）和罗宾﹒沃伦（病理科医生）从胃炎患者的胃窦黏膜中分离并培养出一种螺旋形、微需氧的微生物时，或许未曾预料，这个帮助他们荣膺2005年诺贝尔生理学与医学奖的细菌，足以颠覆人类对一些传统疾病的认识。
当时人们的传统观点认为：无酸便无溃疡，胃酸有杀菌作用，胃内不适合细菌生长。巴里﹒马歇尔和罗宾﹒沃伦于1983年2月将一篇题目为"Spiral bacteria in gastritis and associated disease（在胃炎和相关疾病中的螺旋菌）"的论文摘要投送至澳大利亚胃肠病学年会，随后不出所料，他们的摘要遭到大会秘书处的拒绝。多年后，成名的巴里﹒马歇尔每次在做相关演讲报告时均会风趣地自嘲说："我当时是一个名不见经传的小人物（内科轮转医生），这样的发现应该大人物报道才有人相信。"
胃上接食管，下通小肠，口、咽、食管和小肠等部位的细菌均可进入胃内。由于胃腔内酸度很高，在这种环境下，多数细菌均可被胃酸杀灭。目前研究已经确认，健康人胃内有100多个亚类的细菌，主要包括厚壁菌门、变形菌门、拟杆菌门和放线菌门等，幽门螺杆菌（网上参考图）属于变形菌门。相比之下，人们对于幽门螺杆菌以外的其他胃内细菌的了解相当有限。虽然胃酸不足以杀灭胃内所有细菌，但胃酸可以限制胃内微生物的过度生长，减少进入小肠的微生物数量并降低致病菌感染风险。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
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