{"id":10465,"date":"2008-01-14T14:12:46","date_gmt":"2008-01-14T11:12:46","guid":{"rendered":"https:\/\/www.synevo.ro\/afectiuni\/profil-infectie-cu-helicobacter-pylori\/"},"modified":"2020-07-10T12:10:30","modified_gmt":"2020-07-10T09:10:30","slug":"profil-infectie-cu-helicobacter-pylori","status":"publish","type":"synevo_diseases","link":"https:\/\/old.synevo.md\/ru\/afectiuni\/profil-infectie-cu-helicobacter-pylori\/","title":{"rendered":"Profil infec\u0163ie cu Helicobacter pylori"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"color: #00539f;\"><strong>Helicobacter pylori<\/strong><\/span> este o bacterie Gram-negativ\u0103, spiralat\u0103, flagelat\u0103, care se localizeaz\u0103 \u00een criptele mucoasei gastrice.<!--more--><\/p>\n<hr \/>\n<p style=\"text-align: justify;\">Infec\u0163ia cu <strong>Helicobacter pylori <\/strong>este o cauz\u0103 major\u0103 de gastrit\u0103 cronic\u0103 \u015fi boal\u0103 ulceroas\u0103; de asemenea studiile epidemiologice efectuate \u00een ultimii ani au confirmat asocierea infec\u0163iei persistente cu un risc crescut de apari\u0163ie a cancerului gastric.<br \/>\u00cen plus, aceast\u0103 bacterie este responsabil\u0103 pentru majoritatea cazurilor de limfoame de tip MALT (forme de neoplazii hematologice, caracterizate prin proliferarea celulelor din \u0163esutul limfoid asociat mucoasei digestive).<sup>2,4<\/sup><\/p>\n<p style=\"text-align: justify;\">Epidemiologia infec\u0163iei cu <strong>Helicobacter pylori<\/strong> se caracterizeaz\u0103 printr-o cre\u015fter\u0103 liniar\u0103 odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103 \u00een \u0163\u0103rile occidentale, \u00een schimb \u00een celelalte \u0163\u0103ri europene, printre care \u015fi Rom\u00e2nia, s-a constat c\u0103 infec\u0163ia este destul de r\u0103sp\u00e2ndit\u0103 \u015fi \u00een r\u00e2ndul persoanelor foarte tinere (copii \u015fi adolescen\u0163i).<br \/>Principalul rezervor de infec\u0163ie sunt indivizii\u00a0<strong>Helicobacter pylori pozitivi<\/strong>, iar contactul interuman intrafamilial reprezint\u0103 cea mai important\u0103 cale de transmitere, \u00een principal \u00een prima copil\u0103rie.<br \/>\u00cen \u0163\u0103rile \u00een curs de dezvoltare pot interveni \u015fi alte c\u0103i de transmitere, de exemplu prin intermediul apei.<sup>1,2<\/sup><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><strong>Clinic<\/strong>. Infec\u0163ia evolueaz\u0103 \u00een multe cazuri asimptomatic. Atunci c\u00e2nd se \u00eenso\u0163e\u015fte de manifest\u0103ri clinice pacien\u0163ii prezint\u0103 \u00een mod obi\u015fnuit o simptomatologie de tip dispeptic cu: disconfort abdominal, dureri abdominale, grea\u0163\u0103, arsuri, regurgita\u0163ii, senza\u0163ie de plenitudine dup\u0103 mese.<sup>1,3<\/sup><\/p><p>Exist\u0103 dou\u0103 categorii de <strong>metode diagnostice <\/strong>ale infec\u0163iei:<\/p><p class=\"has-text-align-center\"><strong><em>invazive<\/em><\/strong><em> <\/em>\u2013 prin endoscopie digestiv\u0103 superioar\u0103 sunt prelevate mici por\u0163iuni de la nivelul mucoasei stomacului sau duodenului (biopsie). Detec\u0163ia microorganismului \u00een materialul bioptic se poate face prin examen microscopic, cultur\u0103 sau prin testul ureazei (prezen\u0163a acestei enzime este un indicator al infec\u0163iei cu <em>Helicobacter pylori<\/em>);<\/p><p class=\"has-text-align-center\"><strong><em>non-invazive<\/em><\/strong> \u2013 testul respirator cu uree, <a href=\"\/shop\/helicobacter-pylori-anticorpi-igg\/\" class=\"rank-math-link\">anticorpi\u00a0<em>Helicobacter pylori<\/em> IgG<\/a> \u015fi depistarea <a href=\"\/shop\/antigen-helicobacter-pylori-din-materii-fecale\/\" class=\"rank-math-link\">antigenului\u00a0<em>Helicobacter pylori<\/em> \u00een materiile fecale<\/a>. Metodele invazive produc un disconfort semnificativ pacien\u0163ilor, de aceea mul\u0163i dintre ace\u015ftia refuz\u0103 endoscopia, mai ales cea de control, la 4 s\u0103ptam\u00e2ni dup\u0103 \u00eencheierea tratamentului.<\/p><p>Forurile interna\u0163ionale recomand\u0103 folosirea metodelor neinvazive de diagnostic, ca alternativ\u0103 la metodele invazive, la pacien\u0163ii sub 45 ani, f\u0103r\u0103 simptome \u201cde alarm\u0103\u201d care s\u0103 impun\u0103 endoscopia (pierdere ponderal\u0103 nejustificat\u0103, s\u00e2nger\u0103ri digestive, v\u0103rs\u0103turi repetate, etc.). Testul respirator cu uree are un cost ridicat \u015fi este rareori disponibil.<\/p><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><p><strong>Teste disponibile \u00een laboratoarelea Synevo<\/strong>: <\/p><\/div>\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\"><div class=\"synevo-shop-products\">\r\n    <div class=\"sysprod\">\r\n        \r\n        <div class=\"sysprod-products\">\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/helicobacter-pylori-anticorpi-igg\/\">Helicobacter pylori Anticorpi IgG<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>230 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9251\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9251\"\r\n                                data-product_sku=\"IM23\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/antigen-helicobacter-pylori-din-materii-fecale\/\">Antigen Helicobacter pylori din materii fecale<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>410 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9163\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9163\"\r\n                                data-product_sku=\"MI05\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                    <\/div>\r\n        \r\n    <\/div>\r\n<\/div>\r\n\r\n<style>\r\n.synevo-shop-products {\r\n    padding: 24px 0;\r\n    margin: 24px 0;\r\n    border-radius: 10px;\r\n    background: #F6F7F9;\r\n}\r\n.synevo-shop-products .sysprod-product {\r\n    position: relative;\r\n    margin: 0 24px;\r\n    margin-bottom: 24px;\r\n    border-radius: 10px;\r\n    background: #fff;\r\n    display: flex;\r\n    flex-direction: row;\r\n    align-items: center;\r\n}\r\n.synevo-shop-products .sysprod-product:last-child {\r\n    margin-bottom: 0;\r\n}\r\n.synevo-shop-products .sysprod-product-title {\r\n    flex-grow: 1;\r\n    padding: 15px;\r\n    margin-left: 14px;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 16px;\r\n    color: #29263F;\r\n}\r\n.synevo-shop-products .sysprod-product-price {\r\n    flex-shrink: 0;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 18px;\r\n    color: #FDB813;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart {\r\n    flex-shrink: 0;\r\n    position: relative;\r\n    width: 38px;\r\n    height: 38px;\r\n    margin-left: 24px;\r\n    margin-right: 24px;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart .button {\r\n    top: unset;\r\n    right: unset;\r\n}\r\n<\/style>\n\n<p><\/p><\/div><\/div><hr class=\"wp-block-separator\"\/><p><strong><small>Bibliografie:<\/small><\/strong><\/p><p><small>1. Angela Sopa, Camelia Diaconu, Alice Balaceanu, Considera\u0163ii asupra rolului cu Helicobacter pylori \u00een patologia digestiv\u0103. \u00cen Medicina Modern\u0103 [11] 2005. Ref Type: Journal (Full)<br>2. Bernhard Lembcke. Helicobacter pylori infection, \u00een Clinical Laboratory Diagnostics-Use and Assessment of Clinical Laboratory Results. Lothar Thomas. TH-Books Verlagsgesellschaft mbH, Frankfurt \/Main, Germany,1 ed. 1998 436-438<br>3. Consensul de la Maastricht. Managementul infec\u0163iei cu Helicobacter pylori \u00een practica medicului generalist 2-2002, \u00een Stetoscop 18. 2003. Ref Type: Journal (Full)<br>4. Laboratory Corporation of America. Directory of Services and Interpretive Guide. Helicobacter pylori stool antigen. www.labcorp.com 2003. 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