Kev kho mob ntawm H. pylori: regimen, tswv yim

Nyob rau hauv hnub no lub ntiaj teb no muaj ntau ntau yam ntawm cov kab mob. Nyob rau hauv no tsab xov xwm kuv xav qhia txog yuav ua li cas yuav kho tau nrog H. pylori: regimen thiab tau tshem ntawm qhov teeb meem no.

Yuav ua li cas yog nws?

Nyob rau hauv thaum pib, koj yuav tsum to taub lub ntsiab uas yuav tsum tau siv nyob rau hauv no tsab xov xwm. Yuav ua li cas yog Helicobacter pylori? Qhov no microorganism kauv hais tias nyob rau tog twg los nyob rau hauv lub duodenum los yog nyob rau hauv lub plab. helikobaktera txaus ntshai rau qhov hais tias nws yuav ua rau ntau yam kab mob xws li gastritis, polyps, kab mob siab, mob rau sab hauv, thiab txawm mob cancer. Nws yuav tsum raug hais tias feem ntau ntawm cov inhabitants ntawm peb ntiaj chaw, txog 60% yog raug tus kab mob nrog ib tug microorganism cov ntaub ntawv. Zaum hais tias nws yog tus loj heev yog zaum ob tsuas yog mus rau lub herpes kab mob. Yuav kom txais lawv koj ua tau los ntawm cov zaub mov los yog dej, raws li zoo raws li thaum lub sij hawm kev sib cuag nrog ib tug neeg mob los ntawm kev hnoos qeev los yog cov qaub ncaug, uas yuav tsum tau tso tawm thaum lub sij hawm ib tug hnoos los yog txham.

uas yuav tsum tau

Nws yog ib qho tseem ceeb yuav tau xav txog kuj lub tswvyim ntawm kev kho mob ntawm Helicobacter pylori. Yog li ntawd, nws yuav tsum tau hais tias rau txoj kev kho, muaj ntau ntau yam yooj yim tab sis tseem ceeb yuav tsum:

1. Lub ntsiab lub hom phiaj ntawm txoj kev kho - yuav ua kom puas (nws tsis yog ib txwm tau mus ua kiag li) cov ntaub ntawv teeb meem kab mob.
2. Peb yuav tsum sim los mus tshem tawm cov kev phiv. Nyob rau hauv cov ntaub ntawv ntawm lawv tshwm sim tshuaj yuav hloov.
3. Nws yog ib qho tseem ceeb uas cov kev kho mob tau muaj zoo tau tshaj 7-14 hnub.

Tseem ceeb cov kev cai uas yuav kev kho mob ntawm Helicobacter

Cov kev kho mob regimen yuav tsum teb ib tug heev yooj yim tab sis tseem ceeb heev cov kev cai. Yuav ua li cas yuav tsum nco ntsoov hais tias tsis tau tsuas yog txhua txhua tus kws kho mob tab sis tus neeg mob:

1. Yog hais tias lub regimen tsis tsim tus yam ntxim rau cov neeg mob, nws tsis yog muaj nqis rov qab ua dua.
2. Yog hais tias lub tswvyim yog inefficient, nws muaj peev xwm txhais tau hais tias tus kab mob lawm mas yuav kis kev tiv thaiv rau ib qho ntawm lub Cheebtsam uas yog siv nyob rau hauv txoj kev kho.
3. Yog hais tias ib tug neeg tsis ua zoo, tsis muaj kev kho mob regimen, koj yuav tau mus xyuas lub rhiab heev ntawm lub hom ntawm tus kab mob mus rau tag nrho spectrum ntawm tshuaj tua kab mob.
4. Yog hais tias tom qab ib xyoos ntawm rov qab tom qab tus txiv neej dua ntawv cog lus ib tug mob, nws yuav tsum raug xam tias yog raws li ib tug relapse, tab sis tsis raws li ib tug reinfection.
5. Yog hais tias muaj yog ib tug tsis tshua mob heev ntawm tus kab mob, nws yog tsim nyog los thov ntau stringent kev kho mob regimen.

tshuaj

Yuav ua li cas cov kauj ruam yuav tsum noj yog hais tias tus tsim kev kho mob ntawm H. pylori? Cov kev kho mob regimen yuav muaj xws li cov nram qab no tshuaj:

1. Antacids. Lawv lub hom phiaj - los txo cov acidity ntawm lub plab thiab envelop nws phab ntsa.
2. Tsis tas li ntawd yuav tsum tau yog yam uas inhibit zus tau tej cov pais plab kua txiv. Nyob rau hauv cov ntaub ntawv no nws yog ib txoj kev cai uas hais lus ntawm proton twj tso kua mis blockers thiab H2 histamine blockers.
3. Tua cov neeg ua hauj - tshuaj tua kab mob. Lawv lub hom phiaj - kev puas tsuaj ntawm cov teeb meem kab mob.

Scheme 1. Xya hnub

Raws li yuav tsum tau ua kev kho mob ntawm H. pylori nrog tshuaj tua kab mob? Lub Circuit Court tej zaum yuav ib tug xya-hnub (lub thiaj-hu ua thawj kab kev kho mob). Nyob rau hauv cov ntaub ntawv no, tag nrho cov tshuaj noj thaum lub sij hawm lub lim tiam, ob zaug ib hnub twg. Nyob rau hauv cov ntaub ntawv no, tus kws kho mob yog yuav muab tus neeg mob li nram qab no tshuaj:

1. proton twj tso kua mis inhibitors. Qhov no yuav ua tau ib ntawm cov nram qab no tshuaj: "Omez", "lansoprazole", "esomeprazole".
2. Bactericides xws li ib tug yeeb tshuaj raws li "Klatsid".
3. Koj yuav thov tshuaj tua kab mob "Amoxiclav" (penicillin).

Scheme 2. xyoo caum rau kev kho mob los yog fourteen-

Rau ob lub lis piam, cov kev kho mob yuav tsum nqa H. pylori tshuaj tua kab mob. Scheme nyob rau hauv cov ntaub ntawv no tej zaum yuav raws li nram no:

1. Proton twj tso kua mis inhibitors yog npaum li cas ob zaug ib hnub twg. Nws yuav rov tshuaj xws li "Omeprazole" "Pariet", "Nexium".
2. Plaub lub sij hawm ib hnub twg yuav tsum tau mus coj ib tug kho mob tshuaj yog "De-Nol" (Bismuth subcitrate).
3. Peb tshuaj "Metronidazole" yog xaiv hnub.
4. Plaub lub sij hawm ib hnub twg thiab yuav tau noj tshuaj rau tag nrho cov kev kho mob "tetracycline", uas yog ib tug broad-spectrum tshuaj tua kab mob.

Tej yam ua tom qab kev kho mob

Thaum ua tiav qhov yooj yim layout ntawm cov kev kho mob ntawm Helicobacter pylori, koj yuav tsum tsis txhob so. Tom ntej no koj yuav tau kom koj lub cev nrog cov tshuaj muaj rau tej lub sij hawm:

1. Tsib lub lis piam nyob rau hauv cov ntaub ntawv ntawm duodenal localization ntawm lub microorganism.
2. Xya lub lis piam, yog hais tias nws localization plab.

Tom ntej kev kho mob regimen Helicobacter pylori nrog tshuaj tua kab mob yuav siv ntawm ib qho ntawm cov nram qab no npaj:

1. Proton twj tso kua mis inhibitors - tshuaj "Omez", "Rabeprazole". Siv cov cuab yeej xav tau 1-2 zaug ib hnub twg.
2. Blockers ntawm histamine H2-receptors. Tej zaum nws yuav tshuaj xws li "Ranitidine", "famotidine". Nws yog ob zaug ib hnub twg.
3. Tshuaj tua kab mob "Amkosiklav" - 2 lub sij hawm ib hnub twg.

Helicobacter pylori gastritis

Leej twg yog suav tias yog lub tswvyim ntawm kev kho mob ntawm gastritis nrog Helicobacter. Yuav ua li cas nyob rau hauv cov ntaub ntawv no, cov tshuaj yuav appoint ib tug kws kho mob? Tej zaum nws yuav tshuaj xws li "De-Nol" thiab "metronidazole", "clarithromycin" "amoxicillin". Yuav kom antibacterial cov neeg ua hauj ua hauj lwm zoo, cov tshuaj "Omeprazole" yuav raug muab tso. Yuav kom txhim kho txoj kev rov qab dab nyob rau hauv lub plab yuav noj xws cov tshuaj raws li "Solcoseril", "gastrofarm".

Major phiv

Yog hais tias H. pylori kev kho mob regimen piav saum toj no twb siv, nws yuav tsum tau hais tias cov tshuaj yuav ua rau ib txhia phiv. Kuv xav mus nrog lawv tham nyias txog lawv tej:

1. Yog hais tias tus neeg mob coj "Omeprazole", Bismuth, "tetracycline", muaj tej zaum yuav tsam plab, raws plab, kiv taub hau, tsaus quav, nce nyob rau hauv lub raum tsis ua hauj lwm.
2. Yog hais tias tus neeg mob yog noj cov tshuaj raws li "Metronidazole", lub nram qab no phiv cov tsos mob tej zaum yuav muaj xws li: ntuav, mob taub hau, nws yog xim hlau saj nyob rau hauv lub qhov ncauj, ua npaws.
3. Thaum lub sij hawm txais tos, "amoxicillin" tej zaum yuav tsim psevdomembronozny mob plab, tej zaum yuav raws plab, ua pob liab vog.
4. Thaum tau txais "clarithromycin" xeev siab, ntuav, raws plab, mob taub hau, pseudomembranous mob plab.

kev ntsuam xyuas ntawm efficiency

Yuav ua li cas yog ib qho tseem ceeb, yog tias koj npaj mus kho H. pylori? Kev kho mob regimen, raws li zoo raws li ib tug soj ntsuam ntawm nws cov hauj lwm zoo:

1. Ib qho tseem ceeb ntsuas no yog qhov cov disappearance ntawm mob.
2. Yuav tsum ploj dyspeptic syndrome (tsis xis nyob rau hauv lub Upper plab mog).
3. Zoo, qhov tseem ceeb yog cov ua kom tiav disappearance ntawm lub pathogen ntawm tus kab mob - Helicobacter pylori.

me me cov lus xaus

Peb kuj yuav tsum hais tias cov kws kho mob yog tseem debating dab tsi cov kev kho mob regimen yog qhov zoo tshaj plaws xaiv. Tom qab ua tiav extermination ntawm cov kab mob Helicobacter pylori yog tau tsuas yog thaum uas siv cov ib tug loj tus naj npawb ntawm ntau yam tshuaj tua kab mob (microorganism uas yuav tau ruaj khov). Thiab qhov no yog heev phem rau lub cev. Yog hais tias tus neeg mob tau txais tshuaj tiv thaiv kev kho mob rau lawv yuav twb yuav lig ices. Nyob rau hauv tas li ntawd, nws muaj peev xwm ua rau tuag ntawm plab hnyuv microflora, uas nyob rau hauv nws tus kheej tseem yog phem heev rau lub noj qab haus huv ntawm tus neeg mob.