Daaweynta H. Pylori: mudada, talooyinka

In dunida maanta, waxaa jira noocyo kala duwan oo badan oo balaadhan oo ah cudurada. In this article waxaan doonayaa in aan u sheego oo ku saabsan sida lagu daweyn karaa H. Pylori: mudada iyo aad uga takhalusi dhibaato this.

Waa maxay?

Bilowgii, waxaad u baahan tahay si ay u fahmaan fikradaha ah in loo isticmaali doonaa in this article. Waa maxay Pylori Helicobacter? noole Tani muquuninta in ku nool yahay ama malawadka ama caloosha. khatar helikobaktera in in ay keeni kartaa cudurro kala duwan sida gastritis, polyps, hepatitis, boogaha, iyo xitaa kansarka. Waa in sidoo kale lagu sheegay in inta badan dadkii degganaa dhulkeenna, 60% waxa ku dhaca xogta noole ah. Qubarada waxa ay sheegayaan in baahsanaanta waa labaad oo kaliya in ay cudurka herpes ku. Si ay iyaga aad awoodo marayo cunto ama biyo wasakhaysan, iyo sidoo kale inta lagu guda jiro xiriir la qofka buka iyada oo xab ama candhuufta, kaas oo lagu sii daayo inta lagu guda jiro qufac ama hindhis qabsado.

shuruudaha

Waxaa muhiim ah sidoo kale si ay u eegaan nidaamka of daaweynta Pylori Helicobacter. Sidaas daraaddeed, waa in la sheegay in loogu talagalay therapy ah, waxaa jira dhowr shuruudaha fudud laakiin muhiim ah:

1. Ujeedada ugu weyn ee therapy - in la burburiyo (waxaa markasta suurtagal ma aha in la sameeyo si buuxda) bakteeriyada xogta waxyeello.
2. Waa in aan isku day in la baabi'iyo waxyeellooyinka. In the case of daroogada dhacdo ay bedeli kartaa.
3. Waxaa muhiim ah in daaweyn jiray ayaa natiijo wanaagsan ka gaartay 7-14 maalmood.

xeerar muhiim ah oo ku lug leh daaweynta Helicobacter

daawada waa in ay ka jawaabaan xeerar aad u fudud laakiin aad u muhiim ah. Maxay tahay in la xusuusto ma aha oo kaliya dhakhtar kasta laakiin bukaanka:

1. Haddii mudada aanu soo saaro saamaynta doonayo on bukaanka, ma mudan tahay ku cel-celinta.
2. Haddii nidaamka waa hawlqabad la'aan, waxa ay ka dhigantahay karaa in bakteeriyada ayaa helay xasaanad in mid ka mid ah qaybaha in loo isticmaalo daaweynta.
3. Haddii qofku uusan u dhaqmaan ma wanaagsan, ma daawada, waxaad u baahan tahay si aad u hubiso dareenka of cadaadis cudurka si spectrum oo dhan antibiotics.
4. Haddii sano ah dib u soo kabashada ka dib ka dib markii nin mar kale qandaraas caabuq, waa in la tixgeliyaa sida labakaclaynta, laakiin ma aha sida reinfection ah.
5. Haddii ay jirto ahaa ku xoogeystay cudurka, waxaa lagama maarmaan ah in aad dalbato daawada ka adag.

daawooyinka

Waa maxay talaabooyinka la qaadi karaa haddii daawaynta filayo H. Pylori? daawada ayaa ka koobnaan kartaa daawada soo socda:

1. Antasid. Ujeedadoodu ugu weyn ee - si loo yareeyo ashitada caloosha iyo derbiga dabooli.
2. Sidoo kale loo baahan yahay waa walxaha in la xakameeyo soo saarka ee juice gastric. Xaaladdan oo kale waa caado ah in laga hadlo blockers bamka proton iyo blockers histamine H2.
3. wakiilada bakteeriyada - antibiotics. Ujeedadoodu ugu weyn ee - burburinta shaqeeyo waxyeello.

Scheme 1. Todoba-maalin

Sida waxa lagu samayn karaa daaweynta H. Pylori la antibiotics? circuit wuxuu noqon karaa toddoba maalmood ah (ee loo yaqaan daaweynta safka hore). Xaaladdan oo kale, dhammaan daawooyinka laga qaado inta lagu jiro toddobaadka, laba jeer maalintii. Xaaladdan oo kale, dhakhtarku wuxuu u badan tahay inuu qoro bukaanka dawooyinka soo socda:

1. inhibitors bamka proton. Tani waxay noqon kartaa mid ka mid ah daroogada ee soo socda: "Omez", "lansoprazole", "esomeprazole".
2. Bactericides daroogada noocan oo kale ah sida "Klatsid".
3. Waxa kale oo aad codsan kartaa antibiotic "Amoxiclav" (penicillin).

Scheme 2. Toban loogu daweeyo ama fourteen-

Muddo laba toddobaad ah, daaweynta la fulin karo antibiotics H. Pylori. Qorshaha ay dhacdo in this waxaa laga yaabaa in sida soo socota:

1. inhibitors proton pump waxaa laga qaadaa laba jeer maalintii. Waxaa mar kale daawooyin sida "Omeprazole" "Pariet", "Nexium" Doono.
2. Afar jeer maalintii u baahan doontaa inaad qaadato daroogada caafimaad waa "De-Nol" (bismuth subcitrate).
3. Saddex daroogada "Metronidazole" waxaa maalin loo qoondeeyey.
4. Afar jeer maalintii iyo in ay qaataan daawo si loogu daweeyo "tetracycline" buuxda, oo waa antibiotic ballaadhan-spectrum ah.

Tallaabooyinka daaweynta ka dib

Markii la dhameeyo qaabka aasaasiga ah ee daaweynta ee Helicobacter Pylori, waa in aad isku dejiso. Next aad u baahan tahay si ay jirkaaga sii daawooyin ayaa markii qaar ka mid ah:

1. Shan asbuuc in ay dhacdo deegaamaynta dyspepsia of noole ah.
2. Toddoba toddobaad, haddii caloosha deegaamaynta ay.

daawada Xiga Helicobacter Pylori la antibiotics ku lug leedahay isticmaalka of mid ka mid ah diyaarinta soo socda:

1. inhibitors proton pump - daroogada "Omez", "Rabeprazole". Qaado qalabka waxay u baahan yihiin 1-2 jeer maalintii.
2. Blockers histamine H2-receptors. Waxaa laga yaabaa in daawooyin sida "ranitidine", "famotidine". Waxaa la qaaday laba jeer maalintii.
3. Antibiotic "Amkosiklav" - 2 jeer maalintii.

Helicobacter Pylori gastritis

Oo waxaa loo arkaa nidaamka daaweynta ee gastritis la Helicobacter. Maxaa kiiskan, daroogada magacaabi kartaa dhakhtar? Waxaa laga yaabaa in daawooyin sida "De-Nol" iyo "metronidazole", "clarithromycin" "amoxycillin". Si wakiilada bakteeriyada si wax ku ool ah u shaqeeyaan, daroogada "Omeprazole" la magacaabin. Si loo hagaajiyo hababka dib u soo kabashada ee caloosha wuxuu qaadan karaa daawooyin sida "Solcoseril", "gastrofarm".

waxyeelo Major

Haddii H. Pylori daawada kor ku qeexan waxaa loo isticmaali jiray, waxaa la sheegay in ay tahay in daawooyinka keeni kartaa waxyeelo qaar ka mid ah. Waxaan doonayaa in aan si gooni gooni ah la hadal oo ku saabsan qaar ka mid ah iyaga ka mid ah:

1. Haddii bukaanka qaaday "Omeprazole", bismuth, "tetracycline", waxaa laga yaabaa in dibiro, shuban, madax wareer, saxaro madow, korodhsan renal failure.
2. Haddii bukaanka waxaa qaadashada daawooyinka sida "Metronidazole", waxa soo socda calaamadaha xun waxaa ka mid ah: matag, madax-xanuun, macdan ah dhadhan ah oo afka, qandho.
3. Inta lagu guda jiro soo dhaweynta, "amoxycillin" waxa dhici karta in colitis psevdomembronozny, waxaa laga yaabaa in shuban, finan.
4. Marka la helo "Clarithromycin" lallabo, matag, shuban, madax xanuun, ulcerös pseudomembranous.

qiimaynta tayada shaqo

Waxa muhimka ah, haddii aad qorshaynayso inaad ku bogsiiyaan H. Pylori? daawada, iyo sidoo kale qiimeyn ay ku oolnimada:

1. tilmaame muhiim ah waa ka lumay xanuun.
2. Waa in baaba'aan syndrome dyspeptic (oo raaxo la'aan calooshaada sare).
3. Well, waxa ugu muhiimsan waa ka lumay dhamaystiran oo pathogene cudurka - Helicobacter Pylori.

gunaanad yar

Sidoo kale waa in aynu nidhaahno, in dhakhtarradu weli ka doodaya waxa daawada waa fiican in la doorto. Ka dib markii xasuuq dhamaystiran oo bakteeriyada Helicobacter Pylori ayaa suuragal ah keliya marka la isticmaalayo tiro badan oo ah antibiotics kala duwan (noole yar in ay ugu nabdoon). Oo kanu waa mid aad u xun, waayo, jidhka. Haddii bukaanka hore u helay daaweyn antibiotic u gaar ah iyaga hore u noqon doonaa gebi ahaanba xumaada. Intaa waxaa dheer, waxa ay keeni kartaa dhimasho of microflora xiidmaha, oo iniinahoodu ku dhex jiraan sidoo kale waa mid aad u xun tahay caafimaadka bukaanka.