Eradication therapy

Kare , gastric ulcer yaisanganiswa chete nezvinetso zvekudya uye kushandiswa kwezvinodhaka, asi chinonyanya kukonzera chirwere ichi ndicho Helicobacter pylori bhakteri. Kurasikirwa kwehutachiona inzira yakagadzirirwa yemagadzirirwo akaitwa kuti aparadze iyi microorganism uye ave nechokwadi chekushanda kwechigarire chekudya kwekudya.

Chirongwa chekuparadza chirwere Maastricht

Zvimwe zvinodiwa zvinowanikwa kune zvakaoma zvekurapa:

• hupfumi;
• kugadziriswa kwekuparadzisa pane imwe nguva yakakwirira;
• nyore uye nyore;
• kusabatwa kwerudzi rwemakemikitiriya asinganzwisisiki pahuwandu hwehutano;
• nhamba yakaderera yemigumisiro;
• kuvepo kwechiito pahutachiona.

Kuti zvizadzise zvinangwa izvi, zvirongwa izvi zvinoramba zvichivandudzirwa uye zvichinja maererano nezvisarudzo zvakatorwa pa International Medical Conferences dzeMaastricht.

Kusvika iye zvino, kune nzira nhatu-inomirira uye quadrotherapy, tichazofunga nezvayo zvakadzama.

Zvinhu zvitatu zvinokonzera kuparadza helikobakter Pilori

Iyi nzira mitatu ndeyemhando mbiri: pamusana pezvigadzirwa zve bismuth uye pachikonzero che inhibitors yeproton pump yeparietal cells.

Muchiitiko chekutanga, kupera kwechirwere chetachiona chepptic chinosanganisira:

1. Bismuth (120 mg) se colloidal subcitrate kana gallate kana subalicylate.
2. Tinidazole kana Metronidazole. Mumwe nomumwe anoshumira 250 mg.
3. Tetracycline isiri 0.5 g.

Yese mishonga inofanirwa kutorwa 4 kana pazuva pane imwe yero inoratidzwa. Nzira yekurapa isvondo rimwe.

Muchiitiko chechipiri, chirongwa chinoratidzika seizvi:

1. Omeprazole (20 mg) ne Metronidazole (0.4 g katatu pazuva) uye imwe antibiotic - Clarithromycin (250 mg kaviri mumaawa 24).
2. Pantoprazole 0.04 g (40 mg) ine Amoxicillin 1 g (1000 mg) 2 kazuva, uye Clarithromycin 0.5 g pamwe ne 2 pazuva.

Proton pump inhibitors inofanira kutorwa 2 nguva imwe neimwe maawa makumi maviri nemaviri.

Muchikamu chekupedzisira, Pantoprazole inogona kuchinjwa ne Lanoprazole pamusero we 30 mg kaviri pazuva.

Nguva yechirwere inorondedzerwa mazuva manomwe.

Zvakakosha kucherechedza kuti kupera kubva ku80% kunoonekwa sekubudirira, kunyange izvi zvisingatauri kuti bhakitiriya rakaparadzwa zvachose. Nemhaka yekushandiswa kwemishonga inorwisa mabhakitiriya, nhamba yemakiromita inokurumidza uye yakanyanya kuderedzwa uye panguva yekuongorora ivo vangave vasina kuratidza. Pakupera kwechikoro chikoni chichadzorerwa uye inotevera chirongwa chekurapa chichadikanwa.

Four-component eradication therapy Helicobacter pylori

Chirongwa chiri mubvunzo chinopiwa kana zviitiko zvisingagumisiro mushure mokurapa kwezvikamu zvitatu zvezvirevo zvinorondedzerwa pamusoro apa. Inosanganisira mishonga yakadaro:

1. Kugadzirira kwe bismuth 120 mg kane kana pazuva.
2. Kusanganiswa kwemishonga inorwisa mabhakitiriya - Tetracycline (4 kana pazuva pazuva 500 mg) ne Metronidazole (250 mg 4 kanomwe mumaawa 24) kana Tinidazole (kanomwe pazuva pazuva 250 mg).
3. Iproton pump inhibitor drug (imwe yevatatu) iOmeprazole (0.02 gramu) kana Lansoprazole (0.03 gramu) kana Pantoprazole (0.04 gramu) kaviri zuva nezuva.

Nguva yakakwana yerapi haina kudarika 1 vhiki.

Paunosarudza mishonga inorwisa mabhakitiriya, zvinokosha kufunga nezvekudzivirira kweHelicobacter pylori mabhakitiriya kune vakadaro. Zvinonyatsozivikanwa kuti microorganisms hazvina kukwana Amocycillin uye Tetracycline. Pane zviitiko zvekusimudzirwa kusinganzwisisiki kuna Clarithromycin (inenge 14%). Chirwere chepamusoro chinowanikwa kuMetronidazole (inenge 55%).

Ongororo dzemazuva ano dzezvokurapa dzakaratidza kuti kuti kubudirira kupedzisira kunzwisisika kushandisa mushonga mishonga inorwisa mabhakitiriya, somuenzaniso, Rifabutin uye Levofloxacin. Kukurudzira kuporesa kwezvironda pamukasi wepamusoro mudumbu, zvinokurudzirwa kuwedzera zvakare kusarudza Sophalcon uye Cetraxate.