Uhlobo lwe-Helicobacter: unyango lwenkqubo, iingcebiso

Ehlabathini lanamhlanje, kukho izifo ezininzi ezahlukeneyo. Kule nqaku ndifuna ukunitshela malunga nendlela yokwelashwa kwe-Helicobacter: unyango lwenyango kunye nokuphelisa le ngxaki.

Yintoni na?

Ekuqaleni, kufuneka uqonde iingqiqo eziza kusetyenziswa kweli nqaku. Iyini iHelicobacter pylori? Le micimbi yimizimba ejikelezayo ehlala kwi-duodenum okanye esiswini. Ingozi ye-Helicobacter kukuba ingabangela izifo ezahlukahlukeneyo, ezifana ne-gastritis, i-polyps, i-hepatitis, izilonda kunye nomhlaza. Kwakhona kufuneka kuthiwa ininzi yabemi beplanethi yethu, malunga ne-60%, ikhuselwe yi-microorganism. Iingcali zenzululwazi zithi yindawo yesibini emva kokusuleleka kwe-herpes. Unokusuleleka kukutya okungahlambulukanga okanye ngamanzi, kunye ngexesha lokudibana nomntu ogula nge-sputum okanye nangomatha ongakhululwa ngexesha lokukhwehlela okanye ukukrazula.

Izidingo

Kubalulekile ukuqwalasela kwakhona i- helikobacter pylori regimens. Ngoko ke, kukufanelekile ukuthetha ukuba unyango kukho izinto ezimbalwa ezilula kodwa ezibalulekileyo:

1. Injongo ephambili yonyango ukutshabalalisa (oku akunakwenzeka njalo ukwenza ngokupheleleyo) ezi bhaktiriya eziyingozi.
2. Kufuneka ukuba uzame ukuphelisa iziphumo zecala. Ukuba zikhona, isichengisi singatshintshwa.
3. Kubaluleke kakhulu ukuba unyango luvelise iziphumo ezintle iintsuku ezi-7-14.

Imithetho ebalulekileyo ebandakanya unyango lwe-Helicobacter

I-regimen yonyango kufuneka ihlangane nemilula, kodwa ibaluleke kakhulu. Yintoni ekufuneka ikhunjulwe kungekhona kuphela ngugqirha ngamnye, kodwa kunye nesigulane:

1. Ukuba isicwangciso sokonyango asivelisi umphumo esifanele kwisigulane, ukuphinda akuyimfuneko.
2. Ukuba isicwangciso asikwazi ukusebenza, oku kusenokuthi ukuba ibhaktiriya yafumana ukukhuseleka komnye wamacandelo asetyenziswe kunyango.
3. Ukuba akukho cwangciso so kunyango luchaphazela kakuhle umntu, kuyimfuneko ukuhlolisisa ubukhulu besifo eso sifo kwi-antibiotic yonke.
4. Ukuba, unyaka owodwa emva kokuphulukana, umntu uphinde anetyholwe ngentsholongwane, kufuneka kuthathelwe ingqalelo njengokuphindaphinda, kodwa kungekhona njengokubuyiswa kwakhona.
5. Ukuba ukuphinda kuphinda kuphinde kubonakale, kufuneka i-regimen enzima kakhulu.

Mayeza

Ziziphi iinyawo ezinokuthathwa xa unyango lwe-Helicobacter kulindeleke? I-regimen yonyango ingaba namayeza alandelayo:

1. Antacids. Injongo yabo ephambili kukunciphisa i-asidi yesisu kunye neengubo zayo.
2. Kwakhona, izinto ezithintela imveliso yerusi yesisu iyadingeka. Kule meko, kuyisiko ukuthetha ngamabhloko e-proton pump kunye ne-H2-histamin blockers.
3. Iziyobisi ze-antibacterial antibiotics. Injongo yabo ephambili kukutshatyalaliswa komzimba onobungozi.

I-Scheme 1. Iintsuku ezisixhenxe

Uncedo lwe-Helicobacter lungaphathwa njani ngamayeza? Iskimu sinokuba yimini yesibini (oko kuthiwa yonyango lokuqala). Kule meko, onke amayeza athatyathwa ngeveki kabini ngosuku. Kule meko, ugqirha, mhlawumbi, uya kubala izibisi ezilandelayo kwisigulane:

1. Proton pump inhibitors. Ingaba yiyilinye leziyobisi ezilandelayo: "Omez", "Lansoprazole", "Esomeprazole".
2. Iziyobisi zeBactericidal, ezifana nesichengisi esinjengeClacid.
3. Ungasebenzisa kwakhona i-antibiotic "Amoxiclav" (iqela leepenicillin).

I-Scheme 2. Iintsuku ezilishumi okanye elinesine zonyango

Kwiiveki ezimbini, unyango lwe-Helicobacter kunye neyeza-antibiotics. Iskimu kulo mzekelo sinoku:

1. Iproton pump inhibitors ithathwa kabini ngosuku. Oku kuza kuphinda kubekho izidakamizwa njenge "Omeprazole", "iPariet", "Nexium".
2. Izihlandlo ezine ngosuku, uzakufuna ukuthatha imithi efana ne "De-nol" (i-bismuth subcitrate).
3. Izihlandlo ezintathu ngosuku, isilwanyana "iMetronidazole" simiselwe.
4. Izihlandlo ezine ngosuku, kuya kufuneka ukuba uthathe izilwanyana "iTetracycline", eyona nyi-anti-antibiotics, ukuba iphilise ngokupheleleyo.

Izenzo zokwenza unyango

Emva kwesikimu esisiseko sonyango u-Helicobacter pylori sigqityiwe, musa ukuphumla. Emva koko kufuneka ugcine umzimba wakho ngamayeza ngexesha elithile:

1. Iiveki ezintlanu, ukuba ngumbuzo we-duodenal localization of microorganism.
2. Iiveki ezisixhenxe ukuba iindawo ezikuyo ndawo isisisu.

Isicwangciso esilandelayo sokonyango lwe-Helicobacter pylori kunye ne-antibiotics kubandakanya ukusetyenziswa kwesinye seziyobisi ezilandelayo:

1. Iproton pump inhibitors - amalungiselelo "Omez", "Rabeprazole". Thatha le mali ngemali 1-2 ngosuku.
2. Abagcini be-histamine H2-receptors. Ingaba yiziyobisi ezifana ne "Ranitidine", "i-Famotidine." Zithathwa kabini ngosuku.
3. Antibiotics "Amkosiklav" - 2 amaxesha ngosuku.

Helicobacter pylori gastritis

Ngoku siza kuqwalasela isicwangciso sonyango lwe-gastritis kunye neHelicobacter. Ziziphi iziyobisi kule ngxaki zinokumisela ugqirha? Ingaba ngamayeza anjenge "De-Nol", kwaye "i-Metronidazole", "Clarithromycin", "Amoxycycline". Ukwenza izidakamizwa zokulwa ne-antibacteria zisebenze ngokuphumelelayo, izilwanyana "Omeprazole" zinokumiselwa. Ukuphucula iinkqubo zokubuyisela esiswini, ungathatha amachiza afana ne "Solcoseryl", "I-Gastrofarm".

Imiphumo emibi

Ukuba i-helicobacter pylori regimen ichazwe ngasentla isetyenziswe, kubalulekile ukukhankanya ukuba iziyobisi zingabangela ezinye iziphumo zecala. Ndingathanda ukukuxelela ngamanye kubo:

1. Ukuba isigulane sithatha "i-Omeprazol", i-bismuth, "iTetracycline", i-flatulence, isifo sohudo, isisu, isitofu esimnyama, ukwanda kwe-failure yokutshatyalaliswa kwenkunzi.
2. Ukuba isigulane sithathe iyeza elinjenge "Metronidazole", kunokubakho iziphumo ezilandelayo: ukuhlanza, intloko, intsimbi yensimbi emlonyeni, umkhuhlane.
3. Ngexesha lokumkela "i-Amoxycycline" i-colitis i-pseudomembranous colitis ingahlakulela, kunokubakho isifo sohudo, ukukhawuleza.
4. Xa uthatha i-Clarithromycin, isicupunu, ukuhlanza, isifo sohudo, intloko yesifo, intloko ye- colitis inokwenzeka .

Uvavanyo lokusebenza

Yintoni ebalulekileyo ukuba unyango lwe-Helicobacter kulindeleke? Inkqubo yokonyango, kwakunye nokuvavanya kobuchule bayo:

1. Isibonakaliso esibalulekileyo ukusabalaliswa kwesifo sesifo.
2. I-Dyspeptic syndrome (ukungathandeki kwisisu esisentla) kufuneka iphele.
3. Eyona nto into ebaluleke kakhulu kukuphela kokuphela kwe-pathogen-Helicobacter pylori.

Izigqibo ezincinci

Ngokwahlukileyo kuyimfuneko ukuthetha ukuba oogqirha basaphikisana, isiphi isicwangciso sonyango esona sikhethwa kukukhetha. Emva kokugqitywa ngokupheleleyo kwe-Helicobacter pylori ibterteria inokwenzeka kuphela ngokusetyenziswa kwenani elikhulu leemithi ezichasayo (ubuncinci besininzi unokuzinza). Kwaye oku kuyingozi kumzimba. Ukuba isiguli sangaphambili sasithatha i-antibiotiki ethile, unyango kubo luya kuba lucacile ngokupheleleyo. Ukongezelela, kunokukhokelela ekufeni kwe-microflora yamathumbu, eyo ngokwawo inobungozi kwimpilo yesigulane.