Helicobacter pylori (HP) - ndi munthu galamu alibe bakiteriya concave kapena mawonekedwe mwauzimu, amene amakhala mu kapepala matumbo a anthu mwinanso anyani. Iwo ali 4-6 michirayo imakhala yosiyanasiyana, ndi chimene chimatichititsa mtundu wa corkscrew, ozama pansi nembanemba mucous ya m'mimba ndi duodenum, ndipo palinso umboni wa n'zotheka kulamulira kwa epithelium wa m'kamwa zibowo zam'mano, pharynx, kum'mero ndi rectum. The katundu amuzolengedwa wa bakiteriya ichi ndi kuonetsetsa yogwira michere - urease, protease, phosphatase zamchere, oxidase, catalase, Popanga madzi a gamma-glutamyl transferase. Ndi michere awa ali ndi udindo zotsatira zake tizilombo pa Kakhungu mucous a ziwalo ndi chifukwa kutupa awo a mtundu hypersecretory: gastritis, bulbit, duodenitis, amene angathe kenako kuyambitsa chitukuko cha matenda chironda chachikulu. Pa nkhani imeneyi, mankhwala chinayamba malangizo a kupewa ndi kuchiza wa H. pylori matenda - kuthetsa mankhwala, zomwe ndi ya mankhwala, zikukangalika akumenyana ndi poizoni wa tizilombo toyambitsa matenda izi ndi kulimbikitsa normalization wa pH wa kapepalako m'mimba, omwe pamapeto akutitsogolera kuti achoke wathunthu mabakiteriya .
Chithandizo regimens HP
Kuthetsa mankhwala amakhudza onse mwachindunji pa yaying'ono-chamoyo, ndi zotsatira za zochita zake tizilombo. Ichi ndi chifukwa zigawo zake: Maantibayotiki mabakiteriya ndi pulotoni mpope zoletsa kuchepetsa acidity wa m'mimba ndi duodenum, kuteteza chitukuko chilonda, ndipo motero, kupanga sanali yotheka zinthu tizilombo toyambitsa matenda. Popeza kuthetsa mankhwala mu chiwembu ake muli wothandizila angapo antibacterial, izo analimbikitsanso kuti phwando yomweyi mankhwala probiotic kupewa chitukuko cha dysbiosis. Panopa, asayansi zachipatala anayamba awiri ziwembu zofunika chiwonongeko HP Choncho patatu kuthetsa mankhwala ndi zovuta za mankhwala awiri (clarithromycin + amoxicillin / mankhwala a metronidazole) ndi pulotoni mpope woletsa (mankhwala monga "Omeprazole" "Rabeprazole" "Pantoprazole" ndipo neri Al.) pa mlingo muyezo kawiri patsiku. Kungakhale inefficient milandu iwiri yokha: Ngati wodwala sanali kutsatira malamulo a mankhwala osokoneza bongo, kapena ngati ali ndi kukana kupsyinjika HP mmodzi wa antibacterials.
quadruple
Pankhaniyi pamwambapa, akapatsidwa zinayi dera kuthetsa mankhwala, zomwe zina zikuphatikizapo bismuth dicitratobismuthate - antiulcer mankhwala amene ali ndi ntchito yapamwamba ndi HP ndi amalandira kwe mu mucosa lapansi. Izi mankhwala ali ankalamulira ntchito yochepa chifukwa zotsatira zake poizoni pa dongosolo chapakati mantha pa nkhani ya kugwiritsa ntchito nthawi yaitali pa mlingo waukulu, chifukwa bismuth ali chuma cha kudzikundikira mu mitsempha minofu ndi chifukwa encephalopathy mlingo. Komabe kuthetsa mankhwala a chironda chachikulu ndi yofunika zikuluzikulu za mankhwala ake, chifukwa choyamba muyenera azikopa pa etiology matendawa.