Eradication - He aha ka keia? hiʻona

Ua Ua lōʻihi, ua manao ia o ka opu i hoʻolilo 'ia, kŘpa a sterile kaianoho koholā ia microflora. Ma o ka opu, a me kona kūloko ma ka maʻiʻo -ʻakika, a wale i ola i ka hookahi meaola. Ka loaʻaʻana o Helicobacter pylori ma ka gastrointestinal'āpana ua revolutionized i ka manaʻo o ke 'ano o gastrointestinal maʻi: gastritis, duodenitis, gastric ulcers a me duodenal ulcers, gastrointestinal Ka maʻi' aʻai a me kā lākou nohoʻana. Ma keia 'atikala mākou noonoo i ka au mamuli mea eradication. He He mau 'ano o ka hana ana i lilo loa i ka mahalo i nā makahiki.

Hele i loko o ka mōʻaukala o Helicobacter pylori

I mea, o ka bacterium i ike i ka lōʻihi manawa, a aole nae he ekemuia. No ka mea manawa mua keia i hiki mai ai ma ka hopena o ka hope kenekulia. Ua ua 1886. Jagiellonian University Kumu V. Yavorsky huai ae koʻohune anoʻoni iho kinona i loko o ka gastric mea. He haawi mai la i ka inoa o ka bacterium Vibrio rugula, a laila'ōlelo akula ia mea Radio he kūlana i loko o ka ulu ana o ka gastric ka maʻi.

Eia naʻe, ka noonoo i ole ia Yavorsky hana i loko o ka 'inikua kaiāulu. ʻEhiku mau makahiki ma hope, i ka Italia nä känaka 'epekema D. Bidzodzero unuhi ae la oia ia mau microorganisms mai ka digestive'āpana o ka ilio. Ka kekahi, ka poe i kaulana i ka alo ana o koʻohune i loko o ka'ōpū keena, mai ka hoʻohana ulcerative nā mea maʻi ua Kumu Morozov Moscow. Ka mea, ua i ka hopena o na 70s o ka hope kenekulia mamua.

Hou ho'āʻo e somehow hōʻike, classify, e ulu ana ma ke keʻena hoʻokolohua, a ninau Anonymous bacterium i apo akuk ai i ka 1979 a me ka 1981 Australians Marshall a me Warren. A ka mea, pomaikai ae la lakou. Marshall Ua paʻa holomua hana o ka hoʻoponopono-maʻiʻaʻai o Helicobacter pylori a me ka hoola ana o ka helicobacter gastritis loaa ma kekahi mau-pule papa o ka iapaau ana me "metronidazole" a me ka bismuth paʻakai.

Kēia papa hana ke kumu o kēia eradication o Helicobacter pylori. A koa explorers i ka 2005 loaa ka Nobel makana ma Medicine.

Ka inoa o Helicobacter pylori meaola i loko o 1989, e like me ka pono me ka loa a me ka hōʻike Mea Maluna. ʻoni iho bacterium kaianoho koholā ua koho "poʻe kiaʻi puka" o ka opu ( "pylori" - mai ka olelo Helene, o "poʻe kiaʻi puka") mailoko o nā wahi likeʻole o ka duodenum a me ka'ōpū. Ma ka nui pakeneka o nā mea a pau gastritis, duodenitis, intestinal ulcers a me duodenal ulcers a hiki i kā lākou mau maʻi 'aʻai ka hewa o keia microorganism.

Ka pilikia o ka maʻiʻaʻai me Helicobacter pylori?

Helicobacter pylori, e noho ana i loko o ka gastrointestinal'āpana o ke kanaka, ai ka holoholona i ka ili hoi o ka hola. Ma ka iki ole i loko o ka'ōnaehana paleʻea'ōnaehana a ma ka huina hopena o ka malnutrition a unhealthyʻano ho'ā 'bacterium iʻano pākīkē. He aha ka mea pilikia loa? E noho nei i loko o ka mucousʻili lahilahi o ka na nā loko - opu a me ka duodenum - pathogenic microorganism hana ma luna o laila.

Ka hoʻomaka 'ana, a mahuahua nui hookuu o ka mea, a he kūlana e loli ai i ka gastrointestinal'aʻaʻa. Mucous ia i wehe, wawahi ae la, he mea hoomaikai i wela wahi me ke kahua o ka ulcers. Maʻi gastritis kena ae la ia e pathogenic microorganism Helicobacter pylori pae, e likeʻike mau ma paʻi gastritis, i ole amenable ke hoola ma kaʻike mau ki ina hana like.

Helicobacter pylori komo iloko a pau i kaʻoi papa o ka'aʻaʻa, hiki unaffected ma ka hapanui antibiotics (antibiotics i lolelua ka i kaʻakika). Oia vandalnye kona hana i irreversible keʻano o ka hanaʻana i loko o ka mucosa, no kekahi laʻana, he precancerous ana, a me ka, pololei, no ka hooulu ana o ka oncology. E pale i kēia, pili eradication o Helicobacter.

ʻike, a Helicobacter pylori ma ka gastrointestinal'āpana

Inā ka hoʻomanawanui complains o nausea a me ka indigestion, heartburn, eha, pilikia a me ka noho, he ola discomfort i loko o ka epigastric māhele - he pololei PAaIEN e e ikea no ke alo o ka meaola Helicobacter pylori. Kālailai i haehaeʻia e:

• ke koko, no ka nui Ka Ikepili o ka lāʻau lapaʻau kino, a me ke alo o H. pylori;
• ʻo Eli ma Ka Ikepili no ke alo o ka koʻohune neoneo;
• ka hanu ho'āʻo ua nānā 'ana i manao paa o ka ammonia lehulehu ma exhalation;
• cytologic Ka Ikepili.

Ka loa ike loea iaoiaeii o diagnosing maʻiʻaʻai mea he'aʻaʻa biopsy o ka gastric mucosa a me duodenal ulcers. Ka lole Ua lawe no Ka Ikepili ma endoscopy.

nāʻikepili eradication

Me ua i haiia ae maluna, o ka eradication - mea he ala, e hana me ka gastric bacterium.

Eradication lawe mai i ka maʻi i loko o ia mau pathologies:

• ulcer symptoms i loko o ka'ōpū a me ka duodenum;
• kūlana moʻomanaʻo resection (ʻoki kino, e wehe i Ka maʻi 'aʻai);
• precancerous Hawaii me nā kino'aʻaʻa atrophy;
• lymphoma.

At kamepiula he kanaka nona ka hoahanau i loaa ia maʻi 'aʻai. Paipai eradication Inc , a me nā mea maʻi me ka gastroesophageal reflux maʻi a me ka iaea ooieoeiiaeuiiai dyspepsia.

eradication ki ina hana like

Eradication - o ka make ana, eradication (English eradication.). Keia ana, ke hoʻololi e luku i ka maʻiʻaʻai me Helicobacter pylori gastrointestinal'āpana. I ka papa hana o ka lapaʻau ua hōʻike ma nā mea maʻi me ka loa gastric ulcer a duodenal ulcer. Kona o Mānoa, ke moe i loko o ka papaʻai ana o na laau ma ke maopopo kumu.

Ma mua o ka hoʻomaka 'ana o ka papa me ka mākaʻi hou study gastric mucosal'aʻaʻa no ke alo o malignant keena.

Helicobacter pylori eradication loaʻa paha kekahi mau ano:

• Mono, kahi ana i loko o ka iapaau ana o kekahi wale loaʻa hoʻi, IeAUPIIe, IAa IO medicaments ma muli o ka bismuth paʻakai, a me ka antibiotic;
• Duo, pālua Inc (vismutosoderzhaschee waiwai hoʻohui antibiotic);
• triplet, e like me ka inoa hoʻohuʻu, keia iapaau ana me ekolu ai '(bismuth, he antibiotic a me kekahi' elele imidazole pūʻulu);
• kvadriplet, hana i ka eha, ai kekahi luna 'triplet hou PPI Inc (blockers o hydrochloricʻakika).

Mono-eradication - keia ua aneane aole hoʻohana lapaʻau hana no ka mea, o kona ineffectiveness (ma lalo 50%). He ua i vogue ma ka wanaao o ka puka, a me ka mea mua ho okolohua helikobakterialnoy malama ia no elike maʻiʻaʻai.

Eradication hoʻohana 'ana i mau laau lapaau mai i ka hoʻokōʻana o ka hoʻolilo o ka helicobacter ma kahi o 60%, aʻuʻuku i loko o keia mau realities hoʻomaʻamaʻa. He aha ka hoʻohana 'ia i keia la eradication? Lapaʻau regimens i hoʻohana.

Tripletoterapiya nā he bismuth hui, he antibiotic (amoxicillin a increasingly hoʻohana klaritomitsin) a me imidazoles (keia fungicides).

I ka papa o ka eha ai '- a pau o ka luna mea haʻilula keimikala hua hoʻohui proton EII ni nā mea kūpale (keia pae antiulcer ai' pahuna ma hoemi gastricʻakika? Iecaianoaaiiuo). Nā Papahana no kona ka hoʻokōʻana i hana indices 90% a me ka 95% niioaaonoaaiii. Eia nō kekahi ka hoʻokō eradication o Helicobacter hiki ia.

Lapaʻauʻia i hoʻohana no ka eradication

No ka mea, o ka ʻakika papa nullifies i ka hopena o ka hapanui antibiotics, he papa inoa o ka lapaʻauʻia, e puʻupuʻu liʻiliʻi he pōkole:

• antibiotics;
• antiinfectives;
• vismutosoderzhaschie ai ';
• proton EII ni nā mea kūpale;
• probiotics a me prebiotics.

Antibiotics i ka loa mau hoʻohana 'ia i loko o eradication Inc

Pehea e hoʻomaka eradication? Antibiotics i na kēia:

• "Amoxicillin" a me "Flemoksin Soljutab" - penicillin pae, ua pono no ka loa nā mea maʻi ua i paipai no ka hoʻohana i hāpai keiki,ʻaʻa puʻuwai ole.

• "Amoxiclav" - he huihui 'ana o ka amoxicillin a me ka kavulonovoyʻakika, ka broadest pae antibiotic ua paipai makaala lakou hana no ka mea, i loko o ka hoʻomanawanui ka hakuʻala pathologies, i hāpai keiki ka antibiotic kumu loa dysbiosis.
• "Clarithromycin" a me "Klatsid" - haʻahaʻaʻawahia antibiotic erythromycin pae laulā huahelu o ka loa hanohano no ka eradication, ua contraindicated i na kamalii uuku mai i ka eono mahina, hapai wahine, hoʻohana me ka mālama nui i loko o nā mea maʻi me kaʻaʻa puʻuwai a hepatic insufficiency.
• "Azithromycin" - i kekahi makemake i "Klaritomitsinu" me ka palena haʻahaʻaʻaoʻao waiwai, nae, ia mea emi mana e ku e helicobacter pylori.

Antibiotics "tetracycline" a me ka "Levofloxacin" i hoʻohana emi pinepine, a ma ia mau hihia, kahi e ole i ka mea i makemake hopena o ka luna-i oleloia ai '. Mea haʻilula keimikala tetracycline pūʻulu hōʻike nō ia oʻano pākīkē hana ma ka hua'ōlelo o kaʻaoʻao 'ole ma hope o eradication o Helicobacter, nolaila, kākaʻikahi i hoʻohana.

Antibacterial a ua Anati-infective ai 'no ka eradication

"Metronidazole" - Anati-infective chemotherapeutic Agena nitromidazolovoy pae, loaʻawahia, pololei incompatible me ka waiʻona, a papaia i hāpai keiki.

"Makmiror" a me "Nufuratel" - he antibacterial lāʻau, ka mea, ua hoʻohana 'ia ma ka hihia o ka hoʻokō' ole 'ana o "Metronidazole".

Vismutosoderzhaschie ai '

"De-nol '- keia ka mea lapaau i hōʻike i ka lani kiekie loa degere o neutralizing waiū i Helicobacter. "De-nol 'hoike mai, a komo i ka bile bitumena ma ka hohonu papa o ka hoʻohuli ai i nā hui. Nokeʻaoʻao waiwai i kokoke ole, e like me contraindications (koe, mea maʻa mau, hāpai keiki).

Emi olelo hoʻohana 'ia i loko o ka iapaau ana o Helicobacter Salt bismuth hui:

• bismuth subsalicylate;
• bismuth subnitrate.

Hoomakaukau ka nānā 'ana ma luna o ka bismuth paʻakai hoʻohana no ka iapaau ana o gastrointestinal maʻi, ma mua o ka puka o Helicobacter pylori. Mau hui e hoʻopale ai i kaʻakika 'ia o ka'ōpū. Bismuth i huiʻia ma luna o ka mucosa poino ili, e hana i kekahi aiiay Auana mai ka corrosive 'ia, emi kaʻakika a paipai i ka i kakahiaka nui scarring o ka loli surfaces.

Ka wā e wehe i ka Helicobacter pylori bismuth hui hōʻike he nani loa ia ma luna o ka suppression a me ka luku ana i keia mau koʻohune.

Mea haʻilula keimikala lua pūʻulu hoʻohana no ka eradication

proton EII ni nā mea kūpale (PPIs) e paʻa mau i loko o ka luna 'ia ma luna o Helicobacter pylori. PPI ai 'i ke ano o antacid hookoia, ho'ēmi i kā ka aggressiveness o kaʻakika kaiapuni. Ua hōʻike koʻohune Haʻawina i mai o kaʻakika kaiapuni mea make. Nolaila, PPI e kāinoa intolerable olelo noʻana ma ka'āina o nā koʻohune i loko o ka luna 'me ka bismuth, "metronidazole" a me ka antibiotic, piʻi pū ka pomaikai eradication o Helicobacter pylori i 95%, a ma luna. Mau lapaʻauʻia nā:

• "Omez" ( "omeprazole");
• "Nolpaza";
• "Rabeprazole";
• "Pantoprazole" a pela aku.

o "Omez" hāʻawi hou pinepine. Blockers a proton EII ni PPI 'aʻole hoʻi ia i ka hana o ka secretion o digestive glands.

Normalization o ka digestive'āpana microflora ma hope o eradication o Helicobacter

Waiū i antibiotics i loko o ka hapanui hoopii, mea detrimental i ka naʻau liʻiliʻi a me ka'ōpū. No laila, ma hope o eradication hana pono e kń i ka poino, kena ae la ia i ke kino. E hana i kēia, he mea maikaʻi kēia huahana e like me probiotics paha prebiotics, e hōʻike 'ia ma dysbacteriosis, flatulence, diarrhea, etc. kēia nā .:

• "Laktoferon";
• "Linex";

• "Hilak Forte";
• "Bifidumbacterin";
• "Atsipol" a pela aku.

Probiotics a Prebiotics - he fundamentally okoa moʻomeheu, harmoniously complementing kekahi i kekahi i ka hana. Nā pūʻulu i ka pono ia ma luna o ka meaola ma ka normalizing ka intestinal flora. Ke koena unuhi ma waena o ia mea i probiotics - ola moʻomeheu o ka pono microorganisms. Prebiotics ia - ke aloha Nine Inch i huiʻia. Ka mua ua pono "ulu" i ka make microflora, i ka lua o ka - hana 'ano kūpono no keia. Ka mea maopopo leʻa Pono e lawe ma hope o eradication.

maʻi Kāohi

Helicobacter pylori latent lawe i e kela a me keia. Ke microorganism ola i loko o ka opu, a me ka naʻau liʻiliʻi moʻolelo lua o ke kanaka a me ka holoholona ma luna o ka makahiki, a aole i hoike ia.

Ho'ā hope o koʻohune ia lŘlŘ aie i ka'ōnaehana paleʻea ole ma lalo o stress, nā palapalaʻano (ka waiʻona, pūnuku puhi),'ōpahaʻai a me ka epigastricʻeha hoike mai ai ia ia iho. Kekahi laha 'o Helicobacter mea e loli i ke akepaʻa.

ka hopena

Mea hoʻohaumia mai Media maʻiʻaʻai ia lŘlŘ ma ka hui 'ole ma hoʻohana ana i wahi lulu' atikala. Oe e pono e hahai i ka rula o ka maʻemaʻe, ma ka mea e loa kń i ka mea hoʻohaumia o ke kolu-aoao. A laila ka mea, aole e koi eradication o Helicobacter pylori.