Kev swb ntawm rwj thiab yaig ntawm lub plab thiab duodenum tau dhau los ua ntau dua. Peptic ulcer cuam tshuam rau tib neeg lub neej zoo, ua rau muaj kev tsis xis nyob thiab ntau qhov kev xav tsis zoo. Tsis tas li ntawd, yog tias tsis kho, qhov mob tuaj yeem ua rau tsim cov qog nqaij hlav, nrog rau kev puas tsuaj rau cov kabmob thiab cov kab ke uas nyob ib sab. Hauv tsab xov xwm, peb yuav xav txog cov tshuaj tiv thaiv kab mob rau lub plab.
Yuav kho tus kab mob li cas?
Lub khw muag tshuaj tau npaj muaj ntau yam tshuaj uas txo cov tsos mob thiab kho mob plab thiab duodenal rwj. Txawm li cas los xij, koj yuav tsum tsis txhob noj tshuaj tiv thaiv kab mob yam tsis tau sab laj nrog kws kho mob.
Omeprazole hauv kev kho mob peptic ulcer
Ib pawg ntawm cov tshuaj yuav sawv tawm, uas suav nrog omeprazole ua cov khoom xyaw nquag. Tshwj xeeb yog siv tauCov tshuaj nyob rau hauv ua ke nrog cov tshuaj tua kab mob thaum lub cev puas tsuaj los ntawm cov kab mob Helicobacter pylori, uas provokes cov tsos ntawm rwj. Xws li kev kho mob nyob rau hauv ib lub sij hawm luv luv tso cai rau koj mus normalize tus neeg mob tus mob thiab tshem tawm cov kab mob tsis ua rau lub rhiab mucous daim nyias nyias ntawm lub plab thiab cov hnyuv. Omeprazole-based tshuaj feem ntau suav nrog hauv kev kho mob nrog cov tshuaj uas muaj bismuth.
Yuav ua li cas?
Omeprazole tshuaj tiv thaiv kab mob yog noj tsawg kawg 15 feeb ua ntej noj mov. Cov tshuaj no zoo tshaj plaws ntawm lub plab khoob thaum sawv ntxov. Cov tshuaj ntsiav uas muaj gastro-coated yog nqos tag nrho thiab ntxuav nrog dej. Nws raug nquahu kom noj tshuaj tib lub sijhawm.
Tawm tsam keeb kwm ntawm plab hnyuv, omeprazole tau noj 20 mg thaum sawv ntxov thiab yav tsaus ntuj. Yog hais tias lub rwj yog tshwm sim los ntawm kev swb ntawm Helicobacter pylori, tom qab ntawd kev kho yog ntxiv nrog tshuaj tua kab mob. Cov tshuaj tiv thaiv kab mob yog noj rau ob lub hlis kom txog thaum cov kab mob zoo tag nrho. Omeprazole tsim ib hom yeeb yaj kiab uas txo qhov kev ua phem ntawm lub plab ib puag ncig thiab ua kom cov txheej txheem kho kom zoo ntawm kev yaig thiab rwj.
Tshuaj tua kab mob
Tshuaj qhia txog ntau yam ua rau mob plab thiab plab hnyuv. Yog tias kev sim kuaj pom tias muaj cov kab mob pathogenic Helicobacter pylori hauv lub cev, tus kws kho mob tshwj xeeb tshaj tawm cov tshuaj tua kab mob dav dav raws li cov tshuaj tiv thaiv kab mob.
Muaj ntau pab pawg tshuaj tua kab mob uas tuaj yeem siv rau hauv cov kab mob no. Feem ntau, gastroenterologists nyiam cov tshuaj hauv qab no:
- Y Macrolides - Erythromycin, Fromilid, Clarithromycin. Cov tshuaj no cuam tshuam nrog kev tsim cov protein hauv cov kab mob hauv lub cell, uas ua rau nws tuag.
- Penicillin series - "Amoxiclav", "Amoxicillin". Lawv muaj kev cuam tshuam rau lub plhaub ntawm cov kab mob tsis zoo.
- Tetracycline series - "Doxycycline", "Tetracycline". Tshuaj rau kev intolerance rau penicillin.
Cov tshuaj tiv thaiv kab mob rau lub plab thiab duodenum "Clarithromycin" tau lees paub tias yog tshuaj tua kab mob zoo tshaj plaws, vim nws muaj cov npe me me ntawm qhov tshwm sim tsis zoo. Cov tshuaj yog noj thaum sawv ntxov thiab yav tsaus ntuj ntawm ib koob ntawm 250 mg. Nws yuav tsum tsis txhob siv thaum cev xeeb tub, pub niam mis, lossis hnub nyoog qis dua 12.
Yuav ua li cas lwm yam tshuaj tiv thaiv kab mob ua tau zoo? Xav paub ntxiv.
Anticids
Txhua yam tshuaj ntawm pab pawg no yuav tsum tau noj 30-40 feeb tom qab noj mov, vim tias lawv tuaj yeem cuam tshuam txoj kev zom zaub mov. Antacids npog lub plab thiab cov hnyuv, txo cov acidity. Cov tshuaj hauv qab no suav hais tias muaj txiaj ntsig zoo tshaj plaws:
- Maalox. Ua nyob rau hauv daim ntawv ntawm kev ncua thiab chewable ntsiav tshuaj. Cov tshuaj nquag yog magnesium thiab aluminium hydroxide. Cov tshuaj no tau txais txiaj ntsig zoo los ntawm cov neeg mob feem ntau. Maalox yog noj ib sachet los yog ntsiav tshuaj tom qab noj mov. Hoob no tsawg kawg yog peb lub hlis. Tsis tshua muaj tshwm sim tuaj yeem suav nrog cem quav lossis raws plab. Maalox tsis pom zoo rau lub raum tsis zoo.
- "Alumag". Muaj nyob rau hauv cov ntsiav tshuaj ntawm 20 lossis 30 daim. Rau cov neeg laus, cov tshuaj yog muab ob ntsiav tshuaj peb zaug ib hnub twg. Kev tsis zoo rau kev txais tos ntawm "Alumaga" yog cem quav, xeev siab thiab ntuav. Cov khoom xyaw nquag ntawm cov tshuaj yog aluminium hydroxide. Zoo li lwm yam tshuaj antacids, cov tshuaj no tsis raug tshuaj rau cov kab mob pathological ntawm lub raum.
- "Gastal". Ua nyob rau hauv daim ntawv ntawm chewable ntsiav tshuaj. Cov khoom xyaw nquag ntawm cov tshuaj yog magnesium carbonate thiab aluminium hydroxide. Cov tshuaj yog noj 1-2 ntsiav tshuaj tom qab noj mov. Qhov siab tshaj plaws ntawm yim ntsiav tshuaj ib hnub tau tso cai. Kev kho mob yog nqa tawm ob lub lis piam. Kev noj tshuaj tuaj yeem ua rau muaj kev hloov pauv hauv kev xav, nrog rau cem quav thiab xeev siab. Tsis txhob noj tshuaj tiv thaiv keeb kwm yav dhau los ntawm kab mob raum thiab Alzheimer's disease.
Histamine receptor blockers
tshuaj tiv thaiv kab mob rau lub plab los ntawm pab pawg no cuam tshuam rau cov qog nqaij hlav hauv lub cev, tiv thaiv kev tsim cov tshuaj histamine thiab digestive enzymes, nrog rau txo qhov cuam tshuam ntawm ib puag ncig aggression. Tshuaj kho mob plab rwj tau muab faib ua ob peb tiam:
- "Cimetidine" yog ib tus neeg sawv cev ntawm thawj tiam ntawm histamine blockerscov receptors. Cov tshuaj tiv thaiv tsis zoo nrog cov tshuaj no yog qhov hnyav heev, suav nrog txo qis zog, raws plab, mob taub hau, cuam tshuam ntawm lub paj hlwb, thiab lwm yam. Cimetidine suav hais tias yog ib qho tshuaj uas tsis muaj hnub nyoog thiab tsis siv rau kev kho mob peptic ulcer.
- Lub cim thib ob ntawm cov tshuaj uas thaiv cov tshuaj histamine yog sawv cev los ntawm Ranitidine. Cov tshuaj tau raug sau tseg thaum lub sijhawm exacerbation los txo cov tsos mob. Cov tshuaj yog noj ntawm 150 mg rau ib hlis. Ranitidine kuj ua rau muaj kev phiv ntau, nrog rau lub raum thiab lub siab puas.
- Cov tshuaj tiam thib peb los ntawm pab pawg no yog Famotidine. Yeej tsis muaj contraindications rau cov tshuaj no. Kev noj tshuaj kuj tsis tshua ua rau muaj qhov tshwm sim tsis zoo. Cov kev phiv tshwm sim feem ntau yog qhov ncauj qhuav, tawv nqaij ua pob khaus thiab kiv taub hau.
- Nizatidine yog tshuaj thib plaub. Qhov kev txiav txim ntawm nws cov khoom xyaw nquag tso cai rau koj kom sai txo cov acidity ntawm lub plab, tsis muaj kev phiv thiab tsis muaj contraindications rau noj. Nrog peptic rwj, cov tshuaj tau noj ntawm 15 mg thaum sawv ntxov thiab yav tsaus ntuj. Lub sijhawm kawm yog txiav txim los ntawm tus kws kho mob ntawm tus kheej.
- thib tsib, niaj hnub thiab nyab xeeb tshaj plaws ntawm cov tshuaj tiv thaiv kab mob yog sawv cev los ntawm Roxatidine. Cov tshuaj no yog ib qho kev txhim kho ntawm Nizatidine. Contraindications thiab kev phiv tshwm sim rau ob yam tshuaj yog zoo tib yam. txais"Roxatidin" ib ntsiav tshuaj thaum sawv ntxov thiab yav tsaus ntuj.
Feem ntau, tiam tshiab gastric antiulcers yuav tsum nyiam.
Rau kev kho mob plab, kev npaj raws li bismuth thiab nws cov derivatives feem ntau tau sau tseg. Cov tshuaj no muaj ib tug pronounced anti-inflammatory, analgesic thiab regenerating nyhuv. Ua tsaug rau bismuth, ulcers kho sai dua. Gastroprotectors yog siv los tiv thaiv kab mob ntawm txoj hnyuv, nrog rau thaum lub sij hawm exacerbation ntawm tus kab mob. Cov tshuaj antiulcer feem ntau rau duodenum thiab plab ntawm pab pawg no yog:
- Venter. Noj ob ntsiav tshuaj peb zaug ib hnub rau 4-6 lub lis piam. Cov khoom xyaw nquag yog sucralfate, uas ua rau kom cov hnoos qeev ua los ntawm lub plab thiab txo qis cov kua qaub thiab cov kua tsib ntsev ntawm phab ntsa plab. Nws tsis pom zoo kom sau Venter thaum cev xeeb tub thiab pub niam mis. Qee zaum, cov tshuaj yuav ua rau lub qhov ncauj qhuav, xeev siab, thiab raws plab.
- "De-Nol". Cov tshuaj antiulcer tiam tshiab no muaj cov txiaj ntsig zoo dua qub. Cov tshuaj muaj xws li bismuth tripotassium dicitrate. Rau kev kho mob ntawm ulcerative pathology, De-Nol yog noj ib ntsiav tshuaj plaub zaug ib hnub twg, ib nrab teev ua ntej noj mov. Kev kho mob yuav tsum txuas ntxiv mus txog ob lub hlis. Contraindications rau noj cov tshuaj yog cev xeeb tub, lactation, raws li zoo raws li pathological mob ntawm lub raum. los ntawm cov khoomCov tshuaj tiv thaiv rau kev txais tos tuaj yeem yog xeev siab thiab ntuav, cem quav thiab raws plab. Cov tshuaj tiv thaiv kab mob tshiab kawg tuaj yeem yuav ntawm txhua lub khw muag tshuaj.
- "Solcoseryl". Nws yog gastroprotector rau kev kho mob xwm txheej ceev rau tus neeg mob thaum lub sij hawm exacerbation ntawm peptic ulcer. Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm kev daws rau intramuscular los yog intravenous tswj. Yuav luag tsis muaj contraindications, txawm li cas los xij, thaum kho, cov kev phiv tshwm sim tuaj yeem tshwm sim hauv daim ntawv ntawm kev ua xua, nrog rau o, khaus thiab urticaria.
- "Misoprostol". Ib tug tshuaj nrog antisecretory kev ua si uas txo cov zus tau tej cov hydrochloric acid thiab digestive enzymes. Tus kws kho mob tshwj xeeb tshaj tawm cov koob tshuaj thiab lub sijhawm ntawm kev tswj hwm, nyob ntawm qhov mob hnyav ntawm tus neeg mob. "Misoprostol" yuav tsum tsis txhob noj nrog pathologies ntawm ob lub raum lossis daim siab, tiv thaiv keeb kwm yav dhau los ntawm cov txheej txheem inflammatory hauv cov hnyuv, thiab lwm yam. Cov tshuaj tso tawm tsuas yog tom qab ntawv tshuaj los ntawm kws kho mob.
- "Methyluracil". Pab txhim kho cov ntaub so ntswg trophism. Rau kev kho mob ntawm rwj, cov tshuaj yog noj ntawm 0.5 g plaub zaug ib hnub twg. Lub sijhawm kho yog 40 hnub. Methyluracil yog contraindication rau malignant pob txha kab mob.
tshuaj tiv thaiv kab mob rau lub plab thiab duodenum tsis txhob tso tseg.
Proton twj tso kua mis inhibitors
Qee zaum, nws yuav tsis txaus los noj cov tshuaj histamine receptor blockers kom txo cov kua qaub hauv plab. Proton twj tso kua mis inhibitors yogcov tshuaj niaj hnub rau kev kho mob ntawm cov kab mob ntev ntev. Cov tshuaj los ntawm pab pawg no inhibit kev ua haujlwm ntawm parietal gastric hlwb uas tsim hydrochloric acid. Thaiv tshwm sim vim muaj cov protein tshwj xeeb uas txav protons. Tag nrho cov tshuaj tiv thaiv kab mob rau lub duodenum thiab plab ntawm pab pawg no tiv taus cov kua txiv hmab txiv ntoo.
Cov tshuaj tiv thaiv proton feem ntau suav nrog:
- "Lantsid" raws li lansoprazole ua cov khoom xyaw nquag. Cov chav kawm nkag yog ob lub lis piam. Ib ntsiav tshuaj tso cai rau ib hnub. Kev kho mob nrog Lancid tuaj yeem ua rau raws plab, mob plab, thiab tsaug zog. Nws tsis raug tso cai noj tshuaj rau cov kab mob ntawm lub raum thiab daim siab, nrog rau lub sijhawm cev xeeb tub.
- "Pariet" uas suav nrog rabeprazole. Cov tshuaj tau raug sau tseg los txo cov tsos mob thaum exacerbation ntawm peptic ulcer. Ib ntsiav tshuaj noj txhua hnub. Cov tshuaj tsis raug sau tseg rau mob raum pathologies. Cov tshuaj tiv thaiv tsis zoo thaum kho yog qhov tsawg kawg nkaus thiab tsis muaj daim ntawv qhia, yog li ntawd, tsis tas yuav tsum tau txiav cov tshuaj.
- "Omez" thiab "Esomeprazole". Kev npaj raws li omeprazole, uas tau hais thaum pib ntawm tsab xov xwm. Yog tias thawj cov tshuaj tau muab xa mus yam tsis muaj daim ntawv xaj, ces nws yuav tsis tuaj yeem yuav Esomeprazole yam tsis muaj kev pom zoo los ntawm tus kws tshaj lij.
- "Pantoprazole". Cov khoom xyaw nquag yog pantoprazole sodium sesquihydrate. Nws raug coj los ua chav kawm rau ob lub hlis ntawm 80 mg ib hnub. Feem ntaumuaj xws li kev phiv tshuaj rau kev noj tshuaj xws li mob taub hau, qhov ncauj qhuav, ua pob liab liab ntawm lub cev thiab xeev siab. Cov tshuaj no kuj tseem tsis tau muab faib rau yam tsis tau sau ntawv.
Reviews
Kev swb ntawm plab nrog rwj thiab yaig yog qhov ua txhaum loj hauv kev ua haujlwm ntawm tag nrho cov kabmob. Qhov zoo ntawm tib neeg lub neej nrog exacerbation ntawm pathology deteriorates ho. Hauv kev tshuaj xyuas, feem ntau muaj kev xav zoo txog De-Nol. Rau ntau tus, cov tshuaj tau pab tiv nrog gastritis, nrog rau alleviate tus mob thaum lub sij hawm exacerbation ntawm rwj. Tib yam siv rau kev npaj raws li omeprazole ua ib qho khoom xyaw. Ntau tus, suav nrog cov kws kho mob, muaj kev xav tias omeprazole pab daws qhov mob hnyav, txo cov tsos mob, tab sis tsis tuaj yeem tshem tawm qhov ua rau muaj tus kab mob.
Neegative comments
Qee tus neeg mob tau siv tshuaj tua kab mob thiab tsis tau txais cov txiaj ntsig zoo, txij li tus kab mob no tau tshwm sim los ntawm Helicobacter pylori, uas tsuas yog tshem tawm nrog tshuaj tua kab mob. Tom qab kev teem caij ntawm cov tshuaj tua kab mob thiab kev kho mob nrog gastroprotectors, pathology raug tshem tawm.
Qhov tsis zoo ntawm cov tshuaj rau kev kho mob peptic ulcer yog qhov tsis zoo. Tshwj xeeb tshaj yog cov neeg mob yws yws ntawm cov kab mob dyspeptic, nrog rau xeev siab thaum noj tshuaj antiulcer. Txawm li cas los xij, cov kev mob no ploj mus tom qab kev kho mob, thaum kev tshem tawm tshuaj yog suav tias yog qhov tsis tsim nyog. Feem ntau yuav tsum muaj ntau yam kev kho mob kom ua tiavruaj khov remission pathology.
