Hnub no, cov neeg niaj hnub no tsis khoom noj khoom haus, rog, ntsim, ntsim, zaub mov ceev thiab zaub mov qhuav tau ntev ua ib yam rau lawv. Rau 95% ntawm cov pejxeem ntawm lub tebchaws vam meej, xws li kev noj zaub mov tsis dhau yam tsis muaj kab, thiab ntau tus muaj mob plab.
Nyob rau hauv tsab xov xwm no, peb yuav xav txog yuav ua li cas kho gastritis, tshuaj kho kom zoo, vim li cas txoj kev kho yuav tsum nyuaj, thiab lub hom phiaj thiab contraindications cov tshuaj nrov tshaj plaws rau tus kab mob no muaj.
Tus kws tshaj lij xaiv tshuaj li cas rau kev mob plab?
Rau kev kho mob ntawm cov txheej txheem ntawm plab hnyuv, nws yog qhov tsim nyog los txiav txim siab lawv hom thiab cov duab. Muaj ntau tshaj li ob peb lub kaum os ntau yam ntawm gastritis, txhua tus yuav tsum tau teem caij rau cov tshuaj tshwj xeeb. Hauv tsab xov xwm no, koj tuaj yeem kawm tsuas yog cov hauv paus ntsiab lus ntawm kev kho mob, yam tsis xav txog tag nrho cov nuances ua tau.
Tshuaj rau kev kho mob plab yog qhia hauv qab no.
Basictxoj cai
Rau kev kho mob plab, yuav tsum muaj kev sib koom ua ke: raws li txoj cai, cov kws kho mob tshwj xeeb tau sau ntau yam tshuaj ntawm qhov sib txawv. Qee tus muaj peev xwm tshem tawm cov tsos mob tseem ceeb, lwm tus - los tiv thaiv cov mucous membrane ntawm kev puas tsuaj, lwm tus - los tiv thaiv lub ntsiab ntawm tus kab mob. Tsuas yog xws li ib tug complex ntawm cov tshuaj yuav pab tau thaum lub sij hawm exacerbation ntawm pathology thiab tiv thaiv nws txoj kev loj hlob. Hom tshuaj thiab lub sijhawm ntawm kev tswj hwm rau cov neeg mob sib txawv txawv heev.
Thaum exacerbated
Thaum lub sijhawm exacerbation, kws kho mob tau sau tshuaj rau kev kho mob plab uas tuaj yeem tshem tawm qhov ua rau tus mob: tshuaj tiv thaiv kab mob (yog tias muaj kev tsis haum), tshuaj tua kab mob (yog tias muaj kab mob), adsorbents (yog tias muaj. yog cov tshuaj lom hauv plab). Txhawm rau txo cov tsos mob ntawm tus kab mob thiab tiv thaiv kev txhim kho ntawm cov txheej txheem inflammatory, prokinetics raug muab tshuaj (nyob rau hauv lub xub ntiag ntawm xeev siab thiab ntuav), analgesics thiab antispasmodics (nrog rau qhov mob siab), antacids (kom txo kev puas tsuaj thiab tiv thaiv cov mucous daim nyias nyias). Cov tsos mob thiab kev kho mob gastritis feem ntau txuas.
Rau mob plab kab mob
Nyob rau hauv daim ntawv mob ntawm gastritis, qhov taw qhia ntawm acidity ntawm lub plab yog ib qho tseem ceeb heev rau kev kho mob: nrog ib tug nce mucous daim nyias nyias, nws raug kev txom nyem los ntawm ib tug siab concentration ntawm hydrochloric acid. Yog li ntawd, ntawm cov tshuaj kws kho mob yog proton twj tso kua mis inhibitors thiab antacids, uas yuav neutralize thiab txo acid ntau lawm, raws li zoo raws li gastroprotectors, uas.tiv thaiv txhua daim nyias nyias ntawm lub plab phab ntsa. Gastritis nrog qis acidity Performance index yog ntau yam tsis tshua muaj thiab txaus ntshai heev. Txhawm rau tiv thaiv nws, kua txiv plab, enzymes, bismuth npaj thiab prokinetics yog siv. Rau kev kho mob ntawm cov kab mob gastritis uas tshwm sim los ntawm cov kab mob txaus ntshai - cov kab mob Helicobacter pylori (Helicobacter pylori), cov kab ke uas muaj peb lub ntsiab lus yog siv: tshuaj tua kab mob, proton twj tso kua mis inhibitors thiab tshuaj nrog lub ntsiab active tshuaj bismuth substrate. Xws li kev kho mob kav li kaum hnub. Rau cov kab mob resistant kab mob, excipients yog tshuaj - nitrofuran derivatives. Hauv kev kho mob plab, cov tshuaj zoo tshaj plaws tuaj yeem yuav ntawm lub tsev muag tshuaj.
Tsis txhob hnov qab tias tsuas yog ib tus kws kho mob uas tsim nyog tuaj yeem paub tus kab mob thiab sau cov tshuaj zoo los pab kho mob plab. Kev noj tshuaj rau tus kheej yog nruj me ntsis contraindicated, vim tias nws tsuas tuaj yeem ua rau tus mob hnyav dua. Tsis tas li ntawd, thaum siv cov tshuaj rau kev kho mob ntawm gastritis, koj yuav tsum ua tib zoo kawm cov lus qhia, contraindications thiab tshwm sim tshwm sim.
pab pawg ntawm cov tshuaj antacid rau kev kho mob plab
Yog tias cov txheej txheem inflammatory ntawm lub plab mucosa yog tshwm sim los ntawm qhov nce acidity Performance index, ces ib qho ntawm qhov tseem ceeb tshaj plaws ntawm kev kho gastritis yog txo qis cov concentration ntawm hydrochloric acid. Txhawm rau ua qhov no, sau npe siv cov tshuaj tiv thaiv kab mob - cov tshuaj uas tuaj yeem ua rau muaj qee yam ntawm plab acid.
Antacids muab faib ua ob lojpawg - tsis-absorbable (aluminium hydroxide, aluminium phosphate, thiab lwm yam) thiab absorbable (piv txwv li, sodium carbonate, magnesium oxide). Txog rau tam sim no, cov tshuaj absorbable tau xyaum tsis siv, vim tias lawv tuaj yeem txo tus mob ib ntus, tab sis tib lub sijhawm ua rau cov kab mob hnyav dua.
Aluminium phosphate, ib qho nrov uas tsis yog-absorbable antacid, yuav tsum tsis txhob siv rau Alzheimer's kab mob, ua tsis taus pa hnyav rau txhua lub raum kev ua haujlwm, tus neeg intolerance, thiab hypophosphatemia.
Muaj, tom qab tag nrho, qhov sib txawv ntawm kev kho mob gastritis thiab kev kho mob zoo.
Alginates
Raws li cov txheej txheem ntawm kev ua, cov tshuaj ntawm pab pawg no zoo ib yam li cov tshuaj tiv thaiv kab mob, vim tias lawv muaj peev xwm txo qis acidity ntawm lub plab, vim tias lawv hnov mob nrog hydrochloric acid. Raws li qhov tshwm sim ntawm cov tshuaj tiv thaiv no, ib qho kev nyab xeeb gel yog tsim uas ntim cov mucous membrane thiab tiv thaiv nws ntawm kev puas tsuaj. Alginates, zoo li antacids, tau muab tshuaj rau kev kho mob plab nrog qhov nce ntxiv ntawm plab acidity.
Sodium alginate yog tus sawv cev tseem ceeb tshaj plaws ntawm pawg tshuaj no siv los tawm tsam plab hnyuv. Cov tshuaj uas muaj cov khoom xyaw nquag no yuav tsum tsis txhob siv rau hauv cov neeg mob hnub nyoog qis dua 12 xyoos, nrog rau qhov tsis haum rau cov khoom thiab phenylketonuria.
Nws yog ib qho tseem ceeb kom nkag siab tias tsuas yog ib tus kws kho mob tuaj yeem xaiv cov tshuaj tsim nyog. Cov tsos mob thiab kev kho mob gastritis hauv cov neeg laus yog qhov txaus siab rau ntau tus.
Kev kho mob plab yuav tsis ua haujlwmkev ua, yog tias, ntxiv rau kev noj tshuaj, tsis txhob hloov cov khoom noj. Yog hais tias tus kab mob tshwm sim nyob rau hauv ib tug mob daim ntawv, ces yoo mov yog tso cai rau ib hnub, tom qab uas nws tso cai rau noj tsawg-rog, lub teeb zaub mov. Yog hais tias tus kab mob no tshwm sim nyob rau hauv ib tug ntev daim ntawv, ces cov zaub mov yog raws li nyob rau hauv lub acidity Performance index: nrog ib tug ntxiv acidity, qhov no yog lub rooj No. 1, nrog ib tug txo, rooj No. 2.
Yuav ua li cas lwm yam tshuaj paub txog kev kho mob plab?
Siv cov tshuaj analgesics thiab antispasmodics los txo qhov mob
Cov txheej txheem mob hauv plab hnyuv feem ntau tuaj yeem nrog mob. Yog tias gastritis yog tshwm sim los ntawm qhov nce acidity Performance index, ces noj antacids yuav txaus: qhov mob ploj thaum lub hydrochloric acid tsis muaj zog. Tab sis yog tias acidity Performance index qis dua, tus kws kho mob tshwj xeeb kuj tau sau tshuaj antispasmodics thiab analgesics. Kev kho mob ntawm gastritis exacerbation nrog tshuaj tuaj yeem siv sijhawm ntev.
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Anspasmodics raug tshuaj rau spasms, vim tias lawv muaj peev xwm ua kom cov leeg muaj zog, yog li txo thiab tshem tawm qhov mob. Cov tshuaj nrov heev hauv pab pawg no yog cov uas muaj papaverine lossis drotaverine hydrochloride. Raws li qee tus kws kho mob, thawj zaug yog siv rau kev kho mob, thiab qhov thib ob yog qhov zoo rau exacerbations. Cov tshuaj no muaj cov contraindications zoo sib xws: lawv yuav tsum tsis txhob siv rau cov neeg mob uas muaj kev tsis haum tshuaj rau cov khoom, thaum lub raum tsis ua haujlwm (drotaverine - kuj nyob rau hauv lub raum.thiab lub plawv tsis ua hauj lwm), nyob rau hauv lub xub ntiag ntawm ib hom ntawm lub plawv block - atrioventricular block. Tsis tas li ntawd, papaverine yog contraindicated nyob rau hauv cov neeg laus, cov me nyuam mos thiab glaucoma, thiab drotaverine yog contraindicated nyob rau hauv qis ntshav siab thiab cardiogenic poob siab.
tshuaj rau kev kho mob ntawm gastritis - Analgesics yog siv los daws qhov mob uas tsis yog spastic. Piv txwv li, metamizole sodium yog nrov heev. Cov tshuaj no, zoo li feem ntau cov tshuaj analgesics, muaj ntau yam contraindications: cev xeeb tub thiab pub niam mis, mob hawb pob, leukopenia, anemia, impaired daim siab thiab lub raum ua hauj lwm, teeb meem nrog hematopoiesis, ib tug neeg intolerance rau Cheebtsam, thiab lwm yam.
Feem ntau, antispasmodics thiab analgesics, ntxiv rau cov nyhuv analgesic, tuaj yeem cuam tshuam tsis zoo rau lub xeev ntawm lub plab zom mov, yog li lawv siv tau pom zoo kom ua ke nrog gastroprotectors hauv kev kho mob gastritis. Kev kho mob zoo nrog tshuaj tsis ua tiav yog tsis muaj lawv.
Cov tshuaj ntawm pab pawg no tuaj yeem tiv thaiv kab mob plab los ntawm kev tsim cov txheej nyias nyias ntawm nws qhov chaw. Cov tshuaj tau sau tseg rau kev kho mob gastritis nrog acidity siab, thaum lub mucous membrane ntawm lub cev raug rhuav tshem los ntawm hydrochloric acid.
Ib qho tshuaj nrov tshaj plaws hauv pab pawg no yog cov uas muaj bismuth subcitrate hauv lawv cov khoom xyaw. Lawv tsis tsuas yog tiv thaiv, tab sis kuj muaj peev xwm ua kom muaj cov kab mob tua kab mob los ntawm kev tsim cov kab mob Helicobacter pylori. ZooKev kho mob nrog cov tshuaj bismuth feem ntau kav ntau lub hlis.
Tshuaj nrog cov tshuaj no yog contraindicated nyob rau hauv cev xeeb tub thiab lactating cov poj niam, nrog hypersensitivity rau lub Cheebtsam, nrog rau cov mob raum tsis ua hauj lwm.
Peb tseem xav txog cov tsos mob thiab kev kho mob ntawm gastritis exacerbation nrog tshuaj.
Tshuaj tua kab mob rau kev kho mob gastritis thiab plab ulcers
Yog tias cov txheej txheem inflammatory hauv lub plab mucosa yog tshwm sim los ntawm cov kab mob Helicobacter pylori, ces cov tshuaj siv rau kev kho mob uas tuaj yeem rhuav tshem nws. Nws twb tau hais los saum toj no tias kev npaj bismuth qhia tau zoo hauv kev tawm tsam cov kab mob no. Tab sis feem ntau, cov tshuaj tua kab mob kuj tau sau tseg: piv txwv li, amoxicillin trihydrate (ib pawg penicillins) muaj ntau heev hauv kev kho mob plab. Kev npaj rau kev kho mob gastritis hauv cov neeg laus tuaj yeem yuav ntawm txhua lub tsev muag tshuaj.
Zoo li feem ntau ntawm cov tshuaj tua kab mob, nws muaj ntau qhov txwv tsis pub siv. Tshwj xeeb, nws yuav tsum tsis txhob noj los ntawm cov neeg laus thiab menyuam yaus, cov poj niam thaum pub niam mis, hay fever, hawb pob, ua xua, lymphocytic leukemia, qee qhov pathologies ntawm lub plab zom mov thiab lwm yam kab mob.
Tsis txhob hnov qab tias tshuaj tua kab mob tsis tuaj yeem tsuas yog rhuav tshem cov kab mob phem xwb, tab sis kuj tseem muaj txiaj ntsig zoo, uas tuaj yeem ua rau mob plab hnyuv. Tom qab ua tiav chav kawm ntawm kev kho mob nrog amoxicillin, nws feem ntau raug muab tshuaj rau probiotics uas tuaj yeem ua taurestore plab hnyuv microflora.
Peb tshuaj xyuas cov tsos mob thiab kev kho mob gastritis hauv cov neeg laus. Cov tshuaj tsis tas nyob ntawd.
Prokinetics
Cov tshuaj no cuam tshuam rau kev ua haujlwm ntawm lub plab zom mov los ntawm kev nrawm tshem tawm cov zaub mov ntawm lub plab. Lawv kuj muaj peev xwm txo tau cov tsos mob feem ntau ntawm gastritis - xeev siab thiab ntuav. Yeej, prokinetics yog siv los kho gastritis nrog tsawg acidity.
Nrov prokinetics yog cov tshuaj kho mob plab gastritis uas muaj domperidone lossis metoclopramide. Ob qho tshuaj yog contraindicated rau kev siv los ntshav hauv plab hnyuv, plab hnyuv, qee hom qog thiab thaum yau (los ntawm ib mus rau tsib xyoos).
Zoo kawg
Kev kho tus kab mob xws li mob plab yuav tsum muaj kev sib koom ua ke: feem ntau tus kws kho mob tau sau ib chav kawm uas suav nrog peb cov tshuaj los ntawm cov pab pawg saum toj no. Thaum kho, nws yog ib qho tseem ceeb tsis tsuas yog kom kov yeej tus kab mob exacerbation, tab sis kuj los tiv thaiv nws qhov tshwm sim: rau qhov no, tus kws kho mob tau sau cov vitamin complexes thiab gastroprotectors. Rau cov neeg uas xav hnov qab txog qhov mob hauv plab, qhov kev hloov pauv hauv kev ua neej yog qhia - qhov kev cais tawm ntawm tus cwj pwm phem thiab kev kho dua ntawm lawv cov zaub mov.
Qhov no yog qhov kev kho mob gastritis txhais tau tias. Kev kho tshuaj tau zoo tau tsim muaj.
