Kuchetsa mankhwala

Poyamba , chapamimba chachilonda chimagwirizanitsa ndi matenda osokoneza bongo komanso kumwa mowa mopitirira muyeso, pamene chinthu chachikulu chomwe chimayambitsa matenda ndi Helicobacter pylori bacterium. Kuchetsa mankhwala ndi njira yowonongeka yopangira tizilombo toyambitsa matenda ndikuonetsetsa kuti ntchito yodetsa chakudya imatha.

Njira yothandizira kuthetsa Maastricht

Zambiri mwazinthu zikufotokozedwa ku zovuta zamankhwala:

• chuma;
• Kukonzekera kuthetseratu nthawi zonse;
• mosavuta ndi kuphweka;
• kusakhala ndi chikoka cha mabakiteriya osagonjetsedwa pafupipafupi;
• chiwerengero chochepa cha zotsatira;
• kukhalapo kwa zotsatira pa chilonda cha zilonda.

Pofuna kukwanilitsa zolingazi, ndondomekozi zimakonzedwa bwino ndikusinthidwa malinga ndi zisankho zomwe zatengedwa ku International Medical Conferences za Maastricht.

Pakalipano, pali njira zitatu ndi quadrotherapy, tidzakambirana momveka bwino.

Helikobakter Pilori ndi mankhwala atatu omwe amachititsa kuthetsa mavuto

Njira zitatuzi ndizo mitundu iwiri: mothandizidwa ndi kukonzekera bismuth komanso pamaziko a mapulogalamu a proton a maselo a parietal.

Pachiyambi choyamba, chithandizo chochotseratu cha zilonda zam'mimba chimaphatikizapo:

1. Bismuth (120 mg) monga colloidal subcitrate kapena gallate kapena subalicylate.
2. Tinidazole kapena Metronidazole. Aliyense akutumikira 250 mg.
3. Tetracycline ndi 0.5 g.

Mankhwala onse ayenera kutengedwa 4 pa tsiku pa mlingo woyenera. Njira ya mankhwala ndi sabata imodzi.

Pachifukwa chachiwiri, dongosololi likuwoneka ngati izi:

1. Omeprazole (20 mg) ndi Metronidazole (0.4 g katatu patsiku) ndi mankhwala enaake - Clarithromycin (250 mg kawiri m'ma 24).
2. Pantoprazole 0.04 g (40 mg) ndi Amoxicillin 1 g (1000 mg) 2 pa tsiku, ndi Clarithromycin 0.5 g komanso 2 pa tsiku.

Proton pump inhibitors ayenera kutengedwa 2 nthawi iliyonse maola 24.

Pamapeto pake, Pantoprazole ingasinthidwe ndi Lanoprazole pa mlingo wa 30 mg kawiri pa tsiku.

Kutalika kwa mankhwala otchulidwawo ndi masiku asanu ndi awiri.

Ndikofunika kuzindikira kuti kutha kwa 80% kumaonedwa kuti ndi kotheka, ngakhale izi sizikutanthauza kuti bactriyo inawonongedwa kwathunthu. Chifukwa cha kugwiritsa ntchito mankhwala ophera antibacterial, chiwerengero cha tizilombo toyambitsa matenda chimachepetsedwa mofulumira ndipo panthawi yofufuza iwo sangawonetsere. Kumapeto kwa maphunziro a coloni adzabwezeretsedwa ndipo mzere wotsatira wa mankhwala udzafunikila.

Helicobacter pylori ndi mankhwala anayi omwe amachotsedwa

Ndondomeko yomwe ikukambidwa imapatsidwa ngati zotsatira zalephera zotsatira zothandizira katatu za mitundu yomwe ili pamwambapa. Zina mwa mankhwalawa ndi awa:

1. Kukonzekera kwa bismuth ndi 120 mg 4 pa tsiku.
2. Mgwirizano wa maantibayotiki - Tetracycline (4 mg pa 500 mg) ndi Metronidazole (250 mg 4 pa maola 24) kapena Tinidazole (maulendo 4 pa tsiku 250 mg).
3. Proton pump inhibitor mankhwala (chimodzi mwa zitatu) ndi Omeprazole (0.02 magalamu) kapena Lansoprazole (0.03 magalamu) kapena Pantoprazole (0.04 magalamu) kawiri tsiku lililonse.

Nthawi yonse ya mankhwala siidapitirira sabata imodzi.

Posankha mankhwala oletsa antibacterial, ndikofunikira kulingalira kukana kwa mabakiteriya a Helicobacter pylori kwa oterowo. Zimadziwika kuti tizilombo toyambitsa matenda ndi osagwirizana ndi Amocycillin ndi Tetracycline. Pali zochitika za chitukuko chosakwanira kwa Clarithromycin (pafupifupi 14%). Mphamvu yotetezera chitetezo kwambiri imapezeka kwa Metronidazole (pafupifupi 55%).

Kafukufuku wamakono wam'mbuyo awonetsa kuti pofuna kuthetseratu bwino akuyenera kugwiritsa ntchito mankhwala atsopano a antibiotic, monga Rifabutin ndi Levofloxacin. Pofuna kupititsa patsogolo machiritso a zilonda m'mimba mwa mimba, ndikulimbikitsanso kuti muyitchule Sophalcon ndi Cetraxate.