Helicobacter pylori (HP) - iri rine giremu negative utachiona concave kana zononoka chimiro, izvo anogara intestinal chomunda vanhu uye zvichida zvimwe primates. Chine 4-6 flagella, nako chinokambaira pamusoro mhando kokusikuruu, rakapinza pasi mucous Kamudzira mudumbu uye duodenum, uye pane uchapupu hwokuti mukana Colonisation pamusoro epithelium ari nomumukanwa mhango, pharynx, yegurokuro uye mugaranhoko. The nokukanganisika ehupfumi kuti utachiona uhwu vanofanira govera basa makemikari - urease, runovharidzira mamwe, alkaline phosphatase, oxidase, catalase, wegamma-glutamyl transferase. Zviri makemikari aya basa rayo pathogenic zvainoita mucous Kamudzira dzevanhu nadzo uye kukonzera kuzvimba kwavo hypersecretory mhando: gastritis, bulbit, duodenitis, izvo zvinogona vakabva kutungamirira kukudziri- peptic urikanwi chirwere. Panyaya iyi, mukurapa vakatanga kuva nhungamiro muzvidzivirire uye vabatwe H. pylori chirwere - yokupedza kurapa, inova chine zvigadzirwa, zviri kushingaira kundorwisa muchetura kuti microbe ichi uye nekusimudzira normalization pakati ph of nemudumbu, izvo, pakupedzisira, kunoita kuti kubvisa kwemabhakitiriya rakakwana .
Treatment regimens HP
Yokupedza kurapa Kunochinja zvakananga pamusoro Micro-Muviri, uye migumisiro yacho pathogenic chiito. Izvi imhaka yenhengo dzayo: Mishonga inorwisa kuuraya utachiona, uye hwepurotoni pombi FIs kuderedza acidity mudumbu uye duodenum, kudzivisa urikanwi kukura uye, nokudaro, ndinosika asiri zvimwe microbe ezvinhu. Sezvo yokupedza jekiseni pazano rake rine antibacterial vamiririri wandei, zvinonzi Dzakamukurudzirawo yakafanana negashiro probiotic zvinodhaka kudzivisa kukura dysbiosis. Pari, masayendisiti wezvokurapa yakatanga mbiri dzinokosha Zvirongwa kuparadza HP Saka, katatu yokupedza kurapa chinhu chisinganzwisisiki inorwisa mabhakitiriya zviviri (clarithromycin + amoxicillin / metronidazole) uye hwepurotoni pombi inhibitor (mishonga yakadai "Omeprazole" "Rabeprazole" "Pantoprazole" uye and said.) pa mwero mishonga kaviri pazuva. Zvingava va neudhadha muzviitiko zviviri chete: kana murwere haana kutevedza mitemo kutora zvinodhaka, kana kana ane nemishonga tisawirirane HP mumwe antibacterials.
quadruple
Kana pamusoro, zviri basa iri-redunhu mana yokupedza kurapa, mamwe zvinosanganisira bismuth dicitratobismuthate - antiulcer mushonga ine yakakwirira basa pamusoro HP uye kutaurirwa kuparadzwa yaro mucosa. mushonga uyu ane aidzora kushanda shoma nokuda kwayo hunokachidza zvainoita nechepakati tsinga kune refu kushandisa panguva pamatunhu mishonga, nekuti bismuth ane pfuma kuunganidza ari etsinga rinenge uye mhaka encephalopathy chipimo chemushonga. Zvisinei yokupedza mushonga pakati peptic urikanwi chinhu chinokosha pakuderedza wake kurapwa, nekuti iwe unofanira kutanga kuchinja pamusoro etiology chirwere.