Helicobacter pylori (Hp) - ko reira he Gram-kino huakita hakoko hanga tōrino ranei, e ora i roto i te wahi intestinal o te tangata, me te pea etahi makimaki. E 4-6 flagella, ki i neke i runga i te momo o te wairori, ngoto i raro i te membrane mucous o te puku me te duodenum, a ki reira he taunakitanga o te pea o Pākehā o te epithelium o te waha kōhao, pharynx, pū kai, me te tōu hoki. Ko te āhuatanga matüora o tenei huakita e ki tohatoha whākōkī hohe - urease, protease, phosphatase kawakore, oxidase, catalase, gamma-glutamyl transferase. Ko reira he haepapa mo tona pānga pathogenic i runga i te membrane mucous o whekau tangata enei whākōkī, me meinga ratou mumura o momo hypersecretory: gastritis, bulbit, duodenitis, e taea muri arahi ki te whanaketanga o te mate whewhe keté. I roto i tenei whakaaro, i roto i te rongoa timata ki te whakawhanake i te aronga o te ārai me te maimoatanga o H. pylori mate - haepapatanga therapy, i te mea he huinga o ngā hua, kei te kaha whawhai i te tāoke o tenei microbe ka whakatairanga i te māori o pH o te wahi gastrointestinal,, te mutunga, arata'i nei ki te hōneatanga oti o nga huakita .
Treatment regimens Hp
pānga haepapatanga therapy e rua tika i runga i te moroiti-rauropi, me nga hua o tona mahi pathogenic. Ko tenei tika ki ona wāhanga: patua huakita paturopi, me inhibitors iraoho papu whakaiti te kawatanga o te puku, me te duodenum, te ārai te whanaketanga whewhe me, te kupu, te hanga i te tikanga microbe kore-taea. Mai kei te haepapatanga therapy i roto i tona kaupapa e rave rahi māngai antibacterial, e tūtohu ana hoki a reira e ki te fariiraa whakarara o taero probiotic ārai i te whanaketanga o te dysbiosis. I tēnei wā, whakawhanakehia pūtaiao hauora e rua kaupapa taketake te whakangaromanga Hp te kupu, therapy haepapatanga, takitoru ko te matatini o rua paturopi (clarithromycin + amoxicillin / metronidazole) me te iraoho papu inhibitor (pēnei taero rite "Omeprazole" "Rabeprazole" "Pantoprazole" me et al.) i pota paerewa e rua ia ra. pea te reira i hauarea i roto i ngā take e rua anake: ki te kahore i ū te manawanui ki nga ture o tango te raau taero, ranei ki te te mea he tanukutanga ātete Hp ki tetahi o antibacterials.
whā
I roto i te take i runga ake, kua whakaritea he haepapatanga therapy wha-iahiko, e atu ngā dicitratobismuthate bismuth - antiulcer tarukino e he mahi nui ki Hp, ka whakahaua i tona whakangaromanga i roto i te mucosa. He tēnei tarukino he tono whakahaeretia o te iti e tika ana ki tona pānga paitini i runga i te pūnaha io pokapū i roto i te take o te whakamahi wā roa-i pota tiketike, no te mea bismuth kua te taonga o haaputuputuraa i roto i te karere kiko, me te take encephalopathy inenga. Heoi haepapatanga therapy o whewhe keté ko te wāhanga wāhi o tona maimoatanga, no te mea e hiahia ana te tuatahi koe ki te whakaawe i te reira i runga i te etiology o te mate.