Helicobacter pylori (HP) - kuba a Gram-negative igciwane ngilugweda noma ukuma Kuvunguza, elihlala esiqeshini emathunjini wabantu futhi mhlawumbe abanye wezinkawu. It has 4-6 flagella, ngawo ehamba phezu uhlobo sokuval ibhodlela, engena ngaphansi ulwelwesi lwamafinyila we isisu duodenum, futhi kunobufakazi yokwesabela ikoloni we epithelium we ngomlomo ingaphakathi, pharynx, emphinjeni kanye ingemuva. I izakhiwo kwamakhemikhali lokhu igciwane kukhona ukwaba enzyme esebenzayo - urease, protease, phosphatase ane-alikhali, oxidase, catalase, gamma-glutamyl transferase. Kuyinto la ma-enzyme banesibopho umphumela wawo pathogenic phezu ulwelwesi lwamafinyila kwezitho womuntu futhi zibangele ukuvuvukala yabo uhlobo hypersecretory: kolwelwesi, bulbit, duodenitis, okungaba kamuva kuholele ukuthuthukiswa peptic isilonda isifo. Kule ndaba, kwezokwelapha basungula isiqondiso nokwelashwa H. pylori ukutheleleka - yokwelapha wokuqeda, okuyinto iqoqo imikhiqizo, ngenkuthalo elwa ubuthi lokhu bacterium ukukhuthaza ukuzinza of pH pheshana emathunjini, okuyinto, ekugcineni, kuholela ukuba abantu baphume ephelele amabhaktheriya .
Ukwelashwa zemithi HP
ukwelashwa Ukususwa kuthinta kokubili ngqo micro-eziphilayo, futhi imiphumela wesenzo pathogenic. Lokhu kungenxa izingxenye zalo: Imithi Ngokweqile ukubulala amagciwane, futhi i-proton futha inhibitor ukunciphisa asidi isisu kanye duodenum, ekuvimbeleni ukuthuthukiswa isilonda, futhi kanjalo, udala izimo bacterium-non-iphila. Njengoba ukwelashwa wokuqeda e icebo lakhe iqukethe ejenti eziningana elwa namagciwane, ibuye Kunconywa ukuthi lokumamukela parallel izidakamizwa probiotic ukuvimbela ukuthuthukiswa dysbiosis. Okwamanje, ososayensi bezokwelapha athuthukile izikimu ezimbili eziyisisekelo ekubhujisweni HP Ngakho, kathathu yokwelapha wokuqeda kuyinto eziyinkimbinkimbi kwamaphilisi ezimbili (clarithromycin + amoxicillin / metronidazole) kanye proton futha inhibitor (izidakamizwa ezifana "Omeprazole" "Rabeprazole" "Pantoprazole" futhi et al.) ngesikhathi ngemithamo elivamile kabili ngosuku. Kungenzeka kahle ezimweni ezimbili kuphela: uma isiguli akazange athobele imithetho imithi, noma uma has a uhlobo ukumelana HP komunye namagciwane.
quadruple
Endabeni engenhla, ke inikezwa abane-wesifunda yokwelapha wokuqeda, elibuye kuhlanganisa dicitratobismuthate bismuth - antiulcer izidakamizwa esesikhundleni umsebenzi omkhulu ngokumelene HP futhi aqondiswe kokubhujiswa kwalo mucosa. Lesi sidakamizwa has a isicelo elawulwa of elinganiselwe ngenxa umphumela wawo anobuthi on isimiso sezinzwa esiyinhloko endabeni ukusetshenziswa eside at ebulilini, ngoba bismuth has impahla sokuzuza emsipheni kwezicubu imbangela encephalopathy umthamo. Nokho wokuqeda yokwelapha of isilonda peptic kuyinto ebalulekile yokwelapha abantu bakhe, ngoba okokuqala udinga ukuthonya phezu omsakazo lesi sifo.