Helicobacter pylori (Hp) - nws yog ib tug kab-tsis zoo kab mob concave los yog muab kauv zoo lawm, uas nyob rau hauv lub plab hnyuv ib ntsuj av tau ntawm cov tib neeg thiab tejzaum nws ib co liab. Nws muaj 4-6 flagella, uas tsiv rau lub hom tus pas tshem lub daig hwj, tob tob nyob rau hauv lub qog ua kua membrane ntawm lub plab thiab duodenum, thiab muaj tseem pov thawj ntawm lub tseem colonization ntawm lub epithelium ntawm lub qhov ncauj kab noj hniav, lub caj pas, hlab pas thiab qhov quav. Lub biochemical thaj chaw ntawm no kab mob yog faib active enzymes - urease, protease, alkaline phosphatase, oxidase, catalase, gamma-glutamyl transferase. Nws yog ib cov enzymes yog lub luag hauj lwm rau nws pathogenic ntxim rau cov qog ua kua membrane ntawm tib neeg nruab nrog cev thiab ua rau lawv mob ntawm hypersecretory hom: gastritis, bulbit, duodenitis, uas muaj peev xwm tom qab ua rau txoj kev loj hlob ntawm peptic rwj kab mob. Nyob rau hauv no hais txog, nyob rau hauv cov tshuaj pib tsim cov kev taw qhia ntawm kev tiv thaiv thiab kev kho mob ntawm H. pylori kab mob - eradication txoj kev kho, uas yog ib tug set ntawm cov khoom, muaj kev koom sib ntaus sib tua rau tej co toxins ntawm no microbe thiab txhawb cov normalization ntawm pH ntawm tus mob huam, uas, thaum kawg, ua rau yus mus rau ib tug ua tiav kev khiav tawm ntawm cov kab mob .
Kev kho mob kiag Hp
Eradication txoj kev kho muaj feem xyuam rau ob qho tib si rau lub micro-kab, thiab cov kev tshwm sim ntawm nws txoj kev pathogenic kev txiav txim. Qhov no yog vim nws Cheebtsam: Tshuaj tua kab mob tua tau cov kab mob, thiab proton twj tso kua mis inhibitors txo lub acidity ntawm lub plab thiab duodenum, tiv thaiv lub rwj loj hlob thiab, yog li, tsim ib tug uas tsis yog-zaum microbe tej yam kev mob. Txij li thaum eradication kho nyob rau hauv nws lub tswvyim muaj ob peb antibacterial kab mob, nws kuj pom zoo hais tias ib tug uas tig mus txais tos ntawm probiotic tshuaj los mus tiv thaiv cov kev loj hlob ntawm dysbiosis. Tam sim no, kev kho mob zaum tsim ob theem pib schemes kev puas tsuaj Hp Yog li, triple eradication txoj kev kho yog ib tug complex ntawm ob tshuaj tua kab mob (clarithromycin + amoxicillin / metronidazole) thiab proton twj tso kua mis inhibitor (xws cov tshuaj raws li "Omeprazole" "Rabeprazole" "Pantoprazole" thiab et al.) nyob rau hauv tus qauv koob ob zaug ib hnub twg. Tej zaum nws yuav inefficient nyob rau hauv ob tus neeg xwb: yog hais tias tus neeg mob tsis ua raws li cov kev cai ntawm kev noj cov tshuaj, los yog yog hais tias nws muaj ib tug tsis kam sab Hp rau ib qho ntawm antibacterials.
quadruple
Nyob rau hauv lub saum toj no cov ntaub ntawv, nws yuav muab ib tug plaub-Circuit Court eradication txoj kev kho, uas ntxiv muaj xws li Bismuth dicitratobismuthate - antiulcer tshuaj uas muaj high kev ua si tiv thaiv Hp thiab qhia rau nws cov kev puas tsuaj nyob rau hauv lub mucosa. Qhov no tshuaj muaj ib tug tswj daim ntawv thov ntawm ib tug tsawg vim nws lom ntxim rau cov central lub paj hlwb nyob rau hauv cov ntaub ntawv ntawm ntev-lub sij hawm siv nyob rau high school koob, vim hais tias Bismuth muaj cov cuab yeej ntawm tsub zuj zuj nyob rau hauv lub paj cov ntaub so ntswg thiab ua encephalopathy npaum li cas. Txawm li cas los eradication txoj kev kho ntawm peptic rwj yog ib feem ntawm nws kev kho mob, vim hais tias koj thawj zaug yuav tsum los txhawb nws nyob rau hauv etiology ntawm tus kab mob.