Helicobacter Pylori (HP) - waa a Gram-negative bakteeriyada concave ama qaabka loogu aarayo, kaas oo ku nool marinka xiidmaha aadanaha oo suurto gal ah iyo koroowga qaar ka mid ah. Waxay leedahay 4-6 flagella, oo guuro on nooca qalab guf furo, cabaar ka yar xuub-axaleedka of caloosha iyo mindhicirka yar, iyo sidoo kale ay jirto caddayn ah waxaa macquul ah gumaysigii reer epithelium reer saabka afka, dalqada, hunguriga iyo malawadka. The guryaha lagmamaarmaanna u ah bakteeriyada this waa in loo qoondeeyo ensaymes firfircoon - urease, protease, phosphatase xumadoodu, oxidase, catalase, gamma-glutamyl transferase. Waa ensaymes kuwaas oo masuul ka tahay in ay saamayn pathogenic on xuub-axaleedka of xubnaha aadanaha oo waxaan ka dhigi ay caabuq nooca hypersecretory: gastritis, bulbit, duodenitis, taas oo markii danbe u horseedi karaa horumarinta cudurka boog ulcer. Marka tan la eego, in daawada bilaabeen inay yeeshaan jihada ee ka hortagga iyo daweynta H. cudurka Pylori - therapy dabargoynta, taas oo ah set oo ah wax soo saarka, si firfircoon dagaal ee sunta ah ee microbe iyo kor u caadi ah ee pH of mareenka caloosha iyo mindhicirka, taas oo, ugu dambeyntii, waxay keenaysaa in geeddi dhamaystiran oo bakteeriyada .
Daaweynta daawada HP
therapy dabargoynta waxay saameysaa labada toos ah ku-shaqeeyo micro, iyo natiijooyinka ay tallaabo pathogenic. Tan waxa u sabab qaybaha: antibiyootikadu disho bakteeriyada, iyo inhibitors bamka proton yareeyo ashitada ee caloosha iyo mindhicirka yar, ka hortagga horumarinta boog iyo, sidaas, abuuraya a xaaladaha microbe aan macne. Tan iyo therapy dabargoynta in uu qorshaha ku jira dhowr wakiilada bakteeriyada, waxaa sidoo kale lagu talinayaa in soo dhaweynta ah isku midka ah ee daroogada probiotic si looga hortago in horumarinta dysbiosis. Currently, saynisyahano caafimaad sameeyeen labo qorsheyaasha aasaasiga ah burburinta HP Sayidka, therapy dabargoynta xaafuun adag yahay laba antibiotics (clarithromycin + amoxycillin / metronidazole) iyo inhibitor bamka proton (daawooyin sida "Omeprazole" "Rabeprazole" "Pantoprazole" iyo al et.) at qiyaasood caadiga ah laba jeer maalintii. Waxaa laga yaabaa in hawlqabad la'aan in laba xaaladood oo keliya: haddii bukaanku ma u hoggaansamaan qawaaniinta qaadashada daawooyinka, ama haddii ay cadaadis iska caabin ah HP in mid ka mid ah antibacterials.
kacsanayd
Xaaladdan oo kale ee kor ku xusan, waxaa loo xilsaaray therapy afar wareeg dabargoynta, taas oo sii ka mid ah dicitratobismuthate bismuth - daroogada antiulcer taas oo uu leeyahay dhaqdhaqaaqa sare ka dhanka ah HP iyo si toos ah ay u baabba 'in xabka. daroogada waxa uu codsi ay gacanta of kooban ah ay sabab u tahay saamaynta sun ah oo ku saabsan nidaamka dhexe ee habdhiska in ay dhacdo isticmaalka muddada-dheer ee qaadasho sare, maxaa yeelay, bismuth leeyahay hantida raasamaal ee unugyada neerfaha iyo sababta qiyaasta encephalopathy ah. Si kastaba ha ahaatee therapy ciribtirka boog ulcer waa qayb muhiim ah oo iyada daaweyn, maxaa yeelay, marka hore waxaad u baahan tahay in ay saamayn ku etiology cudurka.