Friday, February 15, 2008
How anti-ulcer recurrence winter
Qiaoranerdie winter to visit the hospitals have more patients with gastric ulcer, among which are a considerable number of people relapse. In fact, if adopted norms in the treatment of the combination, to the maximum extent possible will be able to prevent the recurrence of gastric ulcer. The reason should be combined, because of gastric ulcer disease two factors - acid and Helicobacter pylori, only inhibit them live at the same time, to ensure the best treatment of gastric ulcer. If only Inhibition of gastric acid, but not to kill Helicobacter pylori, no doubt like to stay in the stomach of the stars "bomb" upheld. Data show that, if not eliminate Helicobacter pylori, 50 percent to 70 percent of gastric ulcers in patients with relapse after one year. If tested, with stomach does contain Helicobacter pylori, the most common treatment is the "triple therapy", that is, with both proton pump inhibitor antibiotics. Proton pump inhibitor which is mainly responsible for inhibiting gastric acid secretion, a commonly used omeprazole, lansoprazole; two antibiotics are used to kill Helicobacter pylori, the most commonly used antibiotics is the combination of clarithromycin and amoxicillin If patients allergic to amoxicillin, metronidazole may also use. This week therapy often can be good therapy. There is also a "triple therapy" is the protection of the gastric mucosa with two antibiotics. Although gastric mucosal protective agent can inhibit gastric acid secretion, it can enhance the function of gastric mucosa of defense, reducing the gastric acid stimulation, also on the treatment of gastric ulcer, a commonly used aluminum magnesium carbonate, and Kat of bismuth-ester. Helicobacter pylori often eliminate the use of bismuth, and the advantages of this therapy is not too expensive prices, but the effect is not good, and treatment often requires two weeks. If patients with serious, or his body Helicobacter pylori has been resistant to that "triple therapy" may not be sufficient, need to use the "four of the therapy", that is, proton pump inhibitors, gastric mucosal protective agent, then with two antibiotics. This case is also now in clinical more gradually, with this increase in the resistance of bacteria to do with. If found not Helicobacter pylori stomach, on the need to use antibiotics, and only use the "therapy" that the proton pump inhibitor and gastric mucosal protective agent. In addition to proton pump inhibitor, a class of clinical also can inhibit gastric acid secretion drugs, H2 receptor blockers, such as cimetidine, ranitidine, famotidine, etc..
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