Bɛlɛ ɔlsa we H. pylori kin mek? Lɛ wi lan bɔt dis tri-drɔg pil (Bismut Subcitrate Potassium; Metronidazole; Tetracycline)!

Bɔku tɛm yu kin gɛt bɛlɛ at ɛn pen na yu bɛlɛ we de ɔp? Bɔku tɛm, wi kin tink se na gastritis. Bɔt sɔntɛnde, di tin we kin mek dis apin kin bi wan baktri we dɛn kɔl H. pylori . Dis baktri de stik pan di layn na yu bɛlɛ ɛn mek ɔlsa de de. Dɛn ɔlsa ya na dɛn kin mek di pen ɛn inflamɛns. So, dɔktɔ dɛn kin gi yu spɛshal mɛrɛsin fɔ kil di H. pylori baktri dɛm ɛn mɛn di ɔlsa dɛm. Tide, wi go tɔk bɔt wan kapsul we dɛn mek bay we dɛn jɔyn tri pan dɛn kayn men mɛrɛsin dɛn de. I gɛt tri kayn mɛrɛsin dɛn we dɛn kɔl Bismuth Subcitrate Potassium, Metronidazole, ɛn Tetracycline . Yu kin no dis mɛrɛsin wit di brand nem Pylera . Lɛ wi tek wan luk pan di ditel dɛm fɔ dis mɛrɛsin.

Wetin rili dis kɔmbayn mɛrɛsin fɔ?

Fɔ tɔk am simpul wan, dɛn kin yuz dis kɔmbayn kapsul fɔ mɛn ɔlsa na yu bɛlɛ ɔ smɔl intestinal (duodenum) we di baktri dɛm we wi bin dɔn tɔk bɔt we dɛn kɔl H. pylori . Tink bɔt am lɛk smɔl ɛnimi, if yu nɔ pul am, di ɔlsa nɔ go wɛl, ɛn di prɔblɛm dɛn kin kɔntinyu fɔ kam bak.

So we dɛn put dɛn tri mɛrɛsin ya togɛda, dat kin rili impɔtant. Na wan say, dis mɛrɛsin de kil di baktri dɛm, ɔ stɔp dɛn fɔ gro. Tetracycline in dis na pawaful antibayɔtik . Dat min se na drɔg we de kil baktri dɛm. Metronidazole na ɔda antibayɔtik ɛn na mɛrɛsin we de wok bak agens sɔm parasayt dɛn. Bismuth Subcitrate Potassium de wok bay we i de fכm wan protεktiv film pan di bεlε כlsa εn i de wok bak agens di H. pylori baktri dεm. we dεn kכmbayn כl tri dεm, dεn de wok fayn fayn wan εgεst di H. pylori baktri dεm εn blכk di we fכ di כlsa dεm fכ hεl.

Tin dɛn we yu nid fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin!

Okay, naw sɔm tin dɛn de we yu fɔ tɛl yu dɔktɔ ɔ nɔs bifo yu bigin fɔ tek dis mɛrɛsin. Nɔ ayd dɛn tin ya, okay? Bikɔs na da tɛm de di dɔktɔ kin disayd ɛksaktɔli if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn aw fɔ gi am. Fɔ gi dis infɔmeshɔn rili impɔtant fɔ yu yon sef.

Na di tin dɛn ya fɔ tɔk:

• If yu gɛt wan rare jenɛtik kɔndishɔn lɛk Cockayne syndrome .
• If yu bin dɔn gɛt ɛni blɔd disɔda trade – fɔ ɛgzampul , sikɛl sɛl anemia ( wan patikyula blɔd dizayd), anemia (wan kɔmɔn blɔd dizayd), lukimiya (wan blɔd kansa).
• Yu de drink rɔm ɔltɛm.If yu na pɔsin we de drink. (Dis rili impɔtant, bikɔs rɔm nɔ de wok atɔl wit dis mɛrɛsin!)
• If yu at bit ɔ ritm we nɔ de bit ɔltɛm , dat na if yu gɛt prɔblɛm wit yu at we nɔ de bit ɔltɛm.
• If yu gɛt kidni sik (if di kidni nɔ de wok fayn, i kin afɛkt di we aw di mɛrɛsin de kɔmɔt na di bɔdi).
• If yu gɛt liva sik ( di liva na in de prosɛs mɔs mɛrɛsin na di bɔdi).
• If tɛst dɔn sho se sɔm pat dɛn na di blɔd nɔ bɔku ( low blood counts ).
• If yu dɔn gɛt sik dɛn we de mek yu sik bifo.
• If yu gɛt swɛt na yu finga ɔ yu fut finga dɛn, ɔ if yu gɛt ɔda prɔblɛm dɛn na yu nerv .
• If yu gɛt alɛji fɔ di bismuth subcitrate potassium, metronidazole, tetracycline , ɔ ɛni ɔda mɛrɛsin we de insay dis mɛrɛsin, to it, it day, ɔ it prɛzɛvɛtiv, dat na if yu gɛt alɛji .
• If yu gɛt bɛlɛ , ɔ yu de tray fɔ gɛt bɛlɛ jisnɔ. (Dis rili impɔtant, bikɔs sɔm pan di tin dɛn we de insay dis mɛrɛsin nɔ fayn fɔ di pikin).
• If yu na mama we de gi pikin in mama in bɛlɛ ( dis mɛrɛsin kin pas to yu pikin tru in mama in milk).

Duya mɛmba se i rili impɔtant fɔ yu yon sef fɔ gi dis infɔmeshɔn to yu dɔktɔ so dat i go gi yu di bɛst tritmɛnt.

Aw fɔ yuz dis mɛrɛsin kɔrɛkt wan?

Dis mɛrɛsin na fɔ tek am wit mɔt. Swɛla am ɔl wit wan ful glas wata (at least 240 ml). Tek am ɛvride di tɛm we dɛn tɛl yu fɔ tek am, lɛk aw yu dɔktɔ ɔ fama tɛl yu. Dɛn go tɛl yu fɔ tek dis mɛrɛsin wit it.

Di tin we impɔtant pas ɔl na, nɔ stɔp af-af. Stɔp nɔmɔ if yu dɔktɔ tɛl yu fɔ du dat. Ivin if yu fil fayn smɔl, yu nid fɔ kɔmplit di nɔmba fɔ di de dɛn we dɛn dɔn tɛl yu fɔ du, dat na di kɔs . If nɔto dat, di H. pylori baktri nɔ go kil ɔl, ɛn i kin rayz in ed bak, ɛn afta dat i go at fɔ mɛn di sik.

Wan ɔda tin, if yu gɛt tablɛt, srɔp, ɔ antasid (mɛrɛsin fɔ bɛlɛ ɔlsa) we gɛt minral dɛn lɛk aluminiɔm, kalsiɔm, ayɛn, magnɛsiɔm, ɛn zink, nɔ tek dɛn di sem tɛm wit dis mɛrɛsin. Yu fɔ tek dɛn tu awa bifo ɔ tu awa afta yu tek dis mɛrɛsin. Bikɔs dɛn minral dɛn de de ridyus di absɔpshɔn fɔ di tetrasayklin we de insay dis mɛrɛsin. If yu gɛt ɛni dawt bɔt dis, aks yu dɔktɔ ɔ fama klia wan.

Dɛn nɔ kin gri fɔ yuz dis mɛrɛsin fɔ pikin dɛn.So yu nid fɔ tɔk to di dɔktɔ bɔt dat bak.

If yu tink se yu dɔn tek tumɔs pan dis mɛrɛsin (ɔvados): If yu tink se yu dɔn tek tumɔs pan dis mɛrɛsin, dat na, pas di mɔnt we dɛn tɛl yu fɔ tek, nɔ delay. Go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm, ɔ kɔl pɔyzin kɔntrol sɛnta .

Duya mɛmba: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi am to ɔda pɔsin , ilɛksɛf dɛn gɛt di sem sik lɛk yu ɔ dɛn gɛt di sem sayn dɛn. Di rayt mɛrɛsin fɔ ɛnibɔdi kin difrɛn.

Wetin yu kin du if yu mis wan doz fɔ mɛrɛsin?

If yu fɔgɛt fɔ tek wan doz wantɛm wantɛm, nɔ wɔri. Tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (fɔ ɛgzampul, if yu nɛks doz fɔ kam insay tu ɔ tri awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we dɛn dɔn sɛtul. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis . We yu du dat, dat kin mek yu gɛt mɔ sayd ɛfɛkt.

Us ɔda tin dɛn kin miks wit dis mɛrɛsin?

Naw dis sɛf rili impɔtant. Dis mɛrɛsin kin miks wit ɔda mɛrɛsin, vaytamɛn, ɛn ɔyl we yu de tek. If dis apin, di wok we dis mɛrɛsin de du nɔ go wok fayn, ɔ bad bad tin dɛn kin apin to am.

Nɔ tek dɛn tin ya wit dis mɛrɛsin!

If yu de tek dɛn mɛrɛsin ya, i nɔ fayn fɔ tek Pylera kapsul. So, yu fɔ tɛl yu dɔktɔ bɔt dis.

• Acitretin ( wan mɛrɛsin fɔ wan sik we de mek pɔsin in skin) .
• Alkol ɔ ɛni drink ɔ it we gɛt rɔm (wi go tɔk bɔt dis ditayli leta, dis rili denja!)
• Cisapride (na mɛrɛsin we dɛn kin yuz fɔ bɛlɛ prɔblɛm, dɛn nɔ kin yuz am bɔku igen) .
• Disulfiram (na mɛrɛsin we dɛn kin gi to pipul dɛn we gɛt adikshɔn to rɔm) .
• Dronedarone ( wan mɛrɛsin we de mek pɔsin in at ritm) .
• Pimozide ( na mɛrɛsin fɔ mental sik) .
• Thioridazine (na mɛrɛsin fɔ mek pɔsin gɛt maynd sik) .

I pɔsibul fɔ mek dɛn nɔ gri wit dis bak.

Dis mɛrɛsin kin miks wit dɛn tin ya, so if yu de yuz dɛn tin ya, tɛl yu dɔktɔ.

• Antacids ( likwid/tablɛt we dɛn kin yuz fɔ trit bɛlɛ ɔlsa), vaytamɛn, ɔ ɛni ɔda tin we gɛt aluminiɔm, kalsiɔm, ayɔn, magnɛsiɔm, ɔ zink (as wi bin dɔn tɔk, dɛn tin ya kin mek di mɛrɛsin nɔ tek bɔku tɛm).
• Busulfan (wan mɛrɛsin we de mek pɔsin nɔ gɛt kansa).
• Sɔm mɛrɛsin dɛn we de mek blɔd nɔ klɔt, lɛk warfarin , kin mek yu blɔd bɔku we yu tek am wit dis mɛrɛsin.
• Cimetidine ( ɔda mɛrɛsin fɔ bɛlɛ ɔlsa).
• εstrojen כ projestin כmon dεm (dεn kin si am na bכn kכntrכl pils εn כmon tεrapi).
• Lithium ( na mɛrɛsin fɔ mental sik).
• Ɔda mɛrɛsin dɛn we de afɛkt di ritm we di at de bit.
• Phenobarbital (na mɛrɛsin we dɛn kin yuz fɔ mɛn pɔsin we gɛt sik).
• Phenytoin (na mɛrɛsin we dɛn kin yuz fɔ mɛn pɔsin we gɛt sik).

Dis list nɔto ɔltin we de insay di list. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu nɔ kin gi yu, ɔyl dɛn, ɛn tin dɛn we yu kin yuz fɔ it, ɛn if yu de smok, drink rɔm, ɔ yuz ɔda mɛrɛsin dɛn . Sɔm pan dɛn tin ya kin miks wit dis mɛrɛsin.

Tin dɛn we yu fɔ mɛmba we yu de tek dis mɛrɛsin

Sɔm tin dɛn de we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin. If yu pe atɛnshɔn to dɛn tin ya, yu go rili ridyus di prɔblɛm dɛn we yu go gɛt.

• If yu sayn dɛm (lɛk yu bɛlɛ pen ɛn blo) nɔr de bɛtɛ , ɔr if dɛn de wɔs, tɛl yu dɔktɔ. Sɔntɛm di mɛrɛsin nɔ de wok fayn, ɔ ɔda prɔblɛm kin de.
• If yu gɛt dayarɛa , nɔ tek mɛrɛsin dɛn we yu nɔ kin bay. If yu gɛt dayarɛa fɔ pas tu dez, ɔ if yu stɔl gɛt wata bad bad wan, if yu gɛt dayarɛa wit fiva, ɔ if yu si blɔd na yu stɔl, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
• Yu skin kin fil bad fɔ di san we yu de tek dis mɛrɛsin. Dis min se yu skin kin tɔn rɛd kwik kwik wan, bɔn, ɔ blista we yu de na di san. Dis na bikɔs ɔf tetracycline . So, avɔyd di san we de shayn dairekt wan insay di de as yu ebul. If yu fɔ go na do na di san, wɛr klos we kɔba yu bɔdi fayn fayn wan, wɛr hat we gɛt wayd brim, ɛn yuz sanskrin (SPF 30 ɔ pas dat). Nɔ yuz san lamp ɔ tanning bed/booths ɔltogɛda.
• Gɛl pikin dɛn fɔ no dis mɔ: If yu de tek bɔn kɔntrol pils we gɛt ɛstrojen ɛn/ɔ prɔjɛstin ("di pil"), di effektiv we dɛn pils dɛn de wok kin ridyus we yu de tek Pylera . Dis min se yu go gɛt bɛlɛ mɔ . So, yu fɔ yuz ɔda tin we de ambɔg yu ɔltɛm, lɛk kɔndɔm , we yu de tek dis mɛrɛsin ɛn fɔ wan wik afta yu dɔn stɔp di mɛrɛsin. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt di rayt advays.
• Alkol: Metronidazole, na wan mɛrɛsin we de na dis mɛrɛsin grup, kin mek pɔsin gɛt siriɔs ɛn nɔr fayn we dɛn put am wit rɔm. Dɛn kɔl dis riakshɔn we tan lɛk Disulfiram . Di sayn dɛm kin bi fɔ flash, ed pen, nɔs, vɔmit, chɛst pen, i nɔ kin izi fɔ blo, swet, tɔsti pasmak, ɛn at bit kwik kwik wan. Dis riakshɔn kin te frɔm 30 minit to sɔm awa ɛn sɔntɛnde i kin rili denja. So nɔ drink rɔm ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ at le 3 dez afta yu dɔn stɔp di mɛrɛsin . Tek tɛm bak wit kek, chɔklɛt, ɛn sɔm tin dɛn fɔ was yu mɔt we gɛt rɔm.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Nɔto ɔlman go ɛkspiriɛns dɛn, bɔt i fayn fɔ no bɔt dɛn jɔs fɔ mek shɔ se i apin. Sɔm sayd ɛfɛkt dɛn kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔm nɔ so siriɔs ɛn dɛn go go insay sɔm dez.

If dɛn tin ya apin, go to dɔktɔ kwik kwik wan!

If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ we yu nɔ go te, ɔ go na di ɔspitul we de nia yu.

• Alɛji riakshɔn — di skin kin rɔsh wantɛm wantɛm, ayv, i kin it bad bad wan, di fes, lip, tɔŋ, ɛn trot kin swel (dis kin mek i nɔ izi fɔ blo).
• Diziz, fil lɛk se yu de lɔs balans ɔr kɔdineshɔn we yu de waka, kɔnfyushɔn, nɔ de tɔk fayn, ɛn i nɔ izi fɔ waka.
• Prεshכn we de go כ p rawnd di bren — Sεvεr ed pen, blכr vishכn, sכdεn chenj dεm na di vishכn, nכs, vכmit.
• Pen na di limb dɛm, yu nɔ de fil fayn ɔ yu nɔ de fil fayn , yu mɔsul dɛn wik, yu nɔ de ebul fɔ waka, yu nɔ de balans (dɛn tin ya kin bi bikɔs ɔf di ifɛkt pan di nerv dɛm).
• Skin rash, fiva, ɛn swɛlin limf no dɛm (i kin bi siriɔs kɔndishɔn lɛk DRESS syndrome).
• di skin we de rεd, blista, pil כ pכl (i kin apin insay di mכt כ na di lip - dis kin bi siriכs kכndyushכn lεk Stevens-Johnson syndrome).
• Di sik dɛn we kin mek pɔsin sik .
• Sivɛri dayarɛa (bɔku tɛm insay di de, wata), fiva, siriɔs bɛlɛ pen (dis kin bi ɔda kayn dayarɛa we di baktri we dɛn kɔl Clostridium difficile kin mek).
• fכ uman dεm: abnכmal vagina dischaj (kכla we nכ sכmtεm, smel), it (dis kin bi yist infεkshכn).

Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ.

Dɛn sayd ɛfɛkt ya kin stɔp insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu tumɔs, tɛl yu dɔktɔ.

• Blak stɔl – Dis na sayn fɔ di mɛrɛsin.I kin bi se na bismuth de mek am, bɔt bɔku tɛm i nɔ kin bi natin fɔ wɔri bɔt. I kin go wans yu stɔp fɔ tek di mɛrɛsin.
• Di tut in kɔlɔ kin chenj (i kin apin if yu tek tetracycline , mɔ we yu pikin in pɔrmɛnt tit dɛn de kam insay, bɔt dɛn Pylera kapsul ya na fɔ big pipul dɛn nɔmɔ).
• di tכng we de tכn blak כ dak – Dis kin kכz bak bay bismuth , εn i kin rεdכks rayt na di midul pan di tכng. Nɔ wɔri.
• Daya (if i nɔ bad, jɔs lɛk we yu de pas stɔl).
• mεtal tεst na mכt – Dis kin kכz fכ metronidazole . If yu was yu mɔt afta yu dɔn it, dat kin ɛp fɔ ridyus dis smɔl.
• Nɔs, i kin bi se yu kin vɔmit (dɛn kin ridyus dis if yu tek di mɛrɛsin wit it).
• Sɛnsitiviti to layt (as wi bin dɔn tɔk).

Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn ɔ we de mɔna yu, tɛl yu dɔktɔ.

Aw yu fɔ kip yu mɛrɛsin?

I rili impɔtant fɔ kip dis mɛrɛsin usay pikin ɛn animal dɛn we dɛn kin mɛn nɔ go ebul fɔ rich .

• Stɔr am na rum tɛmpracha. Dat min se, bitwin 20°C ɛn 25°C (68°F ɛn 77°F). Protɛkt frɔm ɔt pasmak, mɔs, ɛn dairekt san layt. Nɔ kip am na say we wet, lɛk batrum.
• Nɔ yuz mɛrɛsin we dɔn pas . Chek di de we i fɔ dɔn na di mɛrɛsin paket. Trowe ɛni mɛrɛsin we dɔn pas da de de.

Aw yu kin trowe mɛrɛsin dɛn we yu nɔ yuz ɛn we dɔn pas?

Dis impɔtant bak. If yu nɔ tek tɛm trowe mɛrɛsin na dɔti ɔ dɔŋ di tɔylɛt, dat kin ambɔg di envayrɔmɛnt.

• Di bɛst tin fɔ du na fɔ go na wan program fɔ tek mɛrɛsin bak na yu eria ɛn gi dɛn am. Yu kin no bɔt dɛn ples ya na yu famasi, ɔspitul, ɔ sɔntɛm na di polis.
• If no we nɔ de fɔ gi am bak, chɛk di paket insɛt insay di mɛrɛsin paket fɔ si if i gɛt instrɔkshɔn fɔ trowe di mɛrɛsin na di dɔti ɔ flɔsh am dɔŋ di tɔylɛt. If yu nɔ shɔ, aks yu dɔktɔ ɔ fama.
• If yu kin trowe am na di dɔti (ɛn yu nid fɔ tek tɛm du dis), pul di mɛrɛsin kɔmɔt na di kapsul dɛn (dɛn kin krɔs am if i pɔsibul), miks am fayn wit sɔntin we nɔbɔdi nɔ de it ɛn we nɔ kin fayn fɔ animal dɛn, lɛk aw dɛn kin yuz pusi dɔti, dɔti, ɔ kɔfi grɔn we dɔn rɔtin, put am insay plastic bag we dɛn tayt tayt wan ɔ wan ol tin, ɛn trowe am na di dɔti usay pikin dɛn nɔ go ebul fɔ rich.

Tin dɛn fɔ mɛmba fɔ shɔt tɛm

Okay, so lɛ wi rikap di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt. Dɛn tin ya go ɛp fɔ mek yu tritmɛnt go bifo.

• Dis mɛrɛsin kɔlɛkshɔn (Bismut de sabsaytrɛt potashɔm; mɛtronidazɔl we dɛn kɔl; tetracycline - Pylera) dεn kin gi am fכ hεl di bεlε כlsa dεm we di baktri dεm we dεn kכl H. pylori .
• Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu, insay di rayt doz, di rayt tɛm, fɔ di rayt lɔng tɛm . Nɔ stɔp fɔ tek am , ilɛksɛf yu fil fayn.
• Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (fɔ ɔda sik dɛn, vaytamɛn dɛn, ɔyl dɛn), ɛni ɔda sik we yu gɛt, ɛn ɛni alɛji we yu gɛt .
• Nɔ drink rɔm we yu de tek dis mɛrɛsin, ɛn nɔ drink rɔm fɔ at le 3 dez afta yu dɔn stɔp di mɛrɛsin.
• If yu gɛt bɛlɛ, yu de wet fɔ bɔn pikin, ɔ yu na mama we de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
• Tek kia of yu skin wen yu go out fo san. Yuz tin fɔ protɛkt yusɛf frɔm di san.
• If yu tek bɔn kɔntrol pils , yuz ɔda kayn bɔn kɔntrol (lɛk kɔndɔm) we yu de tek dis mɛrɛsin.
• If yu gɛt ɛni siriɔs sayd ɛfɛkt (lɛk we yu gɛt siriɔs alɛji, bad bad dayarɛa, sik we yu de fil), go to dɔktɔ wantɛm wantɛm .

If yu yuz dis mɛrɛsin kɔrɛkt wan, yu kin mɛn yu bɛlɛ ɔlsa ɛn pul di H. pylori baktri dɛm. Mɛmba se dis na jɔs jɔnaral infɔmeshɔn. Na yu dɔktɔ nɔmɔ go ebul fɔ gi yu di bɛst advays fɔ di tin we de apin to yu. So, nɔ fred fɔ tɔk to yu dɔktɔ ɔ fama if yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu. A de wish yu fɔ wɛl kwik kwik wan!

` H. pylori, bɛlɛ ɔlsa, Pylera, Bismuth Subcitrate Potassium, Metronidazole, Tɛtrasayklin, antibaytik