Izilonda zesisu ezibangelwa yi-H. pylori? Masifunde ngale pilisi yamayeza amathathu (iBismuth Subcitrate Potassium; iMetronidazole; iTetracycline)!

Ngaba uhlala uneentlungu zesisu esiswini esingaphezulu? Uninzi lwexesha, sicinga ukuba yi-gastritis. Nangona kunjalo, ngamanye amaxesha unobangela woku unokuba yintsholongwane ebizwa ngokuba yi-H. pylori . Le ntsholongwane inamathela kwingqiniba yesisu sakho kwaye ibangele izilonda apho. Ezi zilonda zezona zibangela intlungu kunye nokudumba. Ngoko ke, oogqirha banika amayeza akhethekileyo okubulala intsholongwane ye -H. pylori nokuphilisa izilonda. Namhlanje, siza kuthetha nge-capsule eyenziwe ngokudibanisa amayeza amathathu aphambili. Iqulethe iintlobo ezintathu zamayeza abizwa ngokuba yi -Bismuth Subcitrate Potassium, i-Metronidazole, kunye ne-Tetracycline . Usenokuba uyayazi le mayeza ngegama elithi Pylera . Makhe sijonge iinkcukacha zale mayeza.

Yintoni kanye kanye le ndibaniselwano yamayeza?

Ngamafutshane, olu didi lweekhaphu lusetyenziselwa ukunyanga izilonda esiswini sakho okanye emathunjini amancinci (i-duodenum) ezibangelwa yibhaktheriya ekhankanyiweyo ebizwa ngokuba yi-H. pylori . Cinga ngayo njengotshaba oluncinci, ukuba awuyisusi, izilonda aziyi kuphiliswa, kwaye iingxaki zinokubuya rhoqo.

Ngoko ke indibaniselwano yala mayeza mathathu yenza umsebenzi obaluleke kakhulu. Kwelinye icala, eli yeza libulala iintsholongwane, okanye limise ukukhula kwazo. I-Tetracycline kule yi- antibiotic enamandla. Oko kukuthi, iyeza elibulala iintsholongwane. I-Metronidazole yenye i-antibiotic kwaye liyeza elisebenza nakwezinye iiparasite. I-Bismuth Subcitrate I-Potassium isebenza ngokwenza ifilimu ekhuselayo kwisilonda sesisu kwaye ikwasebenza nakwi -H. pylori bacteria. Xa zonke ezi zintathu zidityanisiwe, zisebenza kakuhle kakhulu kwi -H. pylori bacteria kwaye zivale indlela yokuba izilonda ziphiliswe.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza!

Kulungile, ngoku kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho okanye umongikazi ngaphambi kokuba uqale ukuthatha eli yeza. Musa ukuzifihla ezi zinto, kulungile? Kuba kulapho ugqirha anokugqiba khona ukuba eli yeza likulungele okanye alikulungele, kwaye angalinika njani. Ukunika olu lwazi kubaluleke kakhulu kukhuseleko lwakho.

Nazi izinto onokuzithetha:

• Ukuba unesifo esingaqhelekanga semfuza esifana neCockayne syndrome .
• Ukuba ukhe waba nazo naziphi na iingxaki zegazi ngaphambili – umzekelo , i-sickle cell anemia ( ingxaki ethile yegazi), i-anemia (ingxaki eqhelekileyo yegazi), i-leukemia (umhlaza wegazi).
• Usoloko usela utywala.Ukuba usela utywala. (Oku kubaluleke kakhulu, kuba utywala abusebenzi konke konke kweli yeza!)
• Ukuba ukubetha kwentliziyo yakho okanye isigqi sakho asihambelani kakuhle, oko kukuthi, ukuba unengxaki yokubetha kwentliziyo yakho ngendlela engaqhelekanga.
• Ukuba unesifo sezintso (ukuba izintso azisebenzi kakuhle, oko kunokuchaphazela indlela amayeza akhutshwa ngayo emzimbeni).
• Ukuba unesifo sesibindi ( isibindi yiso esisebenza uninzi lwamayeza emzimbeni).
• Ukuba iimvavanyo zifumanise ukuba ezinye iinxalenye zegazi ziphantsi ( ubalo lwegazi oluphantsi ).
• Ukuba ukhe waxhuzula ngaphambili.
• Ukuba une-hayindwi kwiminwe okanye ezinzwaneni zakho, okanye ukuba unezinye iingxaki zemithambo-luvo .
• Ukuba une-allergy kwi -bismuth subcitrate potassium, i-metronidazole, i-tetracycline , okanye naliphi na elinye iyeza elikweli yeza, ekutyeni, kwiidayi zokutya, okanye kwizigcini zokutya, oko kukuthi, ukuba une -allergy .
• Ukuba ukhulelwe , okanye uzama ukukhulelwa kungekudala. (Oku kubaluleke kakhulu, kuba ezinye zezithako ezikweli yeza azilungelanga umntwana).
• Ukuba ungumama oncancisayo ( eli yeza linokudluliselwa kumntwana wakho ngobisi lwebele).

Nceda ukhumbule ukuba kubaluleke kakhulu kukhuseleko lwakho ukunika ugqirha wakho olu lwazi ukuze akunike unyango olungcono.

Ungayisebenzisa njani le yeza ngokuchanekileyo?

Eli yeza lifanele lithathwe ngomlomo. Liginye lonke ngeglasi yamanzi (ubuncinane i-240 ml). Lithathe yonke imihla ngexesha elimiselweyo, njengoko kuyalelwe ngugqirha wakho okanye yingcali yezemithi. Ngokuqhelekileyo uya kuxelelwa ukuba ulithathe eli yeza kunye nokutya.

Eyona nto ibalulekileyo kukuba, ungayeki phakathi. Yeka kuphela ukuba ugqirha wakho ukuxelele ukuba uyeke. Nokuba uzive ungcono kancinci, kufuneka ugqibezele inani elimiselweyo leentsuku, oko kukuthi, ikhosi . Ngaphandle koko, intsholongwane ye-H. pylori ayizukubulawa ngokupheleleyo, kwaye inokuphinda ivuke intloko yayo, kwaye emva koko kuya kuba nzima nangakumbi ukunyanga esi sifo.

Enye into, ukuba uneepilisi, iisiraphu, okanye ii-antacids (amayeza ezilonda zesisu) eziqulethe iiminerali ezifana ne -aluminium, i-calcium, i-iron, i-magnesium, kunye ne-zinc, musa ukuzithatha ngexesha elinye neli yeza. Ufanele uzithathe iiyure ezimbini ngaphambi okanye iiyure ezimbini emva kokusela eli yeza. Kuba ezo minerali zinciphisa ukufunxwa kwe -tetracycline kweli yeza. Ukuba unamathandabuzo malunga noku, buza ugqirha wakho okanye i-pharmacist ngokucacileyo.

Eli yeza alivumelekanga ukusetyenziswa ebantwaneni.Ngoko ke kufuneka uthethe nogqirha ngaloo nto.

Ukuba ucinga ukuba uthathe eli yeza kakhulu (umthamo ogqithisileyo): Ukuba ucinga ukuba uthathe eli yeza kakhulu, oko kukuthi, ngaphezulu komlinganiselo omiselweyo, musa ukulibazisa. Yiya kwicandelo likaxakeka lesibhedlele elikufutshane ngoko nangoko, okanye utsalele umnxeba kwiziko lolawulo lwetyhefu .

Nceda uqaphele: Eli yeza limiselwe wena wedwa. Musa ukulinika omnye umntu , nokuba unesifo esifanayo nesakho okanye uneempawu ezifanayo. Iyeza elifanelekileyo kumntu ngamnye linokwahluka.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

Ukuba ngequbuliso ulibele ukuthatha idosi, ungakhathazeki. Yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo (umzekelo, ukuba idosi yakho elandelayo kufuneka ifike kwiiyure ezimbini okanye ezintathu), yeka idosi ongayithathanga uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi ongayithathanga . Ukwenza njalo kwandisa umngcipheko weziphumo ebezingalindelekanga.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Ngoku oku kubaluleke kakhulu. Eli yeza linokusebenzisana namanye amayeza, iivithamini, kunye nemifuno oyithathayo. Ukuba oku kuyenzeka, ukusebenza kweli yeza kunokuncipha, okanye kunokubakho iziphumo ebezingalindelekanga ezimbi.

Musa ukuzisebenzisa ezi zinto kunye nala mayeza!

Ukuba usebenzisa la mayeza, akucetyiswa ukuba uthabathe ii-capsules zePylera . Ngoko ke, kufuneka uxelele ugqirha wakho ngale nto.

• I-Acitretin ( iyeza lonyango lweengxaki zolusu)
• Utywala okanye nasiphi na isiselo okanye ukutya okunotywala (siza kuthetha ngako ngokweenkcukacha kamva, oku kuyingozi kakhulu!)
• I-Cisapride (iyeza elisetyenziselwa iingxaki zesisu, alisasetyenziswa kakhulu)
• I-Disulfiram (iyeza elinikwa abantu abaxhomekeke kutywala)
• I-Dronedarone ( iyeza lokurhawuzelela intliziyo)
• I-Pimozide ( iyeza lokugula ngengqondo)
• I-Thioridazine (iyeza lokugula ngengqondo)

Kukho ithuba lokuba kubekho ingxabano noku.

Eli yeza lisenokusebenzisana nezi zinto, ngoko ke ukuba usebenzisa ezi zinto, yazisa ugqirha wakho.

• Ii-antacids ( ulwelo/iipilisi ezisetyenziselwa ukunyanga izilonda zesisu), iivithamini, okanye naziphi na ezinye iimveliso eziqulethe i-aluminium, i-calcium, i-iron, i-magnesium, okanye i-zinc (njengoko bekutshiwo ngaphambili, ezi zinciphisa ukufunxwa kwamayeza).
• I-Busulfan (iyeza lokulwa nomhlaza).
• Amanye amayeza athintela ukujiya kwegazi, anjenge -warfarin , anokunyusa umngcipheko wokopha xa esetyenziswa kunye nala mayeza.
• I-Cimetidine ( elinye iyeza lezilonda zesisu).
• Iihomoni ze-estrogen okanye ze-progestin (ezifumaneka kwiipilisi zokulawula ukuzalwa kunye nonyango lweehomoni).
• I-Lithium ( iyeza lokugula ngengqondo).
• Amanye amayeza achaphazela isingqisho sokubetha kwentliziyo.
• I-Phenobarbital (iyeza elisetyenziselwa ukunyanga isifo sokuwa).
• I-Phenytoin (iyeza elisetyenziselwa ukunyanga isifo sokuwa).

Olu luhlu alubandakanyi yonke into. Ngoko ke, xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza angagunyaziswanga ngugqirha, imifuno, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi . Ezinye zezi zinto zinokudibana nalo mayeza.

Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza

Kukho izinto ezimbalwa ekufuneka uzilumkele xa usebenzisa eli yeza. Ukuba uzinika ingqalelo ezi zinto, unganciphisa kakhulu umngcipheko weengxaki.

• Ukuba iimpawu zakho (ezifana neentlungu zesisu kunye nokudumba) azibi ngcono , okanye ukuba ziya ziba mandundu, xelela ugqirha wakho. Iyeza lisenokungasebenzi kakuhle, okanye kunokubakho enye ingxaki.
• Ukuba unesifo sohudo , musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha. Ukuba unesifo sohudo kangangeentsuku ezingaphezu kwezimbini, okanye ukuba indle yakho inamanzi amaninzi, ukuba unesifo sohudo esihambisana nomkhuhlane, okanye ukuba ubona igazi kwindle yakho, kufuneka uxelele ugqirha wakho ngoko nangoko.
• Ulusu lwakho lusenokuba novakalelo elangeni ngelixa usela eli yeza. Oku kuthetha ukuba ulusu lwakho lunokuba bomvu ngokukhawuleza, lutshise, okanye lube namadyungudyungu xa lubekwe elangeni. Oku kubangelwa yi -tetracycline . Ngoko ke, kuphephe ukukhanya kwelanga ngqo emini kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla egquma umzimba wakho kakuhle, nxiba umnqwazi obanzi, kwaye usebenzise i-sunscreen (SPF 30 nangaphezulu). Ziphephe ngokupheleleyo izibane zelanga okanye iibhedi/ii-booths ze-tanning .
• Amantombazana kufuneka aqaphele oku ngokukodwa: Ukuba uthatha iipilisi zokulawula ukuzala eziqulethe i-estrogen kunye/okanye i-progestin ("ipilisi"), ukusebenza kwezo pilisi kunokuncipha ngelixa uthatha iPylera . Oku kuthetha ukuba unamathuba amaninzi okukhulelwa . Ke ngoko, kufuneka usebenzise indlela eyongezelelweyo yokuthintela, njengekhondom , ngelixa uthatha eli yeza kwaye iveki enye emva kokuyeka iyeza. Thetha nogqirha wakho ngale nto kwaye ufumane ingcebiso efanelekileyo.
• Utywala: I-Metronidazole, iyeza elikweli qela lamayeza, linokubangela impendulo embi kakhulu nengathandekiyo xa idityaniswe notywala. Oku kubizwa ngokuba yi-Disulfiram-like reaction . Iimpawu zingabandakanya ukurhawuzelela, intloko ebuhlungu, isicaphucaphu, ukuhlanza, iintlungu zesifuba, ubunzima bokuphefumla, ukubila, ukoma kakhulu, kunye nokubetha kwentliziyo ngokukhawuleza. Le mpendulo ingathatha imizuzu engama-30 ukuya kwiiyure ezininzi kwaye ngamanye amaxesha inokuba yingozi kakhulu. Ke ngoko , kuphephe ukusela utywala ngokupheleleyo ngelixa usela eli yeza kwaye ubuncinci iintsuku ezi-3 emva kokuyeka iyeza . Kwakhona lumka ngeekeyiki, itshokolethi, kunye nezinye izihlambi zomlomo ezine-alcohol.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, eli yeza linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu oza kuzifumana, kodwa kulungile ukuzazi xa kunokwenzeka. Ezinye iziphumo ebezingalindelekanga ziyingozi kwaye kufuneka zixelwe kugqirha wakho ngoko nangoko. Ezinye azibi kakhulu kwaye ziya kuphela kwiintsuku ezimbalwa.

Ukuba ezi zinto ziyenzeka, bona ugqirha ngokukhawuleza!

Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho ngaphandle kokulibazisa, okanye uye kwisibhedlele esikufutshane.

• Iimpendulo ze-allergy — ukurhawuzelela kwesikhumba ngequbuliso, amaqhuqhuva, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe, ulwimi, nomqala (oku kunokubangela ubunzima bokuphefumla).
• Ukuba nesiyezi, ukuziva ngathi ulahlekelwa yibhalansi okanye ulungelelwano xa uhamba, ukudideka, intetho engacacanga, kunye nobunzima bokuhamba.
• Uxinzelelo oluphezulu olujikeleze ingqondo — Intloko ebuhlungu kakhulu, umbono ofipheleyo, utshintsho olukhawulezileyo embonweni, isicaphucaphu, ukuhlanza.
• Intlungu emalungeni, ukungaziva okanye ukuphelelwa zimvakalelo , ubuthathaka bemisipha, ubunzima bokuhamba, ukungaphumeleli kokulinganisela (oku kusenokubangelwa ziziphumo kwimithambo-luvo).
• Ukuqhambuka kwesikhumba, umkhuhlane, kunye nokudumba kwee-lymph nodes (kusenokuba yimeko embi kakhulu efana ne-DRESS syndrome).
• Ububomvu, ukudumba, ukuxobuka okanye ukuxobuka kwesikhumba (kunokwenzeka ngaphakathi emlonyeni okanye emilebeni - oku kungaba yimeko enzima efana neStevens-Johnson syndrome).
• Ukuxhuzula .
• Urhudo olunzima (izihlandlo ezininzi ngemini, olunamanzi), umkhuhlane, iintlungu zesisu eziqatha (oku kungaba lolunye uhlobo lorhudo olubangelwa yintsholongwane iClostridium difficile).
• Kwabasetyhini: Ukuphuma kwamanzi kwilungu lobufazi ngendlela engaqhelekanga (umbala ongaqhelekanga, ivumba elibi), ukurhawuzelela (oku kusenokuba lusulelo lwegwele).

Ezi zihlandlo azibalulekanga kangako, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho.

Ezi ziphumo bezingalindelekanga zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho.

• Indle emnyama – Olu luphawu lweyeza.Isenokuba ibangelwa yi-bismuth, kodwa ayisoloko ixhalaba ngayo. Iyaphela xa uyeka ukusebenzisa iyeza.
• Ukutshintsha kombala wamazinyo (kunokwenzeka ukuba uthatha i-tetracycline , ingakumbi xa amazinyo omntwana wakho ehlala ehleli, kodwa ezi capsules zePylera zezabantu abadala kuphela).
• Ulwimi luba mnyama okanye lube mnyama – Oku kunokubangelwa yi -bismuth , kwaye kunokuncipha phakathi kolwimi. Musa ukukhathazeka.
• Urhudo (ukuba alubi qatha, njengokuphuma kwendle).
• Incasa yentsimbi emlonyeni – Oku kusenokubangelwa yi- metronidazole . Ukuhlamba umlomo wakho emva kokutya kunokunceda ukunciphisa oku kancinci.
• Isicaphucaphu, mhlawumbi ukuhlanza (oku kunokunciphisa ngokuthatha amayeza kunye nokutya).
• Uvakalelo ekukhanyeni (njengoko bekutshiwo ngaphambili).

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga okanye ekhathazayo, xelela ugqirha wakho.

Ufanele uwagcine njani amayeza akho?

Kubaluleke kakhulu ukugcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .

• Gcina kubushushu begumbi. Oko kukuthi, phakathi kwama-20°C nama-25°C (68°F nama-77°F). Khusela kubushushu obugqithisileyo, ukufuma, kunye nelanga elithe ngqo. Musa ukugcina kwindawo efumileyo, njengegumbi lokuhlambela.
• Musa ukusebenzisa amayeza aphelelwe lixesha . Jonga umhla wokuphelelwa kwiphakheji yamayeza. Lahla naliphi na iyeza elidluleyo ngaloo mhla.

Uzilahla njani amayeza angasetyenziswanga naphelelwe lixesha?

Oku kubalulekile. Ukuphosa amayeza ngokungakhathali enkunkuma okanye endlwini yangasese kunokonakalisa okusingqongileyo.

• Eyona nto ingcono onokuyenza kukuya kwinkqubo yokubuyisela amayeza kwindawo okuyo uze ubanike. Ungafumana ulwazi ngezi ndawo kwikhemesti yakho, esibhedlele, okanye mhlawumbi emapoliseni.
• Ukuba akukho ndlela yokulibuyisela, jonga iphakheji engaphakathi kwiphakheji yamayeza ukuze ubone ukuba inemiyalelo yokuba ulilahle na iyeza enkunkuma okanye ulikhuphele ethoyilethi. Ukuba awuqinisekanga, buza ugqirha wakho okanye ikhemisti.
• Ukuba ungayilahla enkunkuma (kwaye kufuneka ukwenze oku ngononophelo), khupha iyeza kwiikhaphu (lityumkile ukuba kunokwenzeka), ulixube kakuhle nento engenakutyiwa mntu kwaye engathandekiyo kwizilwanyana, njengenkunkuma yekati esetyenzisiweyo, umhlaba, okanye ikofu ebolileyo, yifake kwingxowa yeplastiki evalwe ngokuqinileyo okanye kwitoti endala, kwaye uyilahle enkunkuma kude nabantwana.

Izinto ekufuneka uzikhumbule ngokufutshane

Kulungile, masiphinde sichaze amanqaku abalulekileyo koko sithethe ngako. Ezi zizinto eziya kunceda ekwenzeni unyango lwakho luphumelele.

• Olu qokelelo lwamayeza (I-Bismuth subcitrate potassium; i-metronidazole; i-tetracycline - i-Pylera) inikwa ukunyanga izilonda zesisu ezibangelwa yibhaktheriya i-H. pylori .
• Sela amayeza kanye njengoko ugqirha ekuxelela, ngedosi efanelekileyo, ngexesha elifanelekileyo, ixesha elifanelekileyo . Ungayeki ukuwasela , nokuba uzive ungcono.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (zezinye izifo, iivithamini, imifuno), naziphi na ezinye izifo onazo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla emzimbeni .
• Musa ukusela utywala ngelixa usebenzisa eli yeza, kwaye musa ukusela utywala ubuncinane iintsuku ezi-3 emva kokuba uyekile ukusebenzisa eli yeza.
• Ukuba ukhulelwe, ulindele umntwana, okanye ungumama oncancisayo, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
• Lumka ulusu lwakho xa uphuma elangeni. Sebenzisa isithambisi selanga.
• Ukuba uthatha iipilisi zokulawula ukukhulelwa , sebenzisa olunye uhlobo lokulawula ukukhulelwa (njengekhondom) ngelixa usebenzisa eli yeza.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu (ezifana nokunganyamezelani kakuhle komzimba, urhudo oluqatha, ukuxhuzula), bona ugqirha ngoko nangoko .

Ukuba usebenzisa eli yeza ngokuchanekileyo, unokuphilisa izilonda zesisu sakho kwaye ukhuphe intsholongwane ye -H. pylori . Khumbula, olu lulwazi oluqhelekileyo kuphela. Ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo kwimeko yakho. Ngoko ke, ungoyiki ukuthetha nogqirha wakho okanye nekhemisti ukuba unemibuzo okanye iinkxalabo. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- H. pylori, izilonda zesisu, iPylera, iBismuth Subcitrate Potassium, iMetronidazole, iTetracycline, ii-antibiotics