Terminator Helicobacter pylori
Helicobacter pylori infection is the persistence of high rates of peptic ulcer recurrence of the important reasons. Therefore, patients should first find out whether or not associated with Helicobacter pylori infection. If indeed Helicobacter pylori infection and must be the eradication. Since the eradication of Helicobacter pylori infection have a variety of treatment, apply to different patients, so it is not appropriate self-medication, doctors must be carried out under the guidance of formal treatment. Here to remind readers that although some patients had Helicobacter pylori infection, but still possible recurrence. Or again after the eradication of Helicobacter pylori infection caused ulcer recurrence.
The need to maintain treatment
So far, "no acid, no ulcer" point of view is still the guiding ideology for the treatment of peptic ulcer. The gastroscopy. Not diagnosed as a stomach infection with Helicobacter pylori (or duodenum) ulcer, conducting regular anti-ulcer treatment of 4-8 weeks, to turn into a period of maintenance treatment, to increase stomach PH value. This is the prevention of recurrence of the most important method. Usually, the dose of treatment is half the regular dose. For example, peptic ulcers in patients with active, to use H2 receptor antagonist treatment. To tagamet for example, 400 mg per day, sooner or later each time, continuous medication 4-8 weeks, the symptoms improve after the change of treatment, dosage is 400 milligrams, every night before bed time. Maintenance treatment of the short time the 6-12 months (short-term maintenance treatment), 5-6 in a long while, or even longer (long-term maintenance treatment). At present, most doctors take short-term maintenance treatment. It was also suggested that more economic and convenient form of intermittent treatment, that is, in the formal anti-ulcer treatment of 4-8 weeks, the more Taiwan ulcer after withdrawal, a relapse again when self-medication for 4-8 weeks. According to the author's experience, peptic ulcer healing just after the intermittent use of treated patients, the recurrence rate higher. As the regular recurrence of peptic ulcers, not only affects the patient's quality of life and work efficiency, and a small number of patients may relapse several times because of ulcers caused by malignant ulcers, loss outweigh the gain. Therefore, peptic ulcer patients in Taiwan after the ulcer should adopt the more short-term maintenance treatment, and thereafter, the proposed use of intermittent maintenance therapy, developed symptoms when self-medication 4-8 weeks, the symptoms disappeared after the withdrawal.
H2 receptor antagonists, such as high-security, but there is still a small number of patients after medication may be sleepy, tired, slow, directional barriers, increased male breast, leukopenia and increased serum aminotransferase, and other adverse reactions. If adverse reactions, should be timely to go to the hospital treatment, such as that by the H2, due to receptor antagonist, stopping shortly after the general to return to normal.
5 attention
To minimize the recurrence rate of peptic ulcer, should also pay attention to the following five points:
① reduce induced factors, including smoking cessation, do not drink alcohol, strengthen self-care, attention to dietary laws of life. At the same time, taking as little as possible damage to the gastric mucosa have the drug, such as the need to take, should be served H2 receptor antagonists acid or alkaline agents, the protection of gastric mucosa, such as proton pump inhibitors.
② Where ulcer disease recurrence more often, ulcer healing slowly, and had complications (as gastrointestinal bleeding, ulcer perforation, pyloric obstruction) patients should insist on the maintenance treatment.
③ of age, have more serious systemic disease or be accompanied by the frequent use of non-steroidal anti-inflammatory drugs (such as aspirin and indomethacin, etc.) patients should be given to maintenance therapy.
④ to have symptoms of ulcer disease recurrence, in principle, should be carried out gastroscopy, to determine whether recurrence, it is still benign ulcers. To guard against a handful of benign gastric ulcer in the repeated destruction and regeneration of chronic stimulation of malignant transformation.
⑤ maintenance therapy in earnest at the same time or shortly after stopping a recurrence of ulcer disease, should be timely to go to the hospital referral, to know whether there with Helicobacter pylori infection or other diseases, so as not to delay diagnosis and proper treatment.
2008-07-14
How to prevent stomach illness »
1, from the start on the rest of life, at least one day to three regular quantitative Dayton, their best to set a timetable, and then strictly observed. This also will have an impact on sleep, because some Wanshui nights of a long lunch to eat, such habits must change, is not to say that Yexiao can make up for the night to eat from, because although the clock can move around , But always within a certain range, could not produce much difference. If we do not believe so, can go to check the information related to human biological clock.
2, in general, not the stomach digestive function, symptoms that would be enough to eat a little bit, that will eat a little Wei Zhang, especially in the evening eat it, but also because of stomach and the impact of stagflation sleep. Hardware, such as fiber bad things to digest. Therefore recommended that the Shaochiduocan, if not to dinner time, you can add some food, but not too much, we must remember that this is not dinner, in accordance with normal meals or eat. Soft food, mainly pine, some of the more toughness, refreshing things should not eat, because these things the most difficult to digest. Tang best to drink before meals and after dinner drink will increase digestive difficulties. Go to sleep before 23 hours are best not to eat or sleep easily affected, if it empty stomach can drink plenty of water.
3, stomach trouble people should stop smoking, alcohol, coffee, Nongcha, carbonated beverages of the (soft drinks), Suanla irritation, such as food, these are the most Shangwei. Pixing the stomach-dry Wuhan, thus cold drinks and ice cream must also be warning, and hot food is better and this is a test of any person, especially the summer season. There are two drink should drink, milk First, Second, the hot water. Milk can form a layer of the protective film stomach every morning to get up after the first drink a glass of milk, eat, but is the best. Drink plenty of water, especially hot water, because in most cases will be mistaken for a lack of water hunger.
4, soy milk although good, but it is cold, not a substitute for milk.
5, steamed bread can Yangwei, try as a staple food.
6, other fruits and vegetables such as the human body is not lack of food, so it should be enough. But the best that eat soft Zhu De, this stomach will Haoshou point. Peel the vegetables and more fiber, moderate consumption, but not too much should not be Yi Xiaohua, thus eat more fruits can be relative.
7, a stomach illness after a meal should not be movement of people, the best break, such as the stomach to digest food almost re-start work, or Manbu walking, but also to better digest In short, postprandial not work.
8, non-acute cases, medication is not promoted, because the long-term medication has side effects, and the stomach illness is a chronic disease can not be cured in the short term. If necessary, look at the promotion of Chinese medicine, Chinese medicine the best way to Yangwei particularly effective.
9, papaya for the Pixing stomach, as Yangwei food, but for the more acid, do not use too much. Moreover, we must remember that stomach-dry Wuhan, in addition to ice things other than food Hanliang the sand like mung beans are also not eat.
10, once again, stomach illness is a chronic disease can not be cured in the short term. Is the best way to cure by "custody", not radical, only from the improved living habits get. We all need a good stomach, the habits of these changes are necessary.
2, in general, not the stomach digestive function, symptoms that would be enough to eat a little bit, that will eat a little Wei Zhang, especially in the evening eat it, but also because of stomach and the impact of stagflation sleep. Hardware, such as fiber bad things to digest. Therefore recommended that the Shaochiduocan, if not to dinner time, you can add some food, but not too much, we must remember that this is not dinner, in accordance with normal meals or eat. Soft food, mainly pine, some of the more toughness, refreshing things should not eat, because these things the most difficult to digest. Tang best to drink before meals and after dinner drink will increase digestive difficulties. Go to sleep before 23 hours are best not to eat or sleep easily affected, if it empty stomach can drink plenty of water.
3, stomach trouble people should stop smoking, alcohol, coffee, Nongcha, carbonated beverages of the (soft drinks), Suanla irritation, such as food, these are the most Shangwei. Pixing the stomach-dry Wuhan, thus cold drinks and ice cream must also be warning, and hot food is better and this is a test of any person, especially the summer season. There are two drink should drink, milk First, Second, the hot water. Milk can form a layer of the protective film stomach every morning to get up after the first drink a glass of milk, eat, but is the best. Drink plenty of water, especially hot water, because in most cases will be mistaken for a lack of water hunger.
4, soy milk although good, but it is cold, not a substitute for milk.
5, steamed bread can Yangwei, try as a staple food.
6, other fruits and vegetables such as the human body is not lack of food, so it should be enough. But the best that eat soft Zhu De, this stomach will Haoshou point. Peel the vegetables and more fiber, moderate consumption, but not too much should not be Yi Xiaohua, thus eat more fruits can be relative.
7, a stomach illness after a meal should not be movement of people, the best break, such as the stomach to digest food almost re-start work, or Manbu walking, but also to better digest In short, postprandial not work.
8, non-acute cases, medication is not promoted, because the long-term medication has side effects, and the stomach illness is a chronic disease can not be cured in the short term. If necessary, look at the promotion of Chinese medicine, Chinese medicine the best way to Yangwei particularly effective.
9, papaya for the Pixing stomach, as Yangwei food, but for the more acid, do not use too much. Moreover, we must remember that stomach-dry Wuhan, in addition to ice things other than food Hanliang the sand like mung beans are also not eat.
10, once again, stomach illness is a chronic disease can not be cured in the short term. Is the best way to cure by "custody", not radical, only from the improved living habits get. We all need a good stomach, the habits of these changes are necessary.
Gastrorrhagia the emergency treatment
Acid medicinal imports omeprazole, hemostatic with Yunnan Baiyao capsules, sterilization and the protection of gastric available bismuth-such as Rachel in the music, but also with new music Wei new capsule.
Gastrorrhagia after eating the problem must have the following general principles: to start eating liquid, Mi Tang, Oufen better, to moderate drinking milk. Do not drink too much acid large amounts of sugar food, these are the acid production increased. To Shaoliangduocan, eating hot, overheating of food may cause gastric vascular expansion is not conducive to stop bleeding. Nongcha, strong coffee should be avoided. Such as thin and tasteless food, add a little salt sound. After the bleeding stopped, can gradually increase the variety and quantity of food.
A hemorrhagic gastritis confirmed the importance of timely hospital treatment to prevent patients with massive bleeding, can be life threatening. Principle is to remove all kinds of treatment-induced factors, to reduce stomach acidity to prevent anti-hydrogen ion diffusion and increase gastric damage, active bleeding, blood transfusion rehydration. Specific measures are as follows:
(1) added blood volume: modest given intravenous blood or fresh frozen plasma, and plasma and liquid balance of salt, a shock should actively improve microcirculation.
(2) ice brine gastric lavage: can stomach vasoconstriction, and to reduce gastric acid secretion, and promote bleeding. Gastric tube is to be detained stomach, pumped to first gastric juice, salt water into ice 200 to 300 ml, and then extract, repeatedly washed three to four times, the final will norepinephrine 4 mg of salt water by adding 250 ml ice, Into stomach, to further shrink blood vessels. Four hours after repeated once.
(3) H2 receptor antagonists Application: H2 receptor antagonists such as cimetidine, ranitidine, famotidine have a stronger role in inhibiting gastric acid secretion, to reduce the concentration of hydrogen ions. Under normal circumstances may be cimetidine 0.2 grams, six hours one or ranitidine 150 mg, 12-hour one, oral; critical condition, 0.4 grams or cimetidine available Raney 300 mg infusion for Ding.
(4) of acid-fast: 0.75 grams per hour oral sucralfate or aluminum hydroxide and magnesium hydroxide mixture, and in the acid, to protect the role of the gastric mucosa.
(5) The fiber endoscopy or laser coagulation of bleeding, reliable results. Due to limitations, it is difficult to popularize.
(6) selective angiography, drip Pituitrin, bleeding blood vessels to contract, to stop bleeding purposes. Clinical application of the current less.
(7) surgical treatment: the vast majority of patients with medical treatment can stop bleeding, but there are still about 10 percent of patients need surgery, otherwise difficult to control bleeding. Surgical use of vagotomy increase gastric resection of the whole.
Gastrorrhagia after eating the problem must have the following general principles: to start eating liquid, Mi Tang, Oufen better, to moderate drinking milk. Do not drink too much acid large amounts of sugar food, these are the acid production increased. To Shaoliangduocan, eating hot, overheating of food may cause gastric vascular expansion is not conducive to stop bleeding. Nongcha, strong coffee should be avoided. Such as thin and tasteless food, add a little salt sound. After the bleeding stopped, can gradually increase the variety and quantity of food.
A hemorrhagic gastritis confirmed the importance of timely hospital treatment to prevent patients with massive bleeding, can be life threatening. Principle is to remove all kinds of treatment-induced factors, to reduce stomach acidity to prevent anti-hydrogen ion diffusion and increase gastric damage, active bleeding, blood transfusion rehydration. Specific measures are as follows:
(1) added blood volume: modest given intravenous blood or fresh frozen plasma, and plasma and liquid balance of salt, a shock should actively improve microcirculation.
(2) ice brine gastric lavage: can stomach vasoconstriction, and to reduce gastric acid secretion, and promote bleeding. Gastric tube is to be detained stomach, pumped to first gastric juice, salt water into ice 200 to 300 ml, and then extract, repeatedly washed three to four times, the final will norepinephrine 4 mg of salt water by adding 250 ml ice, Into stomach, to further shrink blood vessels. Four hours after repeated once.
(3) H2 receptor antagonists Application: H2 receptor antagonists such as cimetidine, ranitidine, famotidine have a stronger role in inhibiting gastric acid secretion, to reduce the concentration of hydrogen ions. Under normal circumstances may be cimetidine 0.2 grams, six hours one or ranitidine 150 mg, 12-hour one, oral; critical condition, 0.4 grams or cimetidine available Raney 300 mg infusion for Ding.
(4) of acid-fast: 0.75 grams per hour oral sucralfate or aluminum hydroxide and magnesium hydroxide mixture, and in the acid, to protect the role of the gastric mucosa.
(5) The fiber endoscopy or laser coagulation of bleeding, reliable results. Due to limitations, it is difficult to popularize.
(6) selective angiography, drip Pituitrin, bleeding blood vessels to contract, to stop bleeding purposes. Clinical application of the current less.
(7) surgical treatment: the vast majority of patients with medical treatment can stop bleeding, but there are still about 10 percent of patients need surgery, otherwise difficult to control bleeding. Surgical use of vagotomy increase gastric resection of the whole.
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