Rao vat: Benh Dau Da Day : viem loet da day va thuoc chua K-Borini.

PhanVien.Com . Rao Vat . Dao Tao Tuyen Sinh . Benh Dau Da Day : viem loet da day va thuoc chua K-Borini.

Benh Dau Da Day : viem loet da day va thuoc chua K-Borini.

Tin rao Benh Dau Da Day : viem loet da day va thuoc chua K-Borini duoc dang vao chu de Dao Tao Tuyen Sinh, khu vuc An Giang , the loai Chua xac dinh ngay 22/7/2010 boi Rao Vat. Benh Dau Da Day : viem loet da day va thuoc chua K-Borini da co tat ca 185 luot xem.
Benh Dau Da Day : viem loet da day va thuoc chua K-Borini - Bản không dấu.
Benh Dau Da Day : viem loet da day va thuoc chua K-Borini - Bản có dấu.

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Borini-K: Thuoc chua benh viem trot hang vi xung
huyet da day
Benh dau da day hay viem loet da day, ta trang
ngay cang pho bien khi cuoc song cong nghiep phat trien va nguoi dan
thuong xuyen su dung nhung bua an nhanh nhieu hon. Theo thong ke tai
Lien Xo (cu) co 3-4% dan so mac benh nay, o My cu 1000 nguoi thi co 19
nguoi mac. Con o nuoc ta, qua dieu tra so bo o mot so tinh mien Bac cu
100 nguoi thi co gan 6 nguoi co trieu chung cua benh
loet da day, ta trang
Trieu chung : troi lanh nhu bay gio thuong hay dau vao cuoi gio chieu ,
lam ram , kho chiu , uong ruou hay an cay thi dau .Nguoi mac benh viem loet da
day - ta trang co the bi dau bung vung
tren ron, day bung, kho tieu, o hoi hoac o chua, roi loan bai tiet nhu
son phan hoac tieu chay. Ngoai cac trieu chung tren, benh nhan con co
the bi dau nua dau, te cac dau ngon tay, noi man ngua ngoai da.
Viem hay loet da day ta trang co trieu chung
gan giong nhau, tuy nhien dien bien khac nhau. De xac dinh benh chinh
xac, benh nhan can duoc chan doan huyet thanh hoac bang phuong phap noi
soi. Loet da day - ta trang co the gay ra cac bien chung nguy hiem nhu
thung o loet, xuat huyet, hep mon vi. Con viem da day it gay bien chung
nang nhung benh co the chuyen thanh ung thu da day.
Benh dau da day co hai loai. Loai dau trong da day va loai dau o
khuc ruot gia tiep giap voi co quan nay. Yeu to gay benh thuong gap nhat
la chat axit da day, vi khuan, tam trang lo lang, buon rau cua benh
nhan
Viec dieu tri benh VLDDTT phai nham muc dich phuc hoi trang thai can
bang, bang cach loai tru cac yeu to tan cong, dong thoi tang cuong yeu
to bao ve niem mac DDTT.
Bac si Barry M. (Australia) sau khi xet nghiem hang tram benh nhan dau
da day da phat hien ra rang, da so ho nhiem cung mot loai vi khuan. Ong
thu cho ho uong thuoc Bismuth (co cong dung giet vi khuan trong da day)
va ket qua la nhung nguoi do deu khoi benh.
Doi voi cac benh nhan VLDDTT khong do nhiem khuan H-Pylori thi viec dieu
tri gom (1) ngung cac thuoc gay loet; (2) dieu tri chong loet bang cac
thuoc bang niem mac, thuoc khang axit, thuoc khang tiet axit. Con doi
voi cac benh nhan VLDDTT do nhiem khuan H-Pylori thi viec dieu tri chu
yeu dua vao cac phac do dieu tri tiet tru H-Pylori. Cac phat hien ve vi
sinh trong nhung nam 90 tinh co nhan thay co su hien dien cua vi khuan
Helicobacter Pylori (HP) trong cac manh sinh thiet da day. Qua nhieu
khao cuu y hoc, gio day cac nha khoa hoc da co the ket luan rang, chinh
chung la nguyen nhan gay ra viem loet da day ta trang. Cac vi khuan HP
tu ngoai xam nhap vao te bao niem mac da day, cu tru va phat trien tai
do roi gay ra viem va teo niem mac da day. Tuy theo doc luc cua cac
chung vi khuan va cac yeu to noi tai cu the cua tung nguoi benh ma gay
ra loet.Mot so yeu to trung gian do vi khuan HP tiet ra, lai la cac yeu
to gay ung thu. Cac cuoc theo doi lien tuc va lau dai da chung minh
rang, 90% cac ung thu da day la co lien quan den HP va ¾ so ung thu da
day moi gap hien nay thay o vung chau A. Ty le nhiem HP chung o nguoi
Viet Nam khoang 70% va gap trong 70% so nguoi bi loet da day, gap 90%
trong so loet hanh ta trang. Khong the doan truoc duoc rang nguoi nao bi
nhiem HP se tro thanh ung .Viec dieu tri nhiem HP can duoc tien hanh o
nhung nguoi co benh da day ta trang, co u lympho o niem mac duong tieu
hoa hay nguoi co tien su gia dinh ung thu duong tieu hoa, xet nghiem
thay vi khuan du chua mac benh.
Thuoc dieu tri la khang sinh ma chu yeu la Metronidazole hoac
Clarithromycin, nhung hien nay hien tuong de khang thuoc da dan xuat
hien (47 - 86% voi Metronidazol, 20% voi Clarithromycin va 69% voi
Amoxiciclin) lam anh huong nhieu den ket qua dieu tri. Clarithromycin co
ty le thanh cong cao hon han so voi Metronidazol, nhung hieu qua cua
thuoc se tang hon neu uc che tiet acid day du bang cac thuoc uc che bom
proton de lam tang do pH cua da day. .Cac phac do dieu tri chu yeu hien
nay la su phoi hop cua 3 hoac 4 loai thuoc trong so : thuoc uc che bom
proton - Amoxcycilin - Metronidazol - Clarithromycin va Bismuth hay
Tetracyclin.
Hoi Tieu hoa Viet Nam da hop ban nhieu ve cach diet tru chung va thong
nhat mot phuong thuc chung de dieu tri Helicobacter Pylori o benh nhan
da day ta trang co hieu luc nhat theo tom tat nhu sau:
- Chi dinh tiet tru HP: Loet hanh ta
trang; loet da day; viem teo da day man tinh hoat dong; u lympho bao da
day hoat hoa thap; ung thu da day chan doan rat som; dieu tri lau dai
voi thuoc chong viem khong steroid (NSAID) hay co tien su loet truoc khi
dieu tri.
- Co the dung trong cac truong hop:
Ung thu da day chan doan muon va da phau thuat; trao nguoc da day thuc
quan; viem da day da dieu tri nhieu lan khong giam hay con cai nhung
nguoi bi ung thu da day.
- Cong thuc dieu tri: chon mot trong
cac phac do sau:
1. Uc che bom proton (PPI) + Clarithromycin (C) 500mg + Amoxiciclin (A)
1000mg dung ngay 2 lan trong it nhat 7 ngay
2. [ PPI + C 500mg + Metronidazol (M) 500mg] x 2 lan x 7 ngay
3. [ PPI + Bismuth (B)200 – 400mg + Tetracyclin (T) 1000mg + M 500mg] x 2
lan x 7ngay
4. [ PPI + B 200 – 400 mg +T 1000mg + A 1000mg] x 2 lan x 7 ngay
5. PPI 2 lan/ngay + [ T 250mg + M 200mg + B 108mg ] x 5lan x 10 ngay
Cac thuoc trung hoa axit truoc day duoc coi la thuoc chinh trong dieu
tri VLDDTT. Nhung hien nay chi con su dung nhu thuoc ho tro de lam giam
cac trieu chung cua benh VLDDTT, nhu dau bung, an khong tieu…Toa thuoc
tri viem loet da day neu chi co thuoc giam dau, chong co that, khang
acid... thi tren thuc te chi co loi cho thay thuoc vi benh nhan the nao
cung phai tai kham, va co loi cho nha thuoc vi than chu som muon cung
tro thanh "khach hang than thiet"! Vay phai lam cach nao?
- Mot thanh cong gan day cua y hoc la nghien cuu
ra duoc K- Borini
K-Borinin la mot hop chat thien nhien, chiet xuat tu thao duoc,
da duoc nghien cuu tu nhung nam 2005, cho thay kha nang uc che pepsin va
bao ve niem mac da day ta trang nen duoc dung de dieu tri ho tro lam
giam cac trieu chung cua benh viem loet DDTT nhu dau thuong vi, o nong, o
chua, an khong tieu, trang phu vet loet. lam
tieu tan cac to chuc mo bi hoai thu . Tao mot lop manh bao ve vet loet
.lam se va mau lanh niem mac .Tieu diet khuan Helicobacterpylori (la loai khuan lam tang
tiet che acid da day cung nhu tiet ra doc to gay viem loet da day .Cac nghien cuu gan day cua Tien sy duoc sy Nguyen Huu
Duc vien duoc hoc va cong su cho thay KBorinin con ho tro uc che v
a tieu diet hoan toan H-Pylori,
hieu qua rat tot trong dieu tri VLDDTT. Thuoc duoc phoi hop day du cac
thanh phan trong mot phac do dieu tri benh viem loet da day hieu qua
nhat hien nay
K-Borini duoc nhap khau tu My va Duc .Do Brawn Labrato LTD SX
Trung tam Tu van va phan phoi san pham
Benh vien da khoa Song Thuong -Ts Thienquang: DT :0972690610
Nha phan phoi :Cong ty duoc pham Phu Hai : DT
02403856218
Website http://www.thuocchuabenh.net/-
Emall : thacsythienquang@yahoo.com.vn
Website: http://vatgia.com/thacsythienquang
Thuoc co ban tai cac chuyen khoa BV tuyen trung
uong
CHUYEN HANG TAN TAY KHACH HANG TREN TOAN QUOC
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