Rao vat: Benh Viem Trot Hang Vi Da Day va thuoc chua.

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Benh Viem Trot Hang Vi Da Day va thuoc chua.

Tin rao Benh Viem Trot Hang Vi Da Day va thuoc chua duoc dang vao chu de Dich Vu Gia Dinh, khu vuc Ha Noi , the loai Chua xac dinh ngay 22/7/2010 boi Rao Vat. Benh Viem Trot Hang Vi Da Day va thuoc chua da co tat ca 2369 luot xem.
Benh Viem Trot Hang Vi Da Day va thuoc chua - Bản không dấu.
Benh Viem Trot Hang Vi Da Day va thuoc chua - Bản có dấu.

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Benh Dau da day: viem hang vi da day va cach dieu
tri
Vao nhung nam 70-80, viec chua benh
viem loet da day ta trang thuong dung cac thuoc on dinh, dieu hoa
than kinh va den khi that su can thiet moi phau thuat de cat bo bot cac
nhanh than kinh X chi phoi viec tiet dich vi. Ket qua dieu tri khong cao
benh nhan thuong bi tai phat lai .Nhung nam gan day xuat hien thuoc
dieu tri loet da day ta trang ngay cang nhieu, ngay cang hieu qua hon.
Nho do ma quan diem va phuong phap dieu tri da thay doi han, tu mot benh
chu yeu dieu tri bang ngoai khoa, da tro thanh mot benh chu yeu dieu
tri bang noi khoa. Co the noi, day la mot buoc ngoat, mot tien bo rat
lon trong dieu tri loet da day ta trang. Nhung truong hop loet da day ta
trang phai mo ngay cang it dan di, chi danh cho nhung truong hop loet
co bien chung nhu chay mau, thung hay hep mon vi. Chung ta hy vong rang,
ngay ca nhung truong hop co bien chung nay trong tuong lai se ngay cang
it di va tien toi khong con nua, neu benh loet duoc phat hien som, dieu
tri kip thoi bang nhung thuoc day hieu qua nhu ngay. Vay dieu gi da xay
ra trong y hoc?
Cac phat hien ve vi sinh trong nhung nam 80
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 thu, do do cach tot nhat de phong tranh
ung thu la nen diet tru HP ngay tu dau.
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
Khi dieu tri thu voi mot phac do khong thanh cong thi thu doi qua phac
do khac. Khong nen dieu tri loet da day ta trang voi phac do chi 1 hay 2
thu thuoc. Khi thu 2 phac do ma van khong thanh cong thi can cay lai vi
khuan va lam khang sinh do.
Mot loai thuoc moi nhat do la : K-ZARNIZO ket hop voi Clorophyll
voi cong thuc tien tien day du cac thanh phan cho mot phac do dieu tri
hieu qua benh viem loet da day ,xung huyet bo cong hang vi da day ,viem
loet hanh ta trang .Thoi gian dieu tri lam 02 dot .Moi dot 14 ngay
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
Trung tam Tu van va phan phoi san pham Tai TP Ha
Noi :
Chi nhanh so 1: Phong kham chuyen khoa -Thac sy ,bac sy Nguyen Huy Cuong

Thuoc co ban tai cac chuyen khoa BV tuyen trung
uong
CHUYEN HANG TAN TAY KHACH HANG TREN TOAN QUOC
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