Daily Notes patients with gastric ulcer
Often heard from a number of peptic ulcer (also known as ulcer disease) patients complain: I have just the disease, how they attack it? In fact, this is not surprising. Despite the 70 years since the 20th century, since the treatment of peptic ulcer achieved good effect. However, this disease, the relapse rate after healing is high, and often bring a lot of trouble for patients. The following three measures can be effectively and efficiently to prevent peptic ulcer recurrence.
Annihilation of Helicobacter pylori
The persistence of Helicobacter pylori infection is a high recurrence rate of peptic ulcer important reasons. Therefore, the patient should first find out if accompanied by H. pylori infection. If there are H. pylori infection must be eradicated. As the eradication of Helicobacter pylori infection in a variety of treatment options for different patients, therefore, not self-medication, a doctor must be under the guidance of regular treatment. Here we must remind the reader that although some patients no longer H. pylori infection, but relapse is still possible. Or re-infection after eradication of Helicobacter pylori caused ulcer recurrence.
Treatment must be maintained
So far, “no acid, no ulcer” point of view is still the treatment of peptic ulcer’s guiding ideology. By gastroscopy. Helicobacter pylori infection is not diagnosed with the stomach (or duodenum) ulcers were conducting regular anti-ulcer disease 4-8 weeks after treatment, preferably into a period of maintenance treatment, appropriately increasing the PH value of the stomach. This is the most important way to prevent recurrence. In general, maintenance therapy the dose is half the normal therapeutic dose. For example, in patients with active peptic ulcer may be the first treatment with H2 receptor antagonists. To Tagamet, for example, 400 mg per day, sooner or later each time, 4-8 weeks of continuous medication, symptoms improved, changed to maintenance therapy, the dose of 400 mg once every night before bed. Maintenance therapy in a short time, then 6-12 months (short-term maintenance treatment), or as long as 5-6 years or even longer (long-term maintenance therapy). At present, most doctors to take short-term maintenance therapy. Was also suggested that more economical and convenient form of intermittent maintenance therapy, that is, anti-ulcer disease in the formal treatment of 4-8 weeks, the ulcers more to Taiwan, withdrawal, relapse occurred again when self-medication 4-8 weeks. According to the author’s experience, peptic ulcer healing after just intermittent maintenance treatment of patients, relapse rates are higher. As the regular recurrence of peptic ulcer, not only affects the patient’s quality of life and work efficiency, and the small number of patients may be due to recurrence of ulcers caused by repeated ulcer losses than gains. Therefore, more peptic ulcer patients to Taiwan should adopt the short-term maintenance treatment, but thereafter, it is recommended that use of intermittent maintenance therapy, that is, self-medication when symptoms 4-8 weeks, the symptoms disappeared after the withdrawal.
H2 receptor antagonists and other drugs is quite safe, but there is still a small number of patients may occur after taking sleepy, tired, slow, disorientation, male breast increased, leukopenia, and elevated serum transaminases and other adverse reactions. The event of adverse reactions, should promptly go to the hospital treatment, such as indeed from the H2, receptor antagonist caused by drug withdrawal shortly after the general can be back to normal.
5 Note
To minimize the recurrence rate of peptic ulcer should be aware of the following five points:
①-induced reduction of factors, including smoking, drink alcohol, strengthen self-care and pay attention to dietary laws of life. At the same time, taking as little as possible damage to the gastric mucosa with drugs, such as to be taking H2 receptor antagonists should be added to serve or alkaline antacids, mucosal protective agent, proton pump inhibitors.
② Where more than the number of recurrent ulcers, ulcers heal slowly, and had complications (as gastrointestinal bleeding, ulcer perforation, pyloric obstruction) of the patients should adhere to maintenance therapy. ③ on the older, more severe systemic illness or be accompanied by regular use of non-steroidal anti-inflammatory drugs (such as aspirin, indomethacin, etc.) patients should be given maintenance therapy.
④ to have recurrence of peptic ulcer symptoms, in principle, endoscopy should be carried out to determine whether the recurrence is still a benign ulcer. To be alert to a very small number of benign gastric ulcer in the repeated destruction and regeneration of malignant transformation of chronic stimulation occurs.
⑤ maintenance therapy in earnest at the same time or shortly after stopping appears ulcer recurrence, should be timely referral to the hospital to see if there are associated with Helicobacter pylori infection or other diseases, so as not to delay diagnosis and proper treatment.
In order to avoid the patient stool dry and need to eat more agar, bananas, honey, etc. can be Runchang food, which ulcer patients is very important.
Comments
Leave a Reply
WordPress ·