Beiping said | During the period of taking pills and pylori, these matters should be paid attention to

Author:Guangdong Provincial Hospital Time:2022.08.03

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The spleen and stomach are the basis of the day after tomorrow. The spleen and stomach plays an important role in maintaining physical health.

Zhang Beiping, chief physician of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine, and the Integrated Traditional Chinese and Western Medicine Prevention Team of the Gastrointestinal Cancer will regularly push the knowledge of health care and Chinese and Western medicine to escort your digestive health through this column to escort your digestive and health! Welcome to follow.

Due to the uncomfortable stomach, Aunt Ye conducted a carbon 13 exhalation test under the doctor's advice and found that he was Helicobacter Pylori (HP) infection. After learning the popular science knowledge on the Internet, Aunt Ye recognized the harm and infectiousness of HP, and mobilized the whole family to check whether there was HP infection. Uncle Jiang, who was the most disliked to run to the hospital, also checked for the health of the grandson. As a result, the old couples were positive, and they all needed to eradicate HP treatment.

Soon after receiving HP root treatment, the "wine worm" in Lao Jiang's belly began to make trouble, so he did not follow the doctor's order that could not drink during the medication of the doctor, and ignored his wife's dissuasion. Come to wine, and also argued: "Cefbal wine is just leaving. The antibiotics I have eaten now should not have something to do with drinking small wine!" The colic is suddenly disgusting in the stomach, spit out all the food! But scared the family, hurriedly sent him to the emergency medical treatment.

The emergency doctor explained that the treatment drugs that Uncle Jiang recently took HP containing amoxicillin and craticin. Although drinking during taking these antibiotics, drinking will not cause double sulfurite reactions like cephalosporin drugs, but life is life -threatening. These drugs themselves easily cause a certain gastrointestinal reaction. Drinking can weaken the ability of liver metabolic drugs, leading to increased blood concentration, and greatly increase the risk of gastrointestinal tract and other adverse reactions. Therefore, it is necessary to avoid drinking during the treatment period.

Despite such an accident, in order to avoid bacterial resistance from the first fungicular failure, the doctor still suggested that he continue to do HP root treatment with the cooperation of Chinese medicine to regulate the gastrointestinal and intestines and assist righteousness. Uncle Jiang did not dare to care about this time.

【Beiping Say】

1. The reason why the medicine cannot drink during the HP?

The "Fifth National Helicobacter P. infection Treatment Report" recommended antibiotics used for HP eradication include: amoxicillin, clitomycin, tetracycline, amurazole, metronidazole, levofloxacin, amphobolizone, metronidazole, can be all available. Causes sulfur -like -like reactions, and nausea, vomiting, headache, drowsiness, redness of the whole body, etc., will cause hallucinations, blood pressure decreases, and even shock, which can endanger life. In addition, most of the drugs that eradicate HP are mostly metabolized in the human body through the liver and kidney, and drinking can also increase the burden on the liver and kidney, which may cause liver and kidney function abnormalities, interfere with the metabolism of drugs, and then affect the efficacy of sterilization.

In addition, alcohol can directly damage the gastric mucosa, while stimulating the gastric mucosa secretion a large amount of gastric acid. Both can destroy the gastric mucosal mucus protection barrier, causing gastric mucosa congestion, swelling, erosion, and even ulcers, which will cause upper abdominal pain and other discomfort. In terms of extent, the compliance of patients with antibacterial therapy is reduced.

2. What are the precautions for taking the medicine roots?

Of course, in addition to drinking, the following matters should be paid attention to:

(1) For those who are allergic to penicillin, those who have not found allergies have not been found in the past. If it is uncomfortable with itching and rash after taking the medicine, all drugs need to be taken and immediately go to the hospital for medical treatment;

(2) The sterilization treatment is 10-14 days, and the drugs need to be taken continuously. Do not stop the drug at will, shorten or extend the treatment;

(3) Litzole and pupae should be taken about 30 minutes before meal, and the two antibiotics should be taken about 30 minutes after meals;

(4) During the period of taking sterilization drugs, nausea, vomiting, bitter mouth, metal odor in the mouth, yellow urine, and black stool (non -cypress oil) can gradually disappear after stopping the drug;

(5) After taking and discontinued the medicine, it is necessary to review at least 1 month to check the exhalation test, and the antibiotics cannot be taken within one month before the review, and the berazazole drugs cannot be taken within 2 weeks;

(6) Review the exhalation test before turning the yin, try to use public chopsticks to avoid cross -infection;

(7) If the first or multiple eradication fails, it can be feasible for HP bacterial culture and drug sensitivity testing, and receive precise sterilization treatment.

【Expert Introduction】

Zhang Beiping, a doctor of medicine, chief physician, doctoral tutor. Guangdong Provincial Hospital of Traditional Chinese Medicine (the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine) Deputy Director of the Department of Spleen and Stomach Diseases. The target of colleges and universities, the first batch of outstanding young medical talents in Guangdong Province, the second batch of outstanding Chinese medicine talents in Guangdong Province, was selected as the 8th batch of Lingnan famous medical records, and the first batch of Hu Run Ping An China good doctors in 2017.

Chairman of the Commission for Early Early Cancer Committee of the Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Chinese and Western Medicine;

Chairman of the Professional Committee of Gastrointestinal Tumor Prevention and Control of the Guangdong Academy of Traditional Chinese Medicine;

Chairman of the Guangdong Health Society of Health and Health Association;

Good at: gastrointestinal, esophageal tumors and anterior cancer lesions, endoscopic diagnosis of endoscopic diseases with bile pancreas; combination of traditional Chinese and western medicine; endoscopic treatment of various digestive tract obstruction; inflammatory bowel disease (ulcerative colitis and Crole Grace) The combination of traditional Chinese and western medicine. An introduction

The Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine is a key specialist at the 11th Fifth Chinese Medicine of the State Administration of Traditional Chinese Medicine, a key specialty of the Guangdong Provincial Administration of Traditional Chinese Medicine, the National Colorectal Patthrion Management Project Sub -Center, the National Capsule Endoscopy Research Center Guangzhou Sub -Center, Guangzhou Sub -Center. Lead the establishment of the Society of Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Digestion of Endoscopy, Early Early Cancer Expert Committee, the Guangdong Provincial Society of Traditional Chinese Medicine Society, the Guangdong Provincial Chinese and Western Medicine Society Gastroscopy Professionals Professional committees, Lingnan Traditional Chinese Medicine Digestive Endoscopy Medical Alliance and Lingnan (South China) Chinese and Western Medicine Integrated Cynefront Clear Screw -related Stomach Diseases Academic Alliance

Under the guidance of the three professors of the academic leader Yu Shaoyuan, Luo Yunjian and Huang Suiping, under the leadership of the subject leader, the director of the spleen and stomach disease and digestive endoscopic center, Zhang Haiyan, Director of the Department of Spleen and Stomach Diseases of Dade Road General Hospital Wang Jing, director of the Department of Spleen and Stomach Diseases, and Chen Yan, Director of the Department of Spleen and Stomach Diseases of Fangcun Hospital, and Liu Tianwen, Director of the Department of Spleen and Stomach Diseases of the University City Hospital, led the team. Traditional Chinese and Western medicine combined methods to prevent early cancer of digestive tract and inflammatory cancer, such as chronic atrophic gastritis, colorectal adenomas, inflammatory bowel diseases, bilerstroba diseases, etc., especially at 3E technology (ESD, ERCP, EUS) under digestive endoscopy (ESD, ERCP, EUS). Waiting for various surgical treatment and postoperative Chinese medicine to promote rehabilitation and achieve good clinical effects, they are welcomed by patients.

Supply: Yang Xinlong Zhang Jiahui, Department of spleen and stomach disease in Guangdong Province