火凤凰棋牌

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            胃食道逆流怎么办 质子泵抑制剂风险高

            时间:2014-10-28 17:07:33 编辑: 5569

            SHENMESHIWEISHIDAONILIUNI?JIANERYANZHIBIANSHIYINWEIRENTIWEIZHONGDEYALIGUOGAO,YOUXIASHIDAOKUOYUEJIGUANBIBUJIN,ZHEIYANGSHIDEWEIZHONGWEIXIAOHUADESHIWUHUINIXIANGJINRUSHIDAOZHIZHONG,SHENZHIQINGKUANGYANZHONGDEHUIDAODAHOUBUJIHUXIQIGUAN,YEJIUHUIDUIYUZHEIXIEQIGUANZAOCHENGSHANGHAIYIJICIJI。

            胃食道逆流怎么办

            QIZHENGZHUANGCONGOUERGANJUEFUBUMENZHANG、DAGE、FANWEI、HOULONGYOUYIWUGAN、KESOU,DAOYANZHONGDESUANZHUOSHANG。DADUOSHUBINGRENJIEYOUSHENGHUOGAIBIANLAIJIANDIWEIBUYALI、JIANSHAONILIU,JIUKEYIYOUXIAOZIWOGUANKONGBINGQING。DANSHIRUONILIUPINFANHUOYOUYANZHONGDEBINGZHENG,JIUXUYAOJIUYI、YONGYAO。BUXINGDESHI,XUDUOBINGRENJIUYIHOUBUGAIBIANSHENGHUO,QUEZHANGQIYILAIFUYONGQIANGXIAOZHIZIBENGYIZHIJI,LAIYIZHIWEISUANFENMI,SUINENGJIANSHAOZHENGZHUANGQUEFEIZHIBEN,HUIYANGCHENGYILAIXING,ERQIEKENENGDAILAIYANZHONGFUZUOYONG。

            胃食道逆流怎么办 质子泵抑制剂风险高

            胃食道逆流症的症状原因和长期并发症

            火凤凰棋牌WEISHIDAONILIU (Gastroesophageal Reflux Disease,GERD) DEZHUYAOZHENGZHUANGDEQIYIN,SHIYINWEISUANXINGDEWEIZHONGWU,CONGWEIBUNILIUHUIDAOSHIDAO、HOUBUERCHANSHENGSHANGHAI。

            火凤凰棋牌TONGCHANG,DANGWOMENTUNYANSHI,XIASHIDAOKUOYUEJI (BIMEN) HUIFANGSONG,RANGSHIWUHEYETICONGSHIDAOLIURUWEIZHONG,RANHOUHUIZAIDUGUANBI。DANDANGXIASHIDAOKUOYUEJISONGCHI、YICHANG、HUOSHUAIRUO,QIEWEIZHONGCHONGMANYALISHI,WEISUANJIUHUISUIZHEQITIJIWEIXIAOHUAWANDESHIWUNILIUHUISHIDAO、HOUBU,ZAOCHENGSHIDAO、HOULONG、SHENGDAI、QIGUANDESUNSHANG。

            火凤凰棋牌WEISHIDAONILIUCHANGJIANYUGENIANLINGCENG,ZHENGZHUANGCONGZAOCHENGOUERGANJUEFUBUMENZHANG、DAGE、FANWEI,HUOHOULONGYOUYIWUGAN、KESOU,DAOZAOCHENGYANZHONGDESUANZHUOSHANG。CHENGNIANRENDEDIANXINGZHENGZHUANGSHIGAOPINLVDEHUOSHAOXINGAN,ZAIXIONGGUHOUFANG、XIONGBUZHONGYANGDEXIABANBUJIFUBUZHONGYANGHUIYOUZHUOSHAOBANDETENGTONGGAN。ERDABUFEN 12 SUIYIXIADEHAITONGJIYOUXIECHENGRENLIHUANWEISHIDAONILIUZHENGZHE,BINGBUYIDINGYOUHUOSHAOXINZHENGZHUANG,ERSHIYOUQIANKE、QICHUAN、GAOPINLVDEDAGE、HOULONGYOUYIWUGAN、JITUNYANKUNNANDENGZHENGZHUANG。

            火凤凰棋牌YIGEXINGQIFASHENGWEISHIDAONILIULIANGCIYISHANGZHE,JIKEBEIRENWEISHIWEISHIDAONILIUZHENG。DADUOSHURENKEYIJIEYOUSHENGHUOGAIBIANHESHIYONGFEICHUFANGYAOLAIZIWOGUANLI。RANER,PINFANNILIUKENENGYINQIGENGYANZHONGDEBINGZHENG、JIBINGFAZHENG,CISHIJIUXUYAOJIUYI。

            RONGYICHUXIANDEZHANGQIYANZHONGBINGFAZHENGYOU:SHIDAOKUIYANG、SHIDAOXIAZHAI、TUNYANKUNNAN、XIRUXINGFEIYAN、QICHUAN、ZHIQIGUANKUOZHANG、BEIRUITESHISHIDAOZHENG(Barrett's esophagus)、HUOSHIDAOXIANAI。

            火凤凰棋牌ZHILIAOWEISHIDAONILIUZHENG:GAIBIANSHENGHUOXIGUAN、YAOWUZHILIAO、SHOUSHU

            改变生活习惯:饮食习惯不对、久坐不动、生活紧张,是引起现代人胃食道逆流发生的叁大主因。改变生活习惯,就可以缓解大多数人的症状。
            药物治疗: 症状轻、间歇发作的患者,可以自行到药局购买胃酸中和剂和黏膜保护剂来缓解症状。就医时,医师可能加上使用促胃肠蠕动药、H2受体拮抗剂,来帮助缓解症状。若改变生活习惯及以上药物都无法管理症状、或消化道溃伤已经严重,医师就可能需要使用强力抑酸的质子泵抑制剂。
            手术:只有极少数患者藉强力药物仍不足以控制病情,最终需要藉手术来重建下食道括约肌,让其具更有效的收缩功能,包括横膈膜裂孔疝气的修补及贲门的重建。

            胃食道逆流怎么办 质子泵抑制剂风险高

            药物治疗的种类和用途

            CHANGYONGYAOWUYOU:

            1.WEISUANZHONGHEJI,SHIJUYOURUOJIANXINGDEYANLEI,KEYIZANSHIZHONGHEWEISUAN,SHIYONGYUZHENGZHUANGQING、JIANXIEFAZUODEHUANZHELINSHIHUANJIEZHENGZHUANGYONG,QIYOUXIAOSHIJIANZHIYOU 1-2 XIAOSHI。MIANCHUFANG,KEZAIYAOJUZIXINGGOUMAI。

            火凤凰棋牌2.NIANMOBAOHUJI,NENGZAIXIAOHUADAONIANMOSHANGGOUCHENGBAOHUCENGBAOHU,KEYIJIANQINGSHIDAONIANMOSHOUDAOWEISUANDESHANGHAI。MIANCHUFANG,KEZAIYAOJUZIXINGGOUMAI。YOUXIESHISHOUWEISUANZHONGHEJIZHONG,YOUJIARUNIANMOBAOHUJI。

            3.CUWEICHANGRUDONGYAO,ZHEILEIYAOWUKENENGGAISHANSHIGUANRUDONGGONGNENG、CUJINWEICHANGPAIKONG,CONGERDADAOJIANSHAOWEINEIRONGWUSHIGUANFANLIUJIJIANSHAOQIZAISHIGUANDEBAOLUSHIJIAN。ZHEILEIYAOWULIAOXIAOYOUXIAN,ZHISHIYONGYUQINGZHENGHUANZHE,HUOZUOWEIYUWEISUANFENMIYIZHIJIHEYONGDEFUZHUZHILIAOYAO。

            4.WEISUANFENMIYIZHIJI,ZHUYAOYOUH2SHOUTIJIEKANGJI、ZHIZIBENGYIZHIJILIANGLEI:

            H2SHOUTIJIEKANGJI(H2 receptor antagonist,H2RA),ZHEILEIYAOWUNENGJIANSHAO 24 XIAOSHIWEISUANFENMI 50%~70%,YAOXIAOCHIXUSHIJIANWEI 6-10 XIAOSHI,DANBUNENGYOUXIAOYIZHIJINSHICIJIYINQIDEWEISUANFENMI,YINCISHIYONGYUQING、ZHONGZHENGHUANZHE。ZHANGQISHIYONGHUICHANSHENGNAISHOUXING,YIBANBUSHIHEZUOWEIZHANGQIWEICHIZHILIAODEYAOWU 。

            ZHIZIBENGYIZHIJI(proton pump inhibitor,PPI),ZHEILEIYAOWUYISUANZUOYONGQIANG,DUIWEISUANFENMIDEZUOYONG,NENGJIANSHAO 24 XIAOSHIWEISUANFENMICHAOGUO 90% YISHANG,DANJILIANGYAOXIAOTONGCHANGCHIXUZHANGDASANTIAN。TEBIESHIYONGYUZHENGZHUANGZHONG、YOUYANZHONGSHIGUANYANDEHUANZHE。DUIYUMILANXINGSHIGUANYANDECUJINYUHE,BI H2-SHOUTIJIEKANGJIGENGHAO。

            火凤凰棋牌ZHIZIBENGYIZHIJI:NENGYOUXIAOJIANSHAOZHENGZHUANG,DANBUZHIGEN、QIEYICHANSHENGYILAIXINGHEFUZUOYONG

            火凤凰棋牌WEISHIDAONILIUZHENGHENGXING,XUDUOBINGHUANYILAIZHIZIBENGYIZHIJIYIZHIWEISUANFENMI,WANGLEWEISHIYINGJUYOUSUANWEIDE

            火凤凰棋牌MUQIANGAODA 40% MEIGUORENYOUWEISHIDAONILIUZHENG。SUIZHEWEISHIDAONILIUZHENGHENGXING,XUDUOBINGRENYILAIYUZHIZIBENGYIZHIJIYIZHIWEISUANFENMI,YIJIANSHAOZHENGZHUANG。ZHEIYILEIYAOWUSHIZAIMEIGUOXIAOLIANGSHIDISANGAO,ZHIPAIZAIKANGJINGSHENBINGYAOHETATINGLEIYAOWUZHIHOU。ZAI 2010 NIANYOU1YIDUOZHANGCHUFANGJI 139 YIMEIYUANDEXIAOSHOUE。

            ZHANGQISHIYONGZHIZIBENGYIZHIJI,HULVELEYIGESHISHI:RENLEISHIBEISHEJIWEIZAIWOMENDEWEIXUYAOJUYOUSUANWEI。WOMENXUYAOWEISUANLAIFENJIESHIWU、BANGZHUXISHOUYINGYANG、YIJISHIDANNANGHEYIXIANDEZHENGCHANGYUNZUO。ZHANGQISHIYONGZHIZIBENGYIZHIJIHUIDAOZHIMEIYOUWEISUANLAISHASIXIJUNHEQITAWEISHENGWU,SHIRENMENGENGRONGYIXIJUNDEGANRAN;YEHUIGAIBIANCHANGDAOSHENGTAI,SHIYIXIEHUAIJUNDEBUDAOKONGZHIERGUODUSHENGZHANG。

            [b]ZHIZIBENGYIZHIJIZHIKONGZHIZHENGZHUANG,BUQUCHUBINGYUAN,YOURONGYIZISHENGYONGYAOYILAIXING、NANDUANYAO[/b]

            ZHIZIBENGYIZHIJIZAIKONGZHIZHENGZHUANGFANGMIANSHIZAITAIYOUXIAOLE,SHIRENMENHUIBIDIAOBIYAODESHENGHUOFANGSHIDEGAIBIAN。DANGBINGRENSHIYONGZHIZIBENGYIZHIJI,TAMENBINGMEIYOUZAIQUCHUWEISHIDAONILIUZHENGDEGENYUAN (JI:WEILIDEYALIGAO、YOUXIASHIDAOKUOYUEJIGUANBIBUJIN,SHIDEWEIZHONGWUWANGSHIDAONILIU),TAMENZHISHIRANGWEIZHONGMEIYOUSUAN、RANGZHENGZHUANGBUCHUXIAN。

            火凤凰棋牌ZHIZIBENGYIZHIJIBINGBUHUIZUZHIWEIXIBAOSHENGCHANWEISUAN,ZHISHIHUIZUDUANWEIXIBAOFENMIWEISUAN。YOUYUSHENTIFAXIANWEIZHONGQUESUAN,BIANQIDONGBUCHANGJIZHI,CUSHIWEIXIBAOJIASUSHENGZHANGCHANSUAN,SUOYIYIDANTINGYAO,DUANQINEIHUIYOUGENGDUOCHUCUNDEWEISUANTURANBEIFENMICHU,JIAZHONGBINGQING,YIZHIYUHUANZHEWANGWANGBUGANDUANYAO,SHIYONGQIYUANYUANZHANGYUGAIYAOSUOJIANYIDE 8〜12 ZHOU,YIDANFUYONGJIUCHENGWEIYIBEIZIDEYILAI。

            火凤凰棋牌ZHANGQISHIYONGZHIZIBENGYIZHIJIDEWEIXIAN:MEIGUO FDA YIDUOCIFACHUJINGGAO

            JINNIANLAI,MEIGUOSHIPINHEYAOWUGUANLIJU (FDA) YIZHENDUIZHANGQISHIYONGZHIZIBENGYIZHIJIFACHUDUOCIJINGGAO:

            1.ZHANGQIWEILIQUESUAN,HUIJIANSHAOZHONGYAOYINGYANGWU、KUANGWUZHI (BAOKUOMEI,GAI) HEWEISHENGSU B12 DEXISHOU。ZHANGQIFUYONGZHIZIBENGYIZHIJIHUIZENGJIAGUZHE、PINXUE、LAONIANCHIDAIZHENGDEJILV。

            火凤凰棋牌2.ZHANGQIWEILIQUESUAN,HUIZENGJIAGANRANJIANNANSUOZHUANGYABAOGANJUNDEWEIXIAN,YOUQISHIZAILAONIANHUANZHE。ZUIJINYOUYIPIANLUNWEN,ZHUANJIAJIANYISHUO,”LAONIANRENSHIYONGZHIZIBENGYIZHIJI,ZHINENGYONGZAIZUIDUANDESHIJIANNEI。”

            火凤凰棋牌3.BINGQIE F.DA. JINGGAOSHUO,YOUXIEZHIZIBENGYIZHIJIYUKANGNINGXUEYAO clopidogrel (Plavix) ZAIYIQIFUYONG,HUIJIANRUO clopidogrel DUIXINZANGDEBINGRENDEBAOHUZUOYONG。

            XUDUOYISHIAIYONGZHIZIBENGYIZHIJILAIZHILIAOWEISHIDAONILIU,DADUOSHUYISHENGRENWEIXIANKAOGAIBIANSHENGHUOFANGSHI

            DANSHI,YOUXUDUOWEICHANGBINGZHUANJIABINGBUBA F.DA. JINGGAODANGYIHUISHI。YOUYIGEMEIGUOYANJIUBAOGAOSHUO,ZHIYOUSANFENZHIYIDEZHILIAOWEISHIDAONILIUDEYISHICHUFANG,SHIHELIDIZAISHIYONGZHIZIBENGYIZHIJI。ZHEIXIEYISHIRIRENWEIZHANGQIFUYONGZHIZIBENGYIZHIJIRENGSHILIDAYUBI,KEYUFANGWEISHIDAONILIUDEYANZHONGBINGFAZHENG,RUSHIDAOKUIYANG、XIAOHUADAOXIAZHAI、HESHIDAOAI。RANER,GUANGFANDESHIYONGZHIZIBENGYIZHIJILAIZHILIAOWEISHIDAONILIU,BINGMEIYOUJIANSHAOSHIDAOAIDEFABINGLV,YUWEISHIDAONILIUXIANGGUANDESHIDAOXIANAI,ZI 1970 NIANYILAIFANERZENGJIALE 350%。

            火凤凰棋牌ERSHISHISHANGDADUOSHUYISHENGTONGYI,WEISHIDAONILIUDESHENGXINGDEZHUYINSHIBULIANGSHENGHUOXIXING (LIRUFEIPANG、YINSHIBUDANG、JIUZUOBUDONG),ERQIEGAIBIANSHENGHUOFANGSHIJIUKEYIGAISHANBINGQING:RUGUO 100 GEWEISHIDAONILIUBINGHUANYANGEZUNXUNDESHENGHUOFANGSHIDEJIANYI,YOU 90 GEGENBENBUXUYAORENHEYAOWUZHILIAO。

            胃食道逆流怎么办 质子泵抑制剂风险高

            要减少胃食道逆流该如何改变生活习惯

            WEISHIDAONILIUHUIFASHENG,SHIYINWEIWEILIDEYALIGAO,YOUXIASHIDAOKUOYUEJIGUANBIBUJIN,SHIDEWEIZHONGWUPAODAOSHIDAO。YAORANGSHIDAOKUOYUEJIBIANJINBINGBURONGYI,DANSHIHAODESHENGHUOXIGUAN,QUESHINENGRANGWOMENYUANLIWEIZHANGQI。WEIZHANGQIKENENGSHIMUQIANWEISHIDAONILIUZHENGSHENGXINGDEZHUYIN,DABUFENDEWEIZHANGQISHIYINWEIYINSHIXIGUANBUDUI、SHENGHUOJINZHANG、YOUJIUZUOBUDONG,YINQICHANGWEIRUDONGBUJIA,QITIWUFAPAICHUTIWAI。

            火凤凰棋牌BIMIANWEIZHANGQI、JIANSHAOWEISHIDAONILIUDESHENGHUOHAOXIGUANYOU:

            1. GAIBIANYINSHIXIGUAN:

            MEICANZUIDUOCHIQI、BAFENBAO;SHAOLIANGDUOCAN,YITIANCHISIZHILIUXIAOCAN,LAIQUDAISANCAN;YANGCHENGXIJIAOMANYANDEXIGUAN,BUYAOCHITAIKUAI,JIANGYONGCANSHIJIANLAZHANG。

            BIKAIYIZHANGQIDETEDINGSHIWU,RUNAIZHIPINJINUOMI;DUOCHIXINXIANSHUGUO,SHAOCHIJIAGONGPIN、YOUNIPIN、JIU、KAFEI、QIPAOSHIYINLIAO。

            YONGCANSHIJINLIANGSHAOHETANGSHUI (YOUQISHINONGTANG),HUIXISHIWEISUANBINGRANGWEIFENMIGENGDUOWEISUAN,FANHOUYIXIAOSHIZAIHESHUI。

            火凤凰棋牌WANCANZUIHAOJIANGE 2-3 XIAOSHIHOUZAISHANGCHUANGJIUQIN,BIMIANYEJIANCHILINGSHI。

            胃食道逆流怎么办 质子泵抑制剂风险高

            火凤凰棋牌2. DUOHUODONG,YIZENGJIACHANGWEIRUDONG:

            火凤凰棋牌BIMIANCHIDONGXIHOUWANYAOJIJILIEYUNDONG,CHIWANDONGXIBUYAOLIKETANGPING,CHIBAOBUYAOLIKEPAZAIZHUOQIANSHUI。

            PEIYANGGUDINGDEMEICANHOUDUOZOUDONGDEXIGUAN,NENGZENGJIACHANGWEIRUDONG,JIANGQITIPAICHU,JIAOBUYIZHANGQI。ANMOWEIFU,YEHUIYOUZHUYUCHANGWEIRUDONG、PAIQI、JIECHUWEIBUMENZHANGGAN。

            3. SHUJIEYALI、JIANGDISHENTIFAYANZHISHU:

            SHUJIEYALI:JINZHANG、SHIMIANKENENGDAOZHIZILVSHENJINGSHIDIAO、CHANGWEIRUDONGBUJIA、WEIBUZHANGQI。MEIGUO911 SHIJIANHOU,QINGLISHIMAOZHONGXINXIANCHANGDERENYUANZAISHIJIANFASHENG 4-5 NIANZHIHOU,YINWEICHUANGSHANGHOUYALIZHENGHOUQUN,QIWEISHIDAONILIULIHUANLVXIANZHEGAOYUYIBANREN。

            火凤凰棋牌JIANGDISHENTIFAYANZHISHU:SHENTIFAYANZHISHUGAO,HUISHIWEISUANNILIUSHIDENIANMOCHUANGSHANGDEEHUA。SHENGHUOYALIYINQIDEJINZHANGJIAOLV、QUEFAYUNDONGHESHUIMIANHUIZENGJIASHENTIFAYANZHISHU;ERJIEYAN、DUOCHIXINXIANSHUGUO、BIMIANJIANJIYOUZHA,ZEHUIJIANGDISHENTIFAYANZHISHU。

            4. QITAJIANSHAOWEISHIDAONILIUDEFANGFA:

            PINGTANGSHUIJIAORONGYIYOUWEISHIDAONILIU,SHUISHIKEJIANGTOUHEJIANBANGTAIGAO 15-20 GONGFEN。YEYOUYANJIURENWEIZUOCETANGJIAOBUHUIWEISHIDAONILIU

            JIANFEI、CHUANKUANSONGDEYIWU,DOUKEYIJIANSHAOWAILIYAPOWEIBU、JIANGDIWEILIDEYALI

            JIEYU:HELIDEZHILIAOYUANZE。QUESHI,GAIBIANSHENGHUOXIGUAN,KEYIGAISHANDADUOSHURENDEWEISHIDAONILIUZHENGZHUANG,BIKAIYAOWUZHILIAO。ZAISHANGSHUGAIBIANSHENGHUOXIGUANDELIEXIANGZHONG,CHIBAFENBAO、CANHOUZOULU,KENENGSHIZUIZHONGYAODELIANGXIANG,JIRONGYIZUODAO,YOUNENGYOUXIAOJIANSHAOWEIZHANGQI。ZHENGNIANDICHI、ZHENGNIANDIZOU,YENENGBANGZHUSHUJIEYALI。

            RUGUONIYIJINGZAIZHANGQISHIYONGZHIZIBENGYIZHIJI,XIANGYAOBAITUOTA,GAIZENMEBAN?YIDINGYAOZAIYISHITONGYI、ZHIDAOXIAJINXINGZHUJIANJIANYAO,BUNENGZIXINGTURANTINGYAO

            JIANYAOZHIQIAN,XIANQUEDINGNIYIJINGGAIBIANSHENGHUOXIGUAN,WEIZHANGQIYIJINGKONGZHILE。JIANYAO、TINGYAOQIJIAN,YISHIKENENGXIANGAIWEISHIYONGZHISUANYAOXIAOJIAORUO、JIAODUAN、QIEJIAOYITINGYAODEH2SHOUTIJIEKANGJI。DENGGUODUQIJIANYIQIESHUNLI,ZAITINGYONG H2SHOUTIJIEKANGJI。ZHIHOU,DUIFUOUERDEQINGWEIBUSHI,KEYIZIXINGYONGWEISUANZHONGHEJIHENIANMOBAOHUJILAIHUANJIEZHENGZHUANG。

            5H跟帖

            WANGYOUPINGLUNJINGONGQIBIAODAGERENKANFA,BINGBUBIAOMING5hLICHANG。

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