Please enable JavaScript.
Coggle requires JavaScript to display documents.
Ulcer G/D continuare (Tratament (Medicamentos (Blocantii H2. (Ranitidină…
Ulcer G/D continuare
Tratament
igieno-dietetic
-
fumat interzis, aspirina,AINS,corticoizi
Medicamentos
-
inhib pompei de protoni
:!:
-
Esomeprazole (Nexium, Helides) 40 mg/zi
-
Omeprazol (Omeran, Omez) 40 mg/zi
Pantoprazole (Controloc, Nolpaza) 40 mg/zi
Rabeprazole (Pariet, Aciphex) 20 mg/zi
-
-
antiacide
reduc simpt.dureroase,neutrealizeaza ex de ac: Maalox,Dicarbocalm, 6-7prize/zi, la 1h si 3 h dupa masa
-
ANTI HELICO Pylori
tripla ter: IPP(2xdoze mari/zi)+Clariromicina 2x500mg /zi+amoxicilina 2x1 g/zi sau metronidazol 2x500 mg/zi
quadrupla terapie IPP2x/zi, Bismut 4x120mg/zi+metronidazol 4X250mg/zi+tetracilcina 4x!500 mg/zi
-
-
-
-
Chirurgical: ulcer refractar/complicat,indicat in caz perforat,penetrat. UG hemoragii cu risc vital,ce nu pot fi tratat enscopic, radiologie interventionala
Evolutie
-
favorabil, complicatii reduse
-
-
-
Diagnostic diferential
neoplasmul gastric,prin endoscopie,biopsie
-
-
-
Esofagita,Duodenita,dispepsie functionala dureroasa, colon iritabil
Complicatii
HDS cel mai frecvent 25%. -hematemeza,melena
-
Stenoza pilorica:paraclinic:anemie,hipoprotenemie, alcaloza met,hpotasemie,retentie azotata,Rx pe gol
-