Method for eradication of infection heliobacter pylory in stomach

FIELD: gastroenterology.

SUBSTANCE: eradication of infection Heliobacter pylory in stomach comprises oral administration of corresponding drugs in powdered form mixed with orange juice. In particular, mixture of colloidal bismuth subcitrate (De-nol), Nifuratel (Macmirror), and Amoxycyllin (Flemoxin solutab) are used. Administration is performed on an empty stomach at least 30-40 min before the food intake. Patient then lies at least 30 min on the both sides alternatively.

EFFECT: suppressed water-repellent property of near-wall layer of stomach mucus and slowed down evacuation of liquid from stomach thereby ensuring fast diffusion of therapeutical substances into infect persisting zone and, therefore, direct bactericidal effect on Heliobacter pylory.

4 cl

 

The invention relates to medicine, namely to gastroenterology and can be used for eradication of Helicobacter pylori infection in the stomach.

There is a method of eradication of Helicobacter pylori infection in the stomach by applying antibiotic therapy, accepted for similar [1].

Eradication lets not less than 80% of cases to achieve the destruction of H. pylori infection with a strict control over the regime of medication. However, in polyclinic conditions, as a rule, the percentage of eradication does not exceed 65%, at least 20 years of H. pylori era” did not create any specific drug, effectively acting on H. pylori directly in the zone of its existence, that is, in a wall surface mucus of the stomach. In clinical practice, there are only different combinations of less than ten drugs intended for the treatment of pneumonia, vaginal infections, etc. in Addition, most of these drugs are well absorbed in the small intestine, then create certain therapeutic concentrations in the tissues of the body, is highest in those authorities, for the treatment of diseases which these drugs were developed. Most antibiotics do not excretiruyutza in the stomach or appear in it at extremely low concentrations (0.1-1.0 mg/l), not affecting the livelihoods of infecta. A tablet form of H. pylori drug is in, taken on an empty stomach, can effectively influence H. pylori on the limited surface of the pyloric stomach, which is insufficient for complete eradication. Commonly prescribed by doctors for the relief of pain syndrome isolated receiving antisecretory drugs without protivoallergennyh drugs contributes to the transformation of the bacteria Helicobacter pylori in coccoid forms, more resistant to antibiotics. The use of antibiotics as monotherapy in the treatment of pneumonia and other infections contributes to polyvalent resistance in strains of H. pylori, if this infection is present in the stomach of the patient. At present in Russia for more than 15-20% of H. pylori strains resistant to clarithromycin and the stability of infecta to metronidazole has already reached 55,5%. Edinstvennim antibiotic that H. pylori resistance does not occur. is amoxicillin.

There is a method of eradication of Helicobacter pylori infection in the stomach, based on the use of tablet forms of drugs, mainly antibiotics, in various combinations. In accordance with Russian and international recommendations H. pylori therapy of patients with newly diagnosed H. pylori-associated acid pathology is carried out using two antibiotics in pill form in standard dose (CL is rythromycin + amoxicillin or clarithromycin + metronidazole) at the background of the drug inhibiting the secretion of hydrochloric acid by the stomach blockers H +/K+- At-phase (proton pump inhibitors or H2-histamine receptors of parietal cells. When an unsuccessful attempt eradication instead of the above-mentioned ternary diagrams, so-called “quadrature”, which include the same (clarithromycin, metronidazole) or previously unused (tetracycline) antibiotics and bismuth preparations (De-Nol). This method is adopted for the prototype [2].

As is known, the main habitat Helicobacfer pylori is the parietal layer of mucus of the stomach, which is a viscous, elastic, waterproof glycoprotein gel, which is the secret of surface epithelial cells (3]. The water resistance or water repellency luminale the surface of this layer is caused not only by a monolayer of surfactant formed from a variety of phospholipids, but also by the positive charge of the surface [4]. Water repellency of the surface mucous layer contribute to the slow diffusion layer of the dissolved particles, which significantly reduces the effectiveness of eradication therapy when using a tablet forms of drugs.

The aim of the present invention is to increase the effectiveness of eradication of H. pylori in the stomach with HP-associated acid diseases by providing drug interaction maximum is the horse of the mucous membrane of the stomach; the rapid diffusion of drugs in the layer of mucus in the area of persistence of infecta; direct bactericidal effect on Helicobacter pylori. This technology should lead to reliable destruction of infecta in the shortest possible time and with less material costs.

The technical result is achieved by the fact that medicines for eradication in powdered form, mixed with orange juice in a ratio of 1.0 g 90-100 ml and use this solution 2 times a day for half an hour before a meal, after 30-40 min after administration of antisecretory tools.

The powdered form of the drug promotes more rapid dissolution in orange juice. Orange juice contains citric acid, inhibits the evacuation of fluid from the stomach, thereby increasing the time of drug-drug interactions with the mucosal surface. In addition, the organic components of the juice, having a pronounced absorption capacity, are strongly linked with luminaries surface layer of mucus that neutralizes the charge and eliminating its hydrophobic properties, facilitate the diffusion of a solution of the drug into the layer depth in the area of persistence of infecta.

To test the reliability of the liquid technology eradication in the treatment of gastric ulcer or duodenal ulcer and chronic gastritis, we used four is componentry scheme, consisting of a blocker of H2-histamine receptors (famotidine 20-40 mg 2 times a day), two antibiotics (colloidal bismuth subcitrate 240 mg twice a day, nifuratel or furazolidone 200 mg twice a day) and one antibiotic, which is not produced resistance (amoxicillin 1000 mg twice a day). To enhance the effect of H. pylori funds and increasing the percentage of eradication can be used and 3-4 other component of the schema used in the hospital and giving during normal reception of tabloids maximum effect in the region (place of residence).

The method is implemented as follows.

Conduct standard clinical, laboratory examination and testing for the presence or absence of Helicobacter pylori infection in the stomach using rapid urease, cytological, histological, respiratory urease tests.

During diagnostic procedures not used any antibiotics and antisecretory drugs because they can cause bacillary-coccal transformation infect or to the appearance of the resistance. During this period, to reduce dyspepsia and relieving pain using only antacid.

When evidence of eradication of Helicobacter pylori infection in patients receiving antisecretory the x drugs (antagonists, proton pump or H2 histamine receptors of parietal cells) in the standard dosage prescribed 2 or 3 antimicrobial agents, which gives the best results in the region. On an empty stomach, morning and evening, for 40-60 minutes before a meal, the patient takes the pill antisecretory drug with a small amount of liquid. Then take a pill of H. pylori drugs in the required dosage, crushed to tankodesantniki powder, dissolved in 120-150 ml of orange juice in the ratio of 1.0 g of medicines at 90-100 ml of Prepared mix drink for 30 minutes before a meal. After taking a mixture of the patient takes a sleeping position, turning every 2-4 min from side to side. After 30 minutes the patient can eat. Eradication therapy lasts for one week. The control determination of H.pylori carried out in the same manner after 4 weeks after receiving H. pylori and antisecretory drugs.

Clinical testing of the proposed method of eradication (liquid technology) was conducted with a 7-day course of treatment in 100 patients with chronic gastritis and peptic ulcer disease, and 50 patients with similar 4-day course. Was used above quadruple regimen: famotidine, De-Nol, nifuratel or furazolidone, amoxicillin (Flemoxin Solutab). When both modes (4 or 7 days) was achieved 100% eradication of Helicobacter pylori infection, whereas when using the such schemes tablets eradication does not exceed 80-90%.

Follow-up monitoring during the year for a large group of patients showed no acute illness. The results confirm a significant increase in the efficiency of eradication when using liquid technology of reception of H. pylori funds, reduction of terms of treatment and reduce financial costs.

Sources of information

1. Zakharova NV // Consilium medicum. Gastroenterology, Annex No. 2 of 2004.-c.7-10.

2. Ivashkin V.T., Isakov V.A. // Russian J.-L. gastroenterology, Hepatology. of Coloproctology. -2001, №3.-p.1-11.

3. Krivova N.A., Dambai GC, Hitehead VE Adamically mucosal layer of the gastrointestinal tract and its functional significance. Tomsk, 2002, 315 str. Hills VA, L.M. Lichtenberger // Amer. J. PhisioL-1985.-V.248, No.6, Pt.1.-P.643-647.

1. The method of eradication of Helicobacter pylori infection in the stomach, including the introduction of medicines, characterized in that the medicinal product is used in powder form, mixed with orange juice.

2. The method according to claim 1, characterized in that the reception of a mixture of medicines with orange juice exercise on an empty stomach at least 30-40 minutes before a meal.

3. The method according to claim 1, characterized in that after each use, mix the medicine with orange juice the patient lies 30 minutes, turning from side to side.

4. The method of eradication according to claims 1 to 3, trichosis fact, that mixed with orange juice using colloidal bismuth subcitrate (De-Nol), nifuratel (Macmiror) and amoxicillin (Flemoxin Solutab).



 

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