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Dołączył: 13 Gru 2010
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 Wysłany: Pon 22:26, 21 Mar 2011 Temat postu: Pregnancies with bile reflux gastritis 35 cases _5 |
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Pregnancies with bile reflux gastritis 35 cases
. In addition , you can use the following drugs : ① The acid drugs, play a role in , and gastric acid , sucralfate protect the gastric mucosa with acid and the role ,[link widoczny dla zalogowanych], the more safe and effective , and H2 receptor antagonists can be excreted through the placenta and breast milk ,[link widoczny dla zalogowanych], It should be avoided , if necessary, use of ranitidine ; ② with gastric motility drug , as it can promote gastric emptying of bile and stomach contents , slowing of bile on gastric stimulation, but domperidone , cisapride Lee These two drugs in pregnancy application security is still a lack of experience ; ③ who tested positive for H. pylori anti- tuberculosis drugs are available , concurrent infection with antibiotics may be appropriate ; ④ necessary, appropriate application of analgesics . The medication should be used no damage to the fetus or the impact on small drugs. It is noteworthy that the clinical situation often encountered such patients with anti- cholinergic drugs,[link widoczny dla zalogowanych], such as 654-2 , atropine , the pain does not ease , and some actually worsened , mainly due to resistance to gall Alkali to the role of medicine is to relieve muscle spasm , and delayed gastric emptying ,[link widoczny dla zalogowanych], bile reflux on the run, and can not play the role of eliminating the cause , on the contrary , the bile accumulation and increased stimulation of the gastric mucosa ; If anticholinergic drugs and gastric motility drug combination , the drugs weakened gastric motility is still difficult to achieve as soon as possible the role of bile emptying , it can not for therapeutic purposes . Therefore, I believe , for the pregnancy or the simple combination of bile reflux bile reflux patients, anticholinergic drugs should be used with caution. The calcium channel blockers , antipsychotic drugs,[link widoczny dla zalogowanych], anesthetics , etc. , should also be avoided if possible.
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