Д.Болор: Хеликобактери тогтмол усанд өсч үрждэг

4-р сарын 13, 2017 10:12 am Нийтлэгч: Ангилал Зочин , Нийгэм , Эрүүл мэнд , Ярилцах цаг Уншсан: 76
4-13-8х

Р.ОЮУН

ХСҮТийн дурангийн эмч Д.Болортой ярилцлаа.

Хеликобактери гэж юу юм бэ. Юунаас болж үүсдэг юм бол гэдгээс яриагаа эхэлье?

-1982 онд Австралийн хоёр эрдэмтэн ходоодны хучуур эсийн гадаргуу дээр байрласан мушгиа хэлбэрийн эмгэг төрөгчийг анх олж нээсэн нь анагаахын шинжлэх ухаанд хувьсал болсон. Мөн 2005 онд ходоод, дээд гэдэсний шархлаа, ходоодны хорт хавдар хеликобактерийн нянгийн нөлөөллийг нээсэн амжилтаараа физиологийн анагаах ухааны салбарт Нобелийн шагнал хүртсэн. Хеликобактери нь ходоод, дээд гэдэсний салстыг гэмтээх чадвартай болохыг нотолсон бөгөөд нянгийн халдвараас ходоодны архаг үрэвсэл, ходоод, дээд гэдэсний шархлаа, ходоодны хорт хавдар зэрэг эмгэг үүсгэдгийг тогтоогоод байна. Энэ нян нь 2.5-5 мкм урт, 0.5-1 мкм тойрогтой, эрчлээс хэлбэртэй. Нэг талдаа гурван мкм урттай, 4-6 шилбүүртэй, шилбүүрийн гадаргуу нь бүрхэж тогтсон уураглаг эд, төгсгөл хэсэгтээ тахиралдсан цагираг хэлбэртэй болж өргөсдөг ба шилбүүрээрээ ходоодны шүүрэл багатай хэсэг рүү шилжихээс гадна салст бүрхэвчид нэвтэрч эмгэг төрөгчүүдийг үүсгэдэг.

Энэ талаар манайд хийсэн судалгаа бий юү?

Манай улсад хийсэн судалгаагаар насанд хүрэгчдийн 69, эрүүл өсвөр насны хүүхдүүдийн 64, ходоод, дээд гэдэсний замын эмгэгтэй хүүхдүүдийн 65-100, ходоодны шархлаат өвчтэй эмчлүүлэгсдийн 67.7 хувьд хеликобактерийн нянгийн халдвар илэрсэн. Японы эрдэмтдийн хийсэн судалгаагаар бага насандаа халдвар авсан байдаг. Хүүхдэд байгаа хеликобактери нь ээжээс нь авсан хеликобактерийн шинжилгээтэй ижилхэн байсан. Тэгэхээр ихэвчлэн бага насандаа энэ халдварыг авсан байдаг. Хеликобактери эхлээд салстыг гэмтээгээд олон төрлийн эмгэг үүсгэдэг. Эдгээрийг эмчлүүлэхгүй явбал шалбархай, шарх гээд цаашлаад хавдар болдог. Гэхдээ шарх болгон хавдар болохгүй.

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Бага насны хүүхдүүд халдвартай гэхээр ахуйн замаар халдаж байна уу?

Хеликобактерийн халдвар ахуйн замаар их дамждаг. Амнаас аманд буюу бага насны хүүхдэдээ хоол өгөхдөө эцэг эхчүүд амандаа зажилж, буталж өгдөг. Хоёрдугаарт, өтгөнөөр бохирдсон гар, гурав дахь нь эмнэлгийн багаж, тоног төхөөрөмжийг дутуу цэвэрлэж, ариутгасантай холбоотойгоор үүсдэг. Ер нь хеликобактерийн нян тэсвэржилттэй, усанд ч тэсвэртэй байдаг. Ялангуяа, тогтмол усанд өсч үрждэг нян юм. Нянгийн халдварын тархалт газар зүйн байрлал, нас, арьс өнгө, нийгэм, эдийн засгийн байдалтай холбоотой харилцан адилгүй байдаг. Дэлхий дээр хоёр хүн тутмын нэг нь энэ нянгаар халдварлагдсан бөгөөд хөгжингүй орны хүн амын 30, хөгжиж буй орны хүн амын 80-90 хувь нь нян тээж байна.

Манайхан хеликобактерийг тоолуулна гэдэг. Заавал тоолуулах ёстой юу?

Тоолуулна. Хеликобактерийг шууд болон шууд бус аргаар үздэг. Шууд арга нь дурандах явцдаа эмгэг өвчлөлийг харна гэсэн үг. Харин шууд бус арга нь бактерийн эсрэг бие илрүүлэх цусны шинжилгээ өгнө. Гэхдээ саяхан халдварлагдсан эсвэл эмчилгээ дөнгөж дууссан бол шинжилгээгээр илрэхгүй байж болзошгүй. Тиймээс уян дуран залгиж, ходоодноос сорьц авч микроскопоор харж бактери байгаа үгүйг үздэг. Мөн амьсгалын тест гэж бий. Тусгай шингэн уулгаж шинжлэх ба шингэн уулгахаас өмнө болон шингэн уусны дараа амьгалаар гарч байгаа агаарын найрлагыг харьцуулдаг. Хэрэв хеликобактери байгаа бол агаарын найрлага өөрчлөгддөг. Мөн өтгөний шинжилгээ нь хеликобактерийг илрүүлэх хамгийн найдвартай арга юм. Дахин халдварлахаас зайлсхийхийн тулд гэр бүлийн гишүүн бүрт шинжилгээ хийлгэх хэрэгтэй. Цус өгөх болон үлээлт өгөхөд хэцүү бага насны хүүхэд болон томчуудад тохиромжтой.

Хеликобактеритай болсноо яаж мэдэх боломжтой вэ. Ямар шинж тэмдэг илэрдэг юм бэ?

Хеликобактери авсан эхний үед зовиур илэрдэггүй. Харин хожуу үедээ жин буурах, хэвлий орчмоор өвдөх, цээж гашуу оргих, хоолны дуршил буурах, дотор муухай оргих, бөөлжих, ходоод орчимд хүндрэх, амнаас эвгүй үнэр гардаг. Ийм шинж тэмдэг илрэхгүй ч байж болно. Тэгэхээр амнаас эвгүй үнэр үнэртвэл сэжиглэж болно.

Бага үед нь эмчлүүлэхэд бүрэн эмчлэгдэх боломжтой юу. Үүнээс хэрхэн урьдчилан сэргийлэх вэ?

Хеликобактери нь ходоодны гарах хэсэгт ихэвчлэн байрладаг. Ходоодны гарах хэсгийн хавдруудыг ерөнхийдөө үүнтэй холбож тайлбарладаг. Энэ талаар хийсэн олон судалгаа бий. Тиймээс жил бүр урьдчилан сэргийлэх үзлэгт хамрагдаж хелилкобактерийн шинжилгээг тогтмол өгөөд хэрэв нян илэрвэл эмийн эмчилгээг сайн хийх ёстой. Хеликобактерийн халдварыг эмчлэх эм олон төрөл байдаг. Гол нь нянг үхүүлэх антибиотикийг түүний үйлдлийг дэмжих бусад эмтэй хавсруулан хэрэглэнэ. Эмч таны онцлогт тохируулан эмийг сонгодог тул дур мэдэн эм хэрэглэхээс татгалзаж мэргэжлийн эмчид хандахыг зөвлөж байна. Энэ нян ахуйн замаар эргээд халддаг учраас сойзоо байнга солих, аяга тавгаа тусгаарлах, гадуур хоол идэхгүй байх, хэрэв идэхээр бол нэг удаагийн аяга, халбага хэрэглээрэй.

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Нийт: 66 Сэтгэгдэл

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Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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Carey – Owen about injury of varese, said it happened out how knight players want to play games.”I was about to enter a 5 on 5 game, but after three seconds, varese is injured
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NBA players in addition to playing badly, and also an art cells, for two consecutive years in the NBA finals two teams join forces with the warriors and knight, but only two dancers, two teams played neck and neck, dancing is close, take a look at
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Yesterday, the wall on the right side 45 live a miserable life in the three points must win.The shooting location is Owen puts up the location of the many times.Today was asked Owen saw wall dead there is what feeling
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Recently, the Fansided to knight main rotation player in the first two rounds of the playoffs, the performance of the Owen only C +, love there is only a B.
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Knight finally written pledge to fulfill a military order!Owen Jefferson suspected the contradiction, huang zhan anger: don’t win playoff team and the team retired showdown between the more and more intense, will the rockets in just eliminated the spurs tomorrow will come and warriors in the first fight
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Because Michael Owen at the side of huang zhan, so his nickname called small report.The earliest Owen left the impression of the world, is probably the flashy passing movements and dazzling breakthroughs, remember in the rookie challenge, he drew down two slipped past knight
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With three points to beat John wall, the day before yesterday the wizards will competition into the tiebreak wars, 8:00 tomorrow the wizards will be tie-break at Celtic and rival.
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According to The Fear of The Sword, The knight’s point guard deron Williams is a fan of MMA (mixed), compared to The basketball game, deron prefer to watch The ultimate fighting championship.Deron Williams recently said in an interview, he retired from the NBA
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Because Michael Owen at the side of huang zhan, so his nickname called small report.The earliest Owen left the impression of the world, is probably the flashy passing movements and dazzling breakthroughs, remember in the rookie challenge, he drew down two slipped past knight
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Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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Obviously, the right to occupy a team-high 21.6 shots of Michael Owen, but failed to hit as James scores, this let a person feel, Owen has become a “cancer” of the knight.But many fans also feel,
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Carey – Owen about injury of varese, said it happened out how knight players want to play games.”I was about to enter a 5 on 5 game, but after three seconds, varese is injured
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The noises and stressful the playoffs.”We are eager to match.”Owen said.Knight should first game will be on Thursday in east, and before them
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Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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Knight finally written pledge to fulfill a military order!Owen Jefferson suspected the contradiction, huang zhan anger: don’t win playoff team and the team retired showdown between the more and more intense, will the rockets in just eliminated the spurs tomorrow will come and warriors in the first fight
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Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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For Jordan and gregg popovich comments James never hit back, but just yesterday in the knight’s basketball stadium set aside a James training video, far look like illusions emerged both Owen, a carefully look just know is James
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The noises and stressful the playoffs.”We are eager to match.”Owen said.Knight should first game will be on Thursday in east, and before them
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Draft of the same year on the bottom rookie will be what?In general the draft should be able to blow the other party, who would have thought them took Owen on the 60th pick small Thomas in the same year, he turned out to be in the position of the challenger?
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Because Michael Owen at the side of huang zhan, so his nickname called small report.The earliest Owen left the impression of the world, is probably the flashy passing movements and dazzling breakthroughs, remember in the rookie challenge, he drew down two slipped past knight
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Obviously, the right to occupy a team-high 21.6 shots of Michael Owen, but failed to hit as James scores, this let a person feel, Owen has become a “cancer” of the knight.But many fans also feel,
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Knight finally written pledge to fulfill a military order!Owen Jefferson suspected the contradiction, huang zhan anger: don’t win playoff team and the team retired showdown between the more and more intense, will the rockets in just eliminated the spurs tomorrow will come and warriors in the first fight
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Because Michael Owen at the side of huang zhan, so his nickname called small report.The earliest Owen left the impression of the world, is probably the flashy passing movements and dazzling breakthroughs, remember in the rookie challenge, he drew down two slipped past knight
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For Jordan and gregg popovich comments James never hit back, but just yesterday in the knight’s basketball stadium set aside a James training video, far look like illusions emerged both Owen, a carefully look just know is James
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Obviously, the right to occupy a team-high 21.6 shots of Michael Owen, but failed to hit as James scores, this let a person feel, Owen has become a “cancer” of the knight.But many fans also feel,
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Carey – Owen about injury of varese, said it happened out how knight players want to play games.”I was about to enter a 5 on 5 game, but after three seconds, varese is injured
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Recently, the Fansided to knight main rotation player in the first two rounds of the playoffs, the performance of the Owen only C +, love there is only a B.
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NBA players in addition to playing badly, and also an art cells, for two consecutive years in the NBA finals two teams join forces with the warriors and knight, but only two dancers, two teams played neck and neck, dancing is close, take a look at
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NBA players in addition to playing badly, and also an art cells, for two consecutive years in the NBA finals two teams join forces with the warriors and knight, but only two dancers, two teams played neck and neck, dancing is close, take a look at
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Recently, the Fansided to knight main rotation player in the first two rounds of the playoffs, the performance of the Owen only C +, love there is only a B.
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For Jordan and gregg popovich comments James never hit back, but just yesterday in the knight’s basketball stadium set aside a James training video, far look like illusions emerged both Owen, a carefully look just know is James
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According to The Fear of The Sword, The knight’s point guard deron Williams is a fan of MMA (mixed), compared to The basketball game, deron prefer to watch The ultimate fighting championship.Deron Williams recently said in an interview, he retired from the NBA
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The noises and stressful the playoffs.”We are eager to match.”Owen said.Knight should first game will be on Thursday in east, and before them
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2018 оны 5-р сарын 4

Obviously, the right to occupy a team-high 21.6 shots of Michael Owen, but failed to hit as James scores, this let a person feel, Owen has become a “cancer” of the knight.But many fans also feel,
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2018 оны 5-р сарын 4

According to The Fear of The Sword, The knight’s point guard deron Williams is a fan of MMA (mixed), compared to The basketball game, deron prefer to watch The ultimate fighting championship.Deron Williams recently said in an interview, he retired from the NBA
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2018 оны 5-р сарын 4

The NBA playoffs now for today, have determined the warriors in the western conference and will compete for a spot in the finals quota, knight still don’t know who his opponent was.However, even in the face of the celtics or the wizards, presumably knight will be
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2018 оны 5-р сарын 4

Because Michael Owen at the side of huang zhan, so his nickname called small report.The earliest Owen left the impression of the world, is probably the flashy passing movements and dazzling breakthroughs, remember in the rookie challenge, he drew down two slipped past knight
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Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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For Jordan and gregg popovich comments James never hit back, but just yesterday in the knight’s basketball stadium set aside a James training video, far look like illusions emerged both Owen, a carefully look just know is James
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2018 оны 5-р сарын 4

According to The Fear of The Sword, The knight’s point guard deron Williams is a fan of MMA (mixed), compared to The basketball game, deron prefer to watch The ultimate fighting championship.Deron Williams recently said in an interview, he retired from the NBA
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For Jordan and gregg popovich comments James never hit back, but just yesterday in the knight’s basketball stadium set aside a James training video, far look like illusions emerged both Owen, a carefully look just know is James
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2018 оны 5-р сарын 4

Obviously, the right to occupy a team-high 21.6 shots of Michael Owen, but failed to hit as James scores, this let a person feel, Owen has become a “cancer” of the knight.But many fans also feel,
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2018 оны 5-р сарын 4

Layup is a very basic basketball skills maybe everyone layup but there is a way of layup is not everyone that is wrong step layup.
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2018 оны 5-р сарын 4

Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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kyrie 4
2018 оны 5-р сарын 4

NBA players in addition to playing badly, and also an art cells, for two consecutive years in the NBA finals two teams join forces with the warriors and knight, but only two dancers, two teams played neck and neck, dancing is close, take a look at
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triple s Shoes
2018 оны 5-р сарын 4

“I don’t think eastern conference finals will be a long war, knight’s strength is too strong. The celtics nobody with lebron, they even Owen this level of star all have no, they are really no one can stop the knight.
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2018 оны 5-р сарын 4

According to The Fear of The Sword, The knight’s point guard deron Williams is a fan of MMA (mixed), compared to The basketball game, deron prefer to watch The ultimate fighting championship.Deron Williams recently said in an interview, he retired from the NBA
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NMD R1 Primeknit
2018 оны 5-р сарын 4

Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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stephen curry shoes
2018 оны 5-р сарын 4

Because Michael Owen at the side of huang zhan, so his nickname called small report.The earliest Owen left the impression of the world, is probably the flashy passing movements and dazzling breakthroughs, remember in the rookie challenge, he drew down two slipped past knight
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puma suede
2018 оны 5-р сарын 4

The noises and stressful the playoffs.”We are eager to match.”Owen said.Knight should first game will be on Thursday in east, and before them
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soldier 11
2018 оны 5-р сарын 4

Yesterday, the wall on the right side 45 live a miserable life in the three points must win.The shooting location is Owen puts up the location of the many times.Today was asked Owen saw wall dead there is what feeling
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curry shoes
2018 оны 5-р сарын 4

Layup is a very basic basketball skills maybe everyone layup but there is a way of layup is not everyone that is wrong step layup.
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adidas porsche
2018 оны 5-р сарын 4

Owen said: “Cleveland need game.”Indeed, they rested for too long.In green, and the wizards to after the tiebreak, the beginning of the knight’s eastern conference finals first time has pushed the next Wednesday.
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vibram shoes
2018 оны 5-р сарын 4

With three points to beat John wall, the day before yesterday the wizards will competition into the tiebreak wars, 8:00 tomorrow the wizards will be tie-break at Celtic and rival.
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stephen curry shoes
2018 оны 5-р сарын 4

The NBA playoffs now for today, have determined the warriors in the western conference and will compete for a spot in the finals quota, knight still don’t know who his opponent was.However, even in the face of the celtics or the wizards, presumably knight will be
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adidas eqt
2018 оны 5-р сарын 4

Yesterday, the wall on the right side 45 live a miserable life in the three points must win.The shooting location is Owen puts up the location of the many times.Today was asked Owen saw wall dead there is what feeling
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Ellgync
2018 оны 6-р сарын 2

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