Protivoyazate course includes : removal of the factors contributing to recurrence of disease; Therapeutic feeding; Drug therapy; Physical therapies (fiziolechenie, hyperbaric oxygenation (Outlook), igloreflexoterapia, laser therapy, magnetotherapy). Addressing factors contributing to the resurgence of the disease is to organize regular meals, optimize working and living conditions, the absolute prohibition on the use of tobacco and alcohol, prohibition of drugs with ulzerogennym effect. Therapeutic supplied appointment diet, which should contain physiological capabilities of protein, fat, carbohydrates and vitamins. The observance of the principles of mechanical, thermal and chemical schagenia (Table No. 1A, Diet No. 1 on Pevzner). Drug therapy is designed to : 1. suppression surplus hydrochloric acid and pepsina or neutralization and adsorption; 2. motorno-evaquatorna restoration of stomach and duodenal ulcers; 3. protect mucous membranes of stomach and duodenal ulcers and treatment helikobacterioza; 4. Stimulation of cell regeneration of mucous membrane and mild vospalitelno-distro unresolved changes. The suppression of abnormal secretions of stomach achieved through peripheral m-holinoblokatorov - atropine, metazina, platifillina (in Russia). Significant advantages over atropinom gastrotsepin is providing selective effect on the receptors muskarinove obkladochnykh cells by blocking the production of hydrochloric acid. The daily dose of 100 mg (at 25-50 mg morning for 30 minutes before breakfast and 50 mg before bedtime), it inhibits the secretion of hydrochloric acid, without jeopardizing the protectiveh properties of the protective mucus in the stomach and gastrointestinal bleeding, without diminishing secreta pankreaticski juice and bile. Гастроцепин restores эвакуаторную the stomach and duodenal ulcers, eliminates subjective and objective symptoms of acute disease, including pain syndrome. Instead of the above-mentioned products to reduce secreta using drugs several generations blocker N2-retseptora and each successive generation is characterized by an increase in antisecretonego effect and decrease side effects. The drugs II generation is zimetidin (appoint 400 mg after breakfast and dinner or 800 mg / night). The drugs III generation of famotidin (ulfamid, gastroidin), which designate the 20 mg after breakfast and dinner, or 40 mg per night, and ranitidine (zantak, ranisan, asilok) designated under 150 mg after breakfast and dinner, or 300 mg per night. Advantages zantaka influenced by the fact that it appears as effervescent tablets. Nizatidin relates to IV drugs and generate a 100 mg after breakfast and dinner, or 200 mg per night. New drugs V generation, which includes roksatidin.
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