.

- , -
, H.pylori--

 : H.pylori

Barry Marshall
Robbin Warren 1983
1994

2005

15 - 40%
70 - 90%


- ,
:

80%

98%
60%

Helicobacter pylori-
:

(80%- )

7-14

5%-

 ...

Correa P.1995

Sensitivity
(%)

Specificity
(%)

+++

> 95

100

, ,

93 - 97

> 95

, ,
(+)

70 - 80

100

 e
(
, , , )

.pylori- ?

40 7

.pylori ,




.pylori-

40
35
30
25
20
15
10
5
0

Kuipers DY, 1996

Helicobacter pylori-
:



(80%- )

7-14


5%-

Antibiotics

Sensitive

Intermediate

Resistant

Amoxilline

81.5% (22)

7.4%(2)

11.1% (3)

Tetracyclin

81.5% (22)

18.5 %(5)

Clarithromycin

66.7% (18)

7.4 %(2)

25.9 % (7)

Metronidazole

37.1 %(10)

62.9% (17)

Helipak
: -
III

1. 500
2. 1000

3. 30
: 7 14

Helipak
1. 500

2. 30
3. 1000

Helipak-
Helicobacter pylori-
, 12


( )

LT-




Helicobacter pylori
(, ,
)

95%

91%

90%
85%
80%
75%

82%

14



1.

H2

20,40

20 ,
30

Famultran 20, 40mg

Ulcoprol 20 mg

90%

,

,

21

,
,

.

,


22

Helipak

- III


lactobacillus
acidophilus,
lactobacillus
bifidus

.

,
, ,
.

1-