Гастроентерология (Helicobacrer P.)

Хеликобактер - Helicobacter Pylorі является основной причиной большинства эпизодов язвенной болезни желудка, гастрита и других желудочных заболеваний. Согласно исследованиям и оценочным данным, приблизительно две трети всего населения планеты заражены бактерией хеликобактер пилори. Причина в том, что она очень легко передается, хотя зачастую не проявляется характерными симптомами или проблемами. Соответственно и возникает вопрос относительно необходимости и обязательности проведения антихеликобактерной терапии. Доказано, что не все штаммы бактерии Helicobacter Pylori являются агрессивными и подлежат обязательной эрадикации. Есть две группы штаммов, одна из которых связанна с экспрессией белков сagA та VacA, и считается сверх патогенной, и другая группа, куда относятся другие типы. Иммуноферментный анализ позволяет выявить именно эти агрессивные штаммы. Для этого необходимо сделать анализ на антитела IgG Helicobacter p.( Cag A).
Код анализаНазвание анализаЦена
180Антитела IgG+А+М к Helicobacter p.110.00
31ПЦР Helicobacter p.100.00

Диагностика

Уреазный дыхательный тест
Уреазный дыхательный тест является малоспецифическим обследованием. Псевдонегативные результаты часто наблюдаются при небольшой степени обсеменения HP (малой активности бактерий), при приеме антибиотиков, антацидов, ИПП (ингибиторов протонной помпы), анальгетиков. Кроме того, на результат влияет прием алкоголя, рацион, некоторые заболевания ротовой полости, легких, дисбактериоз и др., что приводит к ложноположительным результатам теста.
Анализ на антитела
Анализ на антитела достаточно достоверны и специфичны в 85- 90 % случаев. По анализу можно оценить реакцию организма и напряженность иммунитета (и соответственно активность хеликобактерий). Проблемой данного обследования является разве что длительность выявления специфических антител - после лечения антитела сохраняются еще 6-8 месяцев.

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