Behandling af dyspepsi Flashcards

1
Q

Hvordan behandles ulcus dyspepsi?

A
  1. Test for Hlicobacter. Hvis positiv laves Hp-eradikation i én uge:
    Amoxillin 1g x2
    Clarithromycin 500 mg x2
    Omeprazol 20 mg x2
  2. PPI i 4-6 uger.
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2
Q

Hvordan behandles NSAID-forårsaget ulcus profylaktisk?

A
  • NSAID + PPI.

- Evt. Hp-eradikation, som kan halvere risikoen for maveblødning.

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3
Q

Hvordan behandles refluxøsophagitis?

A

Omeprazol 20 mg x1 i 4-8 uger
Derefter nedtrapning (20 mg hver anden dag, 10 mg hver dag, H2-antagonist)
Senere p.n. behandling.

Evt. PPI livslangt.

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4
Q

Hvordan behandles non-ulcus dyspepsi?

A

Ingen dokumenteret effekt af behandling med hverken syrehæmning, prokinetika eller Hp-eradikation

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