34 -2 (34) 2021 — Yuldasheva R.U., Zharylkasynova G.Zh. — THE EFFECTIVENESS OF THERAPY FOR IRON DEFICIENCY ANEMIA IN PATIENTS INFECTED WITH HELICOBACTER PYLORI
THE EFFECTIVENESS OF THERAPY FOR IRON DEFICIENCY ANEMIA IN PATIENTS INFECTED WITH HELICOBACTER PYLORI
Yuldasheva R.U., Bukhara State Medical Institute
Zharylkasynova G.Zh. Bukhara State Medical Institute
Resume
Purpose. To study the dynamics of clinical and laboratory parameters in patients with IDA infected with H. pylori. Material and methods. The study included 60 patients with IDA infected with H. pylori. Depending on the therapy, the patients were randomly divided into 2 homogeneous groups: the main group received therapy with iron preparations along with eradication therapy; the control group included patients receiving therapy only with iron preparations for 1 month. Evaluation of the effectiveness of IDA therapy was carried out on the basis of monitoring indicators of hemoglobin (Hb), color index (CP) and ferritin. Results. The period of taking iron-containing drugs was accompanied by a significant (p <0.05) increase in Hb and CP levels. By the 28th day of treatment, all patients reached the target values corresponding to mild IDA. At the same time, among the patients of the main group, the target indicators were achieved by the majority of patients by the 22-25th day of therapy (p <0.05). A significant increase in the level of ferritin was also noted, which indicates an earlier onset of its deposition in the body (p <0.05). Moreover, among patients who underwent a preliminary course of antibiotic therapy, these indicators were higher. Conclusion. Eradication therapy in individuals infected with H. pylori and suffering from chronic IDA allows a faster response to treatment with oral iron preparations.
Key words: iron deficiency anemia; Helicobacter pylori; iron preparations; eradication therapy.
First page
173
Last page
177
For citation: Yuldasheva R.U., Zharylkasynova G.Zh. The effectiveness of therapy for iron deficiency anemia in patients infected with helicobacter pylori //New Day in Medicine 2(34)2021 173-177 https://cutt.ly/BnoJ6Ts
List of References
- Hagymasi K., Tulassay Z. Helicobacter pylori infection: new pathogenetic and clinical aspects. World J. Gastroenterol. 2014;20(21):6386–99.
- Malfertheiner P., Megraud F., O’Morain C., Atherton J., Axon A.T., Bazzoli F., Gensini G.F., Gisbert J.P., Graham D.Y., Rokkas T., El-Omar E.M., Kuipers E.J. Management of Helicobacter Pylori infection – Maastricht IV. Florence Consensus Report Gut. 2012;61:646–64.
- Ciacci C., Sabbatini F., Cavallaro R., Castiglione F., Di Bella S., Iovino P., Palumbo A., Tortora R., Amoruso D., Mazzacca G. Helicobacter pylori impairs iron absorption in infected individuals. Dig Liver Dis. 2004;36(7):455–60.
- Baysoy G., Ertem D., Ademoglu E., Kotiloglu E., Keskin S., Pehlivanoglu E. Gastric histopathology, iron status and iron deficiency anemia in children with Helicobacter pylori infection. J. Pediatr. Gastroenterol. Nutr. 2004;38(2):146–51.
- Zhang Z.F., Yang N., Zhao G., Zhu L., Zhu Y., Wang L.X. Metaanalysis Effect of Helicobacter pylori eradication on iron deficiency. Chin. Med. J. 2010; 123(14):1924–21.
- Gisbert J.P., Calvet X. Review article: the effectiveness of standard triple therapy for Helicobacter pylori has not changed over the last decade, but it is not good enough. Aliment Pharmacol. Ther. 2011; 34 (11):1255–68.
- Annibale B., Capurso G., Delle Fave G. The stomach and iron deficiency anaemia: a forgotten link. Dig Liver Dis. 2003; 35(4):288–95.
- Feng-Woei Tsay, Ping-I Hsu. H. pylori infection and extra-gastroduodenal diseases. Journal of Biomedical Science, 2018; 25: 65.
- Baysoy G., Ertem D., Ademoglu E., Kotiloglu E., Keskin S., Pehlivanoglu E. Gastric Histo-pathology, Iron Status and Iron Deficiency Anemia in Children with Helicobacter pylori Infection. J. Pediatr. Gastroenterol. Nutr. 2004; 38(2):146–51.