ọgwụgwọ ọrịa HP 

Nkwupụta 17:Ọnụ ụzọ ọgwụgwọ maka usoro usoro nke mbụ maka nsogbu ndị nwere mmetụta kwesịrị ịbụ ma ọ dịkarịa ala 95% nke ndị ọrịa gwọrọ dị ka usoro nyocha nke nhazi (PP) si dị, na nyocha ọgwụgwọ ụma (ITT) ọnụego ọgwụgwọ kwesịrị ịbụ 90% ma ọ bụ karịa.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 18:Amoxicillin na tetracycline dị obere ma kwụsie ike.Nguzogide Metronidazole na-adịkarị elu na mba ASEAN.Nguzogide nke clarithromycin na-abawanye n'ọtụtụ mpaghara ma belata ọnụego mkpochapụ nke usoro ọgwụgwọ ugboro atọ.(Ọkwa nke akaebe: elu; ọkwa akwadoro: N/A)

Nkwupụta 19:Mgbe ọnụ ọgụgụ nguzogide nke clarithromycin dị 10% ruo 15%, a na-ewere ya dị ka ọnụ ọgụgụ dị elu nke nkwụsi ike, a na-ekewakwa mpaghara ahụ n'ime ebe dị elu na ebe dị ala.(Ọkwa nke Akaebe: Ọkara; Ọkwa akwadoro: N/A)

Nkwupụta 20:Maka ọtụtụ ọgwụgwọ, usoro 14d kacha mma ma ekwesịrị iji ya.Enwere ike ịnakwere usoro ọgwụgwọ dị mkpụmkpụ ma ọ bụrụ na egosipụtara na ọ ga-enweta ntụkwasị obi 95% ọnụego ọgwụgwọ site na PP ma ọ bụ 90% ọnụ ụzọ ọgwụgwọ site na nyocha ITT.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 21:Nhọrọ nke nhọrọ ọgwụgwọ ahịrị mbụ akwadoro na-adịgasị iche site na mpaghara, ọnọdụ mpaghara, na usoro mgbochi ọgwụ nje mara ma ọ bụ tụrụ anya site n'aka ndị ọrịa n'otu n'otu.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 22:Usoro ọgwụgwọ ahịrị nke abụọ kwesịrị ịgụnye ọgwụ nje ndị a na-ejibughị eme ihe, dị ka amoxicillin, tetracycline, ma ọ bụ ọgwụ nje ndị na-abawanyeghị nguzogide.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 23:Isi ihe na-egosi maka nnwale nleba anya ọgwụ nje bụ ime ọgwụgwọ dabere na uche, nke a na-eme ugbu a ka ọdịda nke usoro ọgwụgwọ nke abụọ dara.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike) 

Nkwupụta 24:N'ebe enwere ike, ọgwụgwọ ọgwụgwọ kwesịrị ịdabere na nyocha nke uche.Ọ bụrụ na nnwale enweghị ike agaghị ekwe omume, a gaghị etinye ọgwụ ndị nwere nguzogide ọgwụ zuru ụwa ọnụ, yana ekwesịrị iji ọgwụ na-eguzogide ọgwụ dị ala.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 25:Usoro maka ịbawanye ọnụego mkpochapụ Hp site n'ịbawanye mmetụta antisecretory nke PPI chọrọ genotype CYP2C19 dabeere na onye ọbịa, ma ọ bụ site n'ịba ụba nke PPI nke metabolic dị elu ma ọ bụ site na iji PPI nke na-emetụtaghị CYP2C19.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 26:Na ọnụnọ nke metronidazole, ịba ụba dose nke metronidazole ruo 1500 mg / d ma ọ bụ karịa na ịgbatị oge ọgwụgwọ ahụ ruo ụbọchị 14 ga-abawanye ọnụego ọgwụgwọ nke ọgwụgwọ anọ na expectorant.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 27:Enwere ike iji probiotics dị ka ọgwụgwọ mgbakwunye iji belata mmeghachi omume ọjọọ ma melite ndidi.Iji probiotics gbakwunyere ọgwụgwọ ọkọlọtọ nwere ike ibute mmụba kwesịrị ekwesị na ọnụego mkpochapụ.Agbanyeghị, egosibeghị uru ndị a ka ọ dị ọnụ ahịa.(Ọkwa nke akaebe: elu; ọkwa akwadoro: adịghị ike)

Nkwupụta 28:Ngwọta a na-ahụkarị maka ndị ọrịa na-enwe nfụkasị na penicillin bụ iji usoro ọgwụgwọ anọ nwere expectorant.Nhọrọ ndị ọzọ dabere na ụkpụrụ nhụta nke mpaghara.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 29:Ọnụego nlọghachi azụ nke HP kwa afọ nke mba ASEAN kọrọ bụ 0-6.4%.(Ọkwa nke akaebe: ọkara) 

Nkwupụta 30:A na-amata dyspepsia metụtara Hp.N'ime ndị ọrịa nwere dyspepsia nwere ọrịa Hp, ọ bụrụ na ihe mgbaàmà nke dyspepsia na-ebelata mgbe a kpochapụrụ Hp nke ọma, enwere ike ịsị na ọ bụ ọrịa Hp.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

 

Sochie

Okwu 31:31a:A na-atụ aro nyocha nke na-adịghị emerụ ahụ iji gosi ma a na-ekpochapụ Hp na ndị ọrịa nwere ọnya duodenal.

                    31b:Dị ka ọ na-adịkarị, na izu 8 ruo 12, a na-atụ aro gastroscopy maka ndị ọrịa nwere ọnya afọ iji dekọọ ọgwụgwọ zuru oke nke ọnya ahụ.Na mgbakwunye, mgbe ọnya ahụ adịghị agwọta, a na-atụ aro biopsy nke mucosa gastric iji wepụ ihe ọjọọ ahụ.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 32:Ọrịa cancer afọ mbụ na ndị ọrịa nwere MALT lymphoma gastric nwere ọrịa Hp ga-akwadorịrị ma a kpochapụrụ Hp nke ọma ma ọ dịkarịa ala izu anọ ka a gwọchara ya.A na-atụ aro ka endoscopy sochie ya.(Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)


Oge nzipu: Jun-25-2019