Chithandizo cha matenda a Hp 

Chiganizo 17:Mlingo wochiritsira wa ma protocol oyamba a mitundu yovuta uyenera kukhala osachepera 95% ya odwala omwe achiritsidwa malinga ndi kusanthula kwa protocol (PP), ndipo mlingo wochiritsira wa intensive treatment analysis (ITT) uyenera kukhala 90% kapena kupitirira apo. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 18:Amoxicillin ndi tetracycline ndizochepa komanso zokhazikika. Kukana kwa Metronidazole nthawi zambiri kumakhala kokwera m'maiko a ASEAN. Kukana kwa clarithromycin kwakhala kukuchulukirachulukira m'madera ambiri ndipo kwachepetsa kuchuluka kwa kuchotsedwa kwa mankhwala ochiritsira atatu. (Mulingo wa umboni: wapamwamba; mulingo woyenera: Palibe)

Chiganizo 19:Ngati chiŵerengero cha kukana kwa clarithromycin chili pakati pa 10% ndi 15%, chimaonedwa kuti ndi chiŵerengero chachikulu cha kukana, ndipo derali limagawidwa kukhala malo okana kwambiri ndi malo okana pang'ono. (Mulingo wa Umboni: Wapakati; Mulingo Wovomerezeka: Palibe)

Chiganizo 20:Pa mankhwala ambiri, njira ya 14d ndi yabwino kwambiri ndipo iyenera kugwiritsidwa ntchito. Njira yaifupi ya chithandizo ingavomerezedwe pokhapokha ngati yatsimikiziridwa kuti ikupeza mlingo wodalirika wa 95% wa kuchira ndi PP kapena 90% wa kuchira ndi kusanthula kwa ITT. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 21:Kusankha njira zochiritsira zovomerezeka za mzere woyamba kumasiyana malinga ndi dera, malo, ndi njira zopewera maantibayotiki zomwe odwala omwe ali ndi matenda a shuga amadziwika kapena amayembekezera. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 22:Njira yachiwiri yothandizira iyenera kuphatikizapo maantibayotiki omwe sanagwiritsidwepo ntchito kale, monga amoxicillin, tetracycline, kapena maantibayotiki omwe sanawonjezere mphamvu ya mankhwala. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 23:Chizindikiro chachikulu cha kuyezetsa mankhwala oletsa maantibayotiki ndikuchita chithandizo chozikidwa pa kukhudzidwa ndi kukhudzidwa ndi mankhwala, chomwe chimachitika pakadali pano chithandizo cha mzere wachiwiri chitalephera. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu) 

Chiganizo 24:Ngati n'kotheka, chithandizo chamankhwala chiyenera kutengera mayeso a kukhudzidwa ndi matendawa. Ngati kuyesa kwa kukhudzidwa ndi matendawa sikungatheke, mankhwala omwe ali ndi kukana mankhwala konse sayenera kuphatikizidwa, ndipo mankhwala omwe ali ndi kukana mankhwala kochepa ayenera kugwiritsidwa ntchito. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Chiganizo 25:Njira yowonjezera kuchuluka kwa Hp excretion rate powonjezera mphamvu ya antisecretory ya PPI imafuna genotype ya CYP2C19 yochokera kwa mwiniwake, kaya powonjezera mlingo waukulu wa metabolic PPI kapena pogwiritsa ntchito PPI yomwe sikhudzidwa kwambiri ndi CYP2C19. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Chiganizo 26:Ngati pali kukana kwa metronidazole, kuwonjezera mlingo wa metronidazole kufika pa 1500 mg/tsiku kapena kuposerapo ndikuwonjezera nthawi ya chithandizo mpaka masiku 14 kudzawonjezera kuchuluka kwa kuchira kwa mankhwala anayi ndi expectorant. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Chiganizo 27:Ma probiotic angagwiritsidwe ntchito ngati chithandizo chowonjezera kuti achepetse zotsatira zoyipa ndikuwonjezera kulekerera. Kugwiritsa ntchito ma probiotics kuphatikiza chithandizo chokhazikika kungapangitse kuti kuchuluka kwa kuchotsedwa kwa mankhwalawa kukwere bwino. Komabe, maubwino awa sanawonetsedwe kuti ndi othandiza. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wofooka)

Chiganizo 28:Njira yodziwika bwino yothetsera vuto la penicillin ndi kugwiritsa ntchito mankhwala anayi okhala ndi expectorant. Njira zina zimadalira momwe matendawa alili. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Chiganizo 29:Chiŵerengero cha matenda opatsirana a Hp chaka chilichonse chomwe chanenedwa ndi mayiko a ASEAN ndi 0-6.4%. (Mulingo wa umboni: wapakati) 

Chiganizo 30:Kusokonezeka kwa magazi kokhudzana ndi Hp kumadziwika. Kwa odwala omwe ali ndi vuto la dyspepsia omwe ali ndi matenda a Hp, ngati zizindikiro za dyspepsia zachepa Hp itathetsedwa bwino, zizindikirozi zitha kuyambitsidwa ndi matenda a Hp. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Londola

Chiganizo 31:31a:Kuyezetsa kosavulaza kumalimbikitsidwa kuti kutsimikizire ngati Hp yathetsedwa mwa odwala omwe ali ndi zilonda zam'mimba.

                    31b:Kawirikawiri, pa masabata 8 mpaka 12, odwala omwe ali ndi zilonda zam'mimba amalangizidwa kuti aone ngati zilondazo zachira mokwanira. Kuphatikiza apo, ngati zilondazo sizichira, amalangizidwa kuti atenge biopsy ya mucosa yam'mimba kuti athetse khansayo. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Chiganizo 32:Khansa ya m'mimba yoyambirira komanso odwala matenda a lymphoma a MALT omwe ali ndi matenda a Hp ayenera kutsimikizira ngati Hp yathetsedwa bwino patatha milungu inayi kuchokera pamene chithandizo chaperekedwa. Kutsatira endoscopy kukulimbikitsidwa. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)