Chithandizo cha matenda a Hp 

Chidziwitso cha 17:Mlingo wa machiritso a ma protocol a mzere woyamba wa zovuta zovutirapo uyenera kukhala osachepera 95% ya odwala omwe adachiritsidwa malinga ndi protocol set analysis (PP), ndipo dalaivala wamankhwala (ITT) akuyenera kukhala 90% kapena kupitilira apo.(Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 18:Amoxicillin ndi tetracycline ndizotsika komanso zokhazikika.Kukana kwa Metronidazole kumakhala kokwera kwambiri m'maiko a ASEAN.Kukaniza kwa clarithromycin kwakhala kukuchulukirachulukira m'malo ambiri ndipo kwachepetsa chiwopsezo chamankhwala okhazikika katatu.(Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: N/A)

Chidziwitso cha 19:Pamene kukana kwa clarithromycin ndi 10% mpaka 15%, kumaonedwa kuti ndizovuta kwambiri, ndipo malowa amagawidwa kukhala malo otsutsana kwambiri ndi malo otsika kwambiri.(Mlingo wa Umboni: Wapakatikati; Mulingo Wovomerezeka: N/A)

Chidziwitso cha 20:Pazamankhwala ambiri, maphunziro a 14d ndi abwino kwambiri ndipo ayenera kugwiritsidwa ntchito.Njira yachidule ya chithandizo ingavomerezedwe ngati yatsimikiziridwa kuti ikwaniritsa modalirika 95% pochiza PP kapena 90% pochiza chiwongoladzanja ndi kusanthula kwa ITT.(Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 21:Kusankhidwa kwa njira zochiritsira zoyambira pamzere woyamba kumasiyanasiyana malinga ndi dera, malo, ndi njira zolimbana ndi maantibayotiki zomwe zimadziwika kapena zomwe zimayembekezeredwa ndi odwala payekhapayekha.(Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 22:Njira yachiwiri yamankhwala iyenera kukhala ndi maantibayotiki omwe sanagwiritsidwepo kale, monga amoxicillin, tetracycline, kapena maantibayotiki omwe sanawonjezere kukana.(Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 23:Chizindikiro chachikulu pakuyezetsa kutengeka kwa mankhwala opha maantibayotiki ndikuchita machiritso otengera kukhudzidwa, omwe amachitidwa pakadali pano atalephera kulandira chithandizo chamzere wachiwiri.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu) 

Chidziwitso cha 24:Ngati n'kotheka, chithandizo chochiritsira chiyenera kukhazikitsidwa poyesa kukhudzidwa.Ngati kuyezetsa kwa chiwopsezo sikutheka, mankhwala omwe ali ndi vuto la kukana mankhwala sayenera kuphatikizidwa, ndipo mankhwala omwe ali ndi mphamvu zochepa ayenera kugwiritsidwa ntchito.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 25:Njira yowonjezerera kuchuluka kwa Hp kuthetseratu powonjezera mphamvu ya antisecretory ya PPI imafuna CYP2C19 genotype yokhazikika, mwina powonjezera mlingo wa PPI wa metabolic kapena kugwiritsa ntchito PPI yomwe imakhudzidwa kwambiri ndi CYP2C19.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 26:Pamaso pa metronidazole kukana, kuonjezera mlingo wa metronidazole kwa 1500 mg/d kapena kupitilira apo ndi kukulitsa nthawi ya mankhwala kwa masiku 14 kumawonjezera machiritso mlingo wa quadruple mankhwala ndi expectorant.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 27:Ma probiotics angagwiritsidwe ntchito ngati chithandizo chothandizira kuti muchepetse zotsatira zoyipa ndikuwongolera kulolerana.Kugwiritsiridwa ntchito kwa ma probiotics kuphatikizapo chithandizo chokhazikika kungapangitse kuwonjezeka koyenera kwa chiwerengero cha kuthetsa.Komabe, zopindulitsazi sizinawonetsedwe kukhala zotsika mtengo.(Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wofooka)

Chidziwitso cha 28:Njira yodziwika kwa odwala omwe sagwirizana ndi penicillin ndi kugwiritsa ntchito mankhwala amtundu wa quadruple ndi expectorant.Zosankha zina zimadalira momwe mungatengere zochitika zapafupi.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Mawu 29:Chiwongola dzanja chapachaka cha Hp chonenedwa ndi mayiko a ASEAN ndi 0-6.4%.(Mlingo wa umboni: wapakatikati) 

Chidziwitso cha 30:Dyspepsia yokhudzana ndi Hp imadziwika.Odwala omwe ali ndi matenda a dyspepsia omwe ali ndi matenda a Hp, ngati zizindikiro za dyspepsia zimatsitsimutsidwa pambuyo pothetsedwa bwino, zizindikirozi zikhoza kukhala chifukwa cha matenda a Hp.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Londola

Mawu 31:31a:Kuwunika kosasokoneza kumalimbikitsidwa kutsimikizira ngati Hp yathetsedwa kwa odwala omwe ali ndi zilonda zam'mimba.

                    31b:Nthawi zambiri, pa masabata 8 mpaka 12, gastroscopy imalimbikitsidwa kwa odwala omwe ali ndi zilonda zam'mimba kuti alembe kuchiritsa kwathunthu kwa chilondacho.Komanso, pamene chilonda si kuchiritsa, biopsy wa chapamimba mucosa tikulimbikitsidwa kuchotsa zilonda.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 32:Khansa yoyambirira yam'mimba komanso odwala omwe ali ndi chapamimba MALT lymphoma omwe ali ndi matenda a Hp ayenera kutsimikizira ngati Hp imathetsedwa bwino pakadutsa milungu inayi mutalandira chithandizo.Endoscope yotsatila ikulimbikitsidwa.(Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)