Kurapa kwehutachiona hweHP 

Chirevo 17:Muganho wehuwandu hwekurapa hwematanho ekutanga ekurapa kwemarudzi anonzwa anofanira kunge ari 95% yevarwere vanorapwa zvichienderana neongororo yeprotocol set (PP), uye muganho wehuwandu hwekurapa hunofanirwa kunge uri 90% kana kupfuura. (Chikamu cheuchapupu: chakakwirira; chiyero chinokurudzirwa: chakasimba)

Chirevo 18:Amoxicillin netetracycline hazvina kusimba uye zvakadzikama. Kusagona kurwisa Metronidazole kwakawanda munyika dzeASEAN. Kusagona kurwisa clarithromycin kwave kuchiwedzera munzvimbo dzakawanda uye kwakaderedza mwero wekupedza mushonga wemazuva ese wekurapa katatu. (Nhamba yeuchapupu: yakakwirira; nhanho inokurudzirwa: N/A)

Chirevo 19:Kana mwero wekudzivirira kwe clarithromycin uri 10% kusvika 15%, inoonekwa semwero wekudzivirira wakakwira, uye nzvimbo yacho inokamurwa kuita nzvimbo inodzivirira zvakanyanya nenzvimbo inodzivirira zvishoma. (Nhamba yeUchapupu: Pakati nepakati; Nhanho Inokurudzirwa: N/A)

Chirevo 20:Kune akawanda marapirwo, mushonga we14d ndiwo wakanakira uye unofanirwa kushandiswa. Mushonga mupfupi unogona kugamuchirwa chete kana zvaratidzwa kuti 95% yekurapwa kwechirwere ichi inorapwa kuburikidza nePP kana 90% yekurapwa kwechirwere ichi kuburikidza neITT analysis. (Humbowo: hwakakwira; hunokurudzirwa: hwakasimba)

Chirevo 21:Sarudzo yenzira dzekutanga dzekurapa dzinokurudzirwa dzinosiyana zvichienderana nenzvimbo, nzvimbo, uye maitiro ekusagona kurwisa mishonga inorwisa mabhakitiriya anozivikanwa kana anotarisirwa nevarwere vakasiyana. (Humbowo: hwakakwira; humbowo hunokurudzirwa: hwakasimba)

Chirevo 22:Nzira yechipiri yekurapa inofanira kusanganisira mishonga inorwisa mabhakitiriya isati yamboshandiswa, yakadai seamoxicillin, tetracycline, kana mishonga inorwisa mabhakitiriya isina kuwedzera simba rekudzivirira chirwere. (Uchapupu: hwakakwira; hunokurudzirwa: hwakasimba)

Chirevo 23:Chiratidzo chikuru chekuyedzwa kwemishonga inorwisa mabhakitiriya ndechekuita mishonga ine chekuita nekunzwa kwechirwere, iyo inoitwa parizvino mushure mekunge kurapwa kwechipiri kwakundikana. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba) 

Chirevo 24:Kana zvichibvira, kurapwa kunofanira kuitwa pachishandiswa bvunzo yekunzwa. Kana bvunzo yekunzwa kunzwa kwechirwere ichi isingagoneke, mishonga isingapindi mishonga yese haifanirwe kuiswa, uye mishonga isingapindi mishonga zvakanyanya inofanira kushandiswa. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba)

Chirevo 25:Nzira yekuwedzera huwandu hwekubvisa Hp nekuwedzera simba rePPI rinobvisa secretory inoda CYP2C19 genotype inotorwa nemuridzi wayo, kungave nekuwedzera metabolic dose yakakwira kana nekushandisa PPI isinganyanyi kukanganiswa neCYP2C19. (Uchapupu: hwakakwira; kukurudzirwa kuyera: kwakasimba)

Chirevo 26:Kana paine kusakwanisa kurapwa nemetronidazole, kuwedzera mushonga wemetronidazole kusvika pa1500 mg/zuva kana kupfuura uye kuwedzera nguva yekurapa kusvika pamazuva gumi nemana kuchawedzera mwero wekurapwa kwemishonga ine expectorant. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba)

Chirevo 27:Mapurobiotic anogona kushandiswa semushonga wekuwedzera kuderedza migumisiro yakaipa uye kuwedzera kushivirira. Kushandiswa kwemapurobiotic pamwe nekurapwa kwakajairika kunogona kukonzera kuwedzera kwakakodzera kwehuwandu hwekubvisa. Zvisinei, mabhenefiti aya haana kuratidzwa kuti anoshanda zvakanaka. (Humbowo: hwakakwira; chiyero chinokurudzirwa: chisina simba)

Chirevo 28:Mhinduro inowanzo shandiswa kuvarwere vane allergies kupenicillin ndeyekushandisa mushonga wechina une expectorant. Dzimwe sarudzo dzinoenderana nemaitiro enzvimbo yacho ekusagona kubatwa nechirwere ichi. (Humbowo: hwakakwira; chiyero chinokurudzirwa: chakasimba)

Chirevo 29:Huwandu hwehutachiona hweHP hwakataurwa nenyika dzeASEAN hunosvika 0-6.4%. (Humbowo: hwepakati) 

Chirevo 30:Kushaya simba kwemuviri kunokonzerwa neHp kunozivikanwa. Muvarwere vane dyspepsia vane hutachiona hweHp, kana zviratidzo zvedyspepsia zvikadzikira mushure mekunge Hp yabviswa zvinobudirira, zviratidzo izvi zvinogona kukonzerwa nehutachiona hweHp. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba)

 

Tevera

Chirevo 31:31a:Ongororo isingapindi mumuviri inokurudzirwa kuti isimbise kana Hp yakabviswa muvarwere vane duodenal ulcer.

                    31b:Kazhinji, pamavhiki masere kusvika gumi nemaviri, varwere vane maronda emudumbu vanokurudzirwa kuita gastroscopy kuti vanyore kupora kwakakwana kweronda. Pamusoro pezvo, kana ronda rikasapora, biopsy yemucosa yemudumbu inokurudzirwa kubvisa gomarara racho. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba)

Chirevo 32:Kenza yemudumbu yekutanga uye varwere vane gastric MALT lymphoma vane Hp hutachiona vanofanira kusimbisa kana Hp yakapedzwa zvinobudirira mushure memavhiki mana mushure mekurapwa. Endoscopy yekutevera inokurudzirwa. (Uchapupu: hwakakwira; humbowo hunokurudzirwa: hwakasimba)


Nguva yekutumira: Chikumi-25-2019