Hp utachiona kurapwa 

Chirevo 17:Chiyero chekurapa chikumbaridzo chemitsetse yekutanga yemhando dzakasimba dzinofanira kunge iine 95% yevarwere vakaporeswa zvinoenderana neprotocol set analysis (PP), uye nemaune kurapwa kuongororwa (ITT) kurapa chiyero chikumbaridzo chinofanira kunge chiri 90% kana kupfuura.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo 18:Amoxicillin uye tetracycline yakaderera uye yakagadzikana.Metronidazole kuramba inowanzokwira munyika dzeASEAN.Kupokana neclarithromycin kwave kuwedzera munzvimbo zhinji uye kwakaderedza mwero wekupedza kurapa kwakajairwa katatu.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: N/A)

Chirevo 19:Apo chiyero chekudzivirira kwe clarithromycin chiri 10% kusvika ku15%, inofungidzirwa kuva yakakwirira yekudzivirira, uye nzvimbo yacho yakakamurwa kuva nzvimbo yakakwirira-yekudzivirira uye nzvimbo yakaderera.(Chiyero cheUchapupu: Pakati; Inokurudzirwa Chikamu: N/A)

Chirevo 20:Kune akawanda marapirwo, iyo 14d kosi yakakwana uye inofanirwa kushandiswa.Nzira pfupi yekurapa inogona kugamuchirwa chete kana yakave yakaratidza kuti yakavimbika kuwana 95% yekurapa chiyero chepakati nePP kana 90% yekurapa chiyero chepakati neITT kuongororwa.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo 21:Sarudzo yemhando yekutanga yekurapa inokurudzirwa inosiyana nedunhu, nzvimbo, uye mishonga inorwisa mabhakitiriya inozivikanwa kana inotarisirwa nevarwere vakazvimiririra.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo 22:Mutsara wechipiri wemishonga yekurapa inofanira kusanganisira mishonga inorwisa mabhakitiriya isati yamboshandiswa, yakadai seamoxicillin, tetracycline, kana mishonga inorwisa mabhakitiriya isina kuwedzera kuramba.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo 23:Chiratidzo chekutanga chekuongororwa kwemishonga inorwisa mabhakitiriya ndeyekuita marapirwo anoenderana nekunzwa, ayo ari kuitwa iye zvino mushure mekukundikana kwechipiri-mutsara therapy.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba) 

Chirevo 24:Pazvinogoneka, kurapwa kwekugadzirisa kunofanirwa kuve kwakavakirwa pakuongororwa kwekunzwa.Kana kuongororwa kwekutapukira kusingagoneki, zvinodhaka zvinoramba zvinodhaka hazvifanirwe kuverengerwa, uye mishonga ine kushomeka kwemishonga inofanirwa kushandiswa.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Chirevo 25:Nzira yekuwedzera Hp eradication rate nekuwedzera iyo antisecretory effect yePPI inoda host-based CYP2C19 genotype, ingave nekuwedzera yakakwira metabolic PPI dose kana kushandisa PPI isinganyanyi kukanganiswa neCYP2C19.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Chirevo 26:Kana paine metronidazole kuramba, kuwedzera muyero wemetronidazole kusvika 1500 mg/d kana kupfuura uye kuwedzera nguva yekurapa kusvika kumazuva gumi nemana kuchawedzera kupora kwe quadruple therapy ine expectorant.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Chirevo 27:Probiotics inogona kushandiswa seye adjunctive therapy kuderedza maitiro akaipa uye kuvandudza kushivirira.Kushandiswa kweprobiotics pamwe nekurapa kwakajairwa kunogona kukonzera kuwedzera kwakakodzera kwemazinga ekupedza.Zvisinei, zvikomborero izvi hazvina kuratidzwa kuti zvinodhura.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa chiyero: isina simba)

Chirevo 28:Mhinduro yakajairika kune varwere vasingawirirani nepenicillin kushandisa quadruple therapy ine expectorant.Dzimwe sarudzo dzinoenderana nemaitiro enzvimbo yekukonzeresa.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Chirevo 29:Hp gore negore reinfection rate yeHp yakashumwa nenyika dzeASEAN ndeye 0-6.4%.(Chiyero cheuchapupu: zvepakati) 

Chirevo chemakumi matatu:Hp-yakabatana dyspepsia inoonekwa.Mune varwere vane dyspepsia vane Hp utachiona, kana zviratidzo zveDyspepsia zvakasunungurwa mushure mokunge Hp yapera kubudirira, zviratidzo izvi zvinogona kunzi zvinokonzerwa neHp utachiona.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

 

Tevera

Chirevo 31:31a:Ongororo isiri-invasive inokurudzirwa kuti isimbise kana Hp yakapedzwa muvarwere vane duodenal ulcer.

                    31b:Kazhinji, pamavhiki masere kusvika ku12, gastroscopy inokurudzirwa kune varwere vane gastric ulcer kuti vanyore kupora kwakakwana kweronda.Mukuwedzera, apo chironda hachiporese, biopsy ye gastric mucosa inokurudzirwa kuti ibvise kuipa.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Chirevo 32:Gomarara remudumbu rekutanga uye varwere vane gastric MALT lymphoma vane Hp utachiona vanofanira kusimbisa kana Hp yakabudirira kupedzwa zvishoma mavhiki mana mushure mekurapwa.Kutevera endoscopy inokurudzirwa.(Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)


Nguva yekutumira: Jun-25-2019