Unyango losulelo lwe-HP 

Ingxelo 17:Umlinganiselo wezinga lokuphilisa kwiiprotokholi zomgca wokuqala kwiintlobo ezibuthathaka kufuneka ube ubuncinane yi-95% yezigulana ezinyangiweyo ngokwe-protocol set analysis (PP), kwaye umda wezinga lokuphilisa ngokuzithandela (ITT) kufuneka ube yi-90% nangaphezulu. (Inqanaba lobungqina: liphezulu; inqanaba elicetyiswayo: liqinile)

Ingxelo 18:I-Amoxicillin kunye ne-tetracycline ziphantsi kwaye zizinzile. Ukumelana ne-Metronidazole ngokubanzi kuphezulu kumazwe ase-ASEAN. Ukumelana ne-clarithromycin kuye kwanda kwiindawo ezininzi kwaye kuye kunciphisa izinga lokupheliswa konyango oluqhelekileyo lwe-triple therapy. (Inqanaba lobungqina: liphezulu; inqanaba elicetyiswayo: Akukho)

Ingxelo 19:Xa izinga lokuxhathisa le-clarithromycin liyi-10% ukuya kwi-15%, kuthathwa njengezinga eliphezulu lokuxhathisa, kwaye indawo yahlulwe yaba yindawo exhathisa kakhulu kunye nendawo exhathisa kancinci. (Inqanaba loBungqina: Phakathi; Inqanaba elicetyiswayo: Akukho)

Ingxelo 20:Kwiindlela ezininzi zonyango, ikhosi ye-14d yeyona ifanelekileyo kwaye kufuneka isetyenziswe. Ikhosi emfutshane yonyango inokwamkelwa kuphela ukuba ibonakalisiwe ukuba ifikelela ngokuthembekileyo umda wezinga lokuphiliswa we-95% nge-PP okanye umda wezinga lokuphiliswa we-90% ngohlalutyo lwe-ITT. (Inqanaba lobungqina: liphezulu; inqanaba elicetyiswayo: liqinile)

Ingxelo 21:Ukhetho lweendlela zonyango zokuqala ezicetyiswayo luyahluka ngokwengingqi, indawo, kunye neendlela zokuxhathisa ii-antibiotic ezaziwa okanye ezilindelweyo zizigulana ezizimeleyo. (Inqanaba lobungqina: eliphezulu; inqanaba elicetyiswayo: elinamandla)

Ingxelo 22:Inkqubo yonyango yodidi lwesibini kufuneka iquke amayeza okubulala iintsholongwane angasetyenziswanga ngaphambili, afana ne-amoxicillin, i-tetracycline, okanye amayeza okubulala iintsholongwane angakhange anyuse ukumelana neyeza. (Inqanaba lobungqina: liphezulu; inqanaba elicetyiswayo: liqinile)

Ingxelo 23:Isibonakaliso esiphambili sovavanyo lokuchaphazeleka kukusetyenziswa kwamayeza okubulala iintsholongwane kukwenza unyango olusekelwe kubuthathaka, oluqhutywa ngoku emva kokuba unyango lomgca wesibini lungaphumelelanga. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: uqinile) 

Ingxelo 24:Apho kunokwenzeka, unyango lokulungisa kufuneka lusekelwe kuvavanyo lobuthathaka. Ukuba uvavanyo lobuthathaka alunakwenzeka, amayeza anokumelana namayeza ngokubanzi akufuneki afakwe, kwaye amayeza anokumelana namayeza aphantsi kufuneka asetyenziswe. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: unamandla)

Ingxelo 25:Indlela yokunyusa izinga lokuphelisa i-Hp ngokunyusa isiphumo se-antisecretory se-PPI ifuna i-CYP2C19 genotype esekwe kumninimzi, nokuba kungonyusa idosi ephezulu ye-metabolic PPI okanye ngokusebenzisa i-PPI engachaphazeleki kakhulu yi-CYP2C19. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: unamandla)

Ingxelo 26:Xa kukho ukumelana ne-metronidazole, ukwandisa idosi ye-metronidazole ukuya kwi-1500 mg/ngosuku okanye ngaphezulu kunye nokwandisa ixesha lonyango ukuya kwiintsuku ezili-14 kuya kunyusa izinga lokuphiliswa konyango oluphindwe kane olune-expectorant. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: unamandla)

Ingxelo 27:Iiprobiotics zingasetyenziswa njengonyango oluncedisayo ukunciphisa iimpembelelo ezimbi kunye nokuphucula ukunyamezela. Ukusetyenziswa kweeprobiotics kunye nonyango oluqhelekileyo kunokubangela ukwanda okufanelekileyo kwamazinga okuphelisa. Nangona kunjalo, ezi zibonelelo aziboniswanga ukuba zisebenza kakuhle. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: ubuthathaka)

Ingxelo 28:Isisombululo esiqhelekileyo kwizigulana ezine-aleji kwi-penicillin kukusebenzisa unyango oluphindwe kane olune-expectorant. Ezinye iindlela zixhomekeke kwindlela yokusabela kwindawo ethile. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: unamandla)

Ingxelo 29:Izinga lokwanda kosulelo lwe-HP elixelwe ngamazwe ase-ASEAN liyi-0-6.4%. (Inqanaba lobungqina: eliphakathi) 

Ingxelo 30:I-dyspepsia enxulumene ne-Hp iyabonakala. Kwizigulane ezine-dyspepsia ezinosulelo lwe-Hp, ukuba iimpawu ze-dyspepsia ziyaphela emva kokuba i-Hp ipheliswe ngempumelelo, ezi mpawu zinokubangelwa lusulelo lwe-Hp. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: unamandla)

Ukulandelisa

Ingxelo 31:31a:Kucetyiswa uvavanyo olungangenisi gazi ukuqinisekisa ukuba i-Hp iyasuswa na kwizigulana ezinesilonda se-duodenal.

                    31b:Ngokwesiqhelo, kwiiveki ezisi-8 ukuya kwezili-12, kucetyiswa i-gastroscopy kwizigulana ezinesilonda esiswini ukuze kubhalwe ukuphiliswa okupheleleyo kwesilonda. Ukongeza, xa isilonda singapholi, kucetyiswa ukuba kwenziwe i-biopsy ye-mucosa yesisu ukuze kuthintelwe umhlaza. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: uqinile)

Ingxelo 32:Umhlaza wesisu kwangethuba kunye nezigulane ezine-gastric MALT lymphoma ezinosulelo lwe-Hp kufuneka ziqinisekise ukuba i-Hp ipheliswe ngempumelelo na ubuncinane kwiiveki ezi-4 emva konyango. Kucetyiswa i-endoscopy yokulandelela. (Inqanaba lobungqina: liphezulu; umlinganiselo ocetyiswayo: unamandla)