Ukwelashwa kokutheleleka kwe-Hp 

Isitatimende 17:Umkhawulo wezinga lokuphulukiswa kwezinqubo zokuqala zezinhlobo ezibucayi kufanele okungenani ube ngu-95% weziguli ezelashwe ngokwe-protocol set analysis (PP), kanye nomkhawulo wezinga lokuphulukiswa kokuhlaziywa kokwelashwa okuhlosiwe (ITT) kufanele ube ngu-90% noma ngaphezulu. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 18:I-Amoxicillin ne-tetracycline ziphansi futhi zizinzile. Ukumelana ne-Metronidazole ngokuvamile kuphakeme emazweni ase-ASEAN. Ukumelana ne-clarithromycin kuye kwanda ezindaweni eziningi futhi kwehlise izinga lokuqeda ukwelashwa okujwayelekile okuphindwe kathathu. (Izinga lobufakazi: liphezulu; izinga elinconywayo: N/A)

Isitatimende 19:Uma izinga lokumelana le-clarithromycin lingu-10% kuya ku-15%, kubhekwa njengezinga eliphezulu lokumelana, futhi indawo ihlukaniswa ibe yindawo enokumelana okuphezulu nendawo enokumelana okuncane. (Izinga Lobufakazi: Eliphakathi; Izinga Elinconywayo: Akukho)

Isitatimende 20:Kwezokwelapha eziningi, inkambo ye-14d ingcono kakhulu futhi kufanele isetshenziswe. Inkambo yokwelapha emfushane ingamukelwa kuphela uma ifakazelwe ukuthi ifinyelela ngokwethembeka umkhawulo wezinga lokwelapha elingu-95% nge-PP noma umkhawulo wezinga lokwelapha elingu-90% ngokuhlaziywa kwe-ITT. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 21:Ukukhethwa kwezinketho zokwelapha zomugqa wokuqala ezinconywayo kuyahlukahluka kuye ngesifunda, indawo, kanye namaphethini okumelana nama-antibiotic aziwayo noma alindelwe yiziguli ngazinye. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 22:Indlela yokwelapha yesibili kufanele ifake phakathi ama-antibiotic angakaze asetshenziswe ngaphambili, njenge-amoxicillin, i-tetracycline, noma ama-antibiotic angazange andise ukumelana kwawo. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 23:Isibonakaliso esiyinhloko sokuhlolwa kokuzwela emithini yama-antibiotic ukwenza ukwelashwa okusekelwe ekuzweleni, okwenziwa njengamanje ngemuva kokwehluleka kokwelashwa komugqa wesibili. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla) 

Isitatimende 24:Lapho kungenzeka khona, ukwelashwa kokulungisa kufanele kusekelwe ekuhlolweni kokuzwela. Uma ukuhlolwa kokuzwela kungenzeki, imithi ekwazi ukumelana nemithi yonke akufanele ifakwe, futhi imithi ekwazi ukumelana nemithi ephansi kufanele isetshenziswe. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Isitatimende 25:Indlela yokwandisa izinga lokususwa kwe-Hp ngokwandisa umphumela we-PPI wokungakhiqizi i-PPI idinga uhlobo lwe-CYP2C19 olusekelwe kumuntu ophethe, kungaba ngokwandisa umthamo we-PPI ophezulu we-metabolic noma ngokusebenzisa i-PPI engathinteki kakhulu yi-CYP2C19. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Isitatimende 26:Uma kukhona ukumelana kwe-metronidazole, ukwandisa umthamo we-metronidazole ube ngu-1500 mg/ngosuku noma ngaphezulu kanye nokwandisa isikhathi sokwelashwa sibe yizinsuku ezingu-14 kuzokwandisa izinga lokuphulukiswa kokwelashwa okuphindwe kane nge-expectorant. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Isitatimende 27:Ama-probiotic angasetshenziswa njengokwelashwa okungeziwe ukunciphisa ukusabela okubi nokuthuthukisa ukubekezelelana. Ukusetshenziswa kwama-probiotic kanye nokwelashwa okujwayelekile kungabangela ukwanda okufanele kwamazinga okuqeda. Kodwa-ke, lezi zinzuzo azikabonakali zisebenza kahle. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: sibuthakathaka)

Isitatimende 28:Isixazululo esivamile seziguli ezine-allergy ku-penicillin ukusetshenziswa kokwelashwa okuphindwe kane nge-expectorant. Ezinye izinketho zincike endleleni yokuzwela yendawo. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Isitatimende 29:Izinga lokutheleleka kabusha kwe-HP elibikwe emazweni ase-ASEAN liyi-0-6.4%. (Izinga lobufakazi: eliphakathi) 

Isitatimende 30:I-dyspepsia ehlobene ne-Hp iyabonakala. Ezigulini ezine-dyspepsia ezine-Hp infection, uma izimpawu ze-dyspepsia ziphela ngemva kokuba i-Hp isiqediwe ngempumelelo, lezi zimpawu zingabangelwa ukutheleleka kwe-Hp. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Landelela

Isitatimende 31:31a:Kunconywa ukuhlolwa okungahlaseli ukuqinisekisa ukuthi i-Hp iyasuswa yini ezigulini ezinesilonda se-duodenal.

                    31b:Ngokuvamile, emavikini angu-8 kuya kwangu-12, kunconywa i-gastroscopy kwiziguli ezinesilonda esiswini ukuze kuqoshwe ukuphulukiswa okuphelele kwesilonda. Ngaphezu kwalokho, uma isilonda singapholi, kunconywa i-biopsy ye-mucosa yesisu ukuze kunqunywe ukuthi ayinayo yini imbangela yomdlavuza. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Isitatimende 32:Umdlavuza wesisu wasekuqaleni kanye neziguli ezine-gastric MALT lymphoma ezine-Hp infection kumele ziqinisekise ukuthi i-Hp iqedwe ngempumelelo yini okungenani amasonto ama-4 ngemuva kokwelashwa. Kunconywa i-endoscopy yokulandelela. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)