Hp kamuwa da cuta magani 

Magana ta 17:Matsakaicin adadin magani don ka'idojin layin farko don nau'ikan damuwa yakamata ya zama aƙalla 95% na marasa lafiya da aka warke bisa ga ƙa'idar saiti (PP), kuma ƙimar ƙimar magani da gangan (ITT) yakamata ya zama 90% ko sama. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 18:Amoxicillin da tetracycline ba su da ƙarfi kuma ba su da ƙarfi. Juriya na Metronidazole gabaɗaya ya fi girma a cikin ƙasashen ASEAN. Juriya na clarithromycin yana ƙaruwa a wurare da yawa kuma ya rage ƙimar kawar da daidaitattun hanyoyin warkewa sau uku. (Matakin shaida: babba; matakin shawarar: N/A)

Bayani na 19:Lokacin da juriya na clarithromycin ya kasance 10% zuwa 15%, ana la'akari da shi a matsayin babban juriya, kuma an raba yankin zuwa wani yanki mai tsayi da ƙananan juriya. (Matakin Shaida: Matsakaici; Matsayin Shawarwari: N/A)

Bayani na 20:Don yawancin hanyoyin kwantar da hankali, hanya ta 14d ita ce mafi kyau kuma yakamata a yi amfani da ita. Za a iya karɓar ɗan gajeren hanya na jiyya kawai idan an tabbatar da tabbatacciyar cimma madaidaicin ƙimar magani na 95% ta hanyar PP ko matakin ƙimar magani na 90% ta hanyar nazarin ITT. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 21:Zaɓin shawarwarin zaɓuɓɓukan jiyya na layin farko ya bambanta ta yanki, wurin yanki, da tsarin juriya na ƙwayoyin cuta waɗanda aka sani ko ake tsammani ta keɓaɓɓun marasa lafiya. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 22:Ya kamata tsarin jiyya na layi na biyu ya ƙunshi maganin rigakafi waɗanda ba a yi amfani da su a baya ba, kamar amoxicillin, tetracycline, ko maganin rigakafi waɗanda ba su ƙara juriya ba. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 23:Alamun farko don gwajin kamuwa da ƙwayoyin ƙwayoyin cuta shine yin jiyya na tushen hankali, waɗanda a halin yanzu ana yin su bayan gazawar jiyya na layi na biyu. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi) 

Bayani na 24:Inda zai yiwu, magani ya kamata a dogara akan gwajin hankali. Idan gwajin kamuwa da cuta ba zai yiwu ba, bai kamata a haɗa magungunan da ke da juriyar ƙwayar cuta ta duniya ba, kuma yakamata a yi amfani da magungunan da ke da ƙarancin juriya. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Bayani na 25:Hanya don haɓaka ƙimar kawar da Hp ta hanyar haɓaka tasirin antisecretory na PPI yana buƙatar tushen tushen CYP2C19 genotype, ko dai ta hanyar haɓaka babban adadin PPI na rayuwa ko ta hanyar amfani da PPI wanda CYP2C19 ba ta da tasiri. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Bayani na 26:A gaban juriya na metronidazole, ƙara yawan adadin metronidazole zuwa 1500 MG / d ko fiye da tsawaita lokacin jiyya zuwa kwanaki 14 zai ƙara yawan adadin warkewar maganin sau huɗu tare da expectorant. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Bayani na 27:Ana iya amfani da probiotics azaman maganin haɗin gwiwa don rage mummunan halayen da inganta haƙuri. Yin amfani da probiotics tare da daidaitaccen magani na iya haifar da haɓaka mai dacewa a cikin ƙimar kawarwa. Duk da haka, ba a nuna waɗannan fa'idodin suna da tasiri mai tsada ba. (Matakin shaida: babba; ƙimar da aka ba da shawarar: rauni)

Bayani na 28:Magani na gama gari ga marasa lafiya waɗanda ke fama da rashin lafiyar penicillin ita ce yin amfani da magani sau huɗu tare da expectorant. Sauran zaɓuɓɓukan sun dogara da tsarin lalurar gida. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Bayani na 29:Adadin sake kamuwa da cutar Hp na shekara-shekara na ƙasashen ASEAN shine 0-6.4%. (Matakin shaida: matsakaici) 

Bayani na 30:Ana iya ganewa dyspepsia mai alaƙa da Hp. A cikin marasa lafiya da dyspepsia tare da kamuwa da cutar Hp, idan alamun dyspepsia sun sami sauƙi bayan an kawar da Hp cikin nasara, ana iya danganta waɗannan alamun cutar ta Hp. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

 

Bibiya

Sanarwa 31:31a:Ana ba da shawarar jarrabawar da ba ta da hankali don tabbatar da ko an kawar da Hp a cikin marasa lafiya da ciwon duodenal ulcer.

                    31b: ku.Yawanci, a cikin makonni 8 zuwa 12, ana ba da shawarar gastroscopy ga marasa lafiya da ciwon ciki don yin rikodin cikakken warkar da miki. Bugu da ƙari, lokacin da miki ba ya warkewa, ana ba da shawarar biopsy na mucosa na ciki don kawar da rashin lafiyar. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Bayani na 32:Ciwon daji na farko na ciki da marasa lafiya masu ciwon ciki MALT lymphoma tare da ciwon Hp dole ne su tabbatar da ko an samu nasarar kawar da Hp aƙalla makonni 4 bayan jiyya. Ana ba da shawarar endoscopy na gaba. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)


Lokacin aikawa: Juni-25-2019