Heliicobacter Pylori (HP), kekahi o nā maʻi maʻi maʻamau maʻamau i nā kānaka. He pilikia pilikia ia no nā maʻi he nui, e like me gastric ulia,ʻo ka gastric dastritis Ua hōʻikeʻia nā haʻawina e holoi ai i ka HP Hiki i ka hōʻemi o ka pōpilikia, hoʻonui i ka helu o nā mea ulner. Aia kekahi mau koho koho o nā koho edical e loaʻa ana:ʻO ka mālama muaʻana no ka maʻi maʻi Triple Standing Traple I ka makahiki 2007, ua hoʻohuiʻia ke kolamuʻAmelika o GastroentEroly Triple Triple me ClarithromyCin e like me ka mea i loaʻaʻole i ka clarithromycin aʻaʻohe kanaka penikala ma luna o ka poʻe i loaʻa iā Clarithrom. Eia nō naʻe, i nā makahiki i hala aku nei,ʻo ka helu o ka huliʻana o ka nui o ka Triple Triple Triple Trapy Therapy ka ≤80% ma ka nui o nā'āina. Ma Canada, ua hoʻonuiʻia ka helu kū'ē o ka clarithromycin mai ka 1% i ka makahiki 1990 a hiki i ka makahiki he 60%. ʻO Clarithromycin ke kauʻana i ke kumu nui o keʻano o ka pauʻole o ka pauʻole. Ua hōʻikeʻiaʻo Mastricht ivsonsus i nā wahi me nā kūlana kiʻekiʻe e clarithromycin (a iʻole ke kauʻana o ka mea kūʻai aku ma luna o ka nui --line ka lāʻau lapaʻau ma nā wahi me ka pale haʻahaʻa i mycin. Ma kahi o nā hana i luna aʻe, nā kiʻekiʻe kiʻekiʻe o ka PPI Plus a me nāʻano'ē aʻe e like me RAFIMICICIN, Furazoliconic.

Ka hoʻomaikaʻiʻana o ka hana maʻamau triple triple

1.1 quadruple trapy

E like me ka wikiwiki o ka huliʻana o ka Triple Triple Triple Falls, e like me kahi resoment Shaikuh et al. hanaʻia 175 mau maʻi maʻi me ka hp hp, me ka hoʻohanaʻana i kēlā me kēia protocol (pp) a me ka manaʻo. ʻO nā hopena o ka manaʻo e mālama ai (ITT) loiloi i loiloi i ka helu o ka huliʻana o ka Triple Triple Ci: 51-72); ʻO QuiddRuple kahi helu kiʻekiʻe kiʻekiʻe: PP = 91% (102/112 ʻOiai ua hōʻemiʻia ka hopena o ka hopena o HP ma hope o ka mālamaʻana i kēlā me kēia hana i ka wikiwiki. Ua loaʻa kekahi haʻawina'ē aʻe i kahi hopena likeʻole ʻO Cyclic Lacttone antibiotics, manaʻoʻiaʻo Quiddruple Torapy i makemakeʻia. ʻO kaʻoiaʻiʻo,ʻo ka hoʻohanaʻana o ka tincture quadruple ka mea iʻoi aku ka kiʻekiʻe o nā hananaʻino, e like me ka'ōpū E maʻalahi e loaʻa i ka loaʻa, a loaʻa iā ia kahi helu kiʻekiʻe kiʻekiʻe e hiki ke hoʻohanaʻia e like me kahi mālama hoʻoponopono. He mea kūpono ia e hoʻolaha ana i ka clinic.

1.2 SQT

Ua mālamaʻiaʻo SQT me PPI + amoxicillin no 5 mau lā, a laila mālamaʻia me ka PPI + CLARIthromyCin + Martonidazole no 5 mau lā. Ua'ōleloʻiaʻo SQT i kēia manawa ma keʻano he mea hoʻokele mua o ka hana no ka hp. ʻO kahi meta-loiloi o nā ho'āʻoʻana eʻeono mau ho'āʻoʻana (RCTS) ma Korea e pili ana i ka Sqt ma mua o ka helu Triple ~ 2.209),ʻo ka mīkini i lilo i ka mua o ka mea mua Hoʻohana pinepineʻiaʻo SQT ma keʻano he mea hou no ka hikiʻole o ka hana maʻamau Triple Trapler ma kahi'ē aʻe. Eia naʻe, ua hōʻikeʻia nā haʻawina i ka Triple Trappectication Express (82.8%)ʻoi aku ka nui o ka manawa maʻamau (14D). Loaʻa kekahi noiʻi i loaʻaʻole heʻokoʻa nui ma ka helu HP ma waena o SQT a me ka Triple Trapole Therapy. He papa lōʻihiʻo SQT i ka mālamaʻana, kahi e hōʻemi ai i ka hoʻoponopono hoʻomanawanui aʻaʻole kūpono no nā wahi me ka clarithromycin

1.33 Kōkua Kohanohano

ʻO ka hele pūʻana me ka ppepy ka pPP Ua hōʻikeʻia kahi loiloi meta Loaʻa kekahi meta-loiloi'ē aʻe i loaʻa i ka helu koho (90%)ʻoi aku ka kiʻekiʻe ma mua o ka mea iʻoi aku ka nui o ka Triple Triple (78%). Ua manaʻoʻo Mastricht ivʻae i keʻano o ka sqt a iʻole keʻano o ka mea i hiki ke hoʻohanaʻia ma ka hemahema o nā mea kūʻai aku. Eia nō naʻe, ma nā wahi kahi i kū aiʻo Clarithromycin i ka Metronidazole,ʻoi aku ka maikaʻi me ka hana concomtant. Eia nō naʻe, no ka mea, heʻekoluʻano lāʻau lapaʻau e like me nā antibiotics, no lailaʻaʻole e emi-clarithromycin a me nā mea i koe. Ka hapanui i hoʻohanaʻia ma nā wahi me ka pale haʻahaʻa i ka clarithromycin a me ka metronidazole.

1.4ʻO ka mālama kālā kiʻekiʻe

Ua loaʻa i nā haʻawina e hoʻonui ana i ka nui o ka hana a me / a iʻole ka neʻeʻana o kaʻoihana o PPI a me Amoxicillin ma mua o 90%. ʻO ka hopena bactiicicidal o Amoxichinin ma Hpʻo ia i manaʻoʻia i ka manawa, e hilinaʻi i ka manawa a hikiʻole ke hoʻonui i keʻano o kaʻoihana. ʻO ka lua, i ka wā e mālamaʻia ai ka pH ma ka'ōpū ma waena o 3 a 6, hiki ke hoʻopauʻia ka replication. I ka nui o ka pH i ka'ōpū ma mua o 6,ʻaʻole e hoʻohuli houʻo HP a he nānāʻole i ka amoxicillin. Ren Et Al Flicized i nā hoʻokolohua i hanaʻia i nā hoʻokolohua i hanaʻia ma 117 mau maʻi maʻi me nā maʻi hp-maikaʻi. Ua hāʻawiʻia ka hui kiʻekiʻe-Dose kiʻekiʻe. 10mg, noi, ma hope o 2 mau pule o ka mālamaʻana, ke kiʻekiʻe o ka HP i ka hui nui o ka hui. P <0.05. Ua hōʻikeʻia kahi haʻawina mai ka United States e hoʻohana ana iā EPomePrazole 40 MG, LP = 74.2% ma hope o 14 mau lā Franceschi et al. ʻO ka hoʻihoʻi houʻana iʻekolu mau hoʻomaʻamaʻaʻekolu: 1 mau triple trapy srapy: lansoola 30mg, birithromycin 500mg, bud, 7d; 2 kiʻekiʻe-Dose Therapy: Lansuo Modbazole 30mg, clarithromycin 500mg,ʻo 700mg,ʻo 700 3SQT: Lansoprazole 30mg, Bid + amoxicillin 1000mg BID a me ka Pinsoprazole no 500MG BID a me ka PinsPrazole ʻO nā kumukūʻai o nā eradication o nā papa hana oʻekolu mauʻoihana: 55%, 75%, a me 73%. ʻO kaʻokoʻa ma waena o nā lāʻau lapaʻau kiʻekiʻe a me nā Triple Triple Tracpectically Statistically nui, a ua hoʻohālikelikeʻia kaʻokoʻa me SQT. ʻAʻole koʻikoʻi nui. ʻO kaʻoiaʻiʻo, ua hōʻikeʻia nā haʻawina i hōʻikeʻiaʻo iaʻo ka nui o ka oneprazolan a me ka amoxichin i hoʻomaikaʻi maikaʻiʻia i nā kumukūʻai edication ʻO ka hapa nui o PPIS ka metabolilized e ka cyp2c19 enzyme, pēlā ka ikaika o ke metabolis o ka PPI. ʻO ESomeprazole ka metabolilized ma Cytochrome P450 3 A4 envyme, hiki ke hōʻemi i ka mana o Cyp2C19 Tom Ma kahi o ka hoʻohuiʻana i ka PPI, amoxicillin, rifphickin, Frazamlicyone, Prazolxina,ʻo Furazolicoin, ua hōʻikeʻia ma keʻano he maʻi kiʻekiʻe.

Hui pūʻiaʻo Microbial hoʻomākaukau

E hoʻohui i nā mea ecological Microbial (Mea) i hiki ke hōʻemi i kaʻoihana, akā ua paʻa mauʻia ka hopena o nā mea hou. Ua loaʻa i kahi meta-loiloi i loaʻa i ka triple therapy o b. sphaerodides me ka triple i hanaʻia, n = 915 (1.21), e hōʻemi ana nā hopena maikaʻi e pili ana i ka maʻi maʻi. Zhao baomin et al. Ua hōʻike pūʻiaʻo ia ka huiʻana o nā probiotics hiki ke hoʻomaikaʻi nui i ka helu o ka poʻe,ʻoiai ma hope o ka wikiwiki o ka mālamaʻana. ʻO kahi haʻawina o 85 mau mea maʻi maʻi me nā maʻi HP-maikaʻi i hoʻopaʻaʻia i loko o 4 mau pūʻulu o LactithromyCin 500 mg bid, aʻo Tinnidazole 500 mg bid. , B. Cerevisiae, Lactobaclillus me BIFIDOBACTERIA, Placebo no 1 mau pule, e hoʻopiha i kahi nīnau ʻokoʻa kaʻokoʻa ma waena o nā hui o ka uhi ma waena o nā hui, akā he mau hui nui a pau i ka uluʻana o nā hui hou ma waena o nā hui kū'ē kū'ē i waena o nā hui kū'ē kū'ē ma waena o nā hui kū'ē kū'ē. ʻO ka mīkini e ka mea e hoʻopiliʻia ai nā probiotics edraticate hp Eia nō naʻe, uaʻike kekahi mau noiʻi e hoʻomaikaʻiʻia ka huiʻana o nā probiotics i ka hopena o ka probiotication i ka wā e pili ana i ka hopena o nā probiotics Aia nō he nui noiʻi noiʻi i loko o nā probiotics hui, a ua pono hou ka noiʻi houʻana i nāʻano, nā papa hana hana, nā papa hana probiotic.

ʻO nā mea e pili ana i ka helu HP

ʻO kekahi mau mea e hoʻopilikia ai i ka holoiʻana i ka HP HPABIotic Ke alo. Ua hōʻikeʻia nā haʻawina i nā hoʻokolohua haole me ka univariate, makahiki, Area, Destrulatestory.E Gortication, PPIFICING FORETY I hoʻohuiʻia kekahi maʻi maʻi maʻi, heʻano maʻi o ka maʻi o ka hp. Eia naʻe,ʻaʻole like nā hopena o ke aʻoʻana o kēia manawa, a me nā haʻawina nui nui loa.