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