Ukwelashwa kokutheleleka nge-HP 

Isitatimende 17:Izinga lokukholisa le-protocol yomugqa wokuqala wezinto ezibucayi kufanele okungenani zibe ngama-95% eziguli eziphulukisiwe ngokuya ngokuhlaziywa kwe-protocol set (PP), kanye nokuhlaziywa kwe-aughting (i-ITT) noma ngaphezulu. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 18:I-Amoxicillin ne-TetracyCline ziphansi futhi zizinzile. Ukumelana neMetronidazole ngokuvamile kuphakeme emazweni ase-ASEAN. Ukumelana kwe -cacithromycin bekukhulayo ezindaweni eziningi futhi kunciphise izinga lokuqedwa kokwelashwa okujwayelekile. (Izinga lobufakazi: phezulu; izinga elinconyiwe: n / a)

Isitatimende 19:Lapho izinga lokumelana ne -cacithromycin lingama-10% layi-15%, kubhekwa njengezinga eliphakeme lokumelana, futhi le ndawo ihlukaniswe indawo yokumelana nokumelana nendawo ephansi. (Izinga lobufakazi: I-Medium; Izinga Elinconyiwe: N / A)

Isitatimende 20:Kwamalungelo amaningi, inkambo eyi-14D isebenza kahle futhi kufanele isetshenziswe. Inkambo emfushane yokwelashwa ingamukelwa kuphela uma kufakazelwe ukuthi kufinyeleleke ngokuthembekile umkhawulo wamanani we-95% we-PP noma umkhawulo wamazinga we-90% ngokuhlaziywa kwe-ITT. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 21:Ukukhethwa kokunconywa kokwelashwa komugqa wokuqala olwahluka kuyehluka ngesifunda, indawo yokuhlala, kanye namaphethini wokumelana nama-antibiotic aziwa noma alindelwe yiziguli ngazinye. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 22:I-regimes yokwelashwa yomugqa wesibili kufanele ifake ama-antibiotic engasetshenziswanga ngaphambili, njenge-amoxicillin, i-tetracycline, noma ama-antibiotic angakakhuphuki ukumelana. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 23:Ukukhonjiswa okuyinhloko kokuhlolwa kwezidakamizwa ezilwa namagciwane kuwukuhlola ukwelashwa okususelwa ekujuleni kokuzwela, okwamanje okwenziwe ngemuva kokwehluleka kokwelashwa komugqa wesibili. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe: 

Isitatimende 24:Lapho kungenzeka, ukwelashwa kokulungisa kufanele kususelwe ekuhlolweni kokuzwela. Uma ukuhlolwa kwentuthuko kungenzeki, izidakamizwa ezinokungazethembi kwezidakamizwa zendawo yonke akufanele zifakwe, futhi izidakamizwa ezinokumelana nemithi ephansi kufanele zisetshenziswe. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Isitatimende 25:Indlela yokwandisa isilinganiso sokuqedwa kwe-HP ngokwandisa umphumela we-antisecretory we-PPI idinga i-CCP2C19 genetype, kungaba ngokwandisa i-PPI ye-metabolic ppi ephezulu noma ngokusebenzisa i-PPI engathinteki kangako yi-CCP2C19. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Isitatimende 26:Lapho ekhona ekumelaneni kwe-metronidazole, okwandisa umthamo we-metronidazole kuya ku-1500 mg / d noma ngaphezulu futhi unwebe isikhathi sokwelashwa ezinhlamvu ezinsukwini eziyi-14 uzokwandisa izinga lokulahla ukwelashwa kwe-quadruple. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Isitatimende 27:Ama-Proshootic angasetshenziswa njengokwelashwa okukhunjulwa ukunciphisa ukuphendula okunzima futhi athuthukise ukubekezelelana. Ukusetshenziswa kwama-probiotic kanye nokwelashwa okujwayelekile kungaholela ekukhuphukeni okufanele kwamanani aqediwe. Kodwa-ke, lezi zinzuzo azikhonjiswanga ukuthi ziyasebenza. (Izinga lobufakazi: phezulu; isilinganiso esinconyiwe: buthakathaka)

Isitatimende 28:Isixazululo esivamile seziguli ezingezwani ne-penicillin ukusetshenziswa kwe-quadruple therapy nge-endender. Ezinye izinketho kuncike ephethini lendawo yokuthola ithuba. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Isitatimende 29:Izinga lokuvuselelwa konyaka le-HP elibikwe amazwe ase-Asean ngu-0-6.4%. (Izinga lobufakazi: Medium) 

Isitatimende 30:I-dyspepsia ehlobene ne-HP iyabonakala. Ezigulini ezine-dyspepsia ngokutheleleka nge-HP, uma izimpawu ze-dyspepsia zikhishwa ngemuva kokuthi i-HP iqedwe ngempumelelo, lezi zimpawu zibangelwa ukutheleleka nge-HP. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Landelela

Isitatimende 31: 31A:Ukuhlolwa okungahlaseli kunconyelwa ukuqinisekisa ukuthi ngabe i-HP iqedwe ezigulini nge-duodenal ulcer.

                    I-31B:Imvamisa, emavikini angu-8 kuye kwayi-12, kunconyelwa i-gastroscopy yeziguli ezine-ulcer esiswini ukuqopha ukuphulukiswa okuphelele kwesilonda. Ngaphezu kwalokho, lapho isilonda singaphuluki, i-biopsy ye-mucosa yesisu iyanconywa ukukhipha ubukhosi. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Isitatimende 32:Umdlavuza wakuqala wesisu kanye neziguli ezine-strtric malt lymphoma ene-HP ukutheleleka kufanele uqinisekise ukuthi ngabe i-HP iqedwe ngempumelelo okungenani amasonto amane ngemuva kokwelashwa. Ukulandela-up endoscopy kunconyiwe. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe: