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ªvÀø¤è®×·|®Ú¾Ú¯f¦](ªA¥ÎNSAID»P§_)¡A¥H¤Î¦ì¸m(G©Î¤Q¤G«ü¸z)¦Ó¦³®t²§¡CªvÀøÃĪ«¦³§í¨îG»Ä¤ÀªcÃÄ(§Ü»Ä¾¯¡B²ÕÓiH2¨üÅé«ú§Ü¾¯¡B½è¤l¬¦§í¨î¾¯)¡A¥H¤ÎGÖß½¤«OÅ@ÃÄ¡A¥Î©ó½w¸Ñ¯gª¬¤Î«P¶i¼ìºÅ¡¦X¡C¥t¥~§Ü¥Í¯À±M¹ï¥I«ÕªùÁ³±Û±ìµß·P¬V¡C
¥Ñ«DÍrÅéÃþ®øª¢ÃÄ(NSAID)¤Þµoªº®ø¤Æ©Ê¼ìºÅ¯f¡A³q±`»Ýn°±ªAP¯fÃĪ«¡A¦ý¦P®É¥ç»Ý§í¨îG»Ä¤Àªc¡C¦p¥¼¯à¨Ï±wªÌ°±ªANSAID¡A±N·|¦bÀøµ{¤¤¥[¤JÖß½¤«OÅ@¾¯¡C¨ä¥L¨Ã«D¥ÑNSAID¤Þ°_ªº¼ìºÅ¯f¡A¥Dn°w¹ï«ÕªùÁ³±Û±ìµß¡A±N·|¥H§Ü¥Í¯À¤Î§Ü»Ä¾¯²V¦XªvÀø¡C¤£½×¤°»ò¯f¦]¡A¤@¯ëG¼ìºÅ±wªÌªº§Ü»Ä¾¯¨Ï¥Î¶q¸û°ª¡A¨Ã¥BÀøµ{¸ûªø¡C(¦³ÃöÃĪ«½Ð°Ñ¦Òªí1.)
I. §í¨îG»Ä¤ÀªcÃĪ«
1. §Ü»Ä¾¯
¥Î¨Ó¤¤©MG»Ä¡A¦P®É¨¾¤î³J¥Õ®ø¤Æ»Ã¯À(¦ppepsin)¬¡¤Æ¡C³o¨ÇÃÄ¥i¥Hµu¼È¦a½w¸Ñ¯gª¬(¬ù«ùÄò45¤ÀÄÁ¦Ü3¤p®É)¡C°Æ§@¥Î¦³«K¯µ¤Î¸¡Âm¡A©Î¬O»P¨ä¥LÃĪ«ªº¬Û¤¬§@¥Î¡C
2. ²ÕÓiH2¨üÅé«ú§Ü¾¯
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3. ½è¤l¬¦§í¨î¾¯(PPIs)
¬O²{¤µ³Ì±j®ÄªºG»Ä§í¨îÃĪ«¡A½è¤l¬¦¬OG»Ä¥Í²£ªº³Ì«á¹Lµ{¡A¥i¥H»{¬°¬OG»Ä¤Àªcªº·½ÀY¡C³oÃþÃij̲׷|³y´N¨}¦nÀô¹Ò¨Ó©è§Ü¯fµß¡A¨Ï§Ü¥Í¯À¦b¯fÅܰϱo¨ì¨}¦nµo´§¡C¤j¦h¼Æ¤H³£¨S¦³°Æ§@¥Î¡A¦³®É·|¦³äú¤ß¡B¸¡Âm¡B¸¡µh¡B·w¯t¡B©ÎÀYµh¡COmerprazole¬O³oÃþÃĪº¥Nªí¤§¤@¡A¤£¹L¥¦»P«Ü¦hÃĪ«¦³¤£¨}¼vÅT¡AªA¥Î®É¶·ª`·N¡C¥t¥~ªA¥ÎLansopraole ¥çÀ³ª`·N¡AÁöµM¸û¤Öµo¥ÍÃĪ«¤ÏÀ³¡C
II. GÖß½¤«OÅ@¾¯
¹c¾¯¥i¥H¦b¼ìºÅ°Ï§Î¦¨¾÷±ñ©Ê«Ì»Ù¡AÁקK¯}Ãa¦]¯ÀÄ~Äò«I»k¡C³oÃþÃĤj¦h¼Æ¤£·|³Q§l¦¬¡A¥ç¤£·|§í¨îG»Ä¤Àªc¡A°Æ§@¥Î«Ü¤Ö¡C¥i¯à¥X²{ªº¦³«K¯µ¡Bäú¤ß¡B©ñ§¾¡B¤ÎG³¡¤£¾A¡C¥Ñ©ó¹c¾¯·|ªýê¨ä¥LÃĪ«ªº§l¦¬¡A©Ò¥H¶·»P¨ä¥LÃĤÀ¶}ªA¡A³Ì¦n¬Û¹j2¤p®É¡C
III. §Ü¥Í¯À
§Ü¥Í¯À°w¹ï«ÕªùÁ³±Û±ìµß¡C±`¥ÎÃĪ«¦³bismuth subsalicylate, metronidazole, amoxicillin, tetracycline, and clarithromycin¡C±wªÌªA¥Î³o¨ÇÃĪ«¶·ª`·N¡G
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Bismuth subsalicylate:
Y¬OÃĤô¡A¶¼¥Î«e±NÃĤô·n®Ì¦Ü§¹¥þ²V¦X¡F
Y¬O¤ù¾¯¡A¶·±NÃĤùÄZ¸H©Î¦b¤fµÄ·»¸Ñ, ¤£¯à§]Ã`¡F
¥i¯à¤Þ°_¦ÞÀY©ÎÁT«Kµo¶Â¡C |
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Metronidazole
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G³¡¤£¾A¥i¥Î¹ª«½w©M¡C |
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Amoxicillin
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Tetracycline
¶·¦bÀ\«e1¤p®É©ÎÀ\«á2¤p®ÉªAÃÄ¡F
¤£¯à¦bªAÃÄ2¤p®É«e©Î«á¡A¦P®ÉªA¥Î§Ü»Ä¾¯¡AÅK¸É¥R¾¯¤Î¨Å«~¡F
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¤k©Ê¦pªA¥ÎÁ×¥¥¤Y¡A¦bÀøµ{¤¤¶·ÃB¥~¨Ï¥ÎÁ×¥¥¤èªk¡C |
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Clarithromycin
À\«eÀ\«á³£¥iªA¥Î¡F
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