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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)

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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

* Bismuth subsalicylate:
­Y¬OÃĤô¡A¶¼¥Î«e±NÃĤô·n®Ì¦Ü§¹¥þ²V¦X¡F
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* Metronidazole
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¤fµÄ·Pı¦³ª÷Äݨý¡F
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* Amoxicillin
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* Tetracycline
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¤£¯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
* Clarithromycin
À\«eÀ\«á³£¥iªA¥Î¡F
¤fµÄ·Pı¦³²§±`¤f¨ý¡C

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