Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Protokoly_diagnostiki_i_lechenia_zabolevany

.pdf
Скачиваний:
21
Добавлен:
06.02.2015
Размер:
2.14 Mб
Скачать

% — 3 &$ &

" — 3 &$ &

.

2.? , V .

3.+ " 7_@! , % " ,$"$# $.

4.B " " + .

' % % & " Helicobacter Pylori.

' Helicobacter Pylori:

@ Helicobacter Pylori & &$ % 12- , % &$ %

(?).

 

 

' " &

$ Helicobacter Pylori

& " 3

, "

 

3 .

 

 

" " + '! Helicobacter Pylori

.

+ " & % " &$ % 12- .

1.@ & " – & !-13, $ & # % " "Helicobacter pylori (?, 1b, NICE 2004). B & ,3 3 ( % & " 4- &" " ).(A, 1b)

2.' Helicobacter Pylori (HpSA) . + ,&$ & " .Helicobacter Pylori, 3 3 . (A.. 1 )

3.! " ( JgG Helicobacter Pylori). G & " & &$ " &$, $ & "Helicobacter Pylori . , & 2$ &$, & " % &Helicobacter Pylori. , "Helicobacter Pylori.(?, 1b)

4.B " & &

: " ,

,

 

 

. @

" 3 "$ $ " & & .

5.

<

. L & &

" ,

$ & " % . ,

$

" .

 

 

 

6.; " , " 100 . " % & , . @ " & & 3 . (?, 1b)

7.& – & & Helicobacter Pylori, & #$ " & "

. B & & & " " & 2 " " 3 (B, 11a), 4.

' 3 - + $ $#

% .

" & :

1.# .

2." % .

3.? $ &.

4.# " .

5. 7_@! & ( ).

6." .

7./ " .

8.; + .

" & & :

2.H)B " , % " % " % .

3..

4..

5.?J;, ?!;.

6.$ .

8.% ( )

+

+>6>@B ?6>+; )+ > J>L>+B>

• @ 81 (1 , 15) $" $, $# $# "( , , "[ )., 5~ .

6>@B ?6>+; )+ > J>L>+B>

A & 8

% ,

. pylori

3

'4. ;

3

:

 

 

' % & " %$ +. pylori,, 80% " .

+ % & % " 3 ( " 5% " ).

! % & 3 % & " 7~14

.

; — 33 ?. 3 $85-90% " 15% " .

! " :

; .

B ( * 20 , ?* 20 ) - - * + ?* 500 + ?* 1000

* 500

;

J!

$

2 &

" 7

. ! "

 

 

" & ,

"

 

 

', % & %$ "

&

 

"

 

. 500

2

 

&

 

3

[ J! 250 2 &'. , " 3 & -

- ? **

? .

 

 

 

 

$ " 3

 

. B

2 & +

' 120 4 & + ?** 500 3 & + ?** 100-200 4 &.

1.> & " $ 3 , & [ .

2.> & 3 , 3 " , " " & " ( , ).

3.> & , " 3 ,& " & & +. pylori & .

4. & " " " $& , $.

5. 3 " .

" 3

% & "

#[ " 5 & " 7

% "

&

(

,

+2- ). O &, H. pylori

' " , H . pylori, &$ " "$ " . % " .

• B : ?* 20 2 &, ?* 20 1-2 &,

< +- : ?*20 2 &, '* 150 2&.

'*, .*

7 & " % $ 3 " " 8 , & — " 4 .

?.

+ ( " % )

%$#

 

. : 1. + 3 &

3 ,2. % O<, 3. + " $# ,

$#

+ '!, 4.

! $# O< 3- $ -3 .,5.

< & 60 % $# " O<.

 

<. ;

$,

$# ,

O<

 

" - 3 ,

-

- " 3 . > $, 7_@!,

 

- 3 .

" & :

1.*? 1000 ,

2.* 500 ,

3.*; 100-200 ,

4.*6 500 ,

3.* & $, &

4.*_ 40 ,

5.* 20 ,

" & & :

1. *' 120 ,

2. *@ 10 , ,- ! : " , ,

< & % $ $ .

/

, &

:

1.

Prodigy guidance – Dyspepsia – proven DU, GU, or NSAID-associated ulcer. NICE 2004

Management of Helicobacter pylori Infection. MOH Clinical Practice Guidelines 9/2004

2.

B.+.@ , M.J.K " .

" $ "

 

" . 6.2004.

 

3.New Zealand guidelines group/ Management of dyspepsia and heartburn, June 2004.)

4.Management of Helicobacter pylory infection. Ministry of health clinical practice guidelines 9/2004/

5.Guidelines for clinical care. University of Michigan health system. May 2005.

6.Practice guidelines. Guidelines for the Management of Helicobacter pylori Infection/ THE AMERICAN JOURNAL OF GASTROENTEROLOGY Vol. 93, No. 12, 1998.

7.National Committee for Clinical Laboratory Standards/ Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow AerobicallyFift Edition/ Approved Standard NCCLS Document M7-F5,Vol.20, N!!LS, Wayne,PA,January 2000.

8.'.;. B . " $ ." . 6 ., 2005 .

9.& .O. " $ , 6 ,2001 .

10.?.'. + " # H" - " , ? ,2003 .

* – , # (% % )

!

"

( " )

# 2006 .

# 8 , $ . ' $ 8 8

: 09-101

"$ &: ":

& !: " # , % .

' & & ( ): 9

(: L02 ? % ,

) : # – " , $# " " # " ( & ). ? % % " : , . Staphylococcus aureus.

* – -" %$#

. ' &

 

&$

%

%$#$

&$ &. + " $

 

"

% ,

$#

$ ( "& , ) $ (

& , , "

&, ). ' " # Staphylococcus aureus, % Staphylococcus pyogenes albus. * – % % .

– -" & & % % % " . " # , % " " , , , % " . ' – Staphylococcus aureus, % .

* : # , , % # ,

# ( , % ), % .

 

" :

 

 

 

 

"

 

:

%

,

,

$# , , .

 

 

5 :

 

# , # " , , $.

 

 

:

– &

$#

 

% ,

& "

&

" " ( ) . "

 

,

3-7 & %$ . - " & & & , " . + % $ & , % $# , # , & . % &, % , " . 7 " & , & (" "),- . ' . &$, & % , " $ " . ; 40 !, " " & ( , , & &, , & ).

" & :

" & :

+ :

. % - " % % & . & & ,% & %$# . "# & % & % " .

> " 3 ,. $"" " $ # % " " . ", &$ ' .

@ $ & " " . 6 % " & , "& . H ,$ $ " . & $$ , " , , % % .$ . 2-3 $ % , " " , . ' " % "& % & "

 

 

, " %

&

" 3 .

 

 

 

 

 

 

 

,

$#

&

 

$# , "$# # : 5% -2,0 / 810-15, 1 . 3 &, 10 .

? " " & :

_ – 0,25 4 / ( ); / – 0,375-0,625 3 / ;0,5-1,0 4 / ;– 0,5 2 / ; 3 0,5 4 / ;1-2 4-6 / / , / ;1-2 3 / / , / ;

0,5-1 3 / &;1, 0 1 / / .

B & 400 \ – 7 ( ).

6 - 2% & , 2% &.

H" " , &$ " $# : & 30% - 10,0 / % 810-15.

" " ## , , " " 1% 1,0 / 810-15 ( ", $, $# "

).

 

+ "$

& &

– 6 .

# 10 .

 

@ &

/+! $ $# –

 

 

20 . 3 & " .

 

H" , "

# " $ ,

% "$ – 500 3

&, 10 ; 250 3 &-10 . ! &$

%

% " % , " % " # ,

 

" # " $# " 14 &, 10 .

! &$ " " - 400 / 1&, 800 . + % "$ , " –, ( , , & ), & , " % .

" & :

1.*? V 5%, 10% 2 , 5

2._ 500

3.*? + 625 ; V 600

4. */ 250 , 500 , ; 125 , 250 /5

5.*/ 250 , 500 ; V

 

750

6.

*7 250 , 500 ; & 250 /5

7.

*/ V 1000

8.

*/ V 250 , 500 , 1 000

 

 

9.*B & 150 – 10 \

10.*+ & V 30% 5 , 10

11.*+ 50 ; 1% 1

12.*? & 250

13.+ 30 , 50

14.*6 10% &

15.*6 250 ; 0,5 100

16.* , % 4 500 >@

17.*@ 200 , 400

18.*6 1% 10

19.* 1:10 000

20.* & 3% 25 , 40

" & & :

,- ! : %

/ , & :

1.MedlinePlus. Furuncle and Carbunculosis;

2.) 6.+. % .

* – , # % % .

7 & & 8

: 12-120

"$ &: " :

& ! : & &3 , &

' & & ( ): 12

(: N41.1 G "

) : < - & %

.

 

 

 

 

 

 

$ (+ & B ) & , !K?):

 

 

- G " &

 

 

 

 

 

- G " &

( " )

 

 

? -

"

 

 

 

 

< -

"

& %

 

- < & %

 

 

 

- & , .

 

 

 

 

 

*

:

 

$#

 

,

&

,

.

 

 

 

 

 

" :

 

 

 

 

 

"

: < % ,

,

% ( ,

& 3 & " ).

 

5 :

 

?6, , $,

& % ,

"

%

& % , 2-

, " "

% , !? , / , B_?, B_, B_, ,

 

 

 

 

 

 

 

 

 

 

 

:

 

 

 

 

 

1.H" # " , " %% % .

2.

) "

, " .

3.

L % "

.

4.

L % ,

.

5.

< & "

"

 

6., 3 , 3 .

7.! % , " " 3 & & " .

8.J # " .

9.< & & % .

10. ' % & & % & .

11.< & " , " .

12.H)B: " .

" & :

1.# (6 )

2.# "

3." %

4.? " &

5.H)B "

" & & :

1. B_? G

2.B_? IgA

3.B_? IgM

4.B_? IgG

5.B_? IgM

6.B_?

7.B_?

8.B "

9.B_?

+ :

1. J 3 " ( " &

) (

400 2 &,

250-500 2 &), 2,3

, +

, ( , , , ),.

2.@ " && 400 \ " 7

3.

œ- ( , 1-2 2,5 1 & 2,5 1-

 

2 ) " &

) (1,2)

4.

( , "

)

5.6 % & % , " , "( )

5. B ( , )

G " & . 7 & : œ-,5œ-, & ( & ), & , (5,6,7)

" / "& " " .

" & :

1.

* V 40 / , 80 /2

2.

*/ 250 , 500 ; V

 

750

3.B & 150 – 10 \

4.+ 200

5." &

6.*6 , 250

7.*? 250 ; 250 , 500 ; V 500 , 1000 ; 125/5

" & & :

1. *? 200 ; 205

2.7 % 3 1

3.*J 250 , 500

,- ! :

% " , " " , &, B_?.

/ , & :

1.Chronic prostatitis. Thomas Jang and Anthony Schaeffer. Search date July 2004. BMJ;

2.Barbalias GA, Nikiforidis G, Liatsikos EN. Alpha-blockers for the treatment of chronic prostatitis in combination with antibiotics. J Urol 1998; 159: 883-887;

3.Prodigy Guidance - Prostatitis

Соседние файлы в предмете [НЕСОРТИРОВАННОЕ]