( ASEAN, Ƙungiyar Ƙasashen Kudu maso Gabashin Asiya, tare da Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar da Cambodia, shine babban batu na rahoton ra'ayi na Bangkok da aka fitar a bara, ko kuma zai iya samar da shi Jiyya na kamuwa da cutar Helicobacter pylori.

Helicobacter pylori (Hp) kamuwa da cuta yana ci gaba da haɓaka, kuma masana a fannin narkewar abinci suna tunanin mafi kyawun dabarun magani. Maganin kamuwa da cutar Hp a cikin ƙasashen ASEAN: Babban taron tattaunawa na Bangkok ya haɗu da ƙungiyar manyan masana daga yankin don yin nazari da kimanta cututtukan Hp a cikin sharuɗɗan asibiti, da kuma haɓaka maganganun yarjejeniya, shawarwari, da shawarwari don maganin asibiti na cutar Hp a cikin ASEAN. kasashe. Taron ya samu halartar masana kasa da kasa 34 daga kasashe mambobin kungiyar ASEAN 10 da Japan da Taiwan da kuma Amurka.

Taron ya mayar da hankali ne kan batutuwa hudu:

(I) cututtukan cututtuka da alaƙar cututtuka;

(II) hanyoyin bincike;

(III) ra'ayoyin jiyya;

(IV) bin bayan shafewa.

Sanarwar yarjejeniya

Bayani na 1:1a: Cutar ta HP tana ƙara haɗarin alamun dyspeptic. (Matakin Shaidar: Babban; Matsayin Shawarwari: N/A); 1b: Duk marasa lafiya da dyspepsia yakamata a gwada su kuma a yi musu magani don kamuwa da cutar Hp. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 2:Saboda amfani da ciwon Hp da/ko magungunan anti-inflammatory marasa steroidal (NSAIDs) yana da alaƙa sosai tare da cututtukan peptic, jiyya na farko na ciwon peptic shine kawar da Hp da/ko daina amfani da NSAIDs. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 3:Matsakaicin shekarun da suka shafi ciwon daji na ciki a cikin ƙasashen ASEAN shine 3.0 zuwa 23.7 a cikin shekaru 100,000 na mutum. A yawancin ƙasashe na ASEAN, ciwon daji na ciki ya kasance ɗaya daga cikin manyan abubuwan 10 na mutuwar ciwon daji. Lymphoma nama mai haɗe da mucosa na ciki (cikin MALT lymphoma) yana da wuya sosai. (Matakin shaida: babba; matakin shawarar: N/A)

Bayani na 4:Kawar da cutar Hp na iya rage barazanar kamuwa da cutar kansar ciki, kuma a yi wa ’yan uwa masu fama da cutar kansar ciki a yi musu gwajin cutar Hp. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 5:Ya kamata a kawar da marasa lafiya da ke da lymphoma na MALT na ciki don Hp. (Matakin shaida: babba; matakin shawarar: mai ƙarfi) 

Bayani na 6:6a: Dangane da nauyin zamantakewar cutar, yana da tsada don gudanar da gwajin cutar Hp ta al'umma ta hanyar gwaji mara kyau don hana kawar da ciwon daji na ciki. (Matakin shaida: babba; matakin shawarar: rauni)

6b: A halin yanzu, a yawancin ƙasashen ASEAN, bincikar cutar daji na ciki ta al'umma ta hanyar endoscopy ba zai yiwu ba. (Matakin Shaida: Matsakaici; Matsayin Shawarwari: Rauni)

Bayani na 7:A cikin ƙasashen ASEAN, sakamakon daban-daban na kamuwa da cutar Hp an ƙaddara ta hanyar hulɗar da ke tsakanin abubuwan da ke haifar da cutar ta Hp, mai masauki da abubuwan muhalli. (Matakin shaida: babba; matakin shawarar: N/A)

Bayani na 8:Duk majinyata da ke da ciwon daji na ciki ya kamata a yi gwajin Hp da magani, tare da daidaita haɗarin kansar ciki. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Hanyar ganewar HP

Bayani na 9:Hanyoyin bincike don Hp a cikin yankin ASEAN sun haɗa da: gwajin numfashi na urea, gwajin antigen na fecal (monoclonal) da ingantaccen gwajin urease na gida (RUT) / histology. Zaɓin hanyar ganowa ya dogara da abubuwan da majiyyaci ya zaɓa, samuwa, da farashi. (Matakin shaida: babba; matakin shawarar: mai ƙarfi) 

Bayani na 10:Ya kamata a gudanar da gano Hp na tushen biopsy a cikin marasa lafiya da ke jurewa gastroscopy. (Matakin Shaida: Matsakaici; Matsayin Shawarwari: Mai ƙarfi)

Magana ta 11:Gano na Hp proton pump inhibitor (PPI) an dakatar da aƙalla makonni 2; Ana dakatar da maganin rigakafi na akalla makonni 4. (Matakin shaida: babba; ƙimar da aka ba da shawarar: mai ƙarfi)

Bayani na 12:Lokacin da ake buƙatar maganin PPI na dogon lokaci, ana ba da shawarar gano Hp a cikin marasa lafiya da cututtukan gastroesophageal reflux (GERD). (Matakin Shaida: Matsakaici; Ƙimar da aka Shawarta: Ƙarfi)

Magana ta 13:Marasa lafiya da ke buƙatar magani na dogon lokaci tare da NSAIDs yakamata a gwada su kuma a yi musu magani don Hp. (Matakin shaida: babba; matakin shawarar: mai ƙarfi) 

Magana ta 14:A cikin marasa lafiya masu zub da jini na peptic ulcer da rashin lafiyar Hp na farko, ya kamata a sake tabbatar da kamuwa da cuta ta gwajin Hp na gaba. (Matakin Shaida: Matsakaici; Matsayin Shawarwari: Mai ƙarfi)

Bayani na 15:Gwajin numfashin urea shine mafi kyawun zaɓi bayan kawar da Hp, kuma ana iya amfani da gwajin antigen na fecal azaman madadin. Ya kamata a yi gwajin aƙalla makonni 4 bayan ƙarshen maganin kawar da cutar. Idan an yi amfani da gastroscope, ana iya yin biopsy. (Matakin shaida: babba; matakin shawarar: mai ƙarfi)

Bayani na 16:Ana ba da shawarar cewa hukumomin kiwon lafiya na ƙasa a ƙasashen ASEAN su mayar da kuɗin Hp don gwajin gwaji da magani. (Matakin shaida: ƙananan; matakin shawarar: mai ƙarfi)