(ASEAN, Lub Koom Haum ntawm Cov Tebchaws Es Xias Qab Teb, nrog rau Malaysia, Indonesia, Thaib, Philippines, Singapore, Brunei, Nyab Laj, Laos, Myanmar thiab Cambodia, yog lub ntsiab lus tseem ceeb ntawm daim ntawv tshaj tawm kev pom zoo hauv Bangkok uas tau tshaj tawm xyoo tas los, lossis tej zaum yuav muab kev kho mob rau tus kab mob Helicobacter pylori. Qee lub tswv yim.)

Kev kis tus kab mob Helicobacter pylori (Hp) yeej hloov pauv tas li, thiab cov kws tshaj lij hauv kev zom zaub mov tau xav txog txoj kev kho mob zoo tshaj plaws. Kev kho mob Hp hauv cov teb chaws ASEAN: Lub Rooj Sib Tham Txog Kev Pom Zoo hauv Bangkok tau coj ib pab pawg kws tshaj lij tseem ceeb los ntawm thaj av los tshuaj xyuas thiab soj ntsuam cov kab mob Hp hauv kev kho mob, thiab los tsim cov lus pom zoo, cov lus pom zoo, thiab cov lus pom zoo rau kev kho mob Hp hauv cov teb chaws ASEAN. Lub Rooj Sib Tham Txog Kev Pom Zoo hauv ASEAN tau koom nrog 34 tus kws tshaj lij thoob ntiaj teb los ntawm 10 lub teb chaws ASEAN thiab Nyiv Pooj, Taiwan thiab Tebchaws Meskas.

Lub rooj sib tham tau tsom mus rau plaub lub ntsiab lus:

(I) kev sib txuas ntawm kab mob thiab kab mob sib kis;

(II) cov txheej txheem kuaj mob;

(III) cov kev xav txog kev kho mob;

(IV) kev saib xyuas tom qab kev tshem tawm.

Cov lus pom zoo

Cov Lus Qhia 1:1a: Kev kis tus kab mob Hp ua rau muaj kev pheej hmoo ntawm cov tsos mob dyspeptic. (Theem Pov Thawj: Siab; Qib Pom Zoo: N/A); 1b: Txhua tus neeg mob uas muaj dyspepsia yuav tsum tau kuaj thiab kho rau kev kis tus kab mob Hp. (Theem pov thawj: siab; qib pom zoo: muaj zog)

Cov Lus Qhia 2:Vim tias kev siv cov tshuaj Hp thiab/lossis cov tshuaj uas tsis yog steroidal anti-inflammatory drugs (NSAIDs) muaj feem cuam tshuam nrog cov kab mob peptic ulcers, kev kho mob tseem ceeb rau cov kab mob peptic ulcers yog tshem tawm Hp thiab/lossis tsum tsis txhob siv cov tshuaj NSAIDs. (Theem pov thawj: siab; theem pom zoo: muaj zog)

Cov Lus Qhia 3:Tus kab mob qog noj ntshav hauv lub plab uas tau teev tseg rau txhua hnub nyoog hauv cov teb chaws ASEAN yog 3.0 txog 23.7 rau txhua 100,000 tus neeg ib xyoos. Hauv feem ntau ntawm cov teb chaws hauv ASEAN, kab mob qog noj ntshav hauv lub plab tseem yog ib qho ntawm 10 yam ua rau neeg tuag los ntawm kab mob qog noj ntshav. Kab mob qog noj ntshav hauv lub plab uas cuam tshuam nrog cov kua qaub ncaug hauv lub plab (mob qog noj ntshav hauv lub plab MALT) tsis tshua muaj. (Theem pov thawj: siab; theem pom zoo: N/A)

Cov Lus Qhia 4:Kev tshem tawm Hp tuaj yeem txo qhov kev pheej hmoo ntawm mob qog noj ntshav hauv plab, thiab cov tswv cuab ntawm cov neeg mob qog noj ntshav hauv plab yuav tsum tau kuaj thiab kho mob rau Hp. (Theem pov thawj: siab; theem pom zoo: muaj zog)

Cov Lus Qhia 5:Cov neeg mob uas muaj kab mob gastric MALT lymphoma yuav tsum tau tshem tawm kom tsis txhob muaj Hp. (Theem pov thawj: siab; theem pom zoo: muaj zog) 

Cov Lus Qhia 6:6a: Raws li lub nra hnyav ntawm tus kab mob hauv zej zog, nws yog qhov tsim nyog rau kev ua qhov kev tshuaj ntsuam Hp hauv zej zog los ntawm kev kuaj mob tsis muaj kev phais kom tiv thaiv kev tshem tawm mob qog noj ntshav hauv plab. (Theem pov thawj: siab; theem pom zoo: tsis muaj zog)

6b: Tam sim no, feem ntau ntawm cov tebchaws ASEAN, kev kuaj mob qog noj ntshav hauv zej zog los ntawm kev siv endoscopy tsis ua tau. (Qib Pov Thawj: Nruab Nrab; Qib Pom Zoo: Tsis Muaj Zog)

Cov Lus Qhia 7:Hauv cov teb chaws ASEAN, cov txiaj ntsig sib txawv ntawm kev kis tus kab mob Hp yog txiav txim siab los ntawm kev sib cuam tshuam ntawm cov yam ntxwv ntawm Hp, tus tswv tsev thiab cov yam ntxwv ib puag ncig. (Theem ntawm cov pov thawj: siab; qib pom zoo: N/A)

Cov Lus Qhia 8:Txhua tus neeg mob uas muaj cov qhov txhab ua ntej mob qog noj ntshav ntawm mob qog noj ntshav hauv plab yuav tsum tau kuaj mob Hp thiab kho mob, thiab faib cov kev pheej hmoo ntawm mob qog noj ntshav hauv plab. (Qib ntawm cov pov thawj: siab; qhov ntsuas pom zoo: muaj zog)

Txoj kev kuaj mob Hp

Cov Lus Qhia 9:Cov txheej txheem kuaj mob Hp hauv thaj tsam ASEAN suav nrog: kev kuaj ua pa urea, kev kuaj fecal antigen (monoclonal) thiab kev kuaj urease sai hauv zos (RUT) / histology. Kev xaiv txoj kev kuaj mob nyob ntawm tus neeg mob nyiam, muaj, thiab tus nqi. (Theem pov thawj: siab; qib pom zoo: muaj zog) 

Cov Lus Qhia 10:Yuav tsum tau ua qhov kev kuaj mob Hp raws li kev kuaj biopsy rau cov neeg mob uas tab tom kuaj gastroscopy. (Qib ntawm Pov Thawj: Nruab Nrab; Qib pom zoo: Muaj zog)

Cov Lus Qhia 11:Kev kuaj pom tias muaj Hp proton pump inhibitor (PPI) raug tso tseg tsawg kawg 2 lub lis piam; kev siv tshuaj tua kab mob raug tso tseg tsawg kawg 4 lub lis piam. (Qib pov thawj: siab; qhov ntsuas pom zoo: muaj zog)

Cov Lus Qhia 12:Thaum xav tau kev kho mob PPI mus sij hawm ntev, nws raug pom zoo kom kuaj Hp rau cov neeg mob uas muaj tus kab mob gastroesophageal reflux (GERD). (Theem Pov Thawj: Nruab Nrab; Qhov Ntsuas Pom Zoo: Muaj Zog)

Cov Lus Qhia 13:Cov neeg mob uas xav tau kev kho mob ntev nrog NSAIDs yuav tsum tau kuaj thiab kho rau Hp. (Theem ntawm cov pov thawj: siab; qib pom zoo: muaj zog) 

Cov Lus Qhia 14:Rau cov neeg mob uas muaj mob plab hnyuv thiab kuaj thawj zaug tsis pom muaj tus kab mob Hp, yuav tsum kuaj tus kab mob Hp dua. (Qib Pov Thawj: Nruab Nrab; Qib Pom Zoo: Muaj Zog)

Cov Lus Qhia 15:Qhov kev kuaj ua pa urea yog qhov kev xaiv zoo tshaj plaws tom qab tshem tawm Hp, thiab kev kuaj fecal antigen tuaj yeem siv ua lwm txoj hauv kev. Kev kuaj yuav tsum tau ua tsawg kawg 4 lub lis piam tom qab xaus kev kho mob tshem tawm. Yog tias siv gastroscope, kev kuaj biopsy tuaj yeem ua tau. (Theem ntawm pov thawj: siab; qib pom zoo: muaj zog)

Cov Lus Qhia 16:Nws raug pom zoo kom cov tub ceev xwm saib xyuas kev noj qab haus huv hauv tebchaws ASEAN them rov qab rau Hp rau kev kuaj mob thiab kev kho mob. (Theem pov thawj: qis; theem pom zoo: muaj zog)