(ASEAN, Lub Koom Haum ntawm Cov Neeg Esxias Qab Teb Hnub Tuaj, nrog Malaysia, Indonesia, Thaib, Philippines, Singapore, Brunei, Nyab Laj, Nplog, Myanmar thiab Cambodia, yog lub ntsiab lus tseem ceeb ntawm Bangkok daim ntawv pom zoo tso tawm xyoo tas los, lossis tuaj yeem muab rau Kev kho tus kab mob Helicobacter pylori Qee lub tswv yim.

Tus kab mob Helicobacter pylori (Hp) tau hloov zuj zus mus tas li, thiab cov kws tshaj lij hauv kev zom zaub mov tau xav txog qhov kev kho mob zoo tshaj plaws. Kev kho tus kab mob Hp nyob rau hauv ASEAN lub teb chaws: Lub Rooj Sib Tham Bangkok Consensus tau coj ib pab pawg kws tshaj lij hauv cheeb tsam los tshuaj xyuas thiab tshuaj xyuas cov kab mob Hp hauv kev kho mob, thiab tsim cov lus pom zoo, cov lus pom zoo, thiab cov lus pom zoo rau kev kho mob ntawm Hp kab mob hauv ASEAN. lub teb chaws. Lub rooj sablaj ASEAN tau koom nrog 34 tus kws tshaj lij thoob ntiaj teb los ntawm 10 ASEAN cov tswvcuab thiab Nyiv, Taiwan thiab Tebchaws Meskas.

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

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

(II) txoj kev kuaj mob;

(III) kev xav txog kev kho mob;

(IV) kev soj ntsuam tom qab tshem tawm.

Cov lus pom zoo

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

Nqe Lus 2:Vim tias kev siv cov kab mob Hp thiab / lossis cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory (NSAIDs) muaj feem cuam tshuam nrog cov kab mob peptic, qhov kev kho mob tseem ceeb rau cov kab mob peptic yog tshem tawm Hp thiab / lossis txiav kev siv NSAIDs. (Qib pov thawj: siab; qib pom zoo: muaj zog)

Nqe Lus 3:Lub hnub nyoog-txheej xwm tshwm sim ntawm gastric gastric hauv ASEAN lub teb chaws yog 3.0 txog 23.7 ib 100,000 tus neeg-xyoo. Hauv ntau lub tebchaws ntawm ASEAN, mob qog noj ntshav hauv plab tseem yog ib qho ntawm 10 qhov ua rau mob qog noj ntshav. Gastric mucosa-associated lymphoid cov ntaub so ntswg lymphoma (mob plab MALT lymphoma) yog tsawg heev. (Qib pov thawj: siab; qib pom zoo: N/A)

Nqe Lus 4:Kev tshem tawm ntawm Hp tuaj yeem txo qhov kev pheej hmoo ntawm mob qog noj ntshav, thiab cov neeg hauv tsev neeg ntawm cov neeg mob qog noj ntshav yuav tsum tau kuaj thiab kho Hp. (Qib pov thawj: siab; qib pom zoo: muaj zog)

Nqe lus 5:Cov neeg mob gastric MALT lymphoma yuav tsum tau muab tshem tawm rau Hp. (Qib pov thawj: siab; qib pom zoo: muaj zog) 

Nqe Lus 6:6a: Raws li kev sib raug zoo ntawm tus kab mob, nws yog qhov tsim nyog los ua qhov kev tshuaj ntsuam xyuas hauv zej zog ntawm Hp los ntawm kev sim tsis muaj kev cuam tshuam los tiv thaiv kev tshem tawm ntawm plab hnyuv. (Qib pov thawj: siab; qib pom zoo: tsis muaj zog)

6b: Tam sim no, nyob rau hauv ntau lub tebchaws ASEAN, kev tshuaj ntsuam xyuas hauv zej zog kev mob qog noj ntshav los ntawm endoscopy tsis ua tau. (Qib Pov Thawj: Nruab Nrab; Pom Zoo Qib: Tsis Muaj)

Nqe lus 7:Hauv cov tebchaws ASEAN, qhov sib txawv ntawm tus kab mob Hp tau txiav txim siab los ntawm kev sib cuam tshuam ntawm Hp virulence yam, tus tswv tsev thiab ib puag ncig. (Qib pov thawj: siab; qib pom zoo: N/A)

Nqe lus 8:Txhua tus neeg mob uas muaj cov kab mob ua ntej mob qog noj ntshav yuav tsum tau kuaj Hp thiab kho, thiab ua kom muaj kev pheej hmoo ntawm mob qog noj ntshav. (Qib pov thawj: siab; pom zoo ntsuam xyuas: muaj zog)

Hp kev kuaj mob

Nqe Lus 9:Cov kev kuaj mob rau Hp hauv cheeb tsam ASEAN muaj xws li: urea ua pa kuaj, fecal antigen test (monoclonal) thiab hauv zos validated ceev urease test (RUT) / histology. Qhov kev xaiv ntawm kev kuaj xyuas yog nyob ntawm tus neeg mob qhov kev nyiam, muaj, thiab tus nqi. (Qib pov thawj: siab; qib pom zoo: muaj zog) 

Nqe lus 10:Kev kuaj Hp raws li Biopsy yuav tsum tau ua nyob rau hauv cov neeg mob uas muaj gastroscopy. (Qib Pov Thawj: Nruab Nrab; Pom Zoo Qib: Muaj Zog)

Nqe lus 11:Kev kuaj pom ntawm Hp proton twj tso kua mis inhibitor (PPI) raug txiav kom tsawg kawg 2 lub lis piam; Cov tshuaj tua kab mob raug txiav tawm tsawg kawg 4 lub lis piam. (Qib pov thawj: siab; pom zoo ntsuam xyuas: muaj zog)

Nqe Lus 12:Thaum yuav tsum tau kho PPI mus ntev, nws raug nquahu kom kuaj Hp hauv cov neeg mob uas muaj kab mob gastroesophageal reflux (GERD). (Qib pov thawj: Nruab nrab; Pom zoo ntsuam xyuas: Muaj zog)

Nqe lus 13:Cov neeg mob uas xav tau kev kho mob ntev nrog NSAIDs yuav tsum tau kuaj thiab kho Hp. (Qib pov thawj: siab; qib pom zoo: muaj zog) 

Nqe Lus 14:Hauv cov neeg mob peptic ulcer los ntshav thiab qhov tsis zoo Hp thawj zaug biopsy, kev kis tus kab mob yuav tsum tau lees paub los ntawm kev kuaj Hp tom ntej. (Qib Pov Thawj: Nruab Nrab; Pom Zoo Qib: Muaj Zog)

Nqe Lus 15:Kev kuaj urea ua tsis taus pa yog qhov kev xaiv zoo tshaj plaws tom qab tshem tawm Hp, thiab kev kuaj fecal antigen tuaj yeem siv los ua lwm txoj hauv kev. Kev ntsuam xyuas yuav tsum tau ua tsawg kawg 4 lub lis piam tom qab qhov kawg ntawm kev kho kom tshem tawm. Yog tias siv lub gastroscope, ib qho biopsy tuaj yeem ua tau. (Qib pov thawj: siab; qib pom zoo: muaj zog)

Nqe lus 16:Nws raug pom zoo tias tsoomfwv saib xyuas kev noj qab haus huv hauv tebchaws hauv ASEAN lub tebchaws yuav them nyiaj rov qab rau Hp rau kev kuaj mob thiab kho. (Qib pov thawj: qis; qib pom zoo: muaj zog)