( ASEAN, Association nke Ndịda Ebe Ọwụwa Anyanwụ Eshia, yana Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar na Cambodia, bụ isi ihe nke akụkọ nkwekọrịta Bangkok wepụtara n'afọ gara aga, ma ọ bụ nwere ike inye maka ọgwụgwọ nke ọrịa Helicobacter pylori.

Ọrịa Helicobacter pylori (Hp) na-aga n'ihu mgbe niile, ndị ọkachamara na ngalaba mgbari nri na-eche echiche maka usoro ọgwụgwọ kacha mma. Ọgwụgwọ ọrịa Hp na mba ASEAN: Nzukọ nkwekọrịta nke Bangkok kpọkọtara otu ndị ọkachamara bụ isi sitere na mpaghara ahụ iji nyochaa ma nyochaa ọrịa Hp na usoro ahụike, yana ịmepụta nkwupụta nkwenye, ndụmọdụ, na ndụmọdụ maka ọgwụgwọ ọgwụgwọ ọrịa Hp na ASEAN. mba. Ndị ọkachamara mba ụwa 34 sitere na mba 10 ASEAN na Japan, Taiwan na United States gara nzukọ ASEAN Consensus Conference.

Nzukọ ahụ lekwasịrị anya n'isiokwu anọ:

(I) ọrịa na-efe efe na njikọ ọrịa;

(II) ụzọ nyocha;

(III) echiche ọgwụgwọ;

(IV) nleba anya mgbe ikpochapu.

Nkwupụta nkwenye

Nkwupụta 1:1a: Ọrịa HP na-abawanye ohere nke mgbaàmà dyspeptic. (Ọkwa nke akaebe: Elu; Ọkwa akwadoro: N/A); 1b: Ndị ọrịa niile nwere dyspepsia kwesịrị ịnwale ma gwọọ ha maka ọrịa Hp. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 2:N'ihi na ojiji nke ọrịa Hp na/ma ọ bụ ọgwụ ndị na-abụghị steroidal anti-inflammatory (NSAIDs) na-ejikọta ya na ọnya peptic, ọgwụgwọ bụ isi maka ọnya peptic bụ ikpochapụ Hp na/ma ọ bụ kwụsị iji NSAIDs. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 3:Ọganihu afọ nke ọrịa kansa afọ na mba ASEAN bụ 3.0 ruo 23.7 kwa afọ 100,000 mmadụ. N'ọtụtụ mba ASEAN, ọrịa kansa afọ ka bụ otu n'ime ihe iri kacha akpata ọnwụ kansa. Ọnụnọ mucosa metụtara lymphoma anụ ahụ lymphoma (afọ MALT lymphoma) dị ụkọ. (Ọkwa nke akaebe: elu; ọkwa akwadoro: N/A)

Nkwupụta 4:Ikpochapụ Hp nwere ike ibelata ohere nke ọrịa kansa afọ, na ndị ezinaụlọ ndị nwere ọrịa kansa afọ ga-enyocha ma gwọọ ha maka Hp. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 5:Ndị ọrịa nwere lymphoma MALT gastric kwesịrị ikpochapụ maka Hp. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike) 

Nkwupụta 6:6a: Dabere na ibu mmadụ nke ọrịa ahụ, ọ na-efu ọnụ iji mee nyocha obodo Hp site na nyocha nke na-adịghị emerụ ahụ iji gbochie ikpochapụ ọrịa cancer afọ. (Ọkwa nke akaebe: elu; ọkwa akwadoro: adịghị ike)

6b: Ugbu a, n'ọtụtụ mba ASEAN, nyocha maka ọrịa cancer gastric obodo site na endoscopy agaghị ekwe omume. (Ọkwa nke akaebe: Ọkara; Ọkwa akwadoro: adịghị ike)

Nkwupụta 7:Na mba ASEAN, a na-ekpebi nsonaazụ dị iche iche nke ọrịa Hp site na mmekọrịta dị n'etiti ihe ndị na-akpata nje Hp, ndị ọbịa na ihe gburugburu ebe obibi. (Ọkwa nke akaebe: elu; ọkwa akwadoro: N/A)

Nkwupụta 8:Ndị ọrịa niile nwere ọnya ọrịa kansa nke afọ ga-enwerịrị nchọpụta Hp na ọgwụgwọ, wee wepụta ohere nke ọrịa kansa afọ. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Usoro nchọpụta HP

Nkwupụta 9:Ụzọ nchọpụta maka Hp na mpaghara ASEAN gụnyere: ule ume ume urea, nwale antigen fecal (monoclonal) na nyocha ngwa ngwa urease (RUT) / histology. Nhọrọ nke usoro nchọpụta dabere na mmasị, nnweta, na ọnụ ahịa onye ọrịa. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike) 

Nkwupụta 10:Ekwesịrị ime nchọpụta Hp dabere na biopsy na ndị ọrịa na-eme gastroscopy. (Ọkwa nke akaebe: Ọkara; Ọkwa akwadoro: siri ike)

Nkwupụta 11:Akwụsịla nchọpụta Hp proton pump inhibitor (PPI) ma ọ dịkarịa ala izu 2; Akwụsịla ọgwụ nje maka opekata mpe izu anọ. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 12:Mgbe achọrọ ọgwụgwọ PPI ogologo oge, a na-atụ aro ka ịchọpụta Hp na ndị ọrịa nwere ọrịa reflux gastroesophageal (GERD). (Ọkwa nke Akaebe: Ọkara; Oke akwadoro: siri ike)

Nkwupụta 13:Ndị ọrịa chọrọ ọgwụgwọ ogologo oge na NSAID kwesịrị ịnwale ma gwọọ ha maka Hp. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike) 

Nkwupụta 14:N'ime ndị ọrịa nwere ọnya peptic na-agba ọbara yana biopsy mmalite Hp na-adịghị mma, a ga-emeghachikwa ọrịa ahụ site na nyocha Hp na-esote. (Ọkwa nke akaebe: Ọkara; Ọkwa akwadoro: siri ike)

Nkwupụta 15:Nnwale iku ume urea bụ nhọrọ kacha mma mgbe ikpochapụ Hp, yana enwere ike iji ule antigen fecal mee ihe ọzọ. Ekwesịrị ime nnwale ma ọ dịkarịa ala izu 4 ka emechara ọgwụgwọ mkpochapụ. Ọ bụrụ na ejiri gastroscope mee ihe, enwere ike ime biopsy. (Ọkwa nke akaebe: elu; ọkwa akwadoro: siri ike)

Nkwupụta 16:A na-atụ aro ka ndị ọrụ ahụike mba dị na mba ASEAN kwụọ ụgwọ Hp maka nyocha na ọgwụgwọ nyocha. (Ọkwa nke akaebe: obere; ọkwa akwadoro: siri ike)