(ASEAN, Association of Southeast Asia Nations, ndi Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar ndi Cambodia, ndiye mfundo yayikulu ya lipoti lachigwirizano la Bangkok lomwe linatulutsidwa chaka chatha, kapena lingapereke kwa Chithandizo cha matenda a Helicobacter pylori.

Matenda a Helicobacter pylori (Hp) akusintha nthawi zonse, ndipo akatswiri pankhani ya chimbudzi akhala akuganiza za njira yabwino kwambiri yothandizira. Chithandizo cha matenda a Hp m'maiko a ASEAN: Msonkhano wa ku Bangkok Consensus unasonkhanitsa gulu la akatswiri ofunikira ochokera m'derali kuti awunikenso ndikuwunika matenda a Hp m'mawu achipatala, ndikupanga mawu ogwirizana, malingaliro, ndi malingaliro ochiza matenda a Hp ku ASEAN. mayiko. Msonkhano wa ASEAN Consensus unapezeka ndi akatswiri a mayiko a 34 ochokera ku mayiko a 10 a ASEAN ndi Japan, Taiwan ndi United States.

Msonkhanowu udakhudza mitu inayi:

(I) miliri ndi maulalo a matenda;

(II) njira zodziwira matenda;

(III) malingaliro a chithandizo;

(IV) kutsatira pambuyo pa kutha.

Mawu ogwirizana

Chidziwitso 1:1a: Matenda a Hp amawonjezera chiopsezo cha zizindikiro za dyspeptic. (Mlingo wa Umboni: Wapamwamba; Mulingo Wovomerezeka: N/A); 1b: Odwala onse omwe ali ndi vuto la dyspepsia ayenera kuyesedwa ndi kuthandizidwa ndi matenda a Hp. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chizindikiro 2:Chifukwa chakuti kugwiritsa ntchito matenda a Hp ndi / kapena mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) kumagwirizana kwambiri ndi zilonda zam'mimba, chithandizo chachikulu cha zilonda zam'mimba ndicho kuthetsa Hp ndi / kapena kusiya kugwiritsa ntchito NSAIDs. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chizindikiro 3:Chiwerengero cha zaka za khansa ya m'mimba m'mayiko a ASEAN ndi 3.0 mpaka 23.7 pa zaka 100,000 za munthu. M'mayiko ambiri a ASEAN, khansa ya m'mimba imakhalabe imodzi mwazomwe zimayambitsa kufa kwa khansa 10. Gastric mucosa-associated lymphoid tissue lymphoma (m'mimba MALT lymphoma) ndi osowa kwambiri. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: N/A)

Chidziwitso cha 4:Kuthetsa Hp kungachepetse chiopsezo cha khansa ya m'mimba, ndipo achibale omwe ali ndi khansa ya m'mimba ayenera kuyang'aniridwa ndi kulandira chithandizo cha Hp. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chizindikiro 5:Odwala omwe ali ndi chapamimba MALT lymphoma ayenera kuthetsedwa kwa Hp. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu) 

Chidziwitso cha 6:6a: Kutengera kuchuluka kwa matendawa, ndizotsika mtengo kuyeza Hp m'dera mwa kuyesa kosasokoneza kuti mupewe kuthetseratu khansa ya m'mimba. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wofooka)

6b: Pakali pano, m'mayiko ambiri a ASEAN, kuyezetsa khansa ya m'mimba ya m'deralo ndi endoscopy sikutheka. (Mlingo wa Umboni: Wapakatikati; Mulingo Wovomerezeka: Wofooka)

Chidziwitso cha 7:M'mayiko a ASEAN, zotsatira zosiyana za matenda a Hp zimatsimikiziridwa ndi kuyanjana pakati pa zinthu za Hp virulence factor, host ndi chilengedwe. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: N/A)

Chidziwitso cha 8:Odwala onse omwe ali ndi zotupa zam'mimba zam'mimba ayenera kuzindikiridwa ndi kulandira chithandizo cha Hp, ndikuwunika chiopsezo cha khansa ya m'mimba. (Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Njira yodziwira matenda a HP

Chidziwitso cha 9:Njira zodziwira matenda a Hp m'chigawo cha ASEAN ndi: kuyesa kwa mpweya wa urea, kuyesa kwa antigen (monoclonal) ndi kuyesa kwachangu kwa urease (RUT)/histology. Kusankha njira yodziwira zimadalira zomwe wodwala amakonda, kupezeka kwake, ndi mtengo wake. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu) 

Chidziwitso cha 10:Kuzindikira kwa Hp yochokera ku biopsy kuyenera kuchitidwa mwa odwala omwe akudwala gastroscopy. (Mlingo wa Umboni: Wapakatikati; Mulingo Wovomerezeka: Wamphamvu)

Chidziwitso cha 11:Kuzindikira kwa Hp proton pump inhibitor (PPI) kumathetsedwa kwa masabata osachepera a 2; maantibayotiki amathetsedwa kwa milungu inayi. (Mlingo waumboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 12:Ngati chithandizo cha nthawi yayitali cha PPI chikufunika, tikulimbikitsidwa kuti tizindikire Hp kwa odwala omwe ali ndi matenda a reflux a gastroesophageal (GERD). (Mlingo wa Umboni: Wapakatikati; Mulingo Wovomerezeka: Wamphamvu)

Chidziwitso cha 13:Odwala omwe amafunikira chithandizo chanthawi yayitali ndi NSAID ayenera kuyesedwa ndikuthandizidwa ndi Hp. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu) 

Chidziwitso cha 14:Odwala omwe ali ndi chilonda cham'mimba akutuluka magazi komanso kuwunika koyambirira kwa Hp, matendawa amayenera kutsimikiziridwa ndi kuyezetsa kwa Hp. (Mlingo wa Umboni: Wapakatikati; Mulingo Wovomerezeka: Wamphamvu)

Chidziwitso cha 15:Kuyesa kwa mpweya wa urea ndiye chisankho chabwino kwambiri pambuyo pa kutha kwa Hp, ndipo kuyesa kwa fecal antigen kungagwiritsidwe ntchito ngati njira ina. Kuyezetsa kuyenera kuchitika pakadutsa milungu inayi pambuyo pomaliza kuthetseratu mankhwala. Ngati gastroscope ikugwiritsidwa ntchito, biopsy ikhoza kuchitidwa. (Mlingo wa umboni: wapamwamba; mlingo wovomerezeka: wamphamvu)

Chidziwitso cha 16:Ndibwino kuti akuluakulu a zaumoyo m'mayiko a ASEAN abweze Hp kuti ayesedwe ndi chithandizo. (Mlingo wa umboni: wotsika; mlingo wovomerezeka: wamphamvu)