. kurapwa kwehelikobactter pylori utachiona. Dzimwe pfungwa.)

HelICobager Pylori (HP) utachiona hunogara uchishanduka, uye nyanzvi dziri mumunda wekugaya zvave uchifunga nezve zano rakanakisa rekurapa. Kurapa kweHP Utachiona muAsian Nyika: Iyo Bangkok Consensus Musangano weNzvimbo dzeNzvimbo, uye kukudziridza zvirevo, mazano, uye mazano ekurapa kurapwa kweHP utachiona hweHP muAsean nyika. Musangano weAsean Consenssi

Musangano wacho unotarisisa pamisoro mina:

(I) chirwere chefireni uye chirwere chirwere;

(Ii) nzira dzekuongorora dzekuongorora;

(Iii) maonero ekurapa;

(Iv) tevera-mushure mekudengenyeka.

Chirevo chekubvumirana

Chirevo 1:1A: HP Utachiona hunowedzera njodzi yeiyo dyspeptic zviratidzo. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: N / A); 1b: Vese varwere vane dyspepsia vanofanirwa kuedzwa uye kurapwa kwehosha hup. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME)

Chirevo 2:Nekuti kushandiswa kweHP utachiona uye / kana kusiri-steroidal anti-faclamitory zvinodhaka (NSAIDs) zvakanyatsoenderana nePeigic ulcer ndeyekubvisa hp uye / kana kurega kushandiswa kweNSAIDS. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME)

Chirevo 3:Iyo zera-yakaenzana chiitiko chegomarara reGastric muAstean nyika ndeye 3.0 kusvika 23.7 pamakore zviuru zana. Munyika zhinji dzeAsean, kenza yemudumbu inoramba imwe yegumi yepamusoro inokonzeresa kufa cancer. Gastric mucosa-yakabatana Lymphoid tissue Lymphoma (dumbu Malt Lymphoma) isingawanzo. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: N / A)

Chirevo 4:Kupararira kweHP kunogona kuderedza njodzi yegomarara reGastric, uye nhengo dzemhuri dzevarwere veGastric dzinofanirwa kuongororwa uye kurapwa HP. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME)

Chirevo 5:Varwere vane gastric malt Lymphoma vanofanirwa kubviswa yeHP. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME) 

Chirevo 6:6a: Kubva pamutoro wezvemagariro wechirwere, zvinobudirira kuita kuti muitise nharaunda yeHP kuburikidza nekusatarisana nekuedzwa kwekudzivirira kudengenyeka kwegomarara reGastric. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: kushaya simba)

6B: Parizvino, munyika zhinji dzeAseani, kuongorora kwenharaunda gastric cancer neEndoscopy haina kuganhurirwa. (Chikamu cheuchapupu: Pakati; Yakakurudzirwa Chikamu: kushaya simba)

Chirevo 7:Munyika dzeAseani, misiyano yakasiyana yeHP utachiona inotarwa nekudyidzana pakati peHP inotsvakisa zvinhu, host uye zvakatipoteredza zvinhu. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: N / A)

Chirevo 8:Varwere vese vane precanceus lesions yegomarara reGastric rinofanira kuongororwa uye kurapwa, uye kunyengedza njodzi yegomarara reGastric. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Rating: yakasimba)

HP Diagnosis

Chirevo 9:Nzira dzekuongorora dzeHP dziri munharaunda yeAsean inosanganisira: UREA GEORT bvunzo, fecal antigen test (monoclonal) uye munharaunda inokurumidza bvunzo (rut) / histtology. Sarudzo yekuona nzira inoenderana nezvinodiwa nemurwere, kuwanikwa, uye mutengo. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME) 

Chirevo 10:Biopsy-yakavakirwa HP yekuona inofanirwa kuitwa muvarwere vari pasi pegastroscopy. (Mwero weuchapupu: Pakati; Rakakurudzirwa Chikamu: Simba

Chirevo 11:Kuonekwa kweHP Pron Pump Inhibitor (PPI) kunorambwa kwemavhiki maviri; Mishonga inorwisa mabhakitiriya inoregedzwa kwemavhiki mana. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Rating: yakasimba)

Chirevo 12:Kana nguva refu pPI kurapwa kunodiwa, inokurudzirwa kuona HP muVarwere vane Gastroesophageal Reflux Chirwere (Gerd). (Chikamu cheuchapupu: Pakati; Yakakurudzirwa Rating: yakasimba)

Chirevo 13:Varwere vanokumbira kurapwa kwenguva refu neNSAIDS vanofanirwa kuedzwa uye kurapwa HP. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME) 

Chirevo 14:Mune varwere vane peptic ulcer bleeding uye isina kunaka HP yekutanga Biopsy, utachiona hunofanirwa kudzorwazve nekuongororwa kwakazotevera hp kuongororwa. (Mwero weuchapupu: Pakati; Rakakurudzirwa Chikamu: Simba

Chirevo 15:Iyo UREA kufema bvunzo ndiyo sarudzo yakanakisa mushure mekutsiva yeHP, uye iyo fecal antigen bvunzo inogona kushandiswa seimwe nzira. Kuyedzwa kunofanirwa kuitwa anosvika mavhiki mana mushure mekupera kwekurapa kwekubvisa. Kana gastroscope ichishandiswa, biopsy inogona kuitwa. (Chikamu cheuchapupu: Yakakwira; Yakakurudzirwa Chikamu: STRME)

Chirevo 16:Zvinokurudzirwa kuti zviremera zvehutano hwenyika muAseya dzidzoreredze hp yekuongorora kwekuongorora uye kurapwa. (Mwero weuchapupu: akaderera; yakakurudzirwa mwero: yakasimba)