( ASEAN, iyo Association of Southeast Asia Nations, neMalaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar neCambodia, ndiyo pfungwa huru yemushumo wekubvumirana kweBangkok wakabudiswa gore rapfuura, kana kuti inogona kupa kurapwa kweHelicobacter pylori Mamwe mazano.

Utachiona hweHelicobacter pylori (Hp) huri kuramba huchishanduka, uye nyanzvi munyaya dzekudya dzanga dzichifunga nezve nzira yakanakisisa yekurapa. Kurapwa kwehutachiona hweHp munyika dzeASEAN: Musangano weBangkok Consensus wakaunza pamwe chete timu yenyanzvi dzakakosha kubva mudunhu kuti dziongorore uye dziongorore hutachiona hweHp mumakiriniki, uye kugadzira zvirevo zvekubvumirana, kurudziro, uye kurudziro yekurapa kweHp chirwere muASEAN. nyika. Musangano weASEAN Consensus wakapindwa nenyanzvi dzepasi rose makumi matatu neina kubva kunyika gumi dzeASEAN neJapan, Taiwan neUnited States.

Musangano wakanangana nemisoro ina:

(I) epidemiology uye zvirwere zvinobatanidza;

(II) nzira dzekuongorora;

(III) maonero ekurapa;

(IV) kutevera mushure mekuparadzwa.

Consensus statement

Chirevo 1:1a: Hp hutachiona hunowedzera njodzi yezviratidzo zvedyspeptic. (Chiyero cheUchapupu: High; Inokurudzirwa Nhamba: N/A); 1b: Vese varwere vane dyspepsia vanofanira kuongororwa uye kurapwa hutachiona hweHp. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo 2:Nemhaka yekuti kushandiswa kwehutachiona hweHp uye / kana kwete-steroidal anti-inflammatory drugs (NSAIDs) inopindirana zvakanyanya nemaronda emudumbu, kurapa kwekutanga kwemaronda emudumbu ndiko kubvisa Hp uye / kana kurega kushandiswa kweNSAIDs. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo chetatu:Iyo yezera-yakajairwa chiitiko chegomarara remudumbu munyika dzeASEAN 3.0 kusvika 23.7 pa100,000 munhu-makore. Munyika zhinji dzeASEAN, gomarara remudumbu rinoramba riri rimwe repamusoro gumi rinokonzera kufa kwegomarara. Gastric mucosa-associated lymphoid tissue lymphoma (mudumbu MALT lymphoma) isingawanzoitiki. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: N/A)

Chirevo 4:Kupedzwa kweHp kunogona kuderedza njodzi yegomarara remudumbu, uye nhengo dzemhuri dzevarwere vegomarara remudumbu vanofanirwa kuongororwa uye kurapwa Hp. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo chechishanu:Varwere vane gastric MALT lymphoma inofanira kubviswa kuHp. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba) 

Chirevo chechitanhatu:6a: Zvichienderana nekuremerwa kwevanhu nechirwere, zvinodhura kuita nharaunda yekuongorora Hp kuburikidza neasina-invasive bvunzo kudzivirira kupedzwa kwegomarara remudumbu. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: isina simba)

6b: Parizvino, munyika zhinji dzeASEAN, kuongororwa kenza yemudumbu yemudumbu neendoscopy hazvigoneke. (Chiyero cheUchapupu: Pakati; Inokurudzirwa Chikamu: Husina simba)

Chirevo chechinomwe:Munyika dzeASEAN, zvakasiyana-siyana zvehutachiona hweHp zvinotarirwa nekudyidzana pakati peHp virulence factor, host uye zvakatipoteredza zvinhu. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: N/A)

Chirevo 8:Vese varwere vane precancerous maronda egomarara remudumbu vanofanirwa kuongororwa uye kurapwa kweHp, uye kurongedza njodzi yegomarara remudumbu. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Hp kuongororwa nzira

Chirevo 9:Nzira dzekuongorora dzeHp munharaunda yeASEAN dzinosanganisira: urea breath test, fecal antigen test (monoclonal) uye yakasimbiswa munharaunda nokukurumidza urease test (RUT)/histology. Kusarudzwa kwenzira yekuona kunoenderana nezvido zvemurwere, kuwanikwa, uye mari. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba) 

Chirevo 10:Kuonekwa kweBiopsy-based Hp kunofanirwa kuitwa kune varwere vari kuita gastroscopy. (Chiyero cheUchapupu: Pakati; Inokurudzirwa Chikamu: Chakasimba)

Chirevo 11:Kuonekwa kweHp proton pump inhibitor (PPI) kunoregedzwa kweinenge mavhiki maviri; mishonga inorwisa mabhakitiriya inoregedzwa kweinenge mavhiki mana. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa rating: yakasimba)

Chirevo 12:Kana kurapwa kwenguva refu kwePPI kuchidikanwa, zvinokurudzirwa kuona Hp kune varwere vane gastroesophageal reflux chirwere (GERD). (Chiyero cheUchapupu: Pakati; Yakakurudzirwa Rating: Yakasimba)

Chirevo 13:Varwere vanoda kurapwa kwenguva refu neNSAIDs vanofanira kuongororwa uye kurapwa Hp. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba) 

Chirevo 14:Mune varwere vane peptic ulcer kubuda ropa uye yakaipa Hp yekutanga biopsy, hutachiona hunofanirwa kusimbiswa nekutevera Hp kuongororwa. (Chiyero cheUchapupu: Pakati; Inokurudzirwa Chikamu: Chakasimba)

Chirevo 15:Iyo urea kufema bvunzo ndiyo yakanakisa sarudzo mushure mekubviswa kweHp, uye iyo fecal antigen bvunzo inogona kushandiswa seimwe nzira. Kuongororwa kunofanirwa kuitwa kwemavhiki masere mushure mekupera kwekupedza kurapa. Kana gastroscope inoshandiswa, biopsy inogona kuitwa. (Chiyero cheuchapupu: yakakwirira; yakakurudzirwa nhanho: yakasimba)

Chirevo 16:Zvinokurudzirwa kuti zviremera zvehutano hwenyika munyika dzeASEAN vadzosere Hp yekuongorora uye kurapwa. (Chiyero cheuchapupu: pasi; yakakurudzirwa nhanho: yakasimba)