(ASEAN, Association of Southeast Asian Nations, oo ay la socdaan Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar iyo Cambodia, waa qodobka ugu muhiimsan ee warbixinta la isku raacsan yahay ee Bangkok oo la sii daayay sannadkii hore, ama laga yaabo inay bixiso daawaynta caabuqa Helicobacter pylori.

Infekshanka Helicobacter pylori (Hp) si joogto ah ayuu u kobcayaa, khubarada dhinaca dheef-shiidka ayaa ka fikirayay xeeladda daawaynta ugu fiican. Daaweynta caabuqa Hp ee wadamada ASEAN: Shirka Consensus ee Bangkok wuxuu isu keenay koox khubaro muhiim ah oo ka socda gobolka si ay dib u eegaan una qiimeeyaan caabuqyada Hp ee shuruudaha kiliinikada, iyo in la horumariyo bayaannada la isku raacsan yahay, talooyinka, iyo talooyinka daaweynta bukaan-socodka ee caabuqa Hp ee ASEAN wadamada. Shirka ASEAN Consensus waxaa ka soo qayb galay 34 khubaro caalami ah oo ka kala socday 10 wadan oo xubnaha ka ah ASEAN iyo Japan, Taiwan iyo Maraykanka.

Kulanka ayaa diiradda lagu saaray afar qodob oo kala ah:

(I) cudurrada faafa iyo xiriirka cudurrada;

(II) hababka ogaanshaha;

(III) fikradaha daaweynta;

(IV) dabagalka ciribtirka ka dib.

Bayaanka la isku raacsan yahay

Bayaanka 1:1a: Infekshanka HP wuxuu kordhiyaa halista calaamadaha dyspeptic. (Heerka caddaynta: Sare; Heerka lagu taliyay: N/A); 1b: Dhammaan bukaanada qaba dyspepsia waa in laga baaro lagana daaweeyaa caabuqa Hp. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan)

Bayaanka 2:Sababtoo ah isticmaalka infekshanka Hp iyo/ama daawooyinka aan steroid ahayn ee ka hortagga bararka (NSAIDs) ayaa si aad ah ugu xiran boogaha peptic, daaweynta asaasiga ah ee boogaha peptic waa in la tirtiro Hp iyo/ama joojinta isticmaalka NSAIDs. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan)

Oraahda 3:Dhacdooyinka heerka da'da ee kansarka caloosha ee wadamada ASEAN waa 3.0 ilaa 23.7 100,000 qofba. Inta badan wadamada ASEAN, kansarka caloosha ayaa weli ah mid ka mid ah 10ka sababood ee ugu sarreeya ee dhimashada kansarka. Limfooma unugyada qanjidhada caloosha ee ku xidhan xuubka caloosha (MALT lymphoma) waa naadir. (Heerka caddaynta: sare; heerka lagu taliyey: N/A)

Bayaanka 4:Ciribtirka Hp wuxuu yarayn karaa halista kansarka caloosha, xubnaha qoyska ee bukaannada kansarka caloosha waa in laga baaro lagana daaweeyaa Hp. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan)

Bayaanka 5:Bukaanka qaba MALT lymphoma gastric waa in laga ciribtiro Hp. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan) 

Bayaanka 6:6a: Iyada oo ku saleysan culeyska bulshada ee cudurka, waa wax-ku-ool ah in la sameeyo baaritaanka bulshada ee Hp iyada oo loo marayo baaritaan aan fiicneyn si looga hortago ciribtirka kansarka caloosha. (Heerka caddaynta: sare; heerka lagu taliyey: daciif)

6b: Waqtigan xaadirka ah, inta badan wadamada ASEAN, baaritaanka kansarka caloosha ee bulshada ee endoscopy maaha mid macquul ah. (Heerka caddaynta: Dhexdhexaad; Heerka lagu taliyay: daciif)

Bayaanka 7:Wadamada ASEAN, natiijooyinka kala duwan ee caabuqa Hp waxaa lagu go'aamiyaa isdhexgalka ka dhexeeya arrimaha fayraska Hp, martida iyo arrimaha deegaanka. (Heerka caddaynta: sare; heerka lagu taliyey: N/A)

Bayaanka 8:Dhammaan bukaanada qaba nabarada hore ee kansarka caloosha waa in la maraa ogaanshaha Hp iyo daawaynta, oo la caddeeyo halista kansarka caloosha. (Heerka caddaynta: sare; qiimaynta lagu taliyay: xooggan)

Habka ogaanshaha Hp

Bayaanka 9:Hababka lagu ogaanayo cudurka Hp ee gobolka ASEAN waxaa ka mid ah: baaritaanka neefta kaadimareenka, baaritaanka saxarada saxarada (monoclonal) iyo baaritaanka degdega ah ee urease (RUT) / histology. Doorashada habka lagu ogaanayo waxay ku xiran tahay dookhyada bukaanka, helitaanka, iyo qiimaha. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan) 

Bayaanka 10:Baadhitaanka Hp-ku-salaysan-ka-soo-baxa waa in lagu sameeyaa bukaan-socodka gastroscopy-ga. (Heerka caddaynta: Dhexdhexaad; Heerka lagu taliyay: Xoog)

Bayaanka 11:Ogaanshaha Hp proton pump inhibitor (PPI) waa la joojiyay ugu yaraan 2 toddobaad; Antibiyootikada ayaa la joojinayaa ugu yaraan 4 toddobaad. (Heerka caddaynta: sare; qiimaynta lagu taliyay: xooggan)

Bayaanka 12:Marka daawaynta PPI ee muddada-dheer loo baahan yahay, waxaa lagu talinayaa in lagu ogaado Hp bukaannada qaba cudurka gastroesophageal reflux (GERD). (Heerka caddaynta: Dhexdhexaad; Qiimaynta lagu taliyay: Xoogan)

Bayaanka 13:Bukaannada u baahan daawaynta muddada dheer ee NSAIDs waa in laga baaro lagana daaweeyaa Hp. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan) 

Bayaanka 14:Bukaannada qaba dhiig-baxa boogaha peptic-ga iyo ka-soo-baxa bilowga ah ee Hp, caabuqa waa in lagu xaqiijiyaa baaritaanka Hp ee xiga. (Heerka caddaynta: Dhexdhexaad; Heerka lagu taliyay: Xoog)

Bayaanka 15:Tijaabada neefta kaadimareenka ayaa ah doorashada ugu fiican kadib ciribtirka Hp, baaritaanka saxarada waxaa loo isticmaali karaa beddelka. Baaritaanka waa in la sameeyaa ugu yaraan 4 usbuuc ka dib dhamaadka daaweynta ciribtirka. Haddii gastroscope la isticmaalo, biopsy ayaa la samayn karaa. (Heerka caddaynta: sare; heerka lagu taliyey: xooggan)

Bayaanka 16:Waxaa lagu talinayaa in masuuliyiinta caafimaadka qaranka ee wadamada ASEAN ay u soo celiyaan Hp baaritaanka iyo daawaynta ogaanshaha. (Heerka caddaynta: hooseeya; heerka lagu taliyey: xooggan)