( ASEAN, Mokhatlo oa Linaha tsa Asia Boroa-bochabela, le Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar le Cambodia, ke ntlha ea sehlooho ea tlaleho ea tumellano ea Bangkok e lokollotsoeng selemong se fetileng, kapa e ka fana ka Phekolo ea tšoaetso ea Helicobacter pylori.

Tšoaetso ea Helicobacter pylori (Hp) e lula e fetoha, 'me litsebi lefapheng la tšilo ea lijo li' nile tsa nahana ka leano le molemo ka ho fetisisa la phekolo. Kalafo ea ts'oaetso ea Hp linaheng tsa ASEAN: Seboka sa Bangkok Consensus se ile sa kopanya sehlopha sa litsebi tsa bohlokoa ho tsoa sebakeng sena ho hlahloba le ho lekola tšoaetso ea Hp ho latela maemo a bongaka, le ho nts'etsapele lipolelo tsa tumellano, likhothaletso le likhothaletso bakeng sa kalafo ea ts'oaetso ea Hp ho ASEAN. linaha. Seboka sa ASEAN Consensus se bile teng ke litsebi tsa machaba tsa 34 tse tsoang linaheng tse 10 tsa litho tsa ASEAN le Japane, Taiwan le United States.

Kopano e ne e shebane le lihlooho tse 'nè:

(I) mahokelo a lefu la seoa le mafu;

(II) mekhoa ea ho hlahloba;

(III) maikutlo a phekolo;

(IV) ho latela ka mor'a ho felisoa.

Polelo ea tumellano

Polelo ea 1:1a: Tšoaetso ea Hp e eketsa kotsi ea matšoao a dyspeptic. (Boemo ba Bopaki: Bo phahameng; Boemo bo khothalelitsoeng: Ha bo na); 1b: Bakuli bohle ba nang le dyspepsia ba lokela ho hlahlojoa le ho phekoloa bakeng sa tšoaetso ea Hp. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla)

Polelo ea 2:Hobane ts'ebeliso ea ts'oaetso ea Hp le / kapa li-non-steroidal anti-inflammatory drugs (NSAIDs) li amana haholo le liso tsa ka mpeng, phekolo ea mantlha bakeng sa liso tsa ka mpeng ke ho felisa Hp le / kapa ho khaotsa ho sebelisa li-NSAID. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla)

Polelo ea 3:Keketseho ea lilemo tsa mofets'e oa mala linaheng tsa ASEAN ke 3.0 ho isa ho 23.7 ka lilemo tse 100,000 tsa motho. Linaheng tse ngata tsa ASEAN, mofetše oa mala e ntse e le e 'ngoe ea lisosa tse 10 tse ka sehloohong tsa lefu la mofetše. Gastric mucosa-associated lymphoid tissue lymphoma (MALT lymphoma ea mala) e fumaneha seoelo haholo. (Boemo ba bopaki: holimo; boemo bo khothalelitsoeng: Ha ho na)

Polelo ea 4:Ho felisoa ha Hp ho ka fokotsa kotsi ea mofetše oa mala, 'me litho tsa malapa a bakuli ba mofetše oa mala li lokela ho hlahlojoa le ho phekoloa Hp. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla)

Polelo ea 5:Bakuli ba nang le gastric MALT lymphoma ba lokela ho felisoa bakeng sa Hp. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla) 

Polelo ea 6:6a: Ho ipapisitsoe le moroalo oa sechaba oa lefu lena, ho na le litšenyehelo tse tlase ho etsa tlhahlobo ea sechaba ea Hp ka tlhahlobo e sa hlaseleng ho thibela ho felisoa ha mofetše oa mala. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bofokoli)

6b: Hona joale, linaheng tse ngata tsa ASEAN, ho hlahloba kankere ea mala ea sechaba ka endoscopy ha ho khonehe. (Boemo ba Bopaki: Bohareng; Boemo bo khothalelitsoeng: Bofokoli)

Polelo ea 7:Linaheng tsa ASEAN, liphetho tse fapaneng tsa ts'oaetso ea Hp li khethoa ke tšebelisano pakeng tsa lintlha tsa likokoana-hloko tsa Hp, moeti le maemo a tikoloho. (Boemo ba bopaki: holimo; boemo bo khothalelitsoeng: Ha ho na)

Polelo ea 8:Bakuli bohle ba nang le liso tsa mofetše oa mala ba lokela ho hlahlojoa le ho phekoloa ka Hp, le ho lekanya kotsi ea mofetše oa mala. (Boemo ba bopaki: bo phahameng; tekanyetso e khothalelitsoeng: e matla)

Mokhoa oa ho hlahloba HP

Polelo ea 9:Mekhoa ea ho hlahloba Hp sebakeng sa ASEAN e kenyelletsa: tlhahlobo ea urea breath, fecal antigen test (monoclonal) le tlhahlobo ea urease e potlakileng e tiisitsoeng sebakeng sa heno (RUT)/histology. Khetho ea mokhoa oa ho lemoha e itšetlehile ka khetho ea mokuli, ho fumaneha le litšenyehelo. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla) 

Polelo ea 10:Tlhahlobo ea Hp e thehiloeng ho Biopsy e lokela ho etsoa ho bakuli ba kenang gastroscopy. (Boemo ba Bopaki: Bohareng; Boemo bo khothalelitsoeng: Bo matla)

Polelo ea 11:Ho fumanoa ha Hp proton pump inhibitor (PPI) ho khaotsa bonyane libeke tsa 2; lithibela-mafu li khaotsoa bonyane libeke tse 4. (Boemo ba bopaki: bo phahameng; tekanyetso e khothalelitsoeng: e matla)

Polelo ea 12:Ha ho hlokahala phekolo ea nako e telele ea PPI, ho kgothaletswa ho lemoha Hp ho bakuli ba nang le lefu la reflux la gastroesophageal (GERD). (Boemo ba Bopaki: Bohareng; Boemo bo khothalelitsoeng: bo matla)

Polelo ea 13:Bakuli ba hlokang phekolo ea nako e telele ka li-NSAID ba lokela ho hlahlojoa le ho phekoloa Hp. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla) 

Polelo ea 14:Ho bakuli ba nang le seso sa peptic le mali a tsoang maling le biopsy e mpe ea Hp, tšoaetso e lokela ho netefatsoa hape ka tlhahlobo e latelang ea Hp. (Boemo ba Bopaki: Bohareng; Boemo bo khothalelitsoeng: Bo matla)

Polelo ea 15:Tlhahlobo ea phefumoloho ea urea ke khetho e ntle ka ho fetisisa ka mor'a ho felisoa ha Hp, 'me teko ea fecal antigen e ka sebelisoa e le mokhoa o mong. Teko e lokela ho etsoa bonyane libeke tse 4 ka mor'a ho fela ha phekolo ea ho felisa. Haeba ho sebelisoa gastroscope, biopsy e ka etsoa. (Boemo ba bopaki: bo phahameng; boemo bo khothalelitsoeng: bo matla)

Polelo ea 16:Ho khothaletsoa hore balaoli ba naha ba bophelo bo botle linaheng tsa ASEAN ba buseletse Hp bakeng sa tlhahlobo ea tlhahlobo le kalafo. (Boemo ba bopaki: tlase; boemo bo khothalelitsoeng: bo matla)