. Unyango lwehelitobacter yosulelo lwe-Pylori. Ezinye izimvo.)

Usulelo lwe-Hylori (HP) luhlala luhlala luhleli, kwaye iingcali kwicandelo lokugaya ziye zacinga ngesicwangciso esiliqili sonyango. Unyango losulelo lwe-HP kumazwe ase-Asean: Inkomfa ye-Bangkok ihlise iqela leengcali eziphambili ukusuka kulo mmandla ukuze ziphonononge kwaye zihlaziye iingxelo zonyango lweklinikhi ye-HP kwi-ASEAN amazwe. Inkomfa ye-Asean Rendersus yazinyaswa ziingcali ezingama-34 zamazwe aphesheya ezivela kwi-10 Asean bamalungu kunye neJapan, eTaiwan ne-United States.

Intlanganiso igxile kwizihloko ezine:

(I) ityhubhu kunye nezifo ezinxibelelana;

(Ii) iindlela zokuxilonga;

(Iii) izimvo zonyango;

(Iv) Ukulandela emva kokupheliswa.

Ingxelo yokuvumelana

Inkcazo 1:I-1A: I-HP yosulelo lonyusa umngcipheko weempawu zedypeptic. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: N / A); 1b: Zonke izigulana ezine-dyspepsia kufuneka zivavanywe kwaye zinyangwe kosulelo lwe-HP. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele)

Inkcazo 2:Kuba ukusetyenziswa kosulelo lwe-HP kunye / okanye iziyobisi ezingezizo ezingezizo ze-surolaidal (NSAIDS) zidibene kakhulu nezilonda ze-peptic, unyango oluphambili lwe-i-i-i-i-i-i-i-i-i-i-i-i-i-i-i-I-HP kunye / okanye ukuyeka ukusetyenziswa kwee-NSAIDS. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele)

Ingxelo 3:Iziganeko ezisemgangathweni zobudala bomhlaza we-gustric kumazwe aseAsean yi-3.0 ukuya kwi-23.7 kwiminyaka eyi-100 000 yabantu. Kumazwe amaninzi eAsean, umhlaza wesisu uhlala ungomnye wezinto eziphezulu ezili-10 zokufa komhlaza. I-Gastric Mucosa-Dave eYamphoid tismy lymphoma (isisu se-Lymphoma) inqabile kakhulu. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: N / A)

Ingxelo 4:Ukupheliswa kwe-HP kunokunciphisa umngcipheko womhlaza we-gestric umhlaza, kunye namalungu osapho lwezigulana zomhlaza kufuneka zihlolwe kwaye zinyangwe i-HP. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele)

Inkcazo 5:Izigulana ezine-gustric malt lymphoma kufuneka isuswe kwi-HP. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele) 

Ingxelo 6:I-6a: Ngokusekwe kumthwalo wesi sifo, kusebenza ngendleko zokwenza uvavanyo lwaseburhulumenteni lwe-HP ngovavanyo olungahlaseli ukunqanda ukupheliswa komhlaza we-gestric. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: buthathaka)

6b: Okwangoku, kumazwe amaninzi aseAsean, ukuhlolwa kwe-Gastric Gastric Gastric ngu-Endoscopy akunakwenzeka. (Inqanaba lobungqina: Iphakathi; Inqanaba elicetyiswayo: buthathaka)

Inkcazo 7:Kumazwe ase-Asean, iziphumo ezahlukeneyo zosulelo lwe-HP zigqitywe ngokusebenzisana kwezinto ze-HP, inginginya kunye nezinto zokusingqongileyo. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: N / A)

Inkcazo 8:Zonke izigulana ezinezilonda zokhuseleko zomhlaza we-gestric kufuneka zifumaneke kwaye kunyango, kwaye zonakalise umngcipheko womhlaza we-gestric. (Inqanaba lobungqina: Ukuphakama; Ixabiso elicetyiswayo: yomelele)

Indlela yokuxilongwa ye-HP

Ingxelo 9:Iindlela zokuxilonga ze-HP kwingingqi ye-ASEAN ibandakanya: uvavanyo lokuphefumla, i-Antign Antigen (Monoclon) kunye ne-RUCEL) kunye ne-Rut) / kwi-Rut) / i-Rut) / i-Rut) / i-Rut) / i-Rut. Ukhetho lwendlela yokufunyanwa kuxhomekeke kukhetho lwezigulana, ubukho, kunye neendleko. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele) 

Inkcazo 10:Ukuchongwa kwe-biopsy-esekwe kwi-HP kufuneka kwenziwe kwizigulana phantsi kweGastroscopy. (Inqanaba lobungqina: Iphakathi; Inqanaba elicetyiswayo: yomelele)

Inkcazo 11:Ukufunyanwa kwe-HP Proton Pump AumpTure (i-PPI) kuyakhutshwa kangangeeveki ezimbini ubuncinci; I-antibiotics iyekisiwe kwiiveki ezi-4. (Inqanaba lobungqina: Ukuphakama; Ixabiso elicetyiswayo: yomelele)

Ingxelo 12:Xa unyango lwe-PPI lwexesha elide luyafuneka, kuyacetyiswa ukuba ufumane i-HP kwizigulana ezine-Gastroesophaal Isifo (Gedd). (Inqanaba lobungqina: Iphakathi; Ixabiso elicetyiswayo: yomelele)

Ingxelo 13:Izigulana ezifuna unyango lwexesha elide kunye ne-NSAIDs kufuneka zivavanywe kwaye zinyangwe i-HP. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele) 

Ingxelo 14:Kwizigulana ezinesilophu ye-piptic ye-biptic kunye ne-HP engalunganga ye-HP yokuqala, usulelo kufuneka lubekwe kwakhona kuvavanyo lwe-HP elandelayo. (Inqanaba lobungqina: Iphakathi; Inqanaba elicetyiswayo: yomelele)

Ingxelo 15:Uvavanyo lokuphefumla kwe-Urea lolona khetho lubalaseleyo emva kokupheliswa kwe-HP, kwaye uvavanyo lwe-Antign Antigen lunokusetyenziswa njengenye indlela. Uvavanyo kufuneka lwenziwe ubuncinci kwiiveki ezi-4 emva kokuphela kokupheliswa konyango. Ukuba isetyenzisiwe i-gastroscope, i-biopsy inokwenziwa. (Inqanaba lobungqina: phezulu; inqanaba elicetyiswayo: yomelele)

Ingxelo 16:Kucetyiswa ukuba abaphathi bezempilo bakazwelonke kumazwe aseAsean bahlawule i-HP ye-HP kuvavanyo lokuqonda kunye nonyango. (Inqanaba lobungqina: iphantsi; inqanaba elicetyiswayo: yomelele)