(Asean, inhlangano yezizwe zaseNingizimu mpumalanga ye-Asia, neMalaysia, Indonesia, Thailand, iPhilippines, iLaos, i-Myanmar neCambominia, noma i-Piet ukwelashwa kwe-helicobacter Pylorifgennelf. Eminye imibono.)

Ukutheleleka kwe-Helicobacter Pylori (HP) kuvela njalo, futhi ochwepheshe emkhakheni wokugaya bebelokhu becabanga ngecebo lokwelashwa elingcono kakhulu. Ukwelashwa kokutheleleka nge-HP emazweni ase-ASEAN: Ingqungquthela Ye-Bangkok Consensus yaletha iqembu labachwepheshe abasemqoka esifundeni sokubukeza nokuhlaziya izitatimende ze-hp, izincomo, kanye nezincomo zokwelashwa kwe-HP kokutheleleka nge-ASEAN Amazwe. Ingqungquthela Yesivumelwano Sase-Asean yayihanjelwa ochwepheshe abangamazwe angama-34 emazweni angamalungu ayi-10 ase-ASEAN kanye neJapan, eTaiwan naseMelika.

Umhlangano ugxile ezihlokweni ezine:

(I) ukuxhumeka kwe-epidemiology nezifo;

(Ii) izindlela zokuxilonga;

(Iii) Imibono yokwelashwa;

(Iv) ukulandela ngemuva kokuqedwa.

Isitatimende Sokuvumelana

Isitatimende 1:I-1A: Ukutheleleka kwe-HP kukhulisa ubungozi bezimpawu ze-dyspeptic. (Izinga lobufakazi: phezulu; izinga elinconyiwe: n / a); I-1B: Zonke iziguli ezine-dyspepsia kufanele zihlolwe futhi zilashelwe ukutheleleka nge-HP. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 2:Ngoba ukusetshenziswa kokutheleleka nge-HP kanye / noma izidakamizwa ezingezona ze-anti-inflammall (NSAIDS) zixhumeke kakhulu ngezilonda ze-peptic, ukwelashwa okuyisisekelo kwezilonda ze-peptic ukuqeda i-HP kanye / noma ukuyekelela ukusetshenziswa kwama-NASIDS. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 3:Izehlakalo ezilinganiselwe zobudala zomdlavuza wesisu emazweni ase-Asean ngu-3.0 kuya ku-23.7 eminyakeni eyi-100,000. Emazweni amaningi ase-Asean, umdlavuza wesisu uhlala kungenye yezinto eziyi-10 eziphezulu zokufa komdlavuza. I-lympric mucosa-ahlobene ne-lymphoid tease lymphoma (isisu malt lymphoma) ayiveli kakhulu. (Izinga lobufakazi: phezulu; izinga elinconyiwe: n / a)

Isitatimende 4:Ukuqedwa kwe-HP kunganciphisa ubungozi bomdlavuza wesisu, futhi amalungu omndeni weziguli zomdlavuza wesisu kufanele ahlolwe futhi ahoshwe nge-HP. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 5:Iziguli ezine-lymm ye-malt lymphoma kufanele ziqedwe nge-HP. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile) 

Isitatimende 6:6a: Kususelwa emthwalweni wezenhlalo walesi sifo, kuyabiza kakhulu ukwenza ukuhlolwa komphakathi kwe-HP ngokuhlolwa okungahlaseli ukuvikela ukusungula umdlavuza wesisu. (Izinga lobufakazi: phezulu; izinga elinconyiwe: buthakathaka)

I-6b: Okwamanje, emazweni amaningi ase-ASEAN, ukuhlolwa komdlavuza womphakathi esiswini nge-endoscopy akunakwenzeka. (Izinga lobufakazi: I-Medium; Izinga Elinconyiwe: Ubuthakathaka)

Isitatimende 7:Emazweni ase-Asean, imiphumela ehlukene yokutheleleka nge-HP inqunywa ukuxhumana phakathi kwezinto ze-HP virule, ukusingathwa kanye nezici zezemvelo. (Izinga lobufakazi: phezulu; izinga elinconyiwe: n / a)

Isitatimende 8:Zonke iziguli ezinezilonda ezinomusa zomdlavuza wesisu kufanele zitholwe nokwelashwa kwe-HP kanye nokwelashwa kwe-HP, futhi zithinte ubungozi bomdlavuza wesisu. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Indlela yokuxilongwa kwe-HP

Isitatimende 9:Izindlela zokuxilonga ze-HP esifundeni sase-Asean zifaka: Ukuhlolwa kokuphefumula kuka-Urea, ukuhlolwa kwe-Antigen ye-Fecal (Monoclonal) kanye nokuhlolwa kwendawo (Rut) / umlando. Ukukhetha kwendlela yokutholwa kuncike ekukhetheni kweziguli, ukutholakala, kanye nezindleko. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile) 

Isitatimende 10:Ukutholwa kwe-HP esuselwa kwi-biopsy kumele kwenziwe ezigulini ezibhekene ne-gastroscopy. (Izinga lobufakazi: I-Medium; Izinga Elinconyiwe:

Isitatimende 11:Ukutholwa kwe-HP Proton Pump Inhibitor (i-PPI) kunqanyulwa okungenani amaviki ama-2; Ama-antibiotic anqanyulwa okungenani amasonto amane. (Izinga lobufakazi: Phezulu; Isilinganiso esinconyiwe:

Isitatimende 12:Lapho kudingeka ukwelashwa kwe-PPI yesikhathi eside, kunconywa ukuthola i-HP ezigulini ezinesifo se-gastrosophophageal reflux (Gerd). (Izinga lobufakazi: I-Medium; Isilinganiso Esinconyiwe:

Isitatimende 13:Iziguli ezidinga ukwelashwa kwesikhathi eside ngama-nsaids kufanele zihlolwe futhi zilashwe nge-HP. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile) 

Isitatimende 14:Ezigulini ezine-peptic ulcer elopha kanye ne-HP yokuqala ye-biopsy, ukutheleleka kufanele kuphinde kwaqinisekiswa ngokuhlolwa okulandelayo kwe-HP. (Izinga lobufakazi: I-Medium; Izinga Elinconyiwe:

Isitatimende 15:Ukuhlolwa kokuphefumula urea kuyisinqumo esihle kakhulu ngemuva kokuqothulwa kwe-HP, futhi ukuhlolwa kwe-antigen ye-fecal kungasetshenziswa njengenye indlela. Ukuhlolwa kufanele kwenziwe okungenani amaviki ama-4 ngemuva kokuphela kokwelashwa kokuqedwa. Uma kusetshenziswa i-gastroscope, kungenziwa i-biopsy. (Izinga lobufakazi: phezulu; izinga elinconyiwe: liqinile)

Isitatimende 16:Kunconywe ukuthi abaphathi bezempilo bakazwelonke emazweni ase-Asean abuyisa i-HP yokuhlola nokuthola ukwelashwa. (Izinga lobufakazi: Okuphansi; Izinga Elinconyiwe: Kuqinile)