(ASEAN, Ƙungiyar Kasashen Kudu maso Gabashin Asiya, tare da Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar da Cambodia, shine babban batun rahoton da Bangkok ta fitar a bara, ko kuma yana iya samar da maganin kamuwa da cutar Helicobacter pylori. Wasu ra'ayoyi.)

Cutar Helicobacter pylori (Hp) tana ci gaba da bunƙasa, kuma ƙwararru a fannin narkewar abinci suna tunanin mafi kyawun dabarun magani. Maganin kamuwa da cutar Hp a ƙasashen ASEAN: Taron Tattaunawa na Bangkok ya haɗu da ƙungiyar ƙwararru daga yankin don yin bita da kimanta kamuwa da cutar Hp a fannin asibiti, da kuma samar da bayanai, shawarwari, da shawarwari kan maganin kamuwa da cutar Hp a ƙasashen ASEAN. Taron Tattaunawa na ASEAN ya samu halartar ƙwararru 34 na ƙasashen duniya daga ƙasashe 10 na ASEAN da Japan, Taiwan da Amurka.

Taron ya mayar da hankali kan batutuwa guda huɗu:

(I) ilimin cututtuka da alaƙar cututtuka;

(II) hanyoyin gano cututtuka;

(III) ra'ayoyin magani;

(IV) bin diddigin cutar bayan kawar da ita.

Bayanin Yarjejeniya

Bayani na 1:1a: Cutar Hp tana ƙara haɗarin kamuwa da cututtukan dyspeptic. (Matakin Shaida: Babba; Matsayin Shawara: Babba); 1b: Ya kamata a gwada duk marasa lafiya da ke fama da dyspepsia kuma a yi musu magani don kamuwa da cutar Hp. (Matakin shaida: babba; matakin da aka ba da shawara: ƙarfi)

Bayani na 2:Saboda amfani da kamuwa da cutar Hp da/ko magungunan hana kumburi marasa steroidal (NSAIDs) yana da alaƙa sosai da ciwon peptic, babban maganin cutar peptic ulcers shine kawar da Hp da/ko dakatar da amfani da NSAIDs. (Matsayin shaida: babba; matakin da aka ba da shawarar: ƙarfi)

Bayani na 3:Yawan kamuwa da cutar kansar ciki da aka daidaita bisa ga shekarun da aka ƙayyade a ƙasashen ASEAN shine 3.0 zuwa 23.7 a cikin shekaru 100,000 na mutane. A yawancin ƙasashen ASEAN, ciwon daji na ciki ya kasance ɗaya daga cikin manyan dalilai 10 da ke haifar da mutuwar ciwon daji. Lymphoma na lymphoid na ciki (maganin lymphoma na ciki na MALT) ba kasafai yake faruwa ba. (Matsayin shaida: babba; matakin da aka ba da shawarar: N/A)

Bayani na 4:Kawar da cutar Hp na iya rage haɗarin kamuwa da cutar kansar ciki, kuma ya kamata a duba iyalan waɗanda ke fama da cutar kansar ciki a kuma yi musu magani don cutar Hp. (Matsayin shaida: babba; matakin da aka ba da shawarar: ƙarfi)

Bayani na 5:Ya kamata a kawar da marasa lafiya da ke fama da cutar MALT lymphoma ta ciki don rage Hp. (Matakin shaida: babba; matakin da aka ba da shawarar: ƙarfi) 

Bayani na 6:6a: Dangane da nauyin da ke kan al'umma na cutar, yana da matuƙar amfani a gudanar da gwajin Hp a cikin al'umma ta hanyar gwaje-gwaje marasa lahani don hana cutar kansar ciki. (Matsayin shaida: babba; matakin da aka ba da shawarar: rauni)

6b: A halin yanzu, a yawancin ƙasashen ASEAN, gwajin cutar kansar ciki ta al'umma ta hanyar endoscopy ba abu ne mai yiwuwa ba. (Matakin Shaida: Matsakaici; Matsayin da aka Ba da Shawara: Mai rauni)

Bayani na 7:A ƙasashen ASEAN, sakamakon kamuwa da cutar Hp daban-daban ana tantance shi ta hanyar hulɗar da ke tsakanin abubuwan da ke haifar da cutar Hp, abubuwan da ke haifar da kamuwa da cutar da muhalli. (Matakin shaida: babba; matakin da aka ba da shawarar: N/A)

Bayani na 8:Ya kamata duk marasa lafiya da ke fama da raunukan da suka riga suka kamu da cutar kansar ciki su yi gwajin Hp da kuma maganinta, sannan a tantance haɗarin kamuwa da cutar kansar ciki. (Matsayin shaida: babba; ƙimar da aka ba da shawarar: ƙarfi)

Hanyar ganewar cutar Hp

Bayani na 9:Hanyoyin gano cutar Hp a yankin ASEAN sun haɗa da: gwajin numfashi na urea, gwajin antigen na najasa (monoclonal) da gwajin urease mai sauri (RUT)/histology na gida. Zaɓin hanyar gano cutar ya dogara da fifikon majiyyaci, samuwa, da farashi. (Matsayin shaida: babba; matakin da aka ba da shawarar: ƙarfi) 

Bayani na 10:Ya kamata a yi gwajin Hp ta hanyar amfani da biopsy ga marasa lafiya da ake yi wa gwajin gastroscopy. (Matsayin Shaida: Matsakaici; Matsayin da aka ba da shawara: Ƙarfi)

Bayani na 11:Ana daina gano sinadarin Hp proton pump inhibitor (PPI) na tsawon akalla makonni 2; ana daina amfani da maganin rigakafi na tsawon akalla makonni 4. (Matsayin shaida: babba; ƙimar da aka ba da shawarar: ƙarfi)

Bayani na 12:Idan ana buƙatar maganin PPI na dogon lokaci, ana ba da shawarar a gano Hp a cikin marasa lafiya da ke fama da cutar reflux ta gastroesophageal (GERD). (Matsayin Shaida: Matsakaici; Matsayin da aka ba da shawarar: Mai ƙarfi)

Bayani na 13:Ya kamata a gwada marasa lafiya da ke buƙatar magani na dogon lokaci tare da NSAIDs kuma a yi musu magani don Hp. (Matakin shaida: babba; matakin da aka ba da shawarar: ƙarfi) 

Bayani na 14:A cikin marasa lafiya da ke fama da zubar jini a cikin gyambon ciki da kuma gwajin farko na Hp wanda ba shi da kyau, ya kamata a sake tabbatar da kamuwa da cuta ta hanyar gwajin Hp na gaba. (Matakin Shaida: Matsakaici; Matsayin da aka Ba da Shawara: Mai ƙarfi)

Bayani na 15:Gwajin numfashin urea shine mafi kyawun zaɓi bayan kawar da Hp, kuma ana iya amfani da gwajin antigen na najasa azaman madadin. Ya kamata a yi gwajin aƙalla makonni 4 bayan ƙarshen maganin kawar da cutar. Idan an yi amfani da gastroscope, za a iya yin biopsy. (Matsayin shaida: babba; matakin da aka ba da shawarar: ƙarfi)

Bayani na 16:Ana ba da shawarar hukumomin lafiya na ƙasa a ƙasashen ASEAN su mayar da kuɗin Hp don gwajin ganewar asali da magani. (Matakin shaida: ƙasa; matakin da aka ba da shawarar: ƙarfi)