(ʻO ASEAN, ka Hui o nā Aupuni ʻĀkia Hikina Hema, me Malekia, ʻInidonesia, Thailand, Pilipino, Singapore, Brunei, Vietnam, Laos, Myanmar a me Cambodia, ke kumu nui o ka hōʻike kuikahi o Bangkok i hoʻokuʻu ʻia i ka makahiki i hala, a i ʻole e hāʻawi paha no ka mālama ʻana i ka maʻi Helicobacter pylori. Kekahi mau manaʻo.)

Ke loli mau nei ka maʻi Helicobacter pylori (Hp), a ke noʻonoʻo nei nā loea i ke kahua o ka ʻai ʻana i ke ʻano lapaʻau maikaʻi loa. Ka mālama ʻana i ka maʻi Hp ma nā ʻāina ASEAN: Ua hōʻuluʻulu ka ʻAha Kūkākūkā ʻo Bangkok i kahi hui o nā loea koʻikoʻi mai ka ʻāina e nānā a loiloi i nā maʻi Hp ma ke ʻano lapaʻau, a e hoʻomohala i nā ʻōlelo kuikahi, nā ʻōlelo paipai, a me nā ʻōlelo paipai no ka mālama lapaʻau ʻana i ka maʻi Hp ma nā ʻāina ASEAN. Ua hele ʻia ka ʻAha Kūkākūkā ʻo ASEAN e 34 mau loea honua mai 10 mau ʻāina lālā ASEAN a me Iapana, Taiwan a me ʻAmelika Hui Pū ʻIa.

Ua kālele ʻia ka hālāwai ma nā kumuhana ʻehā:

(I) nā loulou epidemiology a me nā maʻi;

(II) nā ʻano hana hōʻoia;

(III) nā manaʻo lapaʻau;

(IV) ka hahai ʻana ma hope o ka hoʻopau ʻana.

ʻŌlelo kuʻikahi

ʻŌlelo 1:1a: Hoʻonui ka maʻi Hp i ka pilikia o nā hōʻailona dyspeptic. (Pae o nā Hōʻike: Kiʻekiʻe; Pae i Manaʻo ʻia: N/A); 1b: Pono e hoʻāʻo ʻia a mālama ʻia nā maʻi āpau me ka dyspepsia no ka maʻi Hp. (Pae o nā hōʻike: kiʻekiʻe; pae i manaʻo ʻia: ikaika)

ʻŌlelo 2:Ma muli o ka pili pono ʻana o ka hoʻohana ʻana i ka maʻi Hp a/a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAID) me nā ʻōpū peptic, ʻo ka lāʻau lapaʻau mua no nā ʻōpū peptic ka hoʻopau ʻana iā Hp a/a i ʻole e hoʻōki i ka hoʻohana ʻana i nā NSAID. (Pae o nā hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika)

ʻŌlelo 3:ʻO ka nui o ka maʻi ʻōpū ma nā ʻāina ASEAN ma ke ʻano maʻamau he 3.0 a 23.7 no 100,000 mau makahiki kanaka. Ma ka hapa nui o nā ʻāina o ASEAN, ʻo ke kanesa ʻōpū kekahi o nā kumu he 10 nui o ka make ʻana i ke kanesa. He mea kākaʻikahi loa ka lymphoma ʻiʻo lymphoid e pili ana i ka mucosa gastric (stomach MALT lymphoma). (Pae o nā hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: N/A)

ʻŌlelo 4:Hiki i ka hoʻopau ʻana iā Hp ke hōʻemi i ka pilikia o ka maʻi ʻōpū, a pono e nānā ʻia a mālama ʻia nā ʻohana o nā maʻi ʻōpū no Hp. (Pae o nā hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika)

ʻŌlelo 5:Pono e hoʻopau ʻia nā maʻi me ka gastric MALT lymphoma no Hp. (Pae o nā hōʻike: kiʻekiʻe; pae i manaʻo ʻia: ikaika) 

ʻŌlelo 6:6a: Ma muli o ke kaumaha o ka maʻi ma muli o ke kaiāulu, he mea kūpono ke kālā e hana i kahi nānā ʻana o Hp ma ke kaiāulu ma o ka hoʻāʻo ʻole e komo i loko o ka ʻōpū e pale aku i ka hoʻopau ʻana i ka maʻi ʻaʻai ʻōpū. (Pae o nā hōʻike: kiʻekiʻe; pae i manaʻo ʻia: nāwaliwali)

6b: I kēia manawa, ma ka hapa nui o nā ʻāina ASEAN, ʻaʻole hiki ke nānā ʻia no ka maʻi ʻōpū kaiāulu ma o ka endoscopy. (Pae o nā Hōʻike: Waena; Pae i Manaʻo ʻia: Nawaliwali)

ʻŌlelo 7:Ma nā ʻāina ASEAN, ua hoʻoholo ʻia nā hopena like ʻole o ka maʻi Hp e ka pilina ma waena o nā kumu virulence Hp, nā mea hoʻokipa a me nā kumu kaiapuni. (Pae o nā hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: N/A)

ʻŌlelo 8:Pono nā maʻi āpau me nā ʻeha precancerous o ke kanesa ʻōpū e ʻike ʻia a mālama ʻia e Hp, a hoʻokaʻawale i ka pilikia o ke kanesa ʻōpū. (Pae o nā hōʻike: kiʻekiʻe; helu i manaʻo ʻia: ikaika)

Ke ʻano hana hōʻoia Hp

ʻŌlelo 9:ʻO nā ʻano hana hōʻoia no Hp ma ka ʻāina ʻo ASEAN e komo pū ana: ka hoʻāʻo hanu urea, ka hoʻāʻo antigen fecal (monoclonal) a me ka hoʻāʻo urease wikiwiki i hōʻoia ʻia ma kahi kūloko (RUT)/histology. ʻO ke koho ʻana o ke ʻano ʻike e pili ana i nā makemake o ka mea maʻi, ka loaʻa ʻana, a me ke kumukūʻai. (Pae o nā hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika) 

ʻŌlelo 10:Pono e hana ʻia ka ʻike ʻana iā Hp ma muli o ka biopsy i nā poʻe maʻi e hana ʻia ana i ka gastroscopy. (Pae o nā Hōʻike: Waena; Pae i Manaʻo ʻia: Ikaika)

ʻŌlelo 11:Hoʻopau ʻia ka ʻike ʻana o ka Hp proton pump inhibitor (PPI) no ka liʻiliʻi he 2 mau pule; hoʻopau ʻia nā antibiotics no ka liʻiliʻi he 4 mau pule. (Pae o nā hōʻike: kiʻekiʻe; helu i manaʻo ʻia: ikaika)

ʻŌlelo 12:Ke koi ʻia ka lāʻau lapaʻau PPI lōʻihi, ua ʻōlelo ʻia e ʻike i ka Hp i nā poʻe maʻi me ka maʻi reflux gastroesophageal (GERD). (Pae o nā hōʻike: Waena; Ka helu i manaʻo ʻia: Ikaika)

ʻŌlelo 13:Pono e hoʻāʻo ʻia a mālama ʻia nā maʻi e pono ai ka mālama lōʻihi me nā NSAID no Hp. (Pae o nā hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika) 

ʻŌlelo 14:I nā poʻe maʻi me ke kahe koko ʻana o ka maʻi ʻōpū peptic a me ka biopsy mua Hp maikaʻi ʻole, pono e hōʻoia hou ʻia ka maʻi ma o ka hoʻāʻo Hp ma hope. (Pae o nā Hōʻike: Waena; Pae i Manaʻo ʻia: Ikaika)

ʻŌlelo 15:ʻO ka hoʻāʻo hanu urea ka koho maikaʻi loa ma hope o ka hoʻopau ʻana iā Hp, a hiki ke hoʻohana ʻia ka hoʻāʻo antigen fecal ma ke ʻano he koho ʻē aʻe. Pono e hana ʻia ka hoʻāʻo ʻana ma ka liʻiliʻi he 4 mau pule ma hope o ka pau ʻana o ka hoʻōla eradication. Inā hoʻohana ʻia kahi gastroscope, hiki ke hana ʻia kahi biopsy. (Pae o nā hōʻike: kiʻekiʻe; pae i manaʻo ʻia: ikaika)

ʻŌlelo 16:Manaʻo ʻia e uku hou aku nā luna olakino aupuni ma nā ʻāina ASEAN iā Hp no ka hoʻāʻo ʻana a me ka mālama ʻana i ka maʻi. (Pae o nā hōʻike: haʻahaʻa; pae i manaʻo ʻia: ikaika)