( ʻO ASEAN, ka Hui o nā Aupuni ʻAsia Hikina Hema, me Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar a me Cambodia, ʻo ia ke kumu nui o ka hōʻike kuʻikahi Bangkok i hoʻokuʻu ʻia i ka makahiki i hala, a i ʻole e hāʻawi i ka ka mālama ʻana i ka maʻi Helicobacter pylori. Kekahi mau manaʻo. )

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

Ua nānā ka hālāwai i ʻehā mau kumuhana:

(I) maʻi maʻi a me nā loulou maʻi;

(II) nā ʻano diagnostic;

(III) 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.(Level of Evidence: High; Papa Manaʻo: N/A);1b: Pono e ho'āʻo a mālama ʻia nā maʻi āpau me ka dyspepsia no ka maʻi Hp.(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika)

ʻŌlelo 2:Ma muli o ka pili nui o ka hoʻohana ʻana i ka maʻi Hp a/a i ʻole nā ​​lāʻau anti-inflammatory non-steroidal (NSAIDs) me nā maʻi ʻeha peptic, ʻo ka mālama mua ʻana i nā maʻi ʻeha peptic ʻo ka hoʻopau ʻana i ka Hp a/a i ʻole e hoʻopau i ka hoʻohana ʻana i nā NSAID.(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika)

ʻŌlelo 3:ʻO ka maʻi maʻi maʻi gastric ma nā ʻāina ASEAN he 3.0 a 23.7 i kēlā me kēia 100,000 kanaka-makahiki.I ka hapa nui o nā ʻāina o ASEAN, ʻo ka maʻi maʻi ʻōpū kekahi o nā kumu 10 kiʻekiʻe o ka make maʻi kanesa.Kakaʻikahi loa ka lymphoma kiko lymphoid e pili ana i ka ʻōpū mucosa (stomach MALT lymphoma).(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: N/A)

ʻŌlelo 4:ʻO ka hoʻopau ʻia ʻana o ka Hp hiki ke hōʻemi i ka pilikia o ka maʻi maʻi ʻōpū, a pono e hoʻopaʻa ʻia a mālama ʻia nā lālā o ka ʻohana o ka maʻi maʻi ʻōpū.(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika)

ʻŌlelo 5:Pono e hoopau ia na ma'i me ka ma'i lymphoma MALT no ka Hp.(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika) 

ʻŌlelo 6:6a: Ma muli o ke kaumaha o ka nohona pili kanaka o ka maʻi, ʻoi aku ka maikaʻi o ke kūʻai ʻana i ka nānā ʻana o ka Hp i ke kaiāulu ma o ka hoʻāʻo ʻole ʻana e pale aku i ka hoʻopau ʻana i ka maʻi maʻi ʻōpū.(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: nāwaliwali)

6b: I kēia manawa, ma ka hapa nui o nā ʻāina ʻo ASEAN, ʻaʻole hiki ke hoʻopaʻa ʻia no ka maʻi maʻi ʻōpū kaiāulu ma o ka endoscopy.(Level of Evidence: Medium; Papa Manaʻo: Weak)

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

ʻŌlelo 8:ʻO nā poʻe maʻi āpau me nā ʻeha precancerous o ka maʻi maʻi ʻōpū e pono e hoʻopaʻa i ka Hp a me ka lapaʻau ʻana, a e hoʻopaʻa i ka pilikia o ka maʻi ʻōpū.(Ka pae o ka hōʻike: kiʻekiʻe; ka helu i ʻōlelo ʻia: ikaika)

ʻO ke ʻano hōʻike Hp

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

ʻŌlelo 10:Pono e hana ʻia ka ʻike Hp e pili ana i ka biopsy i nā maʻi e loaʻa ana i ka gastroscopy.(Ka pae o ka hōʻike: Medium; Papa Manaʻo: ikaika)

ʻŌlelo 11:Hoʻopau ʻia ka ʻike ʻana o ka Hp proton pump inhibitor (PPI) no ka liʻiliʻi o 2 pule;Hoʻopau ʻia nā lāʻau antibiotic no 4 mau pule.(Ka pae o ka hōʻike: kiʻekiʻe; ka helu i ʻōlelo ʻia: ikaika)

ʻŌlelo 12:Ke koi ʻia ka lāʻau lapaʻau PPI lōʻihi, pono ia e ʻike i ka Hp i nā maʻi me ka maʻi gastroesophageal reflux (GERD).(Ka pae o ka hōʻike: Medium; Manaʻo ʻia: ikaika)

ʻŌlelo 13:Pono e ho'āʻo a mālama ʻia nā maʻi e koi ana i ka mālama lōʻihi me nā NSAID no Hp.(Ka pae o ka hōʻike: kiʻekiʻe; pae i ʻōlelo ʻia: ikaika) 

ʻŌlelo 14:I nā poʻe maʻi me ke koko ʻeha peptic a me ka biopsy mua o ka Hp maikaʻi ʻole, pono e hōʻoia hou ʻia ka maʻi e ka hoʻāʻo Hp ma hope.(Ka pae o ka hōʻike: Medium; Papa Manaʻo: ikaika)

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

ʻŌlelo 16:Manaʻo ʻia e uku hou nā luna olakino olakino ma nā ʻāina ʻo ASEAN i ka Hp no ka hoʻāʻo diagnostic a me ka mālama ʻana.(Ka pae o ka hōʻike: haʻahaʻa; pae i ʻōlelo ʻia: ikaika)