(ASEAN, Association of Southeast Asian Nations, ndi Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar ndi Cambodia, ndiye mfundo yaikulu ya lipoti la mgwirizano wa Bangkok lomwe linatulutsidwa chaka chatha, kapena lingapereke chithandizo cha matenda a Helicobacter pylori. Malingaliro ena.)

Matenda a Helicobacter pylori (Hp) akusintha nthawi zonse, ndipo akatswiri pankhani yokhudza kugaya chakudya akhala akuganiza za njira yabwino kwambiri yothandizira. Kuchiza matenda a Hp m'maiko a ASEAN: Msonkhano wa Bangkok Consensus unasonkhanitsa gulu la akatswiri ofunikira ochokera m'derali kuti awunikenso ndikuwunika matenda a Hp m'njira zachipatala, ndikupanga mawu ogwirizana, malingaliro, ndi malingaliro othandizira chithandizo cha matenda a Hp m'maiko a ASEAN. Msonkhano wa ASEAN Consensus unachitikira ndi akatswiri 34 ochokera m'maiko 10 omwe ali mamembala a ASEAN ndi Japan, Taiwan ndi United States.

Msonkhanowu unayang'ana kwambiri mitu inayi:

(I) kulumikizana kwa matenda ndi matenda;

(II) njira zodziwira matenda;

(III) malingaliro a chithandizo;

(IV) kutsatira pambuyo pa kuchotsedwa.

Chiganizo chogwirizana

Chiganizo 1:1a: Matenda a Hp amawonjezera chiopsezo cha zizindikiro za dyspeptic. (Mulingo wa Umboni: Wapamwamba; Mulingo Wovomerezeka: Palibe); 1b: Odwala onse omwe ali ndi dyspepsia ayenera kuyesedwa ndikulandira chithandizo cha matenda a Hp. (Mulingo wa umboni: wapamwamba; mulingo wovomerezeka: wamphamvu)

Chiganizo 2:Popeza kugwiritsa ntchito mankhwala opatsirana a Hp ndi/kapena mankhwala oletsa kutupa (NSAIDs) kumagwirizana kwambiri ndi zilonda zam'mimba, chithandizo chachikulu cha zilonda zam'mimba ndikuchotsa Hp ndi/kapena kusiya kugwiritsa ntchito NSAIDs. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 3:Chiwerengero cha anthu omwe ali ndi khansa ya m'mimba m'maiko a ASEAN omwe ali ndi zaka zoyambira ndi 3.0 mpaka 23.7 pa anthu 100,000 pa chaka. M'maiko ambiri a ASEAN, khansa ya m'mimba ikadali imodzi mwa zifukwa 10 zazikulu zomwe zimayambitsa imfa za khansa. Gastric mucosa-associated lymphoid tissue lymphoma (m'mimba MALT lymphoma) ndi yosowa kwambiri. (Mulingo wa umboni: wapamwamba; mulingo woyenera: Palibe)

Chiganizo 4:Kuchotsa Hp kungachepetse chiopsezo cha khansa ya m'mimba, ndipo achibale a odwala khansa ya m'mimba ayenera kuyezedwa ndi kulandira chithandizo cha Hp. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 5:Odwala omwe ali ndi matenda a m'mimba a MALT lymphoma ayenera kuchotsedwa chifukwa cha Hp. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu) 

Chiganizo 6:6a: Kutengera ndi vuto la anthu lomwe limadza chifukwa cha matendawa, ndikotsika mtengo kuchita kafukufuku wa Hp m'dera kudzera mu mayeso osagwiritsa ntchito mankhwala kuti mupewe kuthetseratu khansa ya m'mimba. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wofooka)

6b: Pakadali pano, m'maiko ambiri a ASEAN, kuyezetsa khansa ya m'mimba mwa anthu ammudzi pogwiritsa ntchito endoscopy sikungatheke. (Mulingo wa Umboni: Wapakati; Mulingo Wovomerezeka: Wofooka)

Chiganizo 7:M'maiko a ASEAN, zotsatira zosiyana za matenda a Hp zimatsimikiziridwa ndi kuyanjana pakati pa zinthu zomwe zimayambitsa matenda a Hp, zomwe zimayambitsa matendawa komanso zomwe zimayambitsa chilengedwe. (Mulingo wa umboni: wapamwamba; mulingo woyenera: Palibe)

Chiganizo 8:Odwala onse omwe ali ndi matenda a khansa ya m'mimba asanabadwe ayenera kuyesedwa ndi kulandira chithandizo cha Hp, ndikugawa chiopsezo cha khansa ya m'mimba m'magulu. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Njira yodziwira matenda a Hp

Chiganizo 9:Njira zodziwira matenda a Hp m'chigawo cha ASEAN zikuphatikizapo: mayeso a urea breath, mayeso a fecal antigen (monoclonal) ndi mayeso a rapid urease test (RUT)/histology omwe amavomerezedwa m'deralo. Kusankha njira yodziwira matenda kumadalira zomwe wodwalayo amakonda, kupezeka kwake, ndi mtengo wake. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu) 

Chiganizo 10:Kuzindikira Hp pogwiritsa ntchito biopsy kuyenera kuchitidwa mwa odwala omwe akuchitidwa gastroscopy. (Mulingo wa Umboni: Wapakati; Mulingo Wovomerezeka: Wamphamvu)

Chiganizo 11:Kuzindikira Hp proton pump inhibitor (PPI) kumayimitsidwa kwa milungu iwiri; maantibayotiki amayimitsidwa kwa milungu inayi. (Mulingo wa umboni: wapamwamba; mlingo woyenera: wamphamvu)

Chiganizo 12:Ngati chithandizo cha PPI cha nthawi yayitali chikufunika, ndibwino kuzindikira Hp mwa odwala omwe ali ndi matenda a gastroesophageal reflux (GERD). (Mulingo wa Umboni: Wapakati; Mlingo Wovomerezeka: Wamphamvu)

Chiganizo 13:Odwala omwe akufunika chithandizo cha nthawi yayitali ndi NSAIDs ayenera kuyesedwa ndikulandira chithandizo cha Hp. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu) 

Chiganizo 14:Kwa odwala omwe ali ndi vuto la kutuluka magazi m'chilonda cha m'mimba komanso omwe ali ndi Hp biopsy yoyambirira, matendawa ayenera kutsimikiziridwanso poyesa Hp pambuyo pake. (Mulingo wa Umboni: Wapakati; Mulingo Wovomerezeka: Wamphamvu)

Chiganizo 15:Kuyesa mpweya wa urea ndiye njira yabwino kwambiri mukachotsa Hp, ndipo kuyesa kwa antigen ya ndowe kungagwiritsidwe ntchito ngati njira ina. Kuyesa kuyenera kuchitika milungu yosachepera 4 mutamaliza chithandizo chochotsa. Ngati gastroscope ikugwiritsidwa ntchito, biopsy ikhoza kuchitidwa. (Mulingo wa umboni: wapamwamba; mulingo woyenera: wamphamvu)

Chiganizo 16:Akulimbikitsidwa kuti akuluakulu azaumoyo m'maiko a ASEAN abweze Hp chifukwa cha kuyezetsa ndi kulandira chithandizo. (Mulingo wa umboni: wotsika; mulingo woyenera: wamphamvu)