(ASEAN, iyo Association of Southeast Asian Nations, pamwe neMalaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar neCambodia, ndiyo pfungwa huru yemushumo wekubvumirana weBangkok wakaburitswa gore rapfuura, kana kuti inogona kupa kurapwa kwehutachiona hweHelicobacter pylori. Mamwe mazano.)

Utachiona hweHelicobacter pylori (Hp) huri kuramba huchichinja, uye nyanzvi munyaya dzekugaya chikafu dzave dzichifunga nezvenzira yakanakisisa yekurapa. Kurapa Utachiona hweHp munyika dzeASEAN: Musangano weBangkok Consensus wakaunganidza timu yenyanzvi dzakakosha kubva munharaunda iyi kuti dziongorore uye dziongorore hutachiona hweHp mukurapa, uye kugadzira zvirevo zvekubvumirana, mazano, uye mazano ekurapa hutachiona hweHp munyika dzeASEAN. Musangano weASEAN Consensus wakapindwa nenyanzvi dzepasi rose makumi matatu neina kubva kunyika gumi dziri nhengo dzeASEAN neJapan, Taiwan neUnited States.

Musangano uyu wakatarisana nemisoro mina:

(I) hukama hwezvirwere nezvirwere;

(II) nzira dzekuongorora chirwere;

(III) maonero ekurapwa;

(IV) kuteverwa mushure mekubviswa kwechinhu.

Chirevo chekubvumirana

Chirevo 1:1a: Kutapukirwa neHP kunowedzera njodzi yezviratidzo zve dyspeptic. (Nhamba yeUchapupu: Yakakwira; Nhamba Inokurudzirwa: Haisipo); 1b: Varwere vese vane dyspepsia vanofanira kuongororwa uye kurapwa hutachiona hweHP. (Nhamba yeUchapupu: yakakwira; Nhamba Inokurudzirwa: yakasimba)

Chirevo 2:Nekuti kushandiswa kwehutachiona hweHp uye/kana mishonga isingashandisi steroidal inorwisa kuzvimba (NSAIDs) kwakabatana zvakanyanya nemaronda emudumbu, mushonga mukuru wekurapa maronda emudumbu ndeyekubvisa Hp uye/kana kurega kushandisa NSAIDs. (Humbowo: hwakakwira; huwandu hunokurudzirwa: hwakasimba)

Chirevo chechitatu:Kuwanda kwekenza yemudumbu zvichienderana nezera munyika dzeASEAN kuri pakati pe3.0 ne23.7 pavanhu 100,000 pagore. Munyika zhinji dzeASEAN, kenza yemudumbu ichiri chimwe chezvikonzero gumi zvikuru zvekufa kwekenza. Gastric mucosa-associated lymphoid tissue lymphoma (dumbu reMALT lymphoma) haiwanzoitiki. (Humbowo: hwakakwira; hunokurudzirwa: Haisipo)

Chirevo chechina:Kubviswa kweHp kunogona kuderedza njodzi yekenza yemudumbu, uye nhengo dzemhuri dzevarwere vekenza yemudumbu dzinofanira kuongororwa uye kurapwa Hp. (Uchapupu: hwakakwira; hunokurudzirwa: hwakasimba)

Chirevo 5:Varwere vane gastric MALT lymphoma vanofanira kubviswa nekuda kweHp. (Uchapupu: hwakakwira; hunokurudzirwa: hwakasimba) 

Chirevo 6:6a: Zvichienderana nedambudziko rechirwere ichi munharaunda, zvinodhura zvishoma kuita bvunzo dzeHp munharaunda kuburikidza nekuongororwa kusingapindi mishonga kudzivirira kubviswa kwegomarara remudumbu. (Uchapupu: hwakakwira; hunokurudzirwa: husina simba)

6b: Parizvino, munyika zhinji dzeASEAN, kuongororwa kwegomarara remudumbu remunharaunda kuburikidza ne endoscopy hakugoneki. (Nhamba yeUchapupu: Pakati nepakati; Nhanho Inokurudzirwa: Isina Kusimba)

Chirevo 7:Munyika dzeASEAN, mhedzisiro dzakasiyana dzehutachiona hweHp dzinotsanangurwa nekudyidzana kuripo pakati pezvinhu zvinokonzera hutachiona hweHp, zvinokonzeresa uye zvinhu zvakatipoteredza. (Nhamba yehumbowo: yakakwirira; nhanho inokurudzirwa: N/A)

Chirevo 8:Varwere vese vane maronda emudumbu vasati vaita kenza vanofanira kuongororwa nekurapwa neHP, uye kupatsanura njodzi yekenza yemudumbu. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba)

Nzira yekuongorora Hp

Chirevo 9:Nzira dzekuongorora Hp munharaunda yeASEAN dzinosanganisira: bvunzo yekufema yeurea, bvunzo yefecal antigen (monoclonal) uye bvunzo yekukurumidza yeurease (RUT)/histology inosimbiswa munharaunda. Sarudzo yenzira yekuona inoenderana nezvinodiwa nemurwere, kuwanikwa, uye mutengo. (Nhamba yehumbowo: yakakwirira; nhanho inokurudzirwa: yakasimba) 

Chirevo 10:Kuongororwa kweHP kwakavakirwa pa biopsy kunofanira kuitwa kuvarwere vari kuvhiyiwa gastroscopy. (Nhamba yeUchapupu: Pakati nepakati; Nhanho Inokurudzirwa: Yakasimba)

Chirevo 11:Kuonekwa kweHp proton pump inhibitor (PPI) kunomiswa kwemavhiki maviri; mishonga inorwisa mabhakitiriya inomiswa kwemavhiki mana. (Uchapupu: hwakakwira; chiyero chinokurudzirwa: chakasimba)

Chirevo 12:Kana kurapwa kwePPI kwenguva refu kuchidikanwa, zvinokurudzirwa kuona Hp muvarwere vane chirwere chegastroesophageal reflux (GERD). (Nhamba yeUchapupu: Pakati nepakati; Chiyero Chinokurudzirwa: Chakasimba)

Chirevo 13:Varwere vanoda kurapwa kwenguva refu neNSAIDs vanofanira kuongororwa uye kurapwa Hp. (Uchapupu: hwakakwira; hunokurudzirwa: hwakasimba) 

Chirevo 14:Muvarwere vane kubuda ropa mudumbu uye vane Hp biopsy yekutanga isina, hutachiona hunofanira kusimbiswazve nekuongororwa kweHp kunotevera. (Nhamba yeUchapupu: Pakati nepakati; Nhanho Inokurudzirwa: Yakasimba)

Chirevo 15:Kuongororwa kwekufema kweurea ndiyo sarudzo yakanakisisa mushure mekubviswa kweHp, uye bvunzo yetsvina yeantigen inogona kushandiswa seimwe nzira. Kuongororwa kunofanirwa kuitwa mavhiki mana mushure mekupera kwekurapwa kwekubvisa. Kana gastroscope ikashandiswa, biopsy inogona kuitwa. (Uchapupu: hwakakwira; hunokurudzirwa: hwakasimba)

Chirevo 16:Zvinokurudzirwa kuti vakuru vezvehutano munyika dzeASEAN vabhadhare Hp yekuongororwa nekurapwa. (Uchapupu: hwakaderera; humbowo hunokurudzirwa: hwakasimba)