(ASEAN, Mokhatlo oa Lichaba tsa Boroa-bochabela ba Asia, hammoho le Malaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar le Cambodia, ke ntlha ea bohlokoa tlalehong ea tumellano ea Bangkok e lokollotsoeng selemong se fetileng, kapa e ka fana ka kalafo ea tšoaetso ea Helicobacter pylori. Mehopolo e meng.)

Tšoaetso ea Helicobacter pylori (Hp) e ntse e fetoha kamehla, 'me litsebi lefapheng la tšilo ea lijo li ntse li nahana ka leano le molemohali la kalafo. Kalafo ea tšoaetso ea Hp linaheng tsa ASEAN: Seboka sa Tumellano sa Bangkok se kopantse sehlopha sa litsebi tsa bohlokoa ho tsoa sebakeng seo ho hlahloba le ho lekola tšoaetso ea Hp ka mantsoe a bongaka, le ho nts'etsapele lipolelo tsa tumellano, likhothaletso le likhothaletso bakeng sa kalafo ea bongaka ea tšoaetso ea Hp linaheng tsa ASEAN. Seboka sa Tumellano sa ASEAN se bile teng ke litsebi tse 34 tsa machaba tse tsoang linaheng tse 10 tsa litho tsa ASEAN le Japane, Taiwan le United States.

Seboka se ne se shebane le dihlooho tse nne:

(I) likhokahano tsa mafu a seoa le maloetse;

(II) mekhoa ea ho hlahloba;

(III) maikutlo a kalafo;

(IV) tlhahlobo kamora ho felisoa.

Polelo ea tumellano

Polelo ea 1:1a: Tšoaetso ea Hp e eketsa kotsi ea matšoao a dyspeptic. (Boemo ba Bopaki: Holimo; Boemo bo Khothaletsoang: Ha bo eo); 1b: Bakuli bohle ba nang le dyspepsia ba lokela ho hlahlojoa le ho phekoloa tšoaetso ea Hp. (Boemo ba bopaki: holimo; boemo bo khothaletsoang: bo matla)

Polelo ea 2:Hobane tšebeliso ea tšoaetso ea Hp le/kapa meriana e seng ea steroidal e thibelang ho ruruha (NSAIDs) e amana haholo le liso tsa peptic, kalafo ea mantlha ea liso tsa peptic ke ho felisa Hp le/kapa ho khaotsa ho sebelisa NSAID. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: bo matla)

Polelo ea 3:Palo ea batho ba nang le kankere ea mala e tloaelehileng linaheng tsa ASEAN ke 3.0 ho isa ho 23.7 ka lilemo tsa batho ba 100,000. Linaheng tse ngata tsa ASEAN, kankere ea mala e ntse e le e 'ngoe ea lisosa tse 10 tse ka sehloohong tsa mafu a kankere. Gastric mucosa-associated lymphoid tissue lymphoma (stomach MALT lymphoma) ha e fumanehe hangata. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: Ha bo eo)

Polelo ea 4:Ho fedisa Hp ho ka fokotsa kotsi ya kankere ya mala, mme ditho tsa lelapa la bakudi ba kankere ya mala di lokela ho hlahlojwa le ho phekolwa Hp. (Boemo ba bopaki: bo hodimo; boemo bo kgothaletswang: bo matla)

Polelo ea 5:Bakuli ba nang le lymphoma ea MALT ea mpeng ba lokela ho felisoa bakeng sa Hp. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: bo matla) 

Polelo ea 6:6a: Ho latela moroalo oa sechaba oa lefu lena, ho theko e tlase ho etsa tlhahlobo ea Hp sechabeng ka liteko tse sa hlaseleng ho thibela ho felisoa ha kankere ea mala. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: bo fokola)

6b: Hona jwale, dinaheng tse ngata tsa ASEAN, tlhahlobo ya kankere ya mala ya setjhaba ka endoscopy ha e kgonehe. (Boemo ba Bopaki: Bohareng; Boemo bo Kgothaletswang: Bofokodi)

Polelo ea 7:Linaheng tsa ASEAN, liphetho tse fapaneng tsa tšoaetso ea Hp li khethoa ke tšebelisano lipakeng tsa lintlha tsa kokoana-hloko ea Hp, moamoheli le lintlha tsa tikoloho. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: Ha bo eo)

Polelo ea 8:Bakuli bohle ba nang le liso tsa kankere ea mala tse sa bakang mofetše ba lokela ho hlahlojoa le ho phekoloa ka Hp, le ho arola kotsi ea kankere ea mala ka lihlopha. (Boemo ba bopaki: bo phahameng; tekanyo e khothaletsoang: e matla)

Mokhoa oa ho fumana lefu la Hp

Polelo ea 9:Mekhoa ea ho hlahloba Hp sebakeng sa ASEAN e kenyelletsa: tlhahlobo ea moea oa urea, tlhahlobo ea antigen ea mantle (monoclonal) le tlhahlobo ea urease e potlakileng e netefalitsoeng sebakeng seo (RUT)/histology. Khetho ea mokhoa oa ho lemoha e itšetlehile ka likhetho tsa mokuli, ho fumaneha ha hae le litšenyehelo. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: bo matla) 

Polelo ea 10:Ho lemoha Hp ho latela biopsy ho lokela ho etsoa ho bakuli ba ntseng ba etsoa gastoscopy. (Boemo ba Bopaki: Bohareng; Boemo bo Khothaletsoang: Bo matla)

Polelo ea 11:Ho fumanoa ha Hp proton pump inhibitor (PPI) ho emisoa bonyane libeke tse 2; lithibela-mafu li emisoa bonyane libeke tse 4. (Boemo ba bopaki: bo phahameng; tekanyo e khothaletsoang: e matla)

Polelo ea 12:Ha phekolo ea PPI ea nako e telele e hlokahala, ho khothalletsoa ho lemoha Hp ho bakuli ba nang le lefu la gastroesophageal reflux (GERD). (Boemo ba Bopaki: Bohareng; Tekanyetso e Khothaletsoang: E ​​Matla)

Polelo ea 13:Bakuli ba hlokang kalafo ea nako e telele ka li-NSAID ba lokela ho hlahlojoa le ho phekoloa Hp. (Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: bo matla) 

Polelo ea 14:Ho bakuli ba nang le ho tsoa mali ka mpeng le tlhahlobo ea pele ea Hp e mpe, tšoaetso e lokela ho netefatsoa hape ka liteko tse latelang tsa Hp. (Boemo ba Bopaki: Bohareng; Boemo bo Khothaletsoang: Bo matla)

Polelo ea 15:Teko ea ho hema ea urea ke khetho e ntle ka mor'a ho felisa Hp, 'me teko ea antigen ea mantle e ka sebelisoa e le mokhoa o mong. Teko e lokela ho etsoa bonyane libeke tse 4 kamora ho fela ha phekolo ea ho felisa. Haeba ho sebelisoa gastroscope, biopsy e ka etsoa. ​​(Boemo ba bopaki: bo phahameng; boemo bo khothaletsoang: bo matla)

Polelo ea 16:Ho kgothaletswa hore balaodi ba bophelo bo botle ba naha dinaheng tsa ASEAN ba lefe Hp bakeng sa diteko le kalafo ya tlhahlobo. (Boemo ba bopaki: bo tlase; boemo bo kgothaletswang: bo matla)