(I-ASEAN, i-Association of Southeast Asian Nations, neMalaysia, Indonesia, Thailand, Philippines, Singapore, Brunei, Vietnam, Laos, Myanmar kanye neCambodia, iyiphuzu eliyinhloko lombiko wesivumelwano saseBangkok owakhishwa ngonyaka odlule, noma ungase uhlinzeke ngokwelashwa kokutheleleka kweHelicobacter pylori. Eminye imibono.)

Ukutheleleka kwe-Helicobacter pylori (Hp) kuqhubeka nokuguquka, futhi ochwepheshe emkhakheni wokugaya ukudla bebecabanga ngesu lokwelapha elingcono kakhulu. Ukwelashwa kokutheleleka kwe-Hp emazweni ase-ASEAN: I-Bangkok Consensus Conference ihlanganise ithimba lochwepheshe ababalulekile abavela esifundeni ukuze babuyekeze futhi bahlole ukutheleleka kwe-Hp ngokwemigomo yezokwelapha, futhi bathuthukise izitatimende zokuvumelana, izincomo, kanye nezincomo zokwelapha ukutheleleka kwe-Hp emazweni ase-ASEAN. I-ASEAN Consensus Conference yayihanjelwe ochwepheshe bamazwe ngamazwe abangu-34 abavela emazweni angamalungu ayi-10 ase-ASEAN kanye neJapan, Taiwan kanye ne-United States.

Umhlangano ugxile ezihlokweni ezine:

(I) ukuxhumana kwezifo kanye nezifo;

(II) izindlela zokuxilonga;

(III) imibono yokwelashwa;

(IV) ukulandelwa ngemva kokususwa.

Isitatimende sokuvumelana

Isitatimende 1:1a: Ukutheleleka kwe-Hp kwandisa ingozi yezimpawu ze-dyspeptic. (Izinga Lobufakazi: Liphezulu; Izinga Elinconywayo: Alukho); 1b: Zonke iziguli ezine-dyspepsia kufanele zihlolwe futhi zelashwe ukutheleleka kwe-Hp. (Izinga lobufakazi: liphezulu; izinga elinconywayo: liqinile)

Isitatimende 2:Ngenxa yokuthi ukusetshenziswa kwe-Hp infection kanye/noma imithi engeyona i-steroidal anti-inflammatory (NSAIDs) kuhlobene kakhulu nezilonda zesisu, ukwelashwa okuyinhloko kwezilonda zesisu ukuqeda i-Hp kanye/noma ukuyeka ukusebenzisa ama-NSAID. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 3:Isilinganiso sobudala somdlavuza wesisu emazweni ase-ASEAN singu-3.0 kuya ku-23.7 ngonyaka wabantu abayi-100,000. Emazweni amaningi ase-ASEAN, umdlavuza wesisu usalokhu ungenye yezimbangela eziyi-10 eziphezulu zokufa komdlavuza. I-gastric mucosa-associated lymphoid tissue lymphoma (stomach MALT lymphoma) ayivamile kakhulu. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: N/A)

Isitatimende 4:Ukususwa kwe-Hp kunganciphisa ingozi yomdlavuza wesisu, futhi amalungu omndeni weziguli ezinomdlavuza wesisu kufanele ahlolwe futhi alashwe i-Hp. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 5:Iziguli ezine-gastric MALT lymphoma kufanele zisuswe ngenxa ye-Hp. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile) 

Isitatimende 6:6a: Ngokusekelwe emthwalweni wezenhlalo walesi sifo, kuyabiza kakhulu ukwenza ukuhlolwa komphakathi kwe-Hp ngokuhlola okungahlaseli ukuze kuvinjelwe ukuqeda umdlavuza wesisu. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: elibuthakathaka)

6b: Njengamanje, emazweni amaningi ase-ASEAN, ukuhlolwa komdlavuza wesisu womphakathi nge-endoscopy akunakwenzeka. (Izinga Lobufakazi: Eliphakathi; Izinga Elinconywayo: Elibuthakathaka)

Isitatimende 7:Emazweni ase-ASEAN, imiphumela ehlukene yokutheleleka kwe-Hp inqunywa ngokusebenzisana phakathi kwezinto ezibangela ukutheleleka kwe-Hp, umnikazi kanye nezici zemvelo. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: N/A)

Isitatimende 8:Zonke iziguli ezinezilonda zomdlavuza wesisu ngaphambi komdlavuza kufanele zithole ukwelashwa kwe-Hp, futhi zihlukanise ubungozi bomdlavuza wesisu. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Indlela yokuxilonga i-Hp

Isitatimende 9:Izindlela zokuxilonga ze-Hp esifundeni se-ASEAN zifaka: ukuhlolwa kokuphefumula kwe-urea, ukuhlolwa kwe-fecal antigen (i-monoclonal) kanye nokuhlolwa kwe-local validated rapid urease test (RUT)/histology. Ukukhetha indlela yokuthola kuncike kulokho isiguli esikuthandayo, ukutholakala, kanye nezindleko. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile) 

Isitatimende 10:Ukutholwa kwe-Hp okusekelwe kwi-biopsy kufanele kwenziwe ezigulini ezithola i-gastoscopy. (Izinga Lobufakazi: Eliphakathi; Izinga Elinconywayo: Eliqinile)

Isitatimende 11:Ukutholwa kwe-Hp proton pump inhibitor (PPI) kuyekiswa okungenani amasonto ama-2; ama-antibiotic ayekiswa okungenani amasonto ama-4. (Izinga lobufakazi: eliphezulu; isilinganiso esinconywayo: esinamandla)

Isitatimende 12:Uma kudingeka ukwelashwa kwe-PPI yesikhathi eside, kunconywa ukuthi kutholakale i-Hp ezigulini ezinesifo se-reflux se-gastroesophageal (GERD). (Izinga Lobufakazi: Eliphakathi; Isilinganiso Esinconywayo: Esiqinile)

Isitatimende 13:Iziguli ezidinga ukwelashwa kwesikhathi eside ngama-NSAID kufanele zihlolwe futhi zelashwe i-Hp. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile) 

Isitatimende 14:Ezigulini ezinesifo sokuphuma kwegazi esilonda esiswini kanye ne-biopsy yokuqala ye-Hp engemihle, ukutheleleka kufanele kuqinisekiswe kabusha ngokuhlolwa kwe-Hp okulandelayo. (Izinga Lobufakazi: Eliphakathi; Izinga Elinconywayo: Eliqinile)

Isitatimende 15:Ukuhlolwa kokuphefumula kwe-urea kuyindlela engcono kakhulu ngemva kokususwa kwe-Hp, futhi ukuhlolwa kwe-antigen yendle kungasetshenziswa njengendlela ehlukile. Ukuhlolwa kufanele kwenziwe okungenani amasonto ama-4 ngemva kokuphela kokwelashwa kokuqothulwa. Uma kusetshenziswa i-gastroscope, i-biopsy ingenziwa. (Izinga lobufakazi: eliphezulu; izinga elinconywayo: eliqinile)

Isitatimende 16:Kunconywa ukuthi iziphathimandla zezempilo zikazwelonke emazweni ase-ASEAN zibuyisele i-HP ngokuhlolwa nokwelashwa kokuxilonga. (Izinga lobufakazi: eliphansi; izinga elinconywayo: eliqinile)