Ke kumu nei kēia bacteria i ka mumū o kou ʻōpū? E aʻo kākou e pili ana i (Helicobacter pylori)

ʻO kahi pilikia i loaʻa i nā kānaka he nui, ʻo ia ka mumū o ka ʻōpū, i kapa ʻia ʻo gastritis . ʻOiai ke hoʻopiʻi nei mākou i kēlā me kēia mea no kēia pilikia e hiki mai ana ma hope o ka ʻai ʻana i ka meaʻai mai ka hale kūʻai, ka ʻai ʻana i kahi mea ʻaila nui, a i ʻole ka hiamoe ʻana ma hope o ka ʻai ʻana i ka pō, i kekahi manawa he bacteria liʻiliʻi e peʻe ana i loko o ko mākou ʻōpū ke kuleana no kēia mau mea āpau. ʻO Helicobacter pylori ia, a i ʻole ka mea a mākou e kapa nei he `(Helicobacter pylori)` a i ʻole `H. pylori` no ka pōkole.

ʻO wai kēia H. pylori?

I ka ʻōlelo maʻalahi, ʻo `H. pylori` kahi ʻano bacteria e hiki ke noho i loko o ko kākou ʻōpū, ʻo ia hoʻi, i loko o ka ʻōpū. I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAʻole anei e pepehi ʻia kēia bacteria e nā waikawa ikaika i loko o ka ʻōpū?" ʻO ka mea kupaianaha, he hiki kūikawā ko kēia bacteria e ola i loko o kēlā ʻano waikawa.

ʻO ka hana a kēia, ʻo ia ka hōʻino ʻana i ka ʻili o loko o ko kākou ʻōpū. E noʻonoʻo he membrane pale lahilahi i loko o ko kākou ʻōpū. Hoʻopōʻino kēia bacteria i kēlā membrane a hoʻonāwaliwali iā ia. A laila hiki i nā waikawa ʻino i loko o ka ʻōpū ke hōʻino pololei i ka ʻili o ka ʻōpū. ʻO kēia ke kumu o ka gastritis a me nā maʻi ʻōpū peptic .

Ua ʻōlelo ʻia e pili ana i ka hapalua o ka heluna kanaka o ka honua e loaʻa i kēia `H. pylori` i kekahi manawa o ko lākou ola. Akā, mai hopohopo, ʻaʻohe hōʻailona o ka hapa nui o ka poʻe. Eia naʻe, no kekahi poʻe, hiki ke lilo i mea hoʻonāukiuki iki.

Pehea e komo ai kēia i loko o ko kākou kino?

Hoʻolaha pinepine ʻia ʻo H. pylori mai ke kanaka a i ke kanaka. Hiki nō hoʻi ke hoʻolaha ʻia ma o kēia mau ʻano:

• Mai ka meaʻai, ka wai, a i ʻole nā ​​​​kīʻaha i haumia ʻia: Hiki ke laha kēia ma ka inu ʻana i ka wai i hoʻomaʻemaʻe pono ʻole ʻia, a i ʻole ka ʻai ʻana i nā mea kanu a me nā huaʻai i holoi ʻole ʻia.
• Waha i ka waha: Hiki ke laha ke komo kahi wai kino, e like me ka lawai, mai kahi kanaka i loaʻa i ka maʻi i ke kino o ke kanaka olakino (no ka laʻana, ma o ka honi ʻana).
• Ka pili ʻana me nā ʻōpala a i ʻole ka luaʻi i loaʻa i ka maʻi: ʻOi aku ke kiʻekiʻe o kēia pilikia ma nā wahi me ka hoʻomaʻemaʻe maikaʻi ʻole.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

I ka hapanui o ka manawa, loaʻa iā mākou kēia maʻi i ko mākou wā ʻōpiopio. Akā hiki i nā pākeke ke loaʻa pū kekahi. Aia kekahi mau kumu e hoʻonui ai i ka pilikia:

• Nā kūlana noho piha kanaka: Ke hana ʻia kēia, kiʻekiʻe ka manawa e hoʻolaha ai i ka maʻi mai kekahi kanaka a i kekahi.
• ʻAʻohe wai maʻemaʻe a me nā pono hoʻomaʻemaʻe: Hoʻonui ʻia ka pilikia inā hoʻohana ʻia ka wai lepo.
• Ke noho nei me kahi kanaka i loaʻa i ka maʻi: Inā loaʻa i kekahi o ka ʻohana, aia kahi manawa e loaʻa pū kekahi i nā poʻe ʻē aʻe.
• Ke noho nei ma kahi ʻāina e ulu ana: He mea maʻamau ka maʻi ma kēia mau ʻāina ma muli o ka hoʻomaʻemaʻe maikaʻi ʻole.

He aha nā hōʻailona o ka maʻi H. pylori?

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole e maʻi nā kānaka a pau i loaʻa ka bacteria i loko o ko lākou kino. ʻIke wale ʻia nā hōʻailona inā loaʻa iā ʻoe ka gastritis a i ʻole ka maʻi ʻōpū peptic. ʻO ka hōʻailona nui ka ʻeha ʻā a ʻeha paha ma ka ʻōpū o luna. Hele mai kēia ʻeha a hele aku. Hiki ke ʻino loa i ka ʻōpū ʻole. Hiki ke ʻoluʻolu ma hope o ka ʻai ʻana, ka inu ʻana i ka waiū liʻiliʻi, a i ʻole ka lawe ʻana i kahi antacid.

Aia kekahi loli i loko o ka ʻōpala?

He maʻamau ka neʻe ʻana o ka ʻōpū o ka hapa nui o ka poʻe. Akā inā he ʻeleʻele ʻeleʻele kou ʻōpala, he ʻūlū, a he koko paha i loko, he hōʻailona koʻikoʻi paha ia. Inā pēlā, e kāhea koke i kāu kauka.

I ka wā e pono ai ʻoe e ʻike koke i ke kauka!

I kekahi manawa hiki i nā ʻeha o ka ʻōpū ke hoʻoulu i ke kahe koko i loko o ka ʻōpū. He kūlana weliweli kēia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai hoʻonele i ka manawa a hele i ka ʻOihana Pilikia o ka haukapila kokoke loa (ETU).

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a me nā lāʻau lapaʻau āu e lawe nei. A laila e nānā ʻo ia iā ʻoe a nānā i kekahi pehu a palupalu paha i loko o kou ʻōpū. Aia kekahi mau hoʻokolohua e hiki ke hana ʻia e hoʻoholo ai inā loaʻa iā ʻoe ʻo H. pylori.

• Nā hoʻāʻo ʻana i ka noho: ʻO kēia ka hoʻāʻo maʻamau. Hoʻāʻo ʻia kahi laʻana o kāu noho no ke alo o nā protein (antigens) e pili ana me ka bacteria H. pylori. I kekahi manawa hiki ke hana ʻia kahi hoʻāʻo PCR noho e ʻike ai inā loaʻa nā bacteria a inā kūʻē lākou i kekahi mau antibiotics .
• Hoʻāʻo hanu Urea:He hoʻāʻo maʻalahi loa kēia. ʻO ka mea mua, ua noi ʻia ʻoe e hanu i loko o kahi ʻeke. A laila hāʻawi ʻia ʻoe i kahi wai a i ʻole ka pudding e loaʻa ana kahi mea i kapa ʻia ʻo urea e inu. Ma hope o kekahi mau minuke, ua noi ʻia ʻoe e hanu i loko o kahi ʻeke ʻē aʻe. Inā loaʻa iā ʻoe ʻo H. pylori i loko o kou ʻōpū, wāwahi lākou i kēlā urea a hana i ke kinoea kalapona ʻokikene. Inā loaʻa i ka lua o ka hanu āu e hoʻokuʻu ai ka nui o ke kalapona ʻokikene, ʻo ia hoʻi he maʻi kou.
• Endoscopy: Inā kānalua ʻoe he ʻōpū ʻōpū kou , hiki ke hana ʻia kēia hoʻāʻo. Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela ma kou waha a i loko o kou ʻōpū e nānā pololei i loko o kou ʻōpū. I kēia manawa, hiki ke lawe ʻia kahi biopsy, a i ʻole kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o ka ʻōpū, no ka hoʻāʻo ʻana.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka maʻamau, mālama ʻia nā ʻōpū ʻeha i hoʻokumu ʻia e H. pylori me ka hui pū ʻana o nā antibiotics a me kahi lāʻau lapaʻau e hōʻemi ana i ka waikawa o ka ʻōpū .

1. Nā lāʻau antibiotic: Hāʻawi ʻia ʻelua ʻano lāʻau antibiotic i ka manawa like e pepehi i ka bacteria. ʻO kēia no ka mea inā kūpaʻa ka bacteria i kekahi ʻano, hiki i kekahi ʻano ke pepehi iā ia.

2. Nā mea pale o ka pamu proton (PPI): Hana kēia ma ka hoʻēmi ʻana i ka nui o ka waikawa e hana ai kou ʻōpū. Ua like ia me ka hoʻopau ʻana i nā pamu e hana ana i ka waikawa. Ke lawe ʻoe i kēia mau mea, hoʻomaka koke ka ʻōpū e ho'ōla.

3. Nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa hāʻawi ʻia nā lāʻau lapaʻau e like me `Bismuth subsalicylate` (kahi lāʻau lapaʻau no ka maʻi diarrhea) e pale i ka ʻōpū.

Ma kahi o ʻehā pule ma hope o ka lāʻau lapaʻau, e nānā hou ke kauka iā ʻoe e ʻike inā ua pau loa ka maʻi.

Pehea e pale ai iā ʻoe iho mai H. pylori?

E like me kou pale ʻana iā ʻoe iho mai nā germs ʻē aʻe, pono ʻoe e pale iā ʻoe iho mai H. pylori. He mea nui loa ia e hahai i kēia mau hana maʻalahi.

• E holoi pinepine i kou mau lima: E holoi pono i kou mau lima me ke kopa a me ka wai ma hope o ka hoʻohana ʻana i ka lua, ma mua o ka hoʻomākaukau ʻana i ka meaʻai, a ma mua o ka ʻai ʻana. E aʻo aku i kāu mau keiki i kēia ʻano.
• E hoʻohana i ka meaʻai a me ka wai maʻemaʻe: E pale i ka inu ʻana i ka wai a me ka ʻai ʻana i ka meaʻai mai nā wahi kānalua.
• E ʻai wale i ka meaʻai i moʻa maikaʻi ʻia: E pale i ka ʻai ʻana i ka meaʻai maka a i ʻole ka meaʻai i moʻa pono ʻole ʻia.
• E mālama i ka maʻemaʻe:E pale i ka ʻai ʻana i ka meaʻai a ka poʻe i holoi ʻole i ko lākou mau lima.

Ua hōʻike ʻia nā noiʻi hou aku nei he haʻahaʻa ka pilikia o ka poʻe e ʻai nui ana i nā mea kanu hou, nā huaʻai, nā nati, a me nā palaoa piha i ka loaʻa ʻana o H. pylori. Pēlā nō, ʻoi aku ka nui o ka pilikia o ka poʻe e ʻai nui ana i nā meaʻai i hana ʻia, ke kō, ka paʻakai, a me nā meaʻai i hana ʻia me ka palaoa. No laila, he mea maikaʻi loa ka ʻai ʻana i ka meaʻai kaulike a momona no kou olakino.

H. pylori, Helicobacter pylori, gastritis, mumū o ka ʻōpū, ʻōpū ʻeha, peptic ulcer, maʻi ʻōpū, maʻi ʻōpū, nā hōʻailona H. pylori Sinhala, mālama ʻana iā H. pylori Sinhala