He nui o kākou e pilikia nei me kēia mumū o ka ʻōpū, i kapa ʻia ʻo gastritis. No kekahi poʻe, ua lilo ia i ʻāpana o ko lākou ola. Ke lawe mau nei lākou i kekahi lāʻau lapaʻau a ke kāohi nei i kā lākou ʻai. Akā ua manaʻo paha ʻoe ʻo ke kumu o kēia he bacteria liʻiliʻi i loko o kou ʻōpū? ʻAe, ʻo ia ka mea a mākou e kamaʻilio ai i kēia lā. ʻO ka inoa o kēia bacteria ʻo Helicobacter pylori, a i ʻole H. pylori no ka pōkole.
I ka ʻōlelo maʻalahi, ʻo wai kēia H. pylori?
He ʻano bacteria ʻo H. pylori e noho ana i loko o kou ʻōpū, a i ʻole ka uhi ʻōpū. ʻO ka ʻoiaʻiʻo, ʻo ia ka maʻi bacteria mau loa ma ka honua. E noʻonoʻo wale, ʻoi aku ma mua o ka hapalua o ka heluna kanaka o ka honua i loaʻa kēia bacteria i loko o ko lākou ʻōpū! Akā ʻo ka mea kupaianaha, ʻaʻole lākou a pau e maʻi.
ʻO ka hapa nui o ka manawa, loaʻa iā mākou kēia maʻi H. pylori i ko mākou wā ʻōpiopio. ʻO nā keiki e noho ana i nā wahi piha a haumia hoʻi, ʻoi aku ka pilikia. Akā, mai hopohopo, aia kēia bacteria i loko o ko lākou kino i ka hapa nui o ka poʻe me ka ʻole o ka hōʻeha.
He aha ka mea e hana maoli inā loaʻa iā ʻoe ka maʻi H. pylori?
Ke noʻonoʻo nei paha ʻoe pehea e hiki ai i kēia bacteria ke kū i nā waikawa ʻino o ka ʻōpū i loko o ko kākou ʻōpū. Loaʻa i ka bacteria H. pylori kahi hiki kūikawā e hana i kēia. Hoʻopuka ia i nā enzymes e hiki ke hoʻopau i ka waikawa a puni ia. Ua like ia me ke kūkulu ʻana i kahi pale pale a puni iā ia iho.
Ma muli o ka pale ʻia ʻana ma kēia ʻano, komo mālie kēia bacteria i loko o kou ʻōpū. I ka manawa e hiki ai, hiki iā ia ke hoʻoulu i ka mumū mau loa, a i ʻole ka pehu ʻana, o ka ʻōpū. Hiki i kēia ke alakaʻi i ʻekolu mau pilikia nui:
1. Nā ʻōpū peptic: ʻO kēia ke ʻano maʻamau. He ʻeha ʻeha ia e kū mai ana ma ka paia o loko o ka ʻōpū a i ʻole ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi (duodenum). ʻO kēia ka mea a mākou e kapa nei he 'ʻōpū ʻōpū'.
2. Gastritis: Pili kēia i ka mumū o ka ʻili o loko o ka ʻōpū. I ka ʻōlelo maʻalahi, ʻo ia ka lilo ʻana o loko o ka ʻōpū i ʻulaʻula a pehu.
3. Ka maʻi ʻōpū: Mai hopohopo i kēia. ʻO ka loaʻa ʻana o ka maʻi H. pylori he kumu pilikia wale nō ia no ka maʻi ʻōpū. ʻO ia hoʻi, ʻaʻole e loaʻa i ka maʻi ʻōpū nā mea a pau i loaʻa i ka maʻi H. pylori. ʻO ka ʻoiaʻiʻo, ʻaʻole loa e loaʻa i ka maʻi ʻōpū ka hapa nui o ka poʻe me H. pylori.
He aha nā hōʻailona o ka maʻi H. pylori?
E like me kā mākou i ʻōlelo ai ma mua, nui ka poʻe me H. pylori, ʻoiai nā keiki, ʻaʻole hōʻike i kekahi mau hōʻailona. He kakaikahi wale nō ka poʻe e hoʻomohala i nā hōʻailona. Inā hana lākou, pinepine ʻia lākou e ka gastritis a i ʻole nā ʻōpū ʻōpū a mākou i kūkākūkā ai ma mua.
ʻO ka hōʻailona nui ka ʻeha o ka ʻōpū.He ʻeha wela a ʻeha hou paha. Hoʻomaka pinepine kēia ʻeha i kekahi mau hola ma hope o ka ʻai ʻana a i ka pō. Hiki i ka ʻeha ke mau mai kekahi mau minuke a i kekahi mau hola. Hiki i ka ʻeha ke hele mai a hele aku no nā lā a i ʻole nā pule.
Hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe e pili ana i kēia maʻi ma ka papa ma lalo nei.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻO ka pohō kaumaha me ke kumu ʻole | Inā e emi ana ke kaumaha o kou kino me kou hoʻāʻo ʻole ʻana. |
| Pehu ʻana | Manaʻo e like me ka piha ʻana o kou ʻōpū i ka makani ma hope o ka ʻai ʻana. |
| Ka luaʻi a me ka luaʻi | ʻO ka ʻeha o ka ʻōpū a me ka luaʻi ʻana. I kekahi manawa, hiki ke hele pū ka luaʻi me ke koko. |
| ʻUha pinepine | Ka hele pinepine ʻana i ka lua ma mua o ka maʻamau. |
| Makemake nui | ʻAʻole makemake e ʻai. |
| Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana | Manaʻo piha loa ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi. |
Ke hoʻololi nei ʻo H. pylori i ka ʻōpala?
He nīnau koʻikoʻi loa kēia. ʻO ka hapa nui o ka poʻe me H. pylori he mau ʻōpala maʻamau ko lākou. ʻO kēia no ka mea, e like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe hōʻailona o ka nui o ka poʻe.
Eia nō naʻe, aia kekahi hōʻailona koʻikoʻi āu e ʻike ai i loko o kou noho: ke koko i loko o ka noho.
Eia kekahi laʻana, inā ʻeleʻele ʻeleʻele kou noho, e like me ke kēpau , hiki ke hōʻike ʻia ke kahe koko nei ʻoe mai kahi ʻōpū ma kou ʻōpū ʻai luna, i hoʻokumu ʻia e H. pylori. Inā ʻulaʻula kou noho, he hōʻailona paha ia o ke kahe koko ʻana ma kou ʻōpū ʻai lalo.
Inā ʻike ʻoe i nā ʻōpala ʻeleʻele a ʻūlū e like me kēia, mai hoʻowahāwahā. He pilikia ia. Pono ʻoe e ʻike koke i ke kauka. A i ʻole, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa iā ʻoe. E ʻike ke kauka i ke kumu a hāʻawi i ka lāʻau lapaʻau e pono ai.
Pehea e laha ai ʻo H. pylori?
ʻAe, hiki ke laha mai ke kanaka a i ke kanaka. Loaʻa ka bacteria H. pylori i loko o ka lawai, ka luaʻi, ka ʻōpala, a me ka palaki niho o kahi kanaka i loaʻa i ka maʻi. No laila, aia ʻelua mau ala nui e hiki ai ke laha:
- Hoʻopili kokoke: Hiki iā ʻoe ke loaʻa i ka maʻi ma ka kaʻana like ʻana i nā mea ʻai, ka wai inu, a i ʻole ka hoʻopili ʻana me ka luaʻi a i ʻole ka ʻōpala o ka mea i loaʻa i ka maʻi. Hiki ke hoʻolaha ʻia ka bacteria i kekahi ma ka hoʻohana ʻana i nā lima o kekahi i holoi ʻole i ko lākou mau lima me ke kopa ma hope o ka hele ʻana i ka lua.
- ʻAi a wai paha i haumia: Ma nā wahi me ka maʻemaʻe maikaʻi ʻole, hiki i kēia bacteria ke komo i loko o ko mākou kino ma o ka wai a i ʻole ka meaʻai i hoʻomaʻemaʻe pono ʻole ʻia.
Pehea e ʻike ai ke kauka iā H. pylori?
Inā kānalua kāu kauka i kēia ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, e paipai ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
- Hoʻāʻo Hanu: ʻO kēia ka hāʻawi ʻana iā ʻoe i kahi wai kūikawā e inu ai, a laila hoʻāʻo i kou hanu. Inā loaʻa iā ʻoe ka bacteria H. pylori, hiki ke ʻike ʻia kahi kemika kūikawā i loko o kou hanu ma hope o kou inu ʻana i ka wai.
- Hoʻāʻo Noho: Lawe ʻia kahi laʻana o kou noho a hoʻāʻo ʻia no nā antigens e pili ana i ka bacteria H. pylori.
- Hoʻāʻo Koko: Hoʻāʻo kēia i kou koko no nā antibodies i hana ʻia e kou kino e kūʻē iā H. pylori. Eia nō naʻe, he paʻakikī ke ʻike pono inā paha e hana nei ka maʻi a i ʻole ua loaʻa no ka manawa lōʻihi.
- Endoscopy Kiʻekiʻe: Ma kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole liʻiliʻi i lako me ke kāmela ma kou waha a nānā pololei i loko o kou ʻōpū. Hiki i kēia ke ʻike maopopo inā he mau ʻōpū a mumū paha. Hiki iā ia ke lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai kahi wahi kānalua a hoʻāʻo iā ia e hōʻoia i ka 100% inā loaʻa ʻo H. pylori.
He aha nā lāʻau lapaʻau no H. pylori?
ʻO ka mea mua, inā loaʻa iā ʻoe ka maʻi H. pylori akā ʻaʻohe hōʻailona, ʻaʻole pono ʻoe e mālama ʻia i ka hapa nui o ka manawa. Akā inā loaʻa iā ʻoe nā hōʻailona, e kuhikuhi kāu kauka i ka lāʻau.
ʻO ka maʻamau, ʻo ka lōʻihi o ka mālama ʻana ma kahi o 14 mau lā a pili pū me ka hui pū ʻana o kekahi mau lāʻau lapaʻau.
- Nā lāʻau antibiotic: Hāʻawi ʻia kēia mau mea e pepehi i nā bacteria. ʻO ka maʻamau, ʻelua ʻano lāʻau antibiotic like ʻole i kuhikuhi ʻia i ka manawa like. No ka laʻana, nā lāʻau lapaʻau e like me `(Amoxicillin)`, `(Clarithromycin)`, `(Metronidazole)`.
- ʻO ka mea pale i ka pamu proton (PPI): He ʻano lāʻau lapaʻau kēia e hōʻemi ana i ka nui o ka waikawa a kou ʻōpū e hana ai. ʻO nā laʻana e komo pū me `(Omeprazole)`, `(Lansoprazole)`, `(Esomeprazole)`. Ke hoʻemi ʻia ka waikawa, hiki i nā ʻōpū ʻōpū ke ho'ōla a hiki i nā lāʻau antibiotic ke hana pono.
- ʻO Bismuth subsalicylate: I kekahi manawa e hoʻohui paha kāu kauka i kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe. Hāʻawi kēia i ka pale no ka uhi ʻōpū.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka no ka manawa piha, me ka ʻole o ka hala ʻana o hoʻokahi lā . ʻAʻole maikaʻi ka hoʻōki ʻana i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua emi ka ʻeha i loko o kekahi mau lā. Inā ʻoe e hana pēlā, ʻaʻole e hoʻopau loa ʻia ka bacteria, a e hoʻi hou mai paha ka ʻeha.
Eia kekahi, inā loaʻa iā ʻoe ka maʻi H. pylori, e pale i ka lawe ʻana i nā lāʻau ʻeha e pili ana i ka māhele o "NSAIDs" (e.g., Ibuprofen, Diclofenac) me ka ʻole o ke kūkākūkā ʻana me kāu kauka, no ka mea, hiki i kēia mau lāʻau ke hoʻonui i ka pilikia o nā ʻōpū ʻōpū.
Inā loaʻa iā ʻoe ʻo H. pylori, he aha nā meaʻai maikaʻi ʻole iā ʻoe?
Ke loaʻa iā ʻoe ʻo H. pylori, hiki i kekahi mau meaʻai ke hoʻonāukiuki i kou ʻōpū a hoʻonui i ka ʻeha. ʻOiai ʻaʻole paha lākou e hoʻopilikia like i nā kānaka a pau, he mea maikaʻi ke akahele iki i nā meaʻai ma lalo nei.
| ʻAno meaʻai | No ke aha e hiki ai ke lilo i mea ʻino? |
|---|---|
| Meaʻai ʻala, kaumaha i ka chili | Hiki i nā meaʻai ʻala e like me ka chili, ka pepa, a me ka sinapi ke hoʻonui i ka mumū i loko o ka ʻōpū. |
| Hua ʻawaʻawa | Hiki i nā mea e like me ka lemona, nā ʻalani, a me nā tangerine ke hoʻonui i ka waikawa o ka ʻōpū a hoʻoulu i ka ʻoluʻolu ʻole. |
| Nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona | Hiki i nā mea e like me nā meaʻai palai, nā ʻiʻo momona, a me ka tīhi ke hōʻeha i ka ʻōpū no ka mea ua lōʻihi ka manawa e hoʻoheheʻe ai. |
| Nā mea inu kafeina | ʻO nā mea inu e like me ke kofe, ke kī ikaika, a me ka cola e hoʻoulu i ka hana ʻana o ka waikawa o ka ʻōpū. |
| ʻAila | Hiki i ka waiʻona ke hōʻino i ka uhi o ka ʻōpū a hoʻopaneʻe i ka ho'ōla ʻana o nā ʻeha. |
| Nā meaʻai i hana ʻia | Hiki i nā mea hoʻomalu a me nā mea hoʻohui ʻē aʻe i loko o kēia meaʻai ke hoʻonāukiuki i ka ʻōpū. |
Pehea e hiki ai iā ʻoe ke pale aku i kēia?
Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o H. pylori.
- E inu i ka wai maʻemaʻe, ʻoiai ma nā wahi me nā kumu wai haumia. E hoʻohana i ka wai maʻemaʻe no ka kuke ʻana.
- E holoi pono i kou mau lima. Ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua, e holoi pono i kou mau lima me ke kopa a me ka wai no 20 kekona ma ka liʻiliʻi. Hiki i kēia ʻano ke kōkua iā ʻoe e pale aku iā H. pylori, akā, mai nā maʻi ʻē aʻe he nui.
Leka Lawe-Home
- He bacteria maʻamau loa ʻo H. pylori e noho ana i loko o ka ʻōpū. ʻO ka hapa nui o ka poʻe i loaʻa i ia mea, ʻaʻole lākou e hōʻike i kekahi mau hōʻailona.
- Inā kū mai nā hōʻailona, ua like pinepine lākou me ka gastritis a i ʻole nā ʻōpū ʻōpū (e like me ka mumū o ka ʻōpū, ka ʻeha, a me ka pehu).
- Inā ʻeleʻele a ʻūlū kou ʻōpala, he hōʻailona koʻikoʻi ia o ke kahe koko ʻana i loko o ka ʻōpū. E ʻike koke i ke kauka.
- Aia nā lāʻau lapaʻau kūpono no H. pylori. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai no ka manawa piha.
- Hiki i nā hana hoʻomaʻemaʻe maikaʻi (ʻoi aku ka holoi lima a me ka inu ʻana i ka wai maʻemaʻe) ke kōkua i ka pale ʻana i kēia maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai hoʻōla iā ʻoe iho a e kamaʻilio pono me kāu kauka.
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