Ke ʻā mau nei kou ʻōpū? E aʻo pono kākou e pili ana iā Helicobacter pylori!

He nui ka poʻe i loaʻa i nā pilikia ʻōpū, e like me ka ʻāʻī ʻana o ka puʻuwai, ʻeā? I kekahi manawa hiki ke lilo i mea ʻai iki, a i ʻole hiki ke hana ʻia e kahi maʻi. Akā, ua lohe paha ʻoe i kahi bacteria i kapa ʻia ʻo "Helicobacter pylori". I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia bacteria, ka mea e hana ʻia inā komo i loko o ke kino, a pehea e mālama ai. He mea nui e ʻike i kēia no ka mea hiki ke hoʻopilikia i nā keiki ʻōpio a me nā pākeke.

He aha ka maʻi Helicobacter pylori?

I ka ʻōlelo maʻalahi, ʻo kēia ʻano bacteria ʻo 'Helicobacter pylori'. Ua like ia me nā germs liʻiliʻi i hiki ʻole iā mākou ke ʻike me ko mākou mau maka. Ke komo kēia mau mea i loko o ko mākou ʻōpū, ʻo ia hoʻi, ka ʻōpū, hiki iā lākou ke hoʻoulu i nā ʻano maʻi like ʻole o ka ʻōnaehana hoʻoheheʻe.

ʻO nā kumu nui o kēia bacteria:

• ʻO Gastritis: ʻO kēia ka wā e pehu ai ka paia o loko, a i ʻole ka uhi o ka ʻōpū, pehu, a ʻeha. He nui ka poʻe e kapa nei i kēia he 'kino' a i ʻole 'ʻeha ʻōpū', ʻeā? ʻO kēia ke kūlana maʻamau.
• Nā ʻUlu Peptic: Ua kapa ʻia kēia mau mea he 'ʻulu ʻōpū'. Hiki ke hana ʻia nā ʻulu i loko o ka ʻōpū, ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi (ka ʻaoʻao mua o ka ʻōpū liʻiliʻi), a i kekahi manawa ma ka esophagus (ka paipu meaʻai). E like me ka hiki ke hana ʻia nā ʻulu i loko o ka waha, hiki nō hoʻi ke hana ʻia nā ʻulu i loko o ka ʻōpū.
• Inā waiho ʻole ʻia kēia mau kūlana no ka manawa lōʻihi, aia kahi pilikia, ʻoiai he mea kakaikahi, hiki iā lākou ke lilo i ka maʻi ʻōpū. ʻO ia ke kumu ʻaʻole mākou e lawe māmā i kēia maʻi `(H. pylori)`. He mea nui loa ka ʻike mua ʻana a me ka mālama ʻana.

Akā, pono ʻoe e hoʻomanaʻo i hoʻokahi mea. I kēlā me kēia manawa e loaʻa ai i nā keiki ka ʻeha ʻōpū, ʻaʻole kēia bacteria `(H. pylori)` ke kumu. Nui nā kumu ʻē aʻe e loaʻa ai i nā keiki ʻōpio ka ʻeha ʻōpū! Hiki ke lilo i ka indigestion, hiki ke lilo i kekahi ʻano maʻi viral, hoʻopiʻi kekahi mau keiki e ʻeha ko lākou ʻōpū ke palaualelo lākou e hele i ke kula, ʻeā? Hiki ke lilo i ke kaumaha, a i ʻole he pilikia e like me ka appendicitis. No laila, mai makaʻu i ka `(H. pylori)` no kēlā me kēia ʻeha ʻōpū.

He aha nā hōʻailona o kēia maʻi (H. pylori)?

ʻO ka mea kupaianaha, he nui ka poʻe i loaʻa kēia bacteria '(H. pylori)' i loko o ko lākou kino ʻaʻole lākou e hōʻike i kekahi mau hōʻailona . ʻO ia hoʻi, ʻaʻole lākou i ʻike ua loaʻa iā lākou kēia maʻi. Inā noho nā bacteria i loko o ke kino, me he mea lā ʻaʻohe pilikia.

Eia nō naʻe, i kekahi manawa ke hoʻomaka kēia bacteria e hana a hoʻoulu i nā pilikia, hoʻomaka nā hōʻailona e ʻike ʻia. ʻO kēia nā hōʻailona pinepine o kahi maʻi i kapa ʻia ʻo 'Gastritis' a i ʻole 'Peptic Ulcer'.

Nā hōʻailona o ka gastritis i nā keiki:

Inā loaʻa i kahi keiki ʻōpio kahi maʻi i kapa ʻia ʻo gastritis ma muli o H. pylori, hiki iā lākou ke ʻike i nā hōʻailona penei:

• Ka luaʻi (manaʻo e like me ka luaʻi ʻana)
• Ka luaʻi ʻana
• ʻEha ʻōpū (ʻoi aku hoʻi ma ka ʻōpū o luna)
• Manaʻo piha a pehu paha (manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi)

Nā hōʻailona o nā maʻi ʻeha peptic i nā keiki makua a me nā pākeke:

Ke loaʻa i nā keiki makua a me nā pākeke kahi maʻi ʻōpū peptic, ʻo ka hōʻailona nui pinepine ka ʻeha mau o ka ʻōpū. I ka pololei, ʻike ʻia kēia ma lalo o ka umauma, ma lalo pono o nā iwi ʻaoʻao, a ma luna o ka piko. Ua kapa pū kekahi poʻe iā ia he 'heartburn'. ʻOi aku ka ʻino o kēia ʻeha ke hakahaka ka ʻōpū. ʻO ke ʻano kēia, hiki ke hiki koke mai ka ʻeha i ka wā lohi o ka ʻai a i ʻole i ka wā e hiamoe ai i ka pō. Eia nō naʻe, me he mea lā e emi iki ana ka ʻeha ma hope o ka ʻai ʻana, ka inu ʻana i ke aniani waiū, a i ʻole ka lawe ʻana i ka lāʻau antacid i kuhikuhi ʻia e ke kauka.

He aha inā e kahe ke koko o nā ʻeha o ka ʻōpū? He mea weliweli kēia!

I kekahi manawa, ke koʻikoʻi kēia maʻi ʻUlu Peptic, hiki i nā ʻeha ke kahe ke koko. Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i kēia mau hōʻailona weliweli:

• Hematemesis: ʻO ke ʻano kēia o ka luaʻi ʻana i ke koko. He ʻulaʻula ʻālohilohi paha ke koko, a he ʻeleʻele a ʻeleʻele paha ka luaʻi, e like me ke kope kope.
• ʻEleʻele a koko paha (Melena): Inā ʻeleʻele, ʻālohilohi, a ʻōlinolino kou mau ʻōpala, he hōʻailona ia o ke kahe ʻana o ke koko i loko o ka ʻōpū. I kekahi manawa, aia paha ke koko ʻulaʻula i loko o nā ʻōpala.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , ​​​​pono ʻoe e ʻike koke i ke kauka, me ka hoʻokaʻulua ʻole. ʻAʻole kēia nā mea hiki iā ʻoe ke hoʻowahāwahā wale ma ka home. He mea nui ka mālama koke ʻana.

Pehea e komo ai kēia (H. pylori) i loko o ko kākou kino?

I kēia manawa, e nānā kākou pehea e laha ai kēia bacteria '(H. pylori)' mai ke kanaka a i ke kanaka, a i ʻole mai ke kaiapuni a iā kākou. He mea nui e ʻike i kēia, no ka mea, a laila hiki iā kākou ke makaʻala.

ʻO ke ala nui e komo ai kēia bacteria i ko kākou kino ma o ka meaʻai haumia, ka wai, a i ʻole nā ​​​​​​mea ʻai. Eia kekahi laʻana, inā ʻai kākou mai kahi pā i hoʻohana ʻia e kekahi me ka maʻi `(H. pylori)` a ʻaʻole i holoi pono ʻia, hiki iā kākou ke loaʻa. Pono hoʻi kākou e makaʻala i ka ʻai ʻana i ka meaʻai i moʻa ʻole ʻia, ʻoiai mai nā wahi i maikaʻi ʻole ai ka maʻemaʻe.

Eia kekahi, ʻoi aku ka maʻamau o kēia maʻi ma nā wahi i noho nui ʻia e ka poʻe, kahi ʻaʻohe wai maʻemaʻe a i ʻole nā ​​​​ʻōnaehana hoʻolei ʻōpala kūpono . ʻOi aku ka maʻamau o kēia kūlana ma nā ʻāina e ulu ana o ka honua.

ʻO kekahi mea ʻē aʻe, hiki ke laha kēia bacteria ma o ka lawai a me nā wai kino ʻē aʻe . ʻO ia hoʻi, hiki ke laha ma o ka pili kokoke ʻana, no ka laʻana, ka ʻai ʻana mai ka pā hoʻokahi, ka inu ʻana mai ka ʻōmole wai hoʻokahi, a i ʻole inā ua laha ka lawai o kahi kanaka i loaʻa i ka maʻi i kekahi kanaka ʻē aʻe. No laila, inā loaʻa kēia maʻi i kekahi o ka ʻohana, ʻoi aku ka maikaʻi o ka makaʻala o kekahi.

Pehea e ʻike ai ke kauka i kēia maʻi (H. pylori)?

Manaʻo paha ʻoe, 'ʻAe, loaʻa iaʻu kēia mau hōʻailona pū kekahi, no laila loaʻa paha iaʻu ʻo H. pylori.' Akā, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke ʻike ʻia nā pilikia i hoʻokumu ʻia e H. pylori i nā maʻi ʻē aʻe he nui. No laila, hana nā kauka i nā hoʻokolohua like ʻole e ʻike ai inā he maʻi H. pylori kēia. He paʻakikī ke ʻike ma ka nānā wale ʻana i nā hōʻailona.

Eia kekahi mau hoʻokolohua:

• Endoscopy: ʻO kēia ke ʻano pololei loa. Ma kēia, hoʻomoe ʻia ʻoe (malia paha ua mae wale kou puʻu), a hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi a palupalu i kapa ʻia he endoscope i lalo o kou puʻu e nānā i kou ʻōpū a me ka hapa mua o kou ʻōpū liʻiliʻi (duodenum). Aia kahi kāmela liʻiliʻi ma ka hopena o kēia ʻōmole. A laila hiki i ke kauka ke ʻike i loko, e ʻike inā he mau ʻeha a mumū paha. I ka manawa like, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o ka ʻōpū e nānā i ka maʻi a me ke alo o ka bacteria (H. pylori). ʻAʻohe mea e hopohopo ai kēia.
• Nā Hoʻāʻo Koko: Hoʻāʻo kēia e ʻike inā he mau antibodies i loko o ko mākou kino e kūʻē i ka bacteria (H. pylori). ʻO nā antibodies he mau protein kūikawā a kā mākou ʻōnaehana pale e hana ai e pale aku i kahi germ. Eia nō naʻe, ʻaʻole manaʻo ka hoʻāʻo maikaʻi he maʻi ko mākou. He hiki paha ua loaʻa iā mākou kahi maʻi ma mua a ua ola. No laila, he paʻakikī ke hoʻoholo ma muli o kēia wale nō.
• Nā Hoʻāʻo Hanu: Ma kēia, hāʻawi ʻia ʻoe i kahi wai kūikawā (loaʻa ka urea) e inu, a laila hoʻāʻo ʻia kou hanu ma hope o kekahi manawa. Hoʻopau ka bacteria (H. pylori) i ka urea i loko o ka wai a hana i ke kalapona ʻokikene. ʻIke ʻia kēia ma ke ana ʻana i ka nui o ke kalapona ʻokikene. He manawa iki kēia hoʻāʻo, ʻaʻole hōʻike i ke koʻikoʻi o ka maʻi, a he mea paʻakikī iki no nā keiki ʻōpio ke hana.
• Nā Hoʻāʻo Noho: Hoʻāʻo kēia i kahi hāpana o kou noho no ke alo o ka bacteria H. pylori (nā protein). He hoʻāʻo maʻalahi nō hoʻi kēia. E like me ka hoʻāʻo hanu, ʻaʻole hiki ke haʻi i ke koʻikoʻi o ka maʻi, akā hiki iā ia ke haʻi inā loaʻa ka maʻi.

E loiloi ke kauka i kou kūlana a hoʻoholo e hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua.

ʻAe, pehea ʻoe e mālama ai i kēia maʻi (H. pylori)?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no kēia mau maʻi '(H. pylori)'! Hoʻohana nā kauka i nā lāʻau antibiotic no kēia.

Ma muli o ka paʻakikī o ka hoʻopau loa ʻana i kēia bacteria me hoʻokahi wale nō antibiotic, kuhikuhi pinepine nā kauka i kekahi mau ʻano antibiotic (ʻelua a ʻekolu paha) i ka hui pū ʻana. Kāhea mākou i kēia ʻo 'combination therapy'. Pono e lawe mau ʻia kēia mau lāʻau no kahi o 7 a 14 mau lā. I ka manawa like, hoʻemi lākou i nā pilikia i hoʻokumu ʻia e ka waikawa o ka ʻōpū a kōkua i ka ho'ōla ʻana o nā ʻeha.Hiki ke kuhikuhi ʻia nā antacids a i ʻole nā ​​​​lāʻau lapaʻau ikaika ʻē aʻe e hoʻemi ana i ka waikawa (e like me, Proton Pump Inhibitors).

Inā hana pono ʻia kēia lāʻau antibiotic, hiki ke ho'ōla pono ʻia nā hihia he nui o ka gastritis a me nā ʻōpū peptic i hoʻokumu ʻia e H. pylori, ʻoiai nā mea i loko o ka ʻōpū liʻiliʻi.

Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, inā loaʻa i kekahi nā hōʻailona koʻikoʻi, e like me ke kahe ʻana o ke koko mai ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi, e hoʻokipa ʻia lākou i ka haukapila a e mālama ʻia paha me ka lāʻau lapaʻau intravenous (ma o kahi vein).

Pehea ʻoe, ma ke ʻano he makua, e kōkua ai i kāu keiki?

Inā haʻi aku kāu kauka iā ʻoe ua loaʻa i kāu keiki kahi maʻi H. pylori, aia kekahi mau mea nui hiki iā ʻoe ke hana.

ʻO ka mea mua a me ka mea nui loa, ʻo ia ke hāʻawi i kāu keiki i nā lāʻau antibiotic e like me ke kuhikuhi ʻana a ke kauka, ma ka nui i kuhikuhi ʻia, a no ka manawa i kuhikuhi ʻia. I kekahi manawa e ʻoluʻolu iki paha ke keiki i loko o ʻelua a ʻekolu paha lā. Mai hoʻōki koke i ka lāʻau. Pono ʻoe e hāʻawi i ka papa holoʻokoʻa. A i ʻole, ʻaʻole paha e hoʻopau loa ʻia ka bacteria a e ʻoi aku ka maʻi, a i ʻole e loli paha ka bacteria e kūʻē i ka lāʻau.

I mea e kōkua ai i ka hōʻemi ʻana i ka ʻeha o ka ʻōpū, e makaʻala i ka ʻai a kāu keiki. Mai hoʻokuʻu i kou ʻōpū e hakahaka i nā manawa a pau, a e hoʻomaʻamaʻa iā lākou i kahi ʻano ʻai maʻamau. He mea maikaʻi paha ke hāʻawi iā lākou i 5 a 6 mau ʻai liʻiliʻi i ka lā. He manaʻo maikaʻi nō hoʻi e hōʻemi i nā meaʻai ʻala, ʻaila, a me ka ʻawaʻawa. E hoʻomaha i kāu keiki no kekahi manawa ma hope o kēlā me kēia ʻai.

ʻO kekahi mea nui ʻē aʻe , ʻaʻole e hāʻawi i kāu keiki i ka aspirin, nā lāʻau lapaʻau i loaʻa ka aspirin, nā lāʻau hoʻomaha ʻeha e like me ka ibuprofen, a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAID) me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i kēia mau mea ke hoʻonāukiuki hou aku i ka ʻōpū a i ʻole ke kumu o ke kahe ʻana o ke koko.

Aia kekahi ala e pale aku ai i kēia maʻi (H. pylori)?

ʻO ka mea pōʻino, ʻaʻohe lāʻau pale no kēia bacteria `(H. pylori)`. Akā, mai makaʻu! Hiki iā kākou ke pale i ko kākou mau ʻohana mai nā maʻi he nui a hōʻemi i ka pilikia o ka loaʻa ʻana o kahi maʻi `(H. pylori)` ma ka hahai ʻana i kēia mau ʻanuʻu maʻalahi:

• E holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. ʻO kēia ka mea nui loa. Pono ʻoe e holoi pono i kou mau lima no ka liʻiliʻi he 20 kekona, ʻoiai 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 pale i ka ʻai ʻana i ka meaʻai āu i maopopo ʻole ai ua hoʻomākaukau palekana ʻia. E noʻonoʻo pono i ka ʻai ʻana i ka meaʻai i kūʻai ʻia ma ke alanui, ʻaʻole i hoʻopaʻa pono ʻia, a i ʻole ua uhi ʻia i nā nalo. E ʻai i ka nui o ka meaʻai maʻemaʻe a kuke ʻia ma ka home e like me ka hiki.
• E inu mau i ka wai mai kahi kumu maʻemaʻe a palekana. ʻOi aku ka maikaʻi o ka inu ʻana i ka wai i hoʻolapalapa ʻia. E lawe mau i kahi ʻōmole wai maʻemaʻe me ʻoe i kou wā e hele ai i waho.

Ma ka hahai ʻana i kēia mau ʻano maʻamau, hiki iā ʻoe ke pale iā ʻoe iho ʻaʻole wale mai ka `(H. pylori)`, akā, mai nā maʻi lele ʻē aʻe he nui.

Āhea mākou e ʻike pono ai i ke kauka?

Aia kekahi mau hōʻailona, ​​​​inā ʻike ʻoe , pono ʻoe e ʻike koke i ke kauka, no ka mea, he mau hōʻailona paha ia o kahi maʻi weliweli.

Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau:

• ʻEha koke a ʻeha nui ka ʻōpū, hiki ʻole ke hoʻomanawanui.
• Inā he koko i loko o ka luaʻi, a inā paha he ʻeleʻele ka luaʻi e like me ka lepo kope.
• Inā he koko ka ʻōpala, he ʻūlū, a i ʻole he koko i hui pū ʻia me ka ʻōpala.
• Inā loaʻa iā ʻoe kahi ʻeha wela mau a ʻō i loko o kou umauma, ma lalo o kou mau iwi ʻaoʻao, ʻoiai inā ua hoʻomaha ʻia ka ʻeha ma ka ʻai ʻana, ka inu ʻana i ka waiū, a i ʻole ka lawe ʻana i kahi antacid. (He hōʻailona paha kēia o kahi maʻi ʻōpū peptic, no laila pono ʻoe e haʻi i kāu kauka.)

Mai noho i ka home i ka manawa e like me kēia, e ʻike koke i ke kauka kūpono.

No laila, he aha nā mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo? (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia Helicobacter pylori, ʻeā? I ka hōʻuluʻulu manaʻo, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He bacteria ʻo H. pylori hiki ke hoʻoulu i ka mumū o ka ʻōpū (gastritis) a me nā ʻōpū ʻeha (peptic ulcers). Eia naʻe, ʻaʻole ia ke kumu o nā pilikia ʻōpū āpau.
• Loaʻa i ka nui o ka poʻe kēia akā ʻaʻole hōʻike i nā hōʻailona. Inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me ka ʻeha o ka ʻōpū, ka nausea, ka luaʻi, a me ka pehu.
• He mea nui loa ka maʻemaʻe! Hiki ke laha ma o ka meaʻai haumia, ka wai, a me ka launa pū ʻana. No laila, he mea nui ka holoi ʻana i nā lima a me ka ʻai ʻana i nā meaʻai a me nā mea inu maʻemaʻe.
• He mau mea a nā kauka e like me ka endoscopy, nā hoʻāʻo hanu, a me nā hoʻāʻo ʻōpala e ʻike ai i kēia. Eia kekahi, hiki ke ho'ōla maikaʻi ʻia me nā antibiotics.
• Inā kuhikuhi ke kauka i ka lāʻau lapaʻau, he mea nui loa ia e lawe pololei a i ka manawa.
• Inā ʻike ʻoe i nā hōʻailona weliweli e like me ka luaʻi ʻana i ke koko a i ʻole nā ​​​​​​ʻōpala koko, mai hoʻokaʻulua, e ʻike koke i ke kauka.

ʻO ka mea hope loa, inā he pilikia ʻōpū mau kou a i ʻole kāu keiki, he mea naʻauao ke ʻike i ke kauka e ʻike i ke kumu pololei a ʻimi i ka ʻōlelo aʻo, ma mua o ka hoʻokuke wale ʻana iā ia he 'kinoea'. Mai hana i kāu mau hoʻoholo ponoʻī a hele i ka lāʻau lapaʻau ma muli o ka lohe. He waiwai kou olakino!

ʻO Helicobacter pylori, Helicobacter pylori, mumū o ka ʻōpū, gastritis, ʻōpū ʻeha, ʻōpū peptic, nā maʻi ʻōpū