Yu kin gɛt at pwɛl ɔr bɛlɛ pen bak bifo yu it ɔr na nɛt? Yu kin fil ful ɔ yu kin fil lɛk yu nɔs? Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na ‘gastritis’, sɔmtɛm di tin we kin mek dis apin kin bi wan smɔl bɔdi we de na wi bɛlɛ. Dɛn kɔl dis baktri H. pylori. So, tide wi go tɔk bɔt udat na dis baktri ɛn us tɛst dɛn kin du fɔ no am.
Udat na dis H. pylori?
Fɔ tɔk am simpul wan, H. pylori (Helicobacter pylori) na wan kayn baktri we kin liv na wi bɛlɛ ɛn smɔl intestin. We dis baktri infekt wi, i kin bigin fɔ pwɛl di layn na wi bɛlɛ as tɛm de go. Dis kin mek di bɛlɛ layn inflam, we wi kɔl gastritis . Dɔn bak, if dis damej kɔntinyu, i kin mek yu gɛt ɔlsa na di bɛlɛ ɔ smɔl intestinal, we dɛn kɔl peptik ɔlsa .
Bɔrku pipul dɛm na Sri Lanka gɛt dis sik. Bɔt nɔto ɔlman kin gɛt dis sik. Bɔt if di sayn dɛn de sho, i rili impɔtant fɔ gɛt di rayt tritmɛnt.
Ustɛm dɛn nid fɔ du H. pylori tɛst?
If yu gɛt dɛn sik ya, yu dɔktɔ kin sɔprayz se yu gɛt H. pylori infɛkshɔn ɛn ɔda fɔ mek dɛn du tɛst fɔ kɔnfirm am.
- Wan pen we de bɔn, we de swɛt na di midul ɔ ɔp bɛlɛ, mɔ we yu de it ɔ na nɛt.
- If yu fil se di pen de go dɔŋ smɔl afta yu it ɔ tek wan antiasid fɔ gastritis.
- Fɔ blo .
- Nɔs ɛn vɔmit .
If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ ɛn gɛt advays.
Us kayn tɛst dɛn kin yuz fɔ no H. pylori?
Fo men we de fɔ no if yu gɛt dis baktri na yu bɔdi. Dipen pan yu sik ɛn kɔndishɔn, yu dɔktɔ go tɛl yu fɔ du di tɛst we go fayn fɔ yu.
| Nem fɔ di tɛst | Aw fɔ du am simpul. |
|---|---|
| Tɛst fɔ Briz | Yu kin drink spɛshal wata, dɔn yu kin blo insay bag ɛn mɛzhɔ di briz we de insay. |
| Stɔl Tɛst | Dɛn kin tɛst wan sɛmpul na yu stɔl fɔ si if i gɛt antijen dɛn we gɛt fɔ du wit di baktri. |
| Blɔd Tɛst | dεn de tεst bכdi sεmpl fכ protin dεm (antibodi dεm) we di bכdi mek agens H. pylori. |
| Ɛndoskopi we dɛn kin du | Dɛn kin put wan tiub we gɛt kamɛra dɔŋ di trot fɔ chɛk di bɛlɛ, ɛn dɛn kin tek wan smɔl tisu fɔ chɛk. |
Lɛ wi tɔk bɔt dɛn tɛst ya smɔl mɔ .
Naw lɛ wi si aw dɛn kin du ɛni wan pan dɛn tɛst ya.
Yuria Briz Tɛst
dis na di tεst we izi εn we dεn de yuz bכku bכku wan fכ no H. pylori.
Fɔs, dɛn kin aks yu fɔ blo insay bag we tan lɛk balɔ. Dɔn, dɛn kin gi yu spɛshal wata we gɛt yuria fɔ drink. Afta lɛk 15 minit so, dɛn kin aks yu fɔ blo insay nyu bag bak.
Imajin, if yu gɛt H. pylori baktri na yu bɛlɛ, da baktri de de brok di yuria we de insay di wata we yu bin de drink ɛn mek wan gas we dɛn kɔl kabon dayɔgzayd. Dɔn, di kabon dayɔgzayd we de na di sɛkɔn briz we yu de blo kin bɔku. Dat inkris na di pruf fɔ se infɛkshɔn de.
Stɔl Antijen Tɛst
Fɔ dis tɛst, dɛn go gi yu wan smɔl kɔntena fɔ gɛda wan stɔl sɛmpul na os. Dɛn go gi yu klia instrɔkshɔn dɛn bɔt aw fɔ du dis. Dis na aw yu go gɛda di sampul ɛn sɛn am to di lab.
dis tεst de luk fכ antijen dεm na yu stכl we spεshal fכ di H. pylori baktri dεm. di antijen dεm lεk di baktri in "idεntifikεshכn kad." We dɛn de na yu stɔl, dat min se di baktri de na yu dijestiv sistɛm.
Blɔd Tɛst
Dis jɔs tan lɛk we dɛn kin du blɔd tɛst ɔltɛm. Dɛn kin tek smɔl blɔd na yu an ɛn sɛn am na lɛb.
dis de tεst yu bכdi fכ protin dεm we dεn kכ l antibodi dεm we yu bכdi in imyun sistεm dεn dכn mek fכ H. pylori infεkshכn.
Bɔt na wan impɔtant tin ya. Dɛn antibodi ya kin de na di blɔd fɔ sɔm tɛm afta di infɛkshɔn dɔn klin. So, e tranga fɔ no wit dis tɛst if yu gɛt infekshɔn naw ɔ if yu dɔn gɛt am bifo ɛn yu dɔn wɛl. So i nɔ rili yusful fɔ no if yu gɛt aktif infɛkshɔn rayt naw.
Ɛndoskopi ɛn Bayɔpsi
Dis na di tɛst we kɔrɛkt pas ɔl fɔ no H. pylori, bɔt i kɔmplikt smɔl pas di ɔda wan dɛn.
We dɛn de du dis, dɛn go gi yu mɛrɛsin fɔ ɛp yu fɔ slip. Dɔn, yu dɔktɔ go put wan tint we kin chenj (ɛndoskɔp) dɔŋ yu trot ɛn insay yu bɛlɛ ɛn smɔl intestin. Yu kin yuz di kamɛra we de na di ɛnd pan dis tiub fɔ chɛk di insay pat pan yu bɛlɛ.
If dɛn tink se infɛkshɔn ɔ ɔlsa de, di dɔktɔ kin yuz smɔl tin we de go tru di tiub fɔ tek wan rili smɔl tisu (bayopsi) frɔm di bɛlɛ wɔl. Dɔn dɛn kin sɛn am to wan lab fɔ kɔnfɔm if H. pylori de.
Aw yu fɔ pripia bifo di tɛst?
Dis rili impɔtant. Bifo sɔm tɛst dɛn, yu dɔktɔ kin tɛl yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm dez ɔ sɔm wiks. Dɛn mɛrɛsin ya kin mek di tɛst rizɔlt nɔ kɔrɛkt (dɛn kin sho se yu gɛt infɛkshɔn we yu nɔ gɛt am).
Di mɛrɛsin dɛn we dɛn kin advays fɔ stɔp na:
- Antibayɔtiks
- Bismuth subsalicylate (sɔm mɛrɛsin fɔ mek yu bɛlɛ pwɛl, lɛk Pepto-Bismol®) .
- Proton Pump Inhibitors (PPI) (dεn na mεdikeshכn dεm we dεn kin gi fכ gεstritis, lεk Omeprazole εn Esomeprazole) .
Dɔn bak, sɔm tɛst dɛn (lɛk fɔ tɛst yu briz ɛn ɛndoskopi) kin mek yu nɔ it ɔ drink fɔ sɔm awa.
Bɔt mɛmba se, na fɔ jɔs stɔp fɔ tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu fɔ tek. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin fɔ yusɛf. Fɔ fala di instrɔkshɔn dɛn we yu gɛt di rayt we.
Wetin di tɛst rizɔlt dɛn se?
Di rizulyt we yu kin gɛt kin bi "Positive" (+ve) ɔ "Negative" (-ve).
Wetin na fayn (+ve) rizɔlt?
Dis min se yu gɛt (ɔ yu dɔn gɛt) H. pylori infɛkshɔn.
- If yu briz, stɔl, ɔ ɛndoskopi tɛst sho se yu gɛt am , dat min se yu gɛt aktif infɛkshɔn naw . Dɔn yu dɔktɔ go gi yu mɛrɛsin dɛn lɛk antibayɔtik fɔ kil di bɔdi.
- If blɔd tɛst sho se yu gɛt di sik , i kin sho se yu gɛt di sik naw ɔ yu dɔn gɛt am trade. Yu dɔktɔ go ɛksplen klia wan wetin fɔ du bɔt am.
Wetin na negatif (-ve) rizulyt?
Dis min se yu nɔ gɛt H. pylori infɛkshɔn. Bɔt if yu stil gɛt sɔm sayn dɛn, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no di tin we mek yu gɛt dis sik.
So, wetin na di bɛst ɛn kɔrɛkt tɛst?
Dis kin dipen pan di tin we de apin to yu.
- Ɛndoskopi wit bayɔpsi na di tɛst we kɔrɛkt pas ɔl , bɔt i kɔmplikt smɔl. If yu nɔ nid fɔ si insay yu bɛlɛ, yu dɔktɔ kin rifer yu to wan simpul tɛst fɔs.
- Di tɛst fɔ brith na di wan we kɔrɛkt pas ɔl di tɛst dɛn we nɔ de invayd.
- Pan ɔl we i izi fɔ du blɔd tɛst , dɛn nɔ ebul fɔ du am bikɔs dɛn nɔ kin ebul fɔ tɛl yu kɔrɛkt wan if yu gɛt aktif infɛkshɔn.
Yu dɔktɔ go disayd us tɛst go fayn fɔ yu. So yu nɔ nid fɔ wɔri bɔt am. Di tin we impɔtant pas ɔl na fɔ fala wetin i tɛl wi fɔ du.
Mɛsej we dɛn kin kɛr go na os
- H. pylori na wan kכmכn baktri infεkshכn we kin bi wan big tin we kin mek yu gεt gεstritis εn bεlε כlsa.
- Nɔ ignore di sayn dɛm lɛk fɔ de fil pen ɔltɛm na yu bɛlɛ ɛn fɔ blo. Fɔ tru, yu go si dɔktɔ.
- Rili simpul ɛn kɔrɛkt we dɛn de fɔ no dis infɛkshɔn, lɛk fɔ tɛst yu briz ɛn fɔ tɛst yu stɔl.
- Bifo yu du di tɛst ɛn we yu de du tritmɛnt, fala wetin yu dɔktɔ tɛl yu fɔ du di rayt tin. Nɔ ɛva bigin ɔ stɔp fɔ tek mɛrɛsin fɔ yusɛf.
- If di tɛst kɔnfyus se infɛkshɔn de, dɛn kin wɛl di sik ɔl bay we dɛn yuz di rayt mɛrɛsin we dɛn gi yu.
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