He bacteria hian i pum a ti na em? (Helicobacter pylori) chungchang hi i zir dawn nia.

Mi tam takin harsatna an neih chu he pum natna hi a ni a, chu chu gastritis an ti a ni. Dawr atanga chaw ei hnua lo awm thin, thil thau lutuk ei hnua lo awm thin, emaw, zan lama ei hnua mut hnua lo awm thin he harsatna hi thil pakhat zel hi mawhphurtu ni mahse, a chang chuan kan pum chhunga bacteria te tak te inthup hian heng zawng zawng hi a mawhphurtu a ni. Helicobacter pylori, emaw `(Helicobacter pylori)` emaw `H kan tih ang chi hi a ni. pylori` tih hi a tawi zawngin.

He H. pylori hi tu nge ni?

A awlsam zawngin, `H. pylori` hi bacteria chi khat, kan pum chhunga awm thei, chu chu kan pum chhunga awm thei a ni. Tunah chuan, “He bacteria hi pum chhunga acid chak tak takte hian a that dawn lo em ni?” Mak tak mai chu, he bacteria hian chu acidic environment-ah chuan a dam khawchhuah theihna bik a nei a ni.

Hei hian a tih chu kan pum chhungril (inner lining) a tichhia a ni. Kan pum chhungah hian venhimna membrane te tak te a awm tih han ngaihtuah teh. He bacteria hian chu membrane chu a tichhia a, a tichak lo bawk. Tichuan, pum chhunga acid khauh tak takte hian direct-in pum chhunga awmte chu a tichhe thei a ni. Hei hi gastritis leh peptic ulcers thlentu a ni .

Khawvel mihring zinga a chanve velin he `H. pylori` hi an nunah engtik lai pawhin. Mahse lungngai suh, mi tam zawk chuan symptoms an nei lo. Mahse, ṭhenkhat tan chuan a tithinur deuh thei.

Engtin nge hei hi kan taksaah a luh theih?

H. pylori hi mi pakhat atanga mi dangah a darh tlangpui. A hnuaia kawngte hmang hian a darh theih bawk:

• Chaw, tui emaw, dish emaw bawlhhlawh a\angin: Hei hi tui thianghlim lo in a\angin emaw, thlai leh thei chi hrang hrang silfai \ha lo ei a\angin a kai thei a ni.
• Kawng atanga ka thleng: Hri kai taksa atanga taksa tui, hmui ang chi, mi hrisel tak tak taksaa a luh chuan (entir nan, fawhna hmangin) a kai thei a ni.
• Infected feces emaw vomit emaw : Hetiang hlauhawmna hi bawlhhlawh paihna hmun tha lo hmunah a sang zawk .

He natna vei theihna hlauhawm ber chu tute nge ni?

A tam zawkah chuan kan naupan lai hian he natna hi kan vei thin. Mahse puitling pawhin an hmu thei tho. A hlauhawmna tipungtu thil engemaw zat a awm a:

• Mipui tamna (crowded living conditions): Hetiang a lo thlen hian mi pakhat atanga mi dang hnena natna kai darh theihna chance a sang hle.
• Tui thianghlim leh bawlhhlawh paihna hmun awm loh: Tui bawlhhlawh hman a nih chuan a hlauhawmna a sang hle.
• Hri kai nena khawsak: Chhungkaw zinga mi pakhatin a neih chuan midang pawhin an kai theihna chance a awm.
• Ram changkang zawka cheng: Hêng ramteah hian inthiarna ṭha lo vanga hri kai hi a hluar hle.

H. pylori natna lan chhuah dan chu engte nge ni?

Sawi tawh ang khan an taksaa bacteria nei zawng zawngte chu an damlo vek dawn lo. Gastritis emaw peptic ulcer emaw i neih chauhvin symptoms a lang thin. A lan chhuahna ber chu pum chunglam a kang emaw, a dull emaw a ni. He natna hi a lo thleng a, a kal zel bawk. A bik takin pum ruak ah chuan a tha lo thei hle. Chaw ei hnuah, bawnghnute tlem in hnuah emaw, anticid ei hnuah emaw a nuam thei.

Stool-ah hian inthlak danglamna a awm em?

Mi tam zawk chuan riltam pangngai an nei a. Mahse i ek chu a dum dum, a tarry, a nih loh leh thisen a awm chuan chhinchhiahna pawi tak a ni thei. Chutiang a nih chuan doctor ko nghal rawh.

Doctor pan vat vat a ngaih hunah!

A chang chuan pum hliam hian pum chhungah thisen a chhuah tir thei bawk. Hei hi dinhmun hlauhawm tak a ni. A hnuaia symptoms te hi i neih chuan hun khawhral lo la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor hmu tura i kal hunah i natna lan chhuah dan leh damdawi i ei lai te a zawt ang. Tichuan a enfiah ang che a, i pum chhungah a hring emaw, a hring emaw a awm leh awm loh a enfiah ang. H. pylori i vei em tih hriat nan test engemaw zat a awm a.

• Stool test: Hei hi test tam ber a ni. I bawlhhlawh sample pakhat chu H. pylori bacteria nena inzawm protein (antigens) awm leh awm loh test a ni. A chang chuan stool PCR test hmangin bacteria hi a awm em tih leh antibiotics thenkhat laka an do theih loh hriat theih a ni .
• Urea thawk test: 1.1.Hei hi test awlsam tak a ni. A hmasa berin bag chhungah thawk turin an ti che a. Tichuan, urea an tih thil awmna liquid emaw pudding emaw chu in turin an pe che a ni. Minute engemaw zat hnuah bag dangah thawk turin an ti che a. I pum chhungah H. pylori i neih chuan chu urea chu an tichhia a, carbon dioxide gas an siam chhuak thin. I thawk chhuah vawi hnihnaah hian carbon dioxide a tam zawk a nih chuan infection i nei tihna a ni.
• Endoscopy: Pum ulcer i neih nia i rinhlelh chuan he test hi tih theih a ni. Camera nei tube te tak te, te tak te chu i ka atang hian i pum chhungah i lut a, chu chuan i pum chhung lam chu a en nghal vek a ni. Hetih lai hian biopsy emaw, pum chhunga tissue te tak te emaw chu test nan lak theih a ni.

Hei hi eng enkawlna nge ni?

H. pylori vanga pum chhunga ulcer awm hi antibiotics leh stomach acid tihtlem thei damdawi hmanga enkawl a ni tlangpui .

1. Antibiotics: Bacteria tihlum nan antibiotics chi hnih a rualin pek thin a ni. Hei hi a chhan chu bacteria chu chi khat lakah a do thei a nih chuan chi dangin a that thei a ni.

2. Proton Pump Inhibitors (PPIs): Hengte hian i pum atanga acid siam chhuah tihtlem nan hna an thawk a ni. Acid siamtu pump off ang mai a ni. Hengte hi i ei hian pum ulcer te chu a dam thuai tan thin.

3. Damdawi dang: A chang chuan `Bismuth subsalicylate` (riltam damdawi) ang chi damdawi te hi pum venhim nan an pe bawk.

Enkawlna atanga kar li vel hnuah doctor chuan natna chu a thianghlim vek tawh em tih a enfiah leh ang che.

H. pylori lakah engtin nge i inven theih ang?

Hrik dang laka i inven ang bawkin H. pylori lakah pawh i inven a ngai bawk. Heng tih dan awlsam tak takte hi zawm a pawimawh hle.

• Kut sil fo tur: Bathroom i hman zawh hnuah, chaw i buatsaih hmain, chaw i ei hmain sahbawn leh tuiin i kut fai takin silfai thin ang che. I fate pawh he tih dan hi zirtir rawh.
• Chaw leh tui thianghlim hmang: Tui in leh rinhlelhna hmun atanga chaw ei loh tur.
• Chaw hmin tha chauh ei rawh: Chaw hmin emaw, a hmin loh emaw ei loh tur.
• Faina enkawl rawh:Kut sil lote ei tur ei loh tur.

Tun hnaia zirchianna hrang hrangah chuan thlai thar, thei, nut leh whole grains ei tam zawkte chuan H. pylori vei an nei tlem zawk tih hmuhchhuah a ni. Chutiang bawkin, processed foods, sugar, salt, flour-based foods ei tam zawkte pawhin an hlauhawm zawk. Chuvangin ei leh in inthlau tak, nutritious diet ei hi i hriselna atan pawh a tha hle.

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