Gastritis hi pum natna thlentu tak tak a ni em? Helicobacter pylori (H. pylori) chungchang hi han sawi ila!

Mi tam tak chuan he pum natna hi harsatna kan nei a, chu chu gastritis an ti a ni. Ṭhenkhat tan chuan an nunah a tel ve ta a ni. Damdawi engemaw zat an ei reng a, an ei leh in pawh an thunun reng bawk. Mahse, hei hi i pum chhunga bacteria te tak te awm vang a ni thei tih i ngaihtuah ngai em? Ni e, chu chu vawiinah kan sawi dawn a ni. He bacteria hming hi Helicobacter pylori, a tawi zawngin H. pylori tih a ni.

A awlsam zawngin, he H. pylori hi tu nge ni?

H. pylori hi bacteria chi khat a ni a, i pum chhungah, a nih loh leh i pum chhunga awm a ni. Dik tak chuan khawvela chronic bacterial infection awm tam ber a ni. Ngaihtuah teh, khawvel mihring zinga a chanve aia tam hian an pum chhungah he bacteria hi an nei a ni! Mahse mak tak mai chu, an damlo vek lo.

A tam zawkah chuan he H. pylori natna hi kan naupan laiin kan vei thin. Naupang mipui tamna hmun, thianghlim lo taka chengte chu an hlauhawm zual hle. Mahse lungngai suh, mi tam zawk chuan he bacteria hi an taksaah harsatna thlen lovin an nei a.

H. pylori i vei chuan eng nge thleng tak tak?

He bacteria hian engtin nge kan pum chhunga stomach acid na tak tak te hi a tuar theih tih i ngaihtuah mai thei. H. pylori bacteria hian chutiang ti thei tur chuan theihna bik a nei a. A chhehvela acid awm chu neutralize thei enzyme a siam chhuak thin. A chhehvela venhimna thal (protective shield) siam ang mai a ni.

Chutianga venhim a nih chuan he bacteria hi zawi zawiin i pum chhungah a lut thin. Chutah chuan a awm chuan, pum chhunga natna hrik (chronic inflammation, emaw, swelling) a thlen thei a ni. Hei hian harsatna lian tak pathum a thlen thei a ni:

1. Peptic Ulcers: Hei hi a tam ber a ni. Pum chhung bang emaw, small intestine (duodenum) bul tanna emawa lo awm, natna na tak a ni. Hei hi ‘stomach ulcer’ kan tih chu a ni.

2. Gastritis: Hei hian pum chhung lam a inflammation a kawk a. A awlsam zawngin sawi ila, pum chhung lam a sen leh a hring chhuak hi a ni.

3. Stomach Cancer: Hei hian hlauthawng suh. H. pylori infection neih hi pum cancer vei theihna tur risk factor chauh a ni. Chu chu H. pylori vei zawng zawng hian cancer an vei vek dawn lo tihna a ni. Dik tak chuan H. pylori vei tam zawk hian cancer an nei ngai lo.

H. pylori natna lanchhuahna chu engte nge ni?

Kan sawi tawh ang khan H. pylori vei tam tak, a bik takin naupangte hian symptom an nei lo. Mi tlemte chauhvin symptoms an nei thin. An tih chuan a hmaa kan sawi tawh ang khan gastritis emaw stomach ulcers emaw avanga lo awm an ni fo.

A lan chhuah dan ber chu pum na a ni.Kang emaw, hliam emaw, hliam emaw. He natna hi chaw ei hnu darkar tlemteah leh zan lamah a awm fo thin. A natna hi minute engemaw zat atanga darkar tlemte thleng a awm thei. Natna chu ni tam tak emaw, kar tam tak emaw chhung chu a lo thleng thei a, a reh thei bawk.

He natna nena inzawm symptom dang eng nge awm tih a hnuaia table-ah hian i hmu thei ang.

H. pylori hian bawlhhlawh a tidanglam em?

Hei hi zawhna pawimawh tak a ni. H. pylori vei tam zawk hi chu bawlhhlawh pangngai an ni. Hei hi a chhan chu, kan sawi tawh ang khan mi tam takin symptom an nei lo.

Entirnan, i bawlhhlawh chu tar ang maia dum dum a nih chuan i chaw ei kawng chunglam ulcer avanga thisen chhuak tihna a ni thei a, hei hi H. pylori vang pawh a ni thei. I bawlhhlawh a sen chuan i chaw ei kawng hnuai lam thisen chhuak chhinchhiahna a ni thei.

Hetiang hian black, tarry stools i hmuh chuan ngaihthah suh. Emergency a ni. Doctor i pan nghal tur a ni. A nih loh leh, i damdawi in hnai ber Emergency Department (ETU)-ah kal rawh. Doctor chuan a chhan a hrechhuak ang a, a tul anga enkawlna a pe ang.

Engtin nge H. pylori hi a kai theih?

Ni e, mi pakhat atanga mi dangah a darh thei a ni. H. pylori bacteria hi hri kai mi hmui, luak chhuak, ek leh ha (dental plaque)-ah te a awm a. Chuvangin a darh theih dan tlangpui pahnih a awm a:

• Close contact: Ei tur hmanrua, tui in, emaw, hri kai mi riltam emaw, ek emaw nena inhnaih emaw hmangin natna hi i kai thei a ni. Bathroom-a kal hnua sahbawn hmanga kut silfai tha lo mi kut hmanga mi dang hnena kai darh theih a ni.
• Chaw emaw tui bawlhhlawh: Hmun faina \ha lo hmunah chuan he natna hrik hi tui emaw chaw \ha lo tihfai loh hmangin kan taksaah a lut thei a ni.

Engtin nge doctor hian H. pylori hi a hriat theih?

I natna lan chhuah dan a ngaihthlak hnua i doctor-in a rinhlelh chuan i natna hriat chian nan test eng emaw zat neih a rawt ang.

• Breath Test: Hei hian tui bik in tur pek che a ni a, chutah chuan i thawk test a ni. H. pylori bacteria i neih chuan tui i in hnuah i thawkah chemical bik a awm tih hmuhchhuah theih a ni.
• Stool Test: I stool sample lak a ni a, H. pylori bacteria nena inzawm antigens awm leh awm loh test a ni.
• Thisen Test: Hei hian i thisenah H. pylori laka i taksain antibody a siam leh awm loh a test thin. Mahse, tunah hian hri kai hi active nge a awm rei tawh em tih chiang taka hriat a harsa hle.
• Upper Endoscopy: He test-ah hian camera dahna tube te tak te chu i hmuiah dahin i pum chhungah direct-in a en a. Hei hian ulcer emaw inflammation emaw a awm leh awm loh chiang takin a hriat theih. Tin, rinhlelh awmna hmun atanga tissue te tak te (biopsy) la in, H. pylori a awm leh awm loh 100% a finfiah turin test a ni thei bawk.

H. pylori enkawl dan tur engte nge ni?

A hmasa berah chuan H. pylori infection nei mahse symptoms i neih loh chuan a tam zawkah chuan enkawlna i mamawh lovang. Mahse, symptom i neih chuan i doctor chuan enkawlna a pe ang che.

Enkawlna hi ni 14 vel a ni tlangpui a, damdawi engemaw zat inzawmkhawm a ni.

• Antibiotics: Hengte hi bacteria that nan pek thin a ni. A tlangpuiin antibiotics chi hrang hrang pahnih hi a rualin an pe thin. Entirnan, damdawi chi hrang hrang `(Amoxicillin)`, `(Clarithromycin)`, `(Metronidazole)` te hi a ni.
• Proton Pump Inhibitor (PPI): Hei hi damdawi chi khat a ni a, i pumin acid a siam chhuah zat a tihtlem phah a ni. Entirnan, `(Omeprazole)`, `(Lansoprazole)`, `(Esomeprazole)` te hi a ni. Acid a tlem chuan pumpui ulcer a dam thei a, antibiotics pawh a thawk tha thei bawk.
• Bismuth subsalicylate: A chang chuan i doctor hian he damdawi hi damdawi dang nen a hmang dun thei bawk. Hei hian pum chhunga awmte venhimna a pe a ni.

Tin, H. pylori infection i neih chuan doctor rawn hmasa lovin ``NSAIDs'' category-a tel painkiller (e.g., Ibuprofen, Diclofenac) ei loh tur a ni, heng damdawi te hian pum chhunga ulcer awm theihna a tipung thei a ni.

H. pylori i vei a nih chuan eng ei tur nge i tan a tha lo?

H. pylori i neih hian ei tur thenkhat chuan i pum a ti na thei a, i rilru a ti na zual thei bawk. Mi zawng zawng hi a inang lo mai thei a, mahse a hnuaia ei tur te hi tlem fimkhur a tha.

Engtin nge hei hi i pumpelh theih ang?

H. pylori vei theihna tur tihtlem nan thil awlsam tak tak i tih theih a awm.

• Tui thianghlim in tur a ni a, a bik takin tui bawlhhlawh awmna hmunah in thin ang che. Chaw siam nan tui thianghlim hmang thin ang che.
• I kut chu uluk takin silfai ang che. Chaw ei hma leh bathroom hman zawhah second 20 tal sahbawn leh tuiin uluk takin kut sil tur a ni. Hetiang tih dan hian H. pylori chauh ni lovin, natna dang tam tak lakah pawh a venghim thei che a ni.