I pum chhungah pawh ulcer i nei fo em? H. pylori (Helicobacter pylori) test chungchang hi a awlsam zawngin i zir ang u.

Chaw ei hma emaw, zan lamah emaw lungphu emaw, pum na emaw i nei bawk em? I rilru a hah em, i rilru a hah em? Mi tam takin hengte hi ‘gastritis’ tia ngai mah se, a chang chuan a chhan chu kan pum chhunga bacteria te tak te a ni thei. He bacteria hi H. pylori an ti a. Chuvangin, vawiinah hian he bacteria hi tu nge a nih leh eng test nge tih a nih tih kan sawi dawn a ni.

He H. pylori hi tu nge ni?

A awlsam zawngin sawi ila, H. pylori (Helicobacter pylori) hi bacteria chi khat, kan pum leh small intestine-a awm thei a ni. He bacteria hian min kai chuan hun kal zelah kan pum chhunga lining a tichhia tan thin. Hei hian chaw kawng a ti na thei a, chu chu gastritis kan tih hi a ni. Tin, he chhiatna hi a chhunzawm zel chuan pum emaw, intestine tenau emaw-ah ulcer a awm thei bawk a, chu chu peptic ulcers an ti a ni.

Sri Lanka-ah hian mi tam takin he hri hi an vei a ni. Mahse mi zawng zawng hian symptoms an nei vek lo. Mahse symptoms a lo lang tak tak a nih chuan enkawlna dik tak neih a pawimawh hle.

Engtikah nge H. pylori test neih a ngai?

A hnuaia symptoms te hi i neih chuan i doctor chuan H. pylori infection a ringhlel thei a, test tir turin a ti thei bawk.

• A bik takin chaw ei lai emaw, zan lamah emaw, pum lai emaw, pum chunglam emawa kang, gnawing na .
• Chaw ei emaw, gastritis damdawi ei emaw hnua natna a tlahniam deuh nia i hriat chuan.
• Bloating a awm .
• Nausea leh luak chhuak .

Hetiang symptoms i neih chuan doctor pan a, thurawn lak a tha ber.

H. pylori hmuhchhuah nan hian eng test chi hrang hrang nge hman thin?

I taksaah he bacteria hi i nei em tih hriat theih dan tlangpui pali a awm. I natna lan chhuah dan leh i dinhmun a zirin i doctor chuan i tana test tha ber tur a rawn rawt ang che.

Heng test te hi chipchiar deuhin han sawi ila .

Tunah chuan heng test tinte hi engtin chiah nge an tih tih kan en ang.

Urea Thâwk Test

Hei hi H. pylori hmuhchhuahna atana test awlsam ber leh hman lar ber a ni.

A hmasa berin balloon ang chi bag chhungah thawk turin an ti che a. Tichuan, urea awmna liquid bik in tur an pe che a ni. Minute 15 vel hnuah bag thara thawk turin an ti leh a.

I pum chhungah H. pylori bacteria i neih chuan chu bacteria chuan i in tui chhunga urea chu a tichhia a, carbon dioxide an tih gas a siam chhuak ang tih han ngaihtuah teh. Tichuan, i thawk chhuah vawi hnihnaah hian carbon dioxide a tam zawk a ni. Chu pung chu hri kai a awm tih finfiahna a ni.

Stool Antigen Test a ni

He test atan hian in lama stool sample lakna tur container te tak te pek i ni ang. Chutianga tih dan tur chiang taka hriattirna pek i ni ang. Hetiang hian sample i la khawm ang a, lab ah i submit ang.

He test hian i stool-a H. pylori bacteria bik atana antigens awmte a zawng thin. Antigens hi bacteria "identification card" ang mai a ni. I stool-a an awm hian bacteria chu i digestive system-ah a awm tihna a ni.

Thisen Test a ni

Hei hi thisen test pangngai ang mai a ni. I kut atanga thisen sample tlemte lakchhuah a ni a, lab-ah thawn a ni.

Hei hian i thisenah hian H. pylori infection laka i taksa immune system-in a siam antibodies an tih proteins a test a ni.

Endoscopy leh Biopsy hmanga tih a ni

Hei hi H. pylori hmuhchhuahna atana test dik ber a ni a, mahse a dangte aiin a buaithlak deuh hlek a ni.

Hetiang tih chhung hian i mut theih nan damdawi pek i ni ang. Tichuan, i doctor chuan i kawchhung hnuai lam leh i pum leh i rilru chhungril (small intestine) chhungah tube te tak te, flexible tak (endoscope) a dah ang. He tube tawp lama camera hmang hian i pum chhung lam chu i enfiah thei ang.

Infection emaw ulcer emaw rinhlelh a nih chuan doctor chuan tube kal tlanga hmanraw te tak te hmangin pum chhunga tissue te tak te (biopsy) a la thei a ni. Chumi hnuah lab-ah thawn a ni a, H. pylori a awm leh awm loh finfiah a ni.

Test hmain engtin nge i inbuatsaih ang?

Hei hi a pawimawh hle. Test thenkhat i tih hmain i doctor chuan ni engemaw zat emaw, kar engemaw zat emaw chhung chu damdawi thenkhat ei tawh loh turin a ti thei che a ni. Heng damdawi te hian test result a dik lo thei (infection i neih loh laiin infection i nei tih a lantir thei).

Damdawi tihtawp tura rawtna awm tlangpui chu:

• Antibiotics damdawi a ni
• Bismuth subsalicylate (rilru ti na damdawi thenkhat, Pepto-Bismol® ang chi) .
• Proton Pump Inhibitors (PPIs) (hei hi gastritis damdawi, Omeprazole leh Esomeprazole te ang chi a ni) .

Tin, test thenkhat (thâwk test leh endoscopy ang chi)-ah chuan darkar engemaw zat ei leh in loh a ngai thei bawk.

Mahse, i doctor-in a tih angin i damdawi ei kha bansan mai rawh, tih hre reng ang che. Nangmah chauhin i damdawi ei kha bansan ngai suh. Instruction i dawn ang chiah kha zawm rawh.

Test result hian eng nge a sawi?

Results i hmuh chu "Positive" (+ve) emaw "Negative" (-ve) emaw a ni thei.

Positive (+ve) result chu eng nge ni?

Hei hian H. pylori infection i nei (a nih loh leh i nei tawh) tihna a ni.

• I thawk, i bawlhhlawh, emaw endoscopy test-ah positive a nih chuan tunah hian active infection i nei tihna a ni. Chumi hnuah chuan i doctor chuan bacteria tihhlumna tur damdawi, antibiotics telin a pe ang.
• Thisen test a positive chuan , tuna hri kai tawh emaw, kai tawh emaw a nih thu a tarlang thei. I doctor chuan eng nge tih tur chiang takin a hrilhfiah ang che.

Negative (-ve) result chu eng nge ni?

Hei hian H. pylori infection i nei lo tihna a ni. Mahse, symptom i la neih chuan i doctor chuan a chhan hriat nan test dang a rawt thei ang.

Chuti a nih chuan, eng test nge tha ber leh dik ber?

Hei hi i dinhmunah a innghat a ni.

• Endoscopy with biopsy hi test dik ber a ni a, mahse a buaithlak zawk. I pum chhung lam i hmuh a ngai lo a nih chuan i doctor chuan test awlsam zawkah a refer hmasa thei che a ni.
• Thâwk test hi non-invasive test zingah chuan a dik ber a ni.
• Thisen test hi tih awlsam tak ni mahse, active infection i neih leh neih loh dik taka a hriat theih loh avangin tihkhawtlai a nei a ni.