Dambudziko rine vanhu vazhinji kuzvimba kwemudumbu uku, kunonzi gastritis . Kunyangwe tichipomera chimwe nechimwe chinhu kuti ndicho chinokonzera dambudziko iri rinouya mushure mekudya chikafu kubva kuchitoro, kudya chimwe chinhu chine mafuta akawanda, kana kurara mushure mekudya husiku, dzimwe nguva bhakitiriya diki riri mudumbu redu ndiro rinokonzera zvese izvi. IHelicobacter pylori, kana kuti yatinodaidza kuti `(Helicobacter pylori)` kana `H. pylori` muchidimbu.
Ndiani uyu H. pylori?
Zvichitaurwa zviri nyore, `H. pylori` rudzi rwebhakitiriya rinogona kugara mudumbu medu, ndiko kuti, mudumbu. Zvino ungave uchifunga kuti, “Ko bhakitiriya iyi haizourayiwi here nemaacid akasimba ari mudumbu?” Chinhu chinoshamisa ndechekuti, bhakitiriya iyi ine kugona kwayo kurarama munzvimbo iyoyo ine acid.
Izvi zvinokuvadza mukati medumbu redu. Fungidzira kuti pane kamuviri katete kanodzivirira mukati medumbu redu. Utachiona uhwu hunokuvadza kamuviri ikako uye hunokashayisa simba. Ipapo acid yakaoma mudumbu inogona kukuvadza zvakananga mukati medumbu. Izvi ndizvo zvinokonzera gastritis nemaronda emudumbu .
Zvinonzi vanhu vanosvika hafu yevanhu pasi rose vachabatwa nechirwere ichi chinonzi 'H. pylori' pane imwe nguva muhupenyu hwavo. Asi musazvidya mwoyo, vanhu vazhinji havana zviratidzo. Zvisinei, kune vamwe, zvinogona kunetsa zvishoma.
Izvi zvinopinda sei mumiviri yedu?
H. pylori inowanzo pararira kubva kumunhu kuenda kune mumwe. Inogonawo kupararira nenzira dzinotevera:
- Kubva muchikafu, mumvura, kana mundiro dzakasvibiswa: Izvi zvinogona kutapuriranwa nemvura isina kucheneswa zvakanaka, kana kudya miriwo nemichero zvisina kugezwa zvakanaka.
- Muromo nemuromo: Zvinogona kutapuriranwa kana mvura yemuviri, yakaita semate, inobva kumunhu ane hutachiona ikapinda mumuviri wemunhu ane hutano (semuenzaniso, kuburikidza nekutsvoda).
- Kubata tsvina ine utachiona kana kurutsa : Njodzi iyi yakanyanya munzvimbo dzisina hutsanana hwakakwana.
Chinhu chakakosha ndechekuti, hongu, H. pylori chirwere chinotapukira . Saka, zvakakosha kungwarira zvakanyanya nezvehutsanana hwemunhu.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Kazhinji, tinowana chirwere ichi tichiri vadiki. Asi vakuru vanogonawo kuchiwana. Pane zvinhu zvakawanda zvinowedzera njodzi yacho:
- Magariro evanhu vakawanda: Kana izvi zvikaitika, mukana wekuparadzira chirwere ichi kubva kune mumwe munhu unoenda kune mumwe munhu wakawanda.
- Kushaikwa kwemvura yakachena nenzvimbo dzekuchenesa: Njodzi inowedzera kana mvura yakasviba ikashandiswa.
- Kugara nemunhu ane hutachiona: Kana mumwe munhu mumhuri aine hutachiona, pane mukana wekuti vamwe vachabatwawo nahwo.
- Kugara munyika iri kusimukira: Kutapukirwa kwakajairika munyika idzi nekuda kwekusachena kwakachena.
Ndezvipi zviratidzo zvehutachiona hweH. pylori?
Sezvambotaurwa, havasi vese vane utachiona mumuviri wavo vanorwara. Zviratidzo zvinongoonekwa chete kana ukaita gastritis kana peptic ulcer. Chiratidzo chikuru kurwadziwa kunopisa kana kusinganyatsooneki mudumbu repamusoro. Kurwadziwa uku kunouya kwozopera. Kunogona kunyanya kuipa mudumbu risina chinhu. Kunogona kunzwa zviri nani mushure mekudya, kunwa mukaka mudiki, kana kutora mushonga unorwisa asidhi.
| Kuzvimba | Kunzwa sekunge mudumbu makazara nemhepo, kungave wakadya kana kuti kwete. |
| Kugara uchidzvova | Kuenda kuchimbuzi kakawanda kupfuura zvakajairika. |
| Hapana chishuwo chekudya | Kurasikirwa nechido chekudya. |
| Kusvotwa uye Kurutsa | Kusvotwa kana kurutsa pamwe nekurwadziwa mudumbu. |
| Kuderedza uremu pasina chikonzero | Kuderedza uremu pasina kuedza. |
Pane shanduko here pachigaro chetsvina?
Vanhu vazhinji vane kufamba-famba kwetsvina kwakajairika. Asi kana tsvina yako yakasviba, yakamira, kana kuti ine ropa, zvinogona kuva chiratidzo chakakomba. Kana zvakadaro, fonera chiremba wako nekukasika.
Kana uchida kuona chiremba nekukurumidza!
Dzimwe nguva maronda emudumbu anogona kukonzera kubuda ropa mudumbu. Ichi chirwere chine njodzi. Kana uine chimwe chezviratidzo zvinotevera, usapedza nguva uye enda kuchipatara chiri pedyo neEmergency Department (ETU).
| Ropa riri mutsvina, tsvina tsvuku kana nhema | Kuoma kufema |
| Dzungu kana kurasikirwa nepfungwa | Ganda rakachenuruka |
| Kurutsa ropa kana kofi | Kurwadziwa kwakanyanya mudumbu |
Utachiona hweH. pylori kwenguva refu chinhu chinowanzo kukonzera kenza yemudumbu. Izvi hazviwanzoitiki, asi zvakakosha kuti uzvizive. Kana uine zviratidzo zvinogara zviripo zvakaita sekurwadziwa mudumbu , kuzvimba, kuda kurutsa , kunzwa kuguta kunyangwe mushure mekudya chikafu chidiki, kana kudzikira uremu zvisina tsarukano, iva nechokwadi chekuona chiremba.
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba wako, achakubvunza nezvezviratidzo zvako nemishonga yauri kutora. Zvadaro achakuongorora uye achaongorora kana paine kuzvimba kana kurwadza mudumbu mako. Kune bvunzo dzakawanda dzinogona kuitwa kuti uone kana uine H. pylori.
- Kuongororwa kwetsvina: Uku ndiko kuongororwa kunonyanya kuitwa. Muenzaniso wetsvina yako unoongororwa kuti uone kana paine mapuroteni (antigens) ane chekuita nebhakitiriya reH. pylori. Dzimwe nguva bvunzo yePCR yetsvina inogona kuitwa kuti uone kana mabhakitiriya aripo uye kana asingakwanise kurwisa mamwe maantibiotic .
- Kuongororwa kwekufema kweurea:Iyi bvunzo iri nyore kwazvo. Kutanga, unokumbirwa kufema mubhegi. Wobva wapihwa mvura kana pudding ine chinhu chinonzi urea kuti unwe. Mushure memaminitsi mashoma, unokumbirwa kufema mune rimwe bhegi. Kana uine H. pylori mudumbu mako, inopwanya urea iyoyo yoburitsa gasi recarbon dioxide. Kana mweya wechipiri waunoburitsa uine carbon dioxide yakawanda, zvinoreva kuti une hutachiona.
- Endoscopy: Kana uchifungidzira kuti une chironda chemudumbu , bvunzo iyi inogona kuitwa. Chubhu yakatetepa ine kamera inopfuudzwa nemuromo wako ichipinda mudumbu mako kuti ione zvakananga mukati medumbu mako. Panguva ino, biopsy, kana kuti chidimbu chidiki chenyama kubva pamadziro edumbu, chinogona kutorwa kuti chiongororwe.
Ndezvipi zvinorapwa izvi?
Maronda emudumbu anokonzerwa neH. pylori anowanzo rapwa nemusanganiswa wemishonga inorwisa mabhakitiriya nemushonga unoderedza acid yemudumbu .
1. Mishonga inorwisa mabhakitiriya: Mhando mbiri dzemishonga inorwisa mabhakitiriya dzinopihwa panguva imwe chete kuti dziuraye mabhakitiriya. Izvi zvinodaro nekuti kana mabhakitiriya akasagona kurwisa imwe mhando, imwe mhando inogona kuiuraya.
2. MaProton Pump Inhibitors (PPIs): Aya anoshanda nekuderedza huwandu hweasidhi inoburitswa mudumbu mako. Zvakafanana nekudzima mapombi anogadzira asidhi. Paunotora aya, maronda emudumbu anotanga kupora nekukurumidza.
3. Mimwe mishonga: Dzimwe nguva mishonga yakaita se'Bismuth subsalicylate' (mushonga wemanyoka) inopiwawo kudzivirira dumbu.
Chinonyanya kukosha: Zvakakosha kutora mishonga inorwisa mabhakitiriya yawakanyorerwa nachiremba kwenguva yese. Usarega kuitora nekuti wava kunzwa zviri nani. Kuita izvi kungasauraya bhakitiriya zvachose uye kunogona kukonzera matambudziko gare gare.
Mavhiki mana mushure mekurapwa, chiremba achakutarisa zvakare kuti aone kana hutachiona hwapera zvachose.
Ungazvidzivirira sei kubva kuH. pylori?
Sezvaunozvidzivirira kubva kune mamwe majemusi, unofanirawo kuzvidzivirira kubva kuH. pylori. Zvakakosha kutevedzera tsika idzi dziri nyore.
- Geza maoko ako nguva nenguva: Geza maoko ako nesipo nemvura zvakanaka mushure mekushandisa chimbuzi, usati wagadzira chikafu, uye usati wadya. Dzidzisa vana vako tsika iyi zvakare.
- Shandisa chikafu chakachena nemvura: Dzivisa kunwa mvura uye kudya chikafu chiri munzvimbo dzinofungirwa kuti hachina kunaka.
- Idya chikafu chakabikwa zvakanaka chete: Dzivisa kudya chikafu chisina kubikwa zvakanaka kana chisina kubikwa zvakanaka.
- Chengetedza kuchena:Dzivisa kudya chikafu chinopihwa nevanhu vasina kugeza maoko avo.
Ongororo dzichangobva kuitwa dzakaratidza kuti vanhu vanodya miriwo mitsva, michero, nzungu, uye zviyo zvakawanda vane mukana mudiki wekuwana H. pylori. Saizvozvowo, vanhu vanodya zvekudya zvakagadzirwa nemafuta akawanda, shuga, munyu, uye chikafu chakagadzirwa neupfu vane mukana wakakura. Nokudaro, kudya chikafu chakaringana uye chine hutano kwakanakawo pahutano hwako.
Mharidzo Yekuenda Nayo Kumba
- H. pylori ibhakitiriya rinowanzo wanikwa mudumbu. Kune vanhu vazhinji, harikuvadzi.
- Utachiona uhwu ndihwo hunonyanya kukonzera kuzvimba mudumbu, gastritis, uye maronda emudumbu.
- Kana ukaona zviratidzo zvakaita sekurwadziwa mudumbu zvakanyanya, tsvina nhema, kana kurutsa ropa, tsvaga rubatsiro rwechiremba nekukasika.
- Dambudziko iri rinogona kurapwa zvizere nemishonga inorwisa mabhakitiriya nemishonga inoderedza acid. Shandisa mishonga yacho sezvakarairwa nachiremba wako.
- Maitiro akanaka ehutsanana (kunyanya kugeza maoko nekudya zvakachena) anogona kudzivirira kubva kuhutachiona uhu.
H. pylori, Helicobacter pylori, gastritis, kuzvimba kwemudumbu, maronda emudumbu, maronda emudumbu, kenza yemudumbu, kenza yemudumbu, zviratidzo zveH. pylori Sinhala, kurapwa kweH. pylori Sinhala
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