Unonzwawo chirungurira kana kurwadziwa mudumbu usati wadya kana husiku here? Unonzwa wakaguta here kana kuti uchida kunzwa kuda kurutsa? Kunyangwe vanhu vazhinji vachifunga nezveizvi se'gastritis', dzimwe nguva chikonzero cheizvi chingave bhakitiriya diki riri mudumbu medu. Bhakitiriya iri rinonzi H. pylori. Saka, nhasi tichataura nezvekuti bhakitiriya iri ndiani uye kuti ndeapi maedzo anoitwa kuti rionekwe.
Ndiani uyu H. pylori?
Zvichitaurwa zviri nyore, H. pylori (Helicobacter pylori) rudzi rwebhakitiriya rinogona kugara mudumbu redu nemuura hudiki. Kana bhakitiriya iri rikapararira kwatiri, rinotanga kukuvadza jira remudumbu redu nekufamba kwenguva. Izvi zvinogona kukonzera kuzvimba kwejira remudumbu, chirwere chatinodaidza kuti gastritis . Zvakare, kana kukuvara uku kukaramba kuripo, kunogona kutungamira kumaronda mudumbu kana muura hudiki, anonzi maronda emudumbu .
Vanhu vazhinji muSri Lanka vane chirwere ichi. Asi havasi vese vanova nezviratidzo. Asi kana zviratidzo zvikaonekwa, zvakakosha kuti munhu awane kurapwa kwakakodzera.
Kuongororwa kweH. pylori kunodiwa rini?
Kana uine zviratidzo zvinotevera, chiremba wako anogona kufungidzira kuti une hutachiona hweH. pylori uye anogona kuraira kuti uedze bvunzo kuti zvisimbiswe.
- Kurwadziwa kunopisa, kunorwadza mudumbu repakati kana repamusoro, kunyanya panguva yekudya kana husiku.
- Kana uchinzwa kuti kurwadziwa kuri kudzikira zvishoma mushure mekudya kana kutora mushonga unorwisa asidhi wechirwere chegastritis.
- Kuzvimba .
- Kusvotwa nekurutsa .
Kana uine zviratidzo zvakaita seizvi, zvakanaka kuti uone chiremba wowana mazano.
Ndeapi marudzi emiedzo inoshandiswa kuona H. pylori?
Pane nzira ina huru dzekuziva kana uine hutachiona uhwu mumuviri wako. Zvichienderana nezviratidzo zvako nemamiriro ako ezvinhu, chiremba wako achakurudzira bvunzo yakakodzera iwe.
| Zita rebvunzo | Maitiro ekuzviita ari nyore. |
|---|---|
| Kuedza Kufema | Unonwa mvura yakakosha, wobva waburitsa mweya mubhegi woyera huwandu hwemhepo iri mariri. |
| Kuedzwa kweChitsiko | Muenzaniso wetsvina yako unoongororwa kuti uone kana paine maantigen ane chekuita nebhakitiriya. |
| Kuongororwa kweRopa | Ropa rinoongororwa kuti rione mapuroteni (antibodies) akagadzirwa nemuviri kurwisa H. pylori. |
| Endoscopy | Chubhu ine kamera inoiswa pasi pehuro kuti iongorore dumbu, uye chidimbu chidiki chenyama chinotorwa kuti chiongororwe. |
Ngatitaurei nezvemiedzo iyi zvakadzama .
Zvino ngationei kuti bvunzo imwe neimwe iyi inoitwa sei chaizvo.
Kuedzwa kweUrea Breath
Iyi ndiyo nzira iri nyore uye inoshandiswa zvakanyanya pakuongorora H. pylori.
Kutanga, unokumbirwa kufemera mubhegi rakaita sebharumu. Wobva wapihwa mvura yakakosha ine urea kuti unwe. Mushure memaminitsi angangoita gumi nemashanu, unokumbirwa kufemera mubhegi idzva zvakare.
Fungidzira, kana uine bhakitiriya reH. pylori mudumbu mako, kuti bhakitiriya rinopwanya urea iri mumvura yawanwa rogadzira gasi rinonzi carbon dioxide. Zvadaro, huwandu hwecarbon dioxide mukufema kwechipiri kwaunoburitsa hunowedzera. Kuwedzera ikoko humbowo hwekuti pane hutachiona.
Kuedzwa kweAntigen yeChitsiko
Pakuongororwa uku, muchapihwa kamudziyo kadiki kekutora sampuro yetsvina kumba. Muchapihwa mirairo yakajeka yekuti mungaita sei izvi. Aya ndiwo maunganidzire sampuro yacho moiendesa kurabhoritari.
Kuongororwa uku kunotsvaga maantigen ari mutsvina yako anoenderana nebhakitiriya reH. pylori. Maantigen akafanana ne "kadhi rekuziva" rebhakitiriya. Kuvapo kwawo mutsvina yako kunoreva kuti mabhakitiriya ari mudumbu rako.
Kuongororwa kweRopa
Izvi zvakafanana nekuongororwa ropa nguva dzose. Ropa diki rinotorwa kubva paruoko rwako roendeswa kurabhoritari.
Izvi zvinoedza ropa rako kuti rione mapuroteni anonzi ma antibodies akagadzirwa nemasoja emuviri wako kurwisa hutachiona hweH. pylori.
Asi hechino chinhu chakakosha. Ma antibodies aya anogona kuramba ari muropa kwenguva yakati mushure mekunge hutachiona hwapera. Saka, zvakaoma kuziva nekuongorora uku kana uine hutachiona parizvino kana kuti wakambohubata kare uye wapora. Saka hazvibatsiri pakuona hutachiona huripo parizvino.
Endoscopy uye Biopsy
Iyi ndiyo nzira chaiyo yekuongorora H. pylori, asi yakaoma zvishoma kupfuura dzimwe.
Munguva iyi, muchapihwa mushonga wekukubatsirai kurara. Zvadaro, chiremba wenyu achaisa chubhu yakatetepa, inochinjika (endoscope) pasi pehuro yenyu uye mudumbu nemuura hudiki. Kamera iri kumagumo kwechubhu iyi inogona kushandiswa kuongorora mukati medumbu renyu.
Kana paine hutachiona kana chironda, chiremba anogona kushandisa chinhu chidiki chinopinda nemuchubhu kuti atore chidimbu chidiki chenyama (biopsy) kubva pamadziro edumbu. Chinozotumirwa kurabhoritari kuti chisimbiswe kana H. pylori iripo.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Izvi zvakakosha zvikuru. Chiremba wako anogona kukukumbira kuti urege kushandisa mimwe mishonga kwemazuva mashoma kana mavhiki. Mishonga iyi inogona kukonzera kuti mhinduro dzebvunzo dzisave dzechokwadi (dzinogona kuratidza kuti une hutachiona kana usina).
Mishonga inowanzo kurudzirwa kuti irege kushandiswa ndeiyi:
- Mishonga inorwisa mabhakitiriya
- Bismuth subsalicylate (mimwe mishonga inokuvadza mudumbu, yakadai sePepto-Bismol®)
- Proton Pump Inhibitors (PPIs) (iyi mishonga inowanzo nyorerwa chirwere chegastritis, senge Omeprazole neEsomeprazole)
Uyewo, mimwe miedzo (yakadai seye breath tests uye endoscopy) ingada kuti urege kudya kana kunwa kwemaawa mashoma.
Asi yeuka, rega kutora mushonga wako sezvawakaudzwa nachiremba wako. Usamborega kutora mushonga wako wega. Tevedzera mirairo yawakapihwa nemazvo.
Zvakabuda muongororo zvinoti chii?
Mhedzisiro yaunowana inogona kuva "Yakanaka" (+ve) kana "Negative" (-ve).
Chii chinonzi positive (+ve) result?
Izvi zvinoreva kuti une (kana kuti wakambova ne) chirwere cheH. pylori.
- Kana bvunzo yekufema kwako, tsvina, kana endoscopy ikaonekwa kuti ine hutachiona, zvinoreva kuti parizvino une hutachiona . Chiremba wako achakupa mishonga, kusanganisira mishonga inorwisa mabhakitiriya, yekuuraya mabhakitiriya.
- Kana kuongororwa ropa kukaonekwa kuti kune hutachiona , zvinogona kuratidza kuti une hutachiona hwazvino kana hwekare. Chiremba wako achakutsanangurira zvekuita chaizvo nezvazvo.
Chii chinonzi mhedzisiro isina kunaka (-ve)?
Izvi zvinoreva kuti hauna hutachiona hweH. pylori. Zvisinei, kana uchiri nezviratidzo, chiremba wako anogona kukurudzira mimwe miedzo kuti aone chikonzero chacho.
Saka, ndeipi bvunzo yakanakisisa uye yakarurama?
Izvi zvinoenderana nemamiriro ako ezvinhu.
- Endoscopy ine biopsy ndiyo bvunzo chaiyo , asi yakaoma zvishoma. Kana usingade kuona mukati medumbu rako, chiremba wako anogona kukutumira kune imwe bvunzo iri nyore kutanga.
- Kuyedzwa kwekufema ndiko kwakanyatsojeka pane bvunzo dzisingapindi muropa.
- Kunyange zvazvo kuongororwa ropa kuri nyore kuita, kune zvimwe zvinogumira nekuti hazvigone kukuudza nemazvo kana uine hutachiona.
Chiremba wako ndiye achasarudza kuti ndeipi bvunzo yakakunakira. Saka haufanirwe kunetseka nazvo. Chinhu chakakosha kutevedzera mirairo yake.
Mharidzo Yekuenda Nayo Kumba
- H. pylori chirwere chinowanzo shandiswa nemabhakitiriya chinogona kukonzera gastritis nemaronda emudumbu.
- Usaregeredza zviratidzo zvakaita sekurwadziwa mudumbu nguva nenguva uye kuzvimba. Ehe ona chiremba.
- Kune nzira dziri nyore uye dzakarurama dzekuona hutachiona uhwu, dzakadai sekuongororwa kwekufema uye kuongororwa kwechituru.
- Usati waongororwa uye panguva yekurapwa, tevera mirairo yachiremba wako nemazvo. Usambofa watanga kana kurega kutora mishonga wega.
- Kana bvunzo ikaratidza kuti pane hutachiona, chirwere chacho chinogona kurapwa zvachose nekushandisa mushonga chaiwo wakanyorwa.
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