Ingaba ukudumba kwesisu sakho kubangelwa yi-H. pylori (Helicobacter pylori)? Masifumanise ukuba zeziphi kanye kanye ezi mvavanyo!

Ngaba ngamanye amaxesha uziva utshile esiswini sakho, uzive ugcwele kwaye unzima esiswini sakho? Okanye ngaba ufumana iintlungu ezingaqhelekanga esiswini sakho ngaphambi kokuba utye? Sihlala sicinga ukuba oku kumele ukuba "yigesi", akunjalo? Kodwa igesi ayisiyonto yodwa ebangela zonke iingxaki zesisu. Ngamanye amaxesha unobangela woku unokuba yintsholongwane encinci esingenakuyibona ngamehlo ethu. Omnye wabantu abanjalo ngu-'H. pylori' okanye '(Helicobacter pylori)'. Namhlanje, masithethe ngokuba yintoni i-'H. pylori', zeziphi iimvavanyo ezikhoyo zokufumanisa ukuba le ntsholongwane isemzimbeni wethu, kunye nendlela yokuyenza.

Lufuneka nini uvavanyo lwe-H. pylori?

Ngoku usenokuba ucinga, "Ngaba nam kufuneka ndifumane olu vavanyo?" Ayinguye wonke umntu oludingayo. Kodwa ukuba unale mpawu, ugqirha wakho unokucebisa uvavanyo lwe-H. pylori:

• Ukuba ufumana intlungu yokumba okanye yokutsha embindini okanye kwinxalenye ephezulu yesisu sakho ngexesha lokutya okanye ebusuku, kuvakala ngathi kukho umntu okukrwela ngaphakathi.
• Ukuba iintlungu zesisu zibonakala ziphela kancinci emva kokutya into ethile okanye ukuthatha i-antacid .
• Ukuba uhlala uziva ugcwele kwaye uqunjelwe .
• Ukuba unesicaphucaphu okanye uhlanza .

Ezi mpawu zinokubonisa ukuba ulwelo lwesisu sakho luvuvukile, olubizwa ngokuba yi-gastritis, okanye ukuba unezilonda esiswini okanye emathunjini amancinci, olubizwa ngokuba sisifo sesilonda se-peptic. Ibhaktheriya i-H. pylori yeyona nto ibangela oku. Kwezinye iimeko, inokunyusa umngcipheko womhlaza wesisu. Yiyo loo nto ugqirha eya kucebisa olu vavanyo ukuba unazo ezi mpawu.

Zeziphi iimvavanyo ezikhoyo zokufumanisa i-`H. pylori`?

Kulungile, ngoku masibone ukuba zeziphi iimvavanyo ezikhoyo ukuze kubonwe ngokuchanekileyo ubukho bale ntsholongwane ye-`H. pylori`. Kukho iintlobo ezine zovavanyo ikakhulu.

1. Uvavanyo lokuphefumla lwe-`H. pylori` (Uvavanyo lokuphefumla lwe-Urea)`

Olu lolona vavanyo luqhelekileyo nolulula kakhulu lokufumanisa i-H. pylori. Nantsi into eyenzekayo:

Okokuqala, unikwa ulwelo olukhethekileyo ukuba ulusele. Olu lwelo lunekhemikhali ebizwa ngokuba yi-`(Urea)`. Ngoku, ukuba une-`H. pylori` bacteria esiswini sakho, loo bacteria iguqula le `(Urea)` ibe yigesi ye-carbon dioxide. Emva koko, xa ukhupha umoya, ubungakanani be-carbon dioxide kuloo moya buyalinganiswa. Ukuba kukho i-carbon dioxide engaphezulu kunesiqhelo, kuthetha ukuba une-`H. pylori` emzimbeni wakho. Kulula, akunjalo?

2. Uvavanyo lwendle oluthi `H. pylori` `(Uvavanyo lwe-Antigen yeSitulo - SAT)`

Olu luvavanyo olulula kakhulu. Lukhangela ii-antigens, okanye ``ii-antigens'', kwisampulu yendle yakho. ``i-antigen'' yiproteni ekhethekileyo kwiseli, intsholongwane, okanye intsholongwane. Inkqubo yethu yokuzikhusela komzimba iyaziqonda izifo ngezi ``i-antigens.'' Ngoko ke, ukubakho kwe-``H. pylori'' ``ii-antigens'' kwindle yakho kuthetha ukuba le ntsholongwane ikhona kwinkqubo yakho yokugaya ukutya.

3. Uvavanyo lwegazi lwe-`H. pylori` (Uvavanyo lwegazi)`

Oku kuvavanya igazi lakho ukuze kubonwe ii-antibodies kwi-H. pylori. Xa i-antigen eyingozi ingena emzimbeni wethu, ezi antibodies ziiproteni ezenziwa yinkqubo yethu yokuzikhusela ukuze ilwe nayo. Ezi antibodies zijikeleza egazini ukuze zifumane kwaye zitshabalalise intsholongwane eyingozi (kule meko, i-H. pylori).

Nangona kunjalo, olu vavanyo lwegazi luneengxaki ezincinci xa luthelekiswa nezinye iimvavanyo. Oko kukuthi, alunakwahlula ngokuchanekileyo phakathi kosulelo olusebenzayo kunye nosulelo lwangaphambili oluye lwaphela ngoku . Oku kungenxa yokuba la ``Antibodies`` anokuhlala egazini ixesha elithile emva kokuba usulelo luphelile. Ke ngoko, oogqirha basebenzisa olu vavanyo lwegazi ikakhulu ukuvavanya abantu kwamanye amazwe apho ``H. pylori`` ixhaphakileyo (umzekelo, eAfrika, eMzantsi Melika, naseNtshona Asia).

4. I-Upper Endoscopy / I-Esophagogastroduodenoscopy - I-EGD

Olu lolona vavanyo luchanekileyo lokufumanisa i-H. pylori. Nangona kunjalo, ngokungafaniyo nezinye iimvavanyo, le yinkqubo engenelelayo kancinci. Ugqirha angenza olu vavanyo ukuba ufuna ukujonga ezinye iingxaki (ezifana neempawu zomhlaza) ukongeza kwi-H. pylori.

Kule nkqubo, ufakwa i-anesthesia (awuva ntlungu), kwaye ityhubhu enekhamera encinci enamathele kuyo idluliselwa emlonyeni wakho iye esiswini sakho okanye ekuqaleni kwamathumbu akho amancinci. Le khamera inokubona kakuhle ngaphakathi. Emva koko, isixhobo esincinci esingena ngaphakathi kwityhubhu sithatha iqhekeza elincinci lethishu (i-biopsy) kwingqiniba yesisu sakho okanye amathumbu kwaye silithumele kwilebhu ukuze lihlole i-H. pylori. Oku kukwabizwa ngokuba yi-EGD.

Zisebenza njani ezi mvavanyo?

Ngamafutshane, zonke ezi mvavanyo zikhangela iimpawu zebhaktheriya ye-H. pylori. Uvavanyo lokuphefumla, uvavanyo lwesitulo, kunye ne-endoscopy zinokubona usulelo olusebenzayo . Uvavanyo lwegazi lunokubonisa ukuba wakha waba nosulelo lwe-H. pylori (okanye ukuba wakha waba nalo okanye akunjalo).

Ungazilungiselela njani uvavanyo?

Ngokuxhomekeke kuhlobo lovavanyo olulwenzayo, kunokufuneka uyeke ukuthatha amayeza athile kwiiveki ezimbini ukuya kwezine ngaphambi kovavanyo. Oku kungenxa yokuba amanye amayeza anokubangela iziphumo zovavanyo ezingezizo ezilungileyo . Oku kuthetha ukuba uvavanyo lunokubonisa ukuba "alunalo usulelo" nokuba unesifo.

Ugqirha wakho angakuxelela ukuba uyeke ukusebenzisa amayeza anjengala:

• Amayeza anjengee-antibiotics okanye iPepto-Bismol® (i-oral bismuth subsalicylate).
• Amayeza athengiswa ngaphandle kwekhawuntara (OTC) okanye amayeza abhalwe ngugqirha abizwa ngokuba yi-``Proton Pump Inhibitors - PPIs'' ayafumaneka kwiikhemesti. Imizekelo ibandakanya ``omeprazole (Prilosec®)'', ``lansoprazole (Prevacid®)'', ``pantoprazole (Protonix®)'', ``rabeprazole (AcipHex®)'' okanye ``esomeprazole (Nexium®)'', ``dexlansoprazole (Dexilant®)''.

Ungacelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezimbalwa ngaphambi kovavanyo (ukuzila ukutya) . Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Kwenzeka ntoni ngexesha lovavanyo?

Okwenzekayo ngaloo mini kuya kwahluka ngokuxhomekeke kuhlobo lovavanyo olwenzileyo. Usenokuba novavanyo olunye kuphela, okanye usenokuba novavanyo oluninzi.

• Uvavanyo lokuphefumla lwe-H. pylori: Okokuqala, ucelwa ukuba uphefumlele kwingxowa efana nebhaluni. Ubungakanani bekhabhoni diokside ekuyo buyalinganiswa. Emva koko, unikwa isiselo se-urea. Emva kwemizuzu eli-15, ucelwa ukuba uphefumlele kwenye ingxowa kwakhona. Ubungakanani bekhabhoni diokside ekuyo buyalinganiswa. Ukuba ikhabhoni diokside iphezulu okwesibini, kuthetha ukuba unosulelo lwe-H. pylori.
• Uvavanyo lwendle ye-H. pylori: Kuya kufuneka uqokelele isampuli yendle kwisikhongozeli esincinci esinikwe ngugqirha wakho. Ugqirha wakho uya kukuxelela indlela kunye nexesha lokuyisa kwilebhu.
• Uvavanyo lwegazi lwe-`H. pylori`: Olu lufana novavanyo lwegazi oluqhelekileyo. Isampuli encinci yegazi iyathathwa ize ithunyelwe kwilebhu ukuze ivavanywe.
• I-Upper endoscopy: Uza kunikwa i-sedative ukuze ungabi nantlungu. Emva koko, ugqirha uza kufaka kancinci ityhubhu enekhamera ngomlomo wakho iye esiswini sakho okanye emathunjini amancinci. Le tyhubhu iza kusetyenziselwa ukujonga ngaphakathi, kwaye ukuba kuyimfuneko, ithathe isampuli yezicubu (i-biopsy).

Ungaya ekhaya ngaloo mini inye emva kokuba zonke ezi mvavanyo zenziwe. Nangona kunjalo, ukuba une-endoscopy, kuya kufuneka umntu akuse ekhaya ngenxa ye-anesthesia.

Yintoni onokuyilindela emva kovavanyo?

Isampulu ethathwe kuwe iya kuthunyelwa kwilabhoratri ukuze ivavanywe.

Ungabuyela emsebenzini njengesiqhelo emva kokuphefumula, isitulo, okanye uvavanyo lwegazi. Kungcono ukuphumla iiyure ezingama-24 zokuqala emva kovavanyo lwe-endoscopy, kodwa uninzi lwabantu lunokubuyela emsebenzini ngosuku olulandelayo.

Zithetha ukuthini iziphumo zovavanyo?

Iziphumo zovavanyo lwakho zinokuba ``Zilungile`` okanye ``Zingalunganga`` .

Kuthetha ukuthini ukuba une-'H. pylori'?

Ukuba iziphumo zovavanyo lokuphefumula, isitulo, okanye i-endoscopy zithi zilungile, oko kuthetha ukuba okwangoku une-H. pylori esebenzayo . Kuya kufuneka emva koko uthathe amayeza okubulala iintsholongwane. Emva kokuthatha amayeza okubulala i-H. pylori ixesha elithile, ungenza olunye uvavanyo ukuze ubone ukuba i-HIV ayisekho na.

Ukuba iziphumo zovavanyo lwegazi zithi "zilungile", oko kuthetha ukuba unesifo se-"H. pylori" okanye ukhe wasosulela. Ugqirha wakho uza kukuxelela into omawuyenze ngokulandelayo ngokusekelwe kwiziphumo.

Kuthetha ukuthini ukuba i-H. pylori ayinayo i-HIV?

Isiphumo esibi sisiphumo esiqhelekileyo. Oko kuthetha ukuba awunayo intsholongwane ye-H. pylori .

Kuthatha ixesha elingakanani ukwazi iziphumo?

Iziphumo zihlala zifumaneka kwiintsuku enye ukuya kwezintathu. Xa usiya kuvavanyo, buza ugqirha wakho ukuba kuza kuthatha ixesha elingakanani ukufumana iziphumo kunye nendlela onokuzifumana ngayo.

Loluphi uvavanyo oluchanekileyo lokufumanisa i-`H. pylori`?

Uvavanyo oluchanekileyo lokufumanisa i-H. pylori yi-upper endoscopy . Nangona kunjalo, uvavanyo olufanelekileyo kuwe luya kuxhomekeka kwimeko yakho ethile. Cinga ngezi zinto:

• I-endoscopy yeyona ichanekileyo, kodwa ikwayeyona vavanyo ingena kakhulu kwaye ithatha ixesha. Ukuba ugqirha wakho ufuna nje ukwazi ukuba unesifo, mhlawumbi uya kuqala ngovavanyo olulula.
• Kwiimvavanyo ezingangenisi gazi, uvavanyo lokuphefumla lwe-H. pylori lolona luchanekileyo. Nangona kunjalo, lusenokungafumaneki kuyo yonke indawo.
• Uvavanyo lwegazi lwe-H. pylori lulula kakhulu, kodwa iziphumo zikuxelela kuphela ukuba wakha waba nosulelo lwe-H. pylori. Alunakukuxelela ngokuqinisekileyo ukuba okwangoku unesifo.

Ugqirha wakho uza kucebisa ukuba loluphi uvavanyo olulungele wena ngokusekelwe kwiimfuno zakho zempilo.

Okokugqibela, khumbula oku ! (Umyalezo oya nawo ekhaya)

Ngoko ke, ukuba uneempawu ezifana neentlungu zesisu ezixhaphakileyo kunye nokudumba, ezi mvavanyo zibaluleke kakhulu ukufumanisa ukuba unobangela yintsholongwane `(Helicobacter pylori)`. Akukho nto ibalulekileyo yokukhathazeka ngayo. Ukuba ezi mvavanyo ziqinisekisa ukuba kukho usulelo, ugqirha uza kukunika amayeza afunekayo. Xa uthatha loo mayeza ngokuchanekileyo, iintsholongwane ziya kutshatyalaliswa kwaye ukungakhululeki esiswini sakho okanye emathunjini amancinci kuya kunyangwa. Ke ngoko, ukuba uneempawu, kububulumko ukubona ugqirha kwaye ufune iingcebiso ngaphandle kokuzityeshela. Emva koko ungaphila ngokukhawuleza.

` H. pylori, iHelicobacter pylori, iHelicobacter pylori, Izilonda zesisu, iGastritis, umhlaza wesisu, uvavanyo lomphefumlo, uvavanyo lwestool, i-Endoscopy, uvavanyo lomphefumlo we-Urea, uvavanyo lwe-Antigen yestool, iGastritis, isifo sePeptic Ulcer