Uninzi lwethu lunengxaki yokudumba kwesisu, okubizwa ngokuba yi-gastritis. Kwabanye, kube yinxalenye yobomi babo. Bahlala bethatha amayeza kwaye belawula ukutya kwabo. Kodwa ngaba wakha wacinga ukuba unobangela woku unokuba yintsholongwane encinci esiswini sakho? Ewe, yiloo nto siza kuthetha ngayo namhlanje. Igama lale ntsholongwane yiHelicobacter pylori, okanye iH. pylori ngamafutshane.
Ngamafutshane, ngubani lo H. pylori?
I-H. pylori luhlobo lwebhaktiriya ehlala esiswini sakho, okanye ulwelo lwesisu. Enyanisweni, lolona sulelo luxhaphakileyo lwebhaktiriya engapheliyo ehlabathini. Khawucinge nje, ngaphezu kwesiqingatha sabemi behlabathi banale bhaktiriya esiswini sabo! Kodwa into emangalisayo kukuba, ayizizo zonke ezigulayo.
Ixesha elininzi, sifumana olu sulelo lwe-H. pylori xa sisebancinci. Abantwana abahlala kwiindawo ezixineneyo nezingenacoceko basengozini enkulu. Kodwa ungakhathazeki, uninzi lwabantu lunezi ntsholongwane emizimbeni yabo ngaphandle kokubangela monakalo.
Kwenzeka ntoni ngokwenene ukuba wosulelwa yi-H. pylori?
Usenokuba uzibuza ukuba le ntsholongwane inokumelana njani nee-asidi zesisu ezinzima esiswini sethu. Intsholongwane ye-H. pylori inamandla akhethekileyo okwenza oku. Ivelisa ii-enzymes ezinokuthomalalisa i-asidi ejikeleze yona. Kufana nokwakha ikhaka elikhuselayo elijikeleze yona.
Ikhuselwe ngale ndlela, le ntsholongwane ingena kancinci kancinci kwi-inclusive yesisu sakho. Xa sele ilapho, inokubangela ukudumba okungapheliyo, okanye ukudumba kwe-inclusive yesisu. Oku kunokukhokelela kwiingxaki ezintathu eziphambili:
1. Izilonda zePeptic: Olu lolona hlobo luqhelekileyo. Sisilonda esibuhlungu esikhula eludongeni lwangaphakathi lwesisu okanye ekuqaleni kwamathumbu amancinci (i-duodenum). Oku sikubiza ngokuba 'sisilonda sesisu'.
2. I-Gastritis: Oku kubhekisa ekuvuvukeni kolwelo lwangaphakathi lwesisu. Ngamafutshane, ingaphakathi lesisu liba bomvu kwaye lidumbe.
3. Umhlaza Wesisu: Musa ukoyika oku. Ukuba nosulelo lwe-H. pylori yinto ebangela umhlaza wesisu kuphela. Oko kuthetha ukuba ayinguye wonke umntu osulelwe yi-H. pylori oza kuba nomhlaza. Enyanisweni, uninzi lwabantu abane-H. pylori abakaze babe nomhlaza.
Zithini iimpawu zosulelo lwe-H. pylori?
Njengoko besitshilo ngaphambili, abantu abaninzi abane-H. pylori, ingakumbi abantwana, ababonisi zimpawu. Linani elincinci kakhulu labantu eliba neempawu. Ukuba ziyenzeka, zihlala zibangelwa yi-gastritis okanye izilonda zesisu esizixubushileyo ngaphambili.
Uphawu oluphambili ziintlungu zesisu.Intlungu evuthayo okanye ehlabayo. Le ntlungu idla ngokuvela emva kweeyure ezimbalwa emva kokutya nasebusuku. Intlungu ingahlala ukusuka kwimizuzu embalwa ukuya kwiiyure ezimbalwa. Intlungu ingafika ize iphele kangangeentsuku okanye iiveki.
Ungabona ezinye iimpawu ezinxulumene nolu sulelo kwitheyibhile engasezantsi.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukunciphisa umzimba ngaphandle kwesizathu | Ukuba ubunzima bomzimba wakho buyehla ngaphandle kokuba uzame. |
| Ukudumba | Uzive ngathi isisu sakho sigcwele umoya emva kokutya. |
| Isicaphucaphu nokuhlanza | Ukungakhululeki esiswini kunye nokuhlanza. Ngamanye amaxesha, ukuhlanza kunokuhamba negazi. |
| Ukubhodla rhoqo | Ukuya kwindlu yangasese rhoqo kunesiqhelo. |
| Umnqweno wokutya | Ukungafuni ukutya. |
| Ukuziva ugcwele nangona emva kokutya kancinci | Ukuziva uzele kakhulu emva kokutya ukutya okuncinci. |
Ngaba i-H. pylori ibangela utshintsho kwi-tummy?
Lo ngumbuzo obaluleke kakhulu. Uninzi lwabantu abane-H. pylori banendle eqhelekileyo. Oku kungenxa yokuba, njengoko besitshilo ngaphambili, abantu abaninzi abanazo iimpawu.
Nangona kunjalo, kukho uphawu olunye olubalulekileyo lwesilumkiso onokulubona kwi-tune yakho: igazi kwi-tune.
Umzekelo, ukuba indle yakho imnyama mnyama, njengetar , oko kuthetha ukuba uphuma igazi kwisilonda esikwindlela yakho yokugaya ephezulu, mhlawumbi esibangelwa yi-H. pylori. Ukuba indle yakho ibomvu, oko kungaba luphawu lokopha kwindlela yakho yokugaya esezantsi.
Ukuba ubona isitulo esimnyama nesithambileyo esinje, musa ukusityeshela. Yimeko engxamisekileyo. Kufuneka ubone ugqirha ngoko nangoko. Okanye, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe. Ugqirha uza kufumanisa unobangela aze anike unyango olufunekayo.
Idluliselwa njani i-H. pylori?
Ewe, ingasasazeka ukusuka komnye umntu ukuya komnye. Intsholongwane ye-H. pylori ifumaneka kumathe, ekuhlanzeni, kwindle, nakwi-plaque yamazinyo yomntu osulelekileyo. Ngoko ke kukho iindlela ezimbini eziphambili zokusasazeka kwayo:
- Ukudibana ngokusondeleyo: Ungayifumana le ntsholongwane ngokusebenzisa izixhobo zokutya, amanzi okusela, okanye ukudibana nomhlanzo okanye indle yomntu onayo. Le ntsholongwane ingasasazeka komnye umntu ngokusebenzisa izandla zomntu ongazihlambi kakuhle izandla zakhe ngesepha emva kokuya kwigumbi lokuhlambela.
- Ukutya okanye amanzi angcolileyo: Kwiindawo ezingenacoceko, le ntsholongwane inokungena emizimbeni yethu ngamanzi okanye ukutya okungacocwanga kakuhle.
Ugqirha ufumanisa njani i-H. pylori?
Ukuba ugqirha wakho ukrokrela oku emva kokumamela iimpawu zakho, uya kucebisa iimvavanyo ezininzi ukuqinisekisa usulelo.
- Uvavanyo Lokuphefumla: Oku kuquka ukukunika ulwelo olukhethekileyo lokusela, uze uvavanye ukuphefumla kwakho. Ukuba unentsholongwane ye-H. pylori, ikhemikhali ekhethekileyo inokubonwa emphefumulweni wakho emva kokuba usele ulwelo.
- Uvavanyo lweSitulo: Kuthathwa isampulu yetulo lakho ize ivavanywe ukuze kubonwe ii-antigens ezinxulumene nebhaktheriya ye-H. pylori.
- Uvavanyo lweGazi: Olu vavanyo luvavanya igazi lakho ukuze libone ii-antibodies ezenziwe ngumzimba wakho nxamnye ne-H. pylori. Nangona kunjalo, kunzima ukuqiniseka ukuba usulelo luyasebenza okwangoku okanye belukho ixesha elide.
- I-Upper Endoscopy: Kolu vavanyo, kufakwa ityhubhu encinci efakwe ikhamera ngomlomo wakho ize ijonge ngqo esiswini sakho. Oku kungabona ngokucacileyo ukuba kukho izilonda okanye ukudumba. Kungathatha neqhekeza elincinci lesicwili (i-biopsy) kwindawo erhanelekayo kwaye kulivavanye ukuqinisekisa i-100% ukuba ikhona na i-H. pylori.
Ziziphi iindlela zonyango lwe-H. pylori?
Okokuqala, ukuba une-H. pylori kodwa ungenazo iimpawu, uninzi lwexesha awuyi kufuna unyango. Kodwa ukuba unazo iimpawu, ugqirha wakho uya kukunika unyango.
Unyango luhlala malunga neentsuku ezili-14 kwaye lubandakanya indibaniselwano yamayeza aliqela.
- Iiantibiotics: Ezi zinikwa ukubulala iintsholongwane. Ngokwesiqhelo, kunikwa iintlobo ezimbini ezahlukeneyo zee-antibiotics ngaxeshanye. Umzekelo, amayeza afana ne-`(Amoxicillin)`, `(Clarithromycin)`, `(Metronidazole)`.
- I-Proton Pump Inhibitor (PPI): Olu luhlobo lwamayeza anciphisa ubungakanani be-asidi eveliswa sisisu sakho. Imizekelo ibandakanya `(Omeprazole)`, `(Lansoprazole)`, `(Esomeprazole)`. Xa i-asidi inciphile, izilonda zesisu zinokuphola kwaye ii-antibiotics zinokusebenza kakuhle.
- I-Bismuth subsalicylate: Ngamanye amaxesha ugqirha wakho angadibanisa eli yeza namanye amayeza. Oku kukhusela ulwelo lwesisu.
Eyona nto ibalulekileyo kukuthatha amayeza owanikwe ngugqirha ngokupheleleyo, ungaphoswa lusuku olunye . Akuyonto ilungileyo ukuyeka ukuthatha amayeza kuba nje intlungu iphela kwiintsuku ezimbalwa. Ukuba wenza loo nto, iintsholongwane aziyi kupheliswa ngokupheleleyo, kwaye intlungu ingabuya.
Kwakhona, ukuba une-H. pylori, kuphephe ukuthatha amayeza okudambisa iintlungu akwiqela le-"NSAIDs" (umz., i-Ibuprofen, i-Diclofenac) ngaphandle kokubonisana nogqirha wakho, kuba la mayeza anokunyusa umngcipheko wezilonda zesisu.
Ukuba une-H. pylori, zeziphi ukutya ezingalunganga kuwe?
Xa une-H. pylori, ukutya okuthile kunokwenza isisu sakho siphazamiseke kwaye singakhululeki. Nangona zisenokungachaphazeli wonke umntu ngendlela efanayo, kulungile ukuba uqaphele kancinci ngokutya okulandelayo.
| Uhlobo lokutya | Kutheni inokuba mbi? |
|---|---|
| Ukutya okunencasa, okunetshilisi eninzi | Ukutya okuneziqholo okufana netshili, ipepile, kunye ne-mustard kunokunyusa ukudumba esiswini. |
| Isiqhamo esimuncu | Izinto ezifana neelamuni, iiorenji, kunye neetangerines zinokunyusa i-asidi yesisu kwaye zibangele ukungakhululeki. |
| Ukutya okuneoyile eninzi namafutha | Izinto ezifana nokutya okuqhotsiweyo, inyama enamafutha, kunye netshizi zinokubangela ukungakhululeki esiswini kuba kuthatha ixesha elide ukugaya. |
| Iziselo ezine-caffeine | Iziselo ezifana nekofu, iti enamandla, kunye ne-cola zikhuthaza ukuveliswa kwe-asidi esiswini. |
| Utywala | Utywala bungonakalisa ulwelo lwesisu kwaye bulibazise ukuphola kwenxeba. |
| Ukutya okucutshungulweyo | Izithinteli kunye nezinye izongezo ezikukutya zinokubangela ukudumba kwesisu. |
Ungayiphepha njani le nto?
Kukho izinto ezilula onokuzenza ukunciphisa umngcipheko wakho wokosulelwa yi-H. pylori.
- Sela amanzi acocekileyo, ingakumbi kwiindawo ezinemithombo yamanzi engcolisiweyo. Sebenzisa amanzi acocekileyo ekuphekeni.
- Hlamba izandla zakho kakuhle. Ngaphambi kokutya nasemva kokusebenzisa indlu yangasese, qiniseka ukuba uhlamba izandla zakho kakuhle ngesepha namanzi ubuncinane imizuzwana engama-20. Lo mkhwa unokukunceda ekukhuseleni kungekuphela nje kwi-H. pylori, kodwa nakwezinye izifo ezininzi.
Umyalezo Wokuya Ekhaya
- I-H. pylori yintsholongwane eqhelekileyo ehlala esiswini. Uninzi lwabantu abosulelwe yiyo ababonisi zimpawu.
- Ukuba iimpawu ziyenzeka, zihlala zifana ne-gastritis okanye izilonda zesisu (ezifana nokudumba kwesisu, iintlungu, kunye nokudumba).
- Ukuba indle yakho imnyama tshu kwaye ayihlali ixesha elide, luphawu olubi lokopha esiswini. Bonana nogqirha ngokukhawuleza.
- Kukho unyango olusebenzayo lwe-H. pylori. Eyona nto ibalulekileyo kukuthatha amayeza achazwe ngugqirha wakho ngqo ixesha lonke.
- Iindlela ezilungileyo zococeko (ingakumbi ukuhlamba izandla nokusela amanzi acocekileyo) zinokunceda ekuthinteleni olu sulelo.
- Ukuba uneempawu ezinje, musa ukuzinyanga kwaye ngokuqinisekileyo thetha nogqirha wakho.
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