Ngaba ukhe uzive utshiswe sisitshiso okanye iintlungu zesisu ngaphambi kokutya okanye ebusuku? Ngaba uziva ugcwele okanye unesicaphucaphu? Nangona abantu abaninzi becinga ukuba ezi 'gastritis', ngamanye amaxesha unobangela woku unokuba yintsholongwane encinci esiswini sethu. Le ntsholongwane ibizwa ngokuba yi-H. pylori. Ngoko ke, namhlanje siza kuthetha ngokuba ngubani le ntsholongwane kwaye zeziphi iimvavanyo ezenziwayo ukuyifumanisa.
Ngubani lo H. pylori?
Ngamafutshane, i-H. pylori (i-Helicobacter pylori) luhlobo lwebhaktheriya enokuphila esiswini sethu nasemathunjini amancinci. Xa le bhaktheriya isisulela, iqala ukonakalisa ulwelo lwesisu sethu ngokuhamba kwexesha. Oku kunokubangela ukuba ulwelo lwesisu luvuvuke, imeko esiyibiza ngokuba yi-gastritis . Kwakhona, ukuba lo monakalo uyaqhubeka, unokukhokelela kwizilonda esiswini okanye emathunjini amancinci, ezibizwa ngokuba zizilonda ze-peptic .
Abantu abaninzi eSri Lanka banale ntsholongwane. Kodwa ayinguye wonke umntu ofumana iimpawu. Kodwa ukuba iimpawu ziyavela, kubaluleke kakhulu ukufumana unyango olufanelekileyo.
Lufuneka nini uvavanyo lwe-H. pylori?
Ukuba unezi mpawu zilandelayo, ugqirha wakho unokurhanela ukuba une-H. pylori kwaye acele uvavanyo ukuze luqinisekiswe.
- Intlungu evuthayo nekruqulayo esiswini esiphakathi okanye esingaphezulu, ingakumbi ngexesha lokutya okanye ebusuku.
- Ukuba uvakalelwa kukuba iintlungu ziyancipha kancinci emva kokutya okanye ukuthatha i-antacid ye-gastritis.
- Ukudumba .
- Isicaphucaphu nokuhlanza .
Ukuba uneempawu ezinje, kungcono ukubona ugqirha uze ufumane ingcebiso.
Zeziphi iintlobo zovavanyo ezisetyenziselwa ukufumanisa i-H. pylori?
Kukho iindlela ezine eziphambili zokufumanisa ukuba unayo na le ntsholongwane emzimbeni wakho. Ngokuxhomekeke kwiimpawu zakho kunye nemeko yakho, ugqirha wakho uya kukucebisa uvavanyo olufanelekileyo kuwe.
| Igama lovavanyo | Indlela yokwenza oku ilula. |
|---|---|
| Uvavanyo lokuphefumla | Usela ulwelo olukhethekileyo, uze ukhuphe umoya ungene ebhegini uze ulinganise ubungakanani bomoya okuyo. |
| Uvavanyo lweSitulo | Isampulu yendle yakho iyavavanywa ukuze kufunyanwe ii-antigens ezinxulumene nebhaktheriya. |
| Uvavanyo lweGazi | Isampuli yegazi iyavavanywa ukuze kufunyanwe iiproteni (ii-antibodies) ezenziwe ngumzimba nxamnye ne-H. pylori. |
| I-Endoscopy | Ityhubhu enekhamera eqhotyoshelweyo ifakwa entanyeni ukuze kuhlolwe isisu, kwaye kuthathwa iqhekeza elincinci lethishu ukuze lihlolwe. |
Makhe sithethe ngezi mvavanyo ngokweenkcukacha ezithe vetshe.
Ngoku makhe sibone ukuba lwenziwa njani kanye kanye olu vavanyo.
Uvavanyo lokuphefumla lwe-Urea
Olu lolona vavanyo lulula nolusetyenziswa kakhulu olufumanekayo ukufumanisa i-H. pylori.
Okokuqala, ucelwa ukuba uphefumlele kwingxowa efana nebhaluni. Emva koko, unikwa ulwelo olukhethekileyo olune-urea ukuba ulusele. Emva kwemizuzu eli-15, ucelwa ukuba uphefumlele kwingxowa entsha kwakhona.
Khawucinge nje, ukuba une-H. pylori bacteria esiswini sakho, ukuba i-bacteria iqhekeza i-urea kulwelo oluseleyo ize ivelise igesi ebizwa ngokuba yi-carbon dioxide. Emva koko, ubungakanani be-carbon dioxide ekuphefumleni kwesibini okukhuphayo buphezulu. Oko kunyuka bubungqina bokuba kukho usulelo.
Uvavanyo lwe-Antigen yeSitulo
Kolu vavanyo, uza kunikwa isitya esincinci sokuqokelela isampuli yendle ekhaya. Uza kunikwa imiyalelo ecacileyo yendlela yokwenza oku. Le yindlela oza kuqokelela ngayo isampuli uze uyithumele kwilebhu.
Olu vavanyo lukhangela ii-antigens kwi-stool yakho ezihambelana ne-H. pylori bacteria. Ii-antigens zifana "nekhadi lokuchonga" le-bacteria. Ukubakho kwazo kwi-stool yakho kuthetha ukuba i-bacteria ikwinkqubo yakho yokugaya ukutya.
Uvavanyo lweGazi
Oku kufana novavanyo lwegazi oluqhelekileyo. Isampuli encinci yegazi ithathwa engalweni yakho ize ithunyelwe kwilabhoratri.
Oku kuvavanya igazi lakho ngeeproteni ezibizwa ngokuba zii-antibodies ezenziwe yinkqubo yomzimba wakho yokulwa nosulelo lwe-H. pylori.
Kodwa nantsi into ebalulekileyo. La ma-antibodies anokuhlala egazini okwethutyana emva kokuba usulelo luphelile. Ke ngoko, kunzima ukubona ngolu vavanyo ukuba ngaba unesifo okanye ukuba sele unaso ngaphambili waza waphila na. Ngoko ke akuluncedo kakhulu ekufumaneni usulelo olusebenzayo okwangoku.
I-Endoscopy kunye neBiopsy
Olu lolona vavanyo luchanekileyo lokufumanisa i-H. pylori, kodwa luyinkimbinkimbi ngakumbi kunezinye.
Ngexesha le nkqubo, uza kunikwa amayeza okukunceda ulale. Emva koko, ugqirha wakho uza kufaka ityhubhu encinci, eguquguqukayo (i-endoscope) ezantsi emqaleni wakho nasesiswini sakho nasemathunjini amancinci. Ikhamera esekupheleni kwale tyhubhu ingasetyenziselwa ukuhlola ingaphakathi lesisu sakho.
Ukuba kurhanelwa ukuba kukho usulelo okanye isilonda, ugqirha angasebenzisa isixhobo esincinci esidlula kwityhubhu ukuze athathe iqhekeza elincinci kakhulu lesicwili (i-biopsy) eludongeni lwesisu. Emva koko sithunyelwa kwilebhu ukuqinisekisa ukuba uH. pylori ukhona na.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Oku kubaluleke kakhulu. Ngaphambi kokuba kwenziwe uvavanyo oluthile, ugqirha wakho angakucela ukuba uyeke ukusebenzisa amayeza athile kangangeentsuku okanye iiveki ezimbalwa. La mayeza anokubangela ukuba iziphumo zovavanyo zingachaneki (angabonisa ukuba unosulelo xa ungenalo).
Amayeza adla ngokucetyiswa ukuba ayeke ngala:
- Ii-antibiotics
- I-Bismuth subsalicylate (amayeza athile abangela iingxaki zesisu, njengePepto-Bismol®)
- IiProton Pump Inhibitors (PPIs) (ezi ngamayeza aqhele ukumiselwa kwi-gastritis, njenge-Omeprazole kunye ne-Esomeprazole)
Kwakhona, ezinye iimvavanyo (ezifana novavanyo lokuphefumula kunye ne-endoscopy) zinokufuna ukuba ungatyi okanye usele iiyure ezimbalwa.
Kodwa khumbula, yeka ukuthatha amayeza akho njengoko ugqirha wakho ekuxelele. Ungaze uyeke ukuwathatha wedwa. Landela imiyalelo oyifumanayo ngqo.
Zithini iziphumo zovavanyo?
Iziphumo ozifumanayo zinokuba "Zilungile" (+ve) okanye "Zimbi" (-ve).
Yintoni isiphumo esihle (+ve)?
Oku kuthetha ukuba unesifo se-H. pylori (okanye ukhe waba naso).
- Ukuba uvavanyo lwakho lokuphefumla, isitulo, okanye i-endoscopy lubonise ukuba unayo , oko kuthetha ukuba okwangoku unentsholongwane esebenzayo . Ugqirha wakho uya kukunika amayeza, kuquka amayeza okubulala iintsholongwane, ukubulala iintsholongwane.
- Ukuba uvavanyo lwegazi lubonise ukuba unayo , lunokubonisa ukuba unayo intsholongwane yangoku okanye yangaphambili. Ugqirha wakho uza kukuchazela into omawuyenze ngayo.
Yintoni isiphumo esibi (-ve)?
Oku kuthetha ukuba awunayo intsholongwane ye-H. pylori. Nangona kunjalo, ukuba usenazo iimpawu, ugqirha wakho unokucebisa ezinye iimvavanyo ukuze kufunyanwe unobangela.
Ngoko ke, loluphi uvavanyo olungcono noluchanekileyo?
Oku kuxhomekeke kwimeko yakho.
- I-Endoscopy ene-biopsy lolona vavanyo luchanekileyo , kodwa luyinkimbinkimbi ngakumbi. Ukuba awudingi ukubona ingaphakathi lesisu sakho, ugqirha wakho unokukuthumela kuvavanyo olulula kuqala.
- Uvavanyo lokuphefumla lolona luchanekileyo kwiimvavanyo ezingangenisi gazi.
- Nangona kulula ukwenza uvavanyo lwegazi , lunemida kuba alunakukuxelela ngokuchanekileyo ukuba unentsholongwane ephilayo.
Ugqirha wakho uza kugqiba ukuba loluphi uvavanyo olukulungeleyo. Ngoko ke akufuneki ukhathazeke ngalo. Eyona nto ibalulekileyo kukulandela imiyalelo yakhe.
Umyalezo Wokuya Ekhaya
- I-H. pylori lusulelo oluqhelekileyo lwebhaktheriya olunokuba yimbangela ephambili ye-gastritis kunye nezilonda zesisu.
- Musa ukuzityeshela iimpawu ezifana neentlungu zesisu rhoqo kunye nokudumba. Ngokuqinisekileyo bonana nogqirha.
- Kukho iindlela ezilula nezichanekileyo zokufumanisa olu sulelo, ezinje ngovavanyo lomoya kunye novavanyo lwesitulo.
- Ngaphambi kovavanyo nangexesha lonyango, landela imiyalelo kagqirha wakho ngokuchanekileyo. Ungaze uqale okanye uyeke ukuthatha amayeza wedwa.
- Ukuba uvavanyo luqinisekisa ukuba kukho usulelo, imeko inokunyangeka ngokupheleleyo ngokusebenzisa amayeza achanekileyo anikiweyo.
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