Ingaba isisu sakho sihlala sitshisa? Masifunde ngqo ngeHelicobacter pylori!

Abantu abaninzi baneengxaki zesisu, ezifana nesitshiso sentliziyo, akunjalo? Ngamanye amaxesha inokuba kukugayeka kancinci kokutya, okanye inokubangelwa yintsholongwane. Kodwa, kusenokwenzeka ukuba ukhe weva ngebhaktiriya ebizwa ngokuba yi-``Helicobacter pylori``. Namhlanje, siza kuthetha ngokuba yintoni le bhaktiriya, kwenzeka ntoni xa ingena emzimbeni, kunye nendlela yokuyinyanga. Kubalulekile ukwazi oku kuba kunokuchaphazela abantwana abancinci kunye nabantu abadala.

Yintoni iHelicobacter pylori?

Ngamafutshane, le `Helicobacter pylori` luhlobo lwebhaktheriya . Ifana neentsholongwane ezincinci esingenakuzibona ngamehlo ethu. Xa ezi zingena esiswini sethu, oko kukuthi, esiswini, zinokubangela iintlobo ezahlukeneyo zezifo zenkqubo yokugaya ukutya.

Izinto eziphambili ezinokubangelwa yile ntsholongwane zezi:

• I-Gastritis: Oku kwenzeka xa udonga lwangaphakathi, okanye ulwelo, lwesisu luvuvukala, ludumba, kwaye lubuhlungu. Abantu abaninzi babiza oku ngokuthi 'yigesi' okanye 'yintlungu yesisu', akunjalo? Le yeyona meko ixhaphakileyo.
• Izilonda Zesisu: Ezi zikwabizwa ngokuba 'zizilonda zesisu'. Izilonda zinokuvela esiswini, inxalenye ephezulu yamathumbu amancinci (inxalenye yokuqala yamathumbu amancinci), kwaye ngamanye amaxesha nakwi-esophagus (umbhobho wokutya). Kanye njengokuba izilonda zinokwenzeka emlonyeni, izilonda nazo zinokuvela ngaphakathi esiswini.
• Ukuba ezi meko azinyangwa ixesha elide, kukho umngcipheko wokuba, nangona zingaqhelekanga, zinokukhula zibe ngumhlaza wesisu. Yiyo loo nto singafanele sithathe olu sulelo lwe-`(H. pylori)` lula. Ukufunyanwa kwangethuba kunye nonyango kubaluleke kakhulu.

Kodwa kufuneka ukhumbule into enye. Ngalo lonke ixesha abantwana befumana iintlungu zesisu, imbangela ayikokuba yintsholongwane ethi `(H. pylori)`. Zininzi ezinye izizathu zokuba abantwana abancinci bafumane iintlungu zesisu! Kusenokuba kukungakwazi ukutya kakuhle, kungaba luhlobo oluthile losulelo lwentsholongwane, abanye abantwana bakhalaza ngelithi isisu sabo sibuhlungu xa benqena ukuya esikolweni, akunjalo? Kusenokuba luxinzelelo, okanye kungaba yingxamiseko efana ne-appendicitis. Ngoko ke musa ukoyika `(H. pylori)` kuzo zonke iintlungu zesisu.

Zithini iimpawu zale ntsholongwane (H. pylori)?

Okumangalisayo kukuba abantu abaninzi abanale ntsholongwane ye-`(H. pylori)` emizimbeni yabo ababonisi zimpawu . Oko kukuthi, abazi nokuba banale ntsholongwane. Lo gama nje le ntsholongwane isemzimbeni, kufana nokuba akukho ngxaki.

Nangona kunjalo, ngamanye amaxesha xa le ntsholongwane iqala ukusebenza kwaye ibangela iingxaki, iimpawu ziqala ukubonakala. Ezi zihlala ziimpawu zesifo esibizwa ngokuba yi-'Gastritis' okanye 'Peptic Ulcer'.

Iimpawu ze-gastritis kubantwana abancinci:

Ukuba umntwana omncinci ufumana imeko ebizwa ngokuba yi-gastritis ngenxa ye-H. pylori, unokufumana ezi mpawu zilandelayo:

• Isicaphucaphu (ukuziva ngathi uhlanza)
• Ukuhlanza
• Intlungu yesisu (ingakumbi esiswini esingaphezulu)
• Ukuziva uzele okanye uqunjelwe (ukuziva uzele nasemva kokutya ukutya okuncinci)

Iimpawu zezilonda zesisu kubantwana abadala nakubantu abadala:

Xa abantwana abadala kunye nabantu abadala befumana isilonda sesisu, uphawu oluphambili ludla ngokuba yintlungu ehlala ivutha esiswini. Ngokuchanekileyo, oku kuvakala phantsi kwesifuba, ngaphantsi nje kweembambo, nangaphezulu kwenkaba. Abanye abantu bakubiza ngokuba 'yintlungu ebuhlungu'. Le ntlungu iba mandundu ngakumbi xa isisu singenanto. Oku kuthetha ukuba intlungu inokuvela ngequbuliso xa isidlo siphelile okanye xa ulala ebusuku. Nangona kunjalo, intlungu ibonakala incipha kancinci emva kokutya kancinci, ukusela iglasi yobisi, okanye ukuthatha iyeza lokunciphisa i-asidi elinikwe ngugqirha.

Kuthekani ukuba amanxeba esisu ayopha? Oku kuyingozi!

Ngamanye amaxesha, xa le meko ye-'Peptic Ulcer' iba mandundu, amanxeba anokopha. Ukuba oku kuyenzeka, unokufumana ezi mpawu ziyingozi:

• I-Hematemesis: Oku kuthetha ukuhlanza igazi. Igazi linokuba bomvu obuqaqambileyo, okanye ukuhlanza kungaba mnyama okanye kube mdaka, njengokugaywa kwekofu.
• Indle emnyama okanye enegazi (uMelena): Ukuba indle yakho ayihlali ixesha elide, imnyama, kwaye iyakhazimla, luphawu lokopha esiswini. Ngamanye amaxesha, kunokubakho igazi elibomvu kwindle.

Ukuba ubona naziphi na kwezi mpawu , kuya kufuneka ubone ugqirha ngokukhawuleza, ngaphandle kokulibazisa. Ezi ayizozinto onokuzityeshela ekhaya. Unyango olukhawulezileyo lubalulekile.

Oku (H. pylori) kungena njani emizimbeni yethu?

Ngoku makhe sibone indlela le ntsholongwane ethi `(H. pylori)` edluliselwa ngayo ukusuka komnye umntu ukuya komnye, okanye ukusuka kwindawo esingqongileyo ukuya kuthi. Kubalulekile ukwazi oku, kuba ngoko singalumka.

Eyona ndlela iphambili le bhaktiriya ingena ngayo emizimbeni yethu kukutya okungcolileyo, amanzi, okanye izixhobo zokutya. Umzekelo, ukuba sitya esityeni esisetyenziswe ngumntu onesifo se-`(H. pylori)` kwaye singahlanjwanga kakuhle, singayifumana. Sifanele silumke nangokutya ukutya okungaphekwanga kakuhle, ingakumbi kwiindawo apho ucoceko lungekho semgangathweni.

Kwakhona, olu sulelo luxhaphake kakhulu kwiindawo ezinabantu abaninzi, apho kungekho manzi acocekileyo okanye iinkqubo ezifanelekileyo zokulahla inkunkuma . Le meko ixhaphake kakhulu kumazwe asakhasayo ehlabathi.

Enye into kukuba le ntsholongwane inokudluliselwa ngamathe kunye nolunye ulwelo lomzimba . Oko kukuthi, inokudluliselwa ngokusondelana, umzekelo, ukutya kwisitya esinye, ukusela kwibhotile enye yamanzi, okanye ukuba amathe omntu osulelekileyo adluliselwa komnye umntu. Ke ngoko, ukuba kukho umntu kusapho onesifo, kungcono ukuba abanye balumke.

Ugqirha uyifumanisa njani le ntsholongwane (i-H. pylori)?

Usenokucinga, 'Kulungile, nam ndinazo ezi mpawu, ngoko ke mhlawumbi ndine-H. pylori.' Kodwa, njengoko bekutshiwo ngaphambili, iingxaki ezibangelwa yi-H. pylori zinokubonwa nakwezinye izifo ezininzi. Ngoko ke, oogqirha benza iimvavanyo ezahlukeneyo ukuze bafumane ukuba olu sulelo yi-H. pylori na. Kunzima ukulibona ngokujonga nje iimpawu.

Nazi ezinye zeemvavanyo ezinjalo:

• I-Endoscopy: Le yindlela edla ngokuba yeyona ichanekileyo. Kule ndlela, ulaliswa (mhlawumbi umphimbo wakho uphelelwe ngamandla), aze ugqirha afake ityhubhu encinci, eguquguqukayo ebizwa ngokuba yi-endoscope entanyeni yakho ukuze ijonge isisu sakho kunye nenxalenye yokuqala yamathumbu akho amancinci (i-duodenum). Kukho ikhamera encinci ekupheleni kwale tyhubhu. Emva koko ugqirha angabona ngaphakathi, ukuze abone ukuba kukho izilonda okanye ukudumba. Kwangaxeshanye, kuthathwa iqhekeza elincinci lethishu eludongeni lwesisu ukuze kuhlolwe usulelo kunye nobukho bebhaktheriya (H. pylori). Oku akunanto yakwenza nokukhathazeka.
• Uvavanyo lweGazi: Olu vavanyo luvavanya ukuba kukho na ii-antibodies emzimbeni wethu ezichasene nebhaktheriya (H. pylori). Ii-antibodies ziiproteni ezikhethekileyo ezenziwa yinkqubo yethu yokuzikhusela ukulwa nentsholongwane. Nangona kunjalo, uvavanyo oluqinisekileyo aluthethi ukuba sinosulelo. Kusenokwenzeka ukuba sikhe sanosulelo ngaphambili saza saphila. Ke ngoko, kunzima ukwenza isigqibo ngokusekelwe koku kuphela.
• Uvavanyo Lokuphefumla: Kule nto, unikwa ulwelo olukhethekileyo (olune-urea) ukuba ulusele, uze emva koko uvavanye umoya wakho emva kwexesha elithile. Ibhaktheriya (H. pylori) iyayiqhekeza i-urea kulwelo ize ivelise i-carbon dioxide. Oku kubonwa ngokulinganisa ubungakanani be-carbon dioxide. Olu vavanyo luthatha ixesha, alubonisi ubukhali bosulelo, kwaye kunzima kancinci ukuba abantwana abancinci balwenze.
• Uvavanyo lweSitulo: Olu vavanyo luvavanya isampulu yetulo lakho ukuze kubonakale ukuba likhona na i-H. pylori bacteria (iiproteni). Olu vavanyo lulula kakhulu. Njengovavanyo lokuphefumla, alunakuxelela ubukhali bosulelo, kodwa lunokuxelela ukuba lukhona na usulelo.

Ugqirha uza kuvavanya imeko yakho aze agqibe ekubeni enze olunye okanye ngaphezulu kwezi vavanyo.

Kulungile, ngoku ulunyanga njani olu sulelo (i-H. pylori)?

Iindaba ezimnandi zezokuba, kukho unyango olusebenzayo losulelo lwe-`(H. pylori)`! Oogqirha basebenzisa amayeza okubulala iintsholongwane koku.

Ngenxa yokuba kunzima ukuyisusa ngokupheleleyo le ntsholongwane ngesibulali-ntsholongwane esinye kuphela, oogqirha badla ngokunika iintlobo ezahlukeneyo zee-antibiotics (ezimbini okanye ezintathu) kunye. Oku sikubiza ngokuba 'lunyango oludibeneyo'. La mayeza kufuneka athathwe rhoqo kangangeentsuku ezisi-7 ukuya kwezili-14. Kwangaxeshanye, anciphisa iingxaki ezibangelwa yi-asidi yesisu kwaye anceda amanxeba ukuba aphile.Ii-antacids okanye amanye amayeza anamandla okunciphisa i-asidi (umz., ii-Proton Pump Inhibitors) zinokunikwa.

Ukuba olu nyango lwe-antibiotic lwenziwa ngokufanelekileyo, iimeko ezininzi ze-gastritis kunye nezilonda ze-peptic ezibangelwa yi-H. pylori, ingakumbi ezo zisemathunjini amancinci, zinokunyangwa ngempumelelo.

Nangona kunjalo, njengoko bekutshiwo ngaphambili, ukuba umntu uneempawu ezinzima, ezinje ngokopha esiswini okanye emathunjini amancinci, uya kulaliswa esibhedlele kwaye mhlawumbi anyangwe ngamayeza okufakwa kwimithambo yegazi (ngemithambo yegazi).

Njengomzali, ungamnceda njani umntwana wakho?

Ukuba ugqirha wakho ukuxelela ukuba umntwana wakho une-H. pylori, kukho izinto ezibalulekileyo onokuzenza.

Into yokuqala neyona ibalulekileyo kukunika umntwana wakho amayeza okubulala iintsholongwane kanye njengoko echazwe ngugqirha, ngokwedosi emiselweyo, nangexesha elimiselweyo. Ngamanye amaxesha umntwana unokuziva engcono kancinci kwiintsuku ezimbini okanye ezintathu. Musa ukuyeka amayeza ngoko nangoko. Kufuneka umnike yonke idosi. Ngaphandle koko, iintsholongwane zisenokungapheliswa ngokupheleleyo kwaye isifo sinokuba mandundu, okanye iintsholongwane zitshintshe zibe nokumelana namayeza.

Ukuze unciphise iintlungu zesisu, nikela ingqalelo ekutyeni komntwana wakho. Musa ukuvumela isisu sakho sibe singenanto ngalo lonke ixesha, kwaye mqhelise indlela yokutya eqhelekileyo. Kungangcono ukubanika ukutya okuncinci oku-5 okanye oku-6 ngosuku. Kukwangumbono olungileyo ukunciphisa ukutya okuneziqholo, okunamafutha, nokumuncu. Vumela umntwana wakho aphumle okwethutyana emva kokutya ngakunye.

Enye into ebalulekileyo kukuba ungamniki umntwana wakho i-aspirin, amayeza ane-aspirin, amayeza okunciphisa iintlungu afana ne-ibuprofen, okanye amanye amayeza angengo-steroidal anti-inflammatory (NSAIDs) ngaphandle kwengcebiso kagqirha wakho. Ezi zinto zinokucaphukisa isisu okanye zibangele ukopha.

Ingaba ikho indlela yokuphepha olu sulelo (i-H. pylori)?

Ngelishwa, akukabikho sitofu sale ntsholongwane ye-`(H. pylori)` okwangoku. Kodwa, ungoyiki! Singazikhusela iintsapho zethu kwizifo ezininzi kwaye sinciphise umngcipheko wokufumana usulelo lwe-`(H. pylori)` ngokulandela la manyathelo alula:

• Hlamba izandla zakho kakuhle ngesepha namanzi rhoqo. Le yeyona nto ibalulekileyo. Kufuneka uhlambe izandla zakho kakuhle ubuncinane imizuzwana engama-20, ingakumbi emva kokusebenzisa indlu yangasese, ngaphambi kokulungisa ukutya, nangaphambi kokutya.
• Kuphephe ukutya ukutya ongaqinisekanga ukuba kulungiswe kakuhle. Cinga kabini ngokutya ukutya okuthengiswa esitratweni, okungavalwanga kakuhle, okanye okugqunywe ziimpukane. Yitya ukutya okucocekileyo nokuphekiweyo ekhaya kangangoko kunokwenzeka.
• Soloko usela amanzi avela kumthombo ococekileyo nokhuselekileyo. Kungcono ukusela amanzi abilayo. Soloko uphatha ibhotile yamanzi acocekileyo xa uphuma.

Ngokulandela le mikhwa, ungazikhusela kungekuphela nje kwi-`(H. pylori)`, kodwa nakwezinye izifo ezininzi ezisulelayo.

Sifanele siye nini kugqirha ngokuqinisekileyo?

Kukho iimpawu ezithile, ukuba uzibona , kufuneka ubone ugqirha ngokukhawuleza, kuba zinokuba ziimpawu zesimo esiyingozi.

Ukuba wena okanye umntwana wakho unezinye zezi mpawu, funa ingcebiso kagqirha ngokukhawuleza:

• Intlungu yesisu ebuhlungu ngequbuliso, enganyamezelekiyo.
• Ukuba kukho igazi emhlanzweni, okanye ukuba ukuhlanza kumnyama njengekofu egayiweyo.
• Ukuba isitulo sinegazi, siyalinda, okanye sinegazi elixutywe nesitulo.
• Ukuba unentlungu engapheliyo yokutsha, ehlabayo esifubeni sakho, ngaphantsi kweembambo zakho, ingakumbi ukuba intlungu iyancipha ngokutya, ukusela ubisi, okanye ukuthatha i-antacid. (Oku kungaba luphawu lwesilonda sesisu, ngoko ke kufuneka uxelele ugqirha wakho.)

Musa ukuhlala ekhaya ngexesha elinje, bonana nogqirha ofanelekileyo ngoko nangoko.

Ngoko ke, zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali? (Umyalezo Wokubuyela Ekhaya)

Kulungile, sithethe kakhulu ngale Helicobacter pylori, akunjalo? Ngamafutshane, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-H. pylori yintsholongwane enokubangela ukudumba kwesisu (i-gastritis) kunye nezilonda zesisu (izilonda zesisu). Nangona kunjalo, ayisiyonto ibangela zonke iingxaki zesisu.
• Abantu abaninzi banale nto kodwa ababonisi zimpawu. Ukuba ziyabonakala ezi mpawu, zingabandakanya iintlungu zesisu, isicaphucaphu, ukuhlanza, kunye nokudumba.
• Ucoceko lubaluleke kakhulu! Lungasasazeka ngokutya okungcolileyo, amanzi, kunye nokudibana ngokusondeleyo. Ngoko ke, ukuhlamba izandla nokutya ukutya okucocekileyo neziselo kubalulekile.
• Oogqirha banezixhobo ezifana ne-endoscopy, uvavanyo lokuphefumula, kunye novavanyo lwesitulo ukuze bafumanise oku. Kwakhona, inokunyangeka kakuhle ngee-antibiotics.
• Ukuba ugqirha unika amayeza, kubaluleke kakhulu ukuwathatha ngokuchanekileyo nangexesha elifanelekileyo.
• Ukuba ubona iimpawu eziyingozi ezifana nokuhlanza igazi okanye indle enegazi, musa ukulibazisa, bonana nogqirha ngokukhawuleza.

Okokugqibela, ukuba wena okanye umntwana wakho unengxaki yesisu engapheliyo, kububulumko ukubona ugqirha ukuze ufumane unobangela ochanekileyo kwaye ufune ingcebiso, endaweni yokuyithatha njengento 'engcolileyo'. Musa ukuzenzela izigqibo kwaye ukhethe amayeza ngokusekelwe kumava. Impilo yakho ifanelekile!

I- Helicobacter pylori, i-Helicobacter pylori, ukudumba kwesisu, i-gastritis, izilonda zesisu, izilonda zesisu, izifo zesisu