Ingabe ukuvuvukala kwesisu sakho kubangelwa yi-H. pylori (Helicobacter pylori)? Ake sithole ukuthi lezi zivivinyo zenzelwe ini ngempela!

Ingabe ngezinye izikhathi uzizwa ushiswa esiswini sakho, umuzwa wokugcwala nokusinda esiswini sakho? Noma uthola ubuhlungu obungajwayelekile esiswini sakho ngaphambi kokudla? Sivame ukucabanga ukuthi lokhu kumelwe kube "igesi", akunjalo? Kodwa igesi akuyona yodwa imbangela yazo zonke izinkinga zesisu. Ngezinye izikhathi imbangela yalokhu kungaba yibhaktheriya elincane esingenakulibona ngamehlo ethu. Omunye wabantu abanjalo u-'H. pylori' noma u-'(Helicobacter pylori)'. Namuhla, ake sixoxe ngokuthi iyini i-'H. pylori', yiziphi izivivinyo ezitholakalayo ukuthola ukuthi leli bhaktheriya lisemzimbeni wethu, nokuthi lingenziwa kanjani.

Kudingeka nini ukuhlolwa kwe-H. pylori?

Manje ungase ucabange, "Ingabe nami ngidinga ukwenza lokhu kuhlolwa?" Akuwona wonke umuntu okudingayo. Kodwa uma unalezi zimpawu, udokotela wakho angase akuncome ukuhlolwa kwe-H. pylori:

• Uma uzwa ubuhlungu bokubhoboza noma bokushisa esiswini sakho phakathi noma engxenyeni engenhla yesisu sakho ngesikhathi sokudla noma ebusuku, kuzwakala sengathi othile ukuklwebha ngaphakathi.
• Uma ubuhlungu besisu bubonakala budamba kancane ngemva kokudla okuthile noma ukuthatha umuthi wokunciphisa i-asidi .
• Uma uhlala uzizwa ugcwele futhi uvuvukele .
• Uma unesicanucanu noma uhlanza .

Lezi zimpawu zingase zibonise ukuthi ulwelwesi lwesisu sakho luvuvukele, okubizwa ngokuthi i-gastritis, noma ukuthi unezilonda esiswini noma emathunjini amancane, okubizwa ngokuthi isifo sesilonda se-peptic. Ibhaktheriya i-H. pylori iyimbangela eyinhloko yalokhu. Kwezinye izimo, ingandisa nengozi yomdlavuza wesisu. Yingakho udokotela ezokuncoma lokhu kuhlolwa uma unalezi zimpawu.

Yiziphi izivivinyo ezitholakalayo zokuthola i-`H. pylori`?

Kulungile, manje ake sibone ukuthi yiziphi izivivinyo ezitholakalayo ukuze kutholakale ngokunembile ukuba khona kwaleli gciwane elithi 'H. pylori'. Kunezinhlobo ezine zokuhlolwa ikakhulukazi.

1. Ukuhlolwa kokuphefumula kwe-`H. pylori` (Ukuhlolwa Kokuphefumula kwe-Urea)`

Lolu uhlobo lokuhlola oluvame kakhulu nolulula kakhulu lokuthola i-H. pylori. Nakhu okwenzekayo:

Okokuqala, unikezwa uketshezi olukhethekile lokuphuza. Lolu ketshezi luqukethe ikhemikhali ebizwa ngokuthi `(Urea)`. Manje, uma unegciwane le-`H. pylori` esiswini sakho, lelo gciwane liguqula leli `(Urea)` libe yigesi ye-carbon dioxide. Ngemuva kwalokho, uma ukhipha umoya, inani le-carbon dioxide kulowo moya liyalinganiswa. Uma kune-carbon dioxide eningi kunokujwayelekile, kusho ukuthi une-`H. pylori` emzimbeni wakho. Kulula, akunjalo?

2. Ukuhlolwa kwendle ye-`H. pylori` `(Ukuhlolwa kwe-Antigen yendle - SAT)`

Lokhu futhi kuyindlela elula kakhulu yokuhlola. Kubheka ama-antigen, noma ``ama-antigen'', kusampula yendle yakho. ``i-antigen'' yiprotheni eqondene ngqo neseli, igciwane, noma igciwane. Isimiso sethu somzimba sokuzivikela sibona izifo ngala ''ama-antigen''. Ngakho-ke, ukuba khona kwama-``H. pylori'' ``ama-antigen'' esidlekeni sakho kusho ukuthi leli gciwane likhona ohlelweni lwakho lokugaya ukudla.

3. Ukuhlolwa kwegazi kwe-`H. pylori` `(Ukuhlolwa Kwegazi)`

Lokhu kuhlola igazi lakho ukuthola ama-antibodies ku-H. pylori. Uma i-antigen eyingozi ingena emzimbeni wethu, la ma-antibodies angamaphrotheni akhiqizwa amasosha omzimba ethu ukulwa nawo. La ma-antibodies ajikeleza egazini ukuthola nokubhubhisa igciwane eliyingozi (kulokhu, i-H. pylori).

Kodwa-ke, lokhu kuhlolwa kwegazi kunephutha elincane uma kuqhathaniswa nezinye izivivinyo. Okusho ukuthi, akukwazi ukuhlukanisa ngokunembile phakathi kokutheleleka okusebenzayo kanye nokutheleleka kwangaphambilini osekuphelile manje . Lokhu kungenxa yokuthi lawa "Amasosha omzimba" angahlala egazini isikhathi esithile ngemva kokuba ukutheleleka sekuphelile. Ngakho-ke, odokotela basebenzisa lokhu kuhlolwa kwegazi ikakhulukazi ukuhlola abantu kwamanye amazwe lapho "i-H. pylori" ivame khona (isibonelo, i-Afrika, iNingizimu Melika, kanye neNtshonalanga Asia).

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

Lokhu ukuhlolwa okunembe kakhulu kokuthola i-H. pylori. Kodwa-ke, ngokungafani nezinye izivivinyo, lokhu kuyindlela yokuhlasela kancane. Udokotela angenza lokhu kuhlolwa uma efuna ukuhlola ezinye izinkinga (njengezimpawu zomdlavuza) ngaphezu kwe-H. pylori.

Kule nqubo, unikezwa i-anesthesia (awuzwa ubuhlungu), bese kuthi ipayipi elinekhamera encane enamathiselwe kuyo lidluliselwe emlonyeni wakho liye esiswini sakho noma ekuqaleni kwamathumbu akho amancane. Le khamera ingabona kahle ngaphakathi. Ngemuva kwalokho, ithuluzi elincane elingena ngaphakathi kwepayipi lithatha ingxenye encane yezicubu (i-biopsy) olwelwesini lwesisu sakho noma amathumbu bese liyithumela elabhorethri ukuze ihlole i-H. pylori. Lokhu kubizwa nangokuthi i-EGD.

Lezi zivivinyo zisebenza kanjani?

Kalula nje, zonke lezi zivivinyo zifuna izimpawu zebhaktheriya i-H. pylori. Ukuhlolwa kokuphefumula, ukuhlolwa kwendle, kanye ne-endoscopy kungabona ukutheleleka okusebenzayo . Ukuhlolwa kwegazi kungasho ukuthi uke waba nokutheleleka kwe-H. pylori (noma ukuthi uke waba nakho noma cha).

Ungalungiselela kanjani ukuhlolwa?

Kuye ngohlobo lokuhlolwa olwenzayo, kungadingeka uyeke ukuthatha imithi ethile amasonto amabili kuya kwamane ngaphambi kokuhlolwa. Lokhu kungenxa yokuthi eminye imithi ingabangela umphumela wokuhlolwa ongemuhle . Lokhu kusho ukuthi ukuhlolwa kungabonisa ukuthi "akukho ukutheleleka" noma ngabe unesifo.

Udokotela wakho angakutshela ukuthi uyeke ukuthatha imithi efana nale:

• Imithi efana nama-antibiotic noma i-Pepto-Bismol® (i-bismuth subsalicylate yomlomo).
• Imithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) noma imithi kadokotela ebizwa ngokuthi ``Proton Pump Inhibitors - PPIs'' iyatholakala emakhemisi. Izibonelo zifaka phakathi ``omeprazole (Prilosec®)'', ``lansoprazole (Prevacid®)'', ``pantoprazole (Protonix®)'', ``rabeprazole (AcipHex®)'' noma ``esomeprazole (Nexium®)'', ``dexlansoprazole (Dexilant®)''.

Ungase futhi ucelwe ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlolwa (ukuzila ukudla) . Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.

Kwenzekani ngesikhathi sokuhlolwa?

Okwenzeka ngalolo suku kuzohluka kuye ngohlobo lokuhlolwa olwenzile. Ungase ube nokuhlolwa okukodwa kuphela, noma ungase ube nokuhlolwa okuningana.

• Ukuhlolwa kokuphefumula kwe-H. pylori: Okokuqala, ucelwa ukuba uphefumulele esikhwameni esifana nebhaluni. Inani le-carbon dioxide elikuso liyalinganiswa. Bese, unikezwa isiphuzo se-urea. Ngemva kwemizuzu engaba ngu-15, ucelwa ukuthi uphefumulele kwesinye isikhwama futhi. Inani le-carbon dioxide elikuso nalo liyalinganiswa. Uma i-carbon dioxide iphezulu okwesibili, kusho ukuthi unesifo se-H. pylori.
• Ukuhlolwa kwendle ye-H. pylori: Kuzodingeka uqoqe isampula yendle esitsheni esincane esinikezwe udokotela wakho. Udokotela wakho uzokutshela ukuthi ungayiyisa kanjani futhi nini elabhorethri.
• Ukuhlolwa kwegazi kwe-`H. pylori`: Lokhu kufana nokuhlolwa kwegazi okuvamile. Isampula encane yegazi iyathathwa bese ithunyelwa elabhorethri ukuze ihlolwe.
• I-endoscopy Ephezulu: Uzonikezwa umuthi wokudambisa ukuze ungabi buhlungu. Ngemuva kwalokho, udokotela uzofaka kancane kancane ipayipi elinekhamera ngomlomo wakho liye esiswini sakho noma emathunjini amancane. Ipayipi lizosetshenziselwa ukubheka ngaphakathi, futhi uma kudingeka, lithathe isampula yezicubu (i-biopsy).

Ungaya ekhaya ngalolo suku ngemva kokuba zonke lezi zivivinyo seziqediwe. Kodwa-ke, uma une-endoscopy, uzodinga umuntu ozokuthatha akuyise ekhaya ngenxa yokuhlinzwa.

Yini ongayilindela ngemva kokuhlolwa?

Isampula ethathwe kuwe izothunyelwa elabhorethri ukuze ihlolwe.

Ungabuyela emsebenzini njengenjwayelo ngemva kokuphefumula, indle, noma ukuhlolwa kwegazi. Kungcono ukuphumula amahora angu-24 okuqala ngemva kokuhlolwa kwe-endoscopy, kodwa abantu abaningi bangabuyela emsebenzini ngosuku olulandelayo.

Isho ukuthini imiphumela yokuhlolwa?

Umphumela wakho wokuhlolwa ungaba ``Positive`` noma ``Negative`` .

Kusho ukuthini uma une-'H. pylori'?

Uma umphumela wokuhlolwa kokuphefumula, indle, noma i-endoscopy ubonisa ukuthi unegciwane le-H. pylori elisebenzayo njengamanje . Kuzodingeka uthathe ama-antibiotics ukuze ubulale amagciwane. Ngemva kokuthatha umuthi isikhathi esithile ukuze ubulale i-H. pylori, ungase ube nokuhlolwa okunye ukuze ubone ukuthi leli gciwane seliphelile yini.

Uma umphumela wokuhlolwa kwegazi "ubonakala ulungile", kusho ukuthi unesifo "se-H. pylori" noma uke waba naso. Udokotela wakho uzokutshela ukuthi yini okufanele uyenze ngokulandelayo ngokusekelwe emiphumeleni.

Kusho ukuthini uma i-H. pylori ingenayo i-HIV?

Umphumela ongemuhle uwumphumela ojwayelekile. Kusho ukuthi awunayo igciwane le-H. pylori .

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Imiphumela ivame ukutholakala phakathi nosuku olulodwa kuya kwezintathu. Uma uya kohlolwa, buza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela nokuthi ungayithola kanjani .

Yikuphi ukuhlolwa okunembe kakhulu ukuthola i-`H. pylori`?

Ukuhlolwa okunembe kakhulu kokuthola i-H. pylori yi-endoscopy ephezulu . Kodwa-ke, ukuhlolwa okufanele kakhulu kuwe kuzoncika esimweni sakho esithile. Cabangela lezi zici:

• I-endoscopy iyona enembile kakhulu, kodwa futhi iyisivivinyo esihlasela kakhulu nesithatha isikhathi. Uma udokotela wakho efuna nje ukwazi ukuthi unesifo, cishe uzoqala ngokuhlolwa okulula.
• Ezivivinyweni ezingangenisi umkhuhlane, ukuhlolwa kokuphefumula kwe-H. pylori yikho okunembe kakhulu. Kodwa-ke, kungase kungabi khona yonke indawo.
• Ukuhlolwa kwegazi le-H. pylori kulula kakhulu, kodwa imiphumela ikutshela kuphela ukuthi wake waba nokutheleleka kwe-H. pylori. Ngeke ikutshele ngokuqinisekile ukuthi unesifo okwamanje.

Udokotela wakho uzoncoma ukuthi yikuphi ukuhlolwa okukulungele ngokusekelwe ezidingweni zakho zezempilo.

Ekugcineni, khumbula lokhu ! (Umyalezo Wokuya Ekhaya)

Ngakho-ke, uma unezimpawu ezifana nobuhlungu besisu obuvamile kanye nokuvuvukala, lezi zivivinyo zibaluleke kakhulu ukuthola ukuthi imbangela iyigciwane le-`(Helicobacter pylori)`. Akukho okufanele ukhathazeke ngakho. Uma lezi zivivinyo ziqinisekisa ukuthi kukhona ukutheleleka, udokotela uzokubhalela imithi edingekayo. Uma uthatha leyo mithi ngendlela efanele, amabhaktheriya azobhujiswa futhi ukungakhululeki esiswini sakho noma emathunjini amancane kuzophulukiswa. Ngakho-ke, uma unezimpawu, kuwukuhlakanipha ukubona udokotela bese ucela iseluleko ngaphandle kokuzishaya indiva. Khona-ke ungalulama ngokushesha.

` H. pylori, iHelicobacter pylori, iHelicobacter pylori, Izilonda zesisu, iGastritis, umdlavuza wesisu, ukuhlolwa kokuphefumula, ukuhlolwa kwendle, i-Endoscopy, ukuhlolwa kokuphefumula kwe-Urea, ukuhlolwa kwe-Antigen yendle, iGastritis, isifo se-Peptic Ulcer