Inkinga abantu abaningi abanayo yilokhu kuvuvukala kwesisu, okubizwa ngokuthi i-gastritis . Nakuba sisola yonke into ngale nkinga efika ngemva kokudla ukudla esitolo, ukudla okuthile okunamafutha amaningi, noma ukulala ngemva kokudla ebusuku, ngezinye izikhathi igciwane elincane elifihlekile esiswini sethu liyimbangela yakho konke lokhu. Yi-Helicobacter pylori, noma lokho esikubiza ngokuthi `(Helicobacter pylori)` noma `H. pylori` ngamafuphi.
Ungubani lo H. pylori?
Kalula nje, i-`H. pylori` uhlobo lwebhaktheriya elingaphila esiswini sethu, okungukuthi, esiswini. Manje ungase ucabange, “Ingabe la mabhaktheriya ngeke abulawe ama-asidi anamandla esiswini?” Into emangalisayo ukuthi, la mabhaktheriya anekhono elikhethekile lokusinda kuleyo ndawo ene-asidi.
Lokhu kwenza lokhu kulimaza ulwelwesi lwangaphakathi lwesisu sethu. Ake sithi kukhona ulwelwesi oluncane oluvikelayo ngaphakathi esiswini sethu. Leli gciwane liyalimaza lolo lwelwesi futhi lilwenze buthaka. Khona-ke ama-asidi aqinile esiswini angalimaza ngqo ulwelwesi lwesisu. Yilokhu okubangela i-gastritis kanye nezilonda zesisu .
Kuthiwa cishe ingxenye yabantu emhlabeni wonke izotheleleka ngale `H. pylori` ngesikhathi esithile empilweni yabo. Kodwa ungakhathazeki, abantu abaningi abanazo izimpawu. Kodwa-ke, kwabanye, kungaba yinto ecasulayo kancane.
Lokhu kungena kanjani emizimbeni yethu?
I-H. pylori ivame ukusabalala kusuka kumuntu kuya komunye. Ingasabalala futhi ngezindlela ezilandelayo:
- Kusukela ekudleni okungcolile, emanzini, noma ezitsheni: Lokhu kungadluliselwa ngamanzi angazange ahlanzwe kahle, noma ukudla imifino nezithelo ezingakagezwa kahle.
- Umlomo nomlomo: Ukutheleleka kungenzeka lapho uketshezi lomzimba, njengamathe, oluvela kumuntu onegciwane lungena emzimbeni womuntu ophilile (isibonelo, ngokuqabulana).
- Ukuthintana nendle noma ukuhlanza okuthelelekile: Le ngozi iphezulu ezindaweni ezingenazo indle ehlanzekile .
Into ebaluleke kakhulu ukuthi, yebo, i-H. pylori iyigciwane elithelelanayo . Ngakho-ke, kubalulekile ukuqaphela kakhulu inhlanzeko yomuntu siqu.
Ubani osengozini enkulu yokuthola lesi sifo?
Esikhathini esiningi, sithola lokhu kutheleleka sisebancane. Kodwa nabantu abadala bangakuthola. Kunezici eziningana ezandisa ingozi:
- Izimo zokuhlala eziminyene: Uma lokhu kwenzeka, amathuba okusabalalisa lesi sifo kusuka komunye umuntu kuya komunye aphezulu.
- Ukuntuleka kwamanzi ahlanzekile nezindawo zokuhlanzeka: Ingozi iyanda uma kusetshenziswa amanzi angcolile.
- Ukuhlala nomuntu onegciwane: Uma othile emndenini enalo, kungenzeka ukuthi nabanye bazolithola.
- Ukuhlala ezweni elisathuthuka: Ukutheleleka kuvamile kula mazwe ngenxa yokungahlanzeki kahle.
Ziyini izimpawu zokutheleleka kwe-H. pylori?
Njengoba kushiwo ngaphambili, akuwona wonke umuntu onaleli gciwane emzimbeni wakhe ozogula. Izimpawu zivela kuphela uma unesifo sohudo noma isilonda sesisu. Uphawu oluyinhloko ubuhlungu obuvuthayo noma obungacacile esiswini esingaphezulu. Lobuhlungu buyafika buphele. Bungaba bubi kakhulu esiswini esingenalutho. Bungase buzizwe bungcono ngemva kokudla, ukuphuza ubisi oluncane, noma ukuthatha umuthi wokunciphisa i-asidi.
| Ukuqunjelwa | Ukuzizwa sengathi isisu sigcwele umoya, kungakhathaliseki ukuthi udlile noma cha. |
| Ukubhodla njalo | Ukuya endlini yangasese kaningi kunokujwayelekile. |
| Akukho ukudla | Ukulahlekelwa yisifiso sokudla. |
| Isicanucanu Nokuhlanza | Ukucanuzela noma ukuhlanza okubangela ubuhlungu esiswini. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Ukwehlisa isisindo ngaphandle kokuzama. |
Ingabe kukhona ushintsho esitulweni?
Iningi labantu lihamba ngendlela evamile yokuphuma kwesisu. Kodwa uma indle yakho imnyama bhuqe, ibambezela, noma inegazi, kungaba uphawu olubi kakhulu. Uma kunjalo, shayela udokotela wakho ngokushesha.
Uma udinga ukubona udokotela ngokushesha!
Ngezinye izikhathi amanxeba esiswini angabangela ukopha esiswini. Lesi yisimo esiyingozi. Uma unezinye zezimpawu ezilandelayo, ungachithi isikhathi uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Igazi esitulweni, indle ebomvu noma emnyama | Ubunzima bokuphefumula |
| Ukuzungeza noma ukulahlekelwa ukwazi | Isikhumba esikhanyayo |
| Ukuhlanza igazi noma ikhofi | Ubuhlungu obukhulu, obubukhali besisu |
Ukutheleleka kwe-H. pylori kwesikhathi eside kuyisici esiyingozi somdlavuza wesisu. Lokhu akuvamile, kodwa kubalulekile ukukuqaphela. Uma unezimpawu eziqhubekayo njengobuhlungu besisu , ukuqunjelwa, isicanucanu , ukuzizwa ugcwele ngisho nangemva kokudla ukudla okuncane, noma ukwehla kwesisindo okungachazeki, qiniseka ukuthi ubona udokotela.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela wakho, uzobuza ngezimpawu zakho kanye nemithi oyiphuzayo. Ngemuva kwalokho uzokuhlola futhi ahlole noma yikuphi ukuvuvukala noma ukuqaqamba esiswini sakho. Kunezivivinyo eziningana ezingenziwa ukuze kutholakale ukuthi une-H. pylori.
- Ukuhlolwa kwendle: Lolu ukuhlolwa okuvame kakhulu. Isampula yendle yakho ihlolwa ukuthi ikhona yini amaprotheni (ama-antigen) ahlobene nebhaktheriya i-H. pylori. Ngezinye izikhathi ukuhlolwa kwendle nge-PCR kungenziwa ukuze kutholakale ukuthi akhona yini amabhaktheriya nokuthi amelana yini nama -antibiotic athile.
- Ukuhlolwa kokuphefumula kwe-urea:Lokhu kuyindlela elula kakhulu yokuhlola. Okokuqala, ucelwa ukuba uphefumulele esikhwameni. Bese unikezwa uketshezi noma i-pudding equkethe into ebizwa ngokuthi i-urea ukuze uyiphuze. Ngemva kwemizuzu embalwa, ucelwa ukuba uphefumulele kwesinye isikhwama. Uma une-H. pylori esiswini sakho, ziyayihlakaza leyo urea bese zikhiqiza igesi ye-carbon dioxide. Uma umoya wesibili owukhiphayo uqukethe i-carbon dioxide eningi, kusho ukuthi unesifo.
- I-Endoscopy: Uma usola ukuthi unesilonda esiswini , lokhu kuhlolwa kungenziwa. Ipayipi elincane nelincane elinekhamera lidluliselwa emlonyeni wakho liye esiswini sakho ukuze libheke ngqo ingaphakathi lesisu sakho. Ngalesi sikhathi, i-biopsy, noma ucezu oluncane lwezicubu oluvela odongeni lwesisu, lungase luthathwe ukuze luhlolwe.
Yiziphi izindlela zokwelapha lokhu?
Izilonda zesisu ezibangelwa yi-H. pylori zivame ukwelashwa ngenhlanganisela yama-antibiotic kanye nomuthi onciphisa i-asidi yesisu .
1. Ama-antibiotic: Izinhlobo ezimbili zama-antibiotic zinikezwa ngesikhathi esisodwa ukubulala amabhaktheriya. Lokhu kungenxa yokuthi uma amabhaktheriya eba namandla okumelana nohlobo olulodwa, olunye uhlobo lungawabulala.
2. Ama-Proton Pump Inhibitors (PPI): Lawa asebenza ngokunciphisa inani le-asidi elikhiqizwa yisisu sakho. Kufana nokuvala amaphampu akhiqiza i-asidi. Uma uwathatha, izilonda zesisu ziqala ukuphola ngokushesha.
3. Eminye imithi: Ngezinye izikhathi imithi efana ne-'Bismuth subsalicylate' (umuthi wohudo) nayo inikezwa ukuvikela isisu.
Okubaluleke kakhulu: Kubalulekile ukuthatha ama-antibiotic udokotela wakho akunike wona isikhathi sonke. Ungayeki ukuwathatha ngoba nje uzizwa ungcono. Ukwenza kanjalo kungase kungawabulali ngokuphelele amabhaktheriya futhi kungabangela izinkinga kamuva.
Cishe emavikini amane ngemva kokwelashwa, udokotela uzokuhlola futhi ukuze abone ukuthi ukutheleleka sekuphelile yini.
Ungazivikela kanjani ku-H. pylori?
Njengoba nje uzivikela kwamanye amagciwane, udinga nokuzivikela ku-H. pylori. Kubaluleke kakhulu ukulandela le mikhuba elula.
- Geza izandla zakho njalo: Geza izandla zakho kahle ngensipho namanzi ngemva kokusebenzisa indlu yangasese, ngaphambi kokulungisa ukudla, nangaphambi kokudla. Fundisa izingane zakho nalo mkhuba.
- Sebenzisa ukudla okuhlanzekile namanzi: Gwema ukuphuza amanzi nokudla ukudla okuvela ezindaweni ezisolisayo.
- Yidla ukudla okuphekiwe kahle kuphela: Gwema ukudla okuluhlaza noma okungaphekiwe kahle.
- Nakekela ukuhlanzeka:Gwema ukudla ukudla okuphakelwa abantu abangakagezi izandla zabo.
Ucwaningo lwamuva lubonise ukuthi abantu abadla imifino emisha, izithelo, amantongomane, kanye nokusanhlamvu okuphelele basengozini encane yokuthola i-H. pylori. Ngokufanayo, abantu abadla ukudla okucutshungulwe kakhulu, ushukela, usawoti, kanye nokudla okusekelwe kufulawa basengozini enkulu. Ngakho-ke, ukudla ukudla okunomsoco nokulinganiselayo nakho kuhle kakhulu empilweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-H. pylori yibhaktheriya evamile ehlala esiswini. Kubantu abaningi, ayibangeli monakalo.
- Leli gciwane liyimbangela eyinhloko yokuvuvukala kwesisu, i-gastritis, kanye nezilonda zesisu.
- Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu, indle emnyama, noma ukuhlanza igazi, funa iseluleko sezokwelapha ngokushesha.
- Lesi simo singelapheka ngokuphelele ngama-antibiotic kanye nemithi yokwehlisa i-asidi. Sebenzisa imithi njengoba nje udokotela wakho ekuyalele.
- Imikhuba emihle yokuhlanzeka (ikakhulukazi ukugeza izandla nokudla ukudla okuhlanzekile) ingavikela kulokhu kutheleleka.
I-H. pylori, i-Helicobacter pylori, i-gastritis, ukuvuvukala kwesisu, izilonda zesisu, isilonda se-peptic, umdlavuza wesisu, umdlavuza wesisu, izimpawu ze-H. pylori IsiSinhala, ukwelashwa kwe-H. pylori IsiSinhala
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