Abaningi bethu banenkinga ngalokhu kuvuvukala kwesisu, okubizwa ngokuthi i-gastritis. Kwabanye, sekuyingxenye yempilo yabo. Bahlala bephuza imithi ethile futhi belawula ukudla kwabo. Kodwa wake wacabanga ukuthi imbangela yalokhu kungaba yibhaktheriya elincane esiswini sakho? Yebo, yilokho esizokhuluma ngakho namuhla. Igama laleli bhaktheriya yiHelicobacter pylori, noma i-H. pylori ngamafuphi.
Kalula nje, ubani lo H. pylori?
I-H. pylori uhlobo lwebhaktheriya elihlala esiswini sakho, noma ulwelwesi lwesisu. Eqinisweni, yisifo esivame kakhulu esibangelwa yibhaktheriya emhlabeni. Cabanga nje, abantu abangaphezu kwengxenye yomhlaba banaleli bhaktheriya esiswini sabo! Kodwa into emangalisayo ukuthi, akubona bonke abagulayo.
Esikhathini esiningi, sithola leli gciwane le-H. pylori sisebancane. Izingane ezihlala ezindaweni eziminyene nezingcolile zisengozini enkulu. Kodwa ungakhathazeki, abantu abaningi banaleli gciwane emizimbeni yabo ngaphandle kokulimaza.
Kwenzekani ngempela uma ungenwa yi-H. pylori?
Ungase uzibuze ukuthi la magciwane angamelana kanjani nama-asidi aqinile esiswini sethu. Ibhaktheriya i-H. pylori inekhono elikhethekile lokwenza lokhu. Ikhiqiza ama-enzyme angaqeda i-asidi ezungeze yona. Kufana nokwakha isivikelo esizungezile.
Uma ivikelwe ngale ndlela, leli gciwane lingena kancane kancane olwelwesini lwesisu sakho. Uma selifikile lapho, lingabangela ukuvuvukala okungapheli, noma ukuvuvukala kolwelwesi lwesisu. Lokhu kungaholela ezinkingeni ezintathu eziyinhloko:
1. Izilonda Zesisu: Lolu uhlobo oluvame kakhulu. Luyisilonda esibuhlungu esakheka odongeni lwangaphakathi lwesisu noma ekuqaleni kwamathumbu amancane (i-duodenum). Lokhu yilokho esikubiza ngokuthi 'isilonda sesisu'.
2. I-Gastritis: Lokhu kubhekisela ekuvuvukeni kolwelwesi lwangaphakathi lwesisu. Kalula nje, ingaphakathi lesisu liba bomvu futhi livuvuke.
3. Umdlavuza Wesisu: Ungakhathazeki ngalokhu. Ukuba nokutheleleka kwe-H. pylori kuyisici esiyingozi somdlavuza wesisu. Lokho kusho ukuthi akuwona wonke umuntu one-H. pylori ozoba nomdlavuza. Eqinisweni, iningi labantu abane-H. pylori alikaze libe nomdlavuza.
Ziyini izimpawu zokutheleleka kwe-H. pylori?
Njengoba sishilo ekuqaleni, abantu abaningi abane-H. pylori, ikakhulukazi izingane, ababonisi zimpawu. Inani elincane kakhulu labantu liba nezimpawu. Uma zenzeka, zivame ukubangelwa yi-gastritis noma izilonda zesisu esixoxe ngazo ekuqaleni.
Uphawu oluyinhloko ubuhlungu besisu.Ubuhlungu obuvuthayo noma obuhlabayo. Lobuhlungu buvame ukwenzeka emahoreni ambalwa ngemva kokudla nasebusuku. Ubuhlungu bungahlala kusukela emizuzwini embalwa kuya emahoreni ambalwa. Ubuhlungu bungafika buphele izinsuku noma amasonto.
Ungabona ukuthi yiziphi ezinye izimpawu ezihlotshaniswa nalokhu kutheleleka kuthebula elingezansi.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukwehlisa isisindo ngaphandle kwesizathu | Uma isisindo somzimba wakho sehla ngaphandle kokuthi uzame. |
| Ukuqunjelwa | Ukuzizwa sengathi isisu sakho sigcwele umoya ngemva kokudla. |
| Isicanucanu nokuhlanza | Ukungakhululeki esiswini nokuhlanza. Ngezinye izikhathi, ukuhlanza kungahambisana negazi. |
| Ukubhodla njalo | Ukuya endlini yangasese kaningi kunokujwayelekile. |
| Isifiso sokudla | Ukungafuni ukudla. |
| Ukuzizwa usuthi ngisho nangemva kokudla kancane | Ukuzizwa usuthi kakhulu ngemva kokudla ukudla okuncane nje. |
Ingabe i-H. pylori ibangela izinguquko esithweni sangasese?
Lona umbuzo obaluleke kakhulu. Iningi labantu abane-H. pylori banendle evamile. Lokhu kungenxa yokuthi, njengoba sishilo ekuqaleni, abantu abaningi abanazo izimpawu.
Kodwa-ke, kunesibonakaliso esisodwa esiyisixwayiso esingathí sina ongasibona esitulweni sakho: igazi esitulweni.
Isibonelo, uma indle yakho imnyama bhuqe, njenge-tar , kungasho ukuthi uphuma igazi ngenxa yesilonda esisesinqeni sakho sokugaya ukudla esingaphezulu, okungenzeka sibangelwe yi-H. pylori. Uma indle yakho ibomvu, kungaba uphawu lokopha esinqeni sakho sokugaya ukudla esingezansi.
Uma ubona indle emnyama, ephuzile kanje, ungakushayi indiva. Kuyisimo esiphuthumayo. Kufanele ubone udokotela ngokushesha. Noma, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe. Udokotela uzothola imbangela futhi anikeze ukwelashwa okudingekayo.
I-H. pylori idluliselwa kanjani?
Yebo, ingasakazeka isuka komunye umuntu iye komunye. Ibhaktheriya i-H. pylori itholakala ematheni, ekuhlanzeni, endle, kanye nase-plaque yamazinyo yomuntu onegciwane. Ngakho-ke kunezindlela ezimbili eziyinhloko ezingasakazeka ngazo:
- Ukuxhumana eduze: Ungalithola leli gciwane ngokwabelana ngezitsha zokudla, amanzi okuphuza, noma ngokuxhumana nokuhlanza noma indle yomuntu onegciwane. Amagciwane angasakazeka komunye umuntu ngokusebenzisa izandla zomuntu ongazigezi kahle izandla zakhe ngensipho ngemva kokuya endlini yangasese.
- Ukudla noma amanzi angcolile: Ezindaweni ezingenakho ukuhlanzeka, leli gciwane lingangena emizimbeni yethu ngamanzi noma ngokudla okungahlanzwanga kahle.
Udokotela uyithola kanjani i-H. pylori?
Uma udokotela wakho esola lokhu ngemva kokulalela izimpawu zakho, uzoncoma ukuhlolwa okuningana ukuqinisekisa ukutheleleka.
- Ukuhlolwa Kokuphefumula: Lokhu kuhilela ukukunikeza uketshezi olukhethekile lokuphuza, bese kuhlolwa ukuphefumula kwakho. Uma unegciwane le-H. pylori, ikhemikhali ekhethekile ingatholakala emphefumulweni wakho ngemva kokuphuza uketshezi.
- Ukuhlolwa Kwendle: Kuthathwa isampula yendle yakho bese ihlolwa ama-antigen ahlobene nebhaktheriya i-H. pylori.
- Ukuhlolwa Kwegazi: Lokhu kuhlola igazi lakho ukuthola ama-antibodies umzimba wakho owawenzile ngokumelene ne-H. pylori. Kodwa-ke, kunzima ukusho ngokuqinisekile ukuthi ukutheleleka kuyasebenza noma sekukhona isikhathi eside.
- I-Upper Endoscopy: Kulolu vivinyo, kufakwa ithubhu elincane elifakwe ikhamera ngomlomo wakho bese libheka ngqo esiswini sakho. Lokhu kungabona ngokucacile ukuthi kukhona yini izilonda noma ukuvuvukala. Kungathatha futhi ucezu oluncane lwezicubu (i-biopsy) endaweni esolisayo bese luyihlola ukuqinisekisa ukuthi i-H. pylori ikhona yini.
Yiziphi izindlela zokwelapha i-H. pylori?
Okokuqala, uma unegciwane le-H. pylori kodwa ungenazo izimpawu, isikhathi esiningi ngeke udinge ukwelashwa. Kodwa uma unezimpawu, udokotela wakho uzokunikeza ukwelashwa.
Ukwelashwa kuvame ukuthatha cishe izinsuku ezingu-14 futhi kuhilela inhlanganisela yemithi eminingana.
- Ama-antibiotic: Lawa anikezwa ukubulala amagciwane. Ngokuvamile, kunikezwa izinhlobo ezimbili ezahlukene zama-antibiotic ngesikhathi esisodwa. Isibonelo, imithi efana ne-`(Amoxicillin)`, `(Clarithromycin)`, `(Metronidazole)`.
- I-Proton Pump Inhibitor (PPI): Lolu uhlobo lomuthi onciphisa inani le-asidi elikhiqizwa yisisu sakho. Izibonelo zifaka phakathi `(Omeprazole)`, `(Lansoprazole)`, `(Esomeprazole)`. Uma i-asidi incishisiwe, izilonda zesisu zingaphola futhi ama-antibiotic angasebenza kahle.
- I-Bismuth subsalicylate: Ngezinye izikhathi udokotela wakho angase ahlanganise lo muthi neminye imithi. Lokhu kuvikela ulwelwesi lwesisu.
Into ebaluleke kakhulu ukuthatha umuthi onikezwe udokotela ngqo isikhathi sonke, ngaphandle kokulahlekelwa yilanga elilodwa . Akuyona into enhle ukuyeka ukuthatha umuthi ngoba nje ubuhlungu buphela ezinsukwini ezimbalwa. Uma wenza lokho, amagciwane ngeke aqedwe ngokuphelele, futhi ubuhlungu bungase bubuye.
Futhi, uma unegciwane le-H. pylori, gwema ukuthatha imithi yobuhlungu engaphansi kwesigaba "se-NSAID" (isib. i-Ibuprofen, i-Diclofenac) ngaphandle kokubonisana nodokotela wakho, njengoba le mithi ingandisa ingozi yezilonda zesisu.
Uma une-H. pylori, yikuphi ukudla okungalungile kuwe?
Uma une-H. pylori, ukudla okuthile kungenza isisu sakho siphazamiseke futhi singakhululeki kakhulu. Nakuba kungase kungabi nomthelela kuwo wonke umuntu ngendlela efanayo, kuwumqondo omuhle ukuqaphela kancane ngokudla okulandelayo.
| Uhlobo lokudla | Kungani kungaba kubi? |
|---|---|
| Ukudla okubabayo, okunoshukela omningi | Ukudla okunongwe njengopelepele, upelepele kanye nesinaphi kungandisa ukuvuvukala esiswini. |
| Isithelo esimuncu | Izinto ezifana nolamula, amawolintshi, nama-tangerine zingandisa i-asidi esiswini futhi zibangele ukungakhululeki. |
| Ukudla okunamafutha amaningi | Izinto ezifana nokudla okuthosiwe, inyama enamafutha, noshizi zingabangela ukungakhululeki esiswini ngoba kuthatha isikhathi eside ukugaya. |
| Iziphuzo ezine-caffeine | Iziphuzo ezifana nekhofi, itiye elinamandla, kanye ne-cola zikhuthaza ukukhiqizwa kwe-asidi esiswini. |
| Utshwala | Utshwala lungalimaza ulwelwesi lwesisu futhi lubambezele ukuphola kwenxeba. |
| Ukudla okucutshunguliwe | Izithako zokulondoloza kanye nezinye izithako ezikulokhu kudla zingabangela ukucasuka kwesisu. |
Ungakugwema kanjani lokhu?
Kunezinto ezilula ongazenza ukuze unciphise ingozi yokuthola i-H. pylori.
- Phuza amanzi ahlanzekile, ikakhulukazi ezindaweni ezinemithombo yamanzi engcolile. Sebenzisa amanzi ahlanzekile ukupheka.
- Geza izandla zakho kahle. Ngaphambi kokudla nangemva kokusebenzisa indlu yokugezela, qiniseka ukuthi ugeza izandla zakho kahle ngensipho namanzi okungenani imizuzwana engama-20. Lo mkhuba ungakusiza ekuvikeleni hhayi kuphela ku-H. pylori, kodwa nakwezinye izifo eziningi.
Umlayezo Wokuya Nawe Ekhaya
- I-H. pylori yibhaktheriya evame kakhulu ehlala esiswini. Iningi labantu abangenwe yiyo ababonisi zimpawu.
- Uma kuvela izimpawu, zivame ukufana ne-gastritis noma izilonda zesisu (njengokuvuvukala kwesisu, ubuhlungu, kanye nokuqunjelwa).
- Uma indle yakho imnyama bhuqe futhi iphuza, kuyisibonakaliso esibi sokuphuma kwegazi esiswini. Bonana nodokotela ngokushesha.
- Kunezindlela zokwelapha eziphumelelayo ze-H. pylori. Into ebaluleke kakhulu ukuthatha imithi udokotela wakho ayinikezayo ngqo isikhathi sayo sonke.
- Imikhuba emihle yokuhlanzeka (ikakhulukazi ukugeza izandla nokuphuza amanzi ahlanzekile) ingasiza ekuvimbeleni lokhu kutheleleka.
- Uma unezimpawu ezinjengalezi, ungaziniki imithi futhi nakanjani khuluma nodokotela wakho.
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