Ingabe uzwa nokushisa kwesisu noma ubuhlungu besisu ngaphambi kokudla noma ebusuku? Ingabe uzizwa ugcwele noma unesicanucanu? Nakuba abantu abaningi becabanga ngalokhu ngokuthi 'i-gastritis', ngezinye izikhathi imbangela yalokhu kungaba yibhaktheriya elincane esiswini sethu. Leli bhaktheriya libizwa ngokuthi i-H. pylori. Ngakho-ke, namuhla sizoxoxa ngokuthi lingubani leli bhaktheriya nokuthi yiziphi izivivinyo ezenziwayo ukuze litholakale.
Ungubani lo H. pylori?
Kalula nje, i-H. pylori (i-Helicobacter pylori) uhlobo lwebhaktheriya elingaphila esiswini sethu nasemathunjini amancane. Uma leli bhaktheriya lisithelela, liqala ukulimaza ulwelwesi lwesisu sethu ngokuhamba kwesikhathi. Lokhu kungabangela ukuthi ulwelwesi lwesisu luvuvuke, isimo esisibiza ngokuthi i-gastritis . Futhi, uma lo monakalo uqhubeka, ungaholela ezilondeni esiswini noma emathunjini amancane, okubizwa ngokuthi izilonda ze-peptic .
Abantu abaningi eSri Lanka banalesi sifo. Kodwa akubona bonke abantu abathola izimpawu. Kodwa uma izimpawu zivela, kubaluleke kakhulu ukuthola ukwelashwa okufanele.
Kudingeka nini ukuhlolwa kwe-H. pylori?
Uma unezimpawu ezilandelayo, udokotela wakho angase asole ukuthi unegciwane le-H. pylori bese eyala ukuhlolwa ukuze kuqinisekiswe.
- Ubuhlungu obuvuthayo, obuhlabayo esiswini esiphakathi noma esingaphezulu, ikakhulukazi ngesikhathi sokudla noma ebusuku.
- Uma unomuzwa wokuthi ubuhlungu buyancipha kancane ngemva kokudla noma ukuthatha umuthi oqeda i-asidi ye-gastritis.
- Ukuqunjelwa .
- Isicanucanu nokuhlanza .
Uma unezimpawu ezinjengalezi, kungcono ukubona udokotela bese uthola iseluleko.
Yiziphi izinhlobo zokuhlolwa ezisetshenziswa ukuthola i-H. pylori?
Kunezindlela ezine eziyinhloko zokuthola ukuthi unaleli gciwane emzimbeni wakho. Kuye ngezimpawu nesimo sakho, udokotela wakho uzoncoma ukuhlolwa okufanele kakhulu kuwe.
| Igama lokuhlolwa | Indlela yokukwenza ilula. |
|---|---|
| Ukuhlolwa Kokuphefumula | Uphuza uketshezi olukhethekile, bese ukhipha umoya ungene esikhwameni bese ulinganisa inani lomoya okuso. |
| Ukuhlolwa Kwesitulo | Isampula yendle yakho ihlolwa ama-antigen ahlobene namagciwane. |
| Ukuhlolwa Kwegazi | Isampula yegazi ihlolwa amaprotheni (ama-antibodies) enziwa ngumzimba ngokumelene ne-H. pylori. |
| I-Endoscopy | Ipayipi elinekhamera enamathiselwe lifakwa emphinjeni ukuze kuhlolwe isisu, bese kuthathwa ingcezu encane yezicubu ukuze ihlolwe. |
Ake sixoxe ngalezi zivivinyo ngemininingwane ethe xaxa.
Manje ake sibone ukuthi kwenziwa kanjani ncamashi ukuhlolwa ngakunye kwalokhu.
Ukuhlolwa Kokuphefumula Kwe-Urea
Lolu uhlobo lokuhlola olulula nolusetshenziswa kakhulu olutholakalayo ukuthola i-H. pylori.
Okokuqala, ucelwa ukuba uphefumulele esikhwameni esifana nebhaluni. Bese unikezwa uketshezi olukhethekile oluqukethe i-urea ukuze uluphuze. Ngemva kwemizuzu engaba ngu-15, ucelwa ukuthi uphefumulele esikhwameni esisha futhi.
Cabanga nje, uma unegciwane le-H. pylori esiswini sakho, ukuthi igciwane liphula i-urea oketshezini oluphuzile bese likhiqiza igesi ebizwa ngokuthi i-carbon dioxide. Khona-ke, inani le-carbon dioxide ekuphefumuleni kwesibili okukhiphayo liphezulu. Lokho kwanda kuwubufakazi bokuthi kukhona ukutheleleka.
Ukuhlolwa kwe-Antigen yeSitulo
Kulolu vivinyo, uzonikezwa isitsha esincane sokuqoqa isampula yendle ekhaya. Uzonikezwa imiyalelo ecacile yokuthi ungakwenza kanjani lokhu. Lena yindlela ozoqoqa ngayo isampula bese uyithumela elabhorethri.
Lokhu kuhlolwa kubheka ama-antigen esitulweni sakho aqondene ngqo nebhaktheriya i-H. pylori. Ama-antigen afana "nekhadi lokuhlonza" lamabhaktheriya. Ukuba khona kwawo esitulweni sakho kusho ukuthi amabhaktheriya asesimisweni sakho sokugaya ukudla.
Ukuhlolwa Kwegazi
Lokhu kufana nokuhlolwa kwegazi okuvamile. Kuthathwa isampula encane yegazi engalweni yakho bese ithunyelwa elabhorethri.
Lokhu kuhlola igazi lakho ukuthola amaprotheni abizwa ngokuthi ama-antibodies akhiwe yisimiso somzimba wakho sokuzivikela ekuthelelekeni nge-H. pylori.
Kodwa nansi into ebalulekile. Lawa ma-antibodies angahlala egazini isikhashana ngemva kokuba ukutheleleka sekuphelile. Ngakho-ke, kunzima ukubona ngalesi sivivinyo ukuthi unesifo okwamanje noma ukuthi uke waba naso ngaphambili futhi walulama. Ngakho-ke akusizi ngalutho ukuthola ukutheleleka okusebenzayo njengamanje.
I-Endoscopy kanye ne-Biopsy
Lolu vivinyo olunembile kakhulu lokuthola i-H. pylori, kodwa luyinkimbinkimbi kakhulu kunezinye.
Phakathi nale nqubo, uzonikezwa imithi yokukusiza ulale. Ngemuva kwalokho, udokotela wakho uzofaka ipayipi elincane neliguquguqukayo (i-endoscope) phansi emphinjeni wakho nasesiswini sakho nasemathunjini amancane. Ikhamera ekugcineni kwaleli payipi ingasetshenziswa ukuhlola ingaphakathi lesisu sakho.
Uma kusolwa ukuthi kukhona ukutheleleka noma isilonda, udokotela angasebenzisa ithuluzi elincane elidlula epayipini ukuze athathe ingxenye encane kakhulu yezicubu (i-biopsy) odongeni lwesisu. Bese ithunyelwa elebhu ukuqinisekisa ukuthi i-H. pylori ikhona yini.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Lokhu kubaluleke kakhulu. Ngaphambi kokuhlolwa okuthile, udokotela wakho angase akucele ukuthi uyeke ukuthatha imithi ethile izinsuku ezimbalwa noma amasonto. Le mithi ingabangela ukuthi imiphumela yokuhlolwa ingabi yinembile (ingabonisa ukuthi unesifo uma ungenayo).
Imithi evame ukwelulekwa ukuthi iyekwe yile:
- Ama-antibiotic
- I-Bismuth subsalicylate (eminye imithi yokuphazamiseka kwesisu, njenge-Pepto-Bismol®)
- Ama-Proton Pump Inhibitors (PPIs) (lena imithi evame ukunqunyelwa isifo sohudo, njenge-Omeprazole ne-Esomeprazole)
Futhi, ezinye izivivinyo (ezifana nokuhlolwa kokuphefumula kanye ne-endoscopy) zingadinga ukuthi uyeke ukudla noma ukuphuza amahora ambalwa.
Kodwa khumbula, yeka ukuthatha imithi yakho njengoba udokotela wakho ekutshelile. Ungalokothi uyeke ukuthatha imithi yakho wedwa. Landela imiyalelo oyitholayo ngqo.
Ithini imiphumela yokuhlolwa?
Umphumela owutholayo ungaba "Omuhle" (+ve) noma "Ongemuhle" (-ve).
Uyini umphumela omuhle (+ve)?
Lokhu kusho ukuthi unesifo se-H. pylori (noma uke waba naso).
- Uma ukuhlolwa kokuphefumula kwakho, indle, noma i-endoscopy kukubonisa ukuthi unesifo esithathelwanayo njengamanje . Udokotela wakho uzobe esekunikeza imithi, okuhlanganisa nama-antibiotic, yokubulala amagciwane.
- Uma ukuhlolwa kwegazi kutholakala ukuthi kunegciwane , kungabonisa ukuthi unesifo samanje noma esedlule. Udokotela wakho uzochaza kahle ukuthi yini okufanele uyenze ngakho.
Uyini umphumela ongemuhle (-ve)?
Lokhu kusho ukuthi awunayo i-H. pylori. Kodwa-ke, uma usenezimpawu, udokotela wakho angase ancome ezinye izivivinyo ukuze athole imbangela.
Ngakho-ke, yikuphi ukuhlolwa okungcono kakhulu nokunembile kakhulu?
Lokhu kuncike esimweni sakho.
- I-Endoscopy ene-biopsy iyisivivinyo esinembile kakhulu , kodwa siyinkimbinkimbi kakhulu. Uma ungadingi ukubona ingaphakathi lesisu sakho, udokotela wakho angakudlulisela esivivinyweni esilula kuqala.
- Ukuhlolwa kokuphefumula yikona okunembe kakhulu kwezivivinyo ezingangenisi umfutho.
- Nakuba ukuhlolwa kwegazi kulula ukukwenza, kunemingcele ngoba abakwazi ukukutshela ngokunembile ukuthi unesifo esithathelwanayo.
Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okukulungele. Ngakho-ke akudingeki ukhathazeke ngakho. Into ebaluleke kakhulu ukulandela imiyalelo yakhe.
Umlayezo Wokuya Nawe Ekhaya
- I-H. pylori ukutheleleka okuvamile kwebhaktheriya okungaba imbangela enkulu ye-gastritis kanye nezilonda zesisu.
- Ungazinaki izimpawu ezifana nobuhlungu besisu obuvamile kanye nokuqunjelwa. Qiniseka ukuthi ubona udokotela.
- Kunezindlela ezilula kakhulu nezinembile zokuthola lesi sifo, njengokuhlolwa kokuphefumula kanye nokuhlolwa kwendle.
- Ngaphambi kokuhlolwa nangesikhathi sokwelashwa, landela imiyalelo kadokotela wakho ngqo. Ungalokothi uqale noma uyeke ukuthatha imithi wedwa.
- Uma ukuhlolwa kuqinisekisa ukuthi kukhona ukutheleleka, lesi simo singalapheka ngokuphelele ngokusebenzisa imithi eqondile enikeziwe.
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