Ingabe isisu sakho sihlala sishisa? Ake sifunde ngqo ngeHelicobacter pylori!

Abantu abaningi banezinkinga zesisu, njengesilungulela, akunjalo? Ngezinye izikhathi kungaba ukungagayi kahle ukudla, noma kungabangelwa yigciwane. Kodwa, kungenzeka ukuthi uke wezwa ngebhaktheriya ebizwa ngokuthi ``Helicobacter pylori``. Namuhla, sizoxoxa ngokuthi iyini le bhaktheriya, kwenzekani uma ingena emzimbeni, nokuthi ingelashwa kanjani. Kubalulekile ukwazi lokhu ngoba kungathinta kokubili izingane ezincane kanye nabantu abadala.

Kuyini i-Helicobacter pylori?

Kalula nje, le `Helicobacter pylori` uhlobo lwebhaktheriya . Ifana namagciwane amancane esingenakuwabona ngamehlo ethu. Uma lawa engena esiswini sethu, okungukuthi, esiswini, angabangela izinhlobo ezahlukene zezifo zesistimu yokugaya ukudla.

Izinto eziyinhloko ezingabangelwa yileli gciwane yilezi:

• I-Gastritis: Lokhu kwenzeka lapho udonga lwangaphakathi, noma ulwelwesi, lwesisu luvuvukala, luvuvukala, futhi lubuhlungu. Abantu abaningi babiza lokhu ngokuthi 'igesi' noma 'ubuhlungu besisu', akunjalo? Lesi yisimo esivame kakhulu.
• Izilonda Zesisu: Lezi zibizwa nangokuthi 'izilonda zesisu'. Izilonda zingakheka esiswini, engxenyeni engenhla yamathumbu amancane (ingxenye yokuqala yamathumbu amancane), futhi ngezinye izikhathi ngisho nase-esophagus (ipayipi lokudla). Njengoba nje izilonda zingakheka emlonyeni, izilonda zingakheka nangaphakathi esiswini.
• Uma lezi zimo zingalashwa isikhathi eside, kunengozi yokuthi, nakuba zingavamile, zingase zibe umdlavuza wesisu. Yingakho kungafanele sithathe lokhu kutheleleka '(H. pylori)' kalula. Ukutholwa kusenesikhathi kanye nokwelashwa kubaluleke kakhulu.

Kodwa udinga ukukhumbula into eyodwa. Njalo lapho izingane zithola ubuhlungu besisu, imbangela akuyona le bhaktheriya ethi `(H. pylori)`. Kunezizathu eziningi kakhulu zokuthi kungani izingane ezincane zithola ubuhlungu besisu! Kungaba ukungagayi kahle ukudla, kungaba uhlobo oluthile lokutheleleka ngegciwane, ezinye izingane zikhala ngokuthi isisu sazo sibuhlungu lapho zivilapha kakhulu ukuya esikoleni, akunjalo? Kungaba ukucindezeleka, noma kungaba yisimo esiphuthumayo njenge-appendicitis. Ngakho-ke ungesabi i-`(H. pylori)` kuzo zonke izinhlungu zesisu.

Ziyini izimpawu zalesi sifo (i-H. pylori)?

Okumangalisayo ukuthi abantu abaningi abanaleli gciwane elithi `(H. pylori)` emizimbeni yabo ababonisi zimpawu . Okusho ukuthi, abazi nokuthi banaleli gciwane. Uma nje amagciwane esesemzimbeni, kufana nokuthi akukho nkinga.

Kodwa-ke, ngezinye izikhathi lapho leli gciwane liqala ukusebenza futhi libangela izinkinga, izimpawu ziqala ukuvela. Lezi zivame ukuba izimpawu zesimo esibizwa ngokuthi `iGastritis` noma `iPeptic Ulcer`.

Izimpawu ze-gastritis ezinganeni ezincane:

Uma ingane encane iba nesifo esibizwa ngokuthi i-gastritis ngenxa ye-H. pylori, ingase ibhekane nezimpawu ezilandelayo:

• Isicanucanu (ukuzizwa sengathi uhlanza)
• Ukuhlanza
• Ubuhlungu besisu (ikakhulukazi esiswini esingaphezulu)
• Ukuzizwa ugcwele noma uvuvukele (ukuzizwa ugcwele ngisho nangemva kokudla ukudla okuncane)

Izimpawu zezilonda ze-peptic ezinganeni nakubantu abadala:

Lapho izingane ezindala kanye nabantu abadala beba nesilonda esiswini, uphawu oluyinhloko luvame ukuba ubuhlungu obuhlala buvutha esiswini. Uma sikhuluma iqiniso, lokhu kuzwakala ngaphansi kwesifuba, ngaphansi nje kwezimbambo, nangaphezu kwenkaba. Abanye abantu bakubiza nangokuthi 'isicanucanu'. Lobuhlungu buba bubi kakhulu uma isisu singenalutho. Lokhu kusho ukuthi ubuhlungu bungafika ngokuzumayo lapho ukudla sekwephuzile noma lapho ulala ebusuku. Kodwa-ke, ubuhlungu bubonakala buncipha kancane ngemva kokudla kancane, ukuphuza ingilazi yobisi, noma ukuthatha umuthi wokunciphisa i-asidi onikezwe udokotela.

Kuthiwani uma amanxeba esiswini ephuma igazi? Lokhu kuyingozi!

Ngezinye izikhathi, uma lesi simo se-'Peptic Ulcer' siba sibi kakhulu, amanxeba angopha igazi. Uma lokhu kwenzeka, ungase ube nalezi zimpawu eziyingozi:

• I-Hematemesis: Lokhu kusho ukuhlanza igazi. Kungaba bomvu ngokugqamile, noma kungaba mnyama noma kube nsundu, njengokusanhlamvu kwekhofi.
• Indle emnyama noma enegazi (Melena): Uma indle yakho iphuzile, imnyama, futhi icwebezela, kuyisibonakaliso sokopha esiswini. Ngezinye izikhathi, kungase kube negazi elibomvu endle.

Uma ubona noma yiziphi zalezi zimpawu , kufanele ubonane nodokotela ngokushesha, ngaphandle kokulibala. Lezi akuzona izinto ongazinaki nje ekhaya. Ukwelashwa okusheshayo kubalulekile.

Lokhu (H. pylori) kungena kanjani emizimbeni yethu?

Manje ake sibone ukuthi leli gciwane elithi `(H. pylori)` lidluliselwa kanjani lisuka komunye umuntu liye komunye, noma lisuka endaweni ezungezile liye kithi. Kubalulekile ukwazi lokhu, ngoba uma kunjalo singaqaphela.

Indlela eyinhloko leli gciwane elingena ngayo emizimbeni yethu ukudla okungcolile, amanzi, noma izitsha zokudla. Isibonelo, uma sidla esitsheni esisetshenziswe ngumuntu onegciwane elithi `(H. pylori)` futhi esingagezwanga kahle, singalithola. Kufanele futhi siqaphele ukudla ukudla okungaphekiwe kahle, ikakhulukazi ezindaweni lapho ukuhlanzeka kungalungile khona.

Futhi, lokhu kusuleleka kuvame kakhulu ezindaweni ezinabantu abaningi, lapho kungekho manzi ahlanzekile noma izinhlelo zokulahla imfucuza ezifanele . Lesi simo sivame kakhulu emazweni asathuthuka emhlabeni.

Okunye ukuthi leli gciwane lingadluliselwa ngamathe kanye nolunye uketshezi lomzimba . Okusho ukuthi, lingadluliselwa ngokuxhumana eduze, isibonelo, ukudla esitsheni esifanayo, ukuphuza ebhodleleni elifanayo lamanzi, noma uma amathe omuntu onegciwane edluliselwa komunye umuntu. Ngakho-ke, uma othile emndenini enaleli gciwane, kungcono abanye baqaphele.

Udokotela uluthola kanjani lolu gciwane (i-H. pylori)?

Ungase ucabange, 'Kulungile, nami nginalezi zimpawu, ngakho-ke mhlawumbe ngine-H. pylori.' Kodwa, njengoba kushiwo ngaphambili, izinkinga ezibangelwa yi-H. pylori zingabonakala nakwezinye izifo eziningi. Ngakho-ke, odokotela benza izivivinyo ezahlukene ukuthola ukuthi lokhu kuyigciwane le-H. pylori. Kunzima ukubona ngokubheka nje izimpawu.

Nazi ezinye zezivivinyo ezinjalo:

• I-Endoscopy: Lena indlela evame ukuba nembe kakhulu. Kulokhu, ulaliswa (mhlawumbe umphimbo wakho umane uphelelwe amandla), bese udokotela efaka ithubhu elincane, eliguquguqukayo elibizwa ngokuthi i-endoscope phansi komphimbo wakho ukuze libheke isisu sakho kanye nengxenye yokuqala yamathumbu akho amancane (i-duodenum). Kukhona ikhamera encane ekugcineni kwaleli thubhu. Udokotela angabe esebona ngaphakathi, ukuze abone ukuthi kukhona yini izilonda noma ukuvuvukala. Ngesikhathi esifanayo, kuthathwa ingcezu encane yezicubu odongeni lwesisu ukuze kuhlolwe ukutheleleka kanye nokuba khona kwamagciwane (H. pylori). Lokhu akusikho okufanele kukhathazeke ngakho.
• Ukuhlolwa Kwegazi: Lokhu kuhlola ukubona ukuthi kukhona yini ama-antibodies emzimbeni wethu ngokumelene namagciwane (H. pylori). Ama-antibodies amaprotheni akhethekile akhiqizwa amasosha omzimba wethu ukulwa negciwane. Kodwa-ke, ukuhlolwa okuhle akusho ukuthi sinesifo. Kungenzeka ukuthi sesike saba nokutheleleka ngaphambili futhi salulama. Ngakho-ke, kunzima ukwenza isinqumo ngokusekelwe kulokhu kuphela.
• Ukuhlolwa Kokuphefumula: Kulokhu, unikezwa uketshezi olukhethekile (oluqukethe i-urea) ukuze uluphuze, bese umoya wakho uhlolwa ngemva kwesikhashana. Ibhaktheriya (i-H. pylori) iphula i-urea oketshezini bese ikhiqiza i-carbon dioxide. Lokhu kutholakala ngokulinganisa inani le-carbon dioxide. Lokhu kuhlolwa kuthatha isikhathi, akubonisi ubukhulu bokutheleleka, futhi kunzima kancane ngezingane ezincane ukukwenza.
• Ukuhlolwa Kwendle: Lokhu kuhlola isampula yendle yakho ukuze kutholakale ukuthi ikhona yini i-H. pylori bacteria (amaprotheni). Lokhu futhi kuyindlela elula yokuhlolwa. Njengokuhlolwa kokuphefumula, akukwazi ukutshela ukuthi ukutheleleka kungakanani, kodwa kungabonisa ukuthi ukutheleleka kukhona yini.

Udokotela uzohlola isimo sakho bese enquma ukwenza olunye noma ngaphezulu lwalezi zivivinyo.

Kulungile, manje ukwelapha kanjani lokhu kutheleleka (i-H. pylori)?

Izindaba ezinhle ukuthi, kunezindlela zokwelapha ezisebenzayo zalezi zifo ze-`(H. pylori)`! Odokotela basebenzisa ama-antibiotic kulokhu.

Ngenxa yokuthi ngokuvamile kunzima ukuqeda ngokuphelele leli gciwane nge-antibiotic eyodwa kuphela, odokotela bavame ukunikeza izinhlobo eziningana zama-antibiotic (amabili noma amathathu) ndawonye. Lokhu sikubiza ngokuthi 'ukwelashwa okuhlanganisiwe'. Le mithi kufanele ithathwe njalo cishe izinsuku eziyi-7 kuya kweziyi-14. Ngesikhathi esifanayo, inciphisa izinkinga ezibangelwa yi-asidi yesisu futhi isize amanxeba ukuba aphole.Ama-antacid noma eminye imithi enamandla yokunciphisa i-asidi (isib., ama-Proton Pump Inhibitors) anganikezwa.

Uma lokhu kwelashwa ngama-antibiotic kwenziwa kahle, amacala amaningi e-gastritis kanye nezilonda ze-peptic ezibangelwa yi-H. pylori, ikakhulukazi lezo ezisemathunjini amancane, angelapheka ngempumelelo.

Kodwa-ke, njengoba kushiwo ngaphambili, uma umuntu enezimpawu ezinzima, njengokuphuma kwegazi esiswini noma emathunjini amancane, uzolaliswa esibhedlela futhi mhlawumbe alashwe ngemithi yokufakwa emthanjeni (ngemithambo yegazi).

Njengomzali, ungayisiza kanjani ingane yakho?

Uma udokotela wakho ekutshela ukuthi ingane yakho inegciwane le-H. pylori, kunezinto ezibalulekile ongazenza.

Into yokuqala nebaluleke kakhulu ukunikeza ingane yakho ama-antibiotic njengoba nje udokotela emyalile, ngomthamo onqunyiwe, nangesikhathi esinqunyiwe. Ngezinye izikhathi ingane ingase izizwe ingcono kancane ezinsukwini ezimbili noma ezintathu. Ungayeki imithi ngokushesha. Kufanele uyinike yonke. Ngaphandle kwalokho, amabhaktheriya angase angaqedwa ngokuphelele futhi ukugula kungase kube kubi kakhulu, noma amabhaktheriya angase ashintshe abe ukumelana nomuthi.

Ukuze unciphise ubuhlungu besisu, naka ukudla kwengane yakho. Ungavumeli isisu sakho sibe singenalutho ngaso sonke isikhathi, futhi ujwayele indlela yokudla evamile. Kungaba ngcono ukuyinika ukudla okuncane okungu-5 noma okungu-6 ngosuku. Kungumqondo omuhle futhi ukunciphisa ukudla okubabayo, okunamafutha, nokumuncu. Vumela ingane yakho iphumule isikhashana ngemva kokudla ngakunye.

Enye into ebalulekile ukunganiki ingane yakho i-aspirin, imithi equkethe i-aspirin, imithi yokunciphisa izinhlungu efana ne-ibuprofen, noma eminye imithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID) ngaphandle kweseluleko sikadokotela wakho. Lokhu kungacasula isisu noma kubangele ukopha.

Ingabe ikhona indlela yokugwema lokhu kutheleleka (i-H. pylori)?

Ngeshwa, awukho umuthi wokugomela leli gciwane elithi `(H. pylori)` okwamanje. Kodwa, ungesabi! Singayivikela imindeni yethu ezifweni eziningi futhi sinciphise ingozi yokuthola ukutheleleka nge-`(H. pylori)` ngokulandela lezi zinyathelo ezilula:

• Geza izandla zakho kahle ngensipho namanzi njalo. Lena yinto ebaluleke kakhulu. Kufanele ugeze izandla zakho kahle okungenani imizuzwana engama-20, ikakhulukazi ngemva kokusebenzisa indlu yangasese, ngaphambi kokulungisa ukudla, nangaphambi kokudla.
• Gwema ukudla ukudla ongaqiniseki ukuthi kulungiswe ngokuphephile. Cabanga kabili ngokudla ukudla okuthengiswa emgwaqweni, okungavaliwe kahle, noma okumbozwe yizimpukane. Yidla ukudla okuhlanzekile nokuphekwe ekhaya ngangokunokwenzeka.
• Phuza amanzi njalo emthonjeni ohlanzekile nophephile. Kungcono ukuphuza amanzi abilisiwe. Hlala uphethe ibhodlela lamanzi ahlanzekile uma uphuma.

Ngokulandela le mikhuba, ungazivikela hhayi kuphela ku-`(H. pylori)`, kodwa nakwezinye izifo eziningi ezithelelanayo.

Kunini lapho kufanele nakanjani sibone khona udokotela?

Kunezimpawu ezithile okufanele, uma uzibona , ubone udokotela ngokushesha, ngoba zingaba izimpawu zesimo esiyingozi.

Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, funa iseluleko sezokwelapha ngokushesha:

• Ubuhlungu besisu obungazelelwe, obungabekezeleleki, nobunzima.
• Uma kukhona igazi ekuhlanzeni, noma uma ukuhlanza kumnyama njengekhofi elicwengekileyo.
• Uma indle inegazi, ibambezeleka, noma inegazi elixubene nendle.
• Uma unesihlungu esiqhubekayo sokusha, esihlabayo esifubeni sakho, ngaphansi kwezimbambo zakho, ikakhulukazi uma ubuhlungu buncishiswa ngokudla, ukuphuza ubisi, noma ukuthatha umuthi wokunciphisa i-asidi. (Lokhu kungaba uphawu lwesilonda se-peptic, ngakho-ke kufanele utshele udokotela wakho.)

Ungahlali ekhaya ngesikhathi esinjengalesi, bona udokotela oqeqeshiwe ngokushesha.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba? (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngale Helicobacter pylori, akunjalo? Ngamafuphi, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-H. pylori yibhaktheriya engabangela ukuvuvukala kwesisu (i-gastritis) kanye nezilonda zesisu (izilonda zesisu). Kodwa-ke, akuyona imbangela yazo zonke izinkinga zesisu.
• Abantu abaningi banalokhu kodwa ababonisi zimpawu. Uma kuvela izimpawu, zingase zihlanganise ubuhlungu besisu, isicanucanu, ukuhlanza kanye nokuqunjelwa.
• Ukuhlanzeka kubaluleke kakhulu! Kungasakazeka ngokudla okungcolile, amanzi, kanye nokusondelana. Ngakho-ke, ukugeza izandla nokudla ukudla neziphuzo ezihlanzekile kubalulekile.
• Odokotela banezinto ezifana ne-endoscopy, ukuhlolwa kokuphefumula, kanye nokuhlolwa kwendle ukuze baxilonge lokhu. Futhi, kungelapheka kahle kakhulu ngama-antibiotic.
• Uma udokotela ekunike imithi, kubaluleke kakhulu ukuyithatha ngesikhathi esifanele.
• Uma ubona izimpawu eziyingozi njengokuhlanza igazi noma indle enegazi, ungalibali, bona udokotela ngokushesha.

Okokugcina, uma wena noma ingane yakho ninenkinga yesisu eqhubekayo, kuwukuhlakanipha ukubona udokotela ukuze uthole imbangela eqondile bese nifuna iseluleko, kunokumane nisilahle ngokuthi 'igesi'. Ungenzi izinqumo zakho bese ukhetha imithi esekelwe kumahemuhemu. Impilo yakho iyakufanelekela!

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