I-Helicobacter pylori (H. pylori) ibhaktheriya ejongene nezilonda ezininzi kunye neemeko ezininzi zesifo esingasasigxina (isisu sesisu). Lo mzimba unganciphisa isambatho sokukhusela esiswini kunye ne-duodenum (inxalenye yokuqala yamathumbu amancinci), okuvumela ukulimaza ijezi zokugaya ukuphazamisa i-linings yazo.
Hayi indlela efana ngayo noHl Pylori?
Phantse isiqingatha selizwe labantu banesifo sikaH.
pylori. Nangona kunjalo, abantu abaninzi abanalo lendalo kwisigxina sabo sesisu abanalo isilonda okanye isifo segastritis. Uphando lubonisa ukuba ezinye izinto kufuneka zibe khona nomonakalo oza kwenzeka. Imiba ephakamisa umngcipheko wakho wesilonda ku-H. pylori iquka:
- Ifa lemimandla ethile yeebhaktheriya eziyingozi kunezinye
- Impendulo ye-immune engavumelekanga emathunjini
- Imikhwa ethile yokuphila, njengokusela ikofi, ukutshaya, kunye nokuxinezeleka okuqhubekayo
Ukufumanisa uHl Pylori
Ukuba isilonda sifumaneka, ugqirha uya kuhlola isigulane sikaHlpylori. Nangona uvavanyo oluqhelekileyo ngobukho bukaHl pylori luvavanyo lwegazi, iisitampu kunye neesampuli zamathambo nazo zingathathwa.
Olunye uvanyo lokuxilonga luvavanyo lokuphefumula kwe-urea (UBT). Isigulana sigxotha i-capsule equkethe urea, ikhemikhali eyenziwe nge-nitrogen nekhabhoni ebonakalayo kwaye iveliswa ngumzimba. Ukuba uHolyl pylori ukhona, i-urea iya kuphuka ibe yi-nitrogeni kunye nekhabhoni njenge-carbon dioxide.
I-carbon dioxide ixutywe ngendlala yesisu ize ibe negazini, ize ihambe emapapeni. Iimodeli zokuphefumla umoya ziqokelelwa, kwaye i-carbon dioxide iyalinganiswa. Olu vavanyo lu malunga ne-94 ukuya ku-98% oluchanileyo.
I- endoscopy ephezulu ingasetyenziswa njengendlela yokuxilonga. Ngexesha lokugcina i-endoscopy, iimpawu ze- biopsy zesisu kunye ne-duodenum zithathwa.
Ukuxilongwa kweHl pylori kunokwenziwa ngokuyihlola ebhodini.
Iimvavanyo zeStool zingasetyenziselwa ukufumanisa u-H. pylori ukusuleleka kwimbali yesiguli. Izifundo zibonisile ukuba lo vavanyo, olubizwa ngokuba yi- Helicobacter pylori stool test (HpSA), luchanekile ukufumanisa uHl pylori.
I-H. Pylori i-Ulcers Peptic ithathwa njani?
Unonyango oluqhelekileyo olucetywayo kunyango lokuqala luhlanganiswa neproton pump inhibitor (PPI) kunye nee-antibiotics amoxicillin kunye ne-clarithromycin iiveki ezimbini. Ngamanye amaxesha kunikwa umyalelo omnye othi "Prevpac."
Isidakamizwa esibizwa ngokuthi i-metronidazole ngamanye amaxesha ishintshelwe indawo ye-amoxicillin xa unyanga izigulane eziye zahlenga i-penicillin.
Iproton pump inhibitors ziquka:
- Aciphex (raberprazole)
- Nexium (esomeprazole)
- Prevacid (lansoprazole)
- Prilosec (omeprazole)
- IProsioni (pantoprazole)
Imithombo:
UWilliam D. Chey, MD, FACG, AGAF, FACP, uBenjamin CY Wong, MD, Ph.D., FACG, FACP, "Ikholeji yaseMerika yeGastroenterology Guideline kwi-Helicobacter pylori Infection." i-doi: 10.1111 / j.1572-0241.2007.01393.x. Ikholeji yaseMerika yaseGastroenterology. 23 uAgasti 2007.
"Into endiyifunayo ukuba ndiyazi malunga ne-Peptic Ulcers." I-NIH Yokupapashwa uNombolo 05-5042 Oktobha 2004. I-National Digestive Diseases Information Clearinghouse (NDDIC). 23 uAgasti 2007.
"H. pylori kunye ne-Ulcer Ulcer." I-NIH Yokupapashwa Nombolo-05-4225 Oktobha 2004. I-National Digestive Diseases Information Clearinghouse (NDDIC). 23 uAgasti 2007.