Kuyedza kwaH pylori

Helicobacter pylori (H pylori) ibhakitiriya (hutachiona) hunokonzeresa mazhinji emudumbu (gastric) uye duodenal ulcers uye akawanda kesi ekurwadziwa mudumbu (chisingaperi gastritis).

Pane nzira dzinoverengeka dzekuyedza H pylori hutachiona.

Kufuridzira Kwayedza (Carbon Isotope-urea Breath Bvunzo, kana UBT)

• Kusvikira kumavhiki maviri bvunzo isati yaitwa, unofanirwa kurega kutora mishonga inorwisa mabhakitiriya, bismuth mishonga yakadai sePepto-Bismol, uye proton pump inhibitors (PPIs).
• Munguva yebvunzo, iwe unomedza chinhu chakakosha chine urea. Urea chigadzirwa chemarara chinogadzirwa nemuviri sezvo ichiputsa mapuroteni. Iyo urea inoshandiswa muyedzo yakaitwa zvisina kukuvadza radioactive.
• Kana H pylori varipo, mabhakitiriya anoshandura urea kuita kabhoni dhayokisaidhi, inoonekwa uye inonyorwa mukufema kwako mushure memaminitsi gumi.
• Uyu muedzo unogona kuziva vangangoita vanhu vese vane H pylori. Inogona zvakare kushandiswa kuongorora kuti hutachiona hwanyatso kurapwa.

Kuedzwa kweropa

• Kuongororwa kweropa kunoshandiswa kuyera masoja ekudzivirira chirwere ku H pylori. Maantibodies mapuroteni anogadzirwa nema immune system kana aona zvinhu zvinokuvadza zvakaita sebhakitiriya.
• Kuongororwa kweropa kwe H pylori unogona chete kuudza kana muviri wako uine H pylori masoja ekudzivirira chirwere. Iyo haigone kutaura kana iwe uine hutachiona hwazvino kana kuti une nguva yakareba sei unayo. Izvi zvinodaro nekuti bvunzo inogona kuve yakanaka kwemakore, kunyangwe hosha yacho ikaporeswa. Nekuda kweizvozvo, kuongororwa kweropa hakugone kushandiswa kuona kana hutachiona hwaporeswa mushure mekurapwa.

Chitsiko Bvunzo

• Chiyero chechituru chinogona kuona zvisaririra zve H pylori mutsvina.
• Bvunzo iyi inogona kushandiswa kuongorora hutachiona uye kusimbisa kuti yakaporeswa mushure mekurapwa.

Biopsy

• Muenzaniso wemuviri, unonzi biopsy, unotorwa kubva mudumbu. Iyi ndiyo chaiyo nzira yekuudza kana iwe uine H pylori hutachiona.
• Kuti ubvise sampuro yechinyama, une maitiro anonzi endoscopy. Maitiro acho anoitwa muchipatara kana kunze kwechipatara.
• Kazhinji, bhiopsy inoitwa kana endoscopy ichidikanwa kune zvimwe zvikonzero. Zvikonzero zvinosanganisira kuongorora ulcer, kurapa kubuda ropa, kana kuona kuti hapana gomarara.

Kuedzwa kunowanzoitwa kuongorora H pylori hutachiona:

• Kana iwe parizvino uine dumbu kana duodenal ulcer
• Kana iwe uine dumbu kana duodenal ulcer munguva yakapfuura, uye hauna kumbobvira waedzwa H pylori
• Mushure mekurapwa kwe H pylori hutachiona, kuve nechokwadi kuti hapasisina hutachiona

Kuedzwa kunogona kuitwawo kana iwe uchida kutora refu-term ibuprofen kana imwe NSAID mishonga. Anopa hutano hwako anogona kukuudza zvakawanda.

Muedzo unogona zvakare kukurudzirwa kune mamiriro anonzi dyspepsia (indigestion). Uku kusagadzikana kwepamusoro mudumbu. Zviratidzo zvinosanganisira kunzwa kwekuzara kana kwekupisa, kutsva, kana kurwadziwa munzvimbo iri pakati peguvhu nechepazasi pechipfuva chechipfuva panguva kana mushure mekudya. Kuedzwa kwe H pylori pasina endoscopy inowanzoitwa chete kana kusagadzikana kuri kutsva, munhu ari mudiki pane makumi mashanu nemashanu, uye hapana zvimwe zviratidzo.

Zvakajairwa mhedzisiro zvinoreva kuti hapana chiratidzo chekuti une H pylori hutachiona.

Mhedzisiro isina kujairika inoreva kuti une H pylori hutachiona. Wako mupi achakurukura kurapwa newe.

Peptic ulcer chirwere - H pylori; PUD - H pylori

Vhara TL, Blaser MJ. Helicobacter pylori uye imwe gastric Helicobacter marudzi. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 217.

Morgan DR, Crowe SE. Heliobacter pylori hutachiona. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 51.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Laboratory kuongororwa kwematumbo uye kwepancreatic kusagadzikana. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 22.