Helicobacter pylori hutachiona

Helicobacter pylori (H pylori) rudzi rwehutachiona hunokanganisa dumbu. Zvakajairika, zvichikanganisa zvikamu zviviri kubva muzvitatu zvevagari vepasi. H pylori hutachiona ndicho chinonyanya kukonzera maronda eronda. Nekudaro, hutachiona haukonzere matambudziko kuvanhu vazhinji.

H pylori mabhakitiriya anogona kunge akapfuudzwa zvakananga kubva kumunhu kuenda kumunhu. Izvi zvinowanzoitika panguva yehudiki. Utachiona hunosara muhupenyu hwese kana husina kurapwa.

Hazvisi pachena kuti mabhakitiriya anopfuudzwa sei kubva kune mumwe munhu achienda kune mumwe. Mabhakitiriya anogona kupararira kubva ku:

• Kusvirana-muromo
• GI turakiti chirwere (kunyanya kana kurutsa kuchiitika)
• Bata nechigaro (fecal material)
• Chikafu chakasviba nemvura

Mabhakitiriya anogona kukonzera maronda nenzira inotevera:

• H pylori inopinda mumucheka mudumbu uye inosungira kune dumbu rinomhara.
• H pylori kukonzera dumbu kuburitsa dumbu acid. Izvi zvinokuvadza mudumbu, zvichitungamira kune maronda mune vamwe vanhu.

Kunze kwemaronda, H pylori mabhakitiriya anogona zvakare kukonzera kusingaperi kuzvimba mudumbu (gastritis) kana chikamu chepamusoro chemukati mudumbu (duodenitis).

H pylori Inogonawo dzimwe nguva kutungamira kukenza yemudumbu kana isingawanzoita mhando yemudumbu lymphoma.

Vanenge gumi kubva muzana kusvika gumi muzana muzana yevanhu vakabatwa nechirwere ichi H pylori kukudziridza peptic ulcer chirwere. Zvironda zvidiki zvinogona kusakonzera chero zviratidzo. Zvimwe zvironda zvinogona kukonzera kubuda ropa kwakakomba.

Kurwadziwa kana kupisa maronda mudumbu rako chiratidzo chakajairika. Iyo kurwadziwa kunogona kuve kwakaipisisa nedumbu risina chinhu. Marwadzo anogona kusiyana kubva pamunhu kusvika pamunhu, uye vamwe vanhu havana kurwadziwa.

Zvimwe zviratidzo zvinosanganisira:

• Kunzwa kuzara kana kuzvimba uye matambudziko kunwa zvakanyanya seyakajairwa senguva dzose
• Nzara uye kunzwa kusisina chinhu mudumbu, kazhinji 1 kusvika maawa matatu mushure mekudya
• Nyoro nyoro inogona kuenda nekurutsa
• Kupererwa nechido
• Kurera huremu pasina kuyedza
• Burping
• Ropa kana rerima, zvigaro zvekugara kana marutsi ane ropa

Anopa hutano hwako anokuyedza H pylori kana iwe:

• Iva nemaronda eronda kana nhoroondo yezvironda
• Iva nekusagadzikana uye kurwadziwa mudumbu kunogara zvinopfuura mwedzi

Udza mupiki wako nezve mishonga yaunotora. Iyo nonsteroidal anti-inflammatory drug (NSAIDs) inogona zvakare kukonzera maronda. Kana iwe ukaratidza zviratidzo zvehutachiona, mupi anogona kuita zvinotevera bvunzo zve H pylori. Izvi zvinosanganisira:

• Breath bvunzo - urea mweya wekuyera (Carbon Isotope-urea Breath Bvunzo, kana UBT). Mupiro wako anokuita kuti umedze chinhu chakakosha chine urea. Kana H pylori varipo, mabhakitiriya anoshandura urea kuita kabhoni dhayokisaidhi. Izvi zvinoonekwa uye zvakanyorwa mukufema kwako kwapera mushure memaminitsi gumi.
• Kuongorora ropa - anoyera masoja ekudzivirira kusvika H pylori muropa rako.
• Chitsiko bvunzo - inoona kuvepo kwebhakitiriya muchitsiko.
• Biopsy - kuyedza sampuro yetishu yakatorwa kubva mudumbu mbichana uchishandisa endoscopy. Muenzaniso unoongororwa hutachiona hwehutachiona.

Kuti chironda chako chipore uye kuti udzikise mukana unozodzoka, iwe unozopihwa mishonga ku:

• Uraya iyo H pylori mabhakitiriya (kana aripo)
• Deredza acid mumazinga

Tora mishonga yako yese sezvawakaudzwa. Dzimwe shanduko dzemararamiro dzinogona zvakare kubatsira.

Kana uine peptic ulcer uye H pylori hutachiona, kurapwa kunokurudzirwa. Kurapa kwakajairwa kunosanganisira musanganiswa wakasiyana wemishonga inotevera kwemazuva gumi kusvika gumi nemana:

• Mishonga inorwisa mabhakitiriya kuuraya H pylori
• Proton pump pump inhibitors kubatsira kudzikisa asidhi mazinga mudumbu
• Bismuth (chinhu chikuru muPepto-Bismol) inogona kuwedzerwa kubatsira kuuraya hutachiona

Kutora mishonga iyi yese kusvika mazuva gumi nemana hakusi nyore. Asi kuita kudaro kunokupa iwe yakanakisa mukana wekubvisa iyo H pylori mabhakitiriya uye kudzivirira maronda mune ramangwana.

Kana iwe ukatora mishonga yako, pane mukana wakanaka wekuti iyo H pylori hutachiona huchaporeswa. Iwe unenge usingaite zvakanyanya kuwana imwe chironda.

Dzimwe nguva, H pylori zvinogona kuoma kupora zvizere. Dzokororo kosi dzekurapa kwakasiyana dzinogona kudikanwa. Chirwere chemudumbu dzimwe nguva chingaitwe kuyedza hutachiona kuti uone kuti ndeupi mushonga unorwisa mabhakitiriya ungashanda zvakanyanya. Izvi zvinogona kubatsira kutungamira ramangwana kurapwa. Mune zvimwe zviitiko, H pylori haigone kurapwa nechero kurapwa, kunyangwe zviratidzo zvacho zvichikwanisa kudzikiswa.

Kana ikaporeswa, kutapurirwazve kunogona kuitika munzvimbo dzisina hutsanana.

Chirwere chenguva refu (chisingaperi) chine H pylori zvinogona kutungamira ku:

• Peptic ulcer chirwere
• Kupora kusingaperi
• Gastric uye epamusoro ura maronda
• Kenza yemudumbu
• Gastric mucosa-inosanganisirwa lymphoid tishu (MALT) lymphoma

Zvimwe zvinonetsa zvinogona kusanganisira:

• Kurasikirwa kukuru kweropa
• Kupenga kubva pachironda kunogona kuita kuti zviome kuti dumbu ribude
• Kukanganiswa kana gomba redumbu uye ura

Zviratidzo zvakakomba zvinotanga kamwe kamwe zvinogona kuratidza kuvhara mukati, ura, kana kubuda ropa, zvese izvi zviri zvechimbichimbi. Zviratidzo zvinogona kusanganisira:

• Tara, nhema, kana zvituru zvine ropa
• Kurutsa kwakanyanya, uko kungasanganisira ropa kana chinhu chine chitarisiko chekofi nzvimbo (chiratidzo chekubuda ropa zvakanyanya) kana zvese zviri mudumbu (chiratidzo chekudzivirira kwemukati)
• Kurwadziwa kwakanyanya mudumbu, uine kana usina kurutsa kana humbowo hweropa

Chero ani ane chimwe chezviratidzo izvi anofanira kuenda kuimba yekukurumidzira ipapo.

H pylori hutachiona

• Dumbu
• Esophagogastroduodenoscopy (EGD)
• Antibodies
• Nzvimbo yezvironda zvemaronda

Vhara TL, Blaser MJ. Helicobacter pylori uye imwe gastric Helicobacter mhando 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.

Ku GY, Ilson DH. Kenza yemudumbu. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chap 72.

Morgan DR, Crowe SE. Helicobacter 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.