Ukuhlolwa kwe-Helicobacter Pylori (H. Pylori)

-Delile

• Yini ukuhlolwa kwe-helicobacter pylori (H. pylori)?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kukaH. Pylori?
• Kwenzekani ngesikhathi sokuhlolwa kukaH. Pylori?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela ukuhlolwa?
• Ingabe zikhona izingozi ekuhlolweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kukaH. Pylori?
• Izinkomba

Yini ukuhlolwa kwe-helicobacter pylori (H. pylori)?

IHelicobacter pylori (H. pylori) wuhlobo lwebhaktheriya elithelela uhlelo lokugaya ukudla. Abantu abaningi abane-H. pylori abasoze baba nezimpawu zokutheleleka. Kepha kwabanye, amabhaktheriya angadala ukuphazamiseka kokugaya ukudla okuhlukahlukene. Lokhu kufaka phakathi i-gastritis (ukuvuvukala kwesisu), izilonda ze-peptic (izilonda esiswini, ithumbu elincane, noma i-esophagus), nezinhlobo ezithile zomdlavuza wesisu.

Kunezindlela ezahlukahlukene zokuhlolela ukutheleleka kwe-H. Pylori. Kubandakanya ukuhlolwa kwegazi, indle, nokuphefumula. Uma unezimpawu zokugaya ukudla, ukuhlolwa nokwelashwa kungasiza ekuvimbeleni izinkinga ezinkulu.

Amanye amagama: H. pylori stool antigen, H. pylori test breath, test urea test, test urease test (RUT) ka H. pylori, H. pylori culture

Zisetshenziselwani?

H. pylori izivivinyo zivame ukusetshenziselwa:

• Bheka ama-bacterium eH. Pylori emkhakheni wokugaya ukudla
• Thola ukuthi ngabe izimpawu zakho zokugaya ukudla zibangelwa ukutheleleka kwe- H. pylori
• Thola ukuthi ngabe ukwelashwa kwesifo i-p. Pylori sekusebenzile

Kungani ngidinga ukuhlolwa kukaH. Pylori?

Ungadinga ukuhlolwa uma unezimpawu zesifo sokugaya ukudla. Njengoba i-gastritis nezilonda zivutha ulwelwesi lwesisu, baba nezimpawu eziningi ezifanayo. Kubandakanya:

• Ubuhlungu besisu
• Ukuqhakaza
• Isicanucanu nokuhlanza
• Uhudo
• Ukuphelelwa isifiso sokudla
• Ukwehla kwesisindo

Isilonda yisimo esibi kakhulu kune-gastritis, futhi izimpawu zivame ukuba nzima kakhulu.Ukwelapha i-gastritis ezigabeni zokuqala kungasiza ekuvimbeleni ukukhula kwesilonda noma ezinye izinkinga.

Kwenzekani ngesikhathi sokuhlolwa kukaH. Pylori?

Kunezindlela ezahlukahlukene zokuhlolela uH. Pylori. Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda uhlobo olulodwa noma eziningi zalezi zivivinyo ezilandelayo.

Ukuhlolwa kwegazi

• Ihlola amasosha omzimba (amaseli alwa nokutheleleka) ku-H. pylori
• Inqubo yokuhlola:
  • Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane.
  • Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha.

Ukuhlolwa komoya, eyaziwa nangokuthi ukuhlolwa kokuphefumula kwe-urea

• Ihlola ukutheleleka ngokulinganisa izinto ezithile emoyeni wakho
• Inqubo yokuhlola:
  • Uzohlinzeka ngesampula sokuphefumula kwakho ngokuphefumulela esikhwameni seqoqo.
  • Ngemuva kwalokho, uzogwinya iphilisi noma uketshezi oluqukethe into engenabungozi enemisebe.
  • Uzohlinzeka ngesinye isampula sokuphefumula kwakho.
  • Umhlinzeki wakho uzoqhathanisa amasampula amabili. Uma isampula lesibili linamazinga aphezulu e-carbon dioxide ajwayelekile, kuwuphawu lokutheleleka ngeH. Pylori.

Ukuhlolwa kwesitokisi.Umhlinzeki wakho anga-oda i-antigen yendle noma ukuhlolwa kwesiko lesitulo.

• Ukuhlolwa kwe-stool antigen kubheka ama-antigen ku-H. Pylori esitokisini sakho. Ama-antigen yizinto ezibangela ukuphendula komzimba.
• Ukuhlolwa kwesiko lesitulo kubheka ama-bacterium H. pylori esitokisini.
• Amasampula azo zombili izinhlobo zokuhlolwa kwendle aqoqwa ngendlela efanayo. Ukuqoqwa kwesampula kuvame ukufaka lezi zinyathelo ezilandelayo:
  • Gqoka iiglavu zenjoloba noma ze-latex.
  • Qoqa bese ugcina indle esitsheni esikhethekile osinikezwe umhlinzeki wakho wezokunakekelwa kwempilo noma ilebhu.
  • Uma uqoqa isampula enganeni, gcoba inabukeni lengane ngesimbozo sepulasitiki.
  • Qiniseka ukuthi awukho umchamo, amanzi asendlini yangasese, noma iphepha langasese elihlangana nesampula.
  • Faka uphawu bese ubeka ilebula esitsheni.
  • Susa amagilavu, bese ugeza izandla zakho.
  • Buyisela isitsha kumhlinzeki wakho wezokunakekelwa kwempilo.

I-Endoscopy. Uma ezinye izivivinyo zinganikezanga imininingwane eyanele yokuxilongwa, umhlinzeki wakho anga-oda inqubo ebizwa nge-endoscopy. I-endoscopy ivumela umhlinzeki wakho ukuthi abuke umphimbo wakho (ishubhu elixhumanisa umlomo nesisu sakho), ulwelwesi lwesisu sakho, nengxenye yamathumbu akho amancane. Ngesikhathi senqubo:

• Uzolala etafuleni lokusebenza ngemuva noma ohlangothini.
• Uzonikezwa umuthi ozokusiza uphumule futhi uvikeleke ekubuzweni ubuhlungu ngesikhathi senqubo.
• Umhlinzeki wakho uzofaka ishubhu elincanyana, elibizwa nge-endoscope, emlonyeni nasemphinjeni. I-endoscope inokukhanya nekhamera kuyo. Lokhu kuvumela umhlinzeki ukuthi abone kahle izitho zakho zangaphakathi.
• Umhlinzeki wakho angathatha i-biopsy (ukususwa kwesampula elincane lezicubu) ukuyihlola ngemuva kwenqubo.
• Ngemuva kwenqubo, uzobhekwa ihora noma amabili ngenkathi umuthi uphela.
• Ungahle uzele isikhashana, ngakho-ke hlela ukuthi othile akuhambise ekhaya.

Ngabe kukhona engizodinga ukukwenza ukulungiselela ukuhlolwa?

• Awudingi noma yikuphi ukulungiselela okukhethekile kokuhlolwa kwegazi kwe-H. Pylori.
• Ukuhlolwa komoya, indle, kanye ne-endoscopy, kungadingeka ukuthi uyeke ukuthatha imithi ethile isikhathi esingangesonto elilodwa kuya kwenyanga ngaphambi kokuhlolwa. Qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngayo yonke imithi oyiphuzayo njengamanje.
• Ukuze uthole i-endoscopy, ungadinga ukuzila ukudla (ungadli noma uphuze) cishe amahora ayi-12 ngaphambi kwenqubo.

Ingabe zikhona izingozi ekuhlolweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Ayikho ingozi eyaziwayo yokuhlolwa umoya noma indle.

Ngesikhathi se-endoscopy, ungazizwa ungakhululeki lapho kufakwa i-endoscope, kepha izinkinga ezinzima azivamile. Kukhona ingozi encane kakhulu yokuthola izinyembezi emathunjini akho. Uma ngabe une-biopsy, kunengozi encane yokopha esizeni. Ukopha kuvame ukuma ngaphandle kokwelashwa.

Isho ukuthini imiphumela?

Uma imiphumela yakho ibingethivu, kusho ukuthi mhlawumbe awunakho ukutheleleka kwe-H. Pylori. Umhlinzeki wakho anga-oda izivivinyo eziningi ukuthola imbangela yezimpawu zakho.

Uma imiphumela yakho ibivelele, kusho ukuthi une-H. pylori infection. H. pylori izifo ziyelapheka. Umhlinzeki wakho wezokunakekelwa kwempilo mhlawumbe uzonikeza inhlanganisela yama-antibiotic neminye imithi yokwelapha ukutheleleka nokuqeda izinhlungu. Uhlelo lwemithi lungaxaka, kodwa kubalulekile ukuthatha yonke imithi njengoba kunqunyiwe, noma ngabe izimpawu zakho ziyaphela. Uma ngabe kukhona amabhaktheriya eH. Pylori ahlala kusistimu yakho, isimo sakho singakhula. I-Gastritis ebangelwa ngu-H. Pylori ingaholela ku-peptic ulcer futhi kwesinye isikhathi umdlavuza wesisu.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kukaH. Pylori?

Ngemuva kokuthi welashwe ngama-antibiotic, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa okuphindiwe ukuze aqiniseke ukuthi wonke amabhaktheriya eH.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.