U-Helicobacter pylori (H. pylori) yi-bacteria ephethe izilonda eziningi kanye nezimo eziningi zesifo sangasese esingaguli (ukuvuvukala kwesisu). Lesi sitho singenza buthakathaka ukugqoka okuvikelayo kwesisu kanye ne-duodenum (ingxenye yokuqala yamathumbu amancane), okuvumela ukulimaza amajusi okugaya ukucasula i-linings yabo ebucayi.
Yeka indlela ejwayelekile ngayo uHl Pylori?
Cishe ingxenye yesigamu sezwe siphethwe yiH
i-pylori. Kodwa-ke, abantu abaningi abanalo lenyama emathangeni abo emathunjini abatholi isilonda noma igastritis. Ukucwaninga kusikisela ukuthi ezinye izici kufanele futhi zibe khona ngomonakalo ozokwenzeka. Izici ezandisa ingozi yesilonda kusuka ku-H. pylori zihlanganisa:
- Ifa lemithi ethile yebhaktheriya eyingozi kunezinye
- Impendulo engavamile yamasosha omzimba emathunjini
- Imikhuba ethile yokuphila, njengokuphuza ikhofi, ukubhema nokucindezeleka okuqhubekayo
Ukuhlonza u-H. Pylori
Uma isilonda sitholakala, udokotela uzohlola isiguli sikaHlpylori. Nakuba ukuhlolwa okuvame kakhulu kokutholakala kukaHl pylori kuhlolwa kwegazi, isitokisi namasampula amathisiphinde angathathwa.
Olunye uhlolo lokuhlola luhlolo lokuphefumula kwe-urea (UBT). Isiguli siguquzela i-capsule equkethe irea, ikhemikhali eyenziwe nge-nitrogen nekhabhoni eyenzeka ngokwemvelo futhi ikhiqizwa ngumzimba. Uma i-H. pylori ikhona, i-urea izokwehlukanisa ibe i-nitrogen ne-carbon njenge-carbon dioxide.
I-carbon dioxide igxila emgodini wesisu nasegazini, bese ihambela emaphashini. Ama-samples of breath exhaled aqoqwe, futhi i-carbon dioxide iyalinganiswa. Lokhu kuhlola kungu-94 kuya kwangu-98% enembile.
I- endoscopy engenhla ingasetshenziswa njengendlela yokuxilongwa. Phakathi ne-endoscopy, izibonelo ze- biopsy zesisu ne-duodenum zithathwe.
Ukuxilongwa kukaHl pylori kungenziwa ngokuwahlola ebhodini.
Ukuhlolwa kwe-stool kungasetshenziselwa ukuthola ukutheleleka kukaHylori enkingeni yesiguli. Ucwaningo luye lwabonisa ukuthi lokhu kuhlolwa, okubizwa ngokuthi i- Helicobacter pylori stool antigen (HpSA) test, kunembile yokuthola uHl pylori.
I-H. Pylori I-Ulcers Peptic Iphathwe Njani?
Ukwelashwa kwelayini lokuqala okuphakanyiswa kakhulu kuvame ukuhlanganiswa kweproton pump inhibitor (PPI) kanye nama-antibiotics amoxicillin ne-clarithromycin amasonto amabili. Ngezinye izikhathi lokhu kunikezwa kumuthi owodwa obizwa ngokuthi "Prevpac."
Isidakamizwa esibizwa ngokuthi i-metronidazole ngezinye izikhathi singena endaweni ye-amoxicillin lapho siphatha iziguli ezithinta i-penicillin.
I-Proton pump inhibitors ihlanganisa:
- I-Aciphex (i-raberprazole)
- I-Nexium (esomeprazole)
- I-Prevacid (i-lansoprazole)
- I-Prilosec (i-omeprazole)
- I-Protonix (i-pantoprazole)
Imithombo:
UWilliam D. Chey, MD, FACG, AGAF, FACP, uBenjamin CY Wong, MD, Ph.D., FACG, FACP, "I-American College of Gastroenterology Guideline ekuphathweni kwe-Helicobacter pylori Infection." i-doi: 10.1111 / j.1572-0241.2007.01393.x. I-American College of Gastroenterology. 23 Aug 2007.
"Okudingayo ukwazi nge-Ulpers Peptic." I-NIH Publication No. 05-5042 Okthoba 2004. I-National Digestive Clearinghouse Information Clearinghouse (NDDIC). 23 Aug 2007.
"H. Pylori no-Ulcer Peptic." I-NIH Publication No. 05-4225 Okthoba 2004. I-National Digestive Clearinghouse Information Clearinghouse (NDDIC). 23 Aug 2007.