Uvavanyo luka-H pylori

Helicobacter pylori (H pyloriNgaba ibhaktiriya (intsholongwane) inoxanduva lwesisu (esiswini) kunye nezilonda zesisu kunye neemeko ezininzi zokudumba kwesisu (gastritis engapheliyo).

Zininzi iindlela zokuvavanya H pylori usulelo.

Uvavanyo lwe-Breath (Uvavanyo lweCarbon Isotope-urea Breath, okanye i-UBT)

• Kude kube ziiveki ezi-2 ngaphambi kovavanyo, kufuneka uyeke ukuthatha amayeza okubulala iintsholongwane, amayeza e-bismuth anje ngePepto-Bismol, kunye neproton pump inhibitors (PPIs).
• Ngexesha lovavanyo, uginya into ekhethekileyo ene-urea. I-Urea yimveliso yenkunkuma eyenziwa ngumzimba njengoko isaphula iiproteni. I-urea esetyenziswe kuvavanyo yenziwe ngokungenabungozi kwimitha ye-radioactive.
• Ukuba H pylori Zikhona, ibhaktiriya iguqula i-urea ibe yicarbon dioxide, efunyanwayo kwaye irekhodwe ekuphefumlweni kwakho emva kwemizuzu eli-10.
• Olu vavanyo lunokuchonga phantse bonke abantu abaye H pylori. Ingasetyenziselwa ukukhangela ukuba usulelo lunyangwe ngokupheleleyo.

Uvavanyo lwegazi

• Uvavanyo lwegazi lusetyenziselwa ukulinganisa ii-antibodies ukuya H pylori. Ii-antibodies ziiprotein ezenziwe ngamajoni omzimba xa zibhaqa izinto ezinobungozi ezifana neebhaktiriya.
• Uvavanyo lwegazi lwe H pylori unokwazi kuphela ukuba umzimba wakho unayo H pylori izilwa-buhlungu. Ayikwazi ukuxelela ukuba unentsholongwane yangoku okanye unayo ixesha elide. Kungenxa yokuba uvavanyo lunokuba luhle iminyaka, nokuba ngaba usulelo luyanyangeka. Ngenxa yoko, iimvavanyo zegazi azinakusetyenziselwa ukubona ukuba ngaba usulelo lunyangekile emva konyango.

Uvavanyo lwe-Stool

• Uvavanyo lwelindle lunokufumanisa umkhondo we H pylori kwilindle.
• Olu vavanyo lunokusetyenziselwa ukuxilonga usulelo kwaye uqinisekise ukuba lunyangekile emva konyango.

Uqhaqho

• Isampuli yethishu, ebizwa ngokuba yi-biopsy, ithathwa kwisisu esiswini. Le yeyona ndlela ichanekileyo yokuxelela ukuba unayo H pylori usulelo.
• Ukususa isampuli yethishu, unenkqubo ebizwa ngokuba yi-endoscopy. Inkqubo yenziwa esibhedlele okanye kwiziko lezonyango.
• Ngokwesiqhelo, i-biopsy yenziwa ukuba i-endoscopy iyafuneka kwezinye izizathu. Izizathu zibandakanya ukufumanisa isilonda, ukunyanga ukopha, okanye ukuqinisekisa ukuba akukho mhlaza.

Uvavanyo luhlala lusenziwa ukufumanisa isifo H pylori usulelo:

• Ukuba okwangoku unesisu okanye isilonda esisesiswini
• Ukuba ubunesisu okanye isilonda sesilonda esidlulileyo, kwaye awuzange uvavanyelwe H pylori
• Emva konyango H pylori usulelo, ukuqinisekisa ukuba akusekho ntsholongwane

Uvavanyo lunokwenziwa kwakhona ukuba ufuna ukuthatha ibuprofen yexesha elide okanye amanye amayeza e-NSAID. Umboneleli wakho wezempilo angakuxelela ngaphezulu.

Uvavanyo lunokucetyiswa kwimeko ebizwa ngokuba yi-dyspepsia (indigestion). Oku kukukhathazeka okungaphezulu kwesisu. Iimpawu zibandakanya ukuziva ugcwele okanye ubushushu, ukutshisa, okanye iintlungu kwindawo phakathi kwenkaba kunye nendawo esezantsi yesifuba ngexesha okanye emva kokutya. Ukuvavanywa kwe H pylori ngaphandle kwe-endoscopy ihlala isenziwa kuphela xa ukungonwabi kuyinto entsha, umntu mncinci kuno-55, kwaye azikho ezinye iimpawu.

Iziphumo eziqhelekileyo zithetha ukuba akukho phawu lokuba unayo H pylori usulelo.

Iziphumo ezingaqhelekanga zithetha ukuba une H pylori usulelo. Umboneleli wakho uya kuxoxa ngonyango kunye nawe.

Isifo sepeptic ulcer - H pylori; IPUD - H pylori

Isimbozo se-TL, iBlaser MJ. I-Helicobacter pylori kunye nezinye iintlobo zesisu zeHelicobacter. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 217.

UMorgan DR, uCrowe SE. Usulelo lwe-Heliobacter pylori. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 51.

ISiddiqi HA, uSalwen MJ, uShaikh MF, uBowne WB. Ukuxilongwa kwelabhoratri yesifo samathumbu kunye nepancreatic. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 22.