Uvavanyo lweHelicobacter Pylori (H. Pylori)

Umxholo

• Yintoni uvavanyo lwehelicobacter pylori (H. pylori)?
• Zenzelwe ntoni?
• Kutheni ndifuna uH H. pylori test?
• Kwenzeka ntoni ngexesha lokuvavanywa kukaH.
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lukaH. Pylori?
• Izalathiso

Yintoni uvavanyo lwehelicobacter pylori (H. pylori)?

I-Helicobacter pylori (H. pylori) luhlobo lweebhaktheriya ezichaphazela inkqubo yokwetyisa. Abantu abaninzi abane-p. Poriori abanakuze babe neempawu zosulelo. Kodwa kwabanye, intsholongwane inokubangela ukuphazamiseka kokugaya ukutya. Oku kubandakanya i-gastritis (ukudumba kwesisu), izilonda zep peptic (izilonda esiswini, ithumbu elincinci, okanye umqala), kunye neentlobo ezithile zomhlaza wesisu.

Kukho iindlela ezahlukeneyo zokuvavanya usulelo lwe-p. Pylori. Babandakanya igazi, isitulo kunye novavanyo lokuphefumla. Ukuba uneempawu zokugaya ukutya, uvavanyo kunye nonyango kunokunceda ukuthintela iingxaki ezinzulu.

Amanye amagama: H. pylori stool antigen, H. pylori uvavanyo lokuphefumla, uvavanyo lwe-urea lokuphefumla, uvavanyo lwe-urease olukhawulezileyo (RUT) ka-H. pylori, H. pylori inkcubeko

Zenzelwe ntoni?

Uvavanyo lwe-p. Pylori zihlala zisetyenziselwa:

• Khangela i-p. Pylori bacteria kwindawo yokugaya ukutya
• Fumanisa ukuba ngaba iimpawu zokugaya ukutya zibangelwa lusulelo lukaH
• Fumanisa ukuba ngaba unyango losulelo lukaH. Pylori lusebenzile

Kutheni ndifuna uH H. pylori test?

Unokufuna uvavanyo ukuba uneempawu zesifo sokugaya ukutya. Kuba i-gastritis kunye nezilonda zivutha ulwelwesi lwesisu, babelana ngeempawu ezifanayo. Ziquka:

• Intlungu zesisu
• Ukuqhawula
• Isicaphucaphu nokugabha
• Urhudo
• Ukuphelelwa ngumdla wokutya
• Ukuhla ukusinda

Isilonda yimeko ebaluleke ngakumbi kune-gastritis, kwaye iimpawu zihlala zisiba mandundu.Ukunyanga i-gastritis kwinqanaba lokuqala kunokunceda ekuthinteleni ukukhula kwesilonda okanye ezinye iingxaki.

Kwenzeka ntoni ngexesha lokuvavanywa kukaH.

Kukho iindlela ezahlukeneyo zokuvavanya uH. Pylori. Umboneleli wakho wezempilo unokuyalela enye okanye nangaphezulu kwezi ntlobo zovavanyo zilandelayo.

Uvavanyo lwegazi

• Ukukhangela ii-antibodies (usulelo-ukulwa iiseli) ukuya ku-p. Pylori
• Inkqubo yovavanyo:
  • Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci.
  • Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana.

Uvavanyo lokuphefumla, ekwabizwa ngokuba luvavanyo lokuphefumla urea

• Uhlola usulelo ngokulinganisa izinto ezithile emphefumlweni wakho
• Inkqubo yovavanyo:
  • Uya kubonelela ngesampulu yokuphefumla kwakho ngokuphefumlela kwingxowa yokuqokelela.
  • Emva koko, uya kuginya ipilisi okanye ulwelo olunezinto ezinobungozi.
  • Uya kubonelela ngesinye isampulu yokuphefumla kwakho.
  • Umboneleli wakho uya kuthelekisa iisampulu ezimbini. Ukuba isampulu yesibini inamanqanaba aphezulu e-carbon dioxide, luphawu losulelo lwe-p. Pylori.

Uvavanyo lwelindle.Umboneleli wakho unoku-odola i-antigen yestool okanye uvavanyo lwenkcubeko.

• Uvavanyo lwestool antigen lujonga iantigen kuH. Pylori kwisitulo sakho. Iantigens zizinto ezibangela ukuphendula komzimba.
• Uvavanyo lwenkcubeko yendlu lujonga i-pylori bacteria kwi-stool.
• Iisampulu zazo zombini iintlobo zovavanyo lwelindle ziqokelelwa ngendlela efanayo. Ukuqokelelwa kwesampulu kuhlala kubandakanya la manyathelo alandelayo:
  • Nxiba iiglavu zerabha okanye zelatex.
  • Qokelela kwaye ugcine isitulo kwisikhongozeli esikhethekileyo osinikwe ngumboneleli wakho wezempilo okanye ilebhu.
  • Ukuba uqokelela isampulu elusaneni, layisha ilweyile lomntwana ngeplastiki.
  • Qiniseka ukuba awukho umchamo, amanzi endlu yangasese, okanye iphepha langasese elidityaniswe nesampulu.
  • Tywina kwaye ubhale ileyibhile.
  • Susa iiglavu, uhlambe izandla zakho.
  • Buyisela isikhongozeli kumboneleli wakho wezempilo.

Endoscopy. Ukuba ezinye iimvavanyo azibonelelanga ngolwazi olwaneleyo lokuqonda isifo, umboneleli wakho unoku-odola inkqubo ebizwa ngokuba yi-endoscopy. I-endoscopy ivumela umboneleli wakho ukuba ajonge indawo yakho (ityhubhu edibanisa umlomo kunye nesisu), ulusu lwesisu sakho, kunye nenxalenye yamathumbu akho amancinci. Ngexesha lenkqubo:

• Uya kulala phantsi kwitafile yokusebenza ngomqolo okanye kwicala lakho.
• Uyakunikwa iyeza lokukunceda uphumle kwaye likuthintele ekuveni iintlungu ngexesha lenkqubo.
• Umboneleli wakho uya kufaka ityhubhu encinci, ebizwa ngokuba yi-endoscope, emlonyeni wakho nasemqaleni. I-endoscope inokukhanya kunye nekhamera kuyo. Oku kuvumela umboneleli ukuba abone kakuhle amalungu akho angaphakathi.
• Umboneleli wakho angathatha i-biopsy (ukususwa kwesampulu encinci yethishu) ukuyivavanya emva kwenkqubo.
• Emva kwenkqubo, uya kujongwa iyure okanye ezimbini ngelixa iyeza liphela.
• Unokuba wozela okwethutyana, ke cwangcisa ukuba umntu akugoduse.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

• Awudingi naluphi na ulungiselelo olukhethekileyo kuvavanyo lwegazi lweH.
• Ukuphefumla, isitulo, kunye novavanyo lwe-endoscopy, kusenokufuneka uyeke ukuthatha amayeza athile kangangeeveki ezimbini ukuya kwinyanga ngaphambi kovavanyo. Qiniseka ukuba uthetha nomboneleli wakho wezempilo malunga nawo onke amayeza owasebenzisayo ngoku.
• Kwi-endoscopy, unokufuna ukuzila ukutya (ungatyi okanye usele) malunga neeyure ezili-12 ngaphambi kwenkqubo.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Akukho bungozi baziwayo bokuphefumla okanye ukuvavanya isitulo.

Ngexesha le-endoscopy, unokuziva ungonwabanga xa kufakwa i-endoscope, kodwa iingxaki ezinqabileyo zinqabile. Kukho umngcipheko omncinci kakhulu wokufumana iinyembezi emathunjini akho. Ukuba ubune-biopsy, kukho umngcipheko omncinci wokopha kule ndawo. Ukopha kuhlala kuyeka ngaphandle konyango.

Zithetha ntoni iziphumo?

Ukuba iziphumo zakho zazingenayo, oko kuthetha ukuba mhlawumbi awunayo intsholongwane kaH. Pylori. Umboneleli wakho unoku-odola uvavanyo ngakumbi ukufumana unobangela weempawu zakho.

Ukuba iziphumo zakho bezikho, oko kuthetha ukuba unesifo sikaH. Pylori. H. pylori usulelo luyanyangeka. Umboneleli wakho wezempilo uya kuthi akunike indibaniselwano yeyeza lokubulala iintsholongwane kunye namanye amayeza ukunyanga usulelo kunye nokunciphisa iintlungu. Isicwangciso samayeza sinokuba nzima, kodwa kubalulekile ukuba uthathe onke amayeza njengoko kumiselwe, nokuba iimpawu zakho ziyanyamalala. Ukuba kukho i-p. Pylori bacteria ehlala kwinkqubo yakho, imeko yakho inokuba mandundu. I-Gastritis ebangelwa ngu-H. Pylori inokukhokelela kwisilonda esine-peptic kwaye ngamanye amaxesha ngumhlaza wesisu.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lukaH. Pylori?

Emva kokuba uphathwe ngamayeza okubulala iintsholongwane, umboneleli wakho wezempilo unokuyalela ukuba uphinde uphinde uvavanye ukuze uqiniseke ukuba zonke iintsholongwane zeH.

Izalathiso

1. Umbutho waseMelika weGastroenterological [i-Intanethi]. I-Bethesda (MD): Umbutho waseMelika weGastroenterological; c2019. Isifo sePeptic Ulcer; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.gastro.org/practice-guidance/gi-patient-center/topic/peptic-ulcer-disease
2. Impilo yaBantwana kwiNemours [kwi-Intanethi]. UJacksonville (FL): Isiseko seNemours; c1995–2019. Helicobacter pylori; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://kidshealth.org/en/parents/h-pylori.html
3. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weKlinikhi yeKhemistry; c2001–2019. Uvavanyo lwe-Helicobacter pylori (H. pylori); [ihlaziywe ngo-2019 ngoFebruwari 28; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/helicobacter-pylori-h-pylori-testing
4. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Helicobacter pylori (H. pylori) usulelo: Iimpawu kunye noonobangela; I-2017 ngoMeyi 17 [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/h-pylori/symptoms-causes/syc-20356171
5. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health-topics/blood-tests
6. IYunivesithi yaseOhio State: IZiko lezeMpilo leWexner [i-Intanethi]. UColumbus (OH): IYunivesithi yaseOhio State, iZiko lezeMpilo likaWexner; H. Pylori Gastritis; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://wexnermedical.osu.edu/digestive-diseases/h-pylori-gastritis
7. Inethiwekhi kaGqirha weSikhumbuzo seTorrance [kwi-Intanethi]. Inethiwekhi kaGqirha weSikhumbuzo seTorrance, c2019. Isilonda kunye ne-Gastritis; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.tmphysiciannetwork.org/specialties/primary-care/ulcers-gastritis
8. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. Uvavanyo luka-H. pylori: Ubume; [ihlaziyiwe ngo-2019 Juni 27; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/tests-h-pylori
9. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Health Encyclopedia: IHelicobacter Pylori; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P00373
10. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Health Encyclopedia: IHelicobacter Pylori Antibody; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=helicobacter_pylori_antibody
11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Health Encyclopedia: Inkcubeko ye-Helicobacter Pylori; [icatshulwe ngo-2019 ngoJuni 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=helicobacter_pylori_culture
12. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Uvavanyo lwe-Helicobacter Pylori: Kwenziwa njani; [ihlaziywe ngo-2018 Novemba 7; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1554
13. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Uvavanyo lwe-Helicobacter Pylori: Ungazilungiselela njani; [ihlaziywe ngo-2018 Novemba 7; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1546
14. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Uvavanyo lwehelicobacter Pylori: iingozi; [ihlaziywe ngo-2018 Novemba 7; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-7]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1588
15. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Uvavanyo lwe-Helicobacter Pylori: Isishwankathelo sovavanyo; [ihlaziywe ngo-2018 Novemba 7; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html
16. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Uvavanyo lwe-Helicobacter Pylori: Kutheni le nto yenziwa; [ihlaziywe ngo-2018 Novemba 7; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1544
17. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ephezulu Endoscopy yesisu: Indlela Eyenziwa ngayo; [ihlaziywe ngo-2018 Novemba 7; icatshulwe ngo-2019 Jun 27]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/upper-gastrointestinal-endoscopy/hw267678.html#hw267713

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.