Kuyesedwa kwa H pylori

Helicobacter pylori (H pylori) ndi bakiteriya (kachilombo koyambitsa matendawa) komwe kumayambitsa matenda ambiri m'mimba (chapamimba) ndi zilonda zam'mimba komanso matenda ambiri am'mimba (gastritis osachiritsika).

Pali njira zingapo zoyesera H pylori matenda.

Mayeso a Mpweya (Carbon Isotope-urea Breath Test, kapena UBT)

• Mpaka milungu iwiri mayeso asanayesedwe, muyenera kusiya kumwa maantibayotiki, mankhwala a bismuth monga Pepto-Bismol, ndi proton pump inhibitors (PPIs).
• Mukamayesa, mumameza chinthu chapadera chomwe chili ndi urea. Urea ndi chinthu chonyansa chomwe thupi limatulutsa mukamaphwanya mapuloteni. Urea yomwe imagwiritsidwa ntchito poyesa yapangidwa kuti iwonongeke mopanda vuto.
• Ngati H pylori alipo, mabakiteriya amasintha urea kukhala mpweya woipa, womwe umapezeka ndikulemba mu mpweya wanu pakatha mphindi 10.
• Mayesowa amatha kuzindikira pafupifupi anthu onse omwe adakhalapo H pylori. Itha kugwiritsidwanso ntchito kuwunika ngati matendawa amathandizidwa mokwanira.

Kuyesa Magazi

• Kuyezetsa magazi kumagwiritsidwa ntchito poyesa ma antibodies ku H pylori. Ma antibodies ndi mapuloteni omwe amapangidwa ndi chitetezo cha mthupi akamazindikira zinthu zoyipa monga mabakiteriya.
• Kuyesa magazi kwa H pylori imangodziwa ngati thupi lanu lachita H pylori ma antibodies. Sangadziwe ngati muli ndi matenda apano kapena mwakhala nawo nthawi yayitali bwanji. Izi ndichifukwa choti kuyezetsa kumatha kukhala kopitilira zaka, ngakhale matenda atachiritsidwa. Zotsatira zake, kuyesa magazi sikungagwiritsidwe ntchito kuwona ngati matendawa adachiritsidwa atalandira chithandizo.

Chopondapo Mayeso

• Kuyesa kwa chopondapo kumatha kudziwa zochitika za H pylori m'zimbudzi.
• Kuyesaku kungagwiritsidwe ntchito kuzindikira matendawa ndikutsimikizira kuti wachiritsidwa atalandira chithandizo.

Chisokonezo

• Chitsanzo cha minofu, chotchedwa biopsy, chimatengedwa kuchokera kumimba. Iyi ndiye njira yolondola kwambiri yodziwira ngati muli ndi H pylori matenda.
• Kuti muchotse zitsanzo zamtunduwu, muli ndi njira yotchedwa endoscopy. Njirayi imachitika mchipatala kapena kuchipatala.
• Kawirikawiri, biopsy imachitika ngati endoscopy ikufunika pazifukwa zina. Zifukwa zimaphatikizapo kuzindikira zilonda zam'mimba, kuchiza magazi, kapena kuwonetsetsa kuti palibe khansa.

Kuyezetsa nthawi zambiri kumachitika kuti mupeze matenda H pylori matenda:

• Ngati muli ndi zilonda zam'mimba kapena zam'mimba
• Mukadakhala ndi zilonda zam'mimba kapena zam'mbuyomu m'mbuyomu, ndipo simunayesedwepo H pylori
• Mukalandira chithandizo cha H pylori matenda, kuonetsetsa kuti palibenso mabakiteriya ena

Kuyesanso kutha kuchitidwa ngati mukufuna kumwa ibuprofen kapena mankhwala ena a NSAID a nthawi yayitali. Wothandizira zaumoyo wanu akhoza kukuwuzani zambiri.

Chiyesocho chingathenso kulimbikitsidwa ndi vuto lotchedwa dyspepsia (indigestion). Izi ndizovuta pamimba pamimba. Zizindikiro zimaphatikizira kumverera kwodzaza kapena kutentha, kutentha, kapena kupweteka m'dera pakati pa mchombo ndi kumunsi kwa chifuwa cha m'mawere mukamadya kapena mutadya. Kuyesedwa kwa H pylori popanda endoscopy nthawi zambiri imachitika pokhapokha kusapeza kwatsopano, munthuyo ndiochepera zaka 55, ndipo palibe zisonyezo zina.

Zotsatira zabwinobwino zikutanthauza kuti palibe chizindikiro choti muli ndi H pylori matenda.

Zotsatira zosadziwika zikutanthauza kuti muli ndi H pylori matenda. Wopezayo amakambirana nanu zamankhwala.

Matenda a zilonda zam'mimba - H pylori; PUD - H pylori

Phimbani TL, Blaser MJ. Helicobacter pylori ndi mitundu ina yam'mimba ya Helicobacter. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 217.

Morgan DR, Crowe SE. Matenda a Heliobacter pylori. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 51.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Laboratory matenda a m'mimba ndi kapamba matenda. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 22.