, momwe angapezere ndi chithandizo

Zamkati

• Momwe mankhwalawa amachitikira
• Zithandizo zochizira H. pylori
• Kuchiza kunyumba
• Momwe imafalira
• Momwe mungazindikire ndi kuzindikira

H. pylori, kapena Helicobacter pylori, ndi bakiteriya womwe umakhala m'mimba kapena m'matumbo, momwe umawononga chotchingira komanso umathandizira kutupa, komwe kumatha kuyambitsa zizindikilo monga kupweteka m'mimba ndi kuwotcha, kuwonjezera kukulitsa chiwopsezo cha zilonda zam'mimba ndi khansa.

Mabakiteriyawa nthawi zambiri amadziwika mukamayesa endoscopy, kudzera mu biopsy kapena kudzera mu kuyesa kwa urease, zomwe ndi njira zofala kwambiri zodziwira bakiteriya.

Mankhwalawa amachitika pophatikiza mankhwala monga Omeprazole, Clarithromycin ndi Amoxicillin, operekedwa ndi dokotala kapena gastroenterologist, ndikofunikanso kudya zakudya zomwe zimathandiza kuthetsa zizindikiritso za gastritis, kubetcha masamba, nyama yoyera , ndipo pewani msuzi wambiri, zonunkhira komanso zakudya zopangidwa.

Momwe mankhwalawa amachitikira

Ndizofala kwambiri kukhala ndi mabakiteriya H. pylori popanda zizindikilo, zomwe zimapezeka mumayeso wamba, komabe, chithandizo chimangowonetsedwa pakakhala zochitika zina, monga:

• Chilonda chachikulu;
• Matenda am'mimba;
• Matenda am'mimba, monga carcinoma kapena gastric lymphoma;
• Zizindikiro, monga kusapeza bwino, kutentha kapena kupweteka m'mimba;
• Mbiri ya banja la khansa yam'mimba.

Izi ndichifukwa choti kugwiritsa ntchito maantibayotiki mosafunikira kumawonjezera mwayi woti mabakiteriya akane komanso kuyambitsa zovuta zina. Dziwani zoyenera kudya kuti mupewe mavuto ndi zakudya zomwe zimathandiza kulimbana H. pylori.

Zithandizo zochizira H. pylori

Chiwembu cha mankhwala omwe nthawi zambiri amapangidwa kuti achiritse H. pylori ndi mgwirizano wam'mimba woteteza, womwe ungakhale Omeprazole 20mg, Ianzoprazole 30mg, Pantoprazole 40mg kapena Rabeprazol 20mg, wokhala ndi maantibayotiki, nthawi zambiri, Clarithromycin 500 mg, Amoxicillin 1000 mg kapena Metronidazole 500mg, omwe angagwiritsidwe ntchito padera kapena kuphatikiza piritsi limodzi, monga Pyloripac.

Mankhwalawa ayenera kuchitidwa munthawi ya masiku 7 mpaka 14, kawiri patsiku, kapena malinga ndi upangiri wa zamankhwala, ndipo ayenera kutsatiridwa mosamalitsa kuti apewe kukula kwa mabakiteriya omwe sagonjetsedwa ndi mankhwalawa.

Njira zina zama antibiotic zomwe zingagwiritsidwe ntchito ngati munthu ali ndi matenda osagwiritsa ntchito mankhwala ndi Bismuth subsalicylate, Tetracycline, Tinidazole kapena Levofloxacin.

Kuchiza kunyumba

Pali njira zina zopangira zokhazokha zomwe zitha kuthandizira chithandizo chamankhwala, chifukwa zimathandiza kuchepetsa zizindikilo zam'mimba ndikuchepetsa kuchuluka kwa mabakiteriya, komabe sizilowa m'malo zamankhwala.

Kudya zakudya zokhala ndi zinc zambiri, monga oyster, nyama, nyongolosi ya tirigu ndi mbewu zonse, mwachitsanzo, kuphatikiza pakulimbitsa chitetezo chamthupi, kuthandizira kuchiritsa zilonda ndikuchepetsa kutupa m'mimba.

Zakudya zomwe zimathandiza kuthetsa mabakiteriya am'mimba, monga yogurt wachilengedwe, chifukwa zili ndi maantibiotiki, kapena thyme ndi ginger, chifukwa zili ndi ma antibacterial amathanso kukhala njira yabwino yothandizira kuchiza.

Kuphatikiza apo, pali zakudya zomwe zimathandiza kuchepetsa acidity ndikuchepetsa mavuto omwe amayamba chifukwa cha gastritis, monga nthochi ndi mbatata. Onani maphikidwe azithandizo la kunyumba kwa gastritis ndikuwona momwe zakudya ziyenera kukhalira mukamachiza gastritis ndi zilonda.

Momwe imafalira

Matenda a bakiteriyaH. pylori ndizofala kwambiri, pali zisonyezo kuti imatha kugwidwa kudzera malovu kapena kudzera pakamwa pakamwa ndi madzi ndi chakudya chomwe chidakhudzana ndi ndowe zonyansa, komabe, kufalitsa kwake sikunafotokozeredwe bwino.

Chifukwa chake, kuti mupewe matendawa, ndikofunikira kusamalira ukhondo, monga kusamba m'manja musanadye komanso mukapita kuchimbudzi, kuwonjezera popewa kugawana zodulira ndi magalasi ndi anthu ena.

Momwe mungazindikire ndi kuzindikira

Ndizofala kwambiri kutenga kachilomboka, popanda zizindikiro. Komabe, imatha kuwononga zotchinga zachilengedwe zomwe zimateteza makoma amkati am'mimba ndi matumbo, omwe amakhudzidwa ndi asidi wam'mimba, kuphatikiza pakukulitsa mphamvu yotupa yamatenda mderali. Izi zimayambitsa zizindikiro monga:

• Kupweteka kapena kutentha pamimba;
• Kusowa kwa njala;
• Kumva kudwala;
• Kusanza;
• Zimbudzi zamagazi ndi kuchepa kwa magazi, chifukwa chakukokoloka kwa mpanda wam'mimba.

Kuzindikira kupezeka kwa H. pylori Nthawi zambiri zimachitika ndikutulutsa biopsy kuchokera m'mimba kapena duodenum, komwe mabakiteriya amatha kuyesedwa kuti adziwe, monga kuyesa urease, chikhalidwe kapena kuwunika kwa minofu. Onani momwe kuyesa kwa urease kumachitikira kuti muwone H. pylori.

Ziyeso zina zomwe zingachitike ndi kuyezetsa kupuma kwa urea, serology yochitidwa ndi kuyezetsa magazi kapena kuyezetsa koyeretsa. Onani zina zambiri zamomwe mungadziwire zisonyezo za H. pylori.