Helicobacter pylori (H. pylori) ndi mabakiteriya omwe amachititsa zilonda zam'mimba komanso matenda ambiri a m'mimba (kutupa m'mimba). Thupi ili likhoza kufooketsa chitetezo chodziteteza cha mmimba ndi duodenum (gawo loyamba la matumbo aang'ono), zomwe zimapangitsa kuti minofu yowonongeka iwononge mitsempha yawo yovuta.
Kodi Pylori Ndi Wotani?
Pafupifupi theka la anthu padziko lapansi ali ndi kachilombo ka H.
pylori. Komabe, anthu ambiri omwe ali ndi chiwalo ichi m'matumbo awo samakhala ndi chilonda kapena gastritis. Kafukufuku akusonyeza kuti zifukwa zina ziyenera kukhalapo kuti zisawonongeke. Zomwe zimawonjezera chiopsezo chanu cha chilonda kuchokera kwa H. pylori ndizo:
- Cholowa cha mitundu ina ya mabakiteriya omwe ali oopsa kuposa ena
- Chitetezo chakumthupi chosachiritsika m'matumbo
- Zizoloŵezi zina za moyo, monga kumwa mowa, kusuta, ndi kupsinjika maganizo
Kuzindikira H. Pylori
Ngati chilonda chipezeka, dokotala amayesa wodwalayo kwa H. pylori. Ngakhale mayeso omwe amapezeka kwambiri pa kukhalapo kwa H. pylori ndi mayeso a magazi, zitsulo ndi minofu zingathenso kutengedwa.
Chiyeso china choyezetsa matenda ndi urea mpweya (UBT). Wodwala amawombera kapsule yomwe ili ndi urea, mankhwala omwe amapezeka ndi nayitrogeni ndi carbon omwe mwachibadwa amapezeka ndipo amapangidwa ndi thupi. Ngati H. pylori alipo, urea idzasanduka nitrogen ndi carbon monga carbon dioxide.
Mpweya wa carbon dioxide umalowa m'kati mwa mimba mpaka m'magazi, kenako umapita kumapapo. Zitsanzo za mpweya wotulutsa mpweya zimasonkhanitsidwa, ndipo carbon dioxide imayesedwa. Mayesowa ndi ofanana ndi 94 mpaka 98%.
Pamwamba pamapeto pake angagwiritsidwe ntchito ngati njira yodziwira. Panthawi yopuma, zojambula zam'mimba ndi zam'mimba zimatengedwa.
Matenda a H. pylori angapangidwe powafufuza iwo mu labu.
Mayeso ogwiritsira ntchito akhoza kugwiritsidwa ntchito kuti azindikire matenda a H. pylori m'nkhani yachisawawa. Kafukufuku wasonyeza kuti mayesowa, omwe amatchedwa Helicobacter pylori stool antigen (HpSA), ndi olondola kuti apeze H. pylori.
Kodi Puloteni wa H. Pylori Peptic Yachitidwa Motani?
Njira yowonjezera yotchuka kwambiri yoyamba ndi yothandizira proton pump inhibitor (PPI) ndi antibiotics amoxicillin ndi clarithromycin kwa milungu iwiri. Izi nthawi zina zimaperekedwa mu mankhwala amodzi omwe amatchedwa "Prevpac."
Mankhwala otchedwa metronidazole nthawi zina amalowetsedwa m'malo mwa amoxicillin pamene akuchiza odwala omwe sagwirizana ndi penicillin.
Proton pump inhibitors ndi awa:
- Aciphex (raberprazole)
- Nexium (esomeprazole)
- Prevacid (lansoprazole)
- Prilosec (omeprazole)
- Protonix (pantoprazole)
Zotsatira:
William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, "American College of Gastroenterology Guideline pa Utsogoleri wa Helicobacter pylori Infection." lembani: 10.1111 / j.1572-0241.2007.01393.x. American College of Gastroenterology. 23 Aug 2007.
"Chimene ndikufunikira kudziwa za Peptic Ulcers." NIH Publication No. 05-5042 October 2004. National Disease Information Clearinghouse (NDDIC). 23 Aug 2007.
"H. pylori ndi Peptic Ulcer." NIH Publication No. 05-4225 Oktoba 2004. Zokonza Zachilengedwe Zosamalidwa Zachilengedwe (NDDIC). 23 Aug 2007.