Helicobacter pylori (H. pylori) ibhakitiriya inobata zvironda zvakawanda uye maitiro akawanda echirwere chegastritis (kuputika kwemudumbu). Izvi zvinogona kukanganisa kuvhara kwekudzivirira kwemudumbu uye duodenum (chikamu chekutanga chemuviri muduku), zvichibvumira kukuvadza kwemajusi ekugadzirisa zvinokanganisa maitiro avo asina kunaka.
Inonyanya Kudii H. Pylori?
Inenge hafu yevanhu vepasi vane HIV.
pylori. Zvisinei, vanhu vazhinji vane chimiro ichi mumatumbo avo emimba havawani chionda kana gastritis. Kutsvakurudza kunoratidza kuti zvimwe zviitiko zvinofanirawo kunge zviripo nokuda kwekukuvadza kuitika. Zvinhu zvinowedzera dambudziko rako rekuonda kubva kuna H. pylori zvinosanganisira:
- Nhaka yemamwe mabhakitiriya ebhakitiriya ane ngozi kune mamwe
- Kusapinda mumuviri kwemuviri
- Mimwe nzira yemararamiro emararamiro, kufanana nekofi yekunwa, kusvuta, uye kuenderera mberi kunetseka
Kuongorora H. Pylori
Kana chironda chikawanikwa, chiremba anoedza murwere kuna H. pylori. Kunyange zvazvo muedzo wakajairika wekuvapo kwaHh pylori ndiko kuongororwa kweropa, chigaro uye zvigunwe zvisikwa zvinogona kutorwa zvakare.
Chimwe chirwere chekuongorora chinonzi urea breath test (UBT). Murwere anokwidza capsule ine urea, ikemikari yakagadzirwa ne nitrogen uye kabhoni iyo inowanzoitika uye inobudiswa nemuviri. Kana H. pylori aripo, urea ichapararira kuva nitrogen uye carbon se carbon dioxide.
Iko carbon dioxide inodonhedzwa kuburikidza nechigadziko chemukati uye muropa, uye inoenda kumapapu. Zviratidzo zvekufema kunoputika zvinounganidzwa, uye carbon dioxide inoyerwa. Uyu muedzo inenge 94 kusvika 98% yakarurama.
Imwe endoscopy yepamusoro inogona kushandiswa senzira yekuongorora. Munguva yekupedzisira, zvinyorwa zvebiopsy zvepamu uye duodenum zvinotorwa.
Kuongororwa kwaH. H. pylori kunogona kuitwa nekuiongorora mubazi.
Stool tests ingashandiswa kuona hutachiona hunokonzerwa neHypylori munyaya yemukati. Zvidzidzo zvakaratidza kuti iyi miedzo, inonzi Helicobacter pylori stool antigen (HpSA) muedzo, yakarurama yekuongorora H. pylori.
Ndeapi H. H. Pylori Peptic Ulcers Akabatwa?
Inonyanya kunzirudzwa kutanga-line remishonga inobatanidza proton pump inhibitor (PPI) uye antibiotics amoxicillin uye clarithromycin kwevhiki mbiri. Izvi dzimwe nguva zvinopiwa mune imwe mishonga inonzi "Prevpac."
Chirwere chinonzi metronidazole dzimwe nguva chinotsiviwa nokuda kwe amoxicillin kana kuchirapa varwere vanokonzera penicillin.
Proton pump inhibitors inosanganisira:
- Aciphex (raberprazole)
- Nexium (esomeprazole)
- Prevacid (lansoprazole)
- Prilosec (omeprazole)
- Protonix (pantoprazole)
Sources:
William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, "American College yeGastroenterology Guideline pamusoro pekutungamirirwa kweHelicobacter pylori Infection." doi: 10.1111 / j.1572-0241.2007.01393.x. American College of Gastroenterology. 23 Aug 2007.
"Zvandinoda kuziva nezvePeptic Ulcers." NIH Publication Nha. 05-5042 October 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 23 Aug 2007.
"H. pylori uye Peptic Ulcer." NIH Publication Nha. 05-4225 October 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 23 Aug 2007.