Helicobacter pylori (H. pylori) bụ nje bacteria na-akpata ọtụtụ ọrịa ọnya na ọtụtụ nsogbu nke gastritis na-adịghị ala ala (nsị nke afo). Akụkụ a nwere ike imebi mkpuchi nchebe nke afọ na duodenum (akụkụ mbụ nke eriri afọ), na-eme ka mmiri ndị na-egbu nri na-egbu ihe ghara ime ka ha dị nro.
Kedu Ume Odi Umu Ogugu nke Umu Ohu?
Ihe dị ka ọkara nke ndị bi n'ụwa bu nje H..
pylori. Otú ọ dị, ọtụtụ ndị nwere akụkụ ahụ a na-emepụta akụkụ eriri afọ ha anaghị enwe ọnyá ma ọ bụ gastritis. Nnyocha na-egosi na ihe ndị ọzọ ga-adịkwa maka mmebi ahụ. Ihe ndị na-eme ka ọnyá gị site na H. pylori dịkwuo gị mkpa gụnyere:
- Ihe nketa nke ụfọdụ nje nke bacteria ndị dị ize ndụ karịa ndị ọzọ
- Ihe na-adịghị mma na-eme na eriri afọ
- Ụdị àgwà ndụ, dị ka ịṅụ kọfị, ịṅụ sịga, na nrụgide na-aga n'ihu
Diagnosing H. Pylori
Ọ bụrụ na a chọta ọnyá, otu dọkịta ga-anwale onye ọrịa maka H. pylori. Ọ bụ ezie na ule kachasị maka ọnụnọ nke H. pylori bụ ule ọbara, ihe nchekwa na anụ ahụ nwere ike iwere.
Ihe nyocha ọzọ bụ nchọpụta ume urea (UBT). Onye ọrịa na-ekpuchi capsule nke nwere urea, bụ chemical nke nitrogen na carbon na-emekarị ma na-emepụta ahụ. Ọ bụrụ na H. pylori dị, urea ga-agbaba n'ime nitrogen na carbon dị ka carbon dioxide.
A na-etinye carbon dioxide n'ahụ site na imechi afọ na n'ime ọbara, mgbe ahụ gaa na ngụgụ. A na - anakọta ume nke ume ume gwụrụ, a na - atụkwa carbon dioxide. Nnwale a bụ ihe dịka 94 ruo 98%.
Enwere ike iji usoro nkwụsị aka elu dịka usoro nyocha. N'ime oge endoscopy, a na-ewere ihe ndị na-emepụta biopsy nke afo na duodenum.
Achọpụta nyocha nke H. pylori site n'inyocha ha na nyocha.
A pụrụ iji ule stool chọpụta ọrịa H. pylori n'ihe gbasara ọrịa onye ahụ. Nnyocha egosiwo na ule a, a na-akpọ Helicobacter pylori stool antigen (HpSA), bụ ihe ziri ezi maka ịchọta H. pylori.
Olee otú e si emeso H. Pylori Peptic Ulcers Treated?
Ngwadogwu nke mbụ a na-atụ aro ya bụ ngwakọta nke onye na- emepụta mgbapụta proton (PPI) na ọgwụ nje amoxicillin na clarithromycin maka izu abụọ. A na-enye nke a mgbe ụfọdụ na otu ọgwụ ederede "Prevpac."
A na-eji ọgwụ a na-akpọ metronidazole mgbe ụfọdụ n'ọnọdụ amoxicillin mgbe ị na-agwọ ndị ọrịa na-arịa ọrịa penicillin.
Ndị na-emepụta ihe na-emepụta proton gụnyere:
- Aciphex (raberprazole)
- Nexium (esomeprazole)
- Prevacid (lansoprazole)
- Prilosec (omeprazole)
- Protonix (pantoprazole)
Isi mmalite:
William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, "American College of Gastroenterology Guideline on Management of Helicobacter pylori Infection." doi: 10.1111 / j.1572-0241.2007.01393.x. American College of Gastroenterology. 23 Aug 2007.
"Ihe m kwesịrị ịma banyere Peptic Ulcers." NIH Publication No. 05-5042 October 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 23 Aug 2007.
"H. pylori na Peptic Ulcer." NIH Publication No. 05-4225 October 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 23 Aug 2007.