Nā hoʻāʻo no H pylori

Helicobacter pylori (H pylori) ʻo ke koʻohune (germ) ke kuleana no ka nui o ka ʻōpū (gastric) a me nā maʻi maʻi duodenal a me nā hihia he nui o ka ʻōpū ʻōpū (gastritis mau).

Nui a hewahewa nā ʻano hana e hoʻāʻo ai H pylori maʻi maʻi.

Hōʻike hanu (Carbon Isotope-urea Breath Test, a i ʻole UBT)

• A i 2 mau pule ma mua o ka hoʻāʻo, pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau ʻalopika, nā lāʻau bismuth e like me Pepto-Bismol, a me nā mea pale proton pump (PPI).
• I ka wā o ka hoʻāʻo, moni ʻoe i kahi mea kūikawā i loaʻa ka urea. ʻO Urea kahi huahana neoneo a ke kino e hana ai ke wāwahi ia i ka protein. ʻO ka urea i hoʻohana ʻia i ka hoʻokolohua i hana ʻia me ka radioactive.
• Inā H pylori Aia i laila, hoʻololi ka bacteria i ka urea i carbon dioxide, i ʻike ʻia a hoʻopaʻa ʻia i kou hanu i hoʻokuʻu ʻia ma hope o 10 mau minuke.
• Hiki i kēia hoʻāʻo ke ʻike kokoke i nā poʻe āpau i loaʻa H pylori. Hiki nō ke hoʻohana ʻia e nānā i ka mālama pono ʻia ʻana o ka maʻi.

Nā ho'āʻo koko

• Hoʻohana ʻia nā hoʻokolohua koko e ana i nā mea ʻino i H pylori. ʻO nā Antibodies nā protein i hana ʻia e ka ʻōnaehana pale o ke kino ke ʻike ʻo ia i nā mea ʻino e like me ka bacteria.
• Nā hōʻike koko no H pylori hiki ke haʻi inā loaʻa i kou kino H pylori nā kinikini ʻAʻole hiki iā ia ke haʻi inā he maʻi kou i kēia manawa a pehea ka lōʻihi o kou loaʻa ʻana iā ia. ʻO kēia no ka mea hiki ke hōʻoia i ka hōʻoia no nā makahiki, ʻoiai inā e hoʻōla ʻia ka maʻi. A ʻo kahi hopena, ʻaʻole hiki ke hoʻohana ʻia nā hōʻike koko e ʻike inā ua hoʻōla ʻia ka maʻi ma hope o ka lapaʻau ʻana.

Hōʻike Stool

• Hiki i kahi hōʻike stool ke huki i nā laha o H pylori i nā feces.
• Hiki ke hoʻohana i kēia hōʻike e hōʻoia ai i ka maʻi a hōʻoia hoʻi ua hoʻōla ʻia ia ma hope o ka lapaʻau ʻana.

ʻO Biopsy

• Lawe ʻia kahi laʻana kiko, i kapa ʻia he biopsy, mai ka pale o ka ʻōpū. ʻO kēia ke ala pololei loa e haʻi inā loaʻa iā ʻoe H pylori maʻi maʻi.
• I mea e wehe ai i kahi hāpana kiko, he hana kāu i kapa ʻia he endoscopy. Hana ʻia ke kaʻina hana i ka haukapila a i ʻole kikowaena kikowaena.
• ʻO ka maʻamau, hana ʻia kahi biopsy inā pono ka endoscopy no nā kumu ʻē aʻe. ʻO nā kumu e hoʻopili ai i ka diagnose ka ulcer, mālama ʻana i ke kahe ʻana, a i ʻole ka hōʻoia ʻana ʻaʻohe maʻi ʻaʻai.

Hana pinepine ʻia ka hoʻāʻo ʻana e kuhikuhi H pylori maʻi maʻi:

• Inā loaʻa iā ʻoe i kēia manawa ka ʻōpū a i ʻole ulcer duodenal
• Inā loaʻa iā ʻoe ka ʻōpū a i ʻole ka ulcer duodenal i ka wā i hala, a ʻaʻole ʻoe i hoʻāʻo ʻia H pylori
• Ma hope o ka lapaʻau ʻana no H pylori maʻi, e hōʻoia i ka loaʻa ʻole o nā bacteria

E hana pū ʻia paha ka hoʻāʻo inā pono ʻoe e lawe i kahi ibuprofen lōʻihi a i ʻole nā ​​lāʻau NSAID ʻē aʻe. Hiki i kāu mea mālama ola ke haʻi hou aku iā ʻoe.

Koi ʻia paha ka hōʻike no kahi kūlana i kapa ʻia ʻo dyspepsia (pau ʻole). ʻO kēia ka ʻeha o ka ʻōpū o luna. Pākuʻi ʻia nā ʻōuli me ka manaʻo o ka piha a i ʻole ka wela, ke ahi, a i ʻole ka ʻeha ma ka wahi ma waena o ka piko a me ka ʻaoʻao haʻahaʻa o ka umauma i ka wā a ma hope paha o ka ʻai ʻana. Ke hoʻāʻo nei no H pylori me ka ʻole endoscopy hana pinepine wale ʻia inā hou ka discomfort, ʻōpio ke kanaka ma mua o 55, a ʻaʻohe ʻōuli ʻē aʻe.

ʻO nā hopena maʻamau ka manaʻo ʻaʻohe hōʻailona inā loaʻa iā ʻoe H pylori maʻi maʻi.

Nā hualoaʻa maʻamau he manaʻo kāu H pylori maʻi maʻi. E kūkākūkā kāu mea lawelawe me ʻoe.

Peptic ulcer maʻi - H pylori; PUD - H pylori

Uhi TL, Blaser MJ. Helicobacter pylori a me nā ʻōpū Helicobacter gastric. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 217.

Morgan DR, Crowe SE. ʻO ka maʻi Heliobacter pylori. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 51.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. ʻO ka ʻike Laboratory o gastrointestinal a me nā maʻi pancreatic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 22.