Nā ho'āʻo Helicobacter Pylori (H. Pylori)
Anter
- He aha nā hoʻokolohua helicobacter pylori (H. pylori)?
- No ke aha lākou e hoʻohana ai?
- No ke aha e pono ai iaʻu kahi hōʻike ʻo H. pylori?
- He aha ka hana ma ka hoʻāʻo ʻana o H. pylori?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo ʻana?
- Aia kekahi mau pilikia i ka hoʻāʻo ʻana?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hoʻāʻo ʻana o H. pylori?
- Nā kūmole
He aha nā hoʻokolohua helicobacter pylori (H. pylori)?
ʻO Helicobacter pylori (H. pylori) kahi ʻano o nā koʻohune i hoʻopili i ka ʻōnaehana digestive. ʻAʻole loaʻa nā kānaka he nui me H. pylori i nā ʻōuli o ka maʻi. Akā no nā poʻe ʻē aʻe, hiki i ka bacteria ke hoʻoulu i nā ʻano maʻi digestive. Hoʻopili kēia i ka gastritis (ʻōpū o ka ʻōpū), peptic ulcer (ʻeha i loko o ka ʻōpū, ʻōpū liʻiliʻi, a i ʻole esophagus), a me kekahi ʻano o ka maʻi ʻaʻai ʻōpū.
Aia nā ala like ʻole e hoʻāʻo ai i kahi maʻi H. pylori. Hoʻokomo ʻia ke koko, ka noho, a me nā hoʻāʻo hanu. Inā loaʻa iā ʻoe nā hōʻailona digestive, hiki i ka hoʻāʻo ʻana a me ka mālama ʻana ke pale aku i nā pilikia koʻikoʻi.
Nā inoa ʻē aʻe: H. pylori stool antigen, H. pylori breath test, urea breath test, wikiwiki urease test (RUT) no H. pylori, H. pylori culture
No ke aha lākou e hoʻohana ai?
Hoʻohana pinepine ʻia nā hoʻokolohua H. pylori i:
- Nānā i nā koʻohune H. pylori i ka mahele digestive
- E ʻike inā loaʻa nā hōʻailona digestive e kahi maʻi H. pylori
- E ʻike inā ua holo ka lāʻau no ka maʻi H. pylori
No ke aha e pono ai iaʻu kahi hōʻike ʻo H. pylori?
Pono paha ʻoe e hoʻāʻo inā loaʻa nā ʻōuli o kahi maʻi digestive. Ma muli o ka gastritis a me nā ulcer e hoʻoulu ai i ka pale o ka ʻōpū, kaʻana like lākou i nā ʻano like like ʻole. Pākuʻi ʻia lākou:
- Abdominal eha
- Puʻupuʻu
- ʻO Nusea a me ka luaʻi
- Pohā
- Loaʻa ka ʻai ʻole
- Kaumaha emi
ʻO kahi ulcer kahi maʻi ʻoi aku ka koʻikoʻi ma mua o ka gastritis, a ʻoi aku ka nui o ka ikaika o nā ʻōuli.ʻO ka mālama ʻana i ka gastritis i nā wā mua e kōkua i ka pale ʻana i ka ulu ʻana o kahi ulcer a i ʻole nā pilikia ʻē aʻe.
He aha ka hana ma ka hoʻāʻo ʻana o H. pylori?
Aia nā ala like ʻole e hoʻāʻo ai iā H. pylori. E kauoha paha kāu mea mālama ola i hoʻokahi a ʻoi paha o nā ʻano o nā hoʻokolohua.
Hōʻaʻo koko
- Nānā ʻia no nā mea ʻāpili (cells-Fighting cells) iā H. pylori
- Nā kaʻina hana hoʻāʻo:
- E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi.
- Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha.
Hōʻike hanu, i ʻike ʻia ma ke ʻano he hoʻāʻo urea
- Nānā i nā maʻi ma ke ana ʻana i kekahi mau mea i loko o kou hanu
- Nā kaʻina hana hoʻāʻo:
- E hāʻawi ʻoe i kahi laʻana o kou hanu e ka hanu ʻana i loko o kahi ʻeke hōʻiliʻili.
- Ma hope o kēlā, e ale ʻoe i ka pila a i ʻole ka wai i loko o kahi mea pono ʻole radioactive.
- E hāʻawi ʻoe i kahi mea ʻokoʻa o kou hanu.
- E hoʻohālikelike kāu mea hāʻawi i nā laʻana ʻelua. Inā ʻoi aku ka kiʻekiʻe o ka hāpana ʻelua ma mua o nā pae kalapona kalapona maʻamau, he hōʻailona ia o kahi maʻi H. pylori.
Nā hoʻāʻo Stool.E kauoha paha kāu mea hāʻawi i kahi antigen stool a i ʻole kahi hōʻike moʻomeheu ʻōpala.
- Nānā kahi hōʻike antigen stool no nā antigens iā H. pylori i kāu pahu. ʻO nā antigens nā mea e hoʻonāukiuki i kahi pane pale.
- Nānā kahi hoʻomeheu moʻomeheu no ka bacteria P. pylori i ka pahu.
- Hōʻiliʻili ʻia nā laʻana no ʻelua mau ʻano hoʻokolokolo i ka like. ʻO kahi hōʻiliʻili laʻana e hoʻopili mau i nā kaʻina hana:
- E hoʻokomo i nā kāʻei lope a i ʻole ka hopena paha.
- E hōʻiliʻili a mālama i ka pahu i loko o kahi pahu kūikawā i hāʻawi ʻia iā ʻoe e kāu mea mālama ola a i kahi lab.
- Inā hōʻiliʻili i kahi laʻana mai kahi pēpē, e hoʻopili i ka diaper o ka pēpē me ka wahī ʻōpala.
- E hōʻoia i ka hui ʻole ʻana o ka mimi, ka wai ʻauʻau, a me ka pepa lua paha me ka hāpana.
- E sila a hōʻailona i ka ipu.
- Wehe i nā mīkina lima, a holoi i kou mau lima.
- E hoʻihoʻi i ka ipu i kāu kahu mālama ola.
Hoʻopau. Inā ʻaʻole i hāʻawi nā hōʻike ʻē aʻe i ka lawa o ka ʻike no kahi kuhi, hiki i kāu mea hāʻawi ke kauoha i kahi hana i kapa ʻia he endoscopy. Hāʻawi kahi endoscopy i kāu mea hāʻawi e nānā i kāu esophagus (ka paipu e hoʻopili i kou waha a me kou ʻōpū), ka uhi ʻana o kou ʻōpū, a me kahi ʻāpana o kou ʻōpū liʻiliʻi. Ma ke kaʻina hana:
- E moe ʻoe i lalo ma kahi papa hana ma kou kua a ʻaoʻao paha.
- Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hoʻomaha a pale iā ʻoe mai ka ʻehaʻeha i ke kaʻina hana.
- E hoʻokomo kāu mea hoʻolako i kahi paipu lahilahi, i kapa ʻia he endoscope, i loko o kou waha a me kou puʻu. He kukui a me ka pahupaʻikiʻi ko ka endoscope. ʻAe kēia i ka mea hāʻawi e loaʻa i kahi ʻike maikaʻi o kāu ʻoka kūloko.
- Lawe paha kāu mea hāʻawi i kahi biopsy (wehe ʻana i kahi mea liʻiliʻi o nā kiko) e nānā ai ma hope o ke kaʻina hana.
- Ma hope o ke kaʻina hana, e nānā ʻia ʻoe no hoʻokahi hola a ʻelua paha ke pau ka lāʻau.
- Hiamoe paha ʻoe no kekahi manawa, no laila e hoʻolālā e hoʻokele kekahi iā ʻoe i kou home.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo ʻana?
- ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi hoʻokolohua koko H. pylori.
- No nā hoʻokolohua hanu, noho, a endoscopy, pono paha ʻoe e hōʻoki i ka lawe ʻana i kekahi mau lāʻau no ka lōʻihi o ʻelua pule a hoʻokahi mahina ma mua o ka hoʻāʻo ʻana. E kamaʻilio pono me kāu mea mālama ola e pili ana i nā lāʻau āpau āu e lawe nei.
- No kahi endoscopy, pono ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) no kahi o 12 mau hola ma mua o ke kaʻina hana.
Aia kekahi mau pilikia i ka hoʻāʻo ʻana?
ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.
ʻAʻohe hopohopo i ʻike ʻia i ka loaʻa ʻana o ka hanu a i ʻole nā hōʻaikau.
I ka manawa o ka endoscopy, ʻike paha ʻoe i kahi ʻoluʻolu ke hoʻokomo ʻia ka endoscope, akā kākaʻikahi nā pilikia koʻikoʻi. Aia kahi liʻiliʻi liʻiliʻi o ka loaʻa ʻana o kahi waimaka i kou ʻōpū. Inā he biopsy kāu, aia kahi liʻiliʻi o ke kahe ʻana o ke kahe ma ka pūnaewele. Kū ka holo ʻana o ke kahe ʻana me ka ʻole o ka lāʻau.
He aha ke ʻano o nā hopena?
Inā maikaʻi ʻole kāu mau hopena, ʻo ia hoʻi ʻaʻole paha ʻoe i loaʻa i ka maʻi H. pylori. E kauoha paha kāu mea hāʻawi i nā hoʻokolohua hou aku e ʻike i ke kumu o kāu mau hōʻailona.
Inā maikaʻi kāu mau hopena, ʻo ia hoʻi he maʻi P. pylori kāu. Mālama ʻia nā maʻi H. pylori. E kauoha paha kāu mea mālama ola i ka hui pū ʻana o nā lāʻau ʻalopika a me nā lāʻau ʻē aʻe e mālama i ka maʻi a hōʻeha i ka ʻeha. Hiki ke paʻakikī ka hoʻolālā lāʻau, akā he mea nui e lawe i nā lāʻau āpau e like me ka mea i kuhikuhi ʻia, ʻoiai inā e hala kāu mau hōʻailona. Inā noho kekahi bacteria P. pylori i loko o kāu ʻōnaehana, hiki i kou ʻano ke hōʻino. ʻO Gastritis i hoʻokumu ʻia e H. pylori hiki ke alakaʻi i kahi maʻi maʻi peptic a i kekahi manawa ka maʻi ʻaʻai ʻōpū.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hoʻāʻo ʻana o H. pylori?
Ma hope o kou mālama ʻia ʻana me nā lāʻau ʻalopika, kauoha paha kāu mea mālama ola i nā hoʻokolohua hou ʻana e hōʻoia i ka pau ʻana o nā bacteria H. pylori.
Nā kūmole
- ʻAhahui Gastroenterological ʻAmelika [Pūnaewele]. Bethesda (MD): ʻAmelika Gastroenterological Association; c2019. ʻO ka maʻi ulia Peptic; [helu ʻia 2019 Jun 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.gastro.org/practice-guidance/gi-patient-center/topic/peptic-ulcer-disease
- ʻO ke olakino kamaliʻi mai Nemours [Pūnaewele]. Jacksonville (FL): Ke Kulanui Nemours; c1995–2019. Helicobacter pylori; [helu ʻia 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://kidshealth.org/en/father/h-pylori.html
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2019. Helicobacter pylori (H. pylori) hōʻike; [hōʻano hou ʻia 2019 Feb 28; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/helicobacter-pylori-h-pylori-testing
- Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. ʻO ka maʻi Helicobacter pylori (H. pylori): Nā ʻōuli a me nā kumu 2017 Mei 17 [helu ʻia 2019 Jun 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/h-pylori/symptoms-causes/syc-20356171
- National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [helu ʻia 2019 Jun 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
- Ke Kulanui ʻo Ohio State: Wexner Medical Center [Pūnaewele]. Columbus (OH): Ke Kulanui ʻo Ohio State, Wexner Medical Center; H. Pylori Gastritis; [helu ʻia 2019 Jun 27]; [ma kahi o 5 pale]. Loaʻa mai: https://wexnermedical.osu.edu/digestive-diseases/h-pylori-gastritis
- Pūnaewele Kauka Lapaʻau ʻo Torrance Memorial [Pūnaewele]. Pūnaewele Kauka Lapaʻau ʻo Torrance, c2019. Ulcer a me Gastritis; [helu ʻia 2019 Jun 27]; [ma kahi o 4 pale]. Loaʻa mai: https://www.tmphysiciannetwork.org/specialities/primary-care/ulcer-gastritis
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Nā hoʻāʻo no H. pylori: Overview; [hōʻano hou ʻia 2019 Jun 27; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/tests-h-pylori
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Helicobacter Pylori; [helu ʻia 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P00373
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Helicobacter Pylori Antibody; [helu ʻia 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=helicobacter_pylori_antibody
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Helicobacter Pylori moʻomeheu; [helu ʻia 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=helicobacter_pylori_cultural
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Nā ho'āʻo Helicobacter Pylori: Pehea e hana ai; [hōʻano hou 2018 Nov 7; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1554
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Nā ho'āʻo Helicobacter Pylori: Pehea e hoʻomākaukau ai; [hōʻano hou 2018 Nov 7; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 4 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1546
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Nā ho'āʻo Helicobacter Pylori: Nā pilikia; [hōʻano hou 2018 Nov 7; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 7 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1588
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Nā ho'āʻo Helicobacter Pylori: Nānā Hōʻike; [hōʻano hou 2018 Nov 7; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Nā ho'āʻo Helicobacter Pylori: No ke aha e hana ai; [hōʻano hou 2018 Nov 7; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/helicobacter-pylori-tests/hw1531.html#hw1544
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻO Endoscopy Gastrointestinal o luna: Pehea e hana ai; [hōʻano hou 2018 Nov 7; i helu ʻia ʻo 2019 Jun 27]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/upper-gastrointestinal-endoscopy/hw267678.html#hw267713
ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.