Tijaabooyinka H pylori

Helicobacter pylori (H pylori) waa bakteeriyada (jeermiska) mas'uulka ka ah inta badan caloosha (gastric) iyo boogaha duodenal iyo xaalado badan oo caabuq caloosha ah (gastritis chronic).

Waxaa jira dhowr hab oo loo tijaabiyo H pylori caabuq

Tijaabada Neefsashada (Tijaabada Neefsashada Kaarboon Isotope-urea, ama UBT)

• Ilaa 2 toddobaad baaritaanka ka hor, waxaad u baahan tahay inaad joojiso qaadashada antibiyootikada, dawooyinka bismuth sida Pepto-Bismol, iyo proton pump inhibitors (PPIs).
• Inta lagu jiro baaritaanka, waxaad liqaysaa walax gaar ah oo leh kaadi-mareenka. Urea waa shey wasakh ah oo jirku soo saaro maadama uu burburiyo borotiinka. Yuurada loo isticmaalo tijaabada ayaa laga dhigay shucaac aan dhib lahayn.
• Haddii H pylori jira, bakteeriyada ayaa urea u rogta kaarboon laba ogsaydh, taas oo la ogaado oo lagu duubo neeftaada neefta ka dib 10 daqiiqo.
• Tijaabadani waxay aqoonsan kartaa ku dhowaad dhammaan dadka sameeyay H pylori. Waxaa sidoo kale loo isticmaali karaa in lagu hubiyo in cudurka si buuxda loo daaweeyay.

Tijaabooyinka Dhiigga

• Baadhitaanada dhiiga waxaa loo isticmaalaa in lagu cabiro unugyada difaaca jirka H pylori. Antibodies waa borotiino uu sameeyo habka difaaca jirka markii uu ogaado walxaha waxyeelada leh sida bakteeriyada.
• Tijaabada dhiigga ee H pylori kaliya ayaa sheegi kara haddii jirkaagu leeyahay H pylori unugyada difaaca jirka. Ma kala garan karo inaad qabtid infakshan hadda jira iyo muddada aad ku soo qaadatay. Tani waa sababta oo ah baaritaanka wuxuu noqon karaa mid wanaagsan sanado, xitaa haddii infekshanka la bogsiiyey. Natiijo ahaan, baaritaanka dhiigga looma isticmaali karo si loo arko in cudurka la bogsiiyey daaweynta ka dib.

Baaritaanka Saxarada

• Tijaabada saxarada ayaa lagu ogaan karaa raadadka H pylori saxarada.
• Tijaabadan waxaa loo adeegsan karaa in lagu baaro infekshanka oo lagu xaqiijiyo in uu bogsaday daaweynta ka dib.

Biopsy

• Muunad unug ah, oo loo yaqaan biopsy, ayaa laga soo qaadaa dahaadhka caloosha. Tani waa habka ugu saxsan ee lagu sheegi karo inaad leedahay H pylori caabuq
• Si aad u soo saarto muunada unugyada, waxaad leedahay qaab loo yaqaan endoscopy. Nidaamka waxaa lagu sameeyaa isbitaalka ama xarunta bukaan socodka.
• Badanaa, biopsy ayaa la sameeyaa haddii loo baahdo endoscopy sababo kale awgood. Sababaha waxaa ka mid ah baaritaanka boogta, daaweynta dhiig baxa, ama hubinta inuusan jirin kansar.

Baaritaanka badanaa waxaa loo sameeyaa si loo ogaado H pylori caabuq:

• Haddii aad hadda qabto caloosha ama boog calooleed
• Haddii aad horey u lahayd caloosha ama boog calooleed, oo aan waligaa lagaa baarin H pylori
• Daaweyn kadib H pylori infekshinka, si loo hubiyo inaysan jirin bakteeriya dambe

Baadhitaan sidoo kale waa la samayn karaa haddii aad u baahan tahay inaad qaadato ibuprofen muddada-dheer ah ama daawooyinka kale ee NSAID. Daryeel bixiyahaaga caafimaad ayaa waxbadan kaaga sheegi kara.

Baaritaanka waxaa sidoo kale lagula talin karaa xaalad loo yaqaan dyspepsia (dheef-shiid la'aan). Tani waa raaxo la'aan caloosha sare. Calaamadaha waxaa ka mid ah dareemid buuxda ama kuleyl, gubasho, ama xanuun ka jira aagga u dhexeeya xuddunta iyo qaybta hoose ee lafta naaska inta lagu jiro ama ka dib cunista. Tijaabinta H pylori aan lahayn endoscopy badiyaa waxaa la sameeyaa oo keliya marka raaxo-darradu cusub tahay, qofku ka yar yahay 55 sano, mana jiraan calaamado kale.

Natiijooyinka caadiga ah waxay ka dhigan yihiin inaysan jirin calaamad muujinaysa inaad leedahay H pylori caabuq

Natiijooyinka aan caadiga ahayn waxay ka dhigan yihiin inaad leedahay H pylori caabuq Bixiyahaaga ayaa kaala hadli doona daaweynta.

Cudurka boogta ee Peptic - H pylori; PUD - H pylori

Dabool TL, Blaser MJ. Helicobacter pylori iyo noocyada kale ee caloosha ee Helicobacter. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 217.

Morgan DR, Crowe SE. Infekshanka Heliobacter pylori. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 51.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Baadhista shaybaarka ee xanuunada caloosha iyo mindhicirka. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 22.