Xeem rau H pylori

Helicobacter pylori (H pylori) yog cov kab mob (tus kabmob) ua lub luag haujlwm rau feem ntau lub plab (lub plab) thiab duodenal mob rau sab hauv thiab ntau yam mob plab (mob plab).

Muaj ntau txoj kev los kuaj rau H pylori kis tau tus mob.

Kev Ntsuas Pa (Carbon Isotope-urea Pa Test, lossis UBT)

• Mus txog 2 lub lis piam ua ntej sim, koj yuav tsum tsis txhob noj tshuaj tua kab mob, bismuth tshuaj xws li Pepto-Bismol, thiab proton twj tso kua mis inhibitors (PPIs).
• Thaum qhov kev kuaj ntawd, koj nqos ib yam tshuaj tshwj xeeb uas muaj urea. Urea yog cov khoom pov tseg hauv lub cev tsim tawm thaum nws zom cov protein. Cov urea siv hauv qhov ntsuas tau ua rau cov khoom hluav taws xob tsis zoo.
• Yog H pylori yog tam sim no, cov kab mob hloov urea mus rau hauv cov pa roj carbon dioxide, uas tau tshawb pom thiab sau cia hauv koj txoj kev ua pa tawm tom qab 10 feeb.
• Qhov kev ntsuas no tuaj yeem txheeb xyuas yuav luag txhua tus neeg muaj H pyloriCov. Nws kuj tseem siv tau los kuaj xyuas tias tus kab mob tau kho tau tus kheej.

Kev Ntshav Ntshav

• Kev kuaj ntshav yog siv los ntsuas tshuaj tiv thaiv kab mob rau H pyloriCov. Cov tshuaj tua kab mob yog cov protein ua los ntawm lub cev tiv thaiv kab mob thaum nws kuaj pom cov khoom tsis zoo xws li cov kab mob.
• Kuaj ntshav rau H pylori tsuas yog qhia tau yog tias koj lub cev muaj H pylori tshuaj tiv thaiv. Nws tsis tuaj yeem hais qhia yog tias koj muaj tus kabmob tamsis no lossis ntev npaum li cas koj tau kis. Qhov no yog vim hais tias qhov kev kuaj mob tuaj yeem muaj txiaj ntsig zoo nyob rau xyoo, txawm tias tau kho tus mob. Raws li qhov tshwm sim, cov kev kuaj ntshav tsis tuaj yeem siv los saib seb tus mob tau kho zoo tom qab kho tas.

Kuaj Cov Quav

• Qhov quav tso quav tuaj yeem tshawb pom ib co ntawm H pylori hauv cov quav.
• Kev kuaj ntshav no tuaj yeem siv los kuaj xyuas tus kab mob thiab paub meej tias nws tau raug kho tom qab kho tas.

Raug me

• Cov ntaub so ntswg ua qauv, hu ua me me, raug coj los ntawm daim tawv nqaij hauv plab. Nov yog qhov tseeb tshaj plaws los qhia rau yog tias koj muaj H pylori kis tau tus mob.
• Txhawm rau tshem tawm cov ntaub so ntswg, koj muaj txheej txheem hu ua endoscopy. Cov txheej txheem yog ua nyob rau hauv tsev kho mob lossis chaw pw.
• Feem ntau, kuaj ib qho coj mus kuaj yog ua tiav yog tias yuav tsum tshem cov qog nqaij rau lwm yam. Cov laj thawj suav nrog kev kuaj xyuas tus mob, kho ntshav, lossis paub meej tias tsis muaj mob qog noj ntshav.

Kev sim feem ntau yog ua rau kev kuaj mob H pylori mob:

• Yog tias koj tam sim no muaj mob plab lossis duodenal mob
• Yog tias koj muaj mob plab lossis duodenal yav dhau los, thiab tseem tsis tau sim ua ntej H pylori
• Tom qab kho rau H pylori kev kis kab mob, kom paub tseeb tias tsis muaj kab mob ntxiv

Kev tshuaj ntsuam kuj tseem yuav ua tau yog tias koj xav noj ibuprofen mus sij hawm ntev lossis lwm yam tshuaj NSAID. Koj tus kws kho mob tuaj yeem qhia koj ntau ntxiv.

Qhov kev sim yuav kuj tseem pom zoo rau ib qho mob hu ua dyspepsia (kem plab). Qhov no yog mob plab duav sab sauv. Cov tsos mob muaj xws li zoo nkaus li lub siab tag nrho lossis cua sov, hlawv, lossis mob ntawm thaj chaw ntawm txoj hlab ntaws thiab qis dua ntawm lub mis nqa lub sijhawm lossis tom qab noj mov. Kev ntsuas rau H pylori yam tsis muaj kev cuam tshuam qhov mob qog feem ntau ua rau tsuas yog thaum qhov tsis xis nyob yog tshiab, tus neeg hluas dua 55 xyoo, thiab tsis muaj lwm yam kev mob tshwm sim.

Cov txiaj ntsig tau zoo txhais tau tias tsis muaj kos npe tias koj muaj H pylori kis tau tus mob.

Cov txiaj ntsig tsis zoo txhais tau tias koj muaj tus H pylori kis tau tus mob. Koj tus kws khomob yuav nrog koj tham kho koj.

Peptic mob rwj - H pylori; PUD - H pylori

Npog TL, Blaser MJ. Helicobacter pylori thiab lwm hom Hwj plab Helicobacter. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: cha 217.

Morgan DR, Crowe SE. Heliobacter pylori mob. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 51.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Kev kuaj ntshav kuaj pom ntawm txoj hnyuv thiab lub cev muaj mob tsis tuaj yeem. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 22.