Gwaje-gwaje don H pylori

Helicobacter pylori (H pylori) shine kwayar cuta (kwayar cuta) wacce ke da alhakin mafi yawan ciki (na ciki) da ulcer da kuma duodenal ulcer da kuma yawan ciwan ciki (gastritis na kullum).

Akwai hanyoyi da yawa don gwadawa H pylori kamuwa da cuta.

Gwajin numfashi (Carbon Isotope-urea Breath Test, ko UBT)

• Har zuwa makonni 2 kafin gwajin, kuna buƙatar dakatar da shan maganin rigakafi, magunguna na bismuth kamar su Pepto-Bismol, da proton pump inhibitors (PPIs).
• Yayin gwajin, zaku haɗi wani abu na musamman wanda ke da urea. Urea wani kayan sharar jiki ne da jiki ke samarwa yayin da yake lalata furotin. Urea da aka yi amfani da ita a cikin gwajin an sanya ta cikin rediyo mara cutarwa.
• Idan H pylori suna nan, kwayoyin suna canza urea zuwa carbon dioxide, wanda aka gano kuma aka rubuta shi a cikin numfashin da kuka fitar bayan minti 10.
• Wannan gwajin zai iya gano kusan duk mutanen da suke da shi H pylori. Hakanan za'a iya amfani dashi don tabbatar da cewa cutar ta warke sosai.

Gwajin jini

• Ana amfani da gwajin jini don auna kwayoyin cuta zuwa H pylori. Antibodies sunadarai ne wadanda garkuwar jiki keyi lokacin da suke gano abubuwa masu cutarwa kamar ƙwayoyin cuta.
• Gwajin jini don H pylori iya kawai gaya idan jikinka ya H pylori maganin rigakafi. Ba zai iya faɗi idan kuna da cutar ta yanzu ko tsawon lokacin da kuka yi ba. Wannan saboda gwajin na iya zama tabbatacce tsawon shekaru, koda kuwa cutar ta warke. A sakamakon haka, ba za a iya amfani da gwaje-gwajen jini ba don ganin ko cutar ta warke bayan magani.

Gwajin Stool

• Gwajin jaka na iya gano alamun H pylori a cikin najasa.
• Ana iya amfani da wannan gwajin don tantance cutar da tabbatar da cewa ya warke bayan magani.

Biopsy

• Ana daukar samfurin nama, wanda ake kira biopsy, daga murfin ciki. Wannan ita ce hanya mafi dacewa don faɗi idan kuna da H pylori kamuwa da cuta.
• Don cire samfurin nama, kuna da hanyar da ake kira endoscopy. Ana yin aikin a cikin asibiti ko asibitin marasa lafiya.
• Yawancin lokaci, ana yin biopsy idan ana buƙatar endoscopy don wasu dalilai. Dalilai sun hada da bincikar cutar miki, magance jinni, ko tabbatar babu kansar.

Ana yin gwaji mafi yawa don tantancewa H pylori kamuwa da cuta:

• Idan a halin yanzu kuna da ciwon ciki ko miki
• Idan kana da ciwon ciki ko duodenal a baya, kuma ba a taɓa gwada ka ba H pylori
• Bayan jiyya ga H pylori kamuwa da cuta, don tabbatar babu sauran ƙwayoyin cuta

Hakanan za'a iya yin gwaji idan kuna buƙatar ɗaukar ibuprofen na dogon lokaci ko wasu magungunan NSAID. Mai ba ku kiwon lafiya na iya gaya muku ƙarin bayani.

Hakanan za'a iya bada shawarar gwajin don yanayin da ake kira dyspepsia (rashin narkewar abinci). Wannan shine rashin jin daɗin ciki na sama. Kwayar cututtukan sun hada da jin cike ko zafi, konewa, ko ciwo a yankin tsakanin cibiya da ƙananan ƙashin ƙirji yayin ko bayan cin abinci. Gwaji don H pylori ba tare da endoscopy ba sau da yawa ana yin sa ne kawai lokacin da rashin jin daɗi ya zama sabo, mutumin ya yi ƙanƙan da shekaru 55, kuma babu wasu alamun alamun.

Sakamako na al'ada yana nufin babu alamar cewa kuna da H pylori kamuwa da cuta.

Sakamako mara kyau yana nufin cewa kuna da H pylori kamuwa da cuta. Mai ba ku sabis zai tattauna batun magani tare da ku.

Ciwon miki - H pylori; PUD - H pylori

Rufe TL, Blaser MJ. Helicobacter pylori da sauran nau'ikan Helicobacter na ciki. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 217.

Morgan DR, Crowe SE. Heliobacter pylori kamuwa da cuta. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 51.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Binciken Laboratory na cututtukan ciki da na pancreatic. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 22.