Ua pehu kou ʻōpū? E aʻo kākou i nā mea āpau e pili ana i ka gastritis ma ke ala maʻalahi!

Loaʻa pinepine iā ʻoe ka ʻeha puʻuwai a i ʻole ka ʻōpū huhū? A i ʻole ua piha ʻoe ma hope o ka ʻai ʻana? He mau hōʻailona paha kēia o kahi pilikia maʻamau ma mua o kou manaʻo. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi a ka poʻe he nui e ʻeha nei, akā ʻaʻole maopopo loa. ʻO ia ka gastritis. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka gastritis? I ka ʻōlelo maʻalahi...

E noʻonoʻo, ua like ko kākou ʻōpū me kahi ʻeke e hoʻoheheʻe ana i ka meaʻai. Ua uhi ʻia ka paia o loko o kēia ʻōpū me kahi membrane lahilahi loa (mucosa). E like me ka ʻili lahilahi i loko o ko kākou waha. ʻO ka hana nui o kēia membrane ka pale ʻana i ka paia o ka ʻōpū mai nā waikawa ʻino i hana ʻia i loko o ka ʻōpū, nā enzymes, a me nā germs e komo pū me ka meaʻai a kākou e ʻai ai.

ʻO ka gastritis ka wā e pehu ai kēia uhi pale. ʻO ka pehu kahi kūlana e hoʻoulu ai i ka pehu a me ka ʻulaʻula. ʻO ka ʻōnaehana pale o ko mākou kino ke kumu o kēia pehu. ʻO ia hoʻi, ke ʻike ʻo ia he hoʻoweliweli a hōʻino paha i ka paia o ka ʻōpū, hana ka ʻōnaehana pale. Hiki mai ka pehu ma muli o kēia hakakā. He hana pale maoli kēia a ke kino e hana ai iā ia iho.

He aha nā ʻano nui o ka gastritis?

Hiki ke hoʻokaʻawale ʻia ka gastritis i ʻelua ʻano nui. Hoʻokaʻawale ʻia hoʻi e like me ka hōʻino ʻia o ka paia o ka ʻōpū.

1. ʻO ka Gastritis ʻĀkiʻoki a me ka Gastritis Mau

• ʻO ka Gastritis ʻĀkiu: ʻO kēia ke ʻano e hiki koke mai ana a hoʻomaikaʻi ma hope o kekahi manawa. Ua like ia me ka ʻeha ʻōpū koke. ʻO nā kumu o kēia he manawa pōkole wale nō.
• ʻO ka Gastritis Mau Loa: He ʻano maʻi kēia e mau no ka manawa lōʻihi. Eia nō naʻe, hiki iā ʻoe ke loaʻa iā ia ʻoiai inā ʻaʻohe ou hōʻailona nui. Hoʻomohala mālie ia i ka hala ʻana o ka manawa. Hoʻopili pinepine ʻia me nā maʻi maʻi ʻē aʻe.

2. ʻO ka Gastritis ʻErosive a me ka Gastritis Nonerosive

• ʻErosive Gastritis: I kēia hihia, ʻo ke kumu o ka gastritis (no ka laʻana, nā lāʻau lapaʻau ʻino, ka waiʻona, nā waikawa ikaika) e ʻai ana i ka ʻili o ka ʻōpū. E like me ke kuni ʻana ma ka ʻili, hana ia i nā ʻeha. Hiki i kēia ke hana i nā ʻeha, a i ʻole nā ​​​​​​ʻōpū, i loko o ka ʻōpū.
• ʻO ka Gastritis Nonerosive: Ma kēia, ʻaʻohe ʻeha nui ma ka paia o ka ʻōpū. Eia nō naʻe, hiki i ka paia ke lilo i ʻulaʻula, pehu, a hiki ke hōʻeha iki. ʻO kahi hihia kūikawā o kēia i kapa ʻia ʻo ka atrophic gastritis . I kēia hihia, lilo ka papa pale o ka paia o ka ʻōpū i lahilahi a maloʻo. Hiki i kēia ke hana i nā pilikia o ka ʻōpū.

E noʻonoʻo e pili ana i ia mea, e like me kou inu ʻana i kahi mea inu ikaika, e pehu kou waha, hiki ke hana like i kou ʻōpū. He laʻana maʻalahi kēlā o ka 'Erosive Gastritis'.

Ua ʻike ʻia hoʻi ʻo Gastritis ma nā inoa like ʻole ma muli o kona kumu. Eia kekahi mau laʻana:

• ʻO ka gastritis maʻi
• ʻO ka gastritis i hoʻoulu ʻia e ka lāʻau lapaʻau
• ʻO ka gastritis i hoʻoulu ʻia e ka waiʻona
• ʻO ka gastritis i hoʻoulu ʻia e ke kaumaha
• ʻO ka gastritis autoimmune
• ʻO ka gastritis eosinophilic

He maʻi maʻamau anei ka gastritis?

ʻAe, ʻoi aku ka maʻamau ma mua o kou manaʻo. ʻOi aku ka gastritis koʻikoʻi. Hoʻokumu pinepine ʻia e nā mea e like me nā maʻi manawa pōkole, ka hoʻohana ʻana i ka waiʻona, a me kekahi mau lāʻau ʻeha (NSAID). ʻAʻole maʻamau ka gastritis mau, akā he miliona o ka poʻe ma ka honua holoʻokoʻa i loaʻa i ka gastritis mau, i hoʻokumu ʻia e kahi maʻi bacteria i kapa ʻia ʻo H. pylori .

He aha nā hōʻailona o ka gastritis? Pehea ʻoe e ʻike ai?

ʻO ka mea maikaʻi loa , i kekahi manawa hiki ke ʻike ʻole ʻia ka gastritis. Eia nō naʻe, inā ʻike ʻia nā hōʻailona, ​​​​hiki ke koʻikoʻi iki ke ʻano a i ʻole ua lōʻihi ka manawa.

Hōʻike ʻia nā hōʻailona ke nāwaliwali ka ʻili o ka ʻōpū a hoʻomaka e hōʻino ʻia e ka waikawa ʻōpū a me nā enzymes. Hiki i kēia waikawa ke hoʻonāukiuki i ka ʻōpū, ka ʻōpū huhū, a me nā ʻōpū palapū, hiki ke kahe ke koko.

ʻO nā hōʻailona maʻamau e ʻike ʻia:

• Ka nalowale ʻana o ka makemake e ʻai , a i ʻole ka māʻona ʻoiai ma hope o ka ʻai iki ʻana.
• ʻEha ka ʻōpū a me ka pehu (manaʻo e like me ʻoe ua piha i ke kinoea).
• Ka luaʻi a me/a i ʻole ka luaʻi ʻana.

Inā loaʻa iā ʻoe kahi ʻōpū ʻōpū e kahe ana ke koko, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Nā noho ʻeleʻele (i kapa ʻia ʻo `melena`) e like me ke kēpau.
• Ka luaʻi ʻana i ka luaʻi ʻeleʻele e like me ke kofe lepo (ua kapa ʻia kēia ʻo 'ka luaʻi lepo kofe').

Ma hea kahi e ʻike ʻia ai ka ʻeha o ka gastritis?

ʻIke ʻia ka ʻeha gastritis ma ka ʻaoʻao o luna, waena o kou ʻōpū (kapa nā kauka i kēia ʻo ka 'ʻāpana epigastric'). Me ka mumū maʻamau, hiki ke paʻakikī ke kuhikuhi pololei i kahi e ʻeha ai. Eia nō naʻe, inā he ʻōpū ʻōpū kou, hiki paha iā ʻoe ke ʻike pololei i ka ʻeha. Hiki ke like me ka ʻeha wela a ʻeha hou paha . I kekahi manawa, hiki ke hoʻomaha ʻia ka ʻeha ma ka ʻai ʻana.

He aha nā kumu o ka gastritis?

Ua ʻōlelo mua mākou he pane ka gastritis mai ko mākou ʻōnaehana pale i kahi hoʻoweliweli i ka ʻōpū. No laila, hiki mai kēia hoʻoweliweli no nā kumu like ʻole.

1. Nā maʻi

ʻO kēia ke kumu nui o ka gastritis, ʻoi aku ka gastritis koʻikoʻi.

• Nā maʻi bacteria: ʻO ka mea maʻamau o kēia mau mea ʻo ia ka bacteria H. pylori (Helicobacter pylori) . Hiki i kēia ke hana i ka gastritis mau loa.
• Nā maʻi viral: ʻO kekahi mau virus e hoʻoulu ai i ka maʻi ʻōpū hiki ke hana i ka gastritis pōkole.
• I ka manawa pinepine ʻole, hiki ke hana ʻia ka gastritis e nā parasites a me nā maʻi fungal.

2. Nā Kemika

• ʻOna: ʻO ka inu nui ʻana i ka waiʻona e hōʻino i ka ʻōpū o ka ʻōpū a hoʻoulu i ka gastritis.
• Kekahi mau lāʻau lapaʻau: ʻO ka hoʻohana mau ʻana i nā mea ʻeha, ʻoiai nā 'NSAID' (nā lāʻau anti-inflammatory nonsteroidal) (e.g. aspirin, ibuprofen) e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka gastritis acute.
• ʻO kekahi mau lāʻau lapaʻau, e like me ka cocaine, hiki ke lilo i kumu.

3. Nā maʻi autoimmune

ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hoʻouka hewa ʻana o ka ʻōnaehana pale ponoʻī o ko mākou kino i nā pūnaewele o ka ʻōpū, e hoʻoulu ai i ka mumū mau loa a me ka gastritis.

4. Hoʻemi ʻia ke kahe koko i ka ʻōpū

I ka wā o ke kaumaha nui o ke kino, e like me ke ʻoki kino nui, kahi ulia koʻikoʻi, a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe, hoʻohuli ke kino i ke koko i nā ʻōkana nui a hōʻemi i ka nui o ke koko e hele ana i ka ʻōnaehana hoʻoheheʻe. Hoʻonāwaliwali kēia i nā pale o ka paia o ka ʻōpū, hiki ke alakaʻi i ka gastritis.

5. Nā kumu ʻē aʻe

• ʻO ka lāʻau lapaʻau radiation (i kapa ʻia hoʻi ʻo mucositis).
• Lāʻau lapaʻau kū'ē i ke kanesa `(Chemotherapy)`.
• ʻO ka bile i hana ʻia i loko o ka gallbladder e kahe hou ana i loko o ka ʻōpū (bile reflux).

He aha nā pilikia e hiki ke kū mai ma muli o ka gastritis?

ʻO ka hapa nui o ka manawa, he maʻi pōkole ka gastritis, ʻaʻole koʻikoʻi. Eia nō naʻe, inā waiho ʻole ʻia a mālama ʻole ʻia, hiki iā ia ke hōʻino i ka ʻili o ka ʻōpū a alakaʻi i nā pilikia like ʻole.

Nā pilikia o ka Erosive Gastritis a me nā Ulcers:

• Ka maʻi ʻōpū peptic: Hiki i ka Gastritis ke hana i nā ʻōpū ʻōpū.
• Ke kahe koko ʻana o ka ʻōpū: Ke kahe nei kēia mau ʻōpū, a i ka hala ʻana o ka manawa , hiki ke loaʻa ka anemia .
• Ka hoʻokumu ʻia ʻana o nā ʻiʻo ʻeha:Ke ulu pinepine nā ʻeha, hiki ke hana ʻia nā ʻiʻo ʻeha ma kēlā mau wahi. Hiki i kēia ʻeha ke ālai i ka puka haʻahaʻa o ka ʻōpū (ka pylorus) kahi e komo ai ka meaʻai i loko o ka ʻōpū liʻiliʻi. Ua kapa ʻia kēia he gastric outlet obstruction (GOO) .
• ʻO ka perforation o ka ʻōpū: Hiki i kahi ʻōpū ho'ōla ʻole ke hana i kahi lua i loko o ka paia o ka ʻōpū . Hiki i kēia ke ʻae i ka bacteria mai ka ʻōpū e komo i loko o ka lua ʻōpū, e hana ana i kahi maʻi weliweli i kapa ʻia ʻo peritonitis . Hiki i kēia ke alakaʻi i ka septicemia (ka lāʻau make koko) a me ka sepsis (kahi maʻi hoʻoweliweli ola).

Nā pilikia ma muli o ka Nonerosive Gastritis, Atrophy a me Metaplasia:

Hiki mālie mai nā pilikia mai kēia ʻano gastritis. Akā i ka wā i loaʻa ai no nā makahiki,

• Hiki i ka uhi pale o ka ʻōpū ke lahilahi a nalowale (atrophy). Hoʻemi kēia i ka hana o ka ʻōpū.
• ʻAʻole paha e hiki i ke kino ke omo i kekahi mau meaʻai (e like me ka hao, ka waikawa folic, ka huaora B12). ʻO ka emi ʻana o ka omo ʻana o ka huaora B12 hiki ke alakaʻi i kahi maʻi i kapa ʻia ʻo 'pernicious anemia' .
• ʻAʻole pinepine loa, hiki i ka gastritis lōʻihi ke hoʻololi i nā pūnaewele i loko o ka paia o ka ʻōpū a like me ke ʻano o kahi ʻano ʻiʻo ʻē aʻe. Ua kapa ʻia kēia ʻo 'gastric intestinal metaplasia' . Manaʻo nā kauka he 'precancerous condition' kēia e hiki ai ke alakaʻi i ka maʻi kanesa . ʻO ke ʻano kēia, hiki ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka ʻōpū.

Pehea e ʻike pono ai i ka gastritis?

E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. Manaʻo paha ke kauka he gastritis kou, akā pono lākou e hana i nā hoʻokolohua e hōʻoia pono ai.

• Hiki ke hana ʻia kahi hoʻāʻo X-ray, e like me ka "upper GI series" . ʻOiai hiki i kēia ke hōʻike i nā mea e like me nā ʻōpū a me nā ʻōpala ma ka paia o ka ʻōpū, ʻaʻole ia e hōʻike mau i ka gastritis.
• No ka hōʻoia ʻana i ka gastritis, pono ʻoe e nānā ma lalo o kahi microscope. No kēia, hana ʻia kahi 'endoscopy luna '. Ma kēia, hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela ma o ka waha a nānā ʻia ka ʻōpū. I ka manawa like, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (he 'biopsy') mai ka paia o ka ʻōpū a hoʻouna ʻia i ka hale hana. ʻOiai inā manaʻo ke kauka he gastritis kou i ka wā o ka endoscopy, ʻo ka biopsy wale nō ke ala e hōʻoia ai.

Ma waho aʻe o kēia, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu o ka gastritis a i ʻole e nānā i nā pilikia:

• Nā hoʻāʻo koko
• Hoʻāʻo noho
• Hoʻāʻo hanu ʻo H. pylori

E hoʻōla anei ka gastritis iā ia iho?

• ʻO ka gastritis koʻikoʻiAkā naʻe, inā e hoʻopau ʻia ke kumu, hoʻopau pinepine ia iā ia iho. No ka laʻana, inā he maʻi ia, e emi iho ka mumū i ka wā e hakakā ai ka ʻōnaehana pale. Inā ʻoe e hoʻōki i ka lawe ʻana i ka waiʻona a i ʻole nā ​​​​lāʻau lapaʻau ikaika no kekahi manawa, e ulu hou ka ʻōpū o ka ʻōpū.
• ʻAʻole e ola pono ka gastritis mau loa . Pono e mālama ʻia ke ʻano maʻi ma lalo. A laila wale nō e ola pono ai ka gastritis. ʻO ka hōʻino ʻana i ka uhi ʻōpū i hoʻokumu ʻia e ka gastritis mau loa e lōʻihi paha ka manawa e ho'ōla ai.

Pehea e hoʻomaha koke ai i ka gastritis?

Aia kekahi mau lāʻau lapaʻau ma luna o ke kūʻai aku (OTC) hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i ka mumū o ka ʻōpū a me ka ʻoluʻolu ʻole. No ka laʻana , hiki i nā mea hoʻopaʻa proton pump (PPIs) a i ʻole Pepto Bismol® ke hāʻawi i ka hōʻoluʻolu manawa pōkole. Eia nō naʻe, me kēia mau lāʻau lapaʻau, he mea nui e ʻike i ke kauka e hoʻoholo i ke kumu pololei o kou gastritis a mālama iā ia.

Pehea e ho'ōla loa ai i ka gastritis?

No ka ho'ōla piha ʻana i ka gastritis mau loa, he mea nui ka ʻōlelo aʻo lapaʻau. Aia ka lāʻau lapaʻau i ke kumu o ka gastritis.

Hiki ke like me kēia:

• Nā lāʻau antibiotic a me nā lāʻau ʻē aʻe no ka maʻi H. pylori.
• Inā ʻoe e hoʻohana nei i nā lāʻau lapaʻau e like me NSAID, e hoʻololi i nā lāʻau lapaʻau palekana.
• Inā ʻoe e ʻona ana i ka waiʻona a i ʻole nā ​​​​lāʻau lapaʻau, e ʻimi i nā lawelawe hoʻoponopono hou.
• Nā lāʻau lapaʻau kūikawā no nā maʻi autoimmune.
• I ka manawa kākaʻikahi loa, hiki ke hana ʻia ke ʻoki no nā kūlana e like me ke kahe ʻana o ke koko i loko o ka ʻōpū, ka emi ʻana o ke koko (ischemia), a i ʻole ka reflux bile.
• No ka wikiwiki ʻana i ka ho'ōla ʻana o ka uhi ʻōpū, e lawe i ka lāʻau hoʻēmi waikawa i kauoha ʻia e kāu kauka.

He maʻi lele anei ka gastritis?

ʻAʻole, ʻaʻole laha ka gastritis. Eia nō naʻe, hiki i kekahi mau maʻi e hoʻoulu ai i ka gastritis (e like me ka bacteria H. pylori) ke laha. Hoʻolaha pinepine ʻia ʻo H. pylori ma o ka wai a me ka meaʻai i haumia ʻia (ala fecal-to-oral). No laila, he mea nui e mālama i ka maʻemaʻe maikaʻi (e like me ka holoi ʻana i nā lima ma hope o ka hoʻohana ʻana i ka lua a ma mua o ka hoʻomākaukau ʻana i ka meaʻai). Hiki i kēia mau ʻano ke hele lōʻihi i ka pale ʻana i ka gastritis.

He aha ka ʻōlelo hope loa no kēia kūlana?

ʻO ka hapa nui o ka manawa, ʻo ka gastritis kahi maʻi e hoʻomaikaʻi ʻia me ka mālama ʻana. Hiki i ka lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā hōʻailona. No kekahi poʻe, pono paha ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona e hoʻōla piha ai. Hiki i kēia ke komo pū me ka hoʻololi ʻana i ke ʻano o kāu mālama ʻana i nā kūlana ʻē aʻe, ka hōʻemi ʻana a i ʻole ka hoʻōki ʻana i kāu hoʻohana ʻana i ka waiʻona a i ʻole ka paka, a me ka pale ʻana i ka gastritis mai ka hoʻi hou ʻana.

ʻAʻohe mea e hopohopo ai nā hihia kakaikahi o ka gastritis ʻākī a hiki ke mālama ʻia ma ka home. Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi, a inā he mau hōʻailona gastritis mau kou, pono ʻoe e ʻike i ke kauka. Hōʻike nā hōʻailona mau e loaʻa ana kahi maʻi maʻi ma lalo e pono ai ka nānā ʻana. No ka mea, hiki i nā pilikia o ka ʻōpū ke loaʻa i nā kumu he nui, he mea nui e loaʻa kahi hōʻailona pololei.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• He mumū ka gastritis i loko o ka ʻōpū. Mai hopohopo, he mea maʻamau loa kēia.
• ʻElua ʻano: ʻo ke ʻano ʻeha (Acute) e hiki koke mai ana, a ʻo ke ʻano mau (Chronic) e mau ana no ka manawa lōʻihi.
• ʻO nā kumu nui paha ʻo ia ka bacteria 'H. pylori', kekahi mau lāʻau ʻeha ('NSAID'), ka waiʻona, a me ke kaumaha.
• Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka ʻōpū, ka pehu ʻana, ka nausea, a me ka luaʻi ʻana. I kekahi manawa ʻaʻohe hōʻailona iki.
• Inā he ʻeleʻele kou mau ʻōpala a luaʻi paha e like me ke kope kope, he hōʻailona koʻikoʻi ia. E ʻike koke i ke kauka.
• I ka hapa nui o ka manawa, hiki i ka lāʻau lapaʻau ke hoʻomaikaʻi i ke kūlana. Akā no ka gastritis mau loa, pono e mālama ʻia ke kumu.
• Inā ʻeha pinepine kou ʻōpū, he mea naʻauao ke ʻimi i ke kōkua lapaʻau ma mua o ka lāʻau ponoʻī.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

ʻO ka gastritis, ka gastritis, ka mumū o ka ʻōpū, H. pylori, nā ʻōpū ʻeha, ʻeha ʻōpū, ke kinoea ʻōpū