Ua lohe anei ʻoe i ka atrophic gastritis, kahi ʻano e lahilahi ai ka uhi o ka ʻōpū? E kamaʻilio kākou!

I kekahi manawa, e manaʻo paha ʻoe i ka ʻōpū huhū, a i ʻole ka nalowale o ka makemake, a i ʻole ka manaʻo o ka piha i loko o kou ʻōpū, ʻeā? Malia paha ʻaʻole maʻalahi ke kumu o ia mea e like me kou manaʻo. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i ʻoi aku ka hohonu, akā hiki ke lilo i mea nui no nā poʻe he nui. ʻO ia ke ʻano i kapa ʻia ʻo Atrophic Gastritis . Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Atrophic Gastritis?

I ka ʻōlelo maʻalahi, ʻo ka atrophic gastritis kahi kūlana kahi e lahilahi mālie ai ka uhi o kou ʻōpū, ka uhi o ka ʻōpū, a lilo i mumū mau. E noʻonoʻo iā ia e like me kahi membrane pale i loko o kou ʻōpū. ʻO kēia ka mea e pale ai i ka uhi o ka ʻōpū mai nā waikawa ʻino i loko o kou ʻōpū. I ka gastritis atrophic, ua hōʻino ʻia kēia membrane pale a lilo i lahilahi.

ʻO kekahi mea kūikawā ʻē aʻe, ʻo ia ke ʻano o kekahi o nā pūnaewele i loko o kou ʻōpū e like me nā pūnaewele i loko o kou ʻōpū liʻiliʻi. Ua kapa ʻia kēia he "intestinal metaplasia" ma nā huaʻōlelo lapaʻau. ʻO ia hoʻi, ua like nā pūnaewele i loko o kou ʻōpū me nā pūnaewele i loko o kou ʻōpū.

ʻElua ʻano nui o kēia, ʻeā?

ʻAe, pololei ʻoe. ʻElua ʻano nui o ka gastritis atrophic. E nānā kākou i ke ʻano o lākou.

1. ʻO ka gastritis atrophic i hoʻoulu ʻia e ke kaiapuni (EMAG)

ʻO kēia kekahi ʻano. Ua kapa ʻia e nā kauka ʻo ia he (Environmental Metaplastic Atrophic Gastritis) a i ʻole EMAG no ka pōkole. ʻO ke kumu nui o kēia, ʻo ia ka maʻi me ka bacteria H. pylori (Helicobacter pylori).

E noʻonoʻo, aia i loko o kou ʻōpū kahi membrane mucous pale, e like me ka umbrella e kūʻē i ka ua. ʻO kēia ka mea e pale ai i nā paia o ka ʻōpū mai nā wai ʻakika gastric e kōkua ai i ka ʻeli ʻana i ka meaʻai. Akā i ka wā e hiki mai ai kēia bacteria i kapa ʻia ʻo 'H. pylori', hana ia me he mea lā e hou ana i kēlā umbrella. A laila hoʻomaka kēlā mau waikawa acidic e ʻai i nā paia o ka ʻōpū. Ke hana ʻia kēia i nā makahiki, ua luku ʻia nā hunaola o ka ʻōpū, ua lahilahi ka uhi, a ua hana ʻia ke kūlana o EMAG.

2. ʻO ka gastritis atrophic Autoimmune (AAG)

ʻO kēia ke ʻano ʻelua. Ua kapa ʻia ʻo ia ʻo (Autoimmune Atrophic Gastritis) a i ʻole AAG no ka pōkole. I kekahi manawa ua kapa ʻia hoʻi ʻo (Autoimmune Gastritis - AIG).

E nānā, he hui ko kākou o nā kiaʻi kino. ʻO ia ko kākou ʻōnaehana pale kino. ʻO kā lākou hana ke kaua aku i nā huakini e hoʻoulu ai i ka maʻi. Akā i kekahi manawa, me he mea lā e hoʻouka hewa ana lākou i kekahi o lākou iho, hoʻomaka kēia mau kiaʻi kino e hoʻouka i kā kākou mau pūnaewele olakino ponoʻī. ʻO ia ka mea e hana ʻia ma AAG. Maanei, hoʻouka pololei ka ʻōnaehana pale kino i nā pūnaewele olakino i loko o ko kākou paia ʻōpū.

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Aia kekahi mau pilikia me kekahi o kēia mau ʻano?

ʻAe, hiki i ka EMAG a me ka AAG ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā puʻupuʻu liʻiliʻi i loko o kou ʻōpū. Ua kapa ʻia kēia mau mea he "Neuroendocrine Tumors - NETs". Eia naʻe, i ka hapa nui o ka manawa, ʻaʻole kēia mau NET he maʻi kanesa (benign) , ʻo ia hoʻi, ʻaʻole lākou he mea ʻino. Eia naʻe, hiki i ka EMAG a me ka AAG ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa ʻōpū. No laila, he mea nui e makaʻala i kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī e hoʻomohala i kēia EMAG?

ʻO ka poʻe i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka gastritis atrophic i hoʻoulu ʻia e ke kaiapuni (EMAG) e komo pū me:

• No ka poʻe o ka lāhui ʻĀsia a Hispanic paha.
• No nā poʻe ma luna o 70 mau makahiki.
• No ka poʻe e ʻai nui ana i ka meaʻai paʻakai.
• No ka poʻe i loaʻa i ka maʻi ʻo H. pylori.
• No ka poʻe e noho ana i nā wahi piha kanaka (no ka mea, hiki i kēia ke kōkua i ka laha ʻana o ka H. pylori).
• No ka poʻe puhi paka.

No laila ʻo wai ka mea i ʻoi aku ka nui o ka hoʻomohala ʻana i ka AAG?

Aia kekahi poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka autoimmune atrophic gastritis (AAG). ʻO lākou kēia:

• No nā wāhine (ʻoi aku ma mua o nā kāne).
• No ka poʻe mamo ʻApelika ʻAmelika a i ʻole ʻEulopa ʻĀkau.
• Inā ua loaʻa mua kekahi o ka ʻohana iā AAG (aia paha kahi loulou hoʻoilina).
• No ka poʻe me kekahi mau hoʻololi genetic.
• No nā poʻe me nā maʻi autoimmune ʻē aʻe. Eia kekahi laʻana:
• ʻO ka maʻi o Addison
• nā maʻi thyroid Autoimmune (e.g. maʻi Hashimoto, maʻi Graves)
• ʻAno 1 diabetes
• ʻO ka ʻili ʻili

Pehea ka maʻamau o kēia mau kūlana?

Wahi a nā helu helu mai ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia aia ma kahi o 15% o ka heluna kanaka i loaʻa i ka atrophic gastritis (AG) . Ua ʻōlelo ʻia hoʻi ʻo ka nui o AAG ma waena o 0.5% a me 2%. ʻAʻole kēia kūlana me ka ʻole o kona mau pilikia ma Sri Lanka.

He aha nā kumu kikoʻī no ka hoʻokumu ʻia ʻana o EMAG?

E like me kā mākou i kūkākūkā mua ai, ʻo ke kumu nui o ka EMAG ka maʻi me ka bacteria H. pylori. ʻOi aku ka maʻi o kēia bacteria i ka wā kamaliʻi. Aia kekahi mau ala e hiki ai ke laha. Eia kēia mau mea:

• Ma o ka pilina pololei me nā feces ).
• Ma o ka meaʻai.
• Ma o ka lawai.
• Ma ka luaʻi ʻana.
• Ma ka wai.

ʻO ia hoʻi , he mea nui loa ka mālama ʻana i ka maʻemaʻe i mea e palekana ai mai kēia bacteria.

He aha nā kumu o ka AAG?

ʻO ka mea e hana ʻia ma AAG, ʻo ia ka hoʻouka ʻana o nā antibodies o ko mākou kino - kahi ʻano protein e pale ai iā mākou mai nā maʻi - i ko mākou mau hunaola ʻōpū olakino ponoʻī.

ʻO kekahi mea ʻē aʻe, hiki i kēia mau antibodies ke hoʻouka i kekahi manawa i kahi protein kūikawā i kapa ʻia ʻo 'Intrinsic factor' i hana ʻia e ko kākou mau hunaola ʻōpū. ʻO kēia 'Intrinsic factor' he huaora B12.He mea nui loa ia i ke kino ke omo iā ia. No laila, inā nele ka Intrinsic factor, ʻaʻole hiki i ko kākou kino ke omo pono i ka wikamina B12. E pale kēia i ke kino mai ka hana ʻana i nā hunaola koko ʻulaʻula olakino, hiki ke alakaʻi i kahi ʻano anemia kūikawā i kapa ʻia ʻo Pernicious anemia. Ke lawa ʻole ka wikamina B12, hiki nō hoʻi ke hōʻino i nā aʻalolo (neuropathy).

He aha nā hōʻailona o EMAG?

ʻO ka nūhou maikaʻi, ʻaʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona ʻoiai he gastritis atrophic ko lākou. Eia nō naʻe, ke hoʻokumu ʻia ka EMAG e kahi maʻi H. pylori, nā hōʻailona e like me:

• ʻEha ma ka ʻōpū luna.
• ʻAʻai anemia nele i ka hao.
• ʻAʻohe ʻono o ka meaʻai.
• Ka luaʻi a me ka luaʻi.
• Nā ʻōpū peptic i loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi.
• Ka wiwi ʻana me ke kumu ʻole.

He aha nā hōʻailona o AAG?

E like me EMAG, ʻaʻole paha e loaʻa i kekahi poʻe me AAG kekahi mau hōʻailona. Eia nō naʻe, inā hoʻokumu ʻo AAG i ka nele o ka huaora B12, hiki ke loaʻa nā hōʻailona e pili ana i ka anemia a me ka hōʻino ʻana o ke aʻalolo. ʻO nā hōʻailona:

• ʻEha ka umauma.
• Pōʻino, poʻo māmā, nāwaliwali.
• Nā palpitations o ka puʻuwai.
• Ka huikau o ka noʻonoʻo, e like me ka delirium.
• Ka luaʻi a me ka luaʻi.
• ʻIli keʻokeʻo.
• Ka pulse wikiwiki.
• Ka manaʻo o kahi leo kani e puka mai ana mai loko mai o nā pepeiao (Tinnitus).
• ʻO ka mae a me ka nalowale o ka ʻike ma nā lālā.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Ke hōʻike ʻoe i nā hōʻailona e like me kēia, e nīnau mua ke kauka iā ʻoe i nā nīnau a hana i kahi hoʻokolokolo kino, me ka palpating i kou ʻōpū e ʻike inā he palupalu.

Inā kānalua ʻia ka gastritis atrophic, hiki i ke kauka ke kuhikuhi i kekahi mau hoʻāʻo koko , e like me:

• He helu olakino o nā ʻula koko ʻulaʻula (hiki i nā pae haʻahaʻa ke alakaʻi i ka anemia).
• Pae hao.
• Nā ʻano antibodies (ʻoi aku hoʻi inā kānalua ʻia ʻo AAG).
• Nā pae Gastrin, kahi hormone e kōkua ai i ka hana ʻana i ka waikawa o ka ʻōpū.
• Nā pae o ka Pepsinogen, kahi protein i hana ʻia e nā hunaola ʻōpū.
• Nā pae o ka wikamina B12.

Eia kekahi, hiki i ke kauka ke hana i kahi endoscopy .

• ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi (endoscope) me kahi kāmela i hoʻopili ʻia ma kou waha e nānā pono i loko o kou ʻōpū. Mai hopohopo, e hoʻomoe ʻia ʻoe a hoʻomoe ʻia paha ma mua o ke kaʻina hana, no laila ʻaʻole ʻoe e ʻike i kekahi ʻoluʻolu ʻole.
• I kēia manawa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o ka ʻōpū no kahi biopsy. Hiki i kēia ke hōʻoia inā loaʻa ka gastritis atrophic a inā paha aia ka bacteria H. pylori.
• Hiki i kēia ke nānā i nā ʻōpū e like me nā "Neuroendocrine tumors - NETs" a mākou i kamaʻilio ai ma mua.

He aha nā lāʻau lapaʻau no kēia?

Pili nā koho lapaʻau inā he EMAG a i ʻole AAG kāu.

Lapaʻau no EMAG

• Inā loaʻa kahi maʻi H. pylori, hāʻawi ʻia nā lāʻau antibiotic e pepehi iā ia.
• Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hoʻemi i ka waikawa o ka ʻōpū.
• He mea nui hoʻi e nānā i ke kūlana ma o ka hana ʻana i nā hoʻokolokolo endoscopy maʻamau.

Ka mālama ʻana i ka AAG

• Inā haʻahaʻa nā pae o ka wikamina B12, pono paha nā inikini wikamina B12 e hoʻonui iā lākou.
• Inā haʻahaʻa ka pae hao, hiki ke hāʻawi ʻia nā infusions hao ma ke ʻano intravenous .

Inā ʻike ʻoe i nā puʻupuʻu liʻiliʻi i kapa ʻia ʻo NETs i ka wā o ka endoscopy, hiki i kāu kauka ke wehe iā lākou i ka manawa like. Ua kapa ʻia kēia he endoscopic mucosal resection. E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole maʻamau kēia mau puʻupuʻu he maʻi kanesa (benign). Eia nō naʻe, he manaʻo maikaʻi e nānā iā lākou i kēlā me kēia ʻelua makahiki.

Pehea e hōʻemi ai i ka pilikia o ka atrophic gastritis (AG)?

I mea e pale aku ai i ka maʻi H. pylori, hiki ke hoʻoulu i ka EMAG, pono ʻoe e makaʻala loa i ka maʻemaʻe. ʻOi loa aku:

• Ma hope o ka hoʻololi ʻana i kahi diaper.
• Ma hope o ka hele ʻana i ka lua.
• Ma mua o ka ʻai ʻana.

E holoi pono i kou mau lima me ke kopa. E hoʻokomo i ka maʻa o ka holoi mau ʻana i kou mau lima i kāu mau keiki.

Eia nō naʻe, ʻaʻohe mea hiki iā mākou ke hana e pale aku i ke ʻano autoimmune i kapa ʻia ʻo AAG mai ka hanana ʻana. Eia nō naʻe, he mea nui e makaʻala i kāna mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau inā pono, a nānā i ke ʻano.

He aha ka mea e hana ai ke noho ʻoe me kēia maʻi? (Outlook)

ʻOiai ʻaʻohe lāʻau lapaʻau no ka gastritis atrophic, hiki i ka hapa nui o ka poʻe ke ola i kahi ola maʻamau, ʻaʻohe hōʻailona. Pono paha kekahi poʻe e lawe i ka huaora B12 a i ʻole nā ​​​​mea hoʻohui hao no ke koena o ko lākou ola.

ʻO kahi helu liʻiliʻi o ka poʻe me kēia maʻi, ka poʻe i ʻoi aku ka nui o ka pilikia, pono pinepine lākou e hana i kahi endoscopy i kēlā me kēia ʻekolu a ʻelima mau makahiki (endoscopic surveillance). Eia nō naʻe, ʻoiai aia kahi pilikia o ka loaʻa ʻana o ka maʻi ʻōpū i waena o kēia poʻe, he haʻahaʻa loa ia. Pono paha ka poʻe me kēlā mau puʻupuʻu i kapa ʻia ʻo NETs i ka nānā ʻana, akā pinepine lākou ʻaʻole he maʻi kanesa.

Pehea e mālama ai inā loaʻa iā ʻoe ʻo EMAG?

Inā loaʻa iā ʻoe ka EMAG, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i nā pilikia:

• Inā ʻoe e puhipaka, e hoʻōki pono.
• E hoʻomaʻamaʻa i ka papaʻai paʻakai (sodium).
• E ʻike i kahi gastroenterologist a e nānā ʻia kou kūlana i nā manawa maʻamau.

Pehea ʻoe e mālama ai iā ʻoe iho inā loaʻa iā ʻoe ka AAG?

Inā nele ʻoe i ka wikamina B12, hiki iā ʻoe ke hoʻohui i nā meaʻai waiwai i ka B12 i kāu papaʻai. Eia kekahi laʻana:

• Pipi
• ʻŌpae
• Nā hua manu
• ʻO ka iʻa ʻaila (e like me ka salmon, mackerel, a me nā sardines)
• Nā meaʻai i hoʻoikaika ʻia
• Waiū
• Yogurt

Eia kekahi, pono e hoʻomau ka poʻe me AAG e ʻike i kahi gastroenterologist e nānā i ke kūlana a hana i nā hoʻololi lapaʻau e pono ai.

Leka Lawe-Home

ʻO ka gastritis atrophic kahi kūlana e lahilahi ai ka uhi o ka ʻōpū a pehu. ʻElua ʻano: EMAG, i hoʻokumu ʻia e ka maʻi H. pylori, a me AAG, i hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana pale.

• ʻAʻole like ke ʻano o nā hōʻailona no nā kānaka a pau. Hiki iā lākou ke komo pū me ka ʻeha o ka ʻōpū, ka nalowale o ka makemake, a me ka nele o ka wikamina B12.
• Hiki ke ʻike pololei ʻia kēia ma o nā hoʻāʻo koko a me ka endoscopy.
• ʻO ka lāʻau lapaʻau e komo pū ana me ka lāʻau lapaʻau no H. pylori, nā inikini huaora B12, a me ka hao.
• Hiki i nā kānaka he nui ke ola i kahi ola maʻamau. Eia nō naʻe, he mea nui loa ka launa pū ʻana me ke kauka a loaʻa nā hoʻokolohua a me ka lāʻau lapaʻau e pono ai.

Inā he mau nīnau hou aku kāu e pili ana i kēia, a inā paha e manaʻo ʻoe he mau hōʻailona kēia, e ʻoluʻolu e ʻike i ke kauka no ka ʻōlelo aʻo. Mai hopohopo, aia nā hopena i nā mea āpau!

ʻAtrophic Gastritis, Atrophic Gastritis, Mumura ʻōpū, ʻōpū, H. pylori, Wikamina B12, Anemia, Endoscopy, Gastritis