Aia kekahi hewa i kou ʻōpū? E aʻo kākou e pili ana i ka gastropathy ma nā ʻōlelo maʻalahi!

Hoʻomaʻamaʻa pinepine mākou i nā ʻeha o ka ʻōpū a me ka puʻuwai. I kekahi manawa manaʻo mākou he mea maʻamau ia, a i ʻole he mea wale nō paha e hana ʻia ke ʻala iki ka meaʻai. Eia nō naʻe, i kekahi manawa aia paha nā kūlana ma hope o kēia mau hōʻailona e pono ai mākou e hopohopo iki. Pēlā mākou e kamaʻilio ai e pili ana i kahi kūlana i kapa ʻia ʻo gastropathy, ʻo ia hoʻi ka hōʻino ʻana i ka uhi o ko mākou ʻōpū, ʻo ia hoʻi, ka mucosa. He ʻano like paha kēia me kahi huaʻōlelo lapaʻau, akā e hoʻomaopopo maʻalahi kākou.

He aha ka gastropathy ma ke ʻano maoli?

I ka ʻōlelo maʻalahi, ʻo ke gastropathy ke ʻano o "ka maʻi o ka ʻōpū." I kēia manawa ke noʻonoʻo nei paha ʻoe, "Ke ʻōlelo mākou i ka maʻi ʻōpū, hiki ke manaʻo ʻia kekahi maʻi e ulu ana i loko o ka ʻōpū." ʻAe, he ʻoiaʻiʻo kēlā. ʻAʻole wale ka maʻi ʻōpū maʻamau, ka maʻi ʻōpū peptic, gastroparesis, ʻo ia ke ʻano i hōʻino ʻia ai ka hana o ka ʻōpū ma muli o kekahi mau pilikia nerve, akā hiki i ka maʻi ʻōpū ke hāʻule ma lalo o ka māhele o gastropathy ma kēia ʻano ākea.

Eia nō naʻe, hoʻohana nā kauka, ʻoiai ka poʻe loea i nā maʻi gastrointestinal, i ka huaʻōlelo "gastropathy" ma kahi ʻano kikoʻī. Inā haʻi aku ke kauka iā ʻoe, "He gastropathy kou," ke kuhikuhi nei paha ʻo ia i kahi mea e hōʻino ana i ka uhi o kou ʻōpū .

He aha ka manaʻo o ka gastropathy?

He ʻōkana kupaianaha ko kākou ʻōpū. Loaʻa iā ia nā kemika hoʻoheheʻe ikaika loa e kōkua iā kākou e hoʻoheheʻe i ka meaʻai a kākou e ʻai ai. No laila, no ka pale ʻana i ka ʻōpū mai kēia mau kemika ikaika, aia ka paia o ka ʻōpū i kahi papa pale i hana ʻia me kahi uhi mucous mānoanoa a i ʻole mucosa. Ua like ia me ke kau ʻana i kahi "pale pale" ma ka pale o kā kākou kelepona.

Eia nō naʻe, inā no kekahi kumu e hoʻopilikia ʻia ai kēia uhi pale, a inā paha e mae wale ana, hoʻomaka nā kemika ʻino i loko o ka ʻōpū e hōʻino i ka paia o ka ʻōpū. ʻO kēlā kaʻina hana o ka hōʻino ʻana i ka uhi ʻōpū ka mea a mākou e kapa nei he gastropathy.

He aha ka ʻokoʻa ma waena o ka Gastritis a me ka Gastropati?

Ua lohe ka nui o ʻoukou i ka gastritis. ʻO ka gastritis kahi mumū o ka uhi o ka ʻōpū. ʻO ka mumū ka pane a ka ʻōnaehana pale o ke kino i kahi mea e hoʻāʻo nei e hōʻino i ka ʻōpū. Ua like ia me ka wā e loaʻa ai iā ʻoe kahi ʻeha liʻiliʻi, e ʻulaʻula a pehu. Inā ʻaʻole hiki i kēia pane pale ke kāohi i ka hoʻoweliweli ʻino, hiki ke ʻino ka uhi.

Eia nō naʻe, hoʻokaʻawale nā ​​​​kauka ma waena o ka gastritis erosive me ka mumū a me ka gastropathy erosive me ka liʻiliʻi a ʻaʻohe mumū paha.Aia kahi ʻokoʻa ma waena o nā mea ʻelua. ʻO ia hoʻi, hoʻohana ʻia ka huaʻōlelo gastropathy no nā hihia kahi i hōʻino ʻia ai ka uhi o ka ʻōpū a huhū, akā ʻaʻohe mumū koʻikoʻi . ʻO ka mea kupanaha, hiki i nā kumu o nā kūlana ʻelua ke like i kekahi manawa.

I ka ʻōlelo maʻalahi:

* Gastritis: Ka hōʻino ʻana i ka ʻili o ka ʻōpū + ka mumū (nā hōʻailona e like me ka pehu ʻana, ka ʻulaʻula)

* Gastropathy: Ka hōʻino ʻana i ka ʻili o ka ʻōpū, me ka ʻole o ka mumū nui

He aha nā kumu o ka gastropathy?

Aia kekahi mau kumu like ʻole e hiki ai ke hōʻino ʻia ka uhi ʻōpū, i ka manawa koke a i ʻole i ka hala ʻana o ka manawa. ʻO nā mea nui:

• Nā mea a mākou e lawe ai: ka hoʻohana nui ʻana i ka waiʻona, kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau ʻeha e like me (NSAIDs)).
• Nā kemika hoʻoheheʻe: ka waikawa ʻōpū, nā enzymes, a me ka bile paha e kahe hou ana i luna.
• ʻO ka lāʻau lapaʻau radiation a me ka chemotherapy.
• Ka pehu ʻana a me ka ʻūmiʻi ʻana o nā kīʻaha koko i loko o ka ʻōpū.
• Ka nalowale ʻana o ke kahe koko i ka ʻōpū.

Ma muli o kēia mau kumu, ua māhele ʻia ka gastropathy i nā ʻano ʻano like ʻole.

He aha nā ʻano like ʻole o ka gastropathy?

E nānā kākou i kekahi o nā ʻano nui.

1. ʻO ka Gastropathy ʻErosive Hemorrhagic ʻĀkiu

ʻO kēia ka wā e hōʻino koke ʻia ai ka ʻili o ka ʻōpū no kekahi kumu. ʻO ke ʻano o "Acute" ʻo ia hoʻi ka koke. Hoʻoulu kēia hōʻino i nā ʻōpala liʻiliʻi (erosions) a i ʻole nā ​​​​ʻeha (ulcers) i loko o ka ʻili o ka ʻōpū. A laila hiki i kēia mau ʻeha ke lilo i mea ʻino me ka waikawa o ka ʻōpū, a hiki iā lākou ke hoʻomaka e kahe ke koko (hemorrhagic) . Hiki ke hana ʻia kēia e:

• Ka inu nui ʻana i ka waiʻona: (piʻi ka nui o ka waiʻona i loko o ka ʻōpū ma luna o 10%).
• ʻO ka lawe ʻana i nā lāʻau kiʻekiʻe o nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): No ka laʻana, nā lāʻau lapaʻau e like me Diclofenac lāua ʻo Ibuprofen.
• Nā lāʻau lapaʻau chemotherapy a me radiation therapy no ka maʻi kanesa.
• Ka emi koke ʻana o ke kahe o ke koko i nā ʻōpū (Acute mesenteric ischemia).

2. ʻO ka Gastropathy Reactive

ʻO ka mea e hana ʻia ma kēia hihia, ua hōʻino ʻia ka uhi o ka ʻōpū ma muli o ka hoʻopili mau ʻana i nā mea e hōʻino ai i ka ʻōpū i kahi manawa lōʻihi . Hoʻopau mālie ʻia ka uhi ma muli o kahi hopena kemika me kēia mau mea. No laila, ua kapa ʻia kēia he gastropathy kemika. ʻO nā kumu nui:

• Ka hoʻohana ʻana i nā NSAID i ka wā lōʻihi.
• ʻO ka reflux bile: Aia ka bile e kōkua iā mākou e hoʻoheheʻe i ka meaʻai ma ka ʻōpū liʻiliʻi. Akā i kekahi manawa hiki i kēia bile ke kahe hou i loko o ka ʻōpū. Inā hana ʻia kēia, hiki iā ia ke hōʻino i ka uhi ʻōpū.

Eia kekahi, aia kekahi mau kumu ʻē aʻe e hoʻonāwaliwali i nā ʻano pale o ka ʻōpū o ka ʻōpū a pale i ka ho'ōla ʻana:

• Ka hoʻohana ʻana i ka waiʻona no ka manawa lōʻihi.
• Ka puhipaka ʻana no ka manawa lōʻihi.
• Ka maʻi bacteria H. pylori i ka wā lōʻihi.
• ʻO ka ischemia mau loa ka emi ʻana o ke kahe koko no ka manawa lōʻihi.

3. ʻO ka Gastropathy Congestive

ʻO kēia ka manawa e pehu ai a paʻa nā kīʻaha koko i loko o ka ʻōpū, a hiki ke pohā a kahe ke koko . Ma muli o nā ʻeha liʻiliʻi pinepine a me ke kahe ʻana o ke koko, hana ʻia kahi ʻano mosaic o nā kiko i loko o ka ʻōpū. Hiki i kēia ke kumu o ka nalowale ʻana o ke koko mai ko mākou kino. ʻO ke kumu nui o kēia, ʻo ia ka portal hypertension. He piʻi kēia o ke kaomi i loko o kahi kīʻaha koko nui e pili ana i ke akepaʻa. Hana pinepine ʻia kēia ma ke ʻano he hopena ʻaoʻao o ka maʻi akepaʻa. No laila, ua kapa ʻia hoʻi ʻo ia he portal hypertensive gastropathy.

4. ʻO ka Gastropathy Hypertrophic

He kūlana laha ʻole kēia, he ʻano hoʻoilina . Hana ʻia ia i ka wā e ulu nui ai kekahi mau ʻano o nā cell i loko o ka ʻōpū, e hoʻololi ana i ke ʻano maoli o ka ʻōpū. ʻO ka maʻi Menetrier kekahi o kēia mau kūlana. Hoʻoulu ia i ka ʻōpū o ka ʻōpū e hana i ka nui o ka mucus, a hoʻokuʻu ʻia nā protein i loko o ke kino. ʻO ka maʻi Zollinger-Ellison kekahi kūlana kahi e hana ai ka ʻōpū i ka nui o ka waikawa.

He aha nā hōʻailona o ka gastropathy?

ʻAʻole paha i loaʻa i ka nui o nā kānaka kekahi mau hōʻailona . Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻEha a ʻoluʻolu ʻole paha ka ʻōpū.
• Ka luaʻi.
• Pehu, ʻōpū paʻa.

Inā loaʻa nā pilikia e pili ana i ke kahe koko gastrointestinal, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Nā hōʻailona o ka anemia nele i ka hao: ʻili keʻokeʻo, luhi nui.
• ʻŌpū ʻeleʻele, ʻeleʻele.
• Ka luaʻi e like me ke ʻano o ka lepo kofe.

He maʻi maʻamau anei ka Gastropathy?

He mea maʻamau kekahi mau ʻano. ʻO ka gastropathy acute a me ka reactive, ʻoiai nā mea i hoʻokumu ʻia e ka waiʻona a me nā NSAID, ʻo ia ka mea maʻamau. ʻAʻole maʻamau ka gastropathy i hoʻokumu ʻia e ka reflux bile a me ka emi ʻana o ke kahe koko. ʻO ka gastropathy congestive, i hoʻokumu ʻia e ka portal hypertension, he hopena maʻamau, ʻoiai i nā poʻe me ka cirrhosis o ke ake. He mea kākaʻikahi loa ka gastropathy hypertrophic.

Pehea e ʻike ʻia ai ka gastropathy?

Inā kānalua ke kauka he gastropathy kou, makemake ʻo ia e nānā i ka uhi o kou ʻōpū. ʻO ke ala maikaʻi loa e hana ai i kēia me ka hoʻokolokolo endoscopy luna (Esophagogastroduodenoscopy - EGD).

ʻO kēia ke komo ʻana i kahi mea hana i kapa ʻia he endoscope - he ʻōmole lōʻihi a lahilahi me kahi kāmela liʻiliʻi i hoʻopili ʻia i ka hopena - ma o ka waha a i lalo i ka esophagus i loko o ka ʻōpū. Hiki ke nānā ʻia nā kiʻi maopopo mai kēia kāmela ma kahi pale. Hiki i kahi gastroenterologist ke hoʻohana i kēia endoscope e lawe i kahi hāpana ʻiʻo liʻiliʻi (biopsy) mai ka ʻōpū o ka ʻōpū a nānā iā ia i loko o kahi keʻena hoʻokolohua. Hiki ke hoʻohana ʻia kēia e mālama i kekahi kahe koko e kū nei.

He aha nā lāʻau lapaʻau no ka gastropathy?

Aia ka lāʻau lapaʻau i ke ʻano o ka gastropathy āu e loaʻa ai. Inā hiki, e hoʻāʻo mua kāu kauka e hoʻopau i ke kumu o ka hōʻino ʻana i ka uhi o kou ʻōpū - hiki ke lilo i lāʻau lapaʻau āu e lawe nei, kekahi mea e like me ka waiʻona, kahi maʻi bacteria, bile reflux, a i ʻole kekahi mea paʻakikī. ʻOiai e mālama ana i kēia kumu kumu, e hoʻāʻo pū lākou e hoʻopau i ka waikawa o kou ʻōpū e kōkua i ka hoʻōla wikiwiki ʻana o kou uhi ʻōpū.

Hiki ke komo pū me ka lāʻau lapaʻau:

• Nā lāʻau lapaʻau e hōʻemi ai i ka waikawa o ka ʻōpū: Nā lāʻau lapaʻau e like me nā mea pale histamine (nā mea pale H2) a me nā mea pale proton pump (PPI).
• Nā lāʻau lapaʻau e pale ai i ka uhi ʻōpū: Nā lāʻau lapaʻau e like me bismuth subsalicylate a me sucralfate.
• Nā lāʻau antibiotic no nā maʻi bacteria.
• Nā lāʻau lapaʻau e hoʻopau i nā paʻakai bile i loko o ka ʻōpū: Nā lāʻau lapaʻau e like me ka ursodeoxycholic acid (UDCA).
• Nā lāʻau lapaʻau no ke koko kiʻekiʻe portal: Vasoconstrictors a i ʻole beta blockers.
• Nā kaʻina hana ʻoki kūikawā no kekahi mau kūlana i pane ʻole i nā lāʻau lapaʻau.

Hiki ke ho'ōla ʻia ka gastropathy?

ʻAe, hiki i kou ʻōpū ke ho'ōla. Akā i mea e loaʻa ai kahi manawa kūpono, pono e ho'ōki i ka pōʻino. Hiki ke hana pinepine ʻia kēia me ka lāʻau lapaʻau. Eia nō naʻe, hiki i kekahi mau kumu o ka gastropathy ke lilo i mea paʻakikī iki. Inā he bile reflux e hoʻomau nei a i ʻole portal hypertension, pono paha ʻoe e hana i kahi mea e like me ke ʻoki liʻiliʻi e hoʻoponopono ai. Hiki paha i ka gastropathy hypertrophic ke hoʻihoʻi piha ʻia me ka lāʻau lapaʻau. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke pale pinepine i nā hoʻololi hou aʻe i ka ʻili.

E hoʻomanaʻo, he mea ikaika loa ko kākou ʻōpū. He nui ka hana e wāwahi ai i kona mau pale. Hiki ke hana ʻia ka gastropathy e kahi ʻeha koʻikoʻi loa a koke paha a i ʻole e ka pōʻino i hana ʻia no ka manawa lōʻihi. Pono ʻoe i ka lāʻau lapaʻau e ʻike, hoʻōki, a hoʻohuli i kēia kaʻina hana o ka pōʻino. Akā, me ke kōkua iki, hiki i ko kākou ʻōpū ke hoʻōla a ho'ōla maikaʻi ma mua o ka hapa nui o nā kino ʻē aʻe. Ke hoʻi hou kona mau pale i kona wahi, ʻaʻole ia e hōʻino hou ʻia me ka maʻalahi.

Leka Lawe-Home

• ʻO ka Gastropathy ka hōʻino ʻana i ka uhi o ka ʻōpū (mucosa) me ka ʻole o ka mumū (a i ʻole me ka mumū liʻiliʻi loa) .
• ʻO ka waiʻona, kekahi mau lāʻau ʻeha (NSAID), bile reflux, a me kekahi mau kūlana olakino e hiki ke hana i kēia.
• Hiki ke ʻike ʻia nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka nausea, a me ka indigestion, akā ʻaʻole paha kekahi poʻe e ʻike i kekahi mau hōʻailona.
• Inā loaʻa iā ʻoe nā hōʻailona o ke kahe ʻana o ke koko (nā ʻōpala ʻeleʻele, ka luaʻi e like me ke kofe), e ʻimi koke i ke kōkua lapaʻau .
• Hiki ke ʻike pololei ʻia ka maʻi ma o ka endoscopy.
• Hiki ke ho'ōla ʻia ka gastropathie ma ka loaʻa ʻana o ka mālama kūpono ma muli o ke kumu a me ke ʻano.
• E hahai pono i nā ʻōlelo a kāu kauka. Mai hoʻomau i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me nā lāʻau ʻeha me ka ʻole o ke aʻo ʻana a ke kauka.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana a i ʻole kahi gastroenterologist. E noho olakino!

ʻO ka maʻi ʻōpū, nā maʻi ʻōpū, ka uhi ʻōpū, nā ʻōpū ʻōpū, nā NSAID, ka waiʻona, ka endoscopy