Kua rongo koe i te mate gastritis atrophic, he mate e angiangi ai te arai o te puku? Me kōrero tāua!

I ētahi wā, ka pāngia koe e te puku pouri, te kore hiahia kai, te kī rānei o te puku, tika? Kāore pea te take i te tino māmā pērā i tō whakaaro. I tēnei rā ka kōrero tātou mō tētahi mate hohonu ake, engari he mea nui pea mō te tini tāngata. Koia tēnei te mate e kiia nei ko te Atrophic Gastritis . Kaua e manukanuka, ka kōrerohia e tātou tēnei mea kia māmā noa iho, kia mārama ai koe.

He aha te gastritis atrophic?

Ki te whakarapopoto, ko te atrophic gastritis he āhua e angiangi haere ana te arai o tō puku, te arai puku, ā, ka mumura tonu. Whakaarohia he rite ki te kiriuhi tiaki i roto i tō puku. Koinei te mea e tiaki ana i te arai puku mai i ngā waikawa kino o roto i tō puku. I roto i te atrophic gastritis, ka pakaru tēnei kiriuhi tiaki, ā, ka angiangi haere.

Ko tētahi atu mea motuhake ko tēnei āhua, ka tīmata ētahi o ngā pūtau o tō puku ki te rite ki ngā pūtau o tō whekau iti. Ka kiia tēnei ko te "intestinal metaplasia" i roto i ngā kupu hauora. Ko te tikanga ka rite ngā pūtau o tō puku ki te āhua o ngā pūtau o tō whekau.

E rua ngā momo matua o tēnei, tika?

Āe, he tika tāu. E rua ngā momo matua o te gastritis atrophic. Kia kite tātou he aha ēnei.

1. Te gastritis atrophic i puta mai i te taiao (EMAG)

Kotahi te momo o tēnei. Ka karangatia e ngā tākuta ko te `(Environmental Metaplastic Atrophic Gastritis)`, ko te EMAG rānei te poto. Ko te tino take o tēnei ko te mate pāwera a te huakita `H. pylori` (Helicobacter pylori).

Whakaarohia, kei roto i tō puku he kiriuhi hūpē tiaki, he rite ki te maru i te ua. Koinei te mea e tiaki ana i ngā pakitara o te puku mai i ngā wai waikawa o te puku e āwhina ana ki te nakunaku kai. Engari ina tae mai tēnei huakita e kiia nei ko 'H. pylori', ka mahi me te mea kei te werohia taua maru. Kātahi ka tīmata aua waikawa waikawa ki te kai i ngā pakitara o te puku. Ina tupu tēnei i roto i ngā tau, ka whakangaromia ngā pūtau o te puku, ka angiangi te arai, ā, ka puta te āhua o te EMAG.

2. Te gastritis atrophic autoimun (AAG)

Koinei te momo tuarua. Ka kiia ko te `(Autoimmune Atrophic Gastritis)`, ko te AAG rānei te poto. I ētahi wā ka kiia hoki ko te `(Autoimmune Gastritis - AIG)`.

Titiro mai, he rōpū kaitiaki ā tātou. Koinā tō tātou pūnaha ārai mate. Ko tā rātou mahi he whawhai ki ngā iroriki e puta ai te mate. Engari i ētahi wā, me te mea kei te whakaeke hē rātou i tētahi o rātou ake, ka tīmata ēnei kaitiaki ā tātou ake pūtau hauora ki te whakaeke. Koinā te mea e tupu ana i roto i te AAG. I konei, ka whakaekea tika e te pūnaha ārai mate ngā pūtau hauora i roto i te pakitara o tō tātou puku.

He mōrearea kei roto i tētahi o ēnei momo?

Ae, ka taea e te EMAG me te AAG te whakanui ake i tō tupono ki te whakawhanake i ngā pukupuku iti i roto i tō puku. Ka kiia ēnei ko ngā "Neuroendocrine Tumors - NETs". Heoi, i te nuinga o te wā, ehara ēnei NET i te matepukupuku (pai) , arā, ehara i te mea kino. Heoi, ka taea e te EMAG me te AAG te whakanui ake i tō tupono ki te whakawhanake i te matepukupuku puku. Nō reira, he mea nui kia mōhio koe ki tēnei.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei EMAG?

Ko te hunga e nui ake ana te mōrearea ki te whakawhanake i te gastritis atrophic i puta mai i te taiao (EMAG) ko:

• Mō te hunga Āhia, Hispanika rānei.
• Mō te hunga neke atu i te 70 tau te pakeke.
• Mō te hunga e kai nui ana i ngā kai tote.
• Mō te hunga e pangia ana e te mate `H. pylori`.
• Mō te hunga e noho ana i ngā taiao kīkī, kikī rawa (nā te mea ka horapa pea te mate H. pylori).
• Mō te hunga e momi hikareti ana.

Nō reira, ko wai te mea ka nui ake te tūponotanga ka pāngia e te AAG?

Kei reira ētahi tāngata he nui ake te mōrearea ki te whakawhanake i te gastritis atrophic autoimmune (AAG). Ko rātou ēnei:

• Mō ngā wāhine (he nui ake i ngā tāne).
• Mō te hunga nō te iwi Āwherika-Amerika, nō te iwi o Ūropi rānei.
• Mena kua pāngia tetahi o te whānau e te AAG i mua (tērā pea he hononga tuku iho).
• Mō te hunga he whakarerekētanga ira kei roto.
• Mō te hunga whai mate pūnaha ārai mate. Hei tauira:
• Te mate a Addison
• Ngā mate tairoi ā-tinana (hei tauira, te mate a Hashimoto, te mate a Graves)
• Mate huka momo 1
• Te kiriuhi

E hia te auau o ēnei āhuatanga?

E ai ki ngā tatauranga mai i te Hononga o Amerika, e kiia ana tata ki te 15% o te taupori he mate gastritis atrophic (AG) . E kiia ana hoki ko te horapa o te AAG kei waenga i te 0.5% me te 2%. Kāore tēnei mate i te kore he raruraru i Sri Lanka.

He aha ngā take motuhake mō te hanganga o te EMAG?

E ai ki tā tātou i kōrero ai, ko te tino take o te EMAG ko te mate pāwera i te huakita `H. pylori`. Ko te nuinga o te wā ka pangia tēnei huakita i te wā tamarikitanga. He maha ngā huarahi e taea ai te horapa. Ko ēnei:

• Mā te pā tika ki ngā paru (ngā paru).
• Mā te kai.
• Mā te huware.
• Mā te ruaki.
• Mā te wai.

Arā, he mea tino nui te tiaki i te horoi kia noho haumaru ai koe i ēnei huakita.

He aha ngā take o te AAG?

Ko te mea ka tupu i roto i te AAG, ko ngā paturopi o te tinana – he momo pūmua e tiaki ana i a tātou i te mate – ka whakaeke i ō tātou ake pūtau puku hauora.

Ko tētahi atu mea, ka taea e ēnei paturopi te whakaeke i tētahi pūmua motuhake e kiia nei ko te 'Intrinsic factor' e hangaia ana e ō tātou pūtau puku. Ko tēnei 'Intrinsic factor' he huaora B12.He mea tino nui kia mimitia e te tinana. Nō reira, ki te kore te 'tauwehe ā-roto', e kore e taea e te tinana te mimiti tika i te huaora B12. Mā tēnei ka kore e taea e te tinana te hanga i ngā toto whero hauora, ka arahi pea ki tētahi momo anemia motuhake e kiia nei ko te 'Pernicious anemia'. Ki te kore e ranea te huaora B12, ka taea hoki te kino o ngā io (neuropathy).

He aha ngā tohu o te EMAG?

Ko te rongo pai, ahakoa he atrophic gastritis tō ētahi tāngata, kāore pea he tohu e pā mai ana. Heoi, ina puta te EMAG i te mate H. pylori, ka puta ngā tohu pēnei i:

• Te mamae i te puku o runga.
• Te mate toto ngoikore-rino.
• Kāore he reka o te kai.
• Whakapairuaki me te ruaki.
• Ngā mate pukupuku peptic i roto i te puku, i te whekau iti rānei.
• Te hiroki noa iho, kāore he take.

He aha ngā tohu o te AAG?

Pērā i te EMAG, kāore pea ētahi o te hunga whai AAG e pāngia e ngā tohu. Heoi, ki te mea ka puta he ngoikoretanga huaora B12 i te AAG, ka puta pea ngā tohu e pā ana ki te anemia me te kino o ngā io. Ko ngā tohu ko:

• Mamae o te uma.
• Pōuriuri, māuiui, ngoikore.
• Ngā tere o te ngakau.
• Te pōhēhē hinengaro, pērā i te pōrangi.
• Whakapairuaki me te ruaki.
• Kiri mā.
• Te tere o te pā.
• Te rongo i te tangi e puta mai ana i roto i ngā taringa (Tinnitus).
• Te ngoikore me te ngaronga o te kare ā-roto o ngā peka.

Me pēhea te mōhio o te tākuta ki tēnei? (Tauātanga)

Ina puta mai ēnei tohu, ka pātai tuatahi te tākuta ki a koe, ka whakahaere hoki i tētahi whakamātautau tinana, tae atu ki te pā ki tō puku kia kite ai mēnā he mamae kei roto.

Mena kei te whakapaehia he gastritis atrophic, ka tūtohu pea te tākuta i ētahi whakamātautau toto , pēnei i:

• Te maha o ngā toto whero e ora ana (ka pāngia pea koe e te anemia i ngā taumata iti).
• Taumata rino.
• Ngā momo paturopi (ina koa mēnā kei te whakapaetia he AAG).
• Ngā taumata o te gastrin, he homoni e āwhina ana ki te hanga waikawa o te puku.
• Ngā taumata o te 'Pepsinogen', he pūmua i hangaia e ngā pūtau puku.
• Ngā taumata o te huaora B12.

Hei tāpiri, ka taea e te tākuta te mahi i tētahi endoscopy .

• Ko te tikanga o tēnei ko te whakauru i tētahi ngongo angiangi (endoscope) me tētahi kāmera e piri ana ki roto i tō waha hei tirotiro pai i roto i tō puku. Kaua e manukanuka, ka whakamoea koe, ka whakamoea rānei i mua i te tikanga, kia kore ai koe e pāngia e te mamae.
• I tēnei wā, ka taea te tango i tētahi wahi iti o te kiko mai i te pakitara o te puku mō te koiora. Mā tēnei ka taea te whakaū mēnā kei te kitea te gastritis atrophic me te mea kei te kitea te huakita H. pylori.
• Ka taea hoki e tēnei te tirotiro mō ngā pukupuku pērā i ngā "tumors Neuroendocrine - NETs" i kōrerohia e tātou i mua ake nei.

He aha ngā maimoatanga mō tēnei?

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te mea kei a koe te EMAG, te AAG rānei.

Te maimoatanga mō te EMAG

• Mena he mate H. pylori, ka hoatu he paturopi hei whakamate.
• Ka taea te hoatu i ngā rongoā hei whakaiti i te waikawa o te puku.
• He mea nui anō hoki kia aroturukitia te āhua mā te whai i ngā whakamātautau endoscopy auau.

Te maimoatanga o te AAG

• Mena he iti ngā taumata o te huaora B12, me werohanga pea te huaora B12 hei whakanui ake i aua taumata.
• Mena he iti te taumata o te rino, ka taea te tuku werohanga rino mā roto i te uaua .

Ki te kite koe i ngā puku iti e kiia nei ko ngā NET i te wā o te endoscopy, ka taea e tō tākuta te tango i aua puku i te wā kotahi. Ka kiia tēnei he endoscopic mucosal resection. E ai ki tā mātou i kōrero ai i mua ake nei, ko ēnei puku ehara i te matepukupuku (pai). Heoi, he mea pai kia tirohia i ia rua tau.

Me pēhea te whakaiti i te mōrearea o te gastritis atrophic (AG)?

Hei karo i te mate H. pylori, ka taea ai te whakaputa i te EMAG, me tino tupato koe ki te akuaku. Ina koa:

• I muri i te whakawhiti i te nāpi.
• I muri i te haere ki te wharepaku.
• I mua i te kai.

Kia tino horoia ō ringaringa ki te hopi. Whakatōkia hoki te tikanga o te horoi i ō ringaringa i ia wā ki roto i ō tamariki.

Heoi, kāore he mea e taea e tātou te mahi hei ārai i te mate pūnaha ārai mate e kiia nei ko te AAG. Heoi, he mea nui kia mōhio ki ōna tohu, rapu tohutohu hauora wawe tonu mēnā e tika ana, ā, kia aroturukihia hoki te mate.

He aha ngā mea ka puta ina noho koe me tēnei mate? (Outlook)

Ahakoa kāore he rongoā mō te gastritis atrophic, ka taea e te nuinga o te tangata te noho noa, kāore he tohu. Me tango pea ētahi tāngata i te huaora B12, i ngā tāpiringa rino rānei mō te toenga o ō rātou oranga.

He tokoiti te hunga e pāngia ana e tēnei mate, ā, he nui ake te mōrearea, me whai tirotiro endoscopic ia toru ki te rima tau (tirotiro endoscopic). Heoi, ahakoa he iti te mōrearea o te mate pukupuku puku i roto i ēnei tāngata, he tino iti. Ko te hunga whai puku e kiia nei ko ngā NET, me tirotiro pea, engari he maha ngā wā ehara i te mate pukupuku.

Me pēhea te tiaki mēnā kei a koe te EMAG?

Mena kei a koe te EMAG, ka taea e koe te mahi i ēnei mea hei whakaiti i ngā raruraru:

• Ki te mea he kai paipa koe, kati rawa.
• Whakamātauria ki tētahi kai e whakahaeretia ana te tote (te konutai).
• Tirohia tētahi tākuta puku, ā, kia tirohia tō āhua i ia wā .

Me pēhea koe e tiaki ai i a koe anō mēnā kei a koe te AAG?

Mena he iti tō huaora B12, ka taea e koe te tāpiri i ngā kai whai kiko o te B12 ki tō kai. Hei tauira:

• Mīti kau
• Ngā kōpaka
• Ngā hua manu
• Ngā ika hinuhinu (pērā i te hāmana, te makarera, me te sardine)
• Ngā witi whakapakaritia
• Miraka
• Miraka miraka

Me haere tonu hoki te hunga whai AAG ki te kite i tētahi tohunga puku hei aroturuki i te āhua me te whakarerekē i te maimoatanga e tika ana.

Karere Tangohia ki te Kāinga

Ko te gastritis atrophic he mate e angiangi ai te arai o te puku, e mumura ai. E rua ngā momo: EMAG, e puta mai ana i te mate H. pylori, me te AAG, e puta mai ana i te raruraru o te pūnaha ārai mate.

• Kāore ngā tohu e puta ōrite ana mō te katoa. Kei roto pea i ēnei ko te mamae o te puku, te kore hiahia kai, me te korenga o te huaora B12.
• Ka taea anake te tautuhi tika i tēnei mā te whakamahi i ngā whakamātautau toto me te endoscopy.
• Kei roto i te maimoatanga he rongoā mō te H. pylori, he werohanga huaora B12, me te rino.
• He tokomaha te hunga ka taea te noho noa i te ao. Heoi, he mea tino nui kia noho tonu ki te tākuta me te whiwhi i ngā whakamātautau me ngā maimoatanga e tika ana.

Mena he pātai anō āu mō tēnei, ki te mea rānei kei a koe ēnei tohu, tēnā tirohia he tākuta hei tohutohu. Kaua e manukanuka, kei reira ngā otinga mō ngā mea katoa!

` Atrophic Gastritis, Atrophic Gastritis, Mumura puku, Puku, H. pylori, Huaora B12, Anemia, Endoscopy, Gastritis