He raru kei tō puku? Kia ako tātou mō te gastropathy i roto i ngā kupu māmā!

He maha ngā wā ka pāngia tātou e te mamae o te puku me te mamae o te uma. I ētahi wā ka whakaaro tātou he mea noa iho, he mea rānei e puta ana ina paku werawera te kai. Heoi, i ētahi wā, tera pea he āhuatanga kei muri i ēnei tohu e tika ana kia āwangawanga tātou. Koinei te āhua o tā tātou kōrero mō te āhuatanga e kiia nei ko te gastropathy, arā, ko te kino o te arai o tō tātou puku, arā, te mucosa. Tērā pea he kupu hauora tēnei, engari me mārama noa iho.

He aha tonu te gastropathy?

I te whakarapopototanga, ko te tikanga o te gastropathy ko te "mate o te puku." Tērā pea kei te whakaaro koe, "Ina kī tātou he mate puku, ko te tikanga he mate katoa e puta ana i roto i te puku." Ae, he pono tēnā. Ehara i te mea ko te rewharewha puku noa, te mate pukupuku peptic, te gastroparesis anake, he āhuatanga e ngoikore ai te mahi a te puku nā ētahi raruraru io, engari ko te mate pukupuku puku ka taea te taka ki raro i te kāwai gastropathy i roto i tēnei tikanga whānui.

Heoi, ko ngā tākuta, inā koa ko te hunga e tohunga ana ki ngā mate puku, ka whakamahi i te kupu "gastropathy" i tētahi tikanga motuhake ake. Ki te kī atu te tākuta ki a koe, "He gastropathy tōu," tera pea kei te kōrero ia mō tētahi mea e kino ana ki te arai o tō puku .

He aha te tikanga o te gastropathy?

He tino mīharo te okana o tō tātou puku. Kei roto ngā matū nakunaku kaha hei āwhina i a tātou ki te nakunaku i te kai e kainga ana e tātou. Nō reira, hei tiaki i te puku mai i ēnei matū kaha, he paparanga tiaki kei te pakitara o te puku i hangaia mai i te arai hūpē matotoru. He rite ki te whakatakoto i tētahi "kaitiaki mata" ki te mata o tō tātou waea.

Heoi, ki te pakaru tēnei arai tiaki, ki te memeha rānei, ka tīmata ngā matū kino i roto i te puku ki te kino i te pakitara o te puku. Ko taua tukanga kino ki te arai puku te mea e kiia nei e tātou ko te gastropathy.

He aha te rerekētanga i waenga i te Gastropathy me te Gastritis?

Kua rongo te tokomaha o koutou i te mate gastritis. Ko te gastritis he mumura o te arai o te puku. Ko te mumura te urupare a te pūnaha ārai mate o te tinana ki tētahi mea e ngana ana ki te whara i te puku. He rite ki te wā ka pāngia koe e tētahi patunga iti, ka whero, ka pupuhi. Ki te kore e taea e tēnei urupare ārai mate te whakahaere i te riri kino, ka memeha te arai.

Heoi, e wehewehe ana ngā tākuta i waenga i te gastritis erosive me te mumura me te gastropathy erosive me te iti, te kore rānei o te mumura.He rerekētanga kei waenganui i ngā mea e rua. Arā, ko te kupu gastropathy e whakamahia ana mō ngā take kua pakaru, kua riri hoki te arai o te puku, engari kāore he mumura nui . He mea whakamiharo, i ētahi wā ka rite tonu ngā take o ngā mate e rua.

Hei whakarāpopototanga:

* Te mate kapia: Te pakaru o te arai o te puku + te mumura (ngā tohu pēnei i te pupuhi, te whero)

* Te Gastropathy: Te pakaru o te arai o te puku, kāore he mumura nui

He aha ngā take o te gastropathy?

He maha ngā take e pakaru ai te arai o te puku, ahakoa he ohorere, he āta haere rānei i roto i te wā. Ko ngā mea matua ko:

• Ngā matū e tangohia ana e tātou: te nui o te inu waipiro, ētahi rongoā (ina koa ko ngā rongoā whakamamae mamae pēnei i te `(NSAID)`).
• Ngā matū nakunaku: te waikawa o te puku, ngā whākōkī, me te au pea ka rere ake.
• Te rongoā irahiko me te rongoā matū.
• Te pupuhi me te whakawhāiti o ngā oko toto i roto i te arai o te puku.
• Te ngaronga o te rere o te toto ki te arai o te puku.

I runga i ēnei take, ka wehea te gastropathy ki ngā momo rerekē.

He aha ngā momo rerekē o te gastropathy?

Kia titiro tātou ki ētahi o ngā momo matua.

1. Te Mate Pukupuku Whakaheke Toto Koi

Koinei te wā ka pakaru ohorere te arai o te puku mō tētahi take. Ko te tikanga o te "Āki" he ohorere. Ka puta he karawarawa iti (erosions) he mate pukupuku rānei i roto i te arai o te puku nā tēnei kino. Ka kino haere ēnei mate pukupuku i te waikawa o te puku, ā, ka tīmata te toto (hemorrhagic) . Ka puta pea tēnei i:

• Te nui rawa o te inu waipiro: (te nui haere o te kukū waipiro i roto i te puku neke atu i te 10%).
• Te tango i ngā horopeta nui o ngā rongoā anti-inflammatory kore-steroidal (NSAID): Hei tauira, ngā rongoā pēnei i a Diclofenac me Ibuprofen.
• Ngā maimoatanga chemotherapy me te radiation mō te mate pukupuku.
• Te hekenga ohorere o te rere o te toto ki ngā whekau (Acute mesenteric ischemia).

2. Te Matepukupuku Tauhohe

Ko te mea ka tupu i tēnei take, ka pakaru te arai o te puku nā te mea ka roa te pānga o ngā matū kino ki te puku . Ka memeha haere te arai nā te tauhohenga matū ki ēnei matū. Nō reira, ka kiia hoki tēnei ko te gastropathy matū. Ko ngā tino take ko:

• Te whakamahinga roa o ngā NSAID.
• Te whakahokinga mai o te au o te wai: Kei roto i te whekau iti te au e āwhina ana i a tātou ki te nakunaku i te kai. Engari i ētahi wā ka taea e tēnei au te hoki ki roto i te puku. Ki te tupu tēnei, ka taea e ia te kino i te arai o te puku.

Hei tāpiritanga, kei reira anō ētahi atu āhuatanga e ngoikore ai ngā tikanga tiaki o te arai o te puku, e whakaroa ana hoki i te whakaora:

• Te whakamahinga roa o te waipiro.
• Te momi hikareti mō te wā roa.
• Te mate urutā roa o te H. pylori.
• Ko te ischemia mau tonu he whakahekenga roa o te tohanga toto.

3. Te Mate Pukupuku o te Tinana

Koinei te wā e pupuhi ana, e piri ana ngā oko toto i roto i te arai o te puku, ā, ka ngawari te pakū me te toto . Nā te maha o ngā whara iti me te toto, ka puta he tauira mosaic o ngā ira i roto i te arai o te puku. Ka taea e tēnei te meinga kia ngaro te nui o te toto mai i ō tātou tinana. Ko te tino take o tēnei ko te toto toto tiketike. He pikinga ake tēnei o te pēhanga i roto i tētahi oko toto nui e hono ana ki te ate. He maha ngā wā ka puta tēnei hei pānga taha o te mate ate. Nō reira, ka kiia hoki ko te gastropathy toto toto tiketike.

4. Te Matepukupuku Nui rawa

He mate onge tēnei, he mate ira . Ka puta mai i te tipu nui o ētahi momo pūtau i roto i te arai o te puku, ka huri i te hanganga tūturu o te arai. Ko te mate a Menetrier tētahi o ēnei mate. Ka nui rawa te hūpē e puta mai ana i te arai o te puku, ā, ka tukuna hoki ngā pūmua ki roto i te tinana. Ko te mate Zollinger-Ellison tētahi atu mate e nui rawa ai te waikawa e puta mai ana i te puku.

He aha ngā tohu o te gastropathy?

He tokomaha te hunga kāore pea he tohu . Heoi, ki te puta he tohu, ka pāngia pea koe e ēnei āhuatanga:

• Te mamae o te puku, te koretake rānei.
• Whakapairuaki.
• Te pupuhi, te koretake o te kai.

Mena ka puta he raruraru e pā ana ki te toto o te puku, ka kite pea koe i ngā tohu pēnei i:

• Ngā tohu o te mate toto ngoikore-rino: kiri mā, ngenge nui.
• Paru pango, paru pīataata.
• He ruaki e rite ana ki te paura kawhe.

He mate noa te Gastropathy?

He mea noa ētahi momo. Ko te gastropathy whakapeka me te gastropathy tauhohe, inā koa ko ngā mea i puta mai i te waipiro me ngā NSAID, ko ngā mea tino noa. Ko te gastropathy i puta mai i te reflux bile me te heke o te rere o te toto he mea iti ake te kitea. Ko te gastropathy congestive, i puta mai i te portal hypertension, he pānga taha noa, inā koa i roto i te hunga e pangia ana e te cirrhosis o te ate. He tino onge te gastropathy hypertrophic.

Me pēhea te tautuhi i te gastropathy?

Ki te whakapae te tākuta he gastropathy tōu, me tirotiro e ia te arai o tō puku. Ko te huarahi pai ki te mahi i tēnei ko te tirotiro i te taha whakarunga o te puku (Esophagogastroduodenoscopy - EGD).

Ko te tikanga o tēnei ko te whakauru i tētahi taputapu e kiia nei ko te endoscope – he ngongo roa, angiangi me tētahi kāmera iti e piri ana ki te pito – mā te waha ka heke ki raro i te korokoro ki roto i te puku. Ka taea te tiro i ngā whakaahua mārama mai i tēnei kāmera i runga i te mata. Ka taea hoki e te tohunga gastroenterologist te whakamahi i tēnei endoscope hei tango i tētahi tauira kiko iti (biopsy) mai i te arai o te puku ka tirotirohia i roto i te taiwhanga. Ka taea hoki te whakamahi i tēnei hei rongoā i ngā toto e puta ana.

He aha ngā rongoā hei rongoā mō te gastropathy?

Ko te maimoatanga e whakawhirinaki ana ki te momo gastropathy kei a koe. Mena ka taea, ka ngana tuatahi tō tākuta ki te whakakore i te pūtake o te kino o te arai o tō puku – he rongoā pea kei te tangohia e koe, he mea pēnei i te waipiro, he mate huakita, he reflux bile, he mea uaua ake rānei. I a koe e rongoā ana i tēnei take matua, ka ngana hoki rātou ki te whakakore i te waikawa o tō puku hei āwhina i te tere o te ora o te arai o tō puku.

Kei roto pea i te maimoatanga:

• Ngā rongoā hei whakaiti i te waikawa o te puku: Ngā rongoā pēnei i ngā aukati histamine (ngā aukati H2) me ngā aukati papu proton (PPI).
• Ngā rongoā hei tiaki i te arai o te puku: Ngā rongoā pēnei i te bismuth subsalicylate me te sucralfate.
• Ngā rongoā paturopi mō ngā mate kitakita.
• Ngā rongoā hei whakakore i ngā tote au i roto i te puku: Ngā rongoā pēnei i te waikawa ursodeoxycholic (UDCA).
• Ngā rongoā mō te toto toto tiketike: Ngā rongoā vasoconstrictor, ngā beta blocker rānei.
• Ngā tikanga pokanga motuhake mō ētahi āhuatanga kāore e pai ki ngā rongoā.

Ka taea te rongoā i te gastropathy?

Ae, ka taea e te arai o tō puku te ora. Engari kia whai wāhi ai, me mutu te kino. He maha ngā wā ka taea tēnei mā te rongoā. Heoi, ko ētahi o ngā take o te gastropathy he uaua ake. Mena kei te haere tonu te reflux bile, te portal hypertension rānei, me whai pokanga iti pea koe hei whakatika. Tērā pea ka taea te whakaora katoa i te gastropathy hypertrophic mā te rongoā, kāore rānei. Heoi, he maha ngā wā ka taea e te rongoā te ārai i ngā huringa anō ki te arai.

Kia maumahara, he mea tino kaha te arai o tō tātou puku. He nui te mahi hei wawahi i ōna parenga. Ka puta te mate puku i tētahi whara tino kino, ohorere rānei, i tētahi kino rānei kua roa e haere ana. Me whai maimoatanga hauora koe hei tautuhi, hei whakamutu, hei whakakore hoki i tēnei tukanga kino. Engari, mā te āwhina iti, ka taea e te arai o tō tātou puku te ora me te ora pai ake i te nuinga o ngā whekau kē atu. Kia hoki anō ōna parenga ki tōna tūranga, kāore e ngāwari te pakaru anō.

Karere Tangohia ki te Kāinga

• Ko te gastroropathy he pakaru ki te arai o te puku (mucosa) kāore he mumura (he iti noa rānei te mumura) .
• Ka taea e te waipiro, ētahi rongoā whakamamae mamae (NSAID), te reflux au, me ētahi mate hauora te take o tēnei.
• Tērā pea ka puta ngā tohu pēnei i te mamae o te puku, te whakapairuaki, me te koretake o te kai, engari kāore pea ētahi o te tangata e pāngia e te tohu.
• Ki te puta he tohu toto (he tūtae mangu, he ruaki e rite ana ki te paura kawhe), rapua tonutia he tohutohu hauora .
• Ka taea te tautuhi tika i te mate mā te whakamahi i te endoscopy.
• Ka taea te rongoā i te gastritis mā te whiwhi i te maimoatanga tika i runga i te take me te momo.
• Kia tika te whai i ngā tohutohu a tō tākuta. Kaua e whakamahi tonu i ngā rongoā pēnei i ngā rongoā whakamamae mamae me te kore he tohutohu a te taote.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta whānau, ki te tohunga puku rānei. Kia ora tonu!

` Te mate puku, ngā mate puku, te arai puku, ngā mate puku, ngā NSAID, te waipiro, te tirotiro mata