Kodi m'mimba mwanu mwatupa? Tiyeni tiphunzire zonse zokhudza matenda a gastritis m'njira yosavuta!

Kodi nthawi zambiri mumakhala ndi kutentha pamtima kapena kuvutika m'mimba? Kapena mumamva kukhuta mukatha kudya? Izi zitha kukhala zizindikiro za vuto lofala kwambiri kuposa momwe mukuganizira. Lero tikambirana za matenda omwe anthu ambiri amadwala, koma sakudziwa bwino. Ndi gastritis. Musadandaule, tikambirana izi mosavuta, m'njira yomwe mungamvetse.

Kodi gastritis ndi chiyani? Mwachidule...

Tangoganizani, mimba yathu ili ngati thumba lomwe limagaya chakudya. Khoma lamkati la mimba iyi lili ndi nembanemba yopyapyala kwambiri (mucosa). Monga khungu lopyapyala mkati mwa pakamwa pathu. Ntchito yayikulu ya nembanemba iyi ndikuteteza khoma la m'mimba ku ma asidi amphamvu omwe amapangidwa m'mimba, ma enzyme, ndi majeremusi omwe amalowa ndi chakudya chomwe timadya.

Matenda a m'mimba ndi pamene chigawo chotetezachi chimatupa. Kutupa ndi vuto lomwe limayambitsa kutupa ndi kufiira. Chitetezo cha mthupi lathu chimayambitsa kutupa kumeneku. Izi zikutanthauza kuti, chikazindikira kuti pali chiwopsezo kapena kuwonongeka kwa khoma la m'mimba, chitetezo cha mthupi chimayamba kugwira ntchito. Kutupa kumachitika chifukwa cha nkhondoyi. Iyi ndi njira yodzitetezera yomwe thupi limadzichitira lokha.

Kodi mitundu ikuluikulu ya gastritis ndi iti?

Matenda a m'mimba amatha kugawidwa m'magulu awiri akuluakulu. Amagawidwanso m'magulu malinga ndi kuwonongeka kwa khoma la m'mimba.

1. Matenda a Gastritis Oopsa ndi Matenda a Gastritis Osatha

• Matenda a Gastritis Oopsa: Uwu ndi mtundu womwe umabwera mwadzidzidzi ndipo umachira pakapita nthawi. Uli ngati kupweteka m'mimba mwadzidzidzi. Zomwe zimayambitsa izi nthawi zambiri zimakhala zakanthawi kochepa.
• Matenda a Gastritis Osatha: Uwu ndi matenda omwe amatha kukhalapo kwa nthawi yayitali. Komabe, mungakhale nawo ngakhale mutakhala kuti mulibe zizindikiro zazikulu. Amakula pang'onopang'ono pakapita nthawi. Nthawi zambiri amapezeka ndi matenda ena osatha.

2. Matenda a m'mimba osokonekera komanso matenda a m'mimba osakhazikika

• Matenda a m'mimba otchedwa Erosive Gastritis: Pankhaniyi, chomwe chimayambitsa matenda a m'mimba (monga mankhwala amphamvu, mowa, asidi amphamvu) chimadya matumbo a m'mimba. Monga momwe zimakhalira ndi kutentha pakhungu, zimayambitsa zilonda. Izi zingayambitse zilonda, kapena zilonda, m'matumbo a m'mimba.
• Matenda a Gastritis Osabadwa: Pachifukwa ichi, palibe zilonda zazikulu pakhoma la m'mimba. Komabe, khoma likhoza kufiira, kutupa, ndipo lingayambitse kusasangalala pang'ono. Nkhani yapadera ya izi imatchedwa atrophic gastritis . Pankhaniyi, gawo loteteza khoma la m'mimba limakhala lochepa ndipo limauma. Izi zingayambitse mavuto m'mimba.

Taganizirani izi, monga momwe mukamwa chakumwa champhamvu, pakamwa panu pamatupa, zomwezo zingachitikenso m'mimba mwanu. Ichi ndi chitsanzo chosavuta cha 'Erosive Gastritis'.

Matenda a m'mimba amadziwikanso ndi mayina osiyanasiyana kutengera chomwe chimayambitsa matendawa. Nazi zitsanzo zingapo:

• Matenda opatsirana a gastritis
• Gastritis yoyambitsidwa ndi mankhwala
• Matenda a gastritis omwe amabwera chifukwa cha mowa
• Matenda a gastritis omwe amabwera chifukwa cha kupsinjika maganizo
• Gastritis yodziteteza yokha
• Matenda a gastritis otchedwa eosinophilic gastritis

Kodi gastritis ndi matenda ofala kwambiri?

Inde, ndi yofala kwambiri kuposa momwe mukuganizira. Makamaka gastritis yoopsa. Nthawi zambiri imayamba chifukwa cha zinthu monga matenda osakhalitsa, kumwa mowa, ndi mankhwala ena ochepetsa ululu (NSAIDs). Gastritis yosatha si yofala kwambiri, koma anthu mamiliyoni ambiri padziko lonse lapansi ali ndi gastritis yosatha, yomwe imayamba chifukwa cha matenda a bakiteriya otchedwa H. pylori .

Kodi zizindikiro za gastritis ndi ziti? Kodi mumazindikira bwanji?

Chabwino kwambiri n'chakuti nthawi zina gastritis imatha kubisika. Komabe, ngati zizindikiro zikuwonekera, vutoli likhoza kukhala lalikulu pang'ono kapena lakhalapo kwa nthawi yayitali.

Zizindikiro zimachitika pamene mkati mwa mimba mumakhala wofooka ndikuyamba kuwonongeka ndi asidi ndi ma enzymes am'mimba. Asidi uyu angayambitse kukwiya m'mimba, kusokonezeka m'mimba, ndi zilonda zam'mimba, zomwe zimatha kutuluka magazi.

Zizindikiro zodziwika bwino zomwe zingawonekere ndi izi:

• Kusowa chilakolako cha chakudya , kapena kumva kukhuta ngakhale mutadya pang'ono.
• Kupweteka m'mimba ndi kudzimbidwa (kumva ngati wadzaza ndi mpweya).
• Kusanza ndi/kapena kusanza.

Ngati muli ndi zilonda zam'mimba zomwe zikutuluka magazi, mungaonenso zizindikiro monga:

• Chimbudzi chakuda (chotchedwa `melena`) chomwe chimaoneka ngati phula.
• Kusanza kwakuda, kofanana ndi kusanza kwa khofi (izi zimatchedwa `coffee ground emesis`).

Kodi ululu wa gastritis umamveka kuti?

Kupweteka kwa gastritis kumamveka pamwamba, pakati pa mimba yanu (madokotala amatcha izi kuti 'chigawo cha epigastric'). Ndi kutupa kwabwinobwino, zimakhala zovuta kudziwa komwe kumapweteka. Komabe, ngati muli ndi zilonda zam'mimba, mutha kumva ululu molondola. Kungamveke ngati kupweteka koyaka kapena kobaya . Nthawi zina, ululu ungachepetsedwe ndi kudya.

Kodi ndi zifukwa ziti zomwe zimayambitsa gastritis?

Tanena kale kuti gastritis ndi vuto lomwe limabwera chifukwa cha chitetezo cha mthupi lathu kukhala vuto la m'mimba. Chifukwa chake, vutoli likhoza kubwera pazifukwa zosiyanasiyana.

1. Matenda opatsirana

Ichi ndiye chifukwa chachikulu cha gastritis, makamaka gastritis yoopsa.

• Matenda a bakiteriya: Bakiteriya yodziwika kwambiri ndi H. pylori (Helicobacter pylori) . Izi zingayambitse gastritis yosatha.
• Matenda opatsirana ndi mavairasi: Mavairasi ena omwe amayambitsa chimfine cha m'mimba angayambitsenso gastritis kwakanthawi.
• Kawirikawiri, gastritis imathanso kuyambitsidwa ndi tizilombo toyambitsa matenda komanso matenda a bowa.

2. Mankhwala

• Mowa: Kumwa mowa mopitirira muyeso komanso pafupipafupi kungawononge m'mimba ndikuyambitsa matenda a gastritis.
• Mankhwala ena: Kugwiritsa ntchito mankhwala ochepetsa ululu mosalekeza, makamaka `NSAIDs` (mankhwala osagwiritsa ntchito ma steroid oletsa kutupa) (monga aspirin, ibuprofen) kumawonjezera chiopsezo cha matenda a gastritis.
• Mankhwala ena monga cocaine, nawonso akhoza kukhala chifukwa.

3. Matenda a chitetezo chamthupi

Chomwe chimachitika pankhaniyi ndichakuti chitetezo cha mthupi lathu chimaukira maselo am'mimba molakwika, zomwe zimayambitsa kutupa kosatha komanso gastritis.

4. Kuchepa kwa magazi m'mimba

Munthawi ya kupsinjika kwakukulu kwa thupi, monga opaleshoni yayikulu, ngozi yayikulu, kapena matenda ena oopsa, thupi limasuntha magazi kupita ku ziwalo zazikulu ndikuchepetsa kuchuluka kwa magazi omwe amapita ku dongosolo logaya chakudya. Izi zimafooketsa chitetezo cha khoma la m'mimba, zomwe zingayambitse gastritis.

5. Zifukwa zina

• Chithandizo cha radiation (chomwe chimatchedwanso mucositis).
• Chithandizo cha khansa `(Chemotherapy)`.
• Matumbo omwe amapangidwa mu ndulu amabwerera m'mimba (bile reflux).

Kodi ndi mavuto otani omwe angabwere chifukwa cha gastritis?

Nthawi zambiri, gastritis ndi vuto la kanthawi kochepa, losakhala lalikulu. Komabe, ngati silichiritsidwa komanso silichiritsidwa, likhoza kuwononga mkati mwa m'mimba ndi kubweretsa mavuto osiyanasiyana.

Mavuto a Erosive Gastritis ndi Zilonda:

• Matenda a zilonda zam'mimba: Matenda a m'mimba angayambitse zilonda zam'mimba.
• Kutuluka magazi m'mimba: Zilonda zimenezi zimatuluka magazi, ndipo pakapita nthawi , kuchepa kwa magazi m'thupi kumatha kuchitika.
• Kupanga minofu ya chilonda:Zilonda zikayamba mobwerezabwereza, minofu ya zipsera imatha kupangika pamalo amenewo. Zipsera zimenezi zimatha kutseka mpata wa m'mimba (pylorus) pomwe chakudya chimalowa m'matumbo ang'onoang'ono. Izi zimatchedwa gastric outlet obstruction (GOO) .
• Kuboola kwa m'mimba: Chilonda chosachiritsa chingayambitse dzenje pakhoma la m'mimba . Izi zimalola mabakiteriya ochokera m'mimba kulowa m'mimba, zomwe zimayambitsa matenda oopsa otchedwa peritonitis . Izi zingayambitse septicemia (kuipa kwa magazi) ndi sepsis (matenda oopsa).

Mavuto omwe amabwera chifukwa cha Nonorosive Gastritis, Atrophy ndi Metaplasia:

Mavuto ochokera ku mtundu uwu wa gastritis amabwera pang'onopang'ono. Koma akakhalapo kwa zaka zambiri,

• Chipinda choteteza m'mimba chikhoza kufooka ndikutha (atrophy). Izi zimachepetsa ntchito ya m'mimba.
• Thupi silingathe kuyamwa zakudya zina (monga chitsulo, folic acid, vitamini B12). Kuchepa kwa kuyamwa kwa vitamini B12 kungayambitse matenda otchedwa `pernicious anemia` .
• Kawirikawiri, gastritis ya nthawi yayitali ingayambitse kusintha kwa maselo omwe ali m'mimba ndikuwoneka ngati minofu ina. Izi zimatchedwa 'gastric intestinal metaplasia '. Madokotala amaona kuti izi ndi 'vuto lomwe lingayambitse khansa .' Izi zikutanthauza kuti chiopsezo chotenga khansa ya m'mimba chingachuluke.

Kodi mungadziwe bwanji gastritis molondola?

Dokotala adzakufunsani kaye za zizindikiro zanu komanso mbiri yanu ya thanzi. Dokotala angaganize kuti ali ndi vuto la gastritis, koma ayenera kuyesedwa kuti atsimikizire kuti ndi zoona.

• Kuyezetsa kwa X-ray, monga "upper GI series," kungachitike. Ngakhale izi zingasonyeze zinthu monga zilonda ndi mikwingwirima m'mimba, sizimasonyeza gastritis nthawi zonse.
• Kuti mutsimikizire gastritis, muyenera kuyang'ana pansi pa maikulosikopu. Pachifukwa ichi, `endoscopy yapamwamba` imachitidwa. Mu izi, chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera pakamwa ndipo m'mimba mumayang'aniridwa. Nthawi yomweyo, chidutswa chaching'ono cha minofu (`biopsy`) chimatengedwa kuchokera kukhoma la m'mimba ndikutumizidwa ku labotale. Ngakhale dokotala akuganiza kuti muli ndi gastritis panthawi ya endoscopy, biopsy ndiyo njira yokhayo yotsimikizira izi.

Kuphatikiza pa izi, mayeso ena angachitike kuti apeze chomwe chimayambitsa gastritis kapena kuwona zovuta:

• Kuyezetsa magazi
• Kuyesa chopondapo
• Kuyesa mpweya wa H. pylori

Kodi gastritis imadzichiritsa yokha?

• Gastritis yoopsaKomabe, ngati chifukwa chachotsedwa, nthawi zambiri chimatha chokha. Mwachitsanzo, ngati ndi matenda, kutupa kumachepa pamene chitetezo cha mthupi chikulimbana nawo. Ngati musiya kumwa mowa kapena mankhwala amphamvu kwa kanthawi, m'mimba mudzayambiranso kukula.
• Matenda a gastritis osatha sachira okha. Matenda osatha omwe ali mkati mwake ayenera kuchiritsidwa. Pokhapokha matendawa atatha. Kuwonongeka kwa matumbo m'mimba komwe kumachitika chifukwa cha matenda osatha a gastritis kungatenge nthawi kuti kuchiritsidwe.

Kodi mungapeze bwanji mpumulo wachangu kuchokera ku gastritis?

Pali mankhwala ena omwe amagulitsidwa kunja kwa chipatala (OTC) omwe mungagule ku pharmacy kuti achepetse kutupa ndi kusasangalala m'mimba. Mwachitsanzo , mankhwala oletsa kutupa m'mimba (PPIs) kapena Pepto Bismol® angapereke mpumulo kwakanthawi. Komabe, ngakhale mutagwiritsa ntchito mankhwalawa, ndikofunikira kuonana ndi dokotala kuti mudziwe chomwe chimayambitsa gastritis yanu ndikuchiza.

Kodi mungachiritse bwanji gastritis kwathunthu?

Kuti munthu achiritse matenda a gastritis osatha, upangiri wa dokotala ndi wofunikira. Chithandizo chimadalira chomwe chimayambitsa matendawa.

Zingakhale ngati izi:

• Mankhwala opha tizilombo toyambitsa matenda ndi mankhwala ena ochizira matenda a H. pylori.
• Ngati mukugwiritsa ntchito mankhwala monga NSAIDs, sinthani kugwiritsa ntchito mankhwala otetezeka m'malo mwake.
• Ngati muli ndi vuto la mowa kapena mankhwala osokoneza bongo, funani thandizo la akatswiri obwezeretsa thanzi lanu.
• Mankhwala enieni a matenda a autoimmune.
• Kawirikawiri, opaleshoni ingachitike pa matenda monga kutuluka magazi m'mimba, kuchepa kwa magazi (ischemia), kapena ndulu yotupa.
• Kuti muchiritse msanga m'mimba, imwani mankhwala ochepetsa asidi omwe dokotala wanu wakupatsani.

Kodi gastritis ndi matenda opatsirana?

Ayi, gastritis si yopatsirana. Komabe, matenda ena omwe amayambitsa gastritis (monga mabakiteriya a H. pylori) amatha kupatsirana. H. pylori nthawi zambiri imafalikira kudzera m'madzi ndi chakudya chodetsedwa (njira yochokera ku ndowe kupita kukamwa). Chifukwa chake, ndikofunikira kukhala aukhondo (monga kusamba m'manja bwino mutagwiritsa ntchito chimbudzi komanso musanakonzekere chakudya). Makhalidwe amenewa angathandize kwambiri kupewa gastritis.

Kodi mawu omaliza pa nkhaniyi ndi ati?

Nthawi zambiri, gastritis ndi vuto lomwe limachira ndi chithandizo. Mankhwala angathandize kuchepetsa zizindikiro. Kwa anthu ena, kusintha moyo wawo kungakhale kofunikira kuti achire mokwanira. Izi zingaphatikizepo kusintha momwe mumachitira ndi matenda ena, kuchepetsa kapena kusiya kumwa mowa kapena fodya, komanso kupewa gastritis kuti isabwererenso.

Palibe chodetsa nkhawa ndi gastritis yoopsa yomwe imapezeka kawirikawiri, ndipo imatha kuchiritsidwa kunyumba. Komabe, ngati siikuchira, kapena ngati muli ndi zizindikiro za gastritis pafupipafupi, muyenera kuwona dokotala. Zizindikiro zosalekeza zimasonyeza kuti pali vuto linalake lomwe likufunika chisamaliro. Popeza mavuto am'mimba amatha kukhala ndi zifukwa zambiri, ndikofunikira kupeza matenda olondola.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Matenda a m'mimba ndi kutupa kwa mkati mwa mimba. Musadandaule, izi zimachitika kawirikawiri.
• Pali mitundu iwiri: `Acute` yomwe imabwera mwadzidzidzi ndi `Chronic` yomwe imakhala nthawi yayitali.
• Zomwe zimayambitsa matenda zingakhale mabakiteriya otchedwa `H. pylori`, mankhwala ena ochepetsa ululu (`NSAIDs`), mowa, ndi nkhawa.
• Zizindikiro zake zingakhale kupweteka m'mimba, kudzimbidwa, nseru, ndi kusanza. Nthawi zina sipangakhale zizindikiro konse.
• Ngati muli ndi ndowe zakuda kapena kusanza komwe kumaoneka ngati kofi, ndi chizindikiro choopsa. Pitani kwa dokotala nthawi yomweyo.
• Nthawi zambiri, chithandizo chingathandize kuti vutoli likhale bwino. Koma pa matenda a gastritis osatha, chomwe chimayambitsa matendawa chiyenera kuthandizidwa.
• Ngati mukukumana ndi mavuto am'mimba pafupipafupi, ndi bwino kufunafuna upangiri wa dokotala m'malo modzipatsa mankhwala.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Matenda a m'mimba , gastritis, kutupa m'mimba, H. pylori, zilonda zam'mimba, kupweteka m'mimba, mpweya m'mimba