Dumbu rako razvimba here? Ngatidzidzei zvese nezvechirwere chegastritis nenzira iri nyore!

Unowanzo rwara nechirungurira here kana kuti mudumbu? Kana kuti unonzwa wakaguta here mushure mekudya? Izvi zvinogona kunge zviri zviratidzo zvedambudziko rinowanzoitika kupfuura zvaunofunga. Nhasi tichataura nezvechirwere chinotambura nevanhu vazhinji, asi vasingazive chaizvo nezvacho. Iro chirwere chegastritis. Usazvidya moyo, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi gastritis? Zvichitaurwa zviri nyore...

Fungidzira, dumbu redu rakaita sebhegi rinogaya chikafu. Rusvingo rwemukati rwedumbu iri rwakafukidzwa neganda rakatetepa (mucosa). Sezvakaita ganda rakatetepa riri mumuromo medu. Basa guru reganda iri nderekudzivirira madziro edumbu kubva kumaacids akaoma anogadzirwa mudumbu, ma enzymes, uye utachiona hunopinda nechikafu chatinodya.

Gastritis inyaya yekuti jira iri rekudzivirira rinozvimba. Kuzvimba chirwere chinokonzera kuzvimba nekutsvuka. Masoja emuviri wedu anokonzera kuzvimba uku. Kureva kuti, kana ukanzwa kuti pane njodzi kana kukuvara kwemadziro edumbu, masoja emuviri anotanga kushanda. Kuzvimba kunoitika nekuda kwekurwa uku. Uku ndiko kudzivirira kunoita muviri wega.

Ndedzipi mhando huru dzechirwere chegastritis?

Gastritis inogona kukamurwa kuita mhando mbiri huru. Inopatsanurwawo zvichienderana nekukuvadzwa kwemadziro emudumbu.

1. Gastritis Inorwadza uye Gastritis Isingaperi

• Gastritis Inorwadza: Iyi ndiyo mhando yechirwere chinouya kamwe kamwe uye chinopora mushure mechinguva. Zvakafanana nekurwadziwa kwemudumbu kamwe kamwe. Zvikonzero zveizvi zvinowanzova zvenguva pfupi.
• Chirwere cheGastritis Chisingaperi: Ichi chirwere chinogona kugara kwenguva yakareba. Zvisinei, unogona kuva nacho kunyangwe usina zviratidzo zvikuru. Chinokura zvishoma nezvishoma nekufamba kwenguva. Chinowanzoitika pamwe chete nezvimwe zvirwere zvisingaperi.

2. Gastritis Inoputika uye Gastritis Isina Kuputika

• Erosive Gastritis: Panyaya iyi, chinokonzera gastritis (semuenzaniso, mishonga yakaoma, doro, acid yakasimba) inodya mudumbu. Sekutsva paganda, inokonzera maronda. Izvi zvinogona kukonzera maronda, kana maronda, mudumbu.
• Gastritis Isina Kuora: Muizvi, hapana maronda makuru pamadziro emudumbu. Zvisinei, madziro anogona kutsvuka, kuzvimba, uye anogona kukonzera kusagadzikana kudiki. Nyaya yakakosha yeizvi inonzi atrophic gastritis . Muchiitiko ichi, jira rinodzivirira remadziro emudumbu rinova rakatetepa uye rinooma. Izvi zvinogona kukonzera matambudziko ekugaya chikafu.

Funga nezvazvo, sezvinoita kana ukanwa doro rine simba, muromo wako unozvimba, ndizvo zvinogona kuitikawo mudumbu mako. Uyu muenzaniso wakapfava we'Erosive Gastritis'.

Gastritis inozivikanwawo nemazita akasiyana zvichienderana nechikonzero chayo. Heano mimwe mienzaniso:

• Gastritis inotapukira
• Gastritis inokonzerwa nemishonga
• Gastritis inokonzerwa nedoro
• Gastritis inokonzerwa nekushushikana
• Gastritis inodzivirira muviri
• Gastritis inouraya masero emudumbu

Gastritis chirwere chinowanzoitika here?

Ehe, zvakajairika kupfuura zvaunofunga. Kunyanya chirwere chegastritis chinorwadza. Chinowanzo kukonzerwa nezvinhu zvakaita sehutachiona hwenguva pfupi, kushandisa doro, uye mimwe mishonga inoderedza marwadzo (NSAIDs). Gastritis isingaperi haiwanzoitiki, asi mamiriyoni evanhu pasi rose vane chirwere chegastritis chisingaperi, chinokonzerwa nehutachiona hwebhakitiriya hunonzi H. pylori .

Ndezvipi zviratidzo zve gastritis? Unozviziva sei?

Chinhu chakanaka ndechekuti dzimwe nguva chirwere chegastritis chinogona kusaonekwa. Zvisinei, kana zviratidzo zvikaonekwa, chirwere chacho chinogona kunge chakakomba zvishoma kana kuti chagara chiripo kwenguva yakareba.

Zviratidzo zvinoitika kana dumbu rayo rikatanga kushaya simba uye rotanga kukuvara neacid yemudumbu nema enzyme. Acid iyi inogona kukonzera kutsamwa kwemudumbu, kurwadziwa kwemudumbu, uye maronda, izvo zvinogona kubuda ropa.

Zviratidzo zvinowanzoonekwa ndeizvi:

• Kushaya chido chekudya , kana kunzwa kuguta kunyangwe mushure mekudya zvishoma.
• Kurwadziwa mudumbu uye kuzvimba (kunzwa sekunge wazara negasi).
• Kusvotwa uye/kana kurutsa.

Kana uine chironda chemudumbu chiri kubuda ropa, unogona kuonawo zviratidzo zvakaita seizvi:

• Zvituru zvitema (zvinonzi `melena`) zvinoita setara.
• Kurutsa kurutsa kutema, kwakaita sekunge kofi yakakuyiwa (izvi zvinonzi `coffee ground emesis`).

Marwadzo egastritis anonzwikwa kupi?

Kurwadziwa kwegastritis kunonzwika kumusoro, pakati pedumbu rako (vanachiremba vanodana izvi kuti 'epigastric region'). Nekuzvimba kwakajairika, zvinogona kuoma kuona chaipo panorwadza. Zvisinei, kana uine chironda chemudumbu, unogona kunzwa kurwadziwa kwacho zvakanyatsonaka. Kunogona kunzwa sekunge kurwadziwa kuri kutsva kana kubaya . Dzimwe nguva, kurwadziwa kunogona kuderedzwa nekudya.

Ndezvipi zvikonzero zve gastritis?

Takambotaura kare kuti chirwere chegastritis chinokonzerwa nemasoja emuviri wedu anorwisa dumbu. Saka, dambudziko iri rinogona kuuya nezvikonzero zvakasiyana-siyana.

1. Utachiona

Ichi ndicho chikonzero chikuru chegastritis, kunyanya gastritis yakaoma.

• Utachiona hwemabhakitiriya: Hunonyanya kuzivikanwa ibhakitiriya H. pylori (Helicobacter pylori) . Izvi zvinogona kukonzera gastritis isingaperi.
• Utachiona hwemavhairasi: Mamwe mavhairasi anokonzera furuwenza yemudumbu anogonawo kukonzera chirwere chegastritis kwenguva pfupi.
• Kashoma, gastritis inogonawo kukonzerwa nezvipembenene nehutachiona hwefungus.

2. Makemikoro

• Doro: Kunwa doro zvakanyanya uye kakawanda kunogona kukanganisa dumbu uye kukonzera gastritis.
• Mimwe mishonga: Kugara uchishandisa mishonga inoderedza marwadzo, kunyanya `NSAIDs` (Nonsteroidal anti-inflammatory drugs) (semuenzaniso aspirin, ibuprofen) kunowedzera njodzi yekurwara nechirwere chegastritis.
• Mimwe mishonga, yakaita secocaine, inogonawo kuva chikonzero.

3. Zvirwere zve autoimmune

Chinoitika munyaya iyi ndechekuti masoja emuviri wedu anorwisa masero emudumbu zvisizvo. Izvi zvinokonzera kuzvimba kwenguva refu uye gastritis.

4. Kuderera kweropa rinosvika mudumbu

Munguva dzekushushikana kwakanyanya kwemuviri, zvakaita sekuvhiyiwa kukuru, tsaona yakakomba, kana chimwe chirwere chakakomba, muviri unotsausa ropa kuenda kunhengo huru uye unoderedza huwandu hweropa rinoenda kugadziriro yekugaya. Izvi zvinoderedza dziviriro yemadziro emudumbu, izvo zvinogona kukonzera gastritis.

5. Zvimwe zvikonzero

• Kurapa nemwaranzi (inonziwo mucositis).
• Kurapa kenza `(Chemotherapy)`.
• Dumbu rinogadzirwa munduru rinodzokera mudumbu (bile reflux).

Ndezvipi zvinetso zvinogona kukonzera gastritis?

Kazhinji, chirwere chegastritis chirwere chenguva pfupi, chisina kunyanya kuipa. Zvisinei, kana chikasarapwa uye chikarapwa, chinogona kukuvadza mudumbu uye kukonzera matambudziko akasiyana-siyana.

Matambudziko eErosive Gastritis nemaUlcers:

• Chirwere chepeptic ulcer: Gastritis inogona kukonzera maronda emudumbu.
• Kubuda ropa mudumbu: Maronda aya anobuda ropa, uye nekufamba kwenguva , anemia inogona kuitika.
• Kuumbwa kweganda rine mavanga:Kana maronda achiramba achikura, mavanga anogona kuumbwa panzvimbo idzodzo. Mavanga aya anogona kuvhara gomba repazasi remudumbu (pylorus) apo chikafu chinopinda muura hudiki. Izvi zvinonzi gastric outlet obstruction (GOO) .
• Kuboorwa kwedumbu: Chironda chisingapore chinogona kukonzera buri mudumbu . Izvi zvinogona kubvumira mabhakitiriya anobva mudumbu kupinda mudumbu, zvichikonzera chirwere chine njodzi chinonzi peritonitis . Izvi zvinogona kutungamira ku septicemia (chepfu muropa) uye sepsis (chirwere chinotyisidzira hupenyu).

Matambudziko anokonzerwa neNonerosive Gastritis, Atrophy uye Metaplasia:

Matambudziko anokonzerwa nerudzi urwu rwechirwere chegastritis anotanga zvishoma nezvishoma. Asi kana chavepo kwemakore,

• Rutivi rwekudzivirira rwemudumbu runogona kutetepa uye kunyangarika (atrophy). Izvi zvinoderedza mashandiro emudumbu.
• Muviri ungasakwanisa kupinza zvimwe zvinovaka muviri (semuenzaniso iron, folic acid, vitamin B12). Kusapinza vhitamini B12 mumuviri kunogona kukonzera chirwere chinonzi `pernicious anemia` .
• Kashoma, chirwere chegastritis chinogara kwenguva refu chinogona kukonzera kuti masero ari mudumbu achinje uye aite semhando yakasiyana yenyama. Izvi zvinonzi 'gastric intestinal metaplasia' . Vanachiremba vanoona izvi se 'chirwere chisati chaitika kenza' chinogona kutungamira kukenza . Izvi zvinoreva kuti njodzi yekubatwa nekenza yemudumbu inogona kuwedzera.

Ungaongorora sei gastritis nemazvo?

Chiremba achatanga nekukubvunza nezvezviratidzo zvako uye nhoroondo yehutano hwako. Chiremba anogona kufungidzira kuti une chirwere chegastritis, asi vanofanira kuita bvunzo kuti vaonekwe kuti vane chirwere ichi zvechokwadi.

• Kuongororwa kweX-ray, senge "upper GI series," kunogona kuitwa. Kunyange zvazvo izvi zvichigona kuratidza zvinhu zvakaita semaronda nemavanga mudumbu, hazviwanzoratidza gastritis chaiyo.
• Kuti usimbise gastritis, unofanirwa kutarisa uchishandisa maikorosikopu. Kuti uite izvi, `endoscopy yepamusoro` inoitwa. Muizvi, chubhu diki ine kamera inopinzwa nemuromo uye dumbu rinotariswa. Panguva imwe chete, chidimbu chidiki chenyama (`biopsy`) chinotorwa kubva pamadziro edumbu choendeswa kurabhoritari. Kunyangwe kana chiremba achifunga kuti une gastritis panguva ye endoscopy, biopsy ndiyo chete nzira yekusimbisa.

Pamusoro peizvi, mimwe miedzo inogona kuitwa kuti ione chikonzero chegastritis kana kutarisa matambudziko:

• Kuongororwa kweropa
• Kuongororwa kwechitsiko
• Kuongororwa kwekufema kweH. pylori

Gastritis inopora yoga here?

• Gastritis inorwadza zvikuruZvisinei, kana chikonzero chacho chikabviswa, chinowanzopera chega. Semuenzaniso, kana chiri chirwere, kuzvimba kunodzikira sezvo masoja emuviri achirwisa. Kana ukarega kutora doro kana mishonga ine simba kwenguva yakati, dumbu richakurazve.
• Gastritis isingaperi haiperi yoga. Dambudziko risingaperi rinofanira kurapwa. Ndipo chete panobva gastritis yava nani. Kukuvadzwa kwemudumbu kunokonzerwa negastritis isingaperi kunogona kutora nguva kuti kupore.

Nzira yekukurumidza kubvisa gastritis?

Kune mimwe mishonga inotengeswa kunze kwemushonga wekutenga (OTC) yaunogona kutenga ku pharmacy kuti uderedze kuzvimba kwemudumbu uye kusagadzikana. Semuenzaniso , mishonga inodzivirira mapumpu eproton (PPIs) kana Pepto Bismol® inogona kupa zororo kwenguva pfupi. Zvisinei, kunyangwe nemishonga iyi, zvakakosha kuona chiremba kuti aone chikonzero chaicho chegastritis yako uye kuti arapwe.

Nzira yekurapa gastritis zvachose sei?

Kuti chirwere chegastritis chirapwe zvachose, mazano echiremba akakosha. Kurapwa kunoenderana nechikonzero chegastritis.

Zvingave chimwe chinhu chakadai:

• Mishonga inorwisa mabhakitiriya nemimwe mishonga yehutachiona hweH. pylori.
• Kana uri kushandisa mishonga yakaita seNSAIDs, chinja ushandise mishonga isina njodzi.
• Kana wakapindwa muropa nedoro kana zvinodhaka, tsvaga rubatsiro rwekurapa.
• Mishonga chaiyo yezvirwere zve autoimmune.
• Kashoma, kuvhiyiwa kunogona kuitwa pazvirwere zvakaita sekubuda ropa mudumbu, kuderera kweropa (ischemia), kana nduru.
• Kuti dumbu rikurumidze kupora, tora mushonga unoderedza acid wawakanyorerwa nachiremba wako.

Gastritis chirwere chinotapukira here?

Kwete, chirwere chemudumbu hachitapurirani. Zvisinei, zvimwe zvirwere zvinokonzera chirwere chemudumbu (senge bhakitiriya H. pylori) zvinogona kutapurirana. H. pylori inowanzo kutapurirana nemvura yakasviba nechikafu (kubva mutsvina kuenda mumuromo). Nokudaro, zvakakosha kuchengetedza hutsanana hwakanaka (sekugeza maoko zvakanaka mushure mekushandisa chimbuzi uye usati wagadzira chikafu). Maitiro aya anogona kubatsira zvikuru mukudzivirira chirwere chemudumbu.

Nderipi shoko rekupedzisira panyaya iyi?

Kazhinji, chirwere chegastritis chirwere chinova nani kana ukachirapa. Mishonga inogona kubatsira kudzora zviratidzo. Kune vamwe vanhu, kuchinja mararamiro avo kunogona kudiwa kuti vanyatsopora. Izvi zvinogona kusanganisira kuchinja maitiro aunoita mamwe matambudziko, kuderedza kana kurega kushandisa doro kana fodya, uye kudzivirira kuti gastritis isadzokorore.

Zviitiko zvisingawanzoitiki zvechirwere chegastritis hazvifaniri kunetsa uye zvinogona kurapwa kumba. Zvisinei, kana zvikasapora, kana uine zviratidzo zvegastritis zvinoramba zviripo, unofanira kuona chiremba. Zviratidzo zvinoramba zviripo zvinoratidza kuti pane chirwere chisingaperi chinoda kugadziriswa. Nekuti matambudziko emudumbu anogona kukonzerwa nezvinhu zvakawanda, zvakakosha kuti uwane kuongororwa kwakarurama.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

• Gastritis kuzvimba kwemukati medumbu. Usazvidya moyo, izvi zvinowanzoitika.
• Kune mhando mbiri: `Acute` iyo inouya kamwe kamwe uye `Chronic` iyo inogara kwenguva refu.
• Zvikonzero zvikuru zvinogona kunge zviri bhakitiriya rinonzi `H. pylori`, mimwe mishonga inoderedza marwadzo (`NSAIDs`), doro, uye kushushikana.
• Zviratidzo zvinogona kusanganisira kurwadziwa mudumbu, kuzvimba, kuda kurutsa, uye kurutsa. Dzimwe nguva panogona kunge pasina zviratidzo zvachose.
• Kana uine tsvina nhema kana kurutsa zvinoita sekunge wakakuyiwa nekofi, chiratidzo chakakomba. Enda kuna chiremba nekukasika.
• Kazhinji, kurapwa kunogona kugadzirisa dambudziko racho. Asi kune chirwere chegastritis chisingaperi, chikonzero chacho chinofanira kurapwa.
• Kana uchigara uchinetseka nemudumbu, kuchenjera kutsvaga rubatsiro rwechiremba pane kuzvirapa wega.

Ndinovimba kuti ruzivo urwu runobatsira. Ramba uine hutano hwakanaka!

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