Ingaba isisu sakho sivuvukile? Masifunde yonke into malunga ne-gastritis ngendlela elula!

Ngaba uhlala unesitshiso okanye isisu esibuhlungu? Okanye uziva ugcwele emva kokutya? Ezi zisenokuba ziimpawu zengxaki eqhelekileyo kunokuba ucinga. Namhlanje siza kuthetha ngesifo abantu abaninzi abasihluphayo, kodwa abangasaziyo kakuhle. Esi sisifo se-gastritis. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni isifo segastritis? Ngamafutshane...

Khawuthelekelele, isisu sethu sifana nengxowa egaya ukutya. Udonga lwangaphakathi lwesi sisu lugqunywe yi-membrane encinci kakhulu (mucosa). Njengolusu oluncinci olungaphakathi emlonyeni wethu. Umsebenzi ophambili wale membrane kukukhusela udonga lwesisu kwii-asidi ezinzima eziveliswa esiswini, ii-enzymes, kunye neentsholongwane ezingena nokutya esikutyayo.

I-Gastritis kuxa olu ngqameko lukhusela luvuvukala. Ukudumba yimeko ebangela ukudumba nokubomvu. Inkqubo yomzimba wethu yokuzikhusela ibangela oku kudumba. Oko kukuthi, xa ivakalelwa kukuba kukho usongo okanye umonakalo eludongeni lwesisu, inkqubo yokuzikhusela iqala ukusebenza. Ukudumba kwenzeka ngenxa yale mfazwe. Le yinkqubo yokukhusela eyenziwa ngumzimba ngokwawo.

Ziziphi iintlobo eziphambili ze-gastritis?

I-Gastritis inokwahlulwa ibe ziintlobo ezimbini eziphambili. Ikwahlulwa ngokwendlela umonakalo owenziwe ngayo udonga lwesisu.

1. I-Acute Gastritis kunye ne-Chronic Gastritis

• I-Acute Gastritis: Olu luhlobo oluvela ngequbuliso luze lube ngcono emva kwexesha elithile. Lufana nokuqaqamba kwesisu ngequbuliso. Izizathu zoku zihlala zizezexeshana.
• I-Gastritis Engapheliyo: Le yimeko enokuhlala ixesha elide. Nangona kunjalo, usenokuba nayo nokuba awunazo iimpawu ezinkulu. Ikhula kancinci kancinci ngokuhamba kwexesha. Ihlala isenzeka nakwezinye iimeko ezingapheliyo.

2. I-Erosive Gastritis kunye ne-Nonerosive Gastritis

• I-Erosive Gastritis: Kwimeko enjalo, unobangela we-gastritis (umzekelo, amayeza aqatha, utywala, ii-asidi ezinamandla) utya ulwelwesi lwesisu. Njengokutsha eluswini, kubangela izilonda. Oku kunokubangela izilonda, okanye izilonda, kulwelwesi lwesisu.
• I-Nonorosive Gastritis: Kule meko, akukho zilonda zinkulu eludongeni lwesisu. Nangona kunjalo, udonga lunokuba bomvu, ludumbe, kwaye lunokubangela ukungakhululeki okuncinci. Imeko ekhethekileyo yoku ibizwa ngokuba yi -atrophic gastritis . Kule meko, umaleko okhuselayo wodonga lwesisu uba mncane kwaye wome. Oku kunokubangela iingxaki zokugaya ukutya.

Cinga ngayo, njengokuba xa usela isiselo esinxilisayo, umlomo wakho uyavuvukala, kuyenzeka okufanayo nakwisisu sakho. Lo ngumzekelo olula we-'Erosive Gastritis'.

I-Gastritis ikwaziwa ngamagama ahlukeneyo kuxhomekeke kwisizathu sayo. Nazi imizekelo embalwa:

• I-gastritis eyosulelayo
• I-gastritis ebangelwa ngamayeza
• Isisu esibangelwa butywala
• I-gastritis ebangelwa luxinzelelo
• I-gastritis ehlasela umzimba ngokwawo
• I-gastritis engapheliyo

Ngaba i-gastritis sisifo esiqhelekileyo?

Ewe, ixhaphake kakhulu kunokuba ucinga. Ingakumbi i-acute gastritis. Idla ngokubangelwa zizinto ezifana nosulelo lwexeshana, ukusetyenziswa kotywala, kunye nezinye ii-painkillers (NSAIDs). I-chronic gastritis ayixhaphakanga kangako, kodwa izigidi zabantu kwihlabathi liphela bane-chronic gastritis, ebangelwa lusulelo lwebhaktheriya olubizwa ngokuba yi-H. pylori .

Zithini iimpawu ze-gastritis? Uyibona njani?

Eyona nto ingcono kukuba ngamanye amaxesha isifo se-gastritis sisenokungabonakali. Nangona kunjalo, ukuba iimpawu ziyavela, imeko isenokuba mandundu okanye ibikho ixesha elide.

Iimpawu zenzeka xa ulwelo lwesisu luba buthathaka luze luqale ukonakala yi-asidi yesisu kunye nee-enzymes. Le asidi inokubangela ukurhawuzelelwa kwesisu, isisu esibuhlungu, kunye nezilonda, ezinokuphuma igazi.

Iimpawu eziqhelekileyo ezinokubonwa zezi:

• Ukungabi namdla wokutya , okanye ukuziva ugcwele kwanasemva kokutya kancinci.
• Intlungu yesisu kunye nokudumba (ukuziva ngathi uzele yigesi).
• Isicaphucaphu kunye/okanye ukuhlanza.

Ukuba unesilonda esiswini esophayo, ungabona neempawu ezifana nezi:

• Izihlalo ezimnyama (ezibizwa ngokuba yi-'melena') ezibonakala ngathi yitar.
• Ukuhlanza okumnyama, okufana nokugabha kwekofu (oku kubizwa ngokuba yi-'coffee ground emesis').

Intlungu ye-gastritis ivakala phi?

Intlungu ye-gastritis ivakala kwinxalenye ephezulu, embindini wesisu sakho (oogqirha bayibiza le ndawo ngokuthi 'yi-epigastric region'). Ngokuvuvukala okuqhelekileyo, kunokuba nzima ukukhomba ngqo apho kubuhlungu khona. Nangona kunjalo, ukuba unesilonda esiswini, unokukwazi ukuva intlungu ngokuchanekileyo. Isenokuvakala njengentlungu evuthayo okanye ehlabayo . Ngamanye amaxesha, intlungu inokupheliswa kukutya.

Zithini izizathu ze-gastritis?

Besitshilo ngaphambili ukuba isifo se-gastritis sisiphumo senkqubo yethu yomzimba yokuzikhusela ukuba sibe sisifo esisongela isisu. Ngoko ke, esi sifo sinokuvela ngezizathu ezahlukeneyo.

1. Iintsholongwane

Le yeyona nto ibangela isifo se-gastritis, ingakumbi isifo se-gastritis esiqatha.

• Usulelo lweentsholongwane: Eyona ixhaphakileyo kwezi yintsholongwane i- H. pylori (i-Helicobacter pylori) . Oku kunokubangela isifo se-gastritis esingapheliyo.
• Usulelo lweentsholongwane: Ezinye iintsholongwane ezibangela umkhuhlane wesisu zinokubangela ne-gastritis yexeshana.
• Amaxesha amaninzi, i-gastritis inokubangelwa zi-parasites kunye nosulelo lwefungus.

2. Iikhemikhali

• Utywala: Ukusela utywala kakhulu nokusela rhoqo kunokonakalisa ulwelo lwesisu kwaye kubangele isifo sesisu.
• Amayeza athile: Ukusetyenziswa rhoqo kwee-painkillers, ingakumbi ii-'NSAIDs' (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) (umz. i-aspirin, i-ibuprofen) kwandisa umngcipheko wokuba ne-gastritis ebukhali.
• Ezinye iziyobisi, ezifana necocaine, nazo zinokuba yimbangela.

3. Izifo ezihlasela umzimba ngokwawo

Okwenzekayo kule meko kukuba inkqubo yomzimba wethu yokuzikhusela ihlasela iiseli zesisu ngempazamo. Oku kubangela ukudumba okungapheliyo kunye ne-gastritis.

4. Ukuncipha kwegazi eliya esiswini

Ngamaxesha oxinzelelo olukhulu lomzimba, njengotyando olukhulu, ingozi enkulu, okanye esinye isifo esinzima, umzimba uhambisa igazi uye kwiindawo eziphambili zomzimba kwaye unciphise inani legazi eliya kwinkqubo yokugaya ukutya. Oku kwenza buthathaka ukhuselo lodonga lwesisu, nto leyo enokubangela isifo se-gastritis.

5. Ezinye izizathu

• Unyango lwemitha (olukwabizwa ngokuba yi-mucositis).
• Unyango lokulwa nomhlaza `(iKhemotherapy)`.
• Inyongo eveliswa kwinyongo ibuyela esiswini (i-bile reflux).

Ziziphi iingxaki ezinokubakho ze-gastritis?

Uninzi lwexesha, isifo se-gastritis sisifo sexeshana, esingengobungozi. Nangona kunjalo, ukuba asinyangwa kwaye asinyangwa, singonakalisa ulwelo lwesisu kwaye sikhokelela kwiingxaki ezahlukeneyo.

Iingxaki ze-Erosive Gastritis kunye ne-Ulcers:

• Isifo sesilonda sePeptic: I-Gastritis inokubangela izilonda zesisu.
• Ukopha kwamathumbu: Ezi zilonda ziphuma igazi, kwaye ekuhambeni kwexesha , i-anemia inokubakho.
• Ukwakheka kwezicubu zesilonda:Xa izilonda zikhula ngokuphindaphindiweyo, izicubu zesilonda zinokwenzeka kwezo ndawo. Olu silonda lunokuvala umngxuma ongezantsi wesisu (i-pylorus) apho ukutya kungena khona emathunjini amancinci. Oku kubizwa ngokuba kukuthintelwa kwesisu (i-GOO) .
• Ukugqobhoka kwamathumbu: Isilonda esingapholiyo sinokubangela umngxuma eludongeni lwesisu . Oku kunokuvumela iintsholongwane ezivela esiswini ukuba zingene kwisisu, nto leyo ebangela usulelo oluyingozi olubizwa ngokuba yi-peritonitis . Oku kunokukhokelela kwi- septicemia (ityhefu yegazi) kunye ne-sepsis (usulelo olusongela ubomi).

Iingxaki ezibangelwa yi-Nonerosive Gastritis, i-Atrophy kunye ne-Metaplasia:

Iingxaki ezibangelwa lolu hlobo lwesifo sesisu ziqala kancinci. Kodwa xa sele ikhona iminyaka,

• Ulwelo olukhuselayo lwesisu lunokuba luncinci kwaye lunyamalale (atrophy). Oku kunciphisa ukusebenza kwesisu.
• Umzimba usenokungakwazi ukufunxa izondlo ezithile (umz. i-iron, i-folic acid, i-vitamin B12). Ukufunxa okuncinci kwe-vitamin B12 kunokukhokelela kwimeko ebizwa ngokuba yi -'pernicious anemia' .
• Kunqabile kakhulu ukuba i-gastritis ehlala ixesha elide inokubangela ukuba iiseli eziseludongeni lwesisu zitshintshe kwaye zibukeke njengohlobo olwahlukileyo lwezicubu. Oku kubizwa ngokuba yi -'gastric intestinal metaplasia' . Oogqirha bacinga ukuba le 'yimeko engaphambi komhlaza' enokubangela umhlaza . Oku kuthetha ukuba umngcipheko wokuba nomhlaza wesisu unokwanda.

Ungayixilonga njani ngokuchanekileyo i-gastritis?

Ugqirha uza kuqala akubuze ngeempawu zakho kunye nembali yakho yempilo. Ugqirha usenokucinga ukuba une-gastritis, kodwa kuya kufuneka enze uvavanyo ukuqinisekisa ngokuqinisekileyo.

• Uvavanyo lwe-X-ray, olufana ne-"upper GI series," lunokwenziwa. Nangona oku kunokubonisa izinto ezifana nezilonda kunye nemikrwelo eludongeni lwesisu, akusoloko kubonisa i-gastritis ngqo.
• Ukuqinisekisa i-gastritis, kufuneka ujonge phantsi kwe-microscope. Ukuze wenze oku, kwenziwa i -'endoscopy ephezulu' . Kule nto, kufakwa ityhubhu encinci enekhamera ngomlomo kwaye isisu sijongwa. Kwangaxeshanye, kuthathwa iqhekeza elincinci lethishu ('i-biopsy') eludongeni lwesisu lithunyelwe kwilebhu. Nokuba ugqirha ucinga ukuba une-gastritis ngexesha le-endoscopy, i-biopsy yeyona ndlela yokuqinisekisa oko.

Ukongeza koku, kunokwenziwa ezinye iimvavanyo ukuze kufunyanwe unobangela we-gastritis okanye ukujonga iingxaki:

• Uvavanyo lwegazi
• Uvavanyo lwesitulo
• Uvavanyo lokuphefumla lwe-H. pylori

Ngaba i-gastritis iba ngcono ngokwayo?

• I-gastritis ebukhaliNangona kunjalo, ukuba unobangela ususiwe, uhlala uphela ngokwawo. Umzekelo, ukuba lusulelo, ukudumba kuya kuphela njengoko inkqubo yomzimba yokuzikhusela ilwa nalo. Ukuba uyeka ukuthatha utywala okanye amayeza anamandla okwethutyana, ulwelo lwesisu luya kuphinda lukhule.
• I-gastritis engapheliyo ayibi ngcono ngokwayo. Ingxaki engapheliyo esisiseko kufuneka inyangwe. Kulapho ke kuphela apho i-gastritis iya kuba ngcono khona. Umonakalo kwingaphakathi lesisu obangelwa yi-gastritis engapheliyo ungathatha ixesha ukuba uphole.

Indlela yokufumana uncedo ngokukhawuleza kwi-gastritis?

Kukho amayeza e-OTC athengiswa ngaphandle kwekhawuntara onokuwathenga kwikhemesti ukunceda ekunciphiseni ukudumba kwesisu kunye nokungonwabi. Umzekelo , ii-proton pump inhibitors (PPIs) okanye iPepto Bismol® zinokubonelela ngoncedo lwexeshana. Nangona kunjalo, nangona la mayeza esetyenziswa, kubalulekile ukubona ugqirha ukuze afumanise unobangela we-gastritis yakho kwaye ayinyange.

Indlela yokunyanga ngokupheleleyo i-gastritis?

Ukuze unyange ngokupheleleyo i-gastritis engapheliyo, iingcebiso zonyango zibalulekile. Unyango luxhomekeke kwisizathu se-gastritis.

Isenokuba yinto efana nale:

• Ii-antibiotics kunye namanye amayeza osulelo lwe-H. pylori.
• Ukuba usebenzisa amayeza afana ne-NSAIDs, tshintshela kumayeza akhuselekileyo endaweni yoko.
• Ukuba uxhomekeke kutywala okanye kwiziyobisi, funa iinkonzo zokubuyisela imeko esiqhelweni.
• Amayeza athile ezifo ezihlasela amasosha omzimba.
• Kunqabile kakhulu, utyando lunokwenziwa kwiimeko ezifana nokopha esiswini, ukuncipha kokunikezelwa kwegazi (ischemia), okanye i-bile reflux.
• Ukuze ukhawulezise ukuphiliswa kolwelo lwesisu, thatha amayeza okunciphisa iasidi owanikwe ngugqirha wakho.

Ngaba i-gastritis sisifo esosulelayo?

Hayi, i-gastritis ayisuleli. Nangona kunjalo, ezinye izifo ezibangela i-gastritis (ezifana nebhaktheriya i-H. pylori) zinosulela. I-H. pylori idla ngokusasazeka ngamanzi angcolileyo nokutya (ukusuka endle ukuya emlonyeni). Ke ngoko, kubalulekile ukugcina ucoceko oluhle (njengokuhlamba izandla kakuhle emva kokusebenzisa indlu yangasese nangaphambi kokulungisa ukutya). Le mikhwa inokunceda kakhulu ekuthinteleni i-gastritis.

Lithini ilizwi lokugqibela ngale meko?

Uninzi lwexesha, isifo se-gastritis sisifo esiba ngcono xa sinyangwa. Amayeza anokunceda ukulawula iimpawu. Kwabanye abantu, ukwenza utshintsho kwindlela yokuphila kunokuba yimfuneko ukuze baphile ngokupheleleyo. Oku kunokuquka ukutshintsha indlela olawula ngayo ezinye iimeko, ukunciphisa okanye ukuyeka ukusebenzisa utywala okanye icuba, kunye nokuthintela isifo se-gastritis ukuba singaphindi sibuye.

Amatyala angaqhelekanga e-acute gastritis awanakukhathazeka kwaye anokunyangwa ekhaya. Nangona kunjalo, ukuba ayibi ngcono, okanye ukuba uneempawu ze-gastritis ezingapheliyo, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Iimpawu eziqhubekayo zibonisa ukuba kukho imeko engapheliyo edinga ingqalelo. Ngenxa yokuba iingxaki zesisu zinokubangela izinto ezininzi, kubalulekile ukufumana uxilongo oluchanekileyo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Gastritis kukudumba kwengaphakathi lesisu. Musa ukukhathazeka, oku kuqhelekile kakhulu.
• Kukho iintlobo ezimbini: `I-Acute` efika ngequbuliso kunye ne-`Chronic` ehlala ixesha elide.
• Izizathu eziphambili zisenokuba yintsholongwane ethi `H. pylori`, ezinye ii-anti-painkillers (`NSAIDs`), utywala, kunye noxinzelelo.
• Iimpawu zingabandakanya iintlungu zesisu, ukudumba, isicaphucaphu, kunye nokuhlanza. Ngamanye amaxesha kusenokungabikho zimpawu kwaphela.
• Ukuba unendle emnyama okanye ukuhlanza okufana nekofu, luphawu olubi kakhulu. Bonana nogqirha ngoko nangoko.
• Uninzi lwexesha, unyango lunokuyiphucula imeko. Kodwa kwi-gastritis engapheliyo, unobangela kufuneka unyangwe.
• Ukuba usoloko unengxaki yesisu, kuya kuba bubulumko ukufuna icebiso kugqirha kunokuba uye kunyango.

Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I- Gastritis, i-gastritis, ukudumba kwesisu, i-H. pylori, izilonda zesisu, iintlungu zesisu, igesi yesisu