Ngaba kukho into engalunganga esiswini sakho? Masifunde nge-gastropathia ngokulula!

Sihlala sifumana iingxaki zesisu kunye nesitshiso sentliziyo. Ngamanye amaxesha sicinga ukuba yinto eqhelekileyo, okanye mhlawumbi yinto eyenzekayo xa ukutya kuneziqholo. Nangona kunjalo, ngamanye amaxesha kunokubakho iimeko ezingasemva kwezi mpawu ekufuneka sizixhalabise kancinci. Yiyo loo nto siza kuthetha ngemeko ebizwa ngokuba yi -gastropathy, eyonakalisa ulwelo lwesisu sethu, oko kukuthi, i-mucosa. Oku kunokuvakala ngathi ligama lezonyango, kodwa masiliqonde ngokulula.

Yintoni kanye kanye i-gastropathy?

Ngamafutshane, i-gastropathy ithetha "isifo sesisu." Ngoku usenokuba ucinga, "Xa sisithi isifo sesisu, sinokuthetha nasiphi na isifo esikhula esiswini." Ewe, yinyani leyo. Ayisiyo kuphela i-stomach flu eqhelekileyo, isifo sesilonda se-peptic, i-gastroparesis, imeko apho ukusebenza kwesisu kuphazamiseka ngenxa yeengxaki ezithile zemithambo-luvo, kodwa nomhlaza wesisu ungawela kudidi lwe-gastropathy ngale ndlela ibanzi.

Nangona kunjalo, oogqirha, ingakumbi abo bagxile kwizifo zesisu, basebenzisa igama elithi "gastropathy" ngendlela ecacileyo. Ukuba ugqirha uthi kuwe, "Une-gastropathy," mhlawumbi ubhekisa kwinto eyonakalisa ulwelo lwesisu sakho .

Kuthetha ukuthini ukuba ne-gastropathy?

Isisu sethu sisitho esimangalisayo kakhulu. Sineekhemikhali zokugaya ukutya ezinamandla kakhulu ezisinceda ekugayeni ukutya esikutyayo. Ngoko ke, ukukhusela isisu kwezi khemikhali zinamandla, udonga lwesisu lunomaleko okhuselayo owenziwe ngomphetho ongqindilili okanye umthambo. Kufana nokubeka "isikhuseli sesikrini" kwisikrini sefowuni yethu.

Nangona kunjalo, ukuba ngesizathu esithile olu ngqameko lukhuselekile, okanye ukuba luyaphela, iikhemikhali eziqatha ngaphakathi esiswini ziqala ukonakalisa udonga lwesisu. Loo nkqubo yokonakala kongqameko lwesisu yinto esiyibiza ngokuba yi-gastropathy.

Yintoni umahluko phakathi kweGastritis kunye neGastropathia?

Uninzi lwenu lukhe lweva nge-gastritis. I-Gastritis kukudumba kolwelwesi lwesisu. Ukudumba yindlela umzimba osabela ngayo kwinto ezama ukulimaza isisu. Kufana nokuba xa ufumana inxeba elincinci, liba bomvu lize lidumbe. Ukuba le mpendulo yomzimba ayikwazi ukulawula ingozi enobungozi, ulwelwesi lunokubola.

Nangona kunjalo, oogqirha bahlula phakathi kwe-erosive gastritis kunye nokudumba kunye ne-erosive gastropathy ene-inflammation encinci okanye engekhoyo.Kukho umahluko phakathi kwezi zimbini. Oko kukuthi, igama elithi gastropathy lisetyenziswa kwiimeko apho ulwelo lwesisu lonakele kwaye lucaphukile, kodwa akukho ukudumba kubalulekileyo . Okumangalisayo kukuba, izizathu zezi meko zombini ngamanye amaxesha zinokuba zifana.

Kalula nje:

* I-Gastritis: Ukonakala kwengaphakathi lesisu + ukudumba (iimpawu ezinje ngokudumba, ukuba bomvu)

* I-Gastropathy: Ukonakala kwengaphakathi lesisu, ngaphandle kokuvuvukala okubonakalayo

Zithini izizathu zesifo se-gastropathy?

Kukho izizathu ezahlukeneyo zokuba ulwelo lwesisu lonakale, ngequbuliso okanye kancinci kancinci ngokuhamba kwexesha. Ezona ziphambili zezi:

• Izinto esizisebenzisayo: ukusebenzisa utywala ngokugqithisileyo, amayeza athile (ingakumbi amayeza okudambisa iintlungu anjenge `(NSAIDs)`).
• Iikhemikhali zokugaya ukutya: i-asidi yesisu, ii-enzymes, kwaye mhlawumbi ne-bile ebuyela phezulu.
• Unyango ngemitha kunye ne-chemotherapy.
• Ukudumba nokuxinana kwemithambo yegazi kwingaphakathi lesisu.
• Ukulahlekelwa kukuhamba kwegazi ukuya kwi-inwebu yesisu.

Ngokusekelwe kwezi zizathu, i-gastropathy yahlulwe yaba ziintlobo ngeentlobo ezahlukeneyo.

Ziziphi iintlobo ezahlukeneyo ze-gastropathy?

Makhe sijonge ezimbalwa zezona ntlobo ziphambili.

1. I-Acute Hemorrhagic Erosive Gastropathy

Oku kuxa ulwelo lwesisu lonakala ngequbuliso kwaye lunzima ngesizathu esithile. Igama elithi "Acute" lithetha ngequbuliso. Lo monakalo ubangela imikrwelo emincinci (ukukhuhla) okanye izilonda (izilonda) kulwelo lwesisu. Ezi zilonda zinokuba zimbi ngakumbi xa zidibene ne-asidi yesisu, kwaye ziqale ukopha (ziphuma igazi) . Oku kunokubangelwa yile:

• Ukusela utywala ngokugqithisileyo: (ukwanda koxinzelelo lotywala esiswini ngaphezu kwe-10%).
• Ukuthatha iidosi eziphezulu zeziyobisi ezingezoze-steroidal ezilwa nokuvuvukala (ii-NSAID): Umzekelo, amayeza afana neDiclofenac kunye ne-Ibuprofen.
• Unyango lwe-chemotherapy kunye nonyango lwe-radiation lomhlaza.
• Ukwehla ngequbuliso kokuhamba kwegazi ukuya emathunjini (i-acute mesenteric ischemia).

2. I-Reactive Gastropathy

Okwenzekayo kule meko kukuba ulwelo lwesisu lonakele ngenxa yokuchatshazelwa rhoqo zizinto eziyingozi esiswini ixesha elide . Ulwelo luyaphela kancinci kancinci ngenxa yempendulo yeekhemikhali kwezi zinto. Ke ngoko, oku kukwabizwa ngokuba yi-chemical gastropathy. Izizathu eziphambili zezi:

• Ukusetyenziswa kwexesha elide kwe-NSAIDs.
• Ukubuyela kwe-bile: I-bile esinceda ekugayeni ukutya ikwi-small intestine. Kodwa ngamanye amaxesha le bile inokubuyela esiswini. Ukuba oku kuyenzeka, inokonakalisa ulwelo lwesisu.

Ukongeza, kukho nezinye izinto ezenza buthathaka iindlela zokuzikhusela zesisu kwaye zithintele ukuphiliswa:

• Ukusetyenziswa kotywala ixesha elide.
• Ukutshaya ixesha elide.
• Usulelo lwebhaktiriya i-H. pylori oluhlala ixesha elide.
• I-ischemia engapheliyo kukuncipha kwexesha elide kokunikezelwa kwegazi.

3. I-Congestive Gastropathy

Kulapho imithambo yegazi engaphakathi kwesisu idumba kwaye iqine, kwaye inokuqhuma kwaye yophe ngokulula . Ngenxa yokwenzakala okuncinci rhoqo kunye nokopha, kuvela ipateni efana ne-mosaic yamabala kwingaphakathi lesisu. Oku kunokubangela ukuba igazi elininzi lilahleke emizimbeni yethu. Isizathu esiphambili soku yi-portal hypertension. Oku kukunyuka koxinzelelo kwimithambo yegazi emikhulu edibene nesibindi. Oku kudla ngokuvela njengesiphumo esingesihle sesifo sesibindi. Ke ngoko, ikwabizwa ngokuba yi-portal hypertensive gastropathy.

4. I-Hypertrophic Gastropathy

Le yimeko engaqhelekanga, yemfuza . Yenzeka xa iintlobo ezithile zeeseli kwi-inside yesisu zikhula kakhulu, zitshintsha ukwakheka kwendalo kwe-inside. Isifo sikaMenetrier sesinye sezi meko. Sibangela ukuba i-inside yesisu ivelise i-mucus eninzi kakhulu, kwaye iiproteni nazo zikhutshwa emzimbeni. I-Zollinger-Ellison syndrome yenye imeko apho isisu sivelisa i-asidi eninzi kakhulu.

Zithini iimpawu ze-gastropathy?

Abantu abaninzi basenokungabi nazo iimpawu . Nangona kunjalo, ukuba ufumanisa iimpawu, unokufumana izinto ezifana nezi:

• Intlungu yesisu okanye ukungakhululeki.
• Isicaphucaphu.
• Ukudumba, ukungagayi kakuhle kokutya.

Ukuba kukho iingxaki ezinxulumene nokopha kwamathumbu, ungabona neempawu ezifana nezi:

• Iimpawu ze-anemia yokunqongophala kwe-iron: ulusu olukhanyayo, ukudinwa kakhulu.
• Umnyama, indle ethambileyo.
• Ukuhlanza okufana nekofu.

Ngaba iGastropathy yimeko eqhelekileyo?

Ezinye iintlobo zixhaphakile. I-acute and reactive gastropathy, ingakumbi ezo zibangelwa butywala kunye nee-NSAIDs, zezona zixhaphakileyo. I-Gastropathy ebangelwa yi-bile reflux kunye nokuncipha kokunikezelwa kwegazi ayixhaphakanga kangako. I-Congestive gastropathy, ebangelwa yi-portal hypertension, sisiphumo esiqhelekileyo, ngakumbi kubantu abane-cirrhosis yesibindi. I-Hypertrophic gastropathy ayixhaphakanga kakhulu.

Ifunyaniswa njani isifo se-gastropathy?

Ukuba ugqirha ukrokrela ukuba une-gastropathy, uya kufuna ukuhlola ulwelo lwesisu sakho. Eyona ndlela ilungileyo yokwenza oku kukwenza uvavanyo lwe-upper endoscopy (Esophagogastroduodenoscopy - EGD).

Oku kuquka ukufaka isixhobo esibizwa ngokuba yi-endoscope - ityhubhu ende, ebhityileyo enekhamera encinci eqhotyoshelwe esiphelweni - ngomlomo ize yehle kwi-esophagus iye esiswini. Imifanekiso ecacileyo evela kule khamera inokubonwa kwiscreen. Ingcali ye-gastroenterologist ingasebenzisa le endoscope ukuthatha isampuli encinci yezicubu (i-biopsy) kwi-inwebu yesisu ize iyihlole kwilebhu. Oku kungasetyenziselwa ukunyanga naluphi na ukopha okunokubakho.

Ziziphi iindlela zonyango lwe-gastropathy?

Unyango luxhomekeke kuhlobo lwesifo sesisu onaso. Ukuba kunokwenzeka, ugqirha wakho uya kuqala azame ukuphelisa unobangela womonakalo kwi-inside yesisu sakho - isenokuba ngamayeza owasebenzisayo, into efana notywala, usulelo lwebhaktheriya, i-bile reflux, okanye into enzima ngakumbi. Ngelixa enyanga esi sizathu siyintloko, baya kuzama nokunciphisa i-asidi yesisu sakho ukuze bancede i-inside yesisu sakho iphole ngokukhawuleza.

Unyango lungabandakanya:

• Amayeza anciphisa i-asidi yesisu: Amayeza afana ne-histamine blockers (H2 blockers) kunye ne-proton pump inhibitors (PPIs).
• Amayeza akhusela ulwelo lwesisu: Amayeza afana ne-bismuth subsalicylate kunye ne-sucralfate.
• Ii-antibiotics zosulelo lweebhaktheriya.
• Amayeza anciphisa ityuwa yenyongo esiswini: Amayeza afana ne-ursodeoxycholic acid (UDCA).
• Amayeza onyango lwe-portal hypertension: Vasoconstrictors okanye beta blockers.
• Iinkqubo zotyando ezikhethekileyo kwezinye iimeko ezingaphenduliyo kumayeza.

Ngaba isifo se-gastropathy sinokunyangwa?

Ewe, ulwelo lwakho lwesisu lunokuphola. Kodwa ukuze lube nethuba, umonakalo kufuneka uyeke. Oku kunokwenziwa rhoqo ngamayeza. Nangona kunjalo, ezinye izizathu ze-gastropathy zinokuba nzima ngakumbi. Ukuba kukho i-bile reflux eqhubekayo okanye i-portal hypertension, kunokufuneka wenze utyando oluncinci ukuze lulungiswe. I-Hypertrophic gastropathy isenokungabuyeki ngokupheleleyo ngonyango. Nangona kunjalo, amayeza anokuthintela utshintsho olungakumbi kulwelo.

Khumbula, ulwelo lwethu lwesisu luyinto enamandla kakhulu. Kuthatha ixesha elininzi ukuphula ukhuselo lwaso. I-Gastropathy inokubangelwa kukwenzakala okukhulu ngequbuliso okanye kumonakalo owenzeka ixesha elide. Udinga unyango ukuze uchonge, umise, kwaye ubuyisele le nkqubo yomonakalo. Kodwa, ngoncedo oluncinci, ulwelo lwethu lwesisu lunokuchacha kwaye luphilise ngcono kunezinye izitho ezininzi. Xa ukhuselo lwalo lubuyele endaweni yalo, aluphinde lonakale lula.

Umyalezo Wokuya Ekhaya

• I-Gastropathy kukonakalisa ulwelo lwesisu (mucosa) ngaphandle kokudumba (okanye ukudumba okuncinci kakhulu) .
• Utywala, ezinye ii-NSAIDs, i-bile reflux, kunye nezinye iimeko zonyango zinokubangela oku.
• Iimpawu ezifana nentlungu yesisu, isicaphucaphu, kunye nokungagaywa kokutya zinokubakho, kodwa abanye abantu basenokungabi nazo kwaphela iimpawu.
• Ukuba uneempawu zokopha (indle emnyama, ukuhlanza okufana nekofu), funa ingcebiso kagqirha ngokukhawuleza .
• Esi sifo sinokuchongwa ngokuchanekileyo nge-endoscopy.
• I-Gastropathy inokunyangeka ngokufumana unyango olufanelekileyo kuxhomekeke kwisizathu kunye nohlobo.
• Landela imiyalelo kagqirha wakho ngokuchanekileyo. Musa ukuqhubeka usebenzisa amayeza afana neepilisi zokuthomalalisa iintlungu ngaphandle kwengcebiso kagqirha.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukubuza ugqirha wosapho lwakho okanye ingcali yezifo zesisu. Hlala usempilweni!

I- Gastropathy, izifo zesisu, ulwelo lwesisu, izilonda zesisu, ii-NSAIDs, utywala, i-endoscopy