Ingaba unemigca efana ne-vatala esiswini sakho? Masithethe nge-'Watermelon Stomach' (GAVE)!

Ngaba ngamanye amaxesha uziva udiniwe kakhulu ngaphandle kwesizathu? Okanye udla ngokuba nesisu esibuhlungu okanye ukuphelelwa ngumdla wokutya? Mhlawumbi ude uqaphele negazi elincinci xa ukhupha indle. Nangona ngamanye amaxesha singazinaki kakhulu ezi zinto, kusenokuba kukho iimeko zempilo esingazicingiyo. Namhlanje, siza kuthetha ngesifo esingaqhelekanga, kodwa kubaluleke kakhulu ukuba wonke umntu asiqaphele. Esi sibizwa ngokuba yi-'Watermelon Stomach'.

Yintoni le 'Isisu seWatermelon'?

Ngamafutshane, 'isisu se-watermelon' kuxa imithambo yegazi esiswini sakho, oko kukuthi, ingaphakathi lesisu sakho, iba buthathaka ize iqale ukopha. Xa oku kuphuma kwegazi, udonga lwangaphakathi lwesisu sakho luvelisa imivimbo emide, njengempundu ye-watermelon. Cinga ngayo njengemivimbo eluhlaza neluhlaza okukhanyayo kwi-watermelon. Kungenxa yale mivimbo ukuba ibizwa ngokuba 'yisisu se-watermelon'.

Oogqirha babona le migca ngexesha le-endoscopy . Oku kuquka ukufaka ityhubhu encinci enekhamera encinci ngomlomo wakho uze ujonge ngaphakathi esiswini sakho. Igama lezonyango lale meko yiGastric Antral Vascular Ectasis (GAVE) . Elo ligama elide, akunjalo? Yingakho abantu abaninzi beyibiza ngokuba yiGAVE, okanye 'isisu se-watermelon.'

Ixhaphake kangakanani le meko? Ngubani onokuba nayo?

Enyanisweni, le meko ibizwa ngokuba yi-'watermelon stomach' ayiqhelekanga. Ngokwesiqhelo, xa kukho ukopha esiswini, ibangelwa zezinye iimeko ezifana nezilonda zesisu okanye imithambo yegazi emikhulu (varices).

Nangona oku kunokwenzeka nakubani na, kuxhaphake kakhulu phakathi kwabasetyhini abaneminyaka engaphezu kwama-70 ubudala. Nangona kunjalo, ubudala abuyonto yodwa ebangela oku, kunokubakho nezinye izizathu.

Zithini iimpawu zesisu se-'watermelon' (GAVE)?

Umntu onesi sifo unokufumana iimpawu ezahlukeneyo. Ezinye zincinci kakhulu, ngelixa ezinye zinzima kakhulu. Jonga ukuba ezi mpawu zivakala ziqhelekile na kuwe:

• Intlungu yesisu: Usenokuba neentlungu zesisu emva nje kokutya okanye emva nje kokutya.
• Igazi elikwisitulo: Ngamanye amaxesha isitulo sinokuba mnyama, okanye ungabona igazi elibomvu.
• Ukudinwa ngalo lonke ixesha: Usenokuziva udiniwe kwaye ungenabomi nokuba ungenzanga nto.
• Ukopha ngaphakathi: Nangona oku kusenokungabonakali ngaphandle, kunokuba kukopha ngaphakathi.
• I-anemia yokunqongophala kwe-iron: Ukopha rhoqo kubangela ukwehla kwe-iron emzimbeni, nto leyo ekhokelela kwi-anemia.
• Isicaphucaphu: Uziva ngathi uza kuhlanza.
• Ukuhlanza igazi: Olu luphawu olunzima kancinci.

Nangona kunjalo, abanye abantu banokuba 'nesisu sevatala' ngaphandle kwezi mpawu. Yiyo leyo ingxaki ngale nto.

Kutheni esi 'sisu sevatala' siphuhla? Yintoni kanye kanye imbangela yaso?

Izazinzulu azikayazi kakuhle ukuba kutheni abanye abantu benesifo kodwa abanye bengenaso. Kodwa ngokusekelwe kubungqina bangoku, kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuso:

• I-Hypergastrinemia: Oku kwenzeka xa umzimba wakho une-hormone eninzi ye-gastrin (i-hormone enceda ekugayeni ukutya).
• I-Achlorhydria: Imeko apho isisu sakho singavelisi i-hydrochloric acid (ekwanceda ekugayeni ukutya).
• Ukwehla kwamanqanaba e-'Pepsinogen': Le ikwayi-enzyme ebalulekileyo ekugayeni ukutya.
• Ukungasebenzi kakuhle kwesibindi: Xa ukusebenza kwesibindi kuphazamiseka, imithambo yegazi inokwanda.

Ezi zimbono eziphambili ezibanjwe ngoku. Mhlawumbi enye okanye ezingaphezulu kwezi, okanye indibaniselwano yazo, zinegalelo kule meko.

Ngubani osengozini enkulu yokuba nesi 'sisu sevatala'?

Abantu abaneengxaki ezithile zempilo banamathuba amaninzi okufumana esi 'sisu se-watermelon'. Ezi meko ziquka:

• Izifo ezizikhusela ngokwazo: Ezi zizifo apho inkqubo yomzimba wakho yokuzikhusela ihlasela khona iiseli zakho.
• I-Atrophic gastritis: Imeko yokudumba okungapheliyo kwesisu.
• Isifo seswekile
• Isifo sentliziyo
• Ukungasebenzi kakuhle kwezintso
• Isifo sesibindi
• Isifo seMetabolic

Ukuba unezinye izifo ezifana nale, kungcono ukuba uqaphele kancinci 'nesisu se-watermelon'.

Ungayixilonga njani ngokuchanekileyo le sifo?

Ukuba uneempawu ezikhankanyiweyo apha ngasentla, into yokuqala ekufuneka uyenze kukubona ugqirha. Uza kukubuza ngeempawu zakho aze, ukuba kuyimfuneko, akuthumele kwingcali yezifo zamathumbu . Uza kwenza olunye uvavanyo.

Iimvavanyo eziphambili ezenziweyo koku zezi:

• I-endoscopy ephezulu: Olu lolona vavanyo lubalulekileyo. Bajonga ngaphakathi esiswini ukuze babone ukuba kukho ipateni efana ne-watermelon.
• I-Biopsy: Ngexesha le-endoscopy, kuthathwa iqhekeza elincinci lezicubu eludongeni lwesisu lize lihlolwe nge-microscope. Oku kunokubonelela ngolwazi oluthe kratya.
• Uvavanyo lwegazi: Olu vavanyo lunokujonga ukuba unayo na i-anemia , okanye ukungabikho kwegazi.

Khumbula, ezi mvavanyo zisenokubonakala zinzima kancinci, kodwa zibaluleke kakhulu ekuxilongeni isifo ngokuchanekileyo.

Ziziphi iindlela zonyango 'zesisu sekhaphetshu' (GAVE)?

Kukho iindlela ezahlukeneyo zokunyanga oku. Ugqirha wakho uza kukhetha unyango olufanelekileyo kuwe ngokusekwe ekubeni iimpawu zakho zinzima kangakanani na nokuba unezinye iimeko zempilo. Ngamanye amaxesha, ukuba ulahlekelwe ligazi elininzi, kunokufuneka utofelwe igazi ngokukhawuleza .

Izongezo zesinyithi

Ukuba isifo sifunyenwe kwangethuba, kunokwenzeka ukuba sisilawule ngeepilisi zesinyithi (izongezo) zodwa. Kodwa oku akusebenzi kuwo wonke umntu. Nokuba kukho iipilisi zesinyithi, kukho amaxesha apho kufuneka utofelo-gazi olunye okanye ngaphezulu ukuze kulawulwe ukopha.

Amayeza

Ugqirha wakho angakunika amayeza athile okunceda ukunciphisa ukopha esiswini sakho. Nangona ukhuseleko lwexesha elide lwala mayeza lungekaqondwa ngokupheleleyo, asebenza kakuhle kwixesha elifutshane.

• Ii-Corticosteroids
• I-Octreotide
• 'Unyango lweHormone'

Unyango lwe-Endoscopic

Olona nyango luqhelekileyo 'lwesisu sevatala' lutyando lwe-endoscopic. Oku kuquka ukuvala okanye ukutshabalalisa imithambo yegazi ebangela ukopha.

• Ukujiya kwe-Argon plasma (APC): Le yeyona ndlela isetyenziswa kakhulu. Kule ndlela, kusetyenziswa igesi ebizwa ngokuba yi-``Argon'' ukuvala imithambo yegazi.
• Ukuxhuzulwa kwebhendi ye-Endoscopic (EBL): Oku kuquka ukubeka ibhendi encinci ejikeleze umthambo ngamnye wegazi uze uwubophe. Oku ngamanye amaxesha kwenziwa kunye ne-APC.
• Ukususwa kwe-Radiofrequency (RFA): Oku kusebenzisa ubushushu obuvela kumaza erediyo ukutshabalalisa imithambo yegazi.
• I-Cryotherapy: Le ndlela isebenzisa igesi ebizwa ngokuba yi-nitrous oxide ukukhenkcisa imithambo yegazi.

Ngokwesiqhelo, olu nyango lwe-endoscopic alugqitywanga kwiseshoni enye. Kufuneka unyango oluninzi ukuze kufunyanwe iziphumo ezifunekayo .

Utofelo-gazi

Ukuba wopha kakhulu, ungadinga utofelo-gazi olunye okanye ngaphezulu . Nangona kunjalo, ngokuhamba kwexesha, izinto ezifana neepilisi zesinyithi, amayeza, kunye ne-endoscopy zinokunceda ukunciphisa inani lamaxesha ofuna utofelo-gazi ngawo. Ungadinga utofelo-gazi ngamanye amaxesha ukuze ubuyisele igazi elilahlekileyo de ugqirha wakho akwazi ukulawula ukopha ngokwaneleyo.

Utyando

Kwabo bangaphenduliyo kwiipilisi zesinyithi, amayeza, okanye i-endoscopy, kwenziwa utyando olubizwa ngokuba yi-partial gastrectomy . Oku kubandakanya ukusika inxalenye yesisu sakho enesifo. Ngokwesiqhelo, akuyi kufuneka uphinde unike igazi emva kolu tyando.

Nangona olu tyando lubandakanya ngakumbi kunonyango lwe-endoscopic olufana ne-'APC', yindlela ekuphela kwayo yokunyanga ngokupheleleyo imeko 'yesisu se-watermelon'.

Injani imeko emva konyango?

Kuxhomekeke ekubeni iimpawu zakho zinzima kangakanani na. Nangona injongo yonyango ikukuyeka ukopha, abanye abantu banokuba neengxaki kwakhona emva konyango. Ukuba oko kuyenzeka, kunokufuneka uqhubeke ufumana utofelo-gazi. Nangona kunjalo, uninzi lwabantu luyaphola emva konyango lokuqala. Ugqirha wakho uya kukuxelela into omawuyilindele ngokusekelwe kwimeko yakho.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Ekubeni unobangela ochanekileyo ungaziwa, akukho nto unokuyenza ukuthintela 'isisu se-watermelon'. Eyona nto ingcono onokuyenza kukubona ugqirha kwangoko xa ubona naziphi na iimpawu ezintsha okanye ezingaqhelekanga. Ukuba uqala unyango kwangethuba, ungayeka ukopha ngaphambi kokuba kube mandundu.

Ngaba umntu onesisu 'se-watermelon' kufuneka alumke ngento ayityayo?

Akukho luhlu lumiselweyo lokutya abantu abanesifo esinjalo abafanele bakutye nabafanele bangakutya. Nangona kunjalo, kungcono ukukuphepha ukutya emva kokuba wenze i-upper endoscopy:

• Ukutya okunongwe
• Ukutya okune-asidi (ezifana neelamuni, iiorenji, iipayinapile)
• Iziselo ezine-caffeine ezifana nekofu neti
• Utywala

De kuphele unyango, kungcono ukutya ukutya okuthambileyo nokulula esiswini, okufana namaqanda, i-tofu, iisuphu, ii-smoothies, kunye nenyama engenamafutha . Kungcono ukubuza ugqirha wakho ukuba zeziphi ukutya ezilungileyo kuwe.

Ndifanele ndibonane nogqirha nini?

Ukuba ufumana naziphi na iimpawu ezintsha, ezinje ngesicaphucaphu okanye ukudinwa, kufuneka uhlale uxelela ugqirha wakho. Ukuba uvakalelwa kukuba kukho into engalunganga, musa ukulinda. Ukuba uyasibona isifo kwaye uqale unyango kwangethuba, unganciphisa isidingo sotyando olukhulu.

Ukuba uneempawu eziqatha, ezinje ngokuhlanza igazi, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko. Eyona nto ibalulekileyo kukufumana unobangela kunye nokuyeka ukopha ngokukhawuleza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba ufumanisa ukuba unesisu se-'watermelon', kulungile ukubuza ugqirha wakho le mibuzo:

• Imeko yam imbi kangakanani?
• Luhlobo luni lonyango endiludingayo?
• Zingaphi iindlela zonyango eziya kufuneka?
• Ngaba kuya kufuneka ndinikele ngegazi? Ukuba kunjalo, kangaphi?

Ukuhlanza igazi okanye ukubona igazi esitulweni sakho kunokoyikisa. Nangona ezi zinokuba ziimpawu zokuba unengxaki yesisu, iimpawu azisoloko zibonakala. Mhlawumbi ubuziva udiniwe kangangeenyanga. Okanye mhlawumbi usandul' ukuqala ukuba neentlungu zesisu ezintsha kusasa. 'Isisu seWatermelon' sisifo esingaqhelekanga, kwaye iimpawu zaso ziyafana nezinye izifo zesisu. Ke ngoko, kungathatha ixesha ukufumana uxilongo olufanelekileyo. Okwangoku, ungaziva udandathekile ngenxa yokungaqiniseki okuzivayo. Ke ngoko, nokuba unazo naziphi na iimpawu, thetha nogqirha wakho ngazo. Unokufumana unobangela aze akucebise unyango olufanelekileyo.

Ngoko ke, zimbalwa izinto zokugqibela ekufuneka uzikhumbule:

Nangona igama elithi 'isisu sekhaphetshu' liloyikeka kancinci, kubalulekile ukuliqaphela. Khumbula:

• Iimpawu zingahluka kumntu nomntu, kwaye abanye abantu basenokungabi nazo kwaphela iimpawu.
• Musa ukuzityeshela izinto ezinje ngokudinwa rhoqo, isisu esibuhlungu, kunye negazi esitulweni.
• Ngokufuna iingcebiso zonyango ngokukhawuleza, ungasilawula esi sifo ngaphambi kokuba sibe sibi kakhulu.
• Kukho iindlela ezahlukeneyo zonyango, kwaye ugqirha wakho uya kugqiba ukuba yeyiphi ekulungeleyo.

Siyathemba ukuba olu lwazi ulufumene luluncedo. Hlala usempilweni!

isisu sevatala , i-GAVE, i-gastric antral vascular ectasis, isisu sevatala, ukopha kwesisu, i-endoscopy, iintlungu zesisu