Ingabe isisu sakho sivuvukele? Ake sifunde konke mayelana ne-gastritis ngendlela elula!

Ingabe uvame ukuba nesilungulela noma isisu esibuhlungu? Noma uzizwa usuthi ngemva kokudla? Lokhu kungaba izimpawu zenkinga evamile kakhulu kunalokho ocabanga. Namuhla sizokhuluma ngesifo abantu abaningi abahlushwa yiso, kodwa abangasazi kahle. Leso isifo sohudo. Ungakhathazeki, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini i-gastritis? Kalula nje...

Cabanga nje, isisu sethu sifana nesikhwama esigaya ukudla. Udonga lwangaphakathi lwalesi sisu lumbozwe ulwelwesi oluncane kakhulu (i-mucosa). Njengesikhumba esincane esingaphakathi komlomo wethu. Umsebenzi oyinhloko walolu lwelwesi ukuvikela udonga lwesisu kuma-asidi aqinile akhiqizwa esiswini, ama-enzyme, kanye namagciwane angena nokudla esikudlayo.

I-Gastritis yilapho lolu lwelwesi oluvikelayo luvuvukala. Ukuvuvukala yisimo esibangela ukuvuvukala nokubomvu. Isimiso somzimba wethu sokuzivikela sibangela lokhu kuvuvukala. Okusho ukuthi, lapho sizwa ukuthi kukhona usongo noma umonakalo odongeni lwesisu, isimiso somzimba sokuzivikela siqala ukusebenza. Ukuvuvukala kwenzeka ngenxa yalokhu kulwa. Empeleni lokhu kuyinqubo yokuvikela eyenziwa ngumzimba ngokwawo.

Yiziphi izinhlobo eziyinhloko ze-gastritis?

I-Gastritis ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. Iphinde ihlukaniswe ngokwengozi odongeni lwesisu.

1. I-Acute Gastritis kanye ne-Chronic Gastritis

• I-Acute Gastritis: Lolu uhlobo oluvela ngokuzumayo bese luba ngcono ngemva kwesikhathi esithile. Kufana nobuhlungu besisu obungazelelwe. Izimbangela zalokhu zivame ukuba zesikhashana.
• I-Gastritis Engapheli: Lesi yisimo esingahlala isikhathi eside. Kodwa-ke, ungase ube naso ngisho noma ungenazo izimpawu ezinkulu. Sikhula kancane kancane ngokuhamba kwesikhathi. Sivame ukwenzeka nakwezinye izimo ezingamahlalakhona.

2. I-Gastritis Egugulekayo kanye ne-Gastritis Engagugiyo

• I-Gastritis Egugulekayo: Kulesi simo, imbangela ye-gastritis (isibonelo, imithi enamandla, utshwala, ama-asidi aqinile) idla ulwelwesi lwesisu. Njengokusha esikhumbeni, ibangela izilonda. Lokhu kungabangela izilonda, noma izilonda, olwelwesini lwesisu.
• I-Gastritis Engavuki: Kulokhu, azikho izilonda ezinkulu odongeni lwesisu. Kodwa-ke, udonga lungase lube bomvu, luvuvuke, futhi lungabangela ukungakhululeki okuncane. Icala elikhethekile lalokhu libizwa ngokuthi i-atrophic gastritis . Kulokhu, ungqimba oluvikelayo lodonga lwesisu luba luncane futhi lome. Lokhu kungabangela izinkinga zokugaya ukudla.

Cabanga ngakho, njengoba nje uma uphuza isiphuzo esinamandla, umlomo wakho uyavuvukala, kungenzeka okufanayo nasesiswini sakho. Leso isibonelo esilula se-'Erosive Gastritis'.

I-Gastritis yaziwa ngamagama ahlukene kuye ngokuthi iyimbangela. Nazi izibonelo ezimbalwa:

• I-gastritis ethelelanayo
• I-gastritis ebangelwa yimithi
• Isisu esibangelwa utshwala
• I-gastritis ebangelwa ukucindezeleka
• I-gastritis ezenzakalelayo
• I-gastritis ehlala isikhathi eside

Ingabe i-gastritis iyisifo esivamile?

Yebo, kuvame kakhulu kunalokho ocabanga. Ikakhulukazi i-gastritis ebukhali. Ivame ukubangelwa izinto ezifana nokutheleleka kwesikhashana, ukusetshenziswa kotshwala, kanye neminye imithi yokubulala izinhlungu (ama-NSAID). I-gastritis engapheli ayivamile, kodwa izigidi zabantu emhlabeni wonke zine-gastritis engapheli, ebangelwa ukutheleleka kwebhaktheriya okubizwa ngokuthi i-H. pylori .

Ziyini izimpawu ze-gastritis? Uzibona kanjani?

Ingxenye engcono kakhulu ukuthi ngezinye izikhathi i-gastritis ingabonakala. Kodwa-ke, uma kuvela izimpawu, lesi simo singase sibe sibi kakhulu noma sibe khona isikhathi eside.

Izimpawu zenzeka lapho ulwelwesi lwesisu luba buthakathaka futhi luqala ukulinyazwa yi-asidi yesisu nama-enzyme. Le-asidi ingabangela ukucasuka kwesisu, isisu esibuhlungu, kanye nezilonda, ezingase ziphume igazi.

Izimpawu ezivamile ezingabonakala yilezi:

• Ukulahlekelwa yisifiso sokudla , noma ukuzizwa usuthi ngisho nangemva kokudla kancane.
• Ubuhlungu besisu kanye nokuqunjelwa (ukuzizwa sengathi ugcwele igesi).
• Ukucanuzela kwenhliziyo kanye/noma ukuhlanza.

Uma unesilonda esiswini esopha igazi, ungase ubone nezimpawu ezifana nalezi:

• Indle emnyama (ebizwa ngokuthi `melena`) ebukeka njengethayela.
• Ukuhlanza okumnyama, okufana nokuhlanza ikhofi (lokhu kubizwa ngokuthi 'ukuhlanza ikhofi okusanhlamvu').

Kuzwakala kuphi ubuhlungu be-gastritis?

Ubuhlungu be-gastritis buzwakala engxenyeni ephezulu, ephakathi yesisu sakho (odokotela bakubiza ngokuthi 'isifunda se-epigastric'). Ngokuvuvukala okuvamile, kungaba nzima ukukhomba ngqo ukuthi kubuhlungu kuphi. Kodwa-ke, uma unesilonda esiswini, ungase ukwazi ukuzwa ubuhlungu ngokunembile. Kungase kuzwakale njengobuhlungu obuvuthayo noma obuhlabayo . Ngezinye izikhathi, ubuhlungu bungancishiswa ngokudla.

Ziyini izimbangela ze-gastritis?

Sesishilo kakade ukuthi i-gastritis iyimpendulo evela ohlelweni lwethu lokuzivikela komzimba ibe usongo esiswini. Ngakho-ke, lolu songo lungaba khona ngezizathu ezahlukahlukene.

1. Ukutheleleka

Lena imbangela eyinhloko ye-gastritis, ikakhulukazi i-gastritis ebukhali.

• Ukutheleleka ngamagciwane: Okuvame kakhulu kulawa yi-bacterium H. pylori (Helicobacter pylori) . Lokhu kungabangela i-gastritis engapheli.
• Ukutheleleka ngegciwane: Amanye amagciwane abangela umkhuhlane wesisu angabangela ne-gastritis yesikhashana.
• Akuvamile ukuthi i-gastritis ibangelwe yizinambuzane kanye nokutheleleka kwesikhunta.

2. Amakhemikhali

• Utshwala: Ukuphuza utshwala ngokweqile nokuphuza njalo kungalimaza ulwelwesi lwesisu futhi kubangele isifo sohudo.
• Imithi ethile: Ukusetshenziswa okuqhubekayo kwezinhlungu zobuhlungu, ikakhulukazi 'ama-NSAID' (imithi engeyona eye-steroidal elwa nokuvuvukala) (isib. i-aspirin, i-ibuprofen) kwandisa ingozi yokuba ne-gastritis ebukhali.
• Ezinye izidakamizwa, njenge-cocaine, nazo zingaba imbangela.

3. Izifo ezihlasela amasosha omzimba

Okwenzekayo kulesi simo ukuthi amasosha omzimba wethu ahlasela ngephutha amangqamuzana esisu. Lokhu kubangela ukuvuvukala okungapheli kanye ne-gastritis.

4. Ukuncipha kwegazi eliya esiswini

Ngezikhathi zokucindezeleka okukhulu ngokomzimba, njengokuhlinzwa okukhulu, ingozi enkulu, noma olunye ukugula okukhulu, umzimba udlulisela igazi ezithweni ezibalulekile futhi unciphise inani legazi eliya ohlelweni lokugaya ukudla. Lokhu kwenza buthaka ukuzivikela kodonga lwesisu, okungaholela ekuguleni kwesisu.

5. Ezinye izizathu

• Ukwelashwa ngemisebe (okubizwa nangokuthi i-mucositis).
• Ukwelashwa okulwa nomdlavuza `(Chemotherapy)`.
• Inyongo ekhiqizwa yinyongo ibuyela esiswini (i-bile reflux).

Yiziphi izinkinga ezingaba khona ze-gastritis?

Esikhathini esiningi, i-gastritis iyisimo sesikhashana, esingesibi kakhulu. Kodwa-ke, uma ingelashwa futhi ingelashwa, ingalimaza ulwelwesi lwesisu futhi iholele ezinkingeni ezahlukahlukene.

Izinkinga ze-Erosive Gastritis kanye ne-Ulcers:

• Isifo sesilonda se-Peptic: I-Gastritis ingabangela izilonda zesisu.
• Ukopha kwamathumbu: Lezi zilonda zopha igazi, futhi ngokuhamba kwesikhathi , i-anemia ingenzeka.
• Ukwakheka kwezicubu zesilonda:Uma izilonda zikhula ngokuphindaphindiwe, izicubu zesibazi zingakheka kulezo zindawo. Lokhu kusibazi kungavimba ukuvulwa okungezansi kwesisu (i-pylorus) lapho ukudla kungena khona emathunjini amancane. Lokhu kubizwa ngokuthi ukuvinjelwa kokuphuma kwesisu esiswini (GOO) .
• Ukubhoboka kwamathumbu: Isilonda esingapholi singabangela imbobo odongeni lwesisu . Lokhu kungavumela amabhaktheriya avela esiswini ukuba angene emgodini wesisu, okubangela ukutheleleka okuyingozi okubizwa ngokuthi i-peritonitis . Lokhu kungaholela ku -septicemia (ubuthi egazini) kanye ne-sepsis (ukutheleleka okusongela ukuphila).

Izinkinga ezibangelwa yi-Nonerosive Gastritis, i-Atrophy kanye ne-Metaplasia:

Izinkinga zalolu hlobo lwe-gastritis ziqala kancane kancane. Kodwa uma sekukhona iminyaka eminingi,

• Ulwelwesi oluvikelayo lwesisu lungaba luncane futhi lunyamalale (atrophy). Lokhu kunciphisa ukusebenza kwesisu.
• Umzimba ungase ungakwazi ukumunca izakhamzimba ezithile (isib. i-iron, i-folic acid, i-vitamin B12). Ukuncipha kokumunca i-vitamin B12 kungaholela esimweni esibizwa ngokuthi 'i-anemia eyingozi' .
• Akuvamile kakhulu ukuthi i-gastritis yesikhathi eside ingabangela ukuthi amaseli odongeni lwesisu ashintshe futhi abukeke njengohlobo oluhlukile lwezicubu. Lokhu kubizwa ngokuthi 'i-gastric intestinal metaplasia' . Odokotela babheka lokhu 'njengesimo esingaphambi komdlavuza' esingaholela kumdlavuza . Lokhu kusho ukuthi ingozi yokuba nomdlavuza wesisu inganda.

Ungayixilonga kanjani i-gastritis ngokunembile?

Udokotela uzoqala akubuze ngezimpawu zakho kanye nomlando wakho wezempilo. Udokotela angase asole ukuthi une-gastritis, kodwa kuzodingeka enze izivivinyo ukuze aqinisekise ngokuqinisekile.

• Ukuhlolwa kwe-X-ray, njengochungechunge lwe-"upper GI," kungenziwa. Nakuba lokhu kungabonisa izinto ezifana nezilonda kanye nemihuzuko odongeni lwesisu, akubonisi njalo i-gastritis ngqo.
• Ukuze uqinisekise i-gastritis, udinga ukubheka ngaphansi kwe-microscope. Ukuze wenze lokhu, kwenziwa i -'endoscopy ephezulu' . Kulokhu, kufakwa ithubhu elincane elinekhamera ngomlomo bese kubhekwa isisu. Ngesikhathi esifanayo, kuthathwa ingxenye encane yezicubu ('i-biopsy') odongeni lwesisu bese ithunyelwa elabhorethri. Ngisho noma udokotela ecabanga ukuthi une-gastritis ngesikhathi se-endoscopy, i-biopsy iyindlela kuphela yokuqinisekisa lokho.

Ngaphezu kwalokhu, kungenziwa ezinye izivivinyo ukuthola imbangela ye-gastritis noma ukuhlola izinkinga:

• Ukuhlolwa kwegazi
• Ukuhlolwa kwesihlalo
• Ukuhlolwa kokuphefumula kwe-H. pylori

Ingabe i-gastritis iba ngcono ngokwayo?

• I-gastritis ebukhaliNokho, uma imbangela isusiwe, ivame ukuzixazulula yodwa. Isibonelo, uma kuyisifo, ukuvuvukala kuzophela njengoba amasosha omzimba esilwa naso. Uma uyeka ukuphuza utshwala noma imithi enamandla isikhashana, ulwelwesi lwesisu luzophinde lukhule.
• I-gastritis engapheli ayibi ngcono ngokwayo. Isimo esingamahlalakhona esiyisisekelo kumele selashwe. Kulapho kuphela lapho i-gastritis izobe ingcono khona. Umonakalo wolwelwesi lwesisu olubangelwa i-gastritis engapheli ungase uthathe isikhathi ukuphola.

Indlela yokuthola impumuzo ngokushesha kwi-gastritis?

Kuneminye imithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) ongayithenga ekhemisi ukusiza ekunciphiseni ukuvuvukala kwesisu nokungakhululeki. Isibonelo , ama-proton pump inhibitors (PPIs) noma i-Pepto Bismol® angakunikeza impumuzo yesikhashana. Kodwa-ke, ngisho nangale mithi, kubalulekile ukubona udokotela ukuze athole imbangela eqondile ye-gastritis yakho bese eyelapha.

Indlela yokwelapha i-gastritis ngokuphelele?

Ukuze welaphe ngokuphelele i-gastritis engapheli, iseluleko sezokwelapha sibalulekile. Ukwelashwa kuncike embangela ye-gastritis.

Kungaba into efana nale:

• Ama-antibiotic kanye neminye imithi yokutheleleka kwe-H. pylori.
• Uma usebenzisa imithi efana nama-NSAID, shintshela emithini ephephile esikhundleni salokho.
• Uma uluthekile otshwaleni noma ezidakamizweni, funa izinsizakalo zokuvuselela.
• Imithi ethile yezifo ezizimele.
• Akuvamile kakhulu, ukuhlinzwa kungenziwa ezimweni ezinjengokopha esiswini, ukuncipha kokunikezwa kwegazi (ischemia), noma i-bile reflux.
• Ukuze usheshise ukuphulukiswa kolwelwesi lwesisu, thatha imithi yokwehlisa i-asidi oyinikezwe udokotela wakho.

Ingabe i-gastritis iyisifo esithathelwanayo?

Cha, i-gastritis ayithelelani. Kodwa-ke, ezinye izifo ezibangela i-gastritis (njengebhaktheriya i-H. pylori) zingathelelana. I-H. pylori ivame ukudluliswa ngamanzi angcolile kanye nokudla (umzila wendle kuya emlonyeni). Ngakho-ke, kubalulekile ukugcina inhlanzeko enhle (njengokugeza izandla kahle ngemva kokusebenzisa indlu yangasese nangaphambi kokulungisa ukudla). Le mikhuba ingasiza kakhulu ekuvimbeleni i-gastritis.

Lithini izwi lokugcina ngalesi simo?

Esikhathini esiningi, i-gastritis yisimo esiba ngcono ngokwelashwa. Imithi ingasiza ekulawuleni izimpawu. Kwabanye abantu, kungase kudingeke ukwenza izinguquko ezithile endleleni yokuphila ukuze balulame ngokugcwele. Lokhu kungafaka phakathi ukushintsha indlela ophatha ngayo ezinye izimo, ukunciphisa noma ukuyeka ukusebenzisa kwakho utshwala noma ugwayi, kanye nokuvimbela i-gastritis ukuthi ingaphinde ivele.

Amacala angavamile e-acute gastritis awadingi ukukhathazeka futhi angelashwa ekhaya. Kodwa-ke, uma ingadluli, noma uma unezimpawu ze-gastritis eziqhubekayo, kufanele nakanjani ubone udokotela. Izimpawu eziqhubekayo zibonisa ukuthi kukhona isimo esingapheli esidinga ukunakekelwa. Ngenxa yokuthi izinkinga zesisu zingaba nezimbangela eziningi, kubalulekile ukuthola ukuxilongwa okunembile.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Gastritis ukuvuvukala kolwelwesi lwangaphakathi lwesisu. Ungakhathazeki, lokhu kuvame kakhulu.
• Kunezinhlobo ezimbili: `I-Acute` efika ngokuzumayo kanye `I-Chronic` ehlala isikhathi eside.
• Izimbangela eziyinhloko kungaba yi-bacterium ethi `H. pylori`, ezinye izidakamizwa zokuqeda ubuhlungu (`NSAIDs`), utshwala, kanye nokucindezeleka.
• Izimpawu zingase zihlanganise ubuhlungu besisu, ukuqunjelwa, isicanucanu, nokuhlanza. Ngezinye izikhathi kungase kungabi nazimpawu nhlobo.
• Uma unendle emnyama noma ukuhlanza okufana nekhofi, kuyisibonakaliso esibi. Bona udokotela ngokushesha.
• Esikhathini esiningi, ukwelashwa kungathuthukisa isimo. Kodwa nge-gastritis engapheli, imbangela kumele yelashwe.
• Uma uvame ukuhlaselwa yisisu, kuwukuhlakanipha ukufuna iseluleko sikadokotela kunokuziyela ngokwakho.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I- Gastritis, i-gastritis, ukuvuvukala kwesisu, i-H. pylori, izilonda zesisu, ubuhlungu besisu, igesi yesisu