Ukuvuvukala kwesisu? Ake sifunde ngqo nge-gastritis!

Njengathi sonke, cishe sesike sasho okungenani kanye empilweni yethu ukuthi, "Nginesifo sohudo." Uma sinomuzwa oshisayo esiswini sethu noma ubuhlungu besisu, sithi yisifo sohudo. Kodwa siyini ngempela isifo sohudo? Ingabe sonke kufanele sisesabe? Ake sixoxe ngaso namuhla, kalula nangokucacile. Namuhla uzothola izimpendulo zemibuzo yakho eminingi.

Iyini ngempela i-gastritis?

Kalula nje, i-gastritis ukuvuvukala kolwelwesi lwesisu sethu . Cabanga ngesisu sethu njengesikhwama esincane. Konke ukudla esikudlayo nesikuphuzayo kungena kulesi sikhwama. Isisu sikhipha i-asidi enamandla kakhulu nama-enzyme ukusiza ekugayeni lokhu kudla.

Manje, ukuze kuvinjelwe le asidi enzima ukuthi ingonakalisi isisu uqobo, ingaphakathi lesisu limbozwe ngesembozo esikhethekile kakhulu sokuvikela. Ngokwezokwelapha, lokhu sikubiza ngokuthi `(mucosa)`. Lesi sembozo sisebenza njengokupenda izindonga zendlu ukuze sizivikele.

Uma lolu lwelwesi oluvikelayo lonakele ngesizathu esithile, amasosha omzimba wethu athumela amaseli ukuze alulungise. Le nqubo yilokho engikubize ngokuthi ukuvuvukala, okusho ukuvuvukala nokubomvu. Yilokhu esikubiza ngokuthi i-gastritis.

Ingabe zikhona izinhlobo eziyinhloko ze-gastritis?

Yebo, i-gastritis ingahlukaniswa ngezinhlobo eziningana eziyinhloko. Kubalulekile ukuthi ukwazi lokhu.

1. Hlela ngesikhathi sokwenzeka

• I-Acute Gastritis: Lolu uhlobo oluvela ngokuzumayo futhi luphele ngesikhathi esifushane . Isibonelo, lesi simo singavela ngemva kokuphuza utshwala ngokweqile noma ukuthatha umuthi onamandla wokuqeda izinhlungu. Lokhu kuyaba ngcono uma imbangela isihambile.
• I-Gastritis Engapheli: Lesi yisimo sesikhathi eside esikhula kancane kancane ngokuhamba kwesikhathi . Ngezinye izikhathi ungase ube nalesi simo emzimbeni wakho noma ungenazo izimpawu.

2. Ukuhlukaniswa ngokwesimo somonakalo odongeni lwesisu

Ukuze uqonde lokhu, bheka ithebula elingezansi.

Ngaphezu kwalokho, i-gastritis nayo ibizwa ngokuthi imbangela yokuvela kwayo.

• I-gastritis ethelelanayo (ebangelwa ukutheleleka)
• I-gastritis ebangelwa yimithi
• Isisu esibangelwa utshwala
• I-autoimmune gastritis (ebangelwa amasosha omzimba)

Ziyini izimpawu ze-gastritis?

Esikhathini esiningi, i-gastritis ingase ingabingeli zimpawu. Kodwa-ke, izimpawu zenzeka lapho ulwelwesi lwesisu lonakele kwaze kwaba yilapho lungasakwazi ukuzivikela kuma-asidi aqinile esiswini.

Izimpawu ezivame ukubonakala yilezi:

• Ukulahlekelwa yisifiso sokudla , noma ukuzizwa usuthi ngisho nangemva kokudla kancane.
• Ukuzwa ubuhlungu noma ukungakhululeki esiswini esingaphezulu.
• Ukuqunjelwa .
• Ukucanuzela kwenhliziyo kanye/noma ukuhlanza .

Yiziphi izimbangela eziyinhloko ze-gastritis?

Manje sesiyazi ukuthi i-gastritis yindlela umzimba wethu osabela ngayo lapho usengozini yolwelwesi lwesisu. Ngakho-ke yiziphi lezi zinsongo?

1. Izifo:

Imbangela evame kakhulu ye-gastritis ukutheleleka. Ikakhulukazi, ukutheleleka ngebhaktheriya i-`H. pylori` (Helicobacter pylori) kwaziwa kakhulu. Cishe ingxenye yabantu emhlabeni itheleleke ngaleli gciwane. Lokhu kungabangela i-gastritis yesikhathi eside (engapheli). Ngaphezu kwalokho, ukutheleleka ngegciwane nakho kungabangela i-gastritis yesikhathi esifushane.

2. Amakhemikhali:

• Iziqeda-zinhlungu: Ukusetshenziswa isikhathi eside noma ngokweqile kweziqeda-zinhlungu ezibizwa ngokuthi `ama-NSAID' (imithi elwa nokuvuvukala engeyona eye-steroidal) (isib. i-ibuprofen, i-diclofenac, i-aspirin) kuyimbangela enkulu ye-gastritis. Ungaqhubeki nokuthatha lokhu ngaphandle kweseluleko sikadokotela.
• Utshwala: Ukuphuza utshwala ngokweqile konakalisa ngqo ulwelwesi oluvikelayo lwesisu.

3. Isifo Sokuzivikela Emzimbeni:

Lesi yisimo esiyinkimbinkimbi kancane. Okwenzekayo lapha ukuthi uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela, luhlasela ngephutha amangqamuzana anempilo esiswini . Lokhu kubangela ukuvuvukala kwesikhathi eside, okubizwa ngokuthi i-gastritis engapheli.

4. Ukucindezeleka okukhulu kwengqondo noma ngokomzimba:

Ngezikhathi zokucindezeleka okukhulu, njengokuhlinzwa okukhulu, ingozi enkulu, noma ukugula, umzimba ungaphansi kokucindezeleka okukhulu. Phakathi nalesi sikhathi, umzimba wandisa ukugeleza kwegazi ezithweni ezibalulekile njengobuchopho nenhliziyo, kuyilapho unciphisa ukugeleza kwegazi ezindaweni ezifana nesisu. Lokhu kungenza buthaka ukuzivikela kwesisu futhi kuholele ekuguleni kwesisu.

Kwenzekani uma i-gastritis ingelashwa? (Izinkinga)

Esikhathini esiningi, i-gastritis yisimo sesikhashana esiphela ngokushesha ngokwelashwa. Kodwa-ke, uma siqhubeka noma singalashwa, singadala izinkinga ezinkulu.

• Isifo Sezilonda Zesisu: Uma i-gastritis egugulekayo iqhubeka, izilonda zesisu zingavela.
• Ukopha kanye ne-Anemia: La manxeba angabangela ukopha kanye nesimo esibizwa ngokuthi i-anemia, okuwukwehla komthamo wegazi emzimbeni.
• Ukubhoboka: Nakuba kungavamile kakhulu, isilonda esingapholi singabhoboka ngokuphelele odongeni lwesisu. Lesi yisimo esiphuthumayo esiyingozi kakhulu nesisongela ukuphila (ukubhoboka kwamathumbu).
• Ukushoda kokudla okunempilo: I-gastritis yesikhathi eside (ikakhulukazi i-atrophic gastritis) inganciphisa ukumuncwa komzimba izakhamzimba ezifana ne-iron ne-vitamin B12.
• Ingozi yomdlavuza wesisu: Nakuba ingavamile kakhulu , i-gastritis yesikhathi eside, ebangelwa izimo ezifana nokutheleleka kwe-H. pylori, ingabangela izinguquko emaseli esiswini, okwandisa kancane ingozi yokuba nomdlavuza wesisu esikhathini esizayo. Yingakho kunconywa ukubona udokotela uma unezimpawu ukuze uthole imbangela eqondile.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, imithi oyiphuzayo, kanye nemikhuba yakho yokudla. Ngemuva kwalokho, uma kudingeka, uzokuthumela ukuthi uyohlolwa.

• I-Endoscopy: Indlela engcono kakhulu nenembile kakhulu yokuthola isifo sofuba esiswiniYilokhu okwenzekayo lapha. Ipayipi elincane kakhulu, eliguquguqukayo elinekhamera enamathiselwe lidluliselwa emlonyeni liye esiswini, bese udonga lwangaphakathi lwesisu lubukwa ngqo esikrinini. Ngalesi sikhathi, kuthathwa ingxenye encane kakhulu yezicubu (i-biopsy) odongeni lwesisu bese ihlolwa ngaphansi kwe-microscope ukuze kutholakale ukuthi i-gastritis ikhona yini nokuthi iyibangela yini.
• Ukuhlolwa kwe-H. pylori: Ukuhlolwa kokuphefumula, ukuhlolwa kwendle, noma ukuhlolwa kwegazi kungenziwa ukuze kuhlolwe ukuthi kukhona yini leli gciwane.
• Ukuhlolwa kwegazi: Lokhu kusiza ukuhlola ezinye izinkinga, njenge-anemia.

Iphathwa kanjani i-gastritis?

I-Gastritis iphathwa ngokuthola imbangela nokwelapha leyo nkinga.

Izindlela zokwelapha ziyahlukahluka kuye ngembangela:

• Ngokutheleleka kwe-H. pylori: Lokhu kudinga inhlanganisela yama-antibiotic kanye nemithi yokwehlisa i-asidi esiswini (isb., ama-proton pump inhibitors - ama-PPI) cishe amasonto angu-1-2.
• Uma kungenxa yemithi yobuhlungu: Ungakhuluma nodokotela wakho bese ushintshela kumithi yobuhlungu ephephile noma ushintshe indlela othatha ngayo umuthi.
• Uma kungenxa yotshwala: Ukwelashwa okungcono kakhulu ukunciphisa noma ukuyeka ngokuphelele ukuphuza utshwala.
• Imikhuba yokudla: Ukunciphisa ukudla okubabayo, okunamafutha, kanye neziphuzo ezine-asidi kungasiza ekulawuleni izimpawu.
• Imithi yokwehlisa i-asidi: Udokotela wakho uzokunikeza imithi yokunciphisa i-asidi esiswini futhi anikeze ulwelwesi lwesisu olulimele isikhathi sokululama.

Esikhathini esiningi, i-gastritis ingelapheka ngokushesha ngokwelashwa okufanele. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokuziba izimpawu.