Ingabe kukhona okungahambi kahle esiswini sakho? Ake sifunde nge-gastropathy ngamagama alula!

Sivame ukubhekana nokuphazamiseka kwesisu kanye nesilungulela. Ngezinye izikhathi sicabanga ukuthi kuyinto evamile, noma mhlawumbe kuyinto nje eyenzekayo lapho ukudla kunuka kamnandi. Kodwa-ke, ngezinye izikhathi kungase kube nezimo ngemuva kwalezi zimpawu okudingeka sikhathazeke ngazo kancane. Yileyo ndlela esizokhuluma ngayo ngesimo esibizwa ngokuthi i-gastropathy, okuwumonakalo olwelwesini lwesisu sethu, okungukuthi, i-mucosa. Lokhu kungase kuzwakale njengegama lezokwelapha, kodwa masiliqonde kalula.

Kuyini ngempela i-gastropathy?

Kalula nje, i-gastropathy isho "isifo sesisu." Manje ungase ucabange, "Uma sithi isifo sesisu, singasho noma yisiphi isifo esikhula esiswini." Yebo, lokho kuyiqiniso. Akuyona nje kuphela i-stomach flu evamile, isifo sesilonda se-peptic, i-gastroparesis, okuyisimo lapho ukusebenza kwesisu kuphazamiseka khona ngenxa yezinkinga ezithile zemizwa, kodwa ngisho nomdlavuza wesisu ungawela ngaphansi kwesigaba se-gastropathy ngalomqondo obanzi.

Kodwa-ke, odokotela, ikakhulukazi labo abangochwepheshe ezifweni zesisu, basebenzisa igama elithi "gastropathy" ngomqondo oqondile. Uma udokotela ekutshela ukuthi, "Une-gastropathy," cishe ubhekisela kokuthile okulimaza ulwelwesi lwesisu sakho .

Kusho ukuthini ukuba ne-gastropathy?

Isisu sethu siyisitho esimangalisayo kakhulu. Siqukethe amakhemikhali okugaya ukudla anamandla kakhulu asisiza ekugayeni ukudla esikudlayo. Ngakho-ke, ukuze sivikele isisu kula makhemikhali anamandla, udonga lwesisu lunesendlalelo esivikelayo esenziwe ngolwelwesi olukhulu lwamafinyila noma i-mucosa. Kufana nokubeka "isivikelo sesikrini" esikrinini sefoni yethu.

Kodwa-ke, uma ngesizathu esithile lolu lwelwesi oluvikelayo luphazamiseka, noma uma luguga, amakhemikhali anamandla ngaphakathi esiswini aqala ukulimaza udonga lwesisu. Leyo nqubo yokulimala kolwelwesi lwesisu yilokho esikubiza ngokuthi i-gastropathy.

Uyini umehluko phakathi kwe-Gastritis ne-Gastropathia?

Iningi lenu selike lezwa nge-gastritis. I-Gastritis ukuvuvukala kolwelwesi lwesisu. Ukuvuvukala kuyindlela amasosha omzimba asabela ngayo entweni ethile ezama ukulimaza isisu. Kufana nokuthi uma uthola inxeba elincane, liba bomvu futhi livuvuke. Uma le mpendulo yamasosha omzimba ingakwazi ukulawula usongo oluyingozi, ulwelwesi lungaguguleka.

Kodwa-ke, odokotela bahlukanisa phakathi kwe-gastritis egugulekayo enokuvuvukala kanye ne-gastropathy egugulekayo enokuvuvukala okuncane noma okungekho nhlobo.Kunomehluko phakathi kwalokhu okubili. Okusho ukuthi, igama elithi gastropathy lisetshenziselwa izimo lapho ulwelwesi lwesisu lonakele futhi lucasukile, kodwa kungekho ukuvuvukala okuphawulekayo . Okumangazayo ukuthi izimbangela zazo zombili lezi zimo ngezinye izikhathi zingafana.

Kalula nje:

* I-Gastritis: Ukulimala kolwelwesi lwesisu + ukuvuvukala (izimpawu ezifana nokuvuvukala, ukubomvu)

* I-Gastropathy: Ukulimala kolwelwesi lwesisu, ngaphandle kokuvuvukala okukhulu

Ziyini izimbangela ze-gastropathy?

Kunezizathu ezahlukahlukene zokuthi kungani ulwelwesi lwesisu lungalimala, kungazelelwe noma kancane kancane ngokuhamba kwesikhathi. Eziyinhloko yilezi:

• Izinto esizisebenzisayo: ukusebenzisa utshwala ngokweqile, imithi ethile (ikakhulukazi imithi yokuqeda ubuhlungu efana ne-`(NSAIDs)`).
• Amakhemikhali okugaya ukudla: i-asidi yesisu, ama-enzyme, kanye ne-bile egeleza ibuya phezulu.
• Ukwelashwa ngemisebe kanye ne-chemotherapy.
• Ukuvuvukala nokucinana kwemithambo yegazi ongqimbeni lwesisu.
• Ukulahlekelwa ukugeleza kwegazi olwelwesini lwesisu.

Ngokusekelwe kulezi zizathu, i-gastropathy ihlukaniswe ngezinhlobo ezahlukene.

Yiziphi izinhlobo ezahlukene ze-gastropathy?

Ake sibheke ezimbalwa zezinhlobo eziyinhloko.

1. I-Acute Hemorrhagic Erosive Gastropathy

Lokhu kwenzeka lapho ulwelwesi lwesisu lonakala ngokuzumayo futhi kakhulu ngesizathu esithile. Igama elithi "Acute" lisho okuzumayo. Lo monakalo ubangela imihuzuko emincane (ukuguguleka) noma izilonda (izilonda) olwelwesini lwesisu. Lezi zilonda zingaba zimbi kakhulu uma zihambisana ne-asidi yesisu, futhi zingaqala ukuphuma igazi (zihambisana nokopha) . Lokhu kungabangelwa yi:

• Ukuphuza utshwala ngokweqile: (ukwanda kokuhlushwa kotshwala esiswini ngaphezu kuka-10%).
• Ukuthatha imithamo ephezulu yemithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID): Isibonelo, imithi efana ne-Diclofenac ne-Ibuprofen.
• Ukwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe yomdlavuza.
• Ukwehla okungazelelwe kokugeleza kwegazi emathunjini (i-acute mesenteric ischemia).

2. I-Reactive Gastropathy

Okwenzekayo kulesi simo ukuthi ulwelwesi lwesisu lonakele ngenxa yokuchayeka njalo ezintweni eziyingozi esiswini isikhathi eside . Ulwelwesi luyaphela kancane kancane ngenxa yokusabela kwamakhemikhali kulezi zinto. Ngakho-ke, lokhu kubizwa nangokuthi i-chemical gastropathy. Izimbangela eziyinhloko yilezi:

• Ukusetshenziswa isikhathi eside kwama-NSAID.
• Ukubuyela kwe-bile: I-bile esisiza ukugaya ukudla itholakala emathunjini amancane. Kodwa ngezinye izikhathi le bile ingabuyela esiswini. Uma lokhu kwenzeka, kungalimaza ulwelwesi lwesisu.

Ngaphezu kwalokho, kunezinye izici ezenza buthaka izindlela zokuzivikela zolwelwesi lwesisu futhi zivimbele ukuphulukiswa:

• Ukusetshenziswa kotshwala isikhathi eside.
• Ukubhema isikhathi eside.
• Ukutheleleka kwebhaktheriya i-H. pylori osekunesikhathi eside.
• I-ischemia engapheli ukwehla okuhlala isikhathi eside kokunikezwa kwegazi.

3. I-Congestive Gastropathy

Lokhu kwenzeka lapho imithambo yegazi esesiswini ivuvukala futhi iqine, futhi ingaqhuma futhi yophe kalula . Ngenxa yokulimala okuncane njalo nokopha, kwakheka iphethini yamabala afana ne-mosaic olwelwesini lwesisu. Lokhu kungabangela ukuthi kulahleke igazi eliningi emizimbeni yethu. Imbangela eyinhloko yalokhu umfutho wegazi ophezulu we-portal. Lokhu ukwanda kwengcindezi emthanjeni omkhulu wegazi oxhumene nesibindi. Lokhu kuvame ukwenzeka njengomphumela wesifo sesibindi. Ngakho-ke, kubizwa nangokuthi i-portal hypertension gastropathy.

4. I-Hypertrophic Gastropathy

Lesi yisimo esingavamile, esihambisana nofuzo . Senzeka lapho izinhlobo ezithile zamaseli olwelwesini lwesisu zikhula ngokweqile, zishintsha ukwakheka kwemvelo kolwelwesi. Isifo sikaMenetrier singenye yalezi zimo. Sibangela ukuthi ulwelwesi lwesisu lukhiqize i-mucus eningi kakhulu, futhi amaprotheni nawo akhishwa emzimbeni. I-Zollinger-Ellison syndrome ingenye isimo lapho isisu sikhiqiza i-asidi eningi kakhulu.

Ziyini izimpawu ze-gastropathy?

Abantu abaningi bangase bangabi nazo izimpawu . Kodwa-ke, uma uba nezimpawu, ungase ubhekane nezinto ezifana nalezi:

• Ubuhlungu besisu noma ukungakhululeki.
• Isicanucanu.
• Ukuqunjelwa, ukungagayeki kahle kokudla.

Uma kuvela izinkinga ezihlobene nokopha kwamathumbu, ungase ubone nezimpawu ezifana nalezi:

• Izimpawu ze-anemia yokuntuleka kwe-iron: isikhumba esikhanyayo, ukukhathala okukhulu.
• Umnyama, indle ephuzi.
• Ukuhlanza okufana nekhofi.

Ingabe i-Gastropathy iyisifo esivamile?

Ezinye izinhlobo zivamile. I-acute and reactive gastopathy, ikakhulukazi leyo ebangelwa utshwala nama-NSAID, yiyo evame kakhulu. I-gastropathy ebangelwa yi-bile reflux kanye nokuncipha kokunikezwa kwegazi akuvamile. I-congestive gastropathy, ebangelwa yi-portal hypertension, ingumphumela ovamile wecala, ikakhulukazi kubantu abane-cirrhosis yesibindi. I-hypertrophic gastropathy ayivamile kakhulu.

Itholakala kanjani i-gastropathy?

Uma udokotela esola ukuthi une-gastropathy, uzofuna ukuhlola ulwelwesi lwesisu sakho. Indlela engcono kakhulu yokwenza lokhu ukuhlolwa kwe-endoscopy ephezulu (i-Esophagogastroduodenoscopy - EGD).

Lokhu kuhilela ukufaka ithuluzi elibizwa ngokuthi i-endoscope - ithubhu elide, elincane elinekhamera encane enamathiselwe ekugcineni - ngomlomo bese wehla ngomhubhe uye esiswini. Izithombe ezicacile ezivela kule khamera zingabukwa esikrinini. Udokotela wezifo zamathumbu angasebenzisa futhi le endoscope ukuthatha isampula encane yezicubu (i-biopsy) kusuka olwelwesini lwesisu bese eyihlola elabhorethri. Lokhu kungasetshenziswa futhi ukwelapha noma yikuphi ukuphuma kwegazi okungenzeka kube khona.

Yiziphi izindlela zokwelapha i-gastropathy?

Ukwelashwa kuncike kuhlobo lwesifo sesisu onaso. Uma kungenzeka, udokotela wakho uzoqala azame ukuqeda imbangela yomonakalo olwelwesini lwesisu sakho - kungaba umuthi owuthathayo, into efana notshwala, ukutheleleka ngamagciwane, i-bile reflux, noma into eyinkimbinkimbi kakhulu. Ngesikhathi belapha lesi sizathu esiyimbangela, bazozama futhi ukuqeda i-asidi yesisu sakho ukuze basize ulwelwesi lwesisu sakho luphole ngokushesha.

Ukwelashwa kungafaka:

• Imithi enciphisa i-asidi yesisu: Imithi efana nama-histamine blockers (ama-H2 blockers) kanye nama-proton pump inhibitors (ama-PPI).
• Imithi evikela ulwelwesi lwesisu: Imithi efana ne-bismuth subsalicylate kanye ne-sucralfate.
• Ama-antibiotic okutheleleka ngamagciwane.
• Imithi eqeda usawoti we-bile esiswini: Imithi efana ne-ursodeoxycholic acid (UDCA).
• Imithi yokwelapha umfutho wegazi ophezulu we-portal: Ama-Vasoconstrictors noma ama-beta blockers.
• Izinqubo zokuhlinzwa ezikhethekile zezinye izimo ezingaphenduli emithini.

Ingabe i-gastropathie ingalapheka?

Yebo, ulwelwesi lwesisu sakho lungaphola. Kodwa ukuze lube nethuba, umonakalo udinga ukuyeka. Lokhu kungenziwa kaningi ngemithi. Kodwa-ke, ezinye izimbangela ze-gastropathy zingaba yinkimbinkimbi kakhulu. Uma kukhona i-bile reflux eqhubekayo noma i-portal hypertension, kungadingeka ukuthi wenze okuthile okufana nokuhlinzwa okuncane ukuze kulungiswe. I-hypertrophic gastropathy ingase iguqulwe ngokuphelele noma ingase ingalungiseki ngokuphelele ngokwelashwa. Kodwa-ke, imithi ivame ukuvimbela izinguquko ezengeziwe kulwelwesi.

Khumbula, ulwelwesi lwesisu sethu luyinto enamandla kakhulu. Kudinga okuningi ukuphula ukuzivikela kwaso. I-Gastropathy ingabangelwa ukulimala okukhulu kakhulu, okungazelelwe noma umonakalo osuqhubeke isikhathi eside. Udinga ukwelashwa ukuze uthole, umise, futhi uguqule le nqubo yomonakalo. Kodwa, ngosizo oluncane, ulwelwesi lwesisu sethu lungalulama futhi luphiliswe kangcono kunezinye izitho eziningi. Uma ukuzivikela kwaso sekubuyele endaweni yaso, asophinde sonakale kalula.

Umlayezo Wokuya Nawe Ekhaya

• I-Gastropathy iwukulimala kolwelwesi lwesisu (mucosa) ngaphandle kokuvuvukala (noma ukuvuvukala okuncane kakhulu) .
• Utshwala, imithi yokubulala izinhlungu (ama-NSAID), i-bile reflux, kanye nezinye izimo zezokwelapha kungabangela lokhu.
• Izimpawu ezifana nobuhlungu besisu, isicanucanu, kanye nokungagayi kahle ukudla zingase zibe khona, kodwa abanye abantu bangase bangabi nazo nhlobo izimpawu.
• Uma unezimpawu zokopha (indle emnyama, ukuhlanza okufana nekhofi), funa iseluleko sezokwelapha ngokushesha .
• Lesi sifo singahlolwa ngokunembile nge-endoscopy.
• I-Gastropathy ingelapheka ngokuthola ukwelashwa okufanele kuye ngembangela nohlobo.
• Landela imiyalelo kadokotela wakho ngqo. Ungaqhubeki nokusebenzisa imithi efana nemithi yokwelapha izinhlungu ngaphandle kweseluleko sikadokotela.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela womndeni wakho noma udokotela wezifo zamathumbu. Hlala uphilile!

I- Gastropathy, izifo zesisu, ulwelwesi lwesisu, izilonda zesisu, ama-NSAID, utshwala, i-endoscopy