Uke waba nobuhlungu esiswini noma isilungulela isikhathi eside? Noma unama -ulcer esiswini ahlala ebuya ngisho nangemva kokuthatha imithi? Ngezikhathi ezinjengalezi, udokotela wakho angakucela ukuthi uhlolwe igazi elikhethekile. Yilokho okushiwo yi-Gastrin Test . Ake sixoxe ngalokhu ngendlela ecacile nelula namuhla.
Ake siqale sibone, iyini iGastrin?
Kalula nje, i-gastrin iyi-hormone ekhiqizwa ngaphakathi esiswini sethu. Ikhiqizwa uhlobo olukhethekile lweseli olubizwa ngokuthi ama-G-cell, atholakala ezindongeni zesisu sethu. Lawa maseli awagcini nje esiswini, kodwa futhi nasengxenyeni engenhla yamathumbu ethu amancane.
Ngakho-ke umsebenzi oyinhloko wale hormone ye-gastrin ukukhuthaza ukukhiqizwa kwe-asidi yesisu esiswini. Kunjengokungathi othile unikeza isignali ethi, "Kulungile, qala ukwenza i-asidi manje." Le asidi yesisu ibalulekile ekugayweni nasekumuncweni kokudla esikudlayo, ikakhulukazi amaprotheni nama-amino acid. Cabanga nje, izisu zethu zikhiqiza cishe amalitha amabili kuya kwamathathu alolu ketshezi olune-asidi ngosuku!
Kungani udokotela angancoma lolu vivinyo?
Uma udokotela wakho enokungabaza ngamazinga akho e-gastrin, okungukuthi, uma ecabanga ukuthi aphezulu kakhulu noma aphansi kakhulu, angase ancome lokhu kuhlolwa. Ngoba izinguquko emazingeni e-gastrin zingaba uphawu lwenkinga ohlelweni lwethu lokugaya ukudla.
Ngokuvamile, uma unezimpawu ezinjengalezi, uthunyelwa kulolu vivinyo:
- Ubuhlungu besisu obuvamile.
- Uhudo oluqhubekayo.
- Izilonda zesisu eziphinde zivele naphezu kokwelashwa.
Ngaphezu kwalokho, lokhu kuhlolwa ngezinye izikhathi kwenziwa kumuntu oye wasuswa isimila esikhiqiza isisu ukuze kuqinisekiswe ukuthi isimila sesibuyile yini.
Silungiselela kanjani ngaphambi kokuhlolwa?
Lokhu kufana nokunye ukuhlolwa kwegazi , futhi kudinga ukulungiselela okuncane.
- Ukuzila ukudla amahora angu-12: Kungcono ukungadli lutho amahora angu-12 ngaphambi kokuhlolwa. Kodwa-ke, kulungile ukuphuza amanzi.
- Akukho utshwala: Kufanele ugweme ngokuphelele ukuphuza utshwala okungenani amahora angama-24 ngaphambi kokuthatha umuthi.
- Kudokotela mayelana nemithiYisho: Lena into ebaluleke kakhulu. Kufanele nakanjani utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, izithasiselo, imithi yamakhambi, kanye nanoma yimiphi imithi engekho emthethweni oyithathayo . Udokotela wakho angase akucebise ukuthi uyeke ukuthatha imithi ethile izinsuku ezimbalwa ngaphambi kokuhlolwa.
Into ebaluleke kakhulu ukuthi, ungayeki noma yimiphi imithi yakho noma ushintshe umthamo ngaphandle kokubuza udokotela wakho.
| Izinto ezingathinta imiphumela yokuhlolwa | |
|---|---|
| Ukuhlinzwa | Uma uke wahlinzwa noma uhlelelwe ukuhlinzwa kwezilonda zesisu (i-peptic ulcer). |
| Ukudla | Uma udla ukudla okunamaphrotheni amaningi (isib. inyama, inhlanzi, amaqanda). |
| Ezinye izimo zezokwelapha | Uma uthatha i-insulin yesifo sikashukela. |
| Imithi | Amaphilisi e-calcium, ama-antacid e-gastritis, kanye neminye imithi ethinta ukukhiqizwa kwe-asidi esiswini. |
| Iziphuzo | Uma uphuza iziphuzo ezine-caffeine (ikhofi, itiye, iziphuzo ezibandayo). |
| Eminye imithi | Eminye imithi esetshenziselwa ukucindezeleka. |
Yini esingayifunda emiphumeleni?
Uma uthola imiphumela yokuhlolwa (umbiko), ngaphambi kokuzama ukuhumusha amanani, yiyise kudokotela wakho. La manani angahluka kancane kusuka elabhorethri kuya elabhorethri. Futhi, udokotela uzowaqhathanisa nezici ezifana neminyaka yakho kanye nezimpawu ukuze afinyelele esiphethweni.
Ngokuvamile, amazinga anempilo anjengokulandelayo:
| Iqembu lobudala | Izinga elijwayelekile le-gastrin (pg/mL) |
|---|---|
| Abantu abadala | 0 - 180 pg/mL (kunganda kancane ngokuguga) |
| Izingane | 0 - 125 pg/mL |
*i-pg/mL imele ama-picogram nge-milliliter yegazi, okuyinani lama-picogram aqukethwe ku-milliliter yegazi. Lena iyunithi yokulinganisa.*
Kuthiwani uma amazinga e-gastrin ephakeme kunokuvamile?
Kungaba nezizathu eziningana zokuphakama kwamazinga e-gastrin.
- I-Zollinger-Ellison (ZE) syndrome: Lesi yisimo esingavamile. Sibangelwa yi-tumor ekhiqiza i-gastrin ndawana thize ohlelweni lokugaya ukudla. La ma-tumor abizwa ngokuthi ama-gastrinoma. Avame ukuvela engxenyeni yokuqala yamathumbu amancane (i-duodenum) noma ku-pancreas. Ngaphezu kwalokho, la ma-tumor akhipha i-gastrin, ebangela i-asidi eningi esiswini. Yilokhu okubangela uhudo kanye nezilonda zesisu.
- Ezinye izimbangela ezivamile: Kodwa izimbangela ezimbili ezivame kakhulu zamazinga aphezulu e-gastrin yimithi yokunciphisa i-asidi esiyithathayo ye-reflux/heartburn kanye nesimo esibizwa ngokuthi i-chronic atrophic gastritis. Zombili lezi zimbangela zilimaza ulwelwesi lwesisu futhi zinciphise ukukhiqizwa kwe-asidi. Lokhu kubangela ukuthi i-asidi yesisu (i-pH) yehle futhi ibe yi-alkaline kakhulu. Ukuphendula, ubuchopho bucabanga ukuthi, "Kulungile, senza i-asidi eningi, sidinga ukwenza eningi." Ngakho-ke buzama ukwenza i-asidi eningi ngokukhiqiza i-hormone i-gastrin eningi. Yingakho amazinga e-gastrin ekhuphuka.
- Ngemva kokuhlinzwa:Njengoba kushiwo ngaphambili, uma amazinga e-gastrin ekhuphuka ngemva kokususwa kwe-gastrinoma ngokuhlinzwa futhi ihlolwe kabusha, kusho ukuthi isimila kungenzeka ukuthi siphinde sabuya. Uma amazinga enganciphi ngemva kokuhlinzwa, kungase kusho ukuthi ukuhlinzwa akuphumelelanga.
Kuthiwani uma amazinga e-gastrin ephansi kunokuvamile?
Lesi yisimo esingavamile kakhulu. Amazinga aphansi e-gastrin ngokuvamile awayona imbangela yokukhathazeka. Kodwa-ke, uma kunjalo, isisu singase singakwazi ukumunca kahle izakhamzimba ekudleni. Kungase kube nokwanda okuncane kwengozi yokutheleleka komgudu wokugaya ukudla.
Ngokuvamile, akukho okufanele ukhathazeke ngakho uma amazinga e-gastrin esesigabeni esijwayelekile noma ephansi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-gastrin ukuhlolwa kwegazi okulula okukala izinga le-gastrin, i-hormone elawula ukukhiqizwa kwe-asidi yesisu.
- Udokotela angase akuncome lokhu kuhlolwa uma uvame ukuba nobuhlungu esiswini, isifo sohudo, noma izilonda esiswini ezingapholi.
- Kumelwe uzile ukudla amahora ayi-12 ngaphambi kokuhlolwa. Kubalulekile futhi ukwazisa udokotela wakho ngayo yonke imithi oyiphuzayo.
- Izizathu ezahlukahlukene zingabangela amazinga aphezulu e-gastrin, kusukela emithini ethile oyiphuzayo kuya ezifweni ezingavamile zomdlavuza.
- Kungakhathaliseki ukuthi umphumela wombiko wakho wokuhlolwa uyini, udokotela wakho kuphela ongakunikeza ukuxilongwa okunembile kakhulu ngokukuqhathanisa nezimpawu zakho kanye nomlando wempilo yakho.
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