Igastritis

Isisu yisikhwama esinamandla. Lingalingana nobukhulu bemelon encane elikhula uma udle noma uphuza. Lingagcina okuningi njengalitha ezine (cishe ama-litha angu-4) yokudla noma ulwetshe. Uma isisu selihlume okudla, ukucindezela kwamandla emisipha okuthiwa amaza e-peristaltic kucindezela ukudla ukuya evalini le-pyloric. I-valve ye-pyloric iholela engxenyeni engaphezulu yesisu esincane, okuthiwa i-duodenum.

IGastritis iyibizo eliyimiso leqembu leemeko ezine into efanayo: Ukuvuvukala kokugqoka kwesisu. Ukuvuvukala kwe-gastritis kuvame ukuba yimphumela yokutheleleka ngebhaktheriya efanayo ebangela izilonda eziningi zesisu noma ukusetshenziswa njalo kwezinye izincibilizi zobuhlungu. Ukupuza utshwala kakhulu kungase futhi kuhlanganyele e-gastritis.

IGastritis ingase ibonakale ngokuzumayo (i-gastritis ebukhali) noma ibonakale kancane kancane ngokuhamba kwesikhathi (i-gastritis ehlala njalo). Ezimweni ezithile, i-gastritis ingabangela izilonda nokukhuluphala komngcipheko womdlavuza wesisu. Kepha kubantu abaningi, i-gastritis ayilona isimo esingathi sína futhi iphulukana ngokushesha ngokwelashwa.

I-gastritis ayikho konke ukubangela izimpawu. Uma kwenzeka, izimpawu ze-gastritis zingafaka: Ubuhlungu noma ukuvutha okushisayo, okubizwa ngokuthi ukuphazamiseka kokudla, esiswini sakho esingaphezulu. Le mvawo ingaba mbi noma ibe ngcono ngemva kokudla. Ukupukeka kwesisu. Ukugabha. Ukuzwa okugcwele esiswini sakho esingaphezulu ngemva kokudla. Cishe wonke umuntu uke waba nokuphazamiseka kokudla nokukhathazeka kwesisu ngesinye isikhathi. Ngokuvamile, ukuphazamiseka kokudla akukuthathi isikhathi eside futhi akudingi ukunakekelwa kwezokwelapha. Bheka udokotela wakho uma unezimpawu ze-gastritis amasonto noma ngaphezulu. Funani usizo lokuthiwa ngokushesha uma unebuhlungu obukhulu noma uma ugabha lapho ungakwazi ukugcina ukudla. Futhi funani usizo ngokushesha uma uzizwa ukhanya ekhanda noma udumazele. Tshela udokotela wakho uma ukungakhululeki kwesisu kwenzeka ngemva kokuthatha imithi, ikakhulukazi i-aspirin noma ezinye izilondolozi zobuhlungu. Uma ugabha igazi, unegazi ezindlini zakho noma unezindlini ezibonakala zimnyama, bheka udokotela wakho ngokushesha ukuze uthole imbangela.

Cishe wonke umuntu uke waba nokungathí sína kokudla nokukhathazeka kwesisu ngesinye isikhathi. Ngokuvamile, ukungathí sína kokudla akunapheli isikhathi eside futhi akudingeki ukunakekelwa kwezokwelapha. Bheka udokotela wakho uma unezimpawu ze-gastritis amasonto noma ngaphezulu.Funani usizo lokuthiwa ngokushesha uma unezinhlungu ezinzima noma uma unhlanza lapho ungakwazi ukugcina ukudla. Funani nokusikwa ngokushesha uma uzizwa ukhanya ekhanda noma udumazele. Tshela udokotela wakho uma ukungakhululeki kwesisu kuqala ngemva kokuthatha imithi, ikakhulukazi i-aspirin noma ezinye izinyathelo zokunciphisa ubuhlungu.Uma unhlanza igazi, unegazi ezindlini zakho noma unezindlini ezibonakala zimnyama, bheka udokotela wakho ngokushesha ukuze uthole imbangela.

I-gastritis iwukuvuvukala kokugqoka komkhulu. Ukugqoka komkhulu yisivikelo esigqunywe yisinyi esivikelekile udonga lomkhulu. Ubuthakathaka noma ukulimala kwesivikelo kuvumela amajusi okuhlanza ukuba onakalise futhi avuvukale ukugqoka komkhulu. Izifo neemeko eziningi zingandisa ingozi ye-gastritis. Lezi zihlanganisa izimo zokuvuvukala, njenge-Crohn's disease.

Izici ezikwandisa ingozi yakho ye-gastritis zifaka phakathi:

• Ukutheleleka ngamabhaktheriya. Ukutheleleka ngamabhaktheriya okuthiwa yi-Helicobacter pylori, okwaziwa nangokuthi yi-H. pylori, kungenye yezifo ezivamile zabantu emhlabeni jikelele. Noma kunjalo, abantu abambalwa kuphela abane-infection bathuthukisa i-gastritis noma ezinye izifo ze-gastrointestinal eziphezulu. Ochwepheshe bezempilo bakholelwa ukuthi ukusabela emagcikeni kungadluliselwa. Ukusabela kungase kubangelwe nezinto zokuphila, njengokubhema nokudla.
• Ukusetshenziswa njalo kwezidakamizwa zokunciphisa ubuhlungu. Izidakamizwa zokunciphisa ubuhlungu ezibizwa ngokuthi yizidakamizwa ezingelona i-steroidal anti-inflammatory, ezibizwa nangokuthi yi-NSAIDs, zingabangela i-gastritis ebukhali ne-gastritis eqhubekayo. I-NSAIDs ihlanganisa i-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve, Anaprox DS). Ukusebenzisa lezi zidakamizwa zokunciphisa ubuhlungu njalo noma ukuthatha okuningi kwalezi zidakamizwa kungalimaza ukugqoka kwesisu.
• Ubudala obukhulu. Abantu abadala banengozi enkulu ye-gastritis ngoba ukugqoka kwesisu kuya kobuncipha njengoba ubudala bukhula. Abantu abadala banengozi enkulu futhi ngoba banesilinganiso esikhulu sokuba ne-H. pylori infection noma izifo ze-autoimmune kunabantu abasebancane.
• Ukusetshenziswa okukhulu kokutshwala. Ukuphuza utshwala kungakhungathekisa futhi kuqothule ukugqoka kwesisu. Lokhu kwenza isisu sibe sengozini kakhulu ematsheni okuhlanza. Ukusetshenziswa okukhulu kokutshwala kungenzeka kakhulu ukuba kubangele i-gastritis ebukhali.
• Ukuqina. Ukuqina okukhulu okubangelwa ukuhlinzwa okukhulu, ukulimala, ukushisa noma ukutheleleka okukhulu kungabangela i-gastritis ebukhali.
• Ukwelashwa komdlavuza. Imithi ye-chemotherapy noma ukwelashwa ngomgqomo kungakwandisa ingozi yakho ye-gastritis.
• Umkaya wakho uhlasela amaseli esiswini sakho. Okuthiwa yi-autoimmune gastritis, lolu hlobo lwe-gastritis luvela lapho umzimba wakho uhlasela amaseli akha ukugqoka kwesisu. Lokhu kusabela kungalimaza isivikelo sesisu.

I-Autoimmune gastritis ivame kakhulu kubantu abanezifo ze-autoimmune. Lezi zihlanganisa isifo se-Hashimoto nesifo sikashukela sohlobo 1. I-Autoimmune gastritis ingase ihambisane nokuntuleka kwe-vitamin B-12.

• Ezinye izifo neemeko. I-Gastritis ingase ihambisane nezinye izimo zezokwelapha. Lezi zingase zihlanganise i-HIV/AIDS, isifo se-Crohn, isifo se-celiac, i-sarcoidosis nokutheleleka kwamaphaphu.

Uma ingalashwa, i-gastritis ingabangela izihlunu zesisu nokuphuza igazi lesisu. Ngokwahlukileyo, ezinye izinhlobo ze-gastritis ezingapheli zingandisa ingozi yakho yomdlavuza wesisu. Le ngozi iyanda uma une-thinning enkulu yokugcoba kwesisu kanye nezinguquko ezisemahlathini. Tshela udokotela wakho uma izimpawu zakho zingathuthuki naphezu kokwelashwa kwe-gastritis.

Phakathi nesikhathi se-upper endoscopy, ochwepheshe wezokunakekelwa kwempilo ufake ithyube elithin, elithambile elihlanganiswe nokukhanya nekhamera phansi komlomo futhi angene esibindini. Ikhamera encane inikeza umbono wesibindini, isisu nokuqala kwesibindini esincane, okuthiwa yi-duodenum.

Ochwepheshe bakho wezokunakekelwa kwempilo cishe bayolisola i-gastritis ngemva kokukhuluma nawe ngomlando wakho wezokwelapha nokuqhuba ukuhlolwa. Kodwa-ke, ungase ube nokuhlolwa okukodwa noma ngaphezulu kokulandelayo ukuthola imbangela eqondile.

• Ukudlulisa isikhala esincinyane, esithambile phansi komlomo, okuthiwa yi-endoscopy. I-endoscopy inqubo yokuhlola uhlelo lokugaya ukudla ngethyube elide, elincinyane elinekhamera encane, okuthiwa yi-endoscope. I-endoscope idlula phansi komlomo, ingene esibindini, esiswini nasesibindini esincane. Usebenzisa i-endoscope, ochwepheshe bakho wezokunakekelwa kwempilo bafuna izimpawu zokuvuvukala. Kuye ngobudala bakho nomlando wezokwelapha, ochwepheshe bakho wezokunakekelwa kwempilo bangase bayincoma njengokuvivinya kokuqala esikhundleni sokuhlola i-H. pylori.

Uma kutholakala indawo engathandeki, ochwepheshe bakho wezokunakekelwa kwempilo bangase basuse amasampula amancane e-tissue, okuthiwa yi-biopsy, ukuze avivinywe elabhoratri. I-biopsy ingabonisa nokuba khona kwe-H. pylori ekuqaleni kwesisu sakho.

• I-X-ray yesistimu yakho yokugaya ukudla ephezulu. I-X-rays ingakha izithombe zesibindini sakho, isisu nesibindini esincane ukuze ibuke noma yini engavamile. Ungase kudingeke uginye ulwimi oluyimhlophe, oluyensimbi oluqukethe i-barium. Ulwimi lubumba umzila wakho wokugaya ukudla futhi lenza isifo sokuqhaqhazela sibonakale kakhulu. Le nqubo ibizwa ngokuthi yi-barium swallow.

Ukuhlolwa kwe-H. pylori. Ochwepheshe bakho wezokunakekelwa kwempilo bangase bancome ukuhlolwa njengokuvivinya isitulo noma ukuhlolwa komoya ukuze kunqunywe ukuthi una-H. pylori. Uhlobo lokuhlolwa olukuthola kuya ngesimo sakho.

Ngokuhlolwa komoya, uphuza iglasi elincane le-liquid ecacile, elingenalutho eliqukethe i-carbon eradioactive. Ama-germs e-H. pylori aphula i-liquid yokuhlola esiswini sakho. Kamuva, uqhuma ebagini, bese kuvalwa. Uma une-H. pylori, isampula yomoya wakho izoba ne-carbon eradioactive.

Ukudlulisa isikhala esincinyane, esithambile phansi komlomo, okuthiwa yi-endoscopy. I-endoscopy inqubo yokuhlola uhlelo lokugaya ukudla ngethyube elide, elincinyane elinekhamera encane, okuthiwa yi-endoscope. I-endoscope idlula phansi komlomo, ingene esibindini, esiswini nasesibindini esincane. Usebenzisa i-endoscope, ochwepheshe bakho wezokunakekelwa kwempilo bafuna izimpawu zokuvuvukala. Kuye ngobudala bakho nomlando wezokwelapha, ochwepheshe bakho wezokunakekelwa kwempilo bangase bayincoma njengokuvivinya kokuqala esikhundleni sokuhlola i-H. pylori.

Uma kutholakala indawo engathandeki, ochwepheshe bakho wezokunakekelwa kwempilo bangase basuse amasampula amancane e-tissue, okuthiwa yi-biopsy, ukuze avivinywe elabhoratri. I-biopsy ingabonisa nokuba khona kwe-H. pylori ekuqaleni kwesisu sakho.

I-endoscopy inqubo esetshenziswa ukuhlola ngokubonakalayo uhlelo lokugaya ukudla oluphezulu. Phakathi ne-endoscopy udokotela wakho ufake ngobumnene ithyube elide, elithambile, noma i-endoscope, emlonyeni wakho, phansi komlomo wakho futhi ungene esibindini sakho. I-endoscope ye-fiber-optic inokukhanya nekamelela encane ekupheleni.

Udokotela wakho angasebenzisa le divayisi ukubuka isibindini sakho, isisu nokuqala kwesisu sakho esincane. Izithombe zibonwa kwimonitha yevidiyo ekamelweni lokuhlolwa.

Uma udokotela wakho ebona noma yini engavamile, njenge-polyps noma umdlavuza, uqeda amathuluzi akhethekile okuhlinzwa nge-endoscope ukususa i-tissue noma ukuqoqa isampula ukuze ayihlole ngokucophelela.

Ukwelapha isifo se-gastritis kuncike esizathwini esithile. I-gastritis ebukhali ebangelwa yi-NSAIDs noma utshwala ingase ipholile ngokuyeka ukusebenzisa lezo zinto. Imithi esetshenziswa ekwelapheni i-gastritis ihlanganisa: Ama-antibiotic ukubulala i-H. pylori. Nge-H. pylori esiswini sakho, ochwepheshe bakho bezempilo bangase bancoma ukuxuba kwama-antibiotic ukubulala amagciwane. Qiniseka ukuthi uthatha iresiphi ephelele ye-antibiotic, ngokuvamile izinsuku eziyi-7 kuya kweziyi-14. Ungase futhi uthathe imithi evikela ukukhiqizwa kwe-asidi. Uma selaphekile, ochwepheshe bakho bezempilo bayokuhlola kabusha i-H. pylori ukuqinisekisa ukuthi ibulaliwe. Imithi evikela ukukhiqizwa kwe-asidi futhi ikhuthaze ukuphulukisa. Imithi ebizwa nge-proton pump inhibitors iyasiza ekunciphiseni i-asidi. Lokhu bakwenza ngokuvimba umsebenzi wezingxenye zezisele ezikhiqiza i-asidi. Ungathola iresiphi ye-proton pump inhibitors, noma ungazithenga ngaphandle kwelayisensi. Ukusetshenziswa isikhathi eside kwe-proton pump inhibitors, ikakhulukazi ngamanani aphezulu, kungase kukhulise ingozi yokuphazamiseka kwezintambo ze-hip, i-wrist kanye ne-spine. Buza ochwepheshe bakho bezempilo ukuthi i-calcium supplement inganciphisa yini le ngozi. Imithi yokunciphisa ukukhiqizwa kwe-asidi. Abavimbi be-asidi, ababizwa nangokuthi yi-histamine blockers, banciphisa inani le-asidi ekhishwa esiswini sakho. Ukuncipha kwe-asidi kuqeda ubuhlungu be-gastritis futhi kukhuthaze ukuphulukisa. Ungathola iresiphi yomvimbi we-asidi, noma ungathenga omunye ngaphandle kwelayisensi. Imithi ehlanza i-asidi yesisu. Ochwepheshe bakho bezempilo bangase bafake i-antacid ekwelapheni kwakho. Ama-antacids ahlanza i-asidi yesisu ekhona futhi anganika ukukhululeka okusheshayo kobuhlungu. Lokhu kusiza ngokukhululeka kwesimptome ngokushesha kodwa ngokuvamile akusetshenziswa njengokwelapha okuyinhloko. Imiphumela emibi yama-antacids ingabandakanya ukuvimbela noma isifo sohudo, kuye ngezithako eziyinhloko. I-proton pump inhibitors kanye nabavimbi be-asidi banamandla futhi baneziphumela ezimbi ezincane. Cela i-aphoyintimenti Kusuka eMayo Clinic kuya ebhokisini lakho le-imeyili Bhalisa mahhala futhi uhlale usesikhathini ngokuthuthuka kokucwaninga, amathiphu ezempilo, izihloko zezempilo ezikhona, kanye nobuchwepheshe bokulawula impilo. Chofoza lapha ukuze uthole i-imeyili yokubuka kuqala. Ikheli le-imeyili 1 Funda kabanzi ngokusetshenziswa kwedatha yiMayo Clinic. Ukuze sikunikeze ulwazi olufanele kakhulu noluncedo, futhi siqonde ukuthi yiluphi ulwazi olusizo, singase sihlanganise i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi nezinye izindaba esinazo ngawe. Uma ungumguli weMayo Clinic, lokhu kungabandakanya ulwazi oluvikelwe lwezempilo. Uma sihlanganisa lolu lwazi nolwazi oluvikelwe lwezempilo, sizophatha lonke lolu lwazi njengolwazi oluvikelwe lwezempilo futhi sizosebenzisa noma sizokwembula lolu lwazi kuphela njengoba kuchazwe esazisweni sethu semikhuba yobumfihlo. Ungakhetha ukungatholi ukuxhumana nge-imeyili nganoma yisiphi isikhathi ngokuchofoza isixhumanisi sokuyeka ukubhalisa kwi-imeyili. Bhalisa!