Ukuvuvukala kwesisu seMathumbu ngeeMbangela eziManyeneyo
I-Gastritis, oku kuthetha ukuvuvukala kwesisu, ingaba yimeko yokukhathazeka kwaye ingakhathazeki. Iindaba ezilungileyo kukuba xa ufunyenwe emva kwakho okanye umntakwenu othandayo, kufumaneka ukuphathwa ngempumelelo.
Izizathu zeGastritis
I-Gastritis inezizathu ezininzi ezibandakanya ukusela utywala obuninzi, ukusebenzisa ixesha elide leziyobisi ezichasayo ( izi-NSAID ), okanye usulelo lwebhakteria okuthiwa nguHelicobacter pylori .
Ukusuleleka ngentsholongwane, i-fungus, okanye ibhaktheriya (ngaphandle kweHelicobacter pylori) ingabangela ukuba i-gastritis
Ukongeza, i-gastritis inokuphuhliswa emva kokuhlinzwa okukhulu, ukulimala kabuhlungu, ukutshisa, ukutshabalalisa, okanye ukugula okukhulu. Izifo ezithile, ezinjenge-anemia (i-autoimmune disease) kunye ne-reflux engapheliyo, ingabangela ukuba i-gastritis.
Iimpawu zeGastritis
Uphawu oluqhelekileyo lwe-gastritis lungumsindo okanye isisu. Ezinye iimpawu zixhamla, isisu esiswini, ukulahleka kwesidlo, isisongela, ukuhlanza, kunye / okanye ukuvakalelwa okanye ukutshisa kwisisu esisentla .
Igazi emanzini akho okanye kumnyama amasibe ngumqondiso wokuphaphaka esiswini, njengoko igastritis inokukhuthaza izilonda ukuba zenze. Ukuba oko kwenzeka, kubalulekile ukuba ufune unyango lwangonyango. Ukukhathala kungase kube uphawu lokuphaphaka esiswini, njengoko ukhathala kungenzeka nge-iron deficiency anemia (enokuvela kwilahleko yegazi).
Iimpawu zesifo se-gastritis zingafika ngokukhawuleza kwaye zigcine ixesha elifutshane (njengokuba kunjalo kwimeko ye-gastritis).
Ngakolunye uhlangothi, abanye abantu bane-gastritis engapheliyo, oku kuthetha ukuba iimpawu ziyaqhubeka kwiinyanga, nokuba iminyaka.
Ukuchonga iGastritis
I-Gastritis ifunyanwe ngolu hlobo olulodwa okanye ngaphezulu kwezi ziphumo zonyango:
• Iimvavanyo zegazi
Ugqirha unokutshekisha inani lakho elibomvu leeseli ukuze ubone ukuba unemia yegazi, oku kuthetha ukuba awunayo iiseli ezibomvu zegazi.
I-anemia ingabangelwa ukuphuma kwiisu. Ukuba unogqirha, ugqirha uya kuhlola i-iron iron kunye ne-ferritin (i-ferritin yiprothini egcina isinyithi). Ukuba unesifo se-anemia, unogqirha uya kufuna ukujonga ukuphuma kweesisu.
Ugqirha wakho unokujonga kwakhona iimvavanyo zegazi ngenxa ye-anemia ephazamisayo, kubandakanywa nenqanaba le-vitamin B12. Kwi-anemia ephazamisayo, iintsholongwane zakho ze-immune zihlasela iseli esiswini sakho esivumela i-vitamin B12 ukuba ifakwe kwindawo yokutya. Amanqanaba amavithamini B12 aphantsi.
• Iimvavanyo zokubeka
Olu vavanyo luhlola ukuba khona kwegazi kwisigxina sakho, uphawu lokuphuma kwegazi. Isampuli se-stool ingasetyenziselwa ukuvavanya i- Helicobacter pylori.
• Uvavanyo lokuphefumula
Emva kokusela utywala okanye ukugwinya i-capsule, umoya wakho ophefumulayo uhlolwe ukuba u- Helicobacter pylori ukhona esiswini sakho.
• I- endoscopy ephakamileyo yamathumbu .
I-gastroenterologist (ugqirha ogxininisa kwisifo sesisu, isisu, namathumbu) unciphisa i-endoscope, ityhubhu elincinci elinekhamera encinane, emlonyeni wakho (okanye ngezinye iinkomo zempumlo). I-endoscope ivumela ugqirha ukuba abuke phantsi kwisisu sakho ukuze ahlolisise isilonda sesisu. Ugqirha uya kujonga ukuvuvukala kwaye angasusa isampula encinane yeetyhulwa iimvavanyo.
Le nkqubo yokususa isampuli yesikhumba ibizwa ngokuba yi-biopsy.
Ukunyanga iGastritis
Unyango lwe-gastritis ngokuqhelekileyo kubandakanya ukuthatha imithi ebizwa ngokuthi iproton pump inhibitors ukunciphisa isisu se-acid kwaye ngaloo ndlela unceda ukukhupha iimpawu nokukhuthaza ukuphulukiswa. (I-acid isisu igxeka izicubu ezivuthayo esiswini.) Ukuphepha ukutya ezithile, ukusela, okanye amayeza anokucetyiswa kwakhona.
Ukuba i-gastritis yakho ibangelwa sisifo, le ngxaki ingaphathwa ngokunjalo. Ngokomzekelo, ugqirha unokumisela i-antibiotics ukucima i- H. pylori .
Emva kokuba ingxaki ephantsi iphela, i-gastritis isenza njalo.
Thetha ugqirha ngaphambi kokuyeka nayiphi na iyeza okanye uqale naluphi na unyango lwegastritis ngokwakho.
> Umthombo:
> Feldman M, Jensen PJ. (2015). Ukwahlula kunye nokuxilongwa kwe-gastritis kunye ne-gastropathy. Ku: U-UpToDate, uLamon JT (Ed), UpToDate, Waltham, MA.