Ukuvuvukala kwesidumbu sesisu ngezinkinga eziningi ezikhona
I-Gastritis, okusho ukuvuvukala kwesisu, kungaba yisimo esidabukisayo nesingenakulungeleka kwezokwelapha. Izindaba ezinhle wukuthi uma kutholakala isifo esilandelayo noma isisu sakho somthandane, ngokuvamile singaphathwa ngendlela efanele.
Izimbangela ze-Gastritis
I-Gastritis inezimbangela eziningi ezibandakanya ukuphuza utshwala obuningi kakhulu, ukusebenzisa isikhathi eside izidakamizwa ezingezona ukuvuvukala ( ama-NSAID ), noma ukutheleleka ngamabhaktheriya okuthiwa i- Helicobacter pylori .
Ukutheleleka ngegciwane, ukhunta, noma amabhaktheriya (ngaphandle kukaHelicobacter pylori) kungabangela nesifo sofuba
Ngaphezu kwalokho, i-gastritis ingakhula ngemva kokuhlinzwa okukhulu, ukulimala okubuhlungu, ukushisa, ukushisa imisebe, noma ukugula okukhulu. Izifo ezithile, njenge-anemia eyingozi (isifo se-autoimmune) kanye ne-reflux ye-bile engapheli, ingabangela nesifo sofuba.
Izimpawu ze-Gastritis
Uphawu oluvame kakhulu lwe-gastritis lukhungathekile esiswini noma ubuhlungu. Ezinye izibonakaliso ziyizibilini, ukuvimbela kwesisu , ukulahlekelwa isifiso, isicanucanu, ukuhlanza, kanye / noma ukuzwa okugcwele noma okuvuthayo esiswini .
Igazi emanzini akho noma emaceleni amnyama kungase kube uphawu lokuphapha esiswini, njengoba igastritis ingakhuthaza izilonda ukuba zenze. Uma lokhu kwenzeka, kubalulekile ukuthi ufune usizo lwezempilo ngokushesha. Ukukhathala kungase kube uphawu lokuphapha esiswini, njengoba ukhathala kungenzeka nge-iron deficiency anemia (okungenzeka kuvela ekulahlekelweni kwegazi).
Izimpawu ze-gastritis zingangena ngokuzumayo futhi zigcine isikhathi esifushane (njengasendabeni ye-gastritis eyenziwa yi-viral-induced gastritis).
Ngakolunye uhlangothi, abanye abantu bane-gastritis engapheli, okusho ukuthi izimpawu ziqhubeka izinyanga, ngisho neminyaka.
Ukuthola i-Gastritis
I-Gastritis itholwe ngenye yezivivinyo ezilandelayo zezokwelapha:
• Ukuhlolwa kwegazi
Udokotela angase ahlole isibalo sakho esibomvu segazi ukuze ubone ukuthi une-anemia, okusho ukuthi awunawo amangqamuzana egazi abomvu okwanele.
I-anemia ingabangelwa ukuphuma kwegazi esiswini. Uma une-anemic, udokotela wakho uzohlola amazinga akho ensimbi ne-ferritin (i-ferritin iphrotheni egcina insimbi). Uma une-anemia ye-iron enhle, udokotela wakho uzofuna ukuhlola ukuphuma kwegazi.
Udokotela wakho angabuye ahlolele ukuhlolwa kwegazi nge-anemia ephazamisayo, kuhlanganise ne-vitamin B12. E-anemia engathandeki, amangqamuzana omzimba wakho omzimba ahlasela amangqamuzana esiswini sakho evumela ukuthi i-vitamin B12 ingene ekudleni. Ngakho amazinga e-vitamin B12 aphansi.
• Izivivinyo zesitoreji
Lokhu kuhlolwa kuhlola ukutholakala kwegazi esitokisini sakho, isibonakaliso sokuphuma kwegazi. Isampula se-stool ingasetshenziswa futhi ukuhlola i- Helicobacter pylori.
• Ukuhlolwa kobuhlungu
Ngemuva kokuphuza uketshezi noma ukugwinya i-capsule, umoya wakho wokuphefumula uhlolwe ukubona ukuthi u- Helicobacter pylori ukhona esiswini sakho.
• I- endoscopy ephezulu yamathumbu .
I-gastroenterologist (udokotela obhekene nezifo zesisu, isisu, namathumbu) unciphisa i-endoscope, ithubhu elincanyana eliqukethe ikhamera encane, ngomlomo wakho (noma ngezinye izikhathi emakhaleni). I-endoscope ivumela udokotela ukuthi angabheka phansi esiswini sakho ukuze ahlole isilonda sesisu. Udokotela uzohlola ukuvuvukala futhi angasusa isampula encane yezicubu zokuhlolwa.
Le nqubo yokususa isampula yamathambo ibizwa ngokuthi yi-biopsy.
Ukwelapha i-Gastritis
Ukwelashwa kwe-gastritis ngokuvamile kuhilela ukuphuza imithi ebizwa ngokuthi i- proton pump inhibitors ukunciphisa isisu se-esiswini futhi ngaleyo ndlela kusize ukukhulula izimpawu nokukhuthaza ukuphulukiswa. (I-asidi yesisu icasula izicubu ezivuthayo esiswini.) Ukugwema ukudla okunye, iziphuzo, noma imithi ingabuyekezwa.
Uma i-gastritis yakho ibangelwa ukutheleleka, leyo nkinga ingaphathwa kahle. Isibonelo, udokotela angase anike ama-antibiotics ukuthi asuse ukutheleleka kweHH .
Uma inkinga engaphansi iphela, i-gastritis ivame futhi.
Khuluma nodokotela wakho ngaphambi kokuyeka noma imuphi umuthi noma ukuqala ukwelashwa kwe-gastritis ngokwakho.
> Umthombo:
> Feldman M, Jensen PJ. (2015). Ukuhlukaniswa nokuxilongwa kwe-gastritis kanye nesifo sofuba. Ku: UpToDate, Lamon JT (Ed), UpToDate, Waltham, MA.