Isisu

I-Gastritis yenzeka xa ulusu lwesisu ludumba okanye ludumbe.

I-Gastritis inokuhlala ixesha elifutshane (isifo esibuhlungu). Inokuhlala iinyanga ukuya kwiminyaka (gastritis engapheliyo).

Ezona zizathu zixhaphakileyo zesisu zezi:

• Amayeza athile, anjenge-aspirin, ibuprofen, okanye naproxen kunye nezinye iziyobisi ezifanayo
• Ukusela kakhulu utywala
• Usulelo lwesisu kunye nebhaktheriya ebizwa Helicobacter pylori

Izizathu ezimbalwa eziqhelekileyo zezi:

• Ukuphazamiseka okuzenzekelayo (njenge-anemia eyingozi)
• Ukubuyela umva kwenyongo kwisisu (i-bile reflux)
• Ukusetyenziswa gwenxa kwecocaine
• Ukutya okanye ukusela izinto ezinobungozi okanye ezinokubangela (ezifana neetyhefu)
• Uxinzelelo olukhulu
• Usulelo lwe-Viral, njenge-cytomegalovirus kunye ne-herpes simplex virus (edla ngokwenzeka kubantu abanamajoni omzimba abuthathaka)

Umothuko okanye isigulo esiqatha, esifike ngequbuliso njengotyando olukhulu, ukusilela kwezintso, okanye ukubekwa kumatshini wokuphefumla kunokubangela isifo sephepha.

Abantu abaninzi abane-gastritis abanazo iimpawu.

Iimpawu onokuthi uziqaphele zezi:

• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu nokugabha
• Intlungu kwinxalenye ephezulu yesisu okanye isisu

Ukuba i-gastritis ibangela ukuphuma kwegazi esiswini, iimpawu zinokubandakanya:

• Izitulo ezimnyama
• Ukuphalaza igazi okanye umhlaba wecofi njengezinto

Iimvavanyo ezinokufuneka zezi:

• Gcwalisa inani legazi (CBC) ukujonga i-anemia okanye ukubala okuphantsi kwegazi
• Uvavanyo lwesisu nge-endoscope (esophagogastroduodenoscopy okanye i-EGD) ene-biopsy yesisu esiswini
• H pylori iimvavanyo (uvavanyo lokuphefumla okanye uvavanyo lwestool)
• Uvavanyo lwelindle ukukhangela inani elincinci legazi kwizitulo, ezinokuba luphawu lokopha esiswini

Unyango luxhomekeke kwinto ebangela ingxaki. Ezinye zezizathu ziya kuhamba ngokuhamba kwexesha.

Kuya kufuneka uyeke ukuthatha i-aspirin, ibuprofen, naproxen, okanye amanye amayeza anokubangela i-gastritis. Soloko uthetha nomboneleli wakho wezempilo ngaphambi kokuba uyeke naliphi na iyeza.

Unokusebenzisa amanye amayeza kunye neyeza zokunciphisa isixa seasidi esiswini, njenge:

• IiAntacids
• Abachasi be-H2: i-famotidine (i-Pepsid), i-cimetidine (i-Tagamet), i-ranitidine (i-Zantac), kunye ne-nizatidine (i-Axid)
• Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), iansoprazole (Prevacid), rabeprazole (AcipHex), kunye ne-pantoprazole (Protonix)

Iintsholongwane zingasetyenziselwa ukunyanga i-gastritis engapheliyo ebangelwa lusulelo Helicobacter pylori iintsholongwane.

Imbonakalo ixhomekeke kwisizathu, kodwa ihlala ilungile kakhulu.

Ukuphulukana kwegazi kunye nokwanda komngcipheko wesifo somhlaza esiswini kunokwenzeka.

Fowunela umboneleli wakho ukuba uphuhlisa:

• Ubuhlungu kwinxalenye ephezulu yesisu okanye isisu esingahambiyo
• Izitulo ezimnyama okanye ezilindileyo
• Ukuphalaza igazi okanye izinto ezifana nekofu

Kulumkele ukusebenzisa ixesha elide kwezinto ezinokucaphukisa isisu sakho njengeasprini, iziyobisi ezichasayo, okanye utywala.

• Ukuthatha ii-antacids

• Inkqubo yokwetyisa
• Isisu kunye nesisu esiswini

UFeldman M, uLee EL. Isisu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 52.

I-Kuipers EJ, iBlaser MJ. Isifo se-Acid peptic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 139.

UVincent K. Gastritis kunye nesifo sezilonda. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 204-208.