I-Enanthematous gastritis: yintoni, iimpawu kunye nendlela yokunyanga
Umxholo
I-Enanthematous gastritis, ekwabizwa ngokuba yi-enanthematous pangastritis, kukudumba kodonga lwesisu olunokubangelwa lusulelo yintsholongwane H. pylori, izifo ezenzekelayo, ukusetyenziswa kotywala ngokugqithisileyo okanye ukusetyenziswa rhoqo kwamayeza afana neasprini kunye nezinye iziyobisi ezichasene nokudumba okanye i-corticosteroid.
I-gastritis enanthematous ihlelwa ngokweendawo ezichaphazelekayo zesisu kunye nobukhali bokudumba. I-Antral enanthematous gastritis kuthetha ukuba ukudumba kwenzeka ekupheleni kwesisu kwaye kunokuba buthathaka, xa ukudumba kusekutsha, kungenzi monakalo omkhulu esiswini, okanye kumodareyitha okanye kubi xa kubangela iimpawu ezibi kakhulu.
Ziintoni iimpawu
Iimpawu ze-gastritis enanthematous, okanye i-pangastritis, zihlala zivela emva kokutya, ezinokuhlala malunga neeyure ezimbini, kwaye zezi:
- Intlungu yesisu kunye nokutsha;
- Isilungulela;
- Ziva gula;
- Ukutya;
- Irhasi rhoqo kunye ne-belching;
- Ukungabikho komdla;
- Ukuphalaza okanye ukuphinda usebenze;
- Intloko kunye ne-malaise.
Kubukho bezi mpawu rhoqo okanye xa igazi livela esitulweni, kufuneka kubonwe ugqirha wamazinyo.
Ukuchongwa kolu hlobo lwe-gastritis kuqinisekiswa ngovavanyo olubizwa ngokuba yi-endoscopy, ngalo ugqirha uyakwazi ukubona ngeso lengqondo indawo yangaphakathi yesisu echonga ukudumba kweendonga zomzimba. Kwiimeko apho ugqirha echonga utshintsho kwi-gastric mucosa, kunokuphakanyiswa isicatshulwa se-biopsy. Qonda ukuba i-endoscopy yenziwa njani kwaye kwenzeka ntoni kuvavanyo.
Unyango lwenziwa njani
Unyango lwe-gastritis enanthematous lwenziwa kuphela xa kukho iimpawu kwaye xa kunokwenzeka ukuba wazi unobangela wesisu. Ke, ugqirha unokucebisa ngokusetyenziswa kwamayeza e-antacid, anje ngePepsamar okanye iMylanta, ukunciphisa iasidi esiswini, okanye amayeza athintela ukuveliswa kweasidi esiswini, njenge-omeprazole kunye ne-ranitidine, umzekelo.
Ukuba isifo sibangelwaH. pylori, i-gastroenterologist ingacebisa ukusetyenziswa kwee-antibiotics, ekufuneka zisetyenziswe njengokuyalelwa ngugqirha. Ubude bonyango buxhomekeke kubuzaza bokudumba kunye noonobangela besisu, kodwa kwiimeko ezininzi unyango luyaphunyezwa kwiiveki okanye kwiinyanga ezimbalwa.
Ukongeza, kubalulekile ukuyeka ukutshaya kunye nokutya iziselo ezinxilisayo, ukongeza ekutshintsheni indlela otya ngayo, ukunqanda ukutya okunamafutha okucaphukisa amathumbu, afana nepepile, inyama ebomvu, ibhekoni, isoseji, isoseji, ukutya okuthosiweyo, itshokholethi kunye necaffeine, ukulungiselela umzekelo. Jonga ividiyo engezantsi malunga nokuba ukutya kwe-gastritis kufanele kubonakale njani:
I-Enanthematous gastritis ijika ibe ngumhlaza?
Kuqinisekisiwe ukuba xa isifo sokudumba kwesisu sibangelwa ziintsholongwane H. Pylori esiswini, kunokwenzeka amaxesha angama-10 ukuba abe nomhlaza. Oku akuthethi ukuba zonke izigulana ezineli bhaktiriya ziya kuphuhlisa esi sifo, kuba zininzi ezinye izinto ezichaphazelekayo, ezinje ngemfuza, ukutshaya, ukutya kunye neminye imikhwa yokuphila. Yazi ukuba ungatya ntoni ukuba une-gastritis ebangelwaH. pylori.
Ngaphambi kokuba i-gastritis ibe ngumhlaza, izicubu zesisu zihamba notshintsho olunokubonwa nge-endoscopy kunye ne-biopsy. Utshintsho lokuqala lolwesicwili esiqhelekileyo sesisu, esiguquka sibe sisifo esinganyangekiyo sesigulo, isifo sokuqina kwesisu, imethaplasia, idysplasia, kwaye kuphela emva koko iba ngumhlaza.
Eyona ndlela yokuyiphepha kukulandela unyango oluboniswe ngugqirha, uyeke ukutshaya kunye nokutya ukutya okwaneleyo. Emva kokulawula iimpawu, kunokuboniswa ukubuyela kugqirha malunga neenyanga ezi-6 ukuvavanya isisu. Ukuba iintlungu zesisu kunye nokugaya okungalunganga azikalawulwa, amanye amayeza amiselwe ngugqirha anokusetyenziswa kude kuphile i-gastritis.