I-Gastritis engapheliyo

Umxholo

• Zithini iintlobo zesisu esingapheliyo?
• Ziintoni iimpawu zesisu esingapheliyo?
• Yintoni ebangela i-gastritis engapheliyo?
• Yeyiphi imingcipheko yokufumana isisu esingapheliyo?
• Ndifanele ndimbone nini ugqirha wam?
• Isifo esingapheliyo sifunyaniswa njani?
• Sinyangwa njani i-gastritis enganyangekiyo?
• Amayeza
• Ukutya
• Zeziphi ezinye iindlela zonyango lwegastritis engapheliyo?
• Yintoni imbono yabantu abane-gastritis engapheliyo?
• Inokuthintelwa njani i-gastritis engapheliyo?

Isisu esingapheliyo

Isisu sakho, okanye i-mucosa, sinamadlala avelisa isisu esiswini kunye nezinye izinto ezibalulekileyo. Omnye umzekelo yi-enzyme pepsin. Ngelixa isisu sakho esiswini siphula ukutya kwaye sikukhusele kusulelo, i-pepsin iphula iiproteni. Iasidi esiswini sakho yomelele ngokwaneleyo ukuba yonakalise isisu sakho. Ke, isisu sakho esisemfihlakalweni sifihla i-mucus ukuzikhusela.

I-gastritis engapheliyo yenzeka xa isisu sakho sigcuma. Iibhakteria, ukusebenzisa kakhulu utywala, amayeza athile, uxinzelelo olungapheliyo, okanye ezinye iingxaki kwinkqubo yomzimba yokuzikhusela kunokukhokelela kukudumba. Xa kwenzeka ukudumba, isisu sakho sombane siyatshintsha kwaye siphulukane nezinye iiseli ezikhuselayo. Inokubangela ukwanela kwangoko. Kulapho isisu sakho siziva sigcwele emva kokutya ukutya okumbalwa.

Kuba i-gastritis engapheliyo yenzeka ixesha elide kwaye ngokuthe ngcembe iyaphela kwisisu sakho. Kwaye kunokubangela i-metaplasia okanye i-dysplasia. Olu lutshintsho olusebenzayo kwiiseli zakho ezinokukhokelela kumhlaza ukuba awunyangwa.

I-gastritis engapheliyo ihlala ibangcono ngonyango, kodwa inokufuna ukubekwa esweni okokoko.

Zithini iintlobo zesisu esingapheliyo?

Iindidi ezininzi ze-gastritis ezingapheliyo zikhona, kwaye zinokuba nezizathu ezahlukeneyo:

• Uhlobo lwe-A Kubangelwa ngamajoni akho omzimba okutshabalalisa iiseli zesisu. Kwaye inokwandisa umngcipheko weevithamini, i-anemia, kunye nomhlaza.
• Uhlobo B, Uhlobo oluqhelekileyo, lubangelwa Helicobacter pylori bacteria, kwaye kunokubangela izilonda zesisu, izilonda zamathumbu, kunye nomhlaza.
• Uhlobo C Kubangelwa kukucaphuka kwemichiza njengeziyobisi ezichasayo (ii-NSAID), utywala, okanye inyongo. Kwaye kunokubangela ukukhukhuka kwesisu kunye nokuphuma kwegazi.

Ezinye iintlobo zesisu zibandakanya i-hypertrophic gastritis enkulu, enokunxulumana nokusilela kweprotein. Kukho i-eosinophilic gastritis, enokuthi yenzeke ecaleni kwezinye iimeko ezichasayo ezifana nesifuba okanye i-eczema.

Ziintoni iimpawu zesisu esingapheliyo?

I-gastritis engapheliyo ayisoloko ibangela iimpawu. Kodwa abantu abaneempawu bahlala benamava:

• intlungu ephezulu esiswini
• ukuqunjelwa
• ukudumba
• isicaphucaphu
• ukugabha
• ukubhinqa
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda

Yintoni ebangela i-gastritis engapheliyo?

Oku kulandelayo kunokucaphukisa umgca wesisu sakho kwaye kukhokelele kwisifo esingapheliyo sesisu:

• ukusetyenziswa kwexesha elide kwamayeza athile, njenge-aspirin kunye ne-ibuprofen
• Ukusela kakhulu utywala
• ubukho be H. pylori iintsholongwane
• izigulo ezithile, ezinjengeswekile okanye ukusilela kwezintso
• amajoni omzimba abuthathaka
• Ukuqhubeka, uxinzelelo olukhulu oluchaphazela amajoni omzimba
• inyongo engena esiswini, okanye i-bile reflux

Yeyiphi imingcipheko yokufumana isisu esingapheliyo?

Umngcipheko we-gastritis engapheliyo uyonyuka ukuba indlela yakho yokuphila kunye nemikhwa yokutya ivuselela utshintsho esiswini. Kunokuba luncedo ukunqanda:

• ukutya okunamafutha aphezulu
• ukutya okunetyuwa eninzi
• ukutshaya

Ukusela ixesha elide kotywala kunokukhokelela kwisifo esingapheliyo sesisu.

Indlela yokuphila enoxinzelelo okanye amava abuhlungu anokuhla nesisu sakho sokuzikhusela. Ukongeza, umngcipheko wakho uyonyuka ukuba unezifo ezizimele okanye izifo ezithile ezinjengesifo sikaCrohn.

Ndifanele ndimbone nini ugqirha wam?

Ukucaphuka kwesisu kuqhelekile, kodwa akusoloko kuyimpawu yesifo esingapheliyo. Fowunela ugqirha wakho ukuba isisu sakho sihlala ixesha elide kuneveki okanye ukuba ufumana iimpawu eziqhelekileyo zesifo esingapheliyo.

Fumana uncedo lwezonyango kwangoko ukuba kwenzeka oku kulandelayo:

• ukugabha igazi
• ukubetha kwentliziyo ngokukhawuleza
• ubunzima bokuphefumla okanye ukugwinya
• ukozela kakhulu
• ukudlula ngesiquphe
• ukudideka

Isifo esingapheliyo (gastritis) sikubeka emngciphekweni wokopha kwisisu sakho kunye namathumbu amancinci. Khangela unyango kwangoko ukuba unezihlalo ezimnyama, ugabhe nantoni na ebonakala ngathi yindawo yekhofi, okanye unesifo esibuhlungu esiswini.

Isifo esingapheliyo sifunyaniswa njani?

Ugqirha wakho uya kubuza malunga nembali yakho yonyango kunye neempawu. Uthotho lweemvavanyo lunokufuneka, kubandakanya:

• Uvavanyo lwebhaktiriya ebangela izilonda zesisu
• uvavanyo lwelindle ukukhangela ukuphuma kwesisu
• ubalo lwegazi kunye novavanyo lwe-anemia
• i-endoscopy, apho ikhamera eqhotyoshelwe kumbhobho omde ifakwa emlonyeni wakho nasezantsi kwindlela yakho yokwetyisa

Sinyangwa njani i-gastritis enganyangekiyo?

Amayeza kunye nokutya zezona ndlela zixhaphakileyo zonyango lwe-gastritis engapheliyo. Unyango lohlobo ngalunye lujolise kwisizathu se-gastritis.

Ukuba unohlobo lwe-A, ugqirha wakho uya kujongana neengxaki ezinxulumene nezondlo osweleyo. Ukuba unayo i-Type B, ugqirha wakho uya kusebenzisa ii-antimicrobial agents kunye ne-asidi ethintela amayeza ukutshabalalisa H. pylori iintsholongwane. Ukuba unayo uhlobo C, ugqirha wakho uya kukuxelela ukuba uyeke ukuthatha ii-NSAID okanye ukusela utywala ukukhusela umonakalo ongaphezulu kwisisu sakho.

Amayeza

Ugqirha wakho unokukunika amayeza ukunciphisa isisu sakho esiswini. Amayeza aqhelekileyo okunciphisa i-gastric acid ngala:

• ii-antacids, kubandakanya i-calcium carbonate (iRolaids kunye neeTum)
• Iiproton pump inhibitors, ezinje nge-omeprazole (Prilosec)

Ukunciphisa okanye ukususa i-aspirin kunye namayeza afanayo kuyacetyiswa ukunciphisa ukucaphuka kwesisu.

Iimpawu zesigulo esinganyangekiyo ngamanye amaxesha zinokuhamba kwiiyure ezimbalwa ukuba amayeza okanye utywala bubangela ukuba i-gastritis yakho ivele. Kodwa isifo esiswini esinganyangekiyo sithatha ixesha elide ukuba siphele. Kwaye ngaphandle konyango inokuqhubeka iminyaka.

Ukutya

Ugqirha wakho unokucebisa utshintsho kwindlela otya ngayo ukunciphisa ukucaphuka kwesisu. Izinto zokuphepha zibandakanya:

• ukutya okunetyuwa eninzi
• ukutya okunamafutha aphezulu
• utywala, kubandakanya ibhiya, iwayini, okanye imimoya
• ukutya okuphezulu kwinyama ebomvu kunye nenyama egciniweyo

Ukutya okucetyiswayo kubandakanya:

• zonke iziqhamo nemifuno
• ukutya okuphezulu kwiiprobiotic, ezifana neyogathi kunye ne-kefir
• inyama engenamafutha, njengenkukhu, ikarikuni kunye nentlanzi
• Iiproteni ezisekwe kwizityalo ezinjengeembotyi kunye netofu
• ipasta yokutya okuziinkozo, irayisi, kunye nezonka

Zeziphi ezinye iindlela zonyango lwegastritis engapheliyo?

Olunye uhlobo lokutya lunokunceda isisu sakho ukuba sisuse H. pylori kwaye ukhulule iimpawu zakho:

• Yintoni imbono yabantu abane-gastritis engapheliyo?

  Ukuchacha kwakho kwi-gastritis engapheliyo kuxhomekeke kwisizathu esisisiseko sale meko.

  Ukuba i-gastritis engapheliyo iyaqhubeka ngaphandle konyango, umngcipheko wezilonda zesisu kunye nokopha kwesisu kuyanda.

  Njengoko i-gastritis iphela esiswini sakho, ulwelwesi luyancipha kwaye luhlala lubangela utshintsho kwiiseli, ezinokukhokelela kumhlaza wesisu. Ukungakwazi kwesisu sakho ukufunxa iivithamini nako kunokubangela ukusilela okugcina umzimba wakho ungenzi iiseli ezibomvu zegazi okanye uchaphazele ukusebenza kwentliziyo. Oku kunokukhokelela kwi-anemia.

  Inokuthintelwa njani i-gastritis engapheliyo?

  Unokunceda ukulawula ubunzima be-gastritis ngokujonga ukutya kunye noxinzelelo lwakho. Ukunciphisa utywala kunye nokusetyenziswa kwee-NSAID, njenge-ibuprofen, naproxen, kunye ne-aspirin kunokukunceda ukukhusela imeko.