Yintoni i-metaplasia yamathumbu, iimpawu kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• Izizathu ezinokubangela
• Ngaba umhlaza wamathumbu wemetaplasia?

I-metaplasia yamathumbu yimeko apho iiseli zesisu zikwinkqubo yokwahlula, oko kukuthi, siseti yezilonda ezincinci ezifunyenwe emva kwe-endoscopy kunye ne-biopsy ethathwa njengaphambi komhlaza, enokubakho ukuba ngumhlaza wesisu. Le meko ayibangeli zimpawu, kodwa njengoko inxulunyaniswa nosulelo lwe- H. pylori bacteria, isisu kunye nezilonda zesisu okanye zesisu, iintlungu kunye nokutsha esiswini, isicaphucaphu kunye nezihlalo ezimnyama zinokubonakala.

Unyango lwe-metaplasia yamathumbu alukachazwa kakuhle, kodwa i-gastroenterologist ingacebisa ukusetyenziswa kwamachiza ukunciphisa i-asidi yejusi yesisu kunye ne-antibiotics ukuphelisa usulelo ngu-H. pylori, njenge-amoxicillin, kuba ngale ndlela kunokwenzeka ukunciphisa Utshintsho lweselula olubangelwa yile meko.

Iimpawu eziphambili

I-metaplasia yamathumbu ayibangeli zimpawu, nangona kunjalo, ixesha elininzi linxulunyaniswa nosulelo lwebacteria H. pylori, ebangela ukubonakala kwesisu kunye nezilonda esiswini nasemathunjini, kwaye kwezi meko, iimpawu ezinokuvela zezi:

• Intlungu yesisu kunye nokutsha;
• Isicaphucaphu nokugabha;
• Ukutya;
• Ukuziva kwesisu esidumbileyo;
• Ii-Burps kunye neegesi zamathumbu ezingapheliyo;
• Ubumnyama, ilindle elinegazi.

Ngokwesiqhelo, ukufumanisa isifo se-metaplasia yamathumbu kwenziwa ngengozi xa ugqirha elanda ezinye iingxaki zenkqubo yokwetyisa, kubandakanya umhlaza, ngokwenza iimvavanyo ezinje nge-digestive endoscopy kunye ne-gastric biopsy.

I-biopsy inokwenziwa ngexesha le-endoscopy, apho ugqirha ethatha isampulu encinci esiswini, apho ihlala ikhangeleka icwecwe limhlophe okanye amabala, ayithumele elebhu ye-immunohistochemistry, apho iya kuhlaziywa khona. iintlobo zeseli. Bona ngakumbi malunga nendlela i-endoscopy eyenziweyo kunye nendlela yokulungiselela.

Unyango lwenziwa njani

Okwangoku akukabikho nyango lonyango lwe-metaplasia yamathumbu, kodwa unyango lokuguqula le meko luyacetyiswa sisifo se-gastroenterologist kwaye ikakhulu lubandakanya ukunciphisa iimpawu zokudumba kwesisu, kusetyenziswa iziyobisi ukunciphisa i-asidi, njenge-omeprazole, kunye nokupheliswa usulelo nguH.pylori bacteria ngokusebenzisa i-antibiotics, njenge-clarithromycin kunye ne-amoxicillin.

Ugqirha usenokucebisa amayeza asekwe kwi-ascorbic acid, eyaziwa ngcono njengevithamini C, kunye nezongezo zokutya ezinezakha-mzimba ze-antioxidant, njengoko oku kunokunceda ukunciphisa ukudumba kunye nokunciphisa ukonzakala okubangelwa kukuqina kwemathumbu.

Ukongeza, kubaluleke kakhulu ukutya ukutya okunesondlo okunotye ukutya okune-antioxidant, okufumaneka kukutya okune-beta-carotenes ezinje ngetumato, ezinceda ukunciphisa iimpawu zesisu kunye nezilonda, ezinje ngemifuno neeyogathi. Jonga ngakumbi ukuba indlela yokutya yegastritis kunye nezilonda kufuneka yenziwe njani.

Izizathu ezinokubangela

Oonobangela be-metaplasia yamathumbu basaphandwa, nangona kunjalo, le meko mhlawumbi ibangelwa kukudibana kwemikhwa yokutya etyebile kukutya okunetyuwa kunye nokutya okungathathi ntweni ku-vitamin C, ukusetyenziswa kwecuba kunye nosulelo yi-bacteria H. pylori. Ukuchongwa kwemfuza yinto ebalulekileyo emngciphekweni wokuphuhliswa kwale ngxaki yezempilo, njengoko abantu abanembali yosapho yomhlaza wesisu basemngciphekweni wokuba ne-metaplasia yamathumbu.

Ngamanye amaxesha, i-metaplasia yamathumbu inokubangelwa sisisu esiswini, njengoko kwenzeka kwisisu, ukwakheka kwe-nitrate esiswini kunye ne-hypochlorhydria, njengoko ezi meko zonakalisa iiseli zodonga lwesisu. Bona ngakumbi ukuba yintoni i-hypochlorhydria kunye nendlela yokuyinyanga.

Ngaba umhlaza wamathumbu wemetaplasia?

I-metaplasia yamathumbu ayithathwa njengohlobo lomhlaza, nangona kunjalo, iyaziwa ngokuba nezilonda zangaphambi komhlaza, oko kukuthi, ukuba ayibuyiselwa umva kunokuba ngumhlaza. Umntu ofunyaniswe ukuba unale meko kufuneka alandelwe kunye ne-gastroenterologist yexesha elide ukuphelisa i-pylori bacteria kunye nokwenza iimvavanyo rhoqo ukubona ukuba izilonda ze-metaplasia yamathumbu ziyabuya na.

Ke ngoko, kubalulekile ukuba ungaluyeki unyango nokuba lude kwaye ukutya okucetyiswayo kufuneka kugcinwe kuba yile ndlela kuya kwenzeka ngayo ukunciphisa izilonda zeselula ze-metaplasia yamathumbu kunye nokunciphisa umngcipheko wale meko ukuba ngumhlaza wesisu.

Njengoko i-gastritis ingumngcipheko wokukhula kwe-metaplasia yamathumbu, jonga ngakumbi malunga nokutya ukuphucula i-gastritis: