Yintoni i-Pangastritis?

Umxholo

• Ushwankathelo
• Iimpawu pangastritis
• Imiba yomngcipheko wepangastritis
• 1. Usulelo lwesisu
• 2. Iintlungu zokuthomalalisa amayeza
• 3. Ukusetyenziswa kotywala ngokugqithisileyo
• 4. Uxinzelelo olungapheliyo
• 5. Iimeko zokuzimela ngokuzenzekelayo
• Uxilongo pangastritis
• Unyango lwepangastritis
• Ukunyanga naluphi na usulelo lokuqala
• Ukubuyisela izondlo ezingonelanga
• Ukunciphisa i-asidi esiswini ngamayeza
• Utshintsho kwizidlo
• Izongezo ezongezelelweyo
• Imbonakalo yepangastritis
• Uthintelo pangastritis

Ushwankathelo

I-Gastritis yimeko yendlela yokwetyisa apho i-mucosa (ulusu lwesisu) luvuvukala. Zimbini iintlobo eziphambili ze-gastritis: gastritis etsolo kunye ne-gastritis engapheliyo. Isifo esibuhlungu se-gastritis ngesiquphe, kukudumba kwexesha elifutshane, ngelixa i-gastritis engapheliyo kukudumba kwexesha elide

I-Pangastritis lolona hlobo luqhelekileyo lwe-gastritis engapheliyo. Ichaphazela konke ukugoba kwesisu, kubandakanya zombini i-antral kunye ne-oxyntic mucosa ye-antrum (icandelo elisezantsi lesisu) kunye ne-fundus (icandelo eliphezulu lesisu), ngokwahlukeneyo.

I-Pangastritis yahlukile kwi-gastritis yesiqhelo kuba ibandakanya isisu sonke, endaweni yommandla omnye.

Makhe sijonge ngakumbi kwiimpawu, oonobangela, ukuxilongwa, kunye nonyango lwepangastritis, kunye nembonakalo yale meko.

Iimpawu pangastritis

Iimpawu pangastritis ziyafana nezo zifunyanwa gastritis rhoqo. Banokubandakanya:

• intlungu zesisu
• ukudumba
• isicaphucaphu
• ukugabha
• ukungabi namdla wokutya
• ukugcwala emva kokutya

I-Pangastritis isenokungabi ngoyena nobangela wezi mpawu, ke kubalulekile ukuba ubone ugqirha ukuba uzifumana rhoqo.

Imiba yomngcipheko wepangastritis

Zininzi izinto ezinokonakalisa isisu sakho kunye nokwandisa umngcipheko wokuba nepangastritis.

1. Usulelo lwesisu

Helicobacter pylori luhlobo lweebhaktheriya ezaziwa ngokubangela usulelo kumgudu wokugaya ukutya. Yenye yezona zinto zixhaphakileyo zepangastritis kunye nezilonda zesisu. Kwakhona kucingelwa ukuba kunxulunyaniswa nomhlaza wesisu.

2. Iintlungu zokuthomalalisa amayeza

Ukusetyenziswa rhoqo kwamayeza okuphelisa iintlungu, ngakumbi iziyobisi ezingezizo ezokulwa nokudumba (i-NSAIDs), ngumngcipheko wokukhula kwepangastritis. Ukuthatha ii-NSAID rhoqo kuma-mucosal lining kwaye kunokuchaphazela ukugcinwa kwesisu. Zombini ezi zinto zinokubangela ukudumba.

3. Ukusetyenziswa kotywala ngokugqithisileyo

Ukusetyenziswa gwenxa kotywala kunokuba neziphumo ezibi ezininzi emzimbeni wakho, ngakumbi xa kufikwa kwindlela yokugaya ukutya. Ukusetyenziswa gwenxa kotywala kungakhokelela kugastritis etsolo kunye nakubantu abasela kakhulu, kunokukhokelela nakwipangastritis.

4. Uxinzelelo olungapheliyo

Uxinzelelo lunokuchaphazela umzimba wakho ngeendlela ezininzi. Utshintsho lweHormonal lwenzeka ngexesha loxinzelelo, kubandakanya amanqanaba e-acetylcholine kunye ne-histamine. Oku kunokubangela utshintsho kwiimfihlo zesisu kunye nokukhokelela kuxinzelelo lwepangastritis.

5. Iimeko zokuzimela ngokuzenzekelayo

Ukuzilimaza komzimba ngokuzenzekelayo kwenzeka xa umzimba uhlasela iiseli zeparietal zesisu. I-autoimmune gastritis ifana ne-pangastritis, kuba iiseli zeparietali zibekwe kuphela kwi-corpus (icandelo eliphambili, phakathi kwamalungu aphezulu naphantsi) kunye ne-fundus (inxalenye ephezulu) yesisu. Nangona kunjalo, ukuqhubela phambili kwe-gastritis ezenzekelayo kunokubangela i-pangastritis ukuba i-mucosa yonakala ngakumbi ngokuhamba kwexesha.

Uxilongo pangastritis

Kukho iimvavanyo ezininzi ugqirha anokuzisebenzisa ukufumanisa i-pangastritis. Oku kunokubandakanya:

• Uvavanyo lwegazi, ukuphefumla, okanye isitulo ye h. pylori. Ugqirha wakho unokusebenzisa naluphi na olu vavanyo mathathu ukumisela ukuba unayo h. pyloriusulelo:
  • Uvavanyo lwegazi lunokuvumela ugqirha ukuba abone ukuba ukhuthele okanye ukhe wosulelwa ngaphambili.
  • Uvavanyo lokuphefumla urea lunokubonisa ukuba unosulelo olusebenzayo.
  • Uvavanyo lwelindle luya kuvumela ugqirha ukuba abone ukuba akukho na h. pyloriiantigen ezikhoyo emzimbeni wakho.
• Uvavanyo lwelindle yokopha esiswini. I-Pangastritis kunye nezinye iimeko zesisu ezivuthayo zinokubangela ukuba igazi libekho esitulweni. Kuyafana nokujonga isitulo se- h. pyloriusulelo, ugqirha unokujonga isitulo sakho segazi elibangelwa sisifo sokuqaqamba kwamalungu.
• Uvavanyo lwegaziyegazi. I-Pangastritis yenye yezinto ezinobungozi ekuphuhliseni i-anemia. Njengoko i-mucosa ye-digestive tract yonakala ngakumbi, kuya kusiba nzima ngakumbi ukufunxa izondlo ekutyeni. Oku kunokubangela ukusilela kwe-B-12 (eyingozi) i-anemia okanye i-anemia yokunqongophala kwe-iron. Ugqirha wakho unokuyalela uvavanyo lwegazi olupheleleyo (CBC) ukujonga iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi, kunye namanqanaba e-hemoglobin.
• Uthotho oluphezulu lwe-GI okanye endoscopy ngomonakalo. Uthotho oluphezulu lwe-GI luvavanyo apho ugqirha ejonga ulusu lwesisu sakho ngesixhobo sokucinga. I-endoscopy yinkqubo ehlaselayo ngakumbi apho ugqirha anokujonga ngaphakathi kwithumbu lokugaya ngombhobho omncinci wekhamera. Zombini ezi mvavanyo zinokunceda ekuchazeni ukuba isifo se-mucosa sonakele kwi-pangastritis.

Unyango lwepangastritis

Ukuba ufumene ukuba une-pangastritis, kukho iindlela ezahlukeneyo zonyango anokufuna ukuthatha ugqirha wakho.

Ukunyanga naluphi na usulelo lokuqala

Ukuba i-pangastritis yakho ibangelwe lusulelo h. pylori, kubalulekile ukunyanga usulelo kuqala. Ngokuka, irejimeni yonyango lwe h. pylori Usulelo lungathatha naphi na ukusuka kwiintsuku ezili-10 ukuya kwezi-14.

Ugqirha wakho unokumisela iyeza elinye okanye nangaphezulu, kubandakanya:

• i-antibiotics (njenge-amoxicillin okanye i-tetracycline)
• i-ranitidine bismuth citrate
• iproton pump inhibitor (PPI)

Kubalulekile ukuba uqaphele ukuba ngaphandle kwale ndlela yonyango, kunokubakho phakathi kokusetyenziswa kwe-PPI kunye nomonakalo we-mucosal.

Ukusuka ngo-2017, abaphandi baphanda izifundo ezili-13 apho abantu babekwa phantsi konyango lwe-PPI lwexesha elide. Bafumanise ukuba iqela lonyango lwe-PPI linamathuba aphezulu okuphucula i-gastritis kuneqela lolawulo.

Ukubuyisela izondlo ezingonelanga

Ukuba i-pangastritis yakho ibangele nakuphi na ukusilela kwezondlo, ugqirha wakho uya kufuna ukubuyisela amanqanaba akho ezondlo ngokukhawuleza.

Kubantu abane-pangastritis, ukusilela kuzo zombini i-iron kunye ne-vitamin B-12 kukhokelela ekukhokeleni i-anemia. Ugqirha wakho unokufuna ngedosi ephezulu yentsimbi, B-12, okanye isongezelelo se-multivitamin.

Ukunciphisa i-asidi esiswini ngamayeza

Abantu abane-pangastritis banemfihlo encinci kumgudu wokucola ukunceda ukukhusela ulwelo kwisisu esiswini. Ukunyanga i-pangastritis kuhlala kubandakanya ukusetyenziswa kwamayeza anokunceda ukunciphisa amanqanaba esisu esiswini.

Amayeza anciphisa i-acid anokumiselwa ngugqirha wakho abandakanya:

• IiAntacids. Indima ye-antacid kukunciphisa isisu esiswini. Ezi ntlobo zintathu zisisiseko ze-antacids ziyahluka ngokwendawo yazo esebenzayo - i-magnesium, calcium, okanye i-aluminium. Ii-antacids eziqhelekileyo zegama lophawu zi-Alka-Seltzer, iiRolaids, iMylanta kunye neeTums.
• Iibhloko ze-H2. I-H2 blocker isebenza ngendlela eyahlukileyo kancinci kune-antacids. Endaweni yokuthomalalisa isisu esiswini, ii-H2 blocker zithintela iiseli kwindawo yokugaya ekuveliseni i-asidi yesisu. Oku kunokunceda ukukhusela umonakalo ongaphezulu kwi-mucosa ebuthathaka.
• Iiproton pump inhibitors (ii-PPIs).Ngokufana nendlela esebenza ngayo iibhlokhi ze-H2, iiproton pump inhibitors zikwacutha ukukhutshwa kwesisu esiswini. Nangona kunjalo, ii-PPIs zithathwa njengokhetho lwexesha elide njengoko zinokuthatha ixesha elide ukuba zisebenze.
  Ezona PPI zixhaphakileyo ezimiselweyo yiPrisosec kunye nePrevacid. Ngenxa yokuba ukusetyenziswa kwexesha elide kwe-PPIs kunokuba yi-pangastritis, ugqirha wakho unokuya ekusebenziseni ngokulumkisa.

Utshintsho kwizidlo

Ukwenza utshintsho kwindlela yokutya kubalulekile kubantu abane-pangastritis ekuncedeni ukunciphisa ukucaphukisa okungaphezulu kwisisu sesisu. Kubalulekile ukugxila koku:

• ukutya okuphezulu kwifayibha, okufana neenkozo kunye nemifuno
• ukutya okungenamafutha amaninzi, njengeprotheni ebutyebhile
• ukutya okunqabileyo ukuba kuphakamise amanqanaba e-asidi esiswini
• iziselo ngaphandle kwekhabhoni okanye icaffeine

Kwakhona kubalulekile ukunqanda ukutya okulandelayo kangangoko:

• iziselo ezinxilisayo, ikhafini, kunye neziselo ezihlwahlwazayo
• ukutya okune-asidi kakhulu
• ukutya okunamafutha okanye okunqatyisiweyo
• ukutya okuneziqholo

Izongezo ezongezelelweyo

Kukho nezinye iindlela, amayeza asekhaya onokuthi ufune ukuwabandakanya kunyango lwakho. Oku kubandakanya:

• Iiprobiotic. Iiprobiotic zizinto eziluncedo ezifumaneka emathunjini ezinokukunceda ukugcina indlela yakho yokwetyisa isempilweni. Uphando lucebise ukuba unyango lweprobiotic lunokuba yinto elungileyo kwabo bane-gastritis. Kwelinye, abaphandi bavavanya ukusetyenziswa kweprobiotic ye-BIFICO (equlathe I-Enterococcus faecalis, IBifidobacterium longum, kunye Lactobacillus acidophilusivuliwe h. pylorii-gastritis eyenziweyo kwiimpuku. Bafumanise ukuba unyango nge-probiotic cocktail yehlisa ukudumba kwesisu. Nangona kunjalo, uphando lusasikelwe umda ekusetyenzisweni kweprobiotic njengonyango lwegastritis ebantwini.
• IGlutamine. I-Glutamine yi-amino acid ebalulekileyo. Enye yeendima ze-glutamine isandulela enye ye-antioxidants enamandla emzimbeni, i-glutathione. Ucebise ukuba i-glutamine inokudlala indima ekhuselayo ekonakaleni kwe-mucosal nangona kunjalo, uphando oluthe kratya kuvavanyo lweklinikhi luyafuneka.
• Antioxidants. Ezinye zezona zinto zibalulekileyo emzimbeni womntu zii-antioxidants. Antioxidants inceda ukukhusela umzimba kuxinzelelo lwe-oxidative eyonakalisa i-DNA. Kubantu abane-pangastritis, ukudumba kwenwebu ye-mucosal kungakhokelela kuxinzelelo lwe-oxidative kwiiseli zesisu.
  Kwesinye, abaphandi bafumanisa ukuba unyango kunye ne-antioxidant resveratrol yancitshiswa H. pylori-ukudumba kwesisu esiswini kwiimpuku. Okwangoku, ezinye izilingo zabantu ziyafuneka ukumisela eyona ndima yokunyanzeliswa kwe-antioxidant yepangastritis.
• I-Omega-3 fatty acids. IiPolyunsaturated fatty acids zisetyenzisiwe kunyango lokutya kwimbali yonke ngenxa yeempembelelo ezichasayo, phakathi kwezinye izibonelelo. Kutshanje ngo-2015 kufunyaniswe ukuba i-n-3 PUFA yokuncedisa inokuthi ikwazi ukunciphisa ukudumba kunye nomonakalo obangelwe sisisu. Ukongeza, inokunciphisa umngcipheko wokuba nesifo esibi kakhulu, njengomhlaza wesisu.
• Izithako zokutya ezongezelelweyo.I-Garlic, ijinja, kunye ne-turmeric kuko konke ukutya okunokufakwa ekutyeni ukuthintela ukukhula kweentsholongwane ezimbi esiswini.

Imbonakalo yepangastritis

I-Pangastritis luhlobo lwe-gastritis engapheliyo, oko kuthetha ukuba unyango kunye nolawulo luya kuba yimfuneko kwixesha elide.

Isifo esinganyangekiyo, i-gastritis enganyangekiyo yinto yomngcipheko kuphuhliso lwezifo ezininzi. Oku kubandakanya:

• izilonda zesisu
• isisu esophayo
• ianemia
• umhlaza wesisu

Ukunyanga iimeko ezisisiseko kunye nokuphilisa isisu kubalulekile amanyathelo okuqala ukunciphisa umngcipheko wezi meko zinxulumene noko.

Ngenxa yezi zizathu, kubalulekile ukuba ufumane ukuxilongwa kugqirha wakho kwaye uxoxe ngesicwangciso sonyango.

Uthintelo pangastritis

Uthintelo lwepangastritis luqala ngemikhwa yokuphila esempilweni. Nanga amanyathelo onokuwathatha:

• Qiniseka ukuba uhlamba izandla rhoqo ukunqanda ukusasazeka kwe h. pylorikuwe nakwabanye.
• Kuphephe ukusela utywala ngokugqithisileyo, kuba oku kunokucaphukisa ulwelwesi lwesisu sakho.
• Nciphisa i-NSAID kunye nokusetyenziswa kwamayeza eentlungu ukuthintela ukudumba kwesisu.