Isisu

I-gastritis yenzeka lapho ulwelwesi lwesisu luvuvukala noma luvuvukala.

I-gastritis ingahlala isikhathi esifushane (i-gastritis ebukhali). Kungabambezeleka izinyanga kuye eminyakeni (i-gastritis engapheli).

Izimbangela ezivame kakhulu ze-gastritis yilezi:

• Imithi ethile, njenge-aspirin, ibuprofen, noma i-naproxen neminye imithi efanayo
• Ukuphuza kakhulu utshwala
• Ukutheleleka kwesisu ngamagciwane abizwa I-Helicobacter pylori

Izimbangela ezingavamile kakhulu yilezi:

• Ukuphazamiseka okuzenzakalelayo (njenge-anemia eyingozi)
• Ukubuyela emuva kwenyongo esiswini (i-bile reflux)
• Ukuhlukunyezwa kweCocaine
• Ukudla noma ukuphuza izinto ezinobuthi noma ezonakalisayo (njengobuthi)
• Ukucindezeleka okukhulu
• Ukutheleleka ngegciwane, njenge-cytomegalovirus kanye ne-herpes simplex virus (kuvame ukwenzeka kubantu abanamasosha omzimba abuthakathaka)

Ukuhlukumezeka noma ukugula okunzima, okungazelelwe njengokuhlinzwa okukhulu, ukungasebenzi kwezinso, noma ukufakwa emshinini wokuphefumula kungadala i-gastritis.

Abantu abaningi abane-gastritis abanazo izimpawu.

Izimpawu ongazibona yilezi:

• Ukuphelelwa isifiso sokudla
• Isicanucanu nokuhlanza
• Ubuhlungu engxenyeni engenhla yesisu noma isisu

Uma i-gastritis ibangela ukuphuma kwegazi esiswini sesisu, izimpawu zingafaka:

• Indle emnyama
• Ukuhlanza igazi noma ikhofi njengempahla

Ukuhlolwa okungadingeka:

• Qedela ukubalwa kwegazi (CBC) ukuhlola i-anemia noma ukubalwa kwegazi okuphansi
• Ukuhlolwa kwesisu nge-endoscope (esophagogastroduodenoscopy noma i-EGD) nge-biopsy yolwelwesi lwesisu
• H pylori izivivinyo (ukuhlolwa komoya noma ukuhlolwa kwendle)
• Ukuhlolwa kwendle ukuhlola inani elincane legazi ezansi, okungaba wuphawu lokopha esiswini

Ukwelashwa kuya ngokuthi yini ebanga inkinga. Ezinye zezimbangela zizohamba ngokuhamba kwesikhathi.

Ungadinga ukuyeka ukuthatha i-aspirin, ibuprofen, naproxen, noma eminye imithi engadala i-gastritis. Hlala ukhuluma nomhlinzeki wakho wezempilo ngaphambi kokumisa noma imuphi umuthi.

Ungasebenzisa ezinye izidakamizwa ezithengiswayo kanye nemithi kadokotela eyehlisa inani le-asidi esiswini, njenge:

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

Ama-antibiotic angasetshenziswa ukwelapha i-gastritis engapheli ebangelwa ukutheleleka nge I-Helicobacter pylori amagciwane.

Umbono uncike embangela, kepha imvamisa muhle kakhulu.

Ukwehla kwegazi kanye nengozi eyengeziwe yomdlavuza wesisu kungenzeka.

Shayela umhlinzeki wakho uma uhlakulela:

• Ubuhlungu engxenyeni engenhla yesisu noma isisu obungapheli
• Izitulo ezimnyama noma ezilindile
• Ukuhlanza igazi noma into efana nekhofi

Gwema ukusetshenziswa kwesikhathi eside kwezinto ezingacasula isisu sakho njenge-aspirin, izidakamizwa ezilwa nokuvuvukala, noma utshwala.

• Ukuthatha ama-antacids

• Uhlelo lokugaya ukudla
• Ulwelwesi lwesisu nesisu

UFeldman M, uLee EL. Isisu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 52.

IKuipers EJ, uBlaser MJ. Isifo se-acid peptic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 139.

UVincent K. Gastritis nesifo sezilonda. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 204-208.