I-Enanthematous gastritis: kuyini, izimpawu nokuthi ungaphatha kanjani
-Delile
I-Enanthematous gastritis, eyaziwa nangokuthi i-enanthematous pangastritis, ukuvuvukala kodonga lwesisu olungabangelwa ukutheleleka ngamagciwane H. pylori, izifo ezizimele, ukuphuza ngokweqile noma ukusetshenziswa kaningi kwemithi efana ne-aspirin nezinye izidakamizwa ezilwa nokuvuvukala noma i-corticosteroid.
I-Enanthematous gastritis ihlukaniswa ngokusho kwesifunda esithintekile nobukhulu bokuvuvukala. I-Antral enanthematous gastritis isho ukuthi ukuvuvukala kwenzeka ekugcineni kwesisu futhi kungaba mnene, lapho ukuvuvukala kusesekuseni, kungenzi okubi kakhulu esiswini, noma kube ngokulingene noma okunzima lapho kubangela izimpawu ezinzima kakhulu.
Ziyini izimpawu
Izimpawu ze-enanthematous gastritis, noma i-pangastritis, zivame ukuvela ngemuva kokudla, okungahlala cishe amahora amabili, futhi yilezi:
- Ubuhlungu besisu nokushisa;
- Isilungulela;
- Ukuzizwa ngiyagula;
- Ukuqunjelwa;
- Igesi evamile nokubhinca;
- Ukuntula ukudla;
- Ukuhlanza noma ukuphinda uthinte;
- Ukuphathwa yikhanda nokugula.
Lapho kukhona lezi zimpawu njalo noma lapho igazi livela esitokisini, kufanele kuboniswane nodokotela wezifo zesisu.
Ukutholakala kwalolu hlobo lwe-gastritis kuqinisekiswa ngokuhlolwa okubizwa nge-endoscopy, lapho udokotela akwazi ukubona ngeso lengqondo ingxenye yangaphakathi yesisu ekhomba ukuvuvukala kwezindonga zomzimba. Ezimweni lapho udokotela ekhomba khona ushintsho ku-mucosa yesisu, kunganconywa ukuhlolwa kwesicubu. Qonda ukuthi i-endoscopy yenziwa kanjani nokuthi kwenzekani kulolo vivinyo.
Yelashwa kanjani
Ukwelashwa kwe-gastritis enanthematous kwenziwa kuphela lapho kunezimpawu nalapho kungenzeka khona ukwazi imbangela ye-gastritis. Ngakho-ke, udokotela angancoma ukusetshenziswa kwemithi elwa namagciwane, njengePepsamar noma iMylanta, ukunciphisa i-asidi esiswini, noma imishanguzo evimbela ukukhiqizwa kwe-asidi esiswini, njenge-omeprazole ne-ranitidine, ngokwesibonelo.
Uma lesi sifo sibangelwaH. pylori, i-gastroenterologist ingancoma ukusetshenziswa kwama-antibiotics, okufanele asetshenziswe njengokuyalelwa ngudokotela. Isikhathi sokwelashwa sincike ebucayi bokuvuvukala kanye nezimbangela zesisu, kepha ezimweni eziningi ukwelashwa kutholakala kungakapheli amasonto noma izinyanga ezimbalwa.
Ngaphezu kwalokho, kubalulekile ukuyeka ukubhema nokuphuza iziphuzo ezidakayo, ngaphezu kokushintsha imikhuba yokudla, ukugwema ukudla okunamafutha okucasula amathumbu, njengepelepele, inyama ebomvu, ubhekeni, isoseji, isoseji, ukudla okuthosiwe, ushokoledi ne-caffeine, isibonelo. Bheka ividiyo engezansi ukuthi ukudla kwe-gastritis kufanele kubukeke kanjani:
I-Enanthematous gastritis iphenduka umdlavuza?
Kuye kwafakazelwa ukuthi lapho i-gastritis ibangelwa amagciwane H. Pylori esiswini, kunamathuba ayi-10 okuba nomdlavuza. Lokhu akusho ukuthi zonke iziguli ezinaleli gciwane zizoba nalesi sifo, ngoba kunezinye izinto eziningi ezithintekayo, njenge-genetics, ukubhema, ukudla neminye imikhuba yokuphila. Yazi ukuthi uzodlani uma unesifo sokuqaqamba kwamalunga okubangelwaH. pylori.
Ngaphambi kokuba i-gastritis ibe ngumdlavuza, izicubu zesisu ziba nezinguquko eziningana ezingabonakala nge-endoscopy kanye ne-biopsy. Inguquko yokuqala yileso sezicubu ezijwayelekile ze-gastritis, eguqukela kwisifo esingalapheki esingelona i-atrophic gastritis, i-atrophic gastritis, i-metaplasia, i-dysplasia, futhi kuphela ngemuva kwalokho, iba ngumdlavuza.
Indlela engcono yokukugwema ukulandela imishanguzo ekhonjiswe ngudokotela, uyeke ukubhema nokudla ukudla okwanele. Ngemuva kokulawula izimpawu, kungakhonjiswa ukuthi kubuyela kudokotela cishe ezinyangeni eziyisithupha ukuhlola isisu. Uma izinhlungu zesisu nokugayeka kokudla kungakaphathwa, eminye imithi enikezwe udokotela ingasetshenziswa kuze kuphulukiswe i-gastritis.