I-Gastritis Engapheli

-Delile

• Yiziphi izinhlobo ze-gastritis engapheli?
• Ziyini izimpawu ze-gastritis engapheli?
• Yini ebangela i-gastritis engapheli?
• Yiziphi izinto ezibangela ubungozi be-gastritis engapheli?
• Kufanele ngibone nini udokotela wami?
• Sitholakala kanjani isisu esingalapheki sobuhlungu besisu
• Uphathwa kanjani i-gastritis engalapheki?
• Imithi
• Ukudla
• Yiziphi ezinye izindlela zokwelapha i-gastritis engapheli?
• Uyini umbono wabantu abane-gastritis engapheli?
• Singavinjelwa kanjani i-gastritis engalapheki?

I-gastritis engapheli

Ulwelwesi lwesisu sakho, noma i-mucosa, lunezindlala ezikhiqiza i-asidi esiswini namanye ama-compounds abalulekile. Isibonelo esisodwa i-enzyme pepsin. Ngenkathi isisu sakho esine-asidi siphula ukudla futhi sikuvikele ekuthelelekeni, i-pepsin iphula amaprotheni. I-asidi esiswini sakho inamandla anele ukulimaza isisu sakho. Ngakho-ke, ulwelwesi lwesisu sakho lukhipha amafinyila ukuze luzivikele.

I-gastritis engapheli yenzeka lapho ulwelwesi lwesisu lwakho luvuvukala. Amagciwane, ukuphuza kakhulu utshwala, imishanguzo ethile, ukucindezeleka okungapheli, noma ezinye izinkinga zesistimu yomzimba kungaholela ekuvukeleni. Lapho ukuvuvukala kwenzeka, ulwelwesi lwesisu sakho luyashintsha futhi lulahlekelwe amanye amaseli alo avikelayo. Kungadala nokusutha kokuqala. Yilapho isisu sakho sizizwa sigcwele ngemuva kokudla ukulunywa okumbalwa kokudla.

Ngoba i-gastritis engapheli yenzeka isikhathi eside ikhula kancane kancane ulwelwesi lwesisu sakho. Futhi kungadala i-metaplasia noma i-dysplasia. Lezi yizinguquko ezingaphambuki kumaseli akho ezingaholela kumdlavuza uma ungelashwa.

I-gastritis engapheli ivame ukuba ngcono ngokwelashwa, kepha ingadinga ukuqapha okuqhubekayo.

Yiziphi izinhlobo ze-gastritis engapheli?

Izinhlobo eziningi ze-gastritis engapheli zikhona, futhi zingaba nezimbangela ezahlukahlukene:

• Thayipha u-A kubangelwa amasosha akho omzimba abhubhisa amangqamuzana esisu. Futhi kungandisa ubungozi bokushoda ngamavithamini, i-anemia kanye nomdlavuza.
• Uhlobo B, uhlobo oluvame kakhulu, lubangelwa I-Helicobacter pylori bacteria, futhi kungadala izilonda zesisu, izilonda zamathumbu, nomdlavuza.
• Uhlobo C kubangelwa ukucasulwa ngamakhemikhali njengezidakamizwa ezingezona ukuvuvukala (ama-NSAID), utshwala noma i-bile. Futhi kungadala ukuguguleka kolwelwesi lwesisu nokopha.

Ezinye izinhlobo ze-gastritis zifaka i-giant hypertrophic gastritis, engahle ihlobene nokushoda kwamaprotheni. Kukhona ne-eosinophilic gastritis, engenzeka ngokuhambisana nezinye izimo zokungezwani komzimba njenge-asthma noma i-eczema.

Ziyini izimpawu ze-gastritis engapheli?

I-gastritis engapheli ayibangeli izimpawu njalo. Kepha abantu abanezimpawu bavame ukuzwa:

• ubuhlungu besisu
• ukugaya ukudla
• ukuqunjelwa
• isicanucanu
• ukuhlanza
• ukubopha
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba

Yini ebangela i-gastritis engapheli?

Okulandelayo kungacasula ulwelwesi lwesisu sakho futhi kuholele ku-gastritis engapheli:

• ukusetshenziswa kwesikhathi eside kwemithi ethile, njenge-aspirin ne-ibuprofen
• ukuphuza ngokweqile
• ubukhona be H. pylori amagciwane
• izifo ezithile, njengesifo sikashukela noma ukwehluleka kwezinso
• amasosha omzimba abuthakathaka
• ukuphikelela, ukucindezela okukhulu okuthinta futhi amasosha omzimba
• i-bile egeleza isisu, noma i-bile reflux

Yiziphi izinto ezibangela ubungozi be-gastritis engapheli?

Ubungozi bakho besifo esingalapheki se-gastritis buyanda uma indlela yakho yokuphila nemikhuba yokudla yenza uguquko esiswini. Kungaba wusizo ukugwema:

• ukudla okunamafutha amaningi
• ukudla okunosawoti omningi
• ukubhema

Ukuphuza isikhathi eside utshwala nakho kungaholela ekuguleni kwesisu okungalapheki.

Indlela yokuphila enengcindezi noma okuhlangenwe nakho okubuhlungu nakho kunganciphisa amandla esisu sakho sokuzivikela. Ngaphezu kwalokho, ingozi yakho iyanda uma unezifo ezizimele noma izifo ezithile ezifana nesifo sikaCrohn.

Kufanele ngibone nini udokotela wami?

Ukucasuka kwesisu kuvamile, kodwa akusikho njalo uphawu lwe-gastritis engapheli. Shayela udokotela wakho uma ukucasuka kwesisu kuthatha isikhathi esingaphezu kwesonto noma uma uhlangabezana nezimpawu ezivamile zesifo esingalapheki njalo.

Thola usizo lwezokwelapha ngokushesha uma kwenzeka okunye kwalokhu okulandelayo:

• ukuhlanza igazi
• ukushaya kwenhliziyo okusheshayo
• ukuphefumula kanzima noma ukugwinya
• ukozela ngokweqile
• ukudlula ngokuzuma
• ukudideka

I-gastritis engapheli ikubeka engcupheni yokopha esiswini sakho nasemathunjini amancane. Futhi funa ukwelashwa khona manjalo uma unezihlalo ezimnyama, hlanza noma yini ebukeka njengezizathu zekhofi, noma uphethwe yisisu esiphikelelayo.

Sitholakala kanjani isisu esingalapheki sobuhlungu besisu

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha nezimpawu. Uchungechunge lwezivivinyo lungadingeka futhi, kufaka phakathi:

• ukuhlolwa kwamagciwane abangela izilonda zesisu
• indle ukuhlola ukopha esiswini
• ukubalwa kwegazi nokuhlolwa kwegazi
• i-endoscopy, lapho kufakwa khona ikhamela exhunywe kushubhu elide emlonyeni nangaphansi komgudu wokugaya ukudla

Uphathwa kanjani i-gastritis engalapheki?

Imithi nokudla kuyindlela ejwayelekile yokwelapha i-gastritis engapheli. Futhi ukwelashwa kohlobo ngalunye kugxila embangela yesisu.

Uma une-Type A, udokotela wakho kungenzeka abhekane nezinkinga ezihlobene nezakhamzimba oswele. Uma une-Type B, udokotela wakho uzosebenzisa ama-antimicrobial agents kanye nemithi yokuvimba i-acid ukubhubhisa H. pylori amagciwane. Uma une-Type C, udokotela wakho uzokutshela ukuthi uyeke ukuthatha ama-NSAID noma ukuphuza utshwala ukuvimbela ukulimala okuqhubekayo esiswini sakho.

Imithi

Udokotela wakho angakunikeza imithi yokwehlisa isisu sakho i-asidi. Imithi ejwayelekile yokunciphisa i-gastric acid yile:

• ama-antacids, kufaka phakathi i-calcium carbonate (Rolaids and Tums)
• i-proton pump inhibitors, efana ne-omeprazole (Prilosec)

Kunconywa ukunciphisa noma ukususa i-aspirin nemithi efanayo ukunciphisa isisu.

Izimpawu ze-gastritis engapheli kwesinye isikhathi zingaphela emahoreni ambalwa uma imishanguzo noma utshwala kubangela ukuthi i-gastritis yakho isebenze. Kodwa ngokuvamile i-gastritis engapheli ithatha isikhathi eside ukuthi inyamalale. Futhi ngaphandle kokwelashwa kungaqhubeka iminyaka.

Ukudla

Udokotela wakho angancoma izinguquko ekudleni kwakho ukuze unciphise ukucasuka kwesisu. Izinto okufanele uzigweme zifaka:

• ukudla okunosawoti omningi
• ukudla okunamafutha amaningi
• utshwala, kufaka phakathi ubhiya, iwayini, noma imimoya
• ukudla okugcwele inyama ebomvu nenyama elondoloziwe

Ukudla okunconyiwe kufaka:

• zonke izithelo nemifino
• ukudla okuphezulu kuma-probiotic, njenge-yogurt ne-kefir
• inyama engenamafutha, njengenkukhu, ikalikuni nenhlanzi
• tshala amaprotheni asekelwe njengobhontshisi ne-tofu
• i-pasta ephelele yokusanhlamvu, ilayisi, nezinkwa

Yiziphi ezinye izindlela zokwelapha i-gastritis engapheli?

Okunye ukudla kungasiza isisu sakho ukuthi sikususe H. pylori futhi unciphise izimpawu zakho:

• Uyini umbono wabantu abane-gastritis engapheli?

  Ukululama kwakho kwi-gastritis engapheli kuncike embangela yesimo.

  Uma i-gastritis engapheli iqhubeka ngaphandle kokwelashwa, ingozi yakho yezilonda zesisu nokuphuma kwesisu iyanda.

  Njengoba i-gastritis iphela esiswini sakho, ulwelwesi luyancipha futhi luvame ukudala ushintsho kumaseli, okungaholela kumdlavuza wesisu. Ukungakwazi kwesisu sakho ukumunca amavithamini nakho kungadala ukushiyeka okugcina umzimba wakho ungakha amangqamuzana egazi abomvu noma kuthinte ukusebenza kwezinzwa. Lokhu kungaholela ekushoneni kwegazi.

  Singavinjelwa kanjani i-gastritis engalapheki?

  Ungasiza ukulawula ubunzima be-gastritis ngokuqapha amazinga akho wokudla nengcindezi. Ukunciphisa utshwala nokusetshenziswa kwama-NSAID, njenge-ibuprofen, naproxen, ne-aspirin nakho kungasiza ukuvimbela lesi simo.