I-Gastropathy 101

-Delile

• Ziyini izimpawu?
• Yiziphi izinhlobo ezahlukahlukene?
• Isisu
• I-Gastroparesis
• I-gastroenteritis
• Isilonda se-Peptic
• Umdlavuza wesisu
• I-Portal hypertensive gastropathy
• Kutholakala kanjani?
• Ilashwa kanjani?
• Izinguquko zendlela yokuphila
• Imithi
• Ukuhlinzwa
• Okubalulekile

Kuyini i-gastropathy?

I-Gastropathy yigama lezokwelapha lezifo zesisu, ikakhulukazi lezo ezithinta ulwelwesi lwesisu sakho. Kunezinhlobo eziningi ze-gastropathy, ezinye azinabungozi kanti ezinye zibucayi kakhulu. Uma unezinkinga eziqhubekayo zesisu, kungcono wenze i-aphoyintimenti nodokotela wakho. Zizokusiza ukunquma imbangela eyisisekelo ukuze uqale ukwelapha lesi simo.

Funda ukuze ufunde kabanzi mayelana nezimpawu ezivamile nezinhlobo zesifo sokuqaqamba komzimba.

Ziyini izimpawu?

Ngokuya ngesizathu, i-gastropathy ingadala izimpawu ezahlukahlukene, kufaka phakathi:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukunyanyiswa
• ubuhlungu besisu
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• isilungulela
• ukugcwala emva kokudla
• igesi
• ukugaya ukudla
• ukuqunjelwa
• i-asidi ye-asidi
• ukuvuselelwa kokudla
• ubuhlungu besifuba

Yiziphi izinhlobo ezahlukahlukene?

I-Gastropathy inezimbangela eziningi ezingaba khona. Izimo kwesinye isikhathi eziholela ekuthambekeni zihlanganisa:

Isisu

I-Gastritis ukuvuvukala kolwelwesi lwesisu sakho. Kuvame ukubangelwa ukutheleleka kwe- I-Helicobacter pylori. Kodwa-ke, ingavela futhi ekuphuzeni ngokweqile kwemithi nakwimithi ethile. Ingafika kancane noma ngokushesha futhi, lapho iyekwa ingelashwa, ingadala izilonda zesisu.

I-Gastroparesis

I-Gastroparesis yisimo lapho izicubu zakho zesisu zingakusunduzi kahle ukudla ngomgudu wakho wokugaya ukudla. Lokhu kusho ukuthi isisu sakho asikwazi ukuzithulula, esinganciphisa noma simise inqubo yokugaya. Uma lokhu kwenzeka, ungazizwa ugcwele ngokweqile futhi ugula esiswini sakho, noma ngabe awudlanga muva nje. I-Gastroparesis ivame ukuhlotshaniswa nomonakalo wezinzwa obangelwa izimo ezingapheli, njengesifo sikashukela.

I-gastroenteritis

I-Gastroenteritis elinye igama lesiphazamiso esiswini noma umkhuhlane wesisu. Ngokuvamile kubangelwa ukutheleleka ngegciwane noma ibhaktheriya. Kuvame ukusatshalaliswa ngokudla okungcolisiwe noma ukuxhumana negciwane noma amabhaktheriya avela komunye umuntu onalesi sifo.

Isilonda se-Peptic

Isilonda se-peptic yisilonda esivela emgqeni we-mucosal wesisu sakho noma engxenyeni engenhla yamathumbu akho amancane, okuthiwa i-duodenum. Ngokuvamile zibangelwa i- H. pylori ukutheleleka. Ukusebenzisa ngokweqile imishanguzo yokuthenga, njenge-aspirin ne-ibuprofen, nakho kungayibangela.

Umdlavuza wesisu

Umdlavuza wesisu uqala ukukhula engxenyeni yesisu sakho. Iningi lomdlavuza wesisu yi-adenocarcinomas, eqala ukwakha ulwelwesi lwangaphakathi esiswini sakho.

I-Portal hypertensive gastropathy

I-Portal hypertensive gastropathy (PHG) iyinkinga yomfutho wegazi ophakeme emithanjeni yakho ye-portal, ehambisa igazi esibindini sakho. Lokhu kuphazamisa ukugeleza kwegazi kuye esiswini sakho, kusishiye sengozini yokulimala. I-PHG kwesinye isikhathi ihlobene nokuqina kwesibindi esibindini sakho.

Kutholakala kanjani?

Uma unezimpawu ze-gastropathy, kunezivivinyo eziningi udokotela wakho angazenza ukusiza ukuthola imbangela eyimbangela. Lokhu kufaka phakathi:

• I-Endoscopy. Udokotela wakho uzosebenzisa i-endoscope, eyishubhu ende enekhamera ekugcineni, ukuhlola ingxenye ephezulu yohlelo lwakho lokugaya ukudla.
• H. pylori ukuhlolwa. Udokotela wakho angathatha isampula lokuphefumula noma indle yakho ukuyihlolela H. pylori amagciwane.
• Uchungechunge oluphakeme lwamathumbu. Lokhu kuhilela ukuthatha ama-X ray ngemuva kokuphuza into ebizwa nge-barium, okuwuketshezi oluchachambile olusiza udokotela wakho ukuthi abone umgudu wakho wamathumbu aphezulu.
• Isifundo sokuqeda isisu. Uzonikezwa ukudla okuncane okuqukethe inani elincanyana lezinto ezinomsakazo. Okulandelayo, bazosebenzisa isithwebuli ukulandelela ijubane lapho okokusebenza okukhipha imisebe kuhamba ohlelweni lwakho lokugaya ukudla.
• I-Ultrasound. Udokotela wakho uzobeka umugqa we-transducer esiswini sakho. I-wand ikhiqiza amagagasi omsindo lapho ikhompyutha iphenduka imifanekiso yezinhlelo zakho zokugaya ukudla.
• I-endoscopic ultrasound. Lokhu kufaka ukunamathisela i-transducer wand ku-endoscope bese uyifaka esiswini sakho ngomlomo wakho. Lokhu kunikeza isithombe esicacile sokufakwa kwesisu sakho.
• Isidumbu. Uma udokotela wakho esola ukuthi ungaba nomdlavuza, bazothatha isampula elincane lezicubu ngesikhathi se-endoscopy bese beyihlola amaseli womdlavuza.

Ilashwa kanjani?

Ukwelashwa kwesisu kuncike ekutheni yini ebangela isimo sakho.Izimbangela eziningi zidinga ushintsho lwendlela yokuphila, imithi, ukuhlinzwa, noma inhlanganisela yalokhu.

Izinguquko zendlela yokuphila

Ukushintsha eminye yemikhuba yakho yansuku zonke kungakusiza ukuphatha izimpawu zesimo sakho sesisu.

Udokotela wakho angancoma ukuthi:

• gwema imithi ethile, njenge-aspirin ne-ibuprofen
• udle ukudla okuncane okunamafutha
• gwema ukudla okubabayo
• Nciphisa ukudla kwakho usawoti nsuku zonke
• ukunciphisa noma ukumisa ukuphuza kwakho utshwala
• phuza amanzi amaningi
• engeza ukudla kwama-probiotic, njenge-kimchi ne-miso, ekudleni kwakho
• gwema ubisi
• udle ukudla okuncane izikhathi eziningana ngosuku

Imithi

Ngokuya ngesizathu se-gastropathy yakho, udokotela wakho angancoma imishanguzo kadokotela noma yamakhasimende. Eminye imithi isebenza ekwelapheni imbangela eyisisekelo yokukhubazeka kwesisu, kanti eminye ikusiza ukuphatha izimpawu.

Imithi kwesinye isikhathi ebandakanyeka ekwelapheni i-gastropathy ifaka:

• ama-antiacids
• iproton pump inhibitors
• ama-antibiotic
• imithi yesifo sikashukela
• imishanguzo yegazi
• ukwelashwa ngamakhemikhali
• izivimbeli ze-histamine
• ama-cytoprotective agents ukuvikela ulwelwesi lwesisu sakho
• imithi yokuvuselela izicubu zesisu
• imishanguzo yokulwa nesicanucanu

Ukuhlinzwa

Izinhlobo ezinzima kakhulu zesisu, njengomdlavuza, zidinga ukuhlinzwa. Uma unomdlavuza wesisu, udokotela wakho angakususa ngokuhlinzwa izicubu ezinomdlavuza ngangokunokwenzeka. Kwezinye izimo, bangakususa konke noma ingxenye yesisu sakho.

Udokotela wakho futhi angancoma inqubo ebizwa nge-pyloroplasty, evula ukuvulwa okuxhuma isisu sakho emathunjini akho amancane. Lokhu kungasiza nge-gastroparesis kanye nezilonda ezine-peptic.

Okubalulekile

I-Gastropathy yigama elibanzi lezifo zesisu sakho. Kunezinhlobo eziningi, kusuka kwizimbungulu ezijwayelekile zesisu kuya kumdlavuza. Uma unezinhlungu esiswini noma ukungaphatheki okungapheli emva kwezinsuku ezimbalwa, yenza i-aphoyintimenti nodokotela wakho ukuthola ukuthi kubangelwa yini.