Yini i-metaplasia yamathumbu, izimpawu nokuthi ilashwa kanjani

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• Izimbangela ezingaba khona
• Ingabe umdlavuza we-intestinal metaplasia?

I-metaplasia yamathumbu yisimo lapho amangqamuzana esisu asenqubeni yokwehlukanisa, okungukuthi, iqoqo lezilonda ezincane ezitholakala ngemuva kwe-endoscopy kanye ne-biopsy ethathwa njengeyandulela umdlavuza, enamandla okuba ngumdlavuza wesisu. Lesi simo asibangeli zimpawu, kepha njengoba sihambisana nokutheleleka kwamagciwane i-H. Pylori, i-gastritis kanye nezilonda zesisu noma zamathumbu, ubuhlungu nokusha esiswini, isicanucanu kanye nezitulo ezimnyama kungavela.

Ukwelashwa kwe-metaplasia yamathumbu akukacaci kahle, kepha i-gastroenterologist ingancoma ukusetshenziswa kwezidakamizwa ukunciphisa i-asidi yejusi lesisu kanye nama-antibiotic ukuqeda ukutheleleka nguH. Pylori, njenge-amoxicillin, ngoba ngale ndlela kungenzeka ukunciphisa Izinguquko zeselula ezibangelwa yilesi simo.

Izimpawu eziyinhloko

I-metaplasia yamathumbu ayizibangeli izimpawu, noma kunjalo, isikhathi esiningi ihlotshaniswa nokutheleleka kwamagciwane H. pylori, okubangela ukuvela kwesisu kanye nezilonda esiswini nasemathunjini, futhi kulezi zimo, izimpawu ezingavela yilezi:

• Ubuhlungu besisu nokushisa;
• Isicanucanu nokuhlanza;
• Ukuqunjelwa;
• Ukuzwa kwesisu esivuvukile;
• Ama-Burps namagesi amathumbu angapheli;
• Izitokisi ezimnyama, ezinegazi.

Imvamisa, ukutholakala kwe-metaplasia yamathumbu kwenziwa ngengozi lapho udokotela elandela ezinye izinkinga zohlelo lokugaya ukudla, kufaka phakathi umdlavuza, ngokwenza izivivinyo ezinjenge-endoscopy yokugaya ukudla kanye ne-gastric biopsy.

I-biopsy ingenziwa ngesikhathi se-endoscopy, lapho udokotela ethatha khona isampula elincane esiswini, lapho kuvame khona ukubonakala kwamapuleti amhlophe noma amabala, bese elithumela elabhorethri ye-immunohistochemistry, lapho izohlaziywa khona izinhlobo zamaseli. Bona okuningi mayelana nokuthi i-endoscopy yenziwa kanjani nokuthi ungalungiselela kanjani.

Yelashwa kanjani

Akukabikho ukwelashwa okuqondile kwe-metaplasia yamathumbu, kepha ukwelashwa ukuguqula lesi simo kunconywa yi-gastroenterologist futhi kuqukethe ikakhulu ukunciphisa izimpawu zokuvuvukala kwesisu, nokusetshenziswa kwezidakamizwa ukunciphisa i-asidi, njenge-omeprazole, kanye nokuqedwa ukutheleleka ngama-H. pylori bacteria ngokusebenzisa ama-antibiotic, njenge-clarithromycin ne-amoxicillin.

Udokotela futhi angancoma imithi esuselwa ku-ascorbic acid, eyaziwa kangcono njengevithamini C, nezithako zokudla ezinomsoco we-antioxidant, ngoba lokhu kungasiza ekwehliseni ukuvuvukala futhi kunciphise ukulimala okubangelwa i-metaplasia yamathumbu.

Ngaphezu kwalokho, kubaluleke kakhulu ukudla ukudla okunomsoco okunothe ngokudla okulwa nama-antioxidant, okutholakala ekudleni okuqukethe i-beta-carotenes efana notamatisi, okusiza ukunciphisa izimpawu zesisu kanye nezilonda, njengemifino kanye namayogathi. Bheka kabanzi ukuthi indlela okudliwa ngayo isisu kanye nezilonda kufanele yenziwe kanjani.

Izimbangela ezingaba khona

Izimbangela ze-metaplasia yamathumbu zisaphenywa, kodwa-ke, lesi simo mhlawumbe sibangelwa inhlanganisela yemikhuba yokudla ecebile ekudleni okunosawoti kanye no-vitamin C ompofu, ukusetshenziswa kogwayi nokutheleleka ngamagciwane H. pylori. Ukuchazwa kofuzo kuyisici esibalulekile engcupheni ekukhuleni kwalenkinga yezempilo, njengoba abantu abanomlando womndeni womdlavuza wesisu basengozini yokuba nemetaplasia yamathumbu.

Kwezinye izimo, i-metaplasia yamathumbu nayo ingabangelwa i-acidity yesisu, njengoba kwenzeka ku-gastritis, ukwakheka kwe-nitrate esiswini kanye ne-hypochlorhydria, njengoba lezi zimo zilimaza amaseli odonga lwesisu. Bona kabanzi ukuthi yini i-hypochlorhydria nokuthi ungayelapha kanjani.

Ingabe umdlavuza we-intestinal metaplasia?

I-metaplasia yamathumbu ayithathwa njengohlobo lomdlavuza, noma kunjalo, iyaziwa ngezilonda zayo zangaphambi komdlavuza, okungukuthi, uma ingabuyiselwa emuva ingaba ngumdlavuza. Umuntu okutholakala ukuthi unalesi simo kufanele alandelwe nge-gastroenterologist yesikhathi eside ukuqeda amabhaktheriya eH. Pylori futhi ahlolwe njalo ukuze abone ukuthi izilonda ze-metaplasia yamathumbu ziyahlehla yini.

Ngakho-ke, kubalulekile ukuthi ungayeki ukwelashwa noma ngabe kukude futhi nokudla okunconywayo kufanele kugcinwe njengoba kuyile ndlela okuzokwehliswa ngayo izilonda zamaselula ze-metaplasia yamathumbu nokunciphisa ubungozi balesi simo ukuba ngumdlavuza wesisu.

Njengoba i-gastritis iyingozi ekuthuthukiseni i-metaplasia yamathumbu, bona okuningi mayelana nokudla ukuze uthuthukise i-gastritis: