Kuyini i-Pangastritis?

-Delile

• Ukubuka konke
• Izimpawu ze-pangastritis
• Izici zobungozi be-pangastritis
• 1. Ukutheleleka esiswini
• 2. Imithi ekhulula izinhlungu
• 3. Ukuphuza ngokweqile
• 4. Ukucindezeleka okungapheli
• 5. Izimo zokuzivikela ngokuzenzakalela
• Ukuxilongwa kwe-pangastritis
• Ukwelashwa kwe-pangastritis
• Ukwelapha noma yikuphi ukutheleleka kokuqala
• Ukubuyisela izakhi zomzimba ezisilele
• Ukunciphisa i-acid esiswini ngemithi
• Izinguquko zokudla
• Izithako ezingeziwe
• Umbono we-pangastritis
• Ukuvimbela i-pangastritis

Ukubuka konke

I-Gastritis yisimo somgudu wokugaya ukudla lapho i-mucosa (ulwelwesi lwesisu) luvuvukala khona. Kunezinhlobo ezimbili eziyinhloko ze-gastritis: i-gastritis ebukhali ne-gastritis engapheli. I-acute gastritis ngokuzumayo, ukuvuvukala kwesikhashana, kanti i-gastritis engapheli ukuvuvukala kwesikhathi eside.

I-Pangastritis uhlobo oluvame kakhulu lwe-gastritis engapheli. Kuthinta ulwelwesi lwesisu lonke, kufaka phakathi kokubili i-antral ne-oxyntic mucosa ye-antrum (ingxenye engezansi yesisu) ne-fundus (ingxenye ephezulu yesisu), ngokulandelana.

I-Pangastritis yehlukile kwe-gastritis ejwayelekile ngoba ibandakanya isisu sonke, hhayi indawo eyodwa kuphela.

Ake sihlolisise izimpawu, izimbangela, ukuxilongwa, nokwelashwa kwe-pangastritis, kanye nombono walesi simo.

Izimpawu ze-pangastritis

Izimpawu ze-pangastritis ziyefana nalezo ezitholakala ku-gastritis ejwayelekile. Zingafaka:

• ubuhlungu besisu
• ukuqunjelwa
• isicanucanu
• ukuhlanza
• ukulahlekelwa isifiso sokudla
• ukusutha ngemuva kokudla

I-Pangastritis kungenzeka kungabi ukuphela kwembangela yalezi zimpawu, ngakho-ke kubalulekile ukubona udokotela uma uhlangabezana nazo njalo.

Izici zobungozi be-pangastritis

Ziningi izinto ezingalimaza ulwelwesi lwesisu sakho futhi zikhulise nengozi yokuba ne-pangastritis.

1. Ukutheleleka esiswini

I-Helicobacter pylori uhlobo lwama-bacteria aziwa ngokubangela ukutheleleka kwendlela yokugaya ukudla. Ngenye yezilonda ezivame kakhulu ze-pangastritis nezilonda zesisu. Kucatshangwa futhi ukuthi kuhlotshaniswa nomdlavuza wesisu.

2. Imithi ekhulula izinhlungu

Ukusetshenziswa njalo kwemithi yokuqeda izinhlungu, ikakhulukazi izidakamizwa ezingezona ukuvuvukala (ama-NSAID), kuyisici sengozi yokuthuthukisa i-pangastritis. Ukuthatha ama-NSAID kaningi emgqeni we-mucosal futhi kungathinta uketshezi lwesisu. Zombili lezi zinto zingaholela ekuvukeleni.

3. Ukuphuza ngokweqile

Ukuphuza ngokweqile kungaba nemiphumela emibi emzimbeni wakho, ikakhulukazi uma kukhulunywa ngomgudu wokugaya ukudla. Ukuphuza ngokweqile kungaholela ekutheni kube ne-gastritis ebukhali nakwabaphuza okungamahlalakhona, kungaholela nase-pangastritis.

4. Ukucindezeleka okungapheli

Ukucindezeleka kungathinta umzimba wakho ngezindlela eziningi. Izinguquko zeHormonal zenzeka ngezikhathi ezinzima, kufaka phakathi amazinga e-acetylcholine ne-histamine. Lokhu kungadala ushintsho ekusithekeni kwesisu futhi kuholele ekucindezelweni okubangelwa yi-pangastritis.

5. Izimo zokuzivikela ngokuzenzakalela

I-autoimmune gastritis yenzeka lapho umzimba uhlasela amaseli weparietal wesisu. I-autoimmune gastritis ifana ne-pangastritis, ngoba amaseli we-parietal atholakala kuphela ku-corpus (ingxenye enkulu, phakathi kwezingxenye ezingenhla nezingezansi) ne-fundus (ingxenye ephezulu) yesisu. Kodwa-ke, ukuqhubeka kwe-autoimmune gastritis kungaholela ku-pangastritis uma i-mucosa ilimala kakhulu ngokuhamba kwesikhathi.

Ukuxilongwa kwe-pangastritis

Kunezivivinyo eziningi udokotela wakho angazisebenzisa ukuthola i-pangastritis. Lokhu kungafaka:

• Ukuhlolwa kwegazi, ukuphefumula, noma indle ngoba h. pylori. Udokotela wakho angasebenzisa noma yikuphi kwalezi zivivinyo ezintathu ukuthola ukuthi unayo yini i- h. pyloriukutheleleka:
  • Ukuhlolwa kwegazi kungavumela udokotela ukuthi abone ukuthi ngabe ukhuthele noma wake watheleleka phambilini.
  • Ukuhlolwa kokuphefumula kwe-urea kungakhombisa uma unesifo esisebenzayo.
  • Ukuhlolwa kwendle kuzovumela udokotela ukuthi abone ukuthi kukhona yini h. pyloriama-antigen akhona emzimbeni wakho.
• Ukuhlolwa kwendle yokopha esiswini. I-Pangastritis nezinye izimo zesisu ezivuthayo kungadala ukuthi igazi libe khona esihlalweni. Kuyafana nokubheka isitulo se- h. pyloriukutheleleka, udokotela angabheka indle yakho egazini elibangelwa i-gastritis.
• Ukuhlolwa kwegazii-anemia. I-Pangastritis ingenye yezinto eziyingozi zokuthuthukisa i-anemia. Njengoba i-mucosa yendlela yokugaya ukudla ilimala kakhulu, kuba nzima kakhulu ukuncela izakhamzimba ekudleni. Lokhu kungaholela ekushodeni kwe-B-12 (okuyingozi) i-anemia noma i-iron-defence anemia. Udokotela wakho angalawula ukuhlolwa okuphelele kwegazi (CBC) ukuhlola amaseli abomvu egazi, amaseli amhlophe egazi, namazinga e-hemoglobin.
• Uchungechunge oluphezulu lwe-GI noma endoscopy ukulimala. Uchungechunge oluphezulu lwe-GI isivivinyo lapho udokotela ebuka ulwelwesi lwesisu sakho ngemishini yokuthwebula. I-endoscopy inqubo ehlasela kakhudlwana lapho udokotela angabuka khona ngaphakathi kwendlela yokugaya ukudla ngeshubhu elincane elinekhamera. Kokubili ukuhlolwa kungasiza ekunqumeni ukuthi ngabe i-mucosa ilimele yini kusuka ku-pangastritis.

Ukwelashwa kwe-pangastritis

Uma uthola ukuthi une-pangastritis, kunezindlela ezahlukahlukene zokwelashwa udokotela wakho angafuna ukuthatha nawe.

Ukwelapha noma yikuphi ukutheleleka kokuqala

Uma i-pangastritis yakho ibangelwe ukutheleleka nge h. pylori, kubalulekile ukwelapha ukutheleleka kuqala. Ngokuya nge-regimen yokwelapha i h. pylori ukutheleleka kungathatha noma yikuphi ukusuka ezinsukwini eziyi-10 kuye kwezingu-14.

Udokotela wakho angakunikeza umuthi owodwa noma ngaphezulu, kufaka phakathi:

• ama-antibiotic (njenge-amoxicillin noma i-tetracycline)
• i-ranitidine bismuth citrate
• iproton pump inhibitor (PPI)

Kubalulekile ukuthi wazi ukuthi ngaphandle kwale ndlela yokwelashwa, kungahle kube khona phakathi kokusebenzisa i-PPI nomonakalo we-mucosal.

Ku-2017, abacwaningi baphenye izifundo ze-13 lapho abantu babekwa khona ngaphansi kokwelapha okwesikhashana kwe-PPI. Bathola ukuthi iqembu lokwelashwa le-PPI lalinethuba eliphakeme lokuthuthukisa i-gastritis kuneqembu elilawulayo.

Ukubuyisela izakhi zomzimba ezisilele

Uma i-pangastritis yakho ibangele noma yikuphi ukushoda kwezakhi zomzimba, udokotela wakho uzofuna ukubuyisela amazinga akho wezakhi ngokushesha ngangokunokwenzeka.

Kubantu abane-pangastritis, ukushoda kokubili i-iron ne-vitamin B-12 kuvame ukuholela ekushoneni kwegazi. Udokotela wakho angafuna ngensimbi yedosi ephezulu, i-B-12, noma i-multivitamin supplement.

Ukunciphisa i-acid esiswini ngemithi

Abantu abane-pangastritis banezimfihlo ezimbalwa emkhakheni wokugaya ukudla ukusiza ukuvikela ulwelwesi ku-asidi esiswini. Ukwelapha i-pangastritis kuvame ukufaka ukusetshenziswa kwemithi engakusiza ukwehlisa amazinga we-asidi esiswini sakho.

Imithi yokwehlisa i-acid ongayinikwa udokotela wakho ifaka phakathi:

• Ama-Antacids. Indima ye-antacid iwukunciphisa i-asidi esiswini. Izinhlobo ezintathu eziyisisekelo zama-antacids ziyahluka ngokuya ngesithako sazo esisebenzayo - i-magnesium, calcium, noma i-aluminium. Ama-antacids ajwayelekile egama lomkhiqizo yi-Alka-Seltzer, i-Rolaids, i-Mylanta, ne-Tums.
• Ama-H2 blocker. Ama-H2 blocker asebenza ngendlela ehluke kancane kunama-antacids. Esikhundleni sokunciphisa i-asidi esiswini, izivimbeli ze-H2 zivimbela amaseli asemgodini wokugaya ukudla ukuthi angakhiqizi i-asidi yesisu. Lokhu kungasiza ekuvikeleni ukulimala okuqhubekayo kwi-mucosa ebucayi.
• I-Proton pump inhibitors (ama-PPIs).Ngokufana nendlela ama-H2 blocker asebenza ngayo, ama-proton pump inhibitors nawo anciphisa uketshezi lwe-acid esiswini. Kodwa-ke, ama-PPI athathwa njengenketho yesikhathi eside njengoba kungathatha isikhathi eside ukusebenza.
  Ama-PPIs ajwayelekile kakhulu anqunyiwe yi-Prilosec ne-Prevacid. Ngoba ukusetshenziswa kwesikhathi eside kwama-PPIs kungahle kube yi-pangastritis, udokotela wakho angangena ekusebenziseni kwabo ngokuqapha.

Izinguquko zokudla

Ukwenza izinguquko ekudleni kubalulekile kubantu abane-pangastritis ukusiza ukunciphisa ukucasuka okuqhubekayo emgqeni wesisu. Kubalulekile ukugxila kulokhu:

• ukudla okune-fiber eningi, okufana nezinhlamvu nemifino
• ukudla okungenamafutha amaningi, njenge-protein ephilile
• ukudla okungenzeki kakhulu ukukhuphula amazinga e-asidi esiswini
• iziphuzo ngaphandle kwe-carbonation noma i-caffeine

Kubalulekile futhi ukugwema lokhu kudla okulandelayo ngangokunokwenzeka:

• iziphuzo ezidakayo, ezine-caffeine nezine-carbonated
• ukudla okune-acid ngokweqile
• ukudla okunamafutha noma okuthosiwe kakhulu
• ukudla okubabayo

Izithako ezingeziwe

Kukhona nezinye izindlela zokwelapha ekhaya ongafuna ukuzifaka endleleni yakho yokwelashwa. Lokhu kufaka phakathi:

• Ama-Probiotic. Ama-Probiotic yizinto ezilusizo ezitholakala emathunjini ezingasiza ukugcina umgudu wakho wokugaya ukudla uphilile. Ucwaningo luphakamise ukuthi ukwelashwa kwama-probiotic kungaba yindlela enhle kulabo abane-gastritis. Kwesinye, abacwaningi bavivinye ukusetshenziswa kwe-BIFICO probiotic (equkethe I-Enterococcus faecalis, I-Bifidobacterium longum, futhi I-Lactobacillus acidophiluskuvuliwe h. pylorii-gastritis eyenziwe ngamagundane. Bathola ukuthi ukwelashwa nge-probiotic cocktail kunciphise ukuvuvukala kwesisu. Kodwa-ke, ucwaningo lusakhawulelwe ekusetshenzisweni kwama-probiotic njengokwelapha i-gastritis ebantwini.
• I-Glutamine. I-Glutamine iyi-amino acid ebalulekile. Enye yezindima ze-glutamine injengesandulela sama-antioxidants anamandla kakhulu emzimbeni, i-glutathione. uphakamise ukuthi i-glutamine ingadlala indima yokuvikela ekulimaleni kwe-mucosal kepha, olunye ucwaningo ezilingweni zomtholampilo lusadingeka.
• Ama-antioxidants. Amanye amakhemikhali abaluleke kakhulu emzimbeni womuntu ama-antioxidants. Ama-antioxidants asiza ukuvikela umzimba ekucindezelekeni okonakalisa i-DNA. Kubantu abane-pangastritis, ukuvuvukala kolwelwesi lwe-mucosal kungaholela ekucindezelekeni kwe-oxidative kumaseli esisu.
  Kwesinye, abacwaningi bathole ukuthi ukwelashwa nge-antioxidant resveratrol kunciphile H. pyloriukuvuvukala kwesisu esiswini kumagundane. Noma kunjalo, kudingeka ezinye izivivinyo zabantu ukuthola indima ngqo yokwengeza i-antioxidant nge-pangastritis.
• Omega-3 okunamafutha acid. Ama-fatty acids e-Polyunsaturated asetshenzisiwe ekwelashweni kokudla kuwo wonke umlando ngenxa yemiphumela yawo yokulwa nokuvuvukala, phakathi kwezinye izinzuzo. Okwakamuva ku-2015 kutholakale ukuthi i-n-3 PUFA supplementation ingakwazi ukunciphisa ukuvuvukala nomonakalo obangelwa i-gastritis. Ngaphezu kwalokho, futhi kunganciphisa ubungozi bokuhlaselwa yizifo ezimbi kakhulu, njengomdlavuza wesisu.
• Izithako zokudla ezingeziwe.I-Garlic, i-ginger, ne-turmeric konke kungukudla okungafakwa ekudleni ukuvimba ukukhula kwamagciwane amabi esiswini.

Umbono we-pangastritis

I-Pangastritis uhlobo lwe-gastritis engapheli, okusho ukuthi ukwelashwa nokuphathwa kungenzeka kudingeke esikhathini eside.

Isifo esingalapheki, i-gastritis esingalashiwe siyingozi ekuthuthukiseni izifo eziningi. Lokhu kufaka phakathi:

• izilonda zesisu
• ukopha esiswini
• i-anemia
• umdlavuza wesisu

Ukwelapha izimo ezingaphansi nokuphulukisa isisu yizinyathelo zokuqala ezibalulekile ekunciphiseni ubungozi balezi zimo ezihlobene.

Ngalezi zizathu, kubalulekile ukuthola ukuxilongwa kudokotela wakho futhi nixoxe ngohlelo lokwelashwa.

Ukuvimbela i-pangastritis

Ukuvinjelwa kwe-pangastritis kuqala ngemikhuba yokuphila enempilo. Nazi ezinye izinyathelo ongazithatha:

• Qiniseka ukuthi ugeza izandla kaningi ukuvimbela ukusabalala kwe- h. pylorikuwe nakwabanye.
• Gwema ukuphuza ngokweqile, ngoba lokhu kungacasula ulwelwesi lwesisu sakho.
• Nciphisa ukusetshenziswa kwe-NSAID nemithi yezinhlungu ukuvimbela ukuvuvukala kolwelwesi lwesisu.