Matenda a m'mimba

Gastritis imachitika pakalowa m'mimba pamatupa kapena kutupa.

Gastritis imatha kukhala kwakanthawi kochepa (pachimake gastritis). Zitha kukhalanso kwa miyezi mpaka zaka (gastritis).

Zomwe zimayambitsa gastritis ndi izi:

• Mankhwala ena, monga aspirin, ibuprofen, kapena naproxen ndi mankhwala ena ofanana nawo
• Kumwa mowa mwauchidakwa
• Kutenga m'mimba ndi bakiteriya yotchedwa Helicobacter pylori

Zomwe zimayambitsa zochepa ndi izi:

• Matenda osokoneza bongo (monga kuchepa kwa magazi m'thupi)
• Kubwerera kwa bile m'mimba (bile reflux)
• Nkhanza za Cocaine
• Kudya kapena kumwa zinthu zowononga kapena zowononga (monga ziphe)
• Kupsinjika kwakukulu
• Matenda a virus, monga cytomegalovirus ndi herpes simplex virus (nthawi zambiri amapezeka mwa anthu omwe ali ndi chitetezo chamthupi chofooka)

Kupwetekedwa mtima kapena kudwala kwadzidzidzi, monga opaleshoni yayikulu, kufooka kwa impso, kapena kuyikidwa pamakina opumira kumatha kuyambitsa gastritis.

Anthu ambiri omwe ali ndi gastritis alibe zisonyezo.

Zizindikiro zomwe mungaone ndi izi:

• Kutaya njala
• Nseru ndi kusanza
• Zowawa kumtunda kwa mimba kapena m'mimba

Ngati gastritis ikuyambitsa magazi kuchokera mkatikati mwa m'mimba, zizindikilo zimatha kuphatikizira izi:

• Mipando yakuda
• Kusanza magazi kapena nthaka ya khofi ngati zinthu

Mayeso omwe angafunike ndi awa:

• Kuchuluka kwa magazi (CBC) kuti muwone kuchepa kwa magazi kapena kuchepa kwa magazi
• Kuyesedwa kwa m'mimba ndi endoscope (esophagogastroduodenoscopy kapena EGD) yokhala ndi zotupa m'mimba
• H pylori mayeso (kuyesa mpweya kapena kupondapo)
• Kayezetsa kupimako kuti muwone ngati magazi ali pang'ono m'matumba, omwe atha kukhala chizindikiro chakutuluka m'mimba

Chithandizo chimadalira pazomwe zikuyambitsa vutoli. Zina mwazomwe zimayambitsa zimatha pakapita nthawi.

Mungafunike kusiya kumwa aspirin, ibuprofen, naproxen, kapena mankhwala ena omwe angayambitse gastritis. Nthawi zonse lankhulani ndi omwe amakuthandizani asanakwane mankhwala.

Mutha kugwiritsa ntchito mankhwala owonjezera pa mankhwala ndi mankhwala omwe amachepetsa kuchuluka kwa asidi m'mimba, monga:

• Maantibayotiki
• Otsutsana ndi H2: famotidine (Pepsid), cimetidine (Tagamet), ranitidine (Zantac), ndi nizatidine (Axid)
• Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), iansoprazole (Prevacid), rabeprazole (AcipHex), ndi pantoprazole (Protonix)

Maantibayotiki amatha kugwiritsidwa ntchito kuchiza matenda am'mimba oyamba chifukwa cha matenda Helicobacter pylori mabakiteriya.

Mawonekedwe amatengera choyambitsa, koma nthawi zambiri amakhala abwino kwambiri.

Kutaya magazi komanso chiopsezo chowonjezeka cha khansa ya m'mimba kumatha kuchitika.

Itanani omwe akukuthandizani mukayamba:

• Zowawa kumtunda kwa mimba kapena pamimba zomwe sizimatha
• Mdima wakuda kapena wochedwa
• Kusanza magazi kapena zinthu ngati nthaka ya khofi

Pewani kugwiritsa ntchito zinthu zomwe zingakhumudwitse m'mimba mwanu monga aspirin, mankhwala osokoneza bongo, kapena mowa.

• Kutenga ma antiacids

• Dongosolo m'mimba
• Kutsegula m'mimba ndi m'mimba

Feldman M, Lee EL. Matenda a m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 52.

Kuipers EJ, Blaser MJ. Matenda a peptic. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 139.

Vincent K. Gastritis ndi matenda a zilonda zam'mimba. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 204-208.